Dalgard Florence, Svensson Ake, Holm Jan Øivind, Sundby Johanne
Institute of General Practice and Community Medicine, Oslo, Norway.
J Investig Dermatol Symp Proc. 2004 Mar;9(2):120-5. doi: 10.1046/j.1087-0024.2003.09111.x.
Life-quality studies among dermatologic patients have shown that chronic skin diseases have an impact on patients' lives. The purpose of this study was to assess the burden of skin morbidity at a community level. This was presented as prevalence of self-reported skin morbidity and dermatologic life-quality items. The association of skin disease and general health measures like feeling depressed and self-reported general health were measured. The method used was a questionnaire on self-reported skin complaints, including variables such as demographic, psychosocial, general health, dermatologic life-quality items. The design of the study was cross-sectional, with answers from 18,770 adult responders. The results confirmed that skin morbidity is common; itch was the dominating symptom. Younger adults reported more social problems as a result of skin problems than older. The life-quality domain most affected by skin disease was the social one. In a regression model skin disease was as well as rheumatism more strongly associated with feeling depressed than asthma, diabetes, and angina pectoris. Skin disease was also strongly associated with reporting poor general health, although less than other nondermatologic chronic diseases. In conclusion, in this study skin morbidity was strongly associated with general health measures among adults in a population-based setting. To the best of our knowledge these associations have not been described previously at a community level.
针对皮肤科患者的生活质量研究表明，慢性皮肤病会对患者的生活产生影响。本研究的目的是评估社区层面皮肤疾病的负担。这表现为自我报告的皮肤疾病患病率和皮肤病生活质量项目。同时还测量了皮肤病与诸如感到抑郁等一般健康指标以及自我报告的总体健康状况之间的关联。所采用的方法是一份关于自我报告皮肤问题的问卷，其中包括人口统计学、心理社会、总体健康、皮肤病生活质量项目等变量。该研究的设计为横断面研究，共有18770名成年应答者提供了答案。结果证实皮肤疾病很常见；瘙痒是主要症状。与老年人相比，年轻人因皮肤问题报告的社会问题更多。受皮肤病影响最大的生活质量领域是社会领域。在一个回归模型中，与哮喘、糖尿病和心绞痛相比，皮肤病以及风湿病与感到抑郁的关联更强。皮肤病与报告总体健康状况不佳也密切相关，尽管其关联程度低于其他非皮肤病慢性疾病。总之，在本研究中，在基于人群的环境中，皮肤疾病与成年人的一般健康指标密切相关。据我们所知，这些关联此前在社区层面尚未被描述过。
