Health Services Research Unit, IDI-IRCCS Via Monti di Creta 104, 00167 Rome, Italy.
Eur J Dermatol. 2012 Sep-Oct;22(5):672-7. doi: 10.1684/ejd.2012.1822.
Health status, health services utilization and mortality differ by marital status for both sexes in most conditions, but little is known about dermatological diseases. We evaluated whether marital status is associated with the impact that dermatological diseases have on quality of life (QoL). Data from two surveys on dermatological outpatients were pooled. Marital status, sex, age, and educational level were analysed in relation to QoL (using the scales of the Skindex-29 questionnaire: emotions, symptoms, and functioning) and psychological well-being (using the GHQ-12 questionnaire). Data on 5,471 patients (59% females, 46% married) were obtained. Married patients in univariate analysis had lower mean values on the emotions scale and higher mean values in the symptoms scale of the Skindex-29 compared to singles. Statistically significant differences were identified only in men, for the emotions scale and for the GHQ-12. Females had significantly higher mean scores than males on each of the Skindex-29 scales and on the GHQ-12. Married patients had a lower disease impact on the emotions scale even if they suffered a higher impact on the symptoms scale. However, after multiple adjustment, gender seems to be more relevant than marital status in the evaluation of health status.
健康状况、卫生服务利用和死亡率在大多数情况下因性别和婚姻状况而异，但关于皮肤病的情况知之甚少。我们评估了婚姻状况是否与皮肤病对生活质量（QoL）的影响有关。对两项皮肤科门诊调查的数据进行了汇总。分析了婚姻状况、性别、年龄和教育水平与生活质量（使用 Skindex-29 问卷的量表：情绪、症状和功能）和心理健康（使用 GHQ-12 问卷）的关系。共获得了 5471 名患者（59%为女性，46%已婚）的数据。在单因素分析中，与单身者相比，已婚患者的 Skindex-29 情绪量表的平均值较低，症状量表的平均值较高。仅在男性中发现了统计学上显著的差异，表现在情绪量表和 GHQ-12 上。女性在 Skindex-29 量表和 GHQ-12 上的平均得分均显著高于男性。已婚患者在情绪量表上的疾病影响较低，即使他们在症状量表上的影响较高。然而，在进行多次调整后，在评估健康状况时，性别似乎比婚姻状况更为重要。
