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SocietyDecember 2, 2024

‘Really dangerous’: The TikTok UV tanning trend that has made it to Aotearoa

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Local experts are warning against a TikTok tanning trend that will put young people at greater risk of skin cancer. Alex Casey reports. 

It begins like any other bit of TikTok beauty advice, delivered from a grey bedroom with a framed Gucci logo on the wall, somewhere in the depths of the United States. “Hey guys,” a young woman named Sydney says, ponytail slick and fine gold jewellery gleaming. “It’s that time of year again: it’s tanning season.” She clasps her hands together, revealing a squared-off French tip manicure, ready to deliver her sermon on how to tan “better, faster, and easier!!!”

“If you are new to tanning, you need to check the UV index,” she begins. “I don’t really know what UV is, like, scientifically, but that’s what makes you tan, so you just need to check it.” Her recommended UV rating for tanning? “Like eight to 12.” 

With nearly one million views, Sydney’s video is just one of thousands on TikTok encouraging young women to sunbathe in what local experts are calling “really dangerous” levels of ultraviolet radiation. “The UV is an 11 right now so you know I just had to come outside,” says one bikini-clad woman (1.1 million views). “I don’t even take the time to go outside if the UV is five or lower,” says another sweatsuit-wearing teen in her “tanning q&a” (2.5 million views).

Search results for ‘UV tanning’ on TikTok

The UV index measures the strength of the sun’s ultraviolet radiation and indicates the risk of harm from unprotected sun exposure. In other words, it tells you when to stay inside. In Aotearoa, any UV rating over six is considered a “high-risk” exposure. “It is concerning to hear that young people might be using a UV index (UVI) of six or above as a guide to tan,” said Emma Shields, evidence and insights lead the Cancer Society. “The higher the UV index number, the less time it takes for your skin to become damaged.”

While the vast majority of these videos come from the United States, the UV index tanning trend has now made it to Aotearoa ahead of another hot, dry summer. One Auckland parent told The Spinoff her 13-year-old and 16-year-old daughters had both become “obsessed” with the UV rating in recent months. They both frequently check the MetService app and organise their schedules to visit Auckland beaches to tan with their friends on the strongest UV days. 

They’ll be saying, ‘Oh, I’m going to the beach on Friday because the UV is a 10 – it’s like they plan all their activities for the week around when the UV is high,” she said. 

Several other parents have encountered the same behaviour. Another parent of a 16-year-old told The Spinoff her daughter needed to leave the house by 2pm last weekend to tan because that was when the UV was at its highest. “It’s definitely escalated recently where I’ve noticed more girls organising their entire day around the UV rating,” they said. “They think the higher it is, the browner they’ll get, so the more of an ideal time it is to get out there.” 

More UV content on TikTok

Eve*, 15 years old, told The Spinoff she didn’t initially know what the UV index was when she started seeing it on social media last year. “For a while, I was a bit confused, because I would see TikToks that were like ‘UV 11 or UV 10 today, I’m so excited to go tanning’. But then you look in the comments and people explain what it is.” This year, she and friends have started checking the weather app every day and head out to tan any time the UV is “eight or above”. 

“Everyone wants tan lines now,” Eve told The Spinoff. “I actually don’t know why, to be honest, it’s just like a weird beauty standard that everyone’s hopped onto.”

The trend is also trickling down to the tweens. One parent of an 11-year-old girl told The Spinoff that they have noticed an “increased resistance to sunscreen”, with their daughter expressing that her friends have “gotten into tanning” more recently. “She has asked for a bikini – not to wear to the beach, but so she can lie out in the sun at home,” they said. “I find the trend really concerning, given how brutal the exposure is in New Zealand and our family history of melanoma.”

Tanning is particularly dangerous in New Zealand, where a combination of our lower pollution levels, positioning in relation to the sun, and the ozone hole has resulted in us having the highest death rate from melanoma in the world. “There’s basically no safe level of unprotected sun exposure here,” said dermatologist Dr David Lim. “In Auckland in winter, it takes about an hour to do damage, even when the UV is around 2.5. But in summer, you are talking minutes.” 

Specialising in skin cancer removal at his Auckland clinic Skintel, Lim told The Spinoff he was in “disbelief” to find the “very concerning” TikTok trend taking hold among young people in Aotearoa. “Many health education agencies and dermatologists have done a lot of work over the last few decades educating the public about the dangers of UV exposure and the risks to health. This work was aimed at reducing rates of skin cancer and saving lives,” he said. 

“I am concerned that this new trend will undo this work and lead to increased rates of skin cancer. It could end up costing people their lives for the sake of a tan.” 

Although Eve admitted that she and her friends don’t always wear sunscreen – “you have to get a good base” – she said she was aware of the health risks. “It’s just that when I go outside, I’m not thinking, ‘Oh in 30 years I might have skin cancer’. I’m just thinking, ‘I’m having such a good time with my friends’,” she said. “We try not to go out for very long periods, we might go out and tan for 15 minutes each side, go back under the shade, or have a swim, then tan for another 15 minutes.”

