Dalgard F, Svensson A, Holm J Ø, Sundby J
Institute of General Practice and Community Medicine, Blindern, Oslo, Norway.
Br J Dermatol. 2004 Aug;151(2):452-7. doi: 10.1111/j.1365-2133.2004.06058.x.
Previous studies on prevalence of skin diseases in the population have been based on clinical examination of a sample of the population. A questionnaire on self-reported skin complaints has recently been developed and validated for use in population surveys, but has not been used until now.
To quantify the skin morbidity in an adult urban population assessed by a newly developed self-measurement instrument, and to explore the associations between skin morbidity and sociodemographic factors in the community.
The study was a population-based cross-sectional study carried out in the city of Oslo. Adult participants (n = 18 770) aged 30-76 years answered a questionnaire giving information on self-reported skin complaints, and which included demographic, psychosocial and general health variables.
Itch was the dominating skin complaint in all age groups. Adjusted odds ratios for itch, self-reported hand eczema and self-reported acne showed significant associations with female gender and reporting households of middle income. There was no association with employment categories.
This study shows that skin complaints referring to the most common chronic skin diseases varied with age, gender and marital status, and worsened with middle-income household. It provides evidence that household income is associated with skin morbidity, bringing dermatological aspects to studies on health inequalities.
以往关于人群皮肤病患病率的研究是基于对人群样本的临床检查。最近开发并验证了一份关于自我报告皮肤问题的问卷，用于人群调查，但至今尚未使用。
通过一种新开发的自我测量工具对成年城市人群的皮肤发病率进行量化，并探讨社区中皮肤发病率与社会人口学因素之间的关联。
该研究是在奥斯陆市进行的一项基于人群的横断面研究。30至76岁的成年参与者（n = 18770）回答了一份关于自我报告皮肤问题的问卷，其中包括人口统计学、心理社会和一般健康变量。
瘙痒是所有年龄组中占主导地位的皮肤问题。经调整的瘙痒、自我报告的手部湿疹和自我报告的痤疮的优势比显示，与女性性别和中等收入家庭报告显著相关。与就业类别无关。
本研究表明，涉及最常见慢性皮肤病的皮肤问题随年龄、性别和婚姻状况而变化，并在中等收入家庭中恶化。它提供了证据表明家庭收入与皮肤发病率相关，将皮肤病学方面纳入了健康不平等研究。
