Sex differences and risk behaviors among indoor tanners.

OBJECTIVE: The objectives were to examine (1) sex differences in factors associated with indoor tanning, and (2) the relationship between cancer risk perception and skin cancer screening among indoor tanners.

METHODS: Data are from the 2010 National Health Interview Survey. The sample was limited to U.S. adults (≥ 18 years) using an indoor tanning device in the last year (N = 1177). We conducted bivariate and multivariate weighted analyses.

RESULTS: Among indoor tanners, less than 30% of men and women reported having ever had a skin exam. Male sex was significantly associated with rarely/never using sunscreen (51.4% of men vs. 36.4% of women) and with binge drinking of alcohol (47.6% of men vs. 37.4% of women). No sex differences in smoking were present. Indoor tanners who perceived themselves "about equally likely" to develop cancer (any type) as similar others were less likely to have received a skin cancer examination than those with high perceived risk.

CONCLUSION: The relationship of cancer risk perception to skin cancer screening is complex. Rates of risk and protective behaviors observed among men and women who indoor tan suggest mixed-sex tanning prevention efforts should target multiple risk behaviors.