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Sunbed use in Iceland 2004 - 2018 Edda Lína Gunnarsdóttir ([email protected] ) NSFS conference 2019

Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

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Page 1: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Sunbed use in Iceland2004 - 2018

Edda Lína Gunnarsdóttir ([email protected])

NSFS conference 2019

Page 2: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Number of sunbed saloons in the Reykjavík area

3

25

56

28

0

10

20

30

40

50

60

1979 1984 1988 2005

NU

MBER O

F S

UN

BED

SALO

ON

S

YEAR

Data from Þorgeir Sigurðsson’s presentation The number and Usage of Sunbeds in

Iceland 1988 and 2005 at NSFS conference in 2008.

Page 3: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

The number of Icelanders travelling abroad

From Þorgeir Sigurðsson’s presentation Sunbeds and Sunburns in Iceland at NSFS

conference in 2015. Data originally from the National Statistical Institute of Iceland.

Page 4: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Exposure to UV radiation increases the risk of developing skin cancer (UV tanning devices are classified by IARC as Group 1: The agent is carcinogenic to humans).

[2] http://clipart-library.com

[1] https://upload.wikimedia.org/wikipedia/commons/5/53/Inside_a_tanning_bed%2C_March_2006.jpg

[2][1]

Page 5: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Danckert B, Ferlay J, Engholm G , Hansen HL, Johannesen TB, Khan S, Køtlum JE, Ólafsdóttir E, Schmidt LKH, Virtanen A and Storm HH. NORDCAN:

Cancer Incidence, Mortality, Prevalence and Survival in the Nordic Countries, Version 8.2 (26.03.2019). Association of the Nordic Cancer Registries. Danish

Cancer Society. Available from http://www.ancr.nu, accessed on day/month/year.

Page 6: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Danckert B, Ferlay J, Engholm G , Hansen HL, Johannesen TB, Khan S, Køtlum JE, Ólafsdóttir E, Schmidt LKH, Virtanen A and Storm HH. NORDCAN:

Cancer Incidence, Mortality, Prevalence and Survival in the Nordic Countries, Version 8.2 (26.03.2019). Association of the Nordic Cancer Registries. Danish

Cancer Society. Available from http://www.ancr.nu, accessed on day/month/year.

Page 7: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Young women were not the only group of people that were more frequent sunbed users than the rest of the population. Around the year 2000 children at the age of 13 used sunbeds frequently.

Page 8: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Used a sunbed in the last year

Did not use a sunbed in the last year

2004 survey on sunbed use:

12 – 15 years old

Page 9: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Campaign against the use of sunbeds

Page 10: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Radiation protection measures against the use of sunbeds

1991: Check of skin spots were offered free of charge during one day at the beginning of summer. Offered for many years by the Icelandic Cancer Society and the Icelandic Society of Dermatologist.

1993: New regulation on sunbeds.

2003: New regulation on sunbeds.

2004: Campaign against the use of sunbeds.

2011: The use of sunbeds by people.

under 18 prohibited by law.

Page 11: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Radiation protection measures against the use of sunbeds

Since 2004: A very good and successful co-operation between Geislavarnir, Directorate of Health, Icelandic Cancer Society and Dermatologist on informing the public about risks associated with use of sunbeds.

• The group has performed surveys on sunbed use since 2004. The survey results are presented here.

Page 12: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

How has the use of sunbeds developed since these radiation protection measures have been taken?

Page 13: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

The use of sunbeds by adults

0%

5%

10%

15%

20%

25%

30%

35%

2004 2006 2008 2010 2012 2014 2016 2018 2020% a

du

lts

that

use

d a

su

nb

ed t

he

last

yea

r

Survey Year

≥ 18 years old ≥ 16 years old

Page 14: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

14

277

196

168

121

90

0

50

100

150

200

250

300

2004 2006 2008 2010 2012 2014 2016 2018

Nu

mb

er o

f su

nb

ed

s

Year

Capital region Rural region whole of Iceland

The number of sunbeds

Page 15: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

0

0.2

0.4

0.6

0.8

1

1.2

2004 2006 2008 2010 2012 2014 2016 2018

Nu

mb

er o

f su

nb

eds

per

10

00

inh

abit

ants

Year

The number of sunbeds/1000 inhab.

Page 16: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

The use of sunbeds by youth

46%

21%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2002 2004 2006 2008 2010 2012 2014 2016 2018

% t

hat

had

use

d a

su

nb

ed

in la

st 1

2 m

on

ths

Survey year

12-23 y

Page 17: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Confirmation age

17

25%

1%

0%

5%

10%

15%

20%

25%

30%

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

% t

hat

had

use

d a

su

nb

ed t

he

last

12

m

Survey Year

12-15 y

Page 18: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Minors after 18 year old age limit

21%

7%

0%

5%

10%

15%

20%

25%

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

% t

hat

had

use

d a

su

nb

ed

in la

st 1

2 m

on

ths

Survey Year

12-17 y

Page 19: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

2018 adult gender difference

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

All ages 18-24 25-34 35-44 45-54 55-64 ≥ 65

% t

hat

use

d a

su

nb

ed la

st 1

2 m

on

ths

Age interval

women

men

Page 20: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

55% 23% 5% 14% 5%

2018 WOMEN OF AGE 18-24

Never 1-2 times 3-5 times 6-11 times monthly or more

46% 6% 16% 31%

2008 WOMEN OF AGE 18-24

Never 1-2 times 3-5 times ≥ 6

Page 21: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

2016 youth – gender difference

21

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

All ages 12-15 16-19 20-24

% t

hat

use

d a

su

nb

ed la

st 1

2 m

on

ths

Age interval

girls boys

Page 22: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Survey on sunburns The sunbed use is down to 8% in the adult population

But 15% answered that they had burned, either in the sun or in a sunbed, in the last 12 months.

Page 23: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Summary Actions that have been taken to reduce the use and number of

sunbeds in Iceland have been successful.

• The number of sunbeds went from 277 to 99

• The use of sunbeds by adults decreased from 30% to 8%

• The use of sunbeds by youth (12-23) decreased from 46% to 21%

• 12-15 year olds from 25% to 1%

• 12-17 year olds from 21% to 7%

The survey results are a valuable source of information on the sunbed use of the Icelandic population and can be used e.g. to

• identify the group of people that need to be targeted in campaigns to further decrease sunbed use

• study the incidence of melanoma

Page 24: Sunbed use in Iceland 2004 - 2018 · sunbeds in Iceland have been successful. •The number of sunbeds went from 277 to 99 •The use of sunbeds by adults decreased from 30% to 8%

Ideas for further decrease of UV exposure

• Launching of awareness campaigns targeted at the most frequent sunbed users.

• Targeted ads on e.g. Facebook or Google using gender, age, municipality and educational level to reach these people.

• Launching of awareness campaigns against sunburns from sunlight exposure to decrease the number of sunburns.

• Total ban of sunbeds. Political question.

• Continue educating the general public about the risks associated with ultraviolet exposure.