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Associations between indoor tanning and risky health-related behaviors among high school students in the United States

机译:美国高中学生室内晒黑与危险健康相关行为之间的关联

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Understanding of the associations between indoor tanning and risky health related behaviors such as sexual activity and substance abuse among adolescents across the United States is incomplete. The purpose of this study is to identify risky health related behaviors among high school students utilizing indoor tanning according to region. We analyzed the results from surveys of adolescents in 14 different states administered as part of the Youth Risk Behavior Surveillance System (YRBSS) 2013. Data were collected and analyzed over a 4-month period from January 2016 to April 2016. Participants were 90,414 high school students. Sexual activity and use of substances including tobacco, alcohol, marijuana, cocaine, ecstasy, steroids, and prescription drugs was assessed.Our data indicate that females were more likely than males to utilize indoor tanning. Multivariate analysis identified sexual activity in the past 30 days as a variable strongly associated with indoor tanning in Nebraska (adjusted odds ratio, 3.8; 95% CI, 2.4-6.2; p0.001), South Dakota (adjusted odds ratio, 3.0; 95% CI, 1.8-5.1; p0.0001), Maryland (adjusted odds ratio, 2.4; 95% CI, 2.1-2.8; p0.0001), Alabama (adjusted odds ratio, 2.2; 95% CI, 1.4-3.3; p0.0001), Florida (adjusted odds ratio, 2.2; 95% CI, 1.6-3.1; p0.0001), Idaho (adjusted odds ratio, 2.2; 95% CI 1.4-3.2; p0.0001), Colorado (adjusted odds ratio, 2.1; 95% CI 1.5-3.1; p0.0001), Montana (adjusted odds ratio, 2.0; 95% CI, 1.5-2.6; p0.0001), North Carolina (adjusted odds ratio, 1.8; 95% CI, 1.0-3.3; p=0.04), and Wisconsin (adjusted odds ratio, 1.7; 95% CI, 1.0-3.0; p=0.04). A weak association was seen in Ohio (adjusted odds ratio, 1.2; 95% CI 0.7-2.0; p=0.58), and three states did not report this data. In Colorado, students were 7.5 times more likely to use steroids (adjusted odds ratio, 7.5; 95% CI, 4.7-11.9; p0.0001) if they also participated in indoor tanning. Any alcohol consumption within the prior 30 days was also associated with indoor tanning with the greatest association in North Dakota (adjusted odds ratio, 3.3; 95% CI, 2.4-4.6; p0.0001). Multivariate analysis identified marijuana use in the past 30 days as a variable associated with indoor tanning with the strongest association in New Hampshire (adjusted odds ratio, 2.3; 95% CI, 1.4-3.9; p=0.0011). Associations were also found between indoor tanning and use of ecstasy, cocaine, prescription medications, and a history of smoking cigarettes in the past month.When present, use of indoor tanning should raise clinical concern that warrants further screening for substance abuse and counseling of safe sex practices.
机译:在美国各地,对室内日光浴和与健康相关的危险行为(例如性活动和药物滥用)之间的关联的了解还不完整。这项研究的目的是根据地区来识别使用室内日光浴的高中学生与健康相关的危险行为。我们分析了作为2013年青年风险行为监视系统(YRBSS)一部分而进行管理的14个不同州的青少年调查结果。从2016年1月至2016年4月的4个月期间,收集并分析了数据。参与者为90,414名高中学生们。对性活动和使用烟草,酒精,大麻,可卡因,摇头丸,类固醇和处方药等物质进行了评估。我们的数据表明,女性比男性更可能使用室内晒黑。多变量分析将过去30天的性活动确定为与内布拉斯加州室内晒黑密切相关的变量(调整后的比值比为3.8; 95%CI为2.4-6.2; p <0.001),南达科他州(调整后的比值比为3.0; 95) %CI,1.8-5.1; p <0.0001),马里兰州(调整后的优势比,2.4; 95%CI,2.1-2.8; p <0.0001),阿拉巴马州(调整后的优势比,2.2; 95%CI,1.4-3.3; p <0.0001),佛罗里达州(调整后的赔率比2.2; 95%CI,1.6-3.1; p <0.0001),爱达荷州(调整后的赔率比2.2,95%CI 1.4-3.2; p <0.0001),科罗拉多州(调整后的赔率,2.1; 95%CI 1.5-3.1; p <0.0001),蒙大拿州(调整后的赔率比,2.0; 95%CI,1.5-2.6; p <0.0001),北卡罗来纳州(调整后的赔率比,1.8; 95%CI,1.0) -3.3; p = 0.04)和威斯康星州(调整后的优势比为1.7; 95%CI为1.0-3.0; p = 0.04)。在俄亥俄州发现弱关联(调整后的优势比为1.2; 95%CI为0.7-2.0; p = 0.58),三个州没有报告此数据。在科罗拉多州,如果他们还参加室内晒黑,则使用类固醇的几率要高7.5倍(调整后的优势比为7.5; 95%CI为4.7-11.9; p <0.0001)。前30天内的任何酒精消费也与室内晒黑有关,在北达科他州的关联最大(调整比值比为3.3; 95%CI为2.4-4.6; p <0.0001)。多变量分析将大麻在过去30天的使用量确定为与室内鞣革相关的变量,在新罕布什尔州的关联性最强(校正比值比为2.3; 95%CI为1.4-3.9; p = 0.0011)。还发现室内晒黑与使用摇头丸,可卡因,处方药以及过去一个月的吸烟史之间存在关联。当存在时,室内晒黑应引起临床关注,应进一步筛查药物滥用情况并提供安全咨询。性行为。

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