Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Does tattoo exposure increase the risk of cutaneous melanoma? A population-based case-control study

Rietz Liljedahl, Emelie LU orcid ; Nielsen, Kari LU orcid ; Engfeldt, Malin LU ; Saxne Jöud, Anna LU orcid and Nielsen, Christel LU orcid (2025) In European Journal of Epidemiology
Abstract
The incidence of cutaneous melanoma (CM) has risen sharply over the past 30 years, coinciding with the rapidly growing tattoo trend. In Sweden, 20% of the population is tattooed. Repeated reports of the presence of carcinogenic chemicals, such as polyaromatic hydrocarbons, aromatic amines and heavy metals in tattoo ink justifies the investigation of CM risk in relation to tattooing. We aimed to investigate the potential association between tattoo exposure and CM. We identified 2880 individuals who were diagnosed with CM at age 20-60 years, in the Swedish National Cancer Register. For each case, we sampled three random age- and sex-matched controls from the Swedish Total Population Register. Exposure data and data on potential confounders... (More)
The incidence of cutaneous melanoma (CM) has risen sharply over the past 30 years, coinciding with the rapidly growing tattoo trend. In Sweden, 20% of the population is tattooed. Repeated reports of the presence of carcinogenic chemicals, such as polyaromatic hydrocarbons, aromatic amines and heavy metals in tattoo ink justifies the investigation of CM risk in relation to tattooing. We aimed to investigate the potential association between tattoo exposure and CM. We identified 2880 individuals who were diagnosed with CM at age 20-60 years, in the Swedish National Cancer Register. For each case, we sampled three random age- and sex-matched controls from the Swedish Total Population Register. Exposure data and data on potential confounders were collected through a questionnaire in 2021. We estimated the relative risk of CM in tattooed compared with nontattooed individuals using multivariable logistic regression, rendering incidence rate ratios (IRR). Of the participants, 22% of the cases (354/1598) had a tattoo before the index date, vs. 20% of the controls (815/4097). We observed an adjusted relative risk of CM in tattooed compared to nontattooed individuals of 1.29 (95% confidence interval [CI]: 1.07-1.56). The results suggested that tattoos may be a risk factor for CM, but further studies are needed to establish causality. (Less)
Please use this url to cite or link to this publication:
author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
in
European Journal of Epidemiology
publisher
Springer
external identifiers
  • pmid:41284183
ISSN
1573-7284
DOI
10.1007/s10654-025-01326-6
language
English
LU publication?
yes
id
f696945d-5a8d-4715-84a4-3f3b12a0489c
date added to LUP
2025-11-26 15:38:40
date last changed
2025-12-01 09:28:37
@article{f696945d-5a8d-4715-84a4-3f3b12a0489c,
  abstract     = {{The incidence of cutaneous melanoma (CM) has risen sharply over the past 30 years, coinciding with the rapidly growing tattoo trend. In Sweden, 20% of the population is tattooed. Repeated reports of the presence of carcinogenic chemicals, such as polyaromatic hydrocarbons, aromatic amines and heavy metals in tattoo ink justifies the investigation of CM risk in relation to tattooing. We aimed to investigate the potential association between tattoo exposure and CM. We identified 2880 individuals who were diagnosed with CM at age 20-60 years, in the Swedish National Cancer Register. For each case, we sampled three random age- and sex-matched controls from the Swedish Total Population Register. Exposure data and data on potential confounders were collected through a questionnaire in 2021. We estimated the relative risk of CM in tattooed compared with nontattooed individuals using multivariable logistic regression, rendering incidence rate ratios (IRR). Of the participants, 22% of the cases (354/1598) had a tattoo before the index date, vs. 20% of the controls (815/4097). We observed an adjusted relative risk of CM in tattooed compared to nontattooed individuals of 1.29 (95% confidence interval [CI]: 1.07-1.56). The results suggested that tattoos may be a risk factor for CM, but further studies are needed to establish causality.}},
  author       = {{Rietz Liljedahl, Emelie and Nielsen, Kari and Engfeldt, Malin and Saxne Jöud, Anna and Nielsen, Christel}},
  issn         = {{1573-7284}},
  language     = {{eng}},
  month        = {{11}},
  publisher    = {{Springer}},
  series       = {{European Journal of Epidemiology}},
  title        = {{Does tattoo exposure increase the risk of cutaneous melanoma? A population-based case-control study}},
  url          = {{http://dx.doi.org/10.1007/s10654-025-01326-6}},
  doi          = {{10.1007/s10654-025-01326-6}},
  year         = {{2025}},
}