Table 3.
Predictors of the three skin ageing measures in proportional odds regression models adjusted for age, sex, highest educational level attained and melanoma status
Wrinkles | Vascularity | Pigmentation | |||||||
---|---|---|---|---|---|---|---|---|---|
n | OR (95% CI) | P-valuea | n | OR (95% CI) | P-valuea | n | OR (95% CI) | P-valuea | |
Age at examinationb | 1337 | 2·50 (2·26–2·76) | < 0·001 | 1332 | 1·35 (1·23–1·48) | < 0·001 | 1332 | 1·12 (1·03–1·23) | 0·01 |
Sex (male vs. female)b | 1337 | 1·56 (1·28–1·89) | < 0·001 | 1332 | 7·52 (5·99–9·45) | < 0·001 | 1332 | 1·43 (1·17–1·74) | 0·001 |
Highest educational levelb | 1317 | 1312 | 1312 | ||||||
Primary/secondary school | 464 | 1 | 460 | 1 | 459 | 1 | |||
Sixth form/vocational training | 559 | 0·71 (0·57–0·88) | 0·002 | 557 | 0·84 (0·67–1·05) | 0·13 | 559 | 1·29 (1·03–1·62) | 0·03 |
University/postgraduate | 294 | 0·55 (0·42–0·72) | < 0·001 | 295 | 0·92 (0·71–1·20) | 0·55 | 294 | 1·57 (1·20–2·05) | 0·001 |
Sun-sensitive phenotype (yes vs. no) | 1298 | 0·83 (0·67–1·01) | 0·07 | 1292 | 1·05 (0·86–1·29) | 0·63 | 1292 | 0·84 (0·69–1·03) | 0·10 |
MC1R genotype | 1110 | 1106 | 1104 | ||||||
Wild-type (wt) | 223 | 1 | 223 | 1 | 223 | 1 | |||
r/wt | 256 | 1·12 (0·81–1·55) | 0·48 | 254 | 1·39 (0·99–1·94) | 0·05 | 255 | 0·77 (0·56–1·07) | 0·13 |
r/r | 95 | 1·08 (0·69–1·68) | 0·75 | 94 | 1·25 (0·80–1·96) | 0·33 | 94 | 0·56 (0·36–0·86) | 0·01 |
R/wt | 263 | 1·01 (0·73–1·40) | 0·96 | 261 | 1·09 (0·78–1·52) | 0·60 | 260 | 0·55 (0·39–0·76) | < 0·001 |
R/r | 181 | 1·21 (0·85–1·74) | 0·29 | 180 | 1·45 (1·01–2·10) | 0·05 | 179 | 0·58 (0·41–0·83) | 0·003 |
R/R | 92 | 0·80 (0·51–1·25) | 0·33 | 94 | 1·73 (1·10–2·72) | 0·02 | 93 | 1·15 (0·72–1·83) | 0·55 |
MC1R genotype – grouped | 1110 | 1106 | 1104 | ||||||
Wild-type | 223 | 1 | 223 | 1 | 223 | 1 | |||
‘r’ without ‘R’ | 351 | 1·11 (0·82–1·51) | 0·50 | 348 | 1·35 (0·99–1·85) | 0·06 | 349 | 0·71 (0·52–0·96) | 0·03 |
‘R’ | 536 | 1·03 (0·78–1·38) | 0·82 | 535 | 1·29 (0·97–1·73) | 0·08 | 532 | 0·63 (0·47–0·83) | 0·001 |
BMI | 1303 | 0·98 (0·86–1·13) | 0·82 | 1298 | 1·23 (1·07–1·41) | 0·003 | 1298 | 1·01 (0·88–1·15) | 0·93 |
Smoking (ever vs. never)c | 758 | 0·97 (0·74–1·27) | 0·81 | 758 | 1·16 (0·89–1·52) | 0·28 | 756 | 0·87 (0·66–1·14) | 0·30 |
Pack-yearsc | 729 | 1·08 (0·91–1·27) | 0·37 | 727 | 1·21 (1·02–1·43) | 0·03 | 726 | 0·88 (0·74–1·04) | 0·13 |
Average alcohol intakec | 753 | 0·98 (0·86–1·11) | 0·71 | 754 | 0·91 (0·80–1·04) | 0·16 | 752 | 0·90 (0·79–1·02) | 0·11 |
Average daily sun exposure | 1256 | 0·98 (0·89–1·08) | 0·70 | 1252 | 1·12 (1·02–1·24) | 0·02 | 1252 | 1·06 (0·97–1·17) | 0·20 |
Average weekday sun exposure – overall | 1257 | 0·96 (0·88–1·06) | 0·44 | 1252 | 1·12 (1·02–1·23) | 0·02 | 1252 | 1·09 (0·99–1·19) | 0·07 |
