Table 1.

Summary of recommendations

RecommendationRationale
1. Better-enforced IT regulations and collection of data.New IT regulations infrequently include content on enforcement, and enforcement is rarely measured.
2. Inclusion of OT questions in national surveys.Data on prevalence and frequency of intentional tanning outdoors are generally not available.
3. Understanding complex patterns of IT and OT.Little is known about how IT and OT may function concurrently or in alternation.
4. More research is needed on examining changing motivations for IT and OT.Behavioral research to understand the common and unique motivations for IT and OT, respectively, will improve public health messaging in reducing intentional tanning.
5. IT intervention studies should include OT as a secondary outcome.IT intervention studies should routinely consider OT to increase our holistic understanding of intentional tanning through multiple routes.