Decreasing sunbed use in the German population between 2001 and 2015: survey in 155 679 working persons

Area of Science:

• Dermatology
• Public Health
• Cancer Prevention

Background:

• Ultraviolet (UV) radiation exposure from sunbeds is a known risk factor for skin cancer.
• Sunbed use has been identified as a significant attributable risk for developing skin malignancies.

Purpose of the Study:

• To assess the prevalence of regular sunbed usage within the German adult population.
• To analyze trends in sunbed use over a 15-year period using large-scale, population-based survey data.

Main Methods:

• Data collected from over 155,000 individuals participating in skin cancer screenings from 2001 to 2015.
• Screenings included clinical examinations and interviews focusing on risk behaviors like sunburns and sunbed use.

Main Results:

• A substantial decrease in regular sunbed use was observed, from 11.0% in 2001 to 1.6% in 2015 (P < 0.001).
• Higher prevalence of sunbed use was noted in women, younger individuals, and those with darker skin types (II and III).
• A significant decline in sunbed use occurred after 2009, coinciding with a ban for minors and the initiation of a national skin cancer screening program.

Conclusions:

• Sunbed use among German adults has decreased by over 85% in the last decade.
• Primary prevention strategies, including public awareness campaigns and regulatory measures, appear effective.
• The national skin cancer screening program may also play a role in reducing sunbed use and associated risks.