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In consultation with experts from Northwestern University's Institute for Sexual and Gender Minority Health and Wellbeing, we adapted seven tanning-motive survey items from prior research for use in surveying young adult SMM (Table 1). Dear Editor, Lifetime skin cancer prevalence is 25% higher among gay men and 46% higher among bisexual men compared with heterosexual men, making sexual minority men (SMM) an at-risk group for skin cancer.1 These elevated skin cancer rates may be attributed in part to indoor tanning among SMM, some of whom are motivated to indoor tan by perceived body image standards, appearance concerns and affect regulation.2 A promising decline in indoor tanning rates among US adults from 2007 to 2018 has followed the passage of legislation limiting youth access to indoor tanning in several states including Illinois.3 Although SMM's indoor tanning has been described in the literature, less is known about the prevalence and motives for outdoor tanning. Survey measures also included frequency of outdoor tanning in the past summer months (June, July and August 2019) in addition to indoor tanning and sunless tanning for the past 3 months. [Extracted from the article]