寻常性痤疮对尼日利亚青少年生活质量的严重程度和影响。
Severity and impact of acne vulgaris on the quality of life of adolescents in Nigeria.
机构信息
Cedarcrest Hospital, Abuja, Federal Capital Territory, Nigeria.
Department of Medicine, Faculty of Medicine and Dentistry, University of Calabar, Cross River State, Nigeria.
出版信息
Clin Cosmet Investig Dermatol. 2014 Dec 8;7:329-34. doi: 10.2147/CCID.S73302. eCollection 2014.
BACKGROUND
Acne vulgaris is a common skin condition, which affects most adolescents at some point in their lives. It has been found to have a significant impact on their psychological well-being and has been associated with depression and suicide ideation. Many studies have assessed the impact of acne vulgaris on the quality of life (QoL) in different population subgroups around the world, but there is a dearth of reports from the African subcontinent. This study thus seeks to assess the severity of acne vulgaris and determine its effect on the QoL of adolescents in Lagos, Nigeria.
METHODS
In a cross-sectional survey employing a two-stage sampling method, the severity of acne vulgaris and its impact on the QoL of adolescents attending a senior secondary school in Lagos, Nigeria was assessed using the Global Acne Grading Scale (GAGS) and the Cardiff Acne Disability Index (CADI), respectively. The correlation between the results of the GAGS and CADI was also determined.
RESULTS
One hundred and sixty adolescent students with acne were recruited, with males accounting for 51.9% and females 48.1%. The mean and standard deviation of the GAGS severity scores were 11.3±5.4 for males and 11.9±5.4 for females. Only one student had severe acne vulgaris (GAGS, 31-38), 10% moderate (GAGS, 19-30), and 89.4% mild (GAGS, 1-18). The overall CADI score was 3.4±3.0, which suggests mild impairment in QoL; however, the solitary student with severe acne had severe QoL impairment. There was a weak positive correlation between the GAGS and the CADI score.
CONCLUSION
Most adolescents in our study had mild acne vulgaris, and the overall impact on their QoL was mild. However, the correlation between the psychosocial impact and acne severity was weak. There is a need for similar studies in other parts of the country and for further studies to determine the adequacy of the existing instruments in assessing the impact of acne vulgaris in Nigerian adolescents.
背景
寻常痤疮是一种常见的皮肤疾病，影响着大多数青少年在其生命中的某个阶段。它已被发现对他们的心理健康有重大影响，并与抑郁和自杀意念有关。许多研究评估了寻常痤疮对世界各地不同人群亚组的生活质量（QoL）的影响，但来自非洲次大陆的报告很少。因此，本研究旨在评估寻常痤疮的严重程度，并确定其对尼日利亚拉各斯青少年生活质量的影响。
方法
采用两阶段抽样方法进行横断面调查，使用全球痤疮分级量表（GAGS）和加的夫痤疮残疾指数（CADI）分别评估在尼日利亚拉各斯一所高中就读的青少年寻常痤疮的严重程度及其对生活质量的影响。还确定了 GAGS 和 CADI 结果之间的相关性。
结果
共招募了 160 名患有痤疮的青少年学生，其中男生占 51.9%，女生占 48.1%。男生的 GAGS 严重程度评分平均值和标准差为 11.3±5.4，女生为 11.9±5.4。只有一名学生患有严重寻常痤疮（GAGS，31-38），10%为中度（GAGS，19-30），89.4%为轻度（GAGS，1-18）。总体 CADI 评分为 3.4±3.0，表明生活质量轻度受损；然而，仅有一名患有严重痤疮的学生存在严重的生活质量受损。GAGS 与 CADI 评分之间存在弱正相关。
结论
我们研究中的大多数青少年患有轻度寻常痤疮，对他们生活质量的总体影响是轻度的。然而，心理社会影响与痤疮严重程度之间的相关性较弱。需要在该国其他地区进行类似的研究，并进一步研究以确定现有工具评估尼日利亚青少年寻常痤疮影响的充分性。
Zotero 插件