But Lim warned that even short periods in high UV can have serious implications. “Intermittent high-intensity sun exposure is actually the riskiest exposure pattern for the development of melanoma,” he said, noting an increase in misinformation around tanning in his younger patients. “Their understanding is that as long as they don’t get burnt, they’re OK, but that’s not the case. Tanning is the body’s defence mechanism and it does represent damage,” he said.

“There is also a perception that tanned skin provides protection from burning, when it actually is only the equivalent of about an SPF three or four, compared to using a 50-plus sunscreen.” 

Not only does tanning come with obvious health concerns, Lim said it speeds up the photoaging process in terms of fine lines, wrinkles and pigment spots on the skin. Several parents noted this seemed at odds with the anti-ageing skincare movement also gripping young women through Tiktok. “One minute you’ve got the Glow Recipe, and everyone wanting to put the niacinamides and acids on their face,” said one parent. “Now it’s like they are doing the total opposite.” 

Shields from the Cancer Society reiterated the measures that people should take to protect themselves this summer: covering as much skin as possible, seeking shade in the middle of the day, using an SPF 30 sunscreen every two hours, and wearing a wide-brimmed hat and sunglasses. For parents, she recommended starting a “non-judgemental” conversation about the trend and potential risks. “It may be helpful to explain that there’s no such thing as safe sun tanning, and any tan is a sign of skin damage,” she said.

With this trend arriving in the midst of serious conversations around social media regulation, Lim suggested healthcare messaging needed to better reach young people on the platforms that they use. “Obviously, we need to meet young people where they get their information from, so we probably need to get on to TikTok and start trying to refute these sorts of things,” he said. “For now, I’m just hoping this is short-lived, and they move on soon to something less dangerous.”

*Names have been changed

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PoliticsDecember 2, 2024

Can Gumboot Friday provide $24m worth of counselling sessions in four years?

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The $24m in government funding for the I Am Hope Foundation came with the promise that the charity would be able to scale up quicker than other services. One therapist worries there’s been no movement at all.

Six months into its first year of government funding, concerns have been raised about Gumboot Friday’s capacity to deliver on the counselling sessions the funding has promised. The charity will need to provide 3,333 counselling sessions every month for the next four years to be able to claim all of the $24m in funding afforded by the government earlier this year. If not, the Ministry of Health will be able to keep the funds.

In the financial year ending March 2023, the number of counselling sessions delivered through Gumboot Friday was 27,775 at a total cost of $3,756,748, or $135 per session. I Am Hope was overdue in filing its return for the financial year ending March 2024 (it was filed in late November), but showed a jump in counselling sessions to 32,101, about 2,700 per month. 

As part of its funding agreement, the mental health charity receives $150 per session (though some specialists may charge more and others less), capped at a parcel of $500,000 in funding every month. The Ministry of Health has said the funding is to provide 30,000 sessions for up to 15,000 rangatahi. This would not amount to $6m worth of sessions each year, but the ministry says any extra funds would be expected to be used on more counselling sessions. To use all six million dollars in its first year, Gumboot Friday would have to facilitate 40,000 counselling sessions annually, a 25% increase on the last financial year.

Counselling sessions through Gumboot Friday have historically been funded almost entirely by public donations. In the year ending March 2024, I Am Hope recorded donations revenue of $6,955,828, a nearly million dollar drop on the previous year’s donations. Those donations covered the cost of the counsellors but also helped pay for administration fees ($237,661) and staff salaries ($1,537,043), among other costs, with a deficit of -$1,399,521. It was the first year the charity recorded a deficit after building up millions in surplus in previous years.

As the $24m in funding will be exclusively covering counselling services, Gumboot Friday says it will need to continue to fundraise for administrative costs (staff salaries, equipment etc).

A Ministry of Health spokesperson told the Spinoff in early November that the ministry is confident that the funding will exclusively go to the practicing counsellors. “I Am Hope has regularly assured the ministry that the funding provided for counselling sessions is only being used for that purpose.”

In October, Gumboot Friday’s founder Mike King claimed the charity has 550 therapists available (and also put the waitlist figure at 580), but using the database itself will likely show far fewer practitioners.

Each day The Spinoff checked Gumboot Friday’s database in November, the number of practitioners available fluctuated between 280 to 310. Gumboot Friday has said not all counsellors will be available to view on the charity’s website if they have marked themselves unavailable, may be awaiting a new Annual Practising Certificate or are on leave.

A screenshot of Gumboot Friday’s counsellor directory on November 29.

If 300 counsellors marked themselves as available every day for the next four years, each counsellor would need to deliver 11 Gumboot Friday sessions every month for the next four years, on top of their own clinical work. 

Internal documents have revealed the Ministry of Health wanted to scale up the funding rather than spend the full amount from the first year.

