Association of Indoor Tanning Regulations With Health and Economic Outcomes in North America and Europe.
JAMA Dermatol
; 156(4): 401-410, 2020 04 01.
Article
en En
| MEDLINE
| ID: mdl-32074257
ABSTRACT
Importance UV radiation emissions from indoor tanning devices are carcinogenic. Regulatory actions may be associated with reduced exposure of UV radiation at a population level. Objective:
To estimate the long-term health and economic consequences of banning indoor tanning devices or prohibiting their use by minors only in North America and Europe compared with ongoing current levels of use. Design, Setting, andParticipants:
This economic analysis modeled data for individuals 12 to 35 years old in North America and Europe, who commonly engage in indoor tanning. A Markov cohort model was used with outcomes projected during the cohort's remaining life-years. Models were populated by extracting data from high-quality systematic reviews and meta-analyses, epidemiologic reports, and cancer registrations. Main Outcomes andMeasures:
Main outcomes were numbers of melanomas and deaths from melanoma, numbers of keratinocyte carcinomas, life-years, and health care and productivity costs. Extensive sensitivity analyses were performed to assess the stability of results.Results:
In an estimated population of 110â¯932â¯523 in the United States and Canada and 141â¯970â¯492 in Europe, for the next generation of youths and young adults during their remaining lifespans, regulatory actions that ban indoor tanning devices could be expected to gain 423â¯000 life-years, avert 240â¯000 melanomas (-8.2%), and avert 7.3 million keratinocyte carcinomas (-7.8%) in North America and gain 460â¯000 life-years, avert 204â¯000 melanomas (-4.9%), and avert 2.4 million keratinocyte carcinomas (-4.4%) in Europe compared with ongoing current levels of use. Economic cost savings of US $31.1 billion in North America and 21.1 billion (US $15.9 billion) in Europe could occur. Skin cancers averted and cost savings after prohibiting indoor tanning by minors may be associated with one-third of the corresponding benefits of a total ban. Conclusions and Relevance Banning indoor tanning may be associated with reduced skin cancer burden and health care costs. Corresponding gains from prohibiting indoor tanning by minors only may be smaller.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Neoplasias Cutáneas
/
Evaluación de Resultado en la Atención de Salud
/
Modelos Económicos
/
Baño de Sol
Tipo de estudio:
Health_economic_evaluation
/
Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Child
/
Humans
País/Región como asunto:
America do norte
/
Europa
Idioma:
En
Revista:
JAMA Dermatol
Año:
2020
Tipo del documento:
Article
País de afiliación:
Australia