Dalgard Florence, Holm Jan Øivind, Svensson Ake, Kumar Bernadette, Sundby Johanne
Institute of General Practice and Community Medicine, University of Oslo, Norway.
BMC Dermatol. 2007 Jun 29;7:4. doi: 10.1186/1471-5945-7-4.
Recent studies have shown ethnic differences concerning cardio-vascular disease, diabetes and mental health. Little is known about ethnic differences in skin morbidity. The purpose of this study was to describe possible ethnic differences in self-reported skin morbidity in a Western urban community.
The design was cross sectional. 40,888 adults in Oslo, Norway, received a postal questionnaire providing information on socio-demographic factors and self-reported health, including items on skin complaints.
18,770 individuals answered the questionnaire. In the sample 84% were from Norway. The largest immigrant group was from Western countries (5%) and the Indian Subcontinent (3%). Itch was the most prevalent reported skin symptom (7%), and was significantly more reported by men from East Asia (18%) and Middle East/North Africa (13%). The same observations were seen for reported dry and sore skin. Hair loss was a dominating complaint for men from the Indian Subcontinent and the Middle East/North Africa (23% and 25%) and for women from the same ethnic groups. Women from Sub-Saharan Africa reported significantly more pimples than in the other groups (17%).
The study showed that there were significant differences in self-reported skin complaints among ethnic groups. Issues concerning the cultural value of some skin symptoms should be examined further.
近期研究表明,在心血管疾病、糖尿病和心理健康方面存在种族差异。关于皮肤疾病的种族差异,我们知之甚少。本研究的目的是描述西方城市社区中自我报告的皮肤疾病可能存在的种族差异。
采用横断面设计。挪威奥斯陆的40888名成年人收到了一份邮政调查问卷,该问卷提供了社会人口学因素和自我报告健康状况的信息,包括有关皮肤问题的项目。
18770人回答了问卷。样本中84%来自挪威。最大的移民群体来自西方国家(5%)和印度次大陆(3%)。瘙痒是报告中最常见的皮肤症状(7%),东亚男性(18%)和中东/北非男性(13%)报告的瘙痒明显更多。对于报告的皮肤干燥和疼痛也有同样的观察结果。脱发是印度次大陆和中东/北非男性(23%和25%)以及来自同一族裔群体的女性的主要抱怨。撒哈拉以南非洲的女性报告的粉刺明显多于其他群体(17%)。
该研究表明,不同种族群体在自我报告的皮肤问题上存在显著差异。一些皮肤症状的文化价值问题应进一步研究。