Prevalence of acne and its impact on the quality of life in high school-aged adolescents in Yazd, Iran
Abstract
Objective To assess the prevalence of acne and its impact on quality of life in high school aged adolescents in Yazd, Iran. Patients and methods This was a cross-sectional study. High schools were selected using stratified cluster random sampling through two regions of Yazd. The acne severity was graded using Global Acne Grading System. The students with acne were then given self-reported Cardiff Acne Disability Index questionnaire. Results Overall, the prevalence of acne was 85.9%. The disease was more common among females than males (90% vs. 81.4%). However, severe forms were more common among males (p=0.003). The acne prevalence did not increase with age (p=0.089). There was a correlation between acne vulgaris severity and Cardiff Acne Disability Index (p=0.001). The impact on quality of life increased with the acne severity. There was no association between Cardiff Acne Disability Index score and gender (p=0.185). Conclusion Acne vulgaris is a common disorder and has a considerable impact on quality of life among adolescents.References
Thomas DR. Psychological effect of acne. J Cutan Med Surg. 2004;8 Suppl 4:3-5.
Krowchuck DP. Managing acne in adolescents. Pediatr Clin North Am. 2000;47:841-57.
Demircay Z, Seckin D, Senol A, Demir F. Patient’s perspective: an important issue not to be overlooked in assessing acne severity. Eur J Dermatol. 2008;18:181-4.
Dreno B. Assessing quality of life in patients with acne vulgaris. Implications for treatment. Am J Clin Dermatol. 2006;7:99-106.
Finlay AY. Quality of life measurement in dermatology: a practical guide. Br J Dermatol. 1997;136:305-14.
Katugampola RP, Finlay AY. Impact of skin diseases on quality of life. Eur J Dermatol. 2007;17:102-6.
Guyatt GH, Veldhuyzen van Zanten SJ, Feeny DH, Patrick DL. Measuring quality of life in clinical trials: a taxonomy and review. Can Med Assoc J. 1989;140:1441-8.
Hanisah A, Omar K, Shah SA. Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia. J Prim Health Care. 2009;1:20-5.
Naderi T, Akbarzadeh M, Dabaghmanesh MH et al. Frequency of facial and body acne in 14- to 18-year-old female high school students and its relationship to polycystic ovary syndrome. Dermatol Cosmet. 2011;2:124-31.
Uslu G, Sendur N, Uslu M et al. Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. J Eur Acad Dermatol Venereol. 2008;22:462-9.
Atkan S, Ozmen E, Sanli B. Anxiety, depression and nature of acne vulgaris in adolescents. Int J Dermatol. 2000;39:354-7.
Killkenny M, Merlin K. Prevalence of common skin condition in Australia school student: Acne vulgaris. Br J Dermatol. 1998;139:840-5.
Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid adolescence: A community base study. Br J Dermatol. 2001;145:274-9.
National Institute for Clinical Excellence (NICE). NICE Guidelines. Referral Advice: a guide to appropriate referral from general to specialist services. www.nice.org.uk. 2001.
Baghestani S, Mosallanejad Z, Zare S, Sharifi M. Acne vulgaris and quality of life in medical student – Bandar Abbas, Iran, 2008. Hormozgan University of Medical Sciences, 2010;14(2):91-7.
Cotterill JA, Cunliffe WJ. Suicide in dermatological patients. Br J Dermatol. 1997;137:246-50.
Motley RJ, Finlay AY. How much disability is caused by acne? Clin Exp Dermatol. 1989;14:194-8.
Walker N, Lewis-Jones MS. QoL and acne in Scottish adolescent schoolchildren: use of the Children's Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI). J Eur Acad Dermatol Venereol. 2006;20:45-50.
Beheshty A, Barikani A. Assessment of life quality in high school students with acne disease in Ghazvin. HBI Journals – ISMJ. 2009;12:60-6.
Kokandi A. Evaluation of acne quality of life and clinical severity in acne female adults. Dermatol Res Prac. 2010; Article ID 410809, 1-3.
Edalatkhah H, Sadeghi F. Frequency of acne vulgaris and its psychological impact in female high school students 2000" Ardabil University of Medical Sciences and Health Services. 2002;1 (3):27-32.
