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Tattoos in the general Swedish population: prevalence, determinants, and exposure characteristics

Nielsen, Christel LU orcid and Saxne Jöud, Anna LU orcid (2025) In European Journal of Public Health
Abstract
Tattoo ink on the European market has been reported to contain many human toxicants, which has raised concerns about health effects. Clarifying the exposure distribution in the population is key to understanding potential public health implications. We investigated the prevalence of tattoos in a population-based Swedish cohort of 13 046 individuals aged 20–68 years with exposure data collected through a questionnaire in 2021. In addition, we characterized the tattooed population in terms of sociodemographic and socioeconomic determinants and exposure characteristics using multivariable logistic regression, regressing tattoo status on sex, age, educational attainment, marital status, smoking, snuff use, and alcohol consumption. The... (More)
Tattoo ink on the European market has been reported to contain many human toxicants, which has raised concerns about health effects. Clarifying the exposure distribution in the population is key to understanding potential public health implications. We investigated the prevalence of tattoos in a population-based Swedish cohort of 13 046 individuals aged 20–68 years with exposure data collected through a questionnaire in 2021. In addition, we characterized the tattooed population in terms of sociodemographic and socioeconomic determinants and exposure characteristics using multivariable logistic regression, regressing tattoo status on sex, age, educational attainment, marital status, smoking, snuff use, and alcohol consumption. The age-standardized tattoo prevalence was estimated at 29% (95% confidence interval [CI] 27%–30%). Tattoos were more common in the younger age groups, particularly among females. Males were younger when they received their first tattoo and tended to have a larger tattooed body surface. Tattoo exposure was associated with unfavourable socioeconomic characteristics, with the highest odds ratio observed for current smokers compared with never-smokers (2.86; 95% CI 2.42–3.38). Our results suggest that any tattoo-related adverse effects may exacerbate existing inequalities in health. Additionally, the high prevalence in younger age groups indicates a likely shift in the characteristics of the tattooed population over time, which may have further implications for public health. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Tattoo, Determinants, Population Exposure
in
European Journal of Public Health
article number
ckaf178
publisher
Oxford University Press
external identifiers
  • pmid:41236770
ISSN
1101-1262
DOI
10.1093/eurpub/ckaf178
language
English
LU publication?
yes
id
dde5722f-0fe2-4cbc-a76c-076a7e5a327f
date added to LUP
2025-11-28 11:14:58
date last changed
2025-11-29 03:16:39
@article{dde5722f-0fe2-4cbc-a76c-076a7e5a327f,
  abstract     = {{Tattoo ink on the European market has been reported to contain many human toxicants, which has raised concerns about health effects. Clarifying the exposure distribution in the population is key to understanding potential public health implications. We investigated the prevalence of tattoos in a population-based Swedish cohort of 13 046 individuals aged 20–68 years with exposure data collected through a questionnaire in 2021. In addition, we characterized the tattooed population in terms of sociodemographic and socioeconomic determinants and exposure characteristics using multivariable logistic regression, regressing tattoo status on sex, age, educational attainment, marital status, smoking, snuff use, and alcohol consumption. The age-standardized tattoo prevalence was estimated at 29% (95% confidence interval [CI] 27%–30%). Tattoos were more common in the younger age groups, particularly among females. Males were younger when they received their first tattoo and tended to have a larger tattooed body surface. Tattoo exposure was associated with unfavourable socioeconomic characteristics, with the highest odds ratio observed for current smokers compared with never-smokers (2.86; 95% CI 2.42–3.38). Our results suggest that any tattoo-related adverse effects may exacerbate existing inequalities in health. Additionally, the high prevalence in younger age groups indicates a likely shift in the characteristics of the tattooed population over time, which may have further implications for public health.}},
  author       = {{Nielsen, Christel and Saxne Jöud, Anna}},
  issn         = {{1101-1262}},
  keywords     = {{Tattoo; Determinants; Population Exposure}},
  language     = {{eng}},
  month        = {{11}},
  publisher    = {{Oxford University Press}},
  series       = {{European Journal of Public Health}},
  title        = {{Tattoos in the general Swedish population: prevalence, determinants, and exposure characteristics}},
  url          = {{http://dx.doi.org/10.1093/eurpub/ckaf178}},
  doi          = {{10.1093/eurpub/ckaf178}},
  year         = {{2025}},
}