Abstract
ABSTRACT The public has been warned for years about the dangers of ultraviolet exposure from natural sunlight and tanning beds due to the associated risk for skin cancer development. An alternative to obtaining the sun-kissed look without ultraviolet exposure has been self-tanning products, which are applied directly to the skin via lotions, sprays, foams, and wipes. However, recent research has indicated that the chemical dihydroxyacetone (DHA), which is the active agent in most sunless tanning lotions, may cause cell damage via free radical reactions. Changes in pigmented lesion appearance during dermoscopic examinations after use of products containing DHA have been documented, and these findings will be analyzed. This integrative research review will examine evidence-based research regarding the risks of using DHA-containing products. Nola Pender’s health promotion model is recommended to identify strategies that healthcare providers can use when developing anticipatory guidance to address factors leading to barriers in health promoting behaviors. This model is focused on improvement of well-being while preventing diseases.
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