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女性痤疮对医疗保健资源利用模式的影响。

Impact of female acne on patterns of health care resource utilization.

作者信息

Baldwin Hilary E, Kawata Ariane K, Daniels Selena R, Wilcox Teresa K, Burk Caroline T, Tanghetti Emil A

出版信息

J Drugs Dermatol. 2015 Feb;14(2):140-8.

Abstract

BACKGROUND

Limited data are available on acne treatment patterns in females through their adult years.

OBJECTIVE

The purpose of this analysis was to evaluate health care resource utilization (HRU) and treatment patterns in cohorts with and without the use of acne medication and predictors of use.

METHODS

A cross-sectional, web-based survey was administered to US females (25-45 years) with facial acne (≥ 25 visible lesions). Data collected included: sociodemographics and self-reported clinical characteristics, acne treatments, and health care professional (HCP) visits. Subject characteristics associated with medication use were examined by logistic regression.

RESULTS

Approximately half of the total sample (N=208, mean age: 35 ± 6) ever visited an HCP for acne and reported more over-the counter (OTC) medication use (51.0%) than prescription (Rx) medication use (15.4%). Subjects did not use medications daily, averaging from 12-18 days over the previous 4 weeks. Logistic regression showed that race and prior HCP visits for acne were significant predictors of medication use (P<.05).

CONCLUSIONS

Adult females generally self-treated their acne using primarily OTC medications; however, poor compliance was observed for Rx and OTC. Race and prior HCP visits for acne were significant predictors of current medication use.

摘要

背景

关于成年女性痤疮治疗模式的数据有限。

目的

本分析的目的是评估使用和未使用痤疮药物的队列中的医疗资源利用(HRU)和治疗模式以及使用的预测因素。

方法

对患有面部痤疮(≥25个可见皮损)的美国女性(25 - 45岁)进行了一项基于网络的横断面调查。收集的数据包括:社会人口统计学和自我报告的临床特征、痤疮治疗以及医疗保健专业人员(HCP)就诊情况。通过逻辑回归分析与药物使用相关的受试者特征。

结果

总样本(N = 208,平均年龄:35 ± 6)中约一半的人曾因痤疮就诊于医疗保健专业人员,且报告使用非处方(OTC)药物(51.0%)的人数多于使用处方(Rx)药物(15.4%)的人数。受试者并非每天使用药物,在前4周内平均使用12 - 18天。逻辑回归显示,种族和之前因痤疮就诊于医疗保健专业人员是药物使用的显著预测因素(P <.05)。

结论

成年女性通常主要使用非处方药物自行治疗痤疮;然而,观察到处方药物和非处方药物的依从性都较差。种族和之前因痤疮就诊于医疗保健专业人员是当前药物使用的显著预测因素。

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