wileyonlinelibrary.com/journal/phpp Photodermatol Photoimmunol Photomed. 2018;34:106–111.
© 2017 John Wiley & Sons A/S.
Published by John Wiley & Sons Ltd
Accepted: 31 August 2017
Are tanning salons in compliance with German law? An
evaluation based on a nationwide representative survey
| Sven Schneider
| Rüdiger Greinert
| Eckhard W. Breitbart
Mannheim Institute of Public Health,
Social and Preventive Medicine, Heidelberg
University, Mannheim, Germany
Association of Dermatological Prevention,
Center of Dermatology, Elbe Clinics,
Tatiana Görig, Mannheim Institute of Public
Health, Social and Preventive Medicine,
Heidelberg University, Mannheim, Germany
The National Cancer Aid Monitoring on
Sunbed Use is supported by the German
Cancer Aid (grant number 111207).
Background: Given the evidence for increased skin cancer risk due to the sunbed use,
a regulation of hazardous artificial ultraviolet radiation (UVR regulation) was passed in
Germany in 2012. The aim of this study was to explore the advisory services in tanning
studios as reported by sunbed users and to evaluate the information provided by the
personnel of tanning salons after the UVR regulation was enacted.
Methods: The first wave of the representative National Cancer Aid Monitoring on
Sunbed Use included a subgroup of 357 German citizens between 14 and 45 years
who had used sunbeds since the UVR regulation was implemented. The participants
provided data on sunbed use and related issues in telephone interviews.
Results: Although sunbed operators are mandated to offer their customers certain
services at least once since the implementation of the UVR regulation, 15.4% of sun-
bed users were never advised to use protective eyewear during tanning and 13.1%
were not provided with eyewear during their last sunbed use. Overall, 66.0% were
never offered to develop a tanning schedule, 56.9% were never advised on the risks of
UVR, 43.4% were never offered a determination of their skin type and 40.0% of users
were never advised on how to use a sunbed safely.
Conclusions: The data showed that 3 years after the UVR regulation was enacted,
compliance with this legislation is still not optimal. Binding wording in the legal text
and making them applicable to unsupervised sunbeds as well is necessary to extend
the impact of this legislation.
Germany, legal aspects, sunbed use, tanning
1 | INTRODUCTION
Over the past decades, the incidence of malignant melanoma has in-
creased dramatically in developed countries.
Meta- analyses have
shown that sunbed use is associated with a significant increase in the
risk of melanoma.
Moreover, the relative risk of malignant mela-
noma increases by up to 59%
for people whose sunbed use
started before the age of 35. Consequently, the International Agency
for Research on Cancer (IARC) classified indoor tanning devices and
the entire ultraviolet spectrum as carcinogenic to humans.
Given the evidence for increased skin cancer risk due to the use
of indoor tanning devices, a number of countries have adopted regula-
tions for the use of indoor tanning.
By 2011, 11 countries and a num-
ber of states and provinces in Canada, the United States and Australia
had passed laws restricting indoor tanning for persons younger than