Halvorsen Jon Anders, Braae Olesen Anne, Thoresen Magne, Holm Jan-Øyvind, Bjertness Espen, Dalgard Florence
Department of Dermatology and Faculty of Medicine, Rikshospitalet University Hospital, University of Oslo, Norway.
Acta Derm Venereol. 2008;88(6):573-7. doi: 10.2340/00015555-0505.
Adolescents' skin problems can be studied at the population level. The aim of this study was to validate five questions on skin complaints for use in population surveys among adolescents. Of the 260 adolescents aged 18-20 years invited to participate, 217 were included in the study. The prevalence of the adolescents' self-reported complaints were higher than those found during clinical examination by a dermatologist. The overall agreement between the adolescents' answers and recorded clinical signs was: 74% (pimples/signs of acne), 40% (dry skin/xerosis), 81% (rash/signs of dermatitis) and 83% (other skin complaints/other skin findings). No corresponding objective skin sign was recorded for "itch". Repeatability of the adolescents' answers and inter-agreement between the investigators had an overall agreement of 77-97% and a kappa of 0.29-0.93. When using the dermatologist's findings as gold standard, the sensitivity and specificity were best for "signs of acne", 93% and 43%, respectively.
青少年的皮肤问题可以在人群层面进行研究。本研究的目的是验证五个关于皮肤问题的问题，以便用于青少年人群调查。在受邀参与的260名18 - 20岁青少年中，217人被纳入研究。青少年自我报告的问题患病率高于皮肤科医生临床检查发现的患病率。青少年答案与记录的临床体征之间的总体一致性为：74%（丘疹/痤疮体征）、40%（皮肤干燥/干性皮肤）、81%（皮疹/皮炎体征）和83%（其他皮肤问题/其他皮肤发现）。对于“瘙痒”未记录到相应的客观皮肤体征。青少年答案的可重复性以及调查人员之间的相互一致性总体一致性为77 - 97%，kappa值为0.29 - 0.93。以皮肤科医生的检查结果作为金标准时，“痤疮体征”的敏感性和特异性最佳，分别为93%和43%。
