{ "abstract": "Background: In 2009, the International Agency for Research on Cancer (IARC) classified UV-emitting tanning devices as carcinogenic to humans (Group 1). This study aimed to describe ten-year trends in sunbed use prevalence across Europe and examine differences by country and sociodemographic and phenotypic characteristics. Methods: Euromelanoma survey data collected between 2009 and 2018 from 33 countries were analysed among individuals voluntarily attending free skin examinations. Annual sunbed use prevalence and 95% confidence intervals were estimated by country, with stratified analyses by gender, age, education level, and skin phototype. Associations with sunbed use were investigated using mixed-effects logistic regression models. Results: A total of 343,675 participants were included. Among Euromelanoma campaign participants, current sunbed use declined over the study period, declining from approximately 12.8% in 2009 to below 6% by 2018, despite year-to-year fluctuations. Women, adults aged 20–35 years and individuals with skin phototypes III–IV exhibited the highest odds of sunbed use (OR Female vs. Male = 3.01, 95%CI [2.91–3.12], OR 20–35 vs. >35 = 2.54, 95%CI [2.47–2.61], and OR Type III–IV vs. Type I–II = 1.52, 95%CI [1.47–1.56], respectively). Marked heterogeneity was observed across countries. Mixed-effects analyses showed a strong temporal decline that was significantly steeper among younger participants, particularly those aged 20–35 years, than among individuals older than 35 years. Conclusions: Indoor tanning prevalence declined across Europe between 2009 and 2018, during a period of evolving post-IARC regulatory and preventive measures. Persistent sociodemographic disparities and substantial between-country heterogeneity highlight the need for targeted, country-specific prevention strategies and continued monitoring of indoor tanning behaviors.", "abstract_shown": true, "affiliations": [ "Department of Experimental Oncology, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy", "Department of Statistics and Quantitative Methods, University of Milano-Bicocca, 20126 Milan, Italy", "Department of Dermatology, Hôpital Erasme (HUB), Université Libre de Bruxelles, 1070 Brussels, Belgium", "Department of Dermatology, Institut Jules Bordet (HUB), Université Libre de Bruxelles, 1070 Brussels, Belgium", "Biomedical Statistics, Université Libre de Bruxelles, 1070 Brussels, Belgium", "Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology, 119071 Moscow, Russia", "First Department of Dermatology, National and Kapodistrian University of Athens School of Medicine, An-dreas Sygros Hospital, 16121 Athens, Greece", "Second Department of Dermatology and Venereology, National and Kapodistrian University of Athens Medi-cal School, Attikon University Hospital, 12462 Athens, Greece", "Department of Clinical Sciences, Lund University, 221 85 Lund, Sweden", "Department of Dermatology, Skåne University Hospital, 221 85 Lund, Sweden", "Skin Cancer Center, Theme Cancer, Karolinska University Hospital, 171 76 Stockholm, Sweden", "Institute of Dermatology and Cosmetology, 01024 Kyiv, Ukraine", "Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1010 Lausanne, Switzerland", "Department of Dermatology and Venereology, Lausanne University Hospital (CHUV), 1011 Lausanne, Switzerland", "Department