Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Department of Dermatology and Sexually Transmitted Diseases, Hospital of the State University of Haiti, Port-au-Prince, Haiti.
Dermatology. 2019;235(6):495-500. doi: 10.1159/000503061. Epub 2019 Oct 4.
The prevalence of skin disease varies with geographic location and may be affected by cultural factors. In Haiti, the combination of poor health care access, infrastructure lack, and natural disasters may affect the prevalence of skin conditions. Unfortunately, little epidemiological information has been obtained on the prevalence of skin diseases in Haiti. The objective of this study is to describe data on the prevalence of dermatological conditions in urban areas of Haiti. Univariate, bivariate, and χ2 analyses were used to evaluate associations. During February 2016, we documented 137 patients. The mean age was 27.7 years; most of the subjects were women (61.3%) in a cohort mostly adult (67.1%). The infectious and inflammatory dermatoses were the most prevalent (74.2%). Infectious skin diseases were more prevalent in men and in adults in general (p < 0.01). Inflammatory conditions were also more common in adults (p < 0.05). Additionally, alopecia and dyschromia were limited to women (p < 0.01). Infectious skin diseases, in particular fungal infections, were amongst the most common diagnoses in the urban area of Haiti. Therefore, improved access to antimicrobial and anti-inflammatory medications would likely benefit Haitian patients with dermatological conditions. These findings may help local public health officials and future dermatological expeditions better serve this population.
皮肤病的患病率因地理位置而异,可能受到文化因素的影响。在海地,医疗保健机会不足、基础设施缺乏和自然灾害的综合影响可能会影响皮肤病的患病率。不幸的是,海地皮肤病患病率的流行病学信息很少。本研究的目的是描述海地城市地区皮肤病发病数据。使用单变量、双变量和 χ2 分析评估关联。2016 年 2 月期间,我们记录了 137 名患者。平均年龄为 27.7 岁;队列中大多数是女性(61.3%),主要是成年人(67.1%)。感染性和炎症性皮肤病最为常见(74.2%)。传染病在男性和一般成年人中更为常见(p < 0.01)。炎症性疾病在成年人中也更为常见(p < 0.05)。此外,脱发和色素异常仅见于女性(p < 0.01)。感染性皮肤病,特别是真菌感染,是海地城市地区最常见的诊断之一。因此,改善抗菌和抗炎药物的获取途径可能会使海地患有皮肤病的患者受益。这些发现可能有助于当地公共卫生官员和未来的皮肤科考察队更好地为这一人群提供服务。