A Geospatial Analysis of the Association between Access to Tanning Bed Facilities and Melanoma in the United States New England Region

Journal of Investigative Dermatology

Clinical Summary

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What was studied

A spatial ecological analysis of New England county-level melanoma incidence (2014–2018) assessed the association between access to indoor tanning facilities, measured as average travel time within a 30‑minute threshold, using adjusted spatial regression.

Key findings

Each 1‑minute increase in average travel time to tanning facilities was associated with a 3.46% decrease in melanoma incidence within the same county and a 1.92% decrease across New England after adjustment.

Study limitations

Ecological, county-level design without individual-level data; analysis limited to New England counties.

Clinical implications

Counties with more difficult access to indoor tanning facilities had lower melanoma incidence; policies that reduce access to tanning facilities and targeting identified high‑risk clusters may help lower regional melanoma rates.