of Dermatology, University Hospital Zurich, 8091 Zurich, Switzerland", "Department of Dermatology and Allergology, University of Szeged, 6720 Szeged, Hungary", "Department of Dermatology, Sexually Transmitted Diseases and Clinical Immunology, University of Warmia and Mazury, 10-229 Olsztyn, Poland", "Department of Bone Marrow Transplantation and Onco-Hematology, Maria Skłodowska-Curie National Re-search Institute of Oncology, Gliwice Branch, 44-102 Gliwice, Poland", "Department of Dermatology, Faculty of Medicine, Military Medical Academy, 11040 Belgrade, Serbia", "Department of Dermatology and Venereology, School of Medicine, University of Belgrade, 11000 Belgrade, Serbia", "Dermatology Prof. Hercogova, Chlumcanskeho 5, 180 00 Praha, Czech Republic", "Department of Dermatology, Instituto Valenciano de Oncología, 46009 Valencia, Spain", "Private Practice, 3300 Tienen, Belgium", "Epidermis Dermatology Center, CUF Institute, 4460-188 Porto, Portugal", "Portuguese Skin Cancer Association, 4430-196 Porto, Portugal", "Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal", "Dermatology Department, Clinical Center, University of Sarajevo, 71000 Sarajevo, Bosnia and Herzegovina", "Dermatological Practice Tibarg, 22459 Hamburg, Germany", "Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania", "Egoclinic, District 1, 010235 Bucharest, Romania", "Oncologic Dermatology Department, Elias University Hospital, Carol Davila University of Medicine and Pharmacy, 011461 Bucharest, Romania", "Department of Dermatovenereology, University Hospital ‘Sestre milosrdnice’, 10000 Zagreb, Croatia", "Clinic of Infectious, Chest Diseases, Dermatovenereology and Allergology, Faculty of Medicine, Vilnius Uni-versity, LT-08411 Vilnius, Lithuania", "Petre Shotadze Tbilisi Medical Academy, 0144 Tbilisi, Georgia", "Georgia Faculty of Medicine, Caucasus International University, 0192 Tbilisi, Georgia", "Department of Dermatology, Oslo University Hospital, 0424 Oslo, Norway", "Department of Dermatology, Aarhus University Hospital, 8200 Aarhus, Denmark", "Institute of Dermatology, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy", "Department of Dermatology, School of Medicine, Bezmialem Vakif University, 34093 Istanbul, Turkey", "Derma Clinic Riga, Latvian University, LV-1007 Riga, Latvia" ], "article_type": null, "arxiv": null, "author_total": 52, "authors": [ { "affs": [ 0, 1 ], "name": "Aurora Gaeta", "orcid": "0000-0002-4944-7685" }, { "affs": [ 2, 3 ], "name": "Mariano Suppa" }, { "affs": [ 4 ], "name": "Hassane Njimi", "orcid": "0009-0000-7460-522X" }, { "affs": [ 5 ], "name": "Nikolay Nikolaevich Potekaev" }, { "affs": [ 6 ], "name": "Alexander J. Stratigos" }, { "affs": [ 7 ], "name": "Alexander Katoulis", "orcid": "0000-0001-8189-7486" }, { "affs": [ 8, 9 ], "name": "Åsa Ingvar", "orcid": "0000-0001-5876-0190" }, { "affs": [ 10 ], "name": "Ada Girnita" }, { "affs": [ 11 ], "name": "Olga Bogomolets" }, { "affs": [ 12 ], "name": "Jean-Luc Bulliard", "orcid": "0000-0001-9750-2709" }, { "affs": [ 13 ], "name": "Olivier Gaide", "orcid": "0000-0002-2865-7595" }, { "affs": [ 14 ], "name": "Juerg Hafner" }, { "affs": [ 15 ], "name": "Judith Oláh", "orcid": "0000-0002-9805-4853" }, { "affs": [ 15 ], "name": "Eszter Baltas", "orcid": "0000-0003-0357-7393" }, { "affs": [ 16 ], "name": "Vladimir Placek" }, { "affs": [ 