“Phasing the value of the contract would enable the Gumboot Friday organisation to scale up their infrastructure and service capability more gradually,” a December briefing to mental health minister Matt Doocey said. “However, this option may not match current public expectations for the full commitment of $6m from year one.”

With the full $6m now available from year one, the speed of expansion has frustrated those waiting to offer their services through the charity. One therapist told The Spinoff they have been waiting for months to be onboarded with Gumboot Friday, despite one of the ministry’s justifications for its funding being that Gumboot Friday was “capable of scaling up service delivery quicker than an organisation that would need to build a whole service”.

Practitioner Lisa* applied to join Gumboot Friday’s database in August following a request from a client for the charity’s free counselling sessions. Though the charity advertised that it would be onboarding more practitioners in September, she’s still waiting to hear about her application status. She says “no therapist is ever looking for more work,” but all want their clients to be able to access meaningful help, including utilising some free sessions through Gumboot Friday.

As of early November, Lisa said she was one of 400 therapists waiting to be onboarded, but was told the charity can only take on another 150. Applications for new therapists to join the database closed in late August, and by late October, Gumboot Friday was still finalising its onboarding policy. In October, the Ministry of Health told The Spinoff the charity was now onboarding 100 new practitioners.

Mike King, Gumboot Friday’s founder, said in October the charity had 550 counsellors available. (Radio NZ, Dom Thomas)

Lisa’s clients have the option of searching for a separate practitioner already in Gumboot Friday’s database, but she worries they still may not be able to receive the support they’re looking for. She works in a specific area of therapy, and in her region, Gumboot Friday currently supports no other practitioners like her. The charity told Lisa it has seen fewer applicants in her field, so special consideration would be given to address the gap.

The Spinoff posed a list of questions to Gumboot Friday about its onboarding process, the number of therapists currently available, and how it’ll meet expectations to upscale. The charity did not answer any of the questions, instead a PR representative asked that the questions be redirected to the Ministry of Health.

The slow process of a multi-million upscale

The procurement process for funding Gumboot Friday was criticised in a report released October 9 by the auditor-general John Ryan, who found the ministry did not fully inform ministers of the risks associated with the procurement of the contract. Ryan emphasised there was “no opportunity for a fair, open, or competitive process,” and that funding was focused on a supplier rather than a policy drive. “It is for the public service to ensure robust, fair, and transparent spending of public money – including selecting a supplier and ensuring value for money,” Ryan wrote.

The Ministry of Health said I Am Hope is currently in the scaling up process, and that the department has worked through some of the contractual requirements and obligations with the charity in the first quarter of the contract, which has also required an update to Gumboot Friday’s onboarding process.

In October, rural mental health practitioner Anna Sophia wrote for The Spinoff about her frustrations with what she saw as double standards in the requirements and processes for some Ministry of Health-funded counselling jobs compared to others. Sophia noted that to qualify for ministry-funded Health Improvement Practitioner positions, applicants must have a degree in counselling, which would disqualify even herself with a diploma in counselling and 30 years of practice.

“Many of the counsellors who receive payment from Gumboot Friday (via a Health Ministry contract) do not have counselling degrees,” she wrote.

Anna Sophia’s workplace Counselling Centre, in Marton.

The ministry told The Spinoff the requested changes to Gumboot Friday’s processes have now been completed and further onboarding is on the way, with Gumboot Friday “performing at the level expected”. 

King says the charity has delivered 100,00 free sessions to young New Zealanders since 2019, and though the minister of mental health minister Doocey has described Gumboot Friday as a “proven organisation” addressing issues, there is little research to show the scope of its impact. An oft-quoted figure used by Doocey and Christopher Luxon – that every $1 invested in I Am Hope results in a social return of $5.70 – comes from a report commissioned by Gumboot Friday from Impact Lab, co-founded and chaired by former National prime minister Bill English. 

Psychologist Dr Jess Stubbing says there is a significant lack of research in New Zealand’s mental health sector, including an absence of evidence showing whether Gumboot Friday’s free two-session model has a meaningful impact on struggling rangatahi. 

“The vast majority of mental health services in Aotearoa have little or no evidence as to the impact they have on those they serve,” Stubbing wrote for The Post in early November, “and almost none have any sense of the longterm outcomes of those services.” She says measuring the effectiveness of a therapy service by a social return on investment is controversial, and the public and NGOs should not solely rely on these analyses.

While Gumboot Friday works to upscale its offerings, around 400 separate providers offering services to children and families have had funding pulled by Oranga Tamariki (decisions the department has defended by saying the funding changes only affect underdelivering services). Sophia wrote I Am Hope’s funding “effectively took away the money from established organisations like ours with decades of service and a proven track record and left us powerless”.

At the end of  November, Gumboot Friday got in touch with Lisa to ask for her to complete a Child Worker safety check. She is still unsure whether her application will be approved.

*Name changed to protect identity.

This work is supported by Auckland Radio Trust in memory of Vince Geddes.