Background
Minimal erythema dose (MED) has substantial inter‐ and intraindividual variations, reflecting the influence of very diverse factors. However, related studies showed little consistency probably because of their limited sample size.
Objective
To identify the factors associated with MED variations in a large‐scale population study.
Methods
The
MED
test was performed by following the international standard procedure on 22 146 subjects. The results were analysed in adjusted multivariable linear and logistic regression models.
Results
This large‐scale study revealed that lower
MED
was consistently associated with lighter skin [β‐coefficient = −0.33, 95% confidence interval (
CI
) −0.36 to 0.30,
P
= 6.41 × 10
−84
]. Females had significantly higher
MED
than male (β = 0.91, 0.32–1.50,
P
= 2.93 × 10
−3
). Stratified analyses showed that
MED
was not associated with age [female: odds ratio (
OR
) = 0.99, 0.98–1.01; male:
OR
= 0.99, 0.97–1.00].
MED
was lower in summer than in other seasons (spring:
OR
= 1.08, 1.06–1.11; autumn:
OR
= 1.11, 1.08–1.13; winter:
OR
= 1.20, 1.18–1.22). Furthermore,
MED
was associated with air temperature (β = −0.36, −0.49 to 0.23,
P
= 4.81 × 10
−8
) and air pressure (β = −0.64, −0.82 to 0.46,
P
= 8.01 × 10
−12
) in summer only while not in other seasons.
Conclusions
This study provides unprecedented evidence that
MED
is associated with skin colour, sex, season and meteorological factors, but not with age.