Average weekday sun exposure – cooler months | 1258 | 0·95 (0·87–1·05) | 0·31 | 1253 | 1·11 (1·01–1·22) | 0·04 | 1253 | 1·06 (0·97–1·16) | 0·22 |
Average weekday sun exposure – warmer months | 1262 | 1·00 (0·92–1·10) | 0·94 | 1257 | 1·09 (0·99–1·20) | 0·06 | 1257 | 1·11 (1·01–1·22) | 0·03 |
Average weekend sun exposure – overall | 1269 | 0·99 (0·90–1·10) | 0·88 | 1265 | 1·05 (0·95–1·16) | 0·35 | 1265 | 1·03 (0·94–1·14) | 0·50 |
Average weekend sun exposure – cooler months | 1272 | 0·95 (0·86–1·05) | 0·30 | 1268 | 1·01 (0·91–1·12) | 0·88 | 1268 | 1·03 (0·93–1·13) | 0·62 |
Average weekend sun exposure – warmer months | 1271 | 1·06 (0·97–1·17) | 0·22 | 1267 | 1·06 (0·96–1·17) | 0·22 | 1267 | 1·04 (0·94–1·14) | 0·46 |
Average holiday sun exposure – overall | 1270 | 1·04 (0·95–1·14) | 0·38 | 1266 | 1·03 (0·94–1·13) | 0·55 | 1266 | 1·04 (0·95–1·14) | 0·39 |
Average holiday sun exposure – 10:00–14:00 h | 1265 | 1·01 (0·92–1·11) | 0·78 | 1261 | 1·06 (0·96–1·17) | 0·23 | 1261 | 1·05 (0·96–1·15) | 0·32 |
Average holiday sun exposure – below 45° N latitude | 1270 | 1·02 (0·92–1·12) | 0·74 | 1266 | 1·02 (0·93–1·12) | 0·70 | 1266 | 1·08 (0·98–1·18) | 0·13 |
Average holiday sun exposure – below 45° N latitude (10:00–14:00 h) | 1265 | 1·00 (0·91–1·10) | 0·99 | 1261 | 1·02 (0·93–1·12) | 0·66 | 1261 | 1·09 (0·99–1·20) | 0·06 |
Sunburn – no. before age 20 years | 1272 | 0·87 (0·75–1·02) | 0·08 | 1267 | 1·04 (0·90–1·23) | 0·56 | 1267 | 0·90 (0·77–1·05) | 0·19 |
Sunburn – no. at or after age 20 years | 1257 | 1·07 (0·92–1·25) | 0·36 | 1252 | 1·06 (0·92–1·25) | 0·40 | 1252 | 0·93 (0·80–1·09) | 0·37 |
Sunburn – average no. in life | 1262 | 0·92 (0·81–1·04) | 0·16 | 1257 | 1·05 (0·93–1·19) | 0·42 | 1257 | 0·90 (0·80–1·02) | 0·11 |
Sunbed – ever vs. never | 1296 | 0·99 (0·80–1·24) | 0·97 | 1291 | 0·96 (0·77–1·19) | 0·70 | 1291 | 0·88 (0·71–1·10) | 0·26 |
Sunbed – no. of sessions in life | 1274 | 0·94 (0·82–1·08) | 0·37 | 1269 | 0·97 (0·84–1·12) | 0·66 | 1269 | 0·93 (0·81–1·07) | 0·30 |
Sunscreen – used to avoid sunburn | 1317 | 0·90 (0·79–1·02) | 0·11 | 1312 | 0·98 (0·87–1·12) | 0·81 | 1312 | 0·90 (0·79–1·03) | 0·12 |
Sunscreen – used to stay in the sun longer | 1317 | 0·93 (0·82–1·06) | 0·29 | 1312 | 1·00 (0·88–1·14) | 0·98 | 1312 | 0·86 (0·76–0·98) | 0·03 |
Sunscreen – SPF level | 1317 | 0·84 (0·74–0·96) | 0·01 | 1312 | 0·99 (0·87–1·14) | 0·97 | 1312 | 0·93 (0·82–1·06) | 0·29 |
Findings significant at the 5% level are highlighted in bold. n, number of observations in each model; OR, odds ratio; CI, confidence interval; BMI, body mass index; SPF, sun-protection factor.
P-values for trend are presented, as displayed in Table 2, except for highest educational level and MC1R genotypes. Sun-exposure measures were analysed as a trend across quartiles.
Adjusted only for melanoma status.
Adjusted only for age, sex and education.