17 ], "name": "Grażyna Kaminska-Winciorek", "orcid": "0000-0002-9810-4945" }, { "affs": [ 18 ], "name": "Lidija Kandolf", "orcid": "0000-0002-5221-5068" }, { "affs": [ 19 ], "name": "Liliana Medenica" }, { "affs": [ 20 ], "name": "Jana Hercogová", "orcid": "0000-0003-1702-5995" }, { "affs": [ 21 ], "name": "Eduardo Nagore", "orcid": "0000-0003-3433-8707" }, { "affs": [ 22 ], "name": "Thomas Maselis" }, { "affs": [ 23, 24, 25 ], "name": "Osvaldo Correia", "orcid": "0000-0001-8666-6345" }, { "affs": [ 23, 24, 25 ], "name": "Ana Filipa Duarte", "orcid": "0000-0001-6032-4603" }, { "affs": [ 26 ], "name": "Hana Helppikangas" }, { "affs": [ 27 ], "name": "Michael Reusch" }, { "affs": [ 28, 29 ], "name": "Alin Codrut Nicolescu", "orcid": "0000-0003-4828-464X" }, { "affs": [ 30 ], "name": "Ana-Maria Forsea" }, { "affs": [ 31 ], "name": "Mirna Šitum" }, { "affs": [ 32 ], "name": "Matilda Bylaite-Bucinskiene" }, { "affs": [ 33 ], "name": "Lally Mekokishvili" }, { "affs": [ 34 ], "name": "Maia Datuashvili" }, { "affs": [ 35 ], "name": "Ingrid Roscher" }, { "affs": [ 36 ], "name": "Henrik Frank Lorentzen" }, { "affs": [ 37 ], "name": "Ketty Peris" }, { "affs": [ 38 ], "name": "Nahide Onsun" }, { "affs": [ 39 ], "name": "Raimonds Karls" }, { "name": "Pille Konno", "orcid": "0000-0002-9603-7064" }, { "name": "Zorica Zafirovik" }, { "name": "Tanja Planinšek Ručigaj" }, { "name": "Ana Benedicic" }, { "name": "Michelle Murphy" }, { "name": "Angela Hayrapetyan" }, { "name": "Michael Hambardzumyan", "orcid": "0000-0002-9007-9191" }, { "name": "Lawrence Scerri", "orcid": "0009-0000-5354-6275" }, { "name": "Daniel Micallef", "orcid": "0000-0003-4538-256X" }, { "name": "Aliaksandr M. Lukyanau" }, { "name": "Andreas Pallouras" }, { "name": "Konstantinou Paschalis" }, { "name": "Boris Nedelciuc" }, { "affs": [ 2, 3 ], "name": "Wiam Al Bouzidi" }, { "affs": [ 0 ], "name": "Sara Gandini", "orcid": "0000-0002-1348-4548" }, { "affs": [ 2, 3 ], "name": "Véronique del Marmol", "orcid": "0000-0002-4359-0667" } ], "bibtex": "https://research.draconitic.com/paper/cta4dxxjmqhws.bib", "cited_by": 0, "doi": "10.3390/cancers18213548", "fulltext_url": null, "id": "cta4dxxjmqhws", "issns": [ "2072-6694" ], "landing_url": "https://www.mdpi.com/2072-6694/18/21/3548", "language": null, "licence": "CC-BY-4.0", "licence_label": "CC BY 4.0", "licence_source": "article", "licence_url": "https://creativecommons.org/licenses/by/4.0/", "metadata_licence": null, "native_subjects": [], "openalex": null, "pdf_url": null, "pmcid": null, "pmid": null, "published": "2026-11-04", "publisher": "MDPI AG", "ris": "https://research.draconitic.com/paper/cta4dxxjmqhws.ris", "sources": [ { "first_seen": "2026-11-05T00:21:09Z", "native_id": "10.3390/cancers18213548", "source": "crossref", "url": "https://www.mdpi.com/2072-6694/18/21/3548" } ], "subjects": [ { "field": "medicine", "origin": "issn:2072-6694", "subfield": "oncology" } ], "title": "Indoor Tanning in Europe: Temporal Trends, Sociodemographic Determinants from the Euromelanoma Campaign (2009–2018)", "title_text": "Indoor Tanning in Europe: Temporal Trends, Sociodemographic Determinants from the Euromelanoma Campaign (2009–2018)", "type": "peer-reviewed", "updated_at": "2026-11-06T00:21:25Z", "url": "https://research.draconitic.com/paper/cta4dxxjmqhws", "venue": "Cancers", "versions": [] }