Ponce Health Sciences University, Ponce, Puerto Rico, USA.
Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minnesota, USA.
Pediatr Dermatol. 2023 May-Jun;40(3):460-465. doi: 10.1111/pde.15294. Epub 2023 Mar 25.
BACKGROUND/OBJECTIVE: There is limited information about the potential relationship of socioeconomic status (SES) with acne in preadolescents. Our objective was to assess the possible relationship between SES and preadolescent acne.
A population-based retrospective cohort study was conducted to identify Olmsted County, Minnesota, residents with an initial acne diagnosis between 7 and ≤12 years old during 2010 to 2018 using the Rochester Epidemiology Project. For each acne case, we randomly selected 2 sex- and age-matched controls without an acne diagnosis from the county. Individual HOUsing-based SocioEconomic Status index (HOUSES) derived from real property data was used to evaluate SES, represented as four quartiles with higher quartile representing higher SES.
A total of 604 patients met the criteria. HOUSES distribution significantly differed between cases and controls (p = .001); a higher proportion of acne cases were in quartile 4 (42.2% vs. 32.7%), indicating higher SES. Race and ethnicity did not significantly differ between cases and controls. Among cases and controls, 74.5% and 72.3% were White, respectively. Study limitations include its retrospective design, only patients who visited a physician were included, and Olmsted County residents are largely non-Hispanic White.
Preadolescents diagnosed with acne have a higher SES than those without diagnosed acne, highlighting a potential disparity in access to care and appropriate diagnosis.
背景/目的：关于社会经济地位（SES）与青少年痤疮之间潜在关系的信息有限。我们的目的是评估 SES 与青少年痤疮之间可能存在的关系。
采用基于人群的回顾性队列研究，使用罗切斯特流行病学项目，在 2010 年至 2018 年间，确定明尼苏达州奥姆斯特德县 7 岁至≤12 岁之间初次诊断为痤疮的居民。对于每例痤疮病例，我们从该县随机选择 2 名性别和年龄匹配、无痤疮诊断的对照者。使用基于住房的个体社会经济地位指数（HOUSES）评估 SES，该指数基于房地产数据得出，代表四个四分位数，较高的四分位数代表较高的 SES。
共有 604 名患者符合标准。病例组和对照组的 HOUSES 分布差异显著（p=0.001）；痤疮病例中较高 SES 的四分位数 4 比例更高（42.2% vs. 32.7%）。病例组和对照组的种族和民族差异无统计学意义。在病例组和对照组中，分别有 74.5%和 72.3%为白人。研究的局限性包括其回顾性设计、仅纳入了就诊过的患者，以及奥姆斯特德县居民主要是非西班牙裔白人。
被诊断为痤疮的青少年比未被诊断为痤疮的青少年 SES 更高，这突出了在获得护理和进行适当诊断方面可能存在的差异。
