Pearl A, Arroll B, Lello J, Birchall N M
Auckland RNZCGP Research Unit, University of Auckland.
N Z Med J. 1998 Jul 24;111(1070):269-71.
To assess adolescent students' attitudes to, perceptions and knowledge of acne and to assess the effect of acne on daily living.
Students from Auckland sixth and seventh form classes were selected from ten Auckland secondary schools using a randomisation process which ensured proportional representation by socioeconomic group and gender. Eight hundred and forty-seven students completed a written questionnaire on the subject of acne vulgaris and had their acne examined. Their acne was graded using a modification of the Leeds system which determines severity on the basis of number, extent and nature of the skin lesions.
Acne was present in 91% of males and 79% of females. Students' perceptions of the severity of their acne were significantly related to objective clinical assessment (p=0.00001). Severity of acne determined the extent of embarrassment (p<0.00001) and the lack of enjoyment of and participation in social activities (p<0.00002). These analyses were significant for both males and females. Students had misconceptions regarding the causes of acne. Parental occupation and ethnic group were related to knowledge of treatment for acne.
Acne causes personal and social difficulties for a large number of adolescent students. There is a need for all students to have access to appropriate information and health services so that the social and psychological consequences of acne are minimised.
评估青少年学生对痤疮的态度、认知及相关知识，并评估痤疮对日常生活的影响。
通过随机抽样程序，从奥克兰的十所中学选取六年级和七年级的学生，以确保不同社会经济群体和性别的学生按比例入选。847名学生完成了一份关于寻常痤疮的书面问卷，并接受了痤疮检查。他们的痤疮采用改良的利兹系统进行分级，该系统根据皮肤损害的数量、范围和性质来确定严重程度。
91%的男性和79%的女性患有痤疮。学生对自身痤疮严重程度的认知与客观临床评估显著相关（p = 0.00001）。痤疮的严重程度决定了尴尬程度（p < 0.00001）以及对社交活动的享受和参与程度（p < 0.00002）。这些分析对男性和女性均具有显著性。学生对痤疮的成因存在误解。父母的职业和种族与痤疮治疗知识有关。
痤疮给大量青少年学生带来了个人和社交方面的困扰。所有学生都需要获得适当的信息和健康服务，以便将痤疮的社会和心理影响降至最低。
