In 2011 a study by (Megan et al. 2011) on 778 teenage females age from 12-18 years who reported used indoor tanning and sunless tanning products in the past 6 months, the study showed that 16% of teenage females aged …show more content…
from 12-18 years involved in indoor tanning and about 25.1% involved in using sunless tanning products, in addition about 9.1% of teenage females involved in both indoor tanning and sunless products, of those females who involved in indoor tanning about 55.6% also participated in sunless tanning products.
Sunless tanning product showed to be higher than indoor tanning through the age of 16 years while indoor tanning showed to be higher among age of 17 years.
Nevertheless, indoor tanning occurred more significantly among white females about 20.4% when compared to other races, darker skin has a protection factor and occurred more in non-metropolitan areas about 24.6% when compared to metropolitan areas.There was a strong relationship between race and indoor tanning, teenage females continue to engage in indoor tanning to a nearly high degree that increases the risk of developing skin cancer. Whereas, by the end of high school it appears t hat most of the teenage females shifted to use indoor tanning rather than sunless tanning products to achieve tanned look.
[4][5]
Skin cancers especially melanoma become the most prevalent cancer in 25-29 years old females and contribute about 12% of cancer in 20-40 years old females, that's accounts up to 90% of skin cancers are due to exposure to ultraviolet radiation, which initiates the physiological process of tanning that leads to damage of the epidermal cell. By reducing the exposure to ultraviolet radiation and enhancing the use of sun protection the incidence rate of skin cancers could be reduced. [1][2][5]
Melanoma is the most lethal form of skin cancer and it is widespread. In 2009, the International Agency for Research on Cancer classified the entire UV spectrum as carcinogenic. In many countries, including Italy, it prevents using of tanning equipment by minors people at high-risk. [9]
UV exposure it considers risk factors for melanoma and non-melanoma including basal cell carcinoma and squamous cell carcinoma, UVB can directly damage DNA and causes mutation while UVA which has longer wavelength and can penetrate deeply into skin and causes oxidative damage, in study by ( Mingfeng et al.2009) on 73,494 females nurses during 20 years follow-up, the study showed 5,506 nurses were diagnosed with basal cell carcinoma and 403 with squamous cell carcinoma and 349 with melanoma at the age of 25-35 years old, and they found a significantly increased risk of developing basal cell carcinoma and squamous cell carcinoma and melanoma with individuals who used tanning bed. [6]
However, Healthcare providers must educate females about these products and the importance of avoiding indoor tanning. [8]
Furthermore, only a limited studies regarding the subjrct were found in Saudi Arabia which emphasises the necessity of conducting more.