Tayel Kholoud, Attia Medhat, Agamia Naglaa, Fadl Noha
Adolescent and School Health, Department of Family Health, High Institute of Public Health, Alexandria University, 165 El-Horrya Avenue, Alexandria, Egypt.
Mental Health, Department of Family Health, High Institute of Public Health, Alexandria University, 165 El-Horrya Avenue, Alexandria, Egypt.
J Egypt Public Health Assoc. 2020 Nov 5;95(1):30. doi: 10.1186/s42506-020-00056-9.
Acne vulgaris is the most common dermatoses affecting adolescents with significant impact on their quality of life (QoL). The current study aimed to estimate the prevalence of acne, severity, and its impact on QoL and self-esteem among Egyptian adolescents.
A cross-sectional study was conducted. A total of 787 students were selected using multistage stratified random sampling from 12 secondary schools in Alexandria, Egypt. Data was collected using a self-reported questionnaire, and clinical examination was performed. Severity of acne and its impact on QoL and self-esteem were assessed using the Global Acne Grading System (GAGS), Cardiff Acne Disability Index (CADI), and Coopersmith self-esteem scale, respectively.
Prevalence of self-reported acne was 34.7%. Females significantly reported acne more frequently than males (39.1% vs. 30.3%, p = 0.009). Prevalence of clinically confirmed acne was 24.4%, with higher rates among females (28.6%) than males (20.2%, p = 0.006). The majority of students had mild acne (75.5%). CADI showed that 11.4% had severe disability. A significant medium positive correlation between GAGS and CADI was found (r = 0.338, p < 0.01). Among acne group, low self-esteem was more prevalent among females (67.0%) than males (45.0%, p = 0.004).
Acne is a common problem among Egyptian school-aged adolescents with higher prevalence and impact in females. Our findings should alert health professionals and school authorities to timely identify, manage, and educate adolescents with acne.
寻常痤疮是影响青少年的最常见皮肤病，对他们的生活质量（QoL）有重大影响。本研究旨在评估埃及青少年痤疮的患病率、严重程度及其对生活质量和自尊的影响。
进行了一项横断面研究。采用多阶段分层随机抽样从埃及亚历山大市的12所中学中选取了787名学生。使用自填问卷收集数据，并进行临床检查。分别使用全球痤疮分级系统（GAGS）、加的夫痤疮残疾指数（CADI）和库珀史密斯自尊量表评估痤疮的严重程度及其对生活质量和自尊的影响。
自我报告的痤疮患病率为34.7%。女性报告痤疮的频率显著高于男性（39.1%对30.3%，p = 0.009）。临床确诊的痤疮患病率为24.4%，女性（28.6%）高于男性（20.2%，p = 0.006）。大多数学生患有轻度痤疮（75.5%）。CADI显示11.4%有严重残疾。发现GAGS与CADI之间存在显著的中度正相关（r = 0.338，p < 0.01）。在痤疮组中，女性（67.0%）的低自尊比男性（45.0%）更普遍（p = 0.004）。
痤疮是埃及学龄青少年中的常见问题，在女性中的患病率和影响更高。我们的研究结果应提醒卫生专业人员和学校当局及时识别、管理和教育患有痤疮的青少年。
