Prevalence and psychological impact of Acne vulgaris among female secondary school students in Arar city, Saudi Arabia, in 2018

Manal Saeed Alanazi, Sabry Mohamed Hammad, Amal Elwan Mohamed, Manal Saeed Alanazi, Sabry Mohamed Hammad, Amal Elwan Mohamed

Abstract

Background: Acne vulgaris is a common heath problem affecting adolescents with considerable impact on their quality of life.

Objective: To determine the prevalence of Acne vulgaris and its psychological impact among female secondary school students.

Methods: A cross-sectional study was conducted during the period from January to March 2018, among all female secondary school students in 3 randomly selected schools, in Arar city (Saudi Arabia). The participants were clinically examined by a dermatologist to identify acne cases. Dermatological quality of life of acne cases were assessed using an Arabic version of Dermatology Life Quality Index (DLQI). Data collected were analyzed by IBM-SPSS version 20, using Chi-square, Fisher's Exact test, Mann-Whitney U, and Kruskal Wallis test. P-value ≤0.05 was considered statically significant.

Results: The overall prevalence of Acne vulgaris was 14.3%. It was not significantly affected by age, marital status or nationality of participants. Post inflammatory hyper-pigmentation and scarring were detected in 11.6% and 8.7% respectively. Twenty nine percent of the cases had no impact; 56.3% had small to moderate impact and 14.5% had large effect. The psychological impact was significantly increased with increased severity, presence of acne lesions on face and other sites, presence of hyper pigmentation and scarring (p=0.001).

Conclusion: Acne vulgaris had large impact on quality of life in 14.5% of cases. Students should be counseled and educated on how to deal with this dermatological problem.

Keywords: Acne vulgaris; Adolescents; Epidemiology; Prevalence; Quality of life.

Conflict of interest statement

Conflict of Interest: There is no conflict of interest to be declared.

References

    1. Yosipovitch G, Tang M, Dawn AG, Chen M, Goh CL, Huak Y, et al. Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Derm Venereol. 2007;87(2):135–9. doi: 10.2340/00015555-0231.
    1. Tan J, Bhate KA. Global perspective on the epidemiology of acne. Br J Dermatol. 2015;172(1):3–12. doi: 10.1111/bjd.13462.
    1. Bagatin E, Timpano DL, Guadanhim LR, Nogueira VM, Terzian LR, Steiner D, et al. Acne vulgaris: prevalence and clinical forms in adolescents from São Paulo, Brazil. An Bras Dermatol. 2014;89(3):428–35. doi: 10.1590/abd1806-4841.20142100.
    1. Bhate K, Williams HC. Epidemiology of acne vulgaris. Br J Dermatol. 2013;168:474–85. doi: 10.1111/bjd.12149.
    1. Aksu AE, Metintas S, Saracoglu ZN, Gurel G, Sabuncu I, Arikan I, et al. Acne: prevalence and relationship with dietary habits in Eskisehir, Turkey. J Eur Acad Dermatol Venereol. 2012;26(12):1503–9.
    1. Muthupalaniappen L, Tan HC, Puah JW, Apipi M, Sohaimi AE, Mahat NF, et al. Acne prevalence, severity and risk factors among medical students in Malaysia. Clin Ter. 2014;165(4):187–92.
    1. Shen Y, Wang T, Zhou C, Wang X, Ding X, Tian S, et al. Prevalence of Acne Vulgaris in Chinese Adolescents and Adults: A Community-based Study of 17,345 Subjects in Six Cities. Acta Derm Venereol. 2012;92:40–4. doi: 10.2340/00015555-1164.
    1. Okoro E, Ogunbiyi A, George A. Prevalence and pattern of acne vulgaris among adolescents in Ibadan, south-west Nigeria. Journal of the Egyptian Women’s Dermatologic Society. 2016;13:7–12. doi: 10.1097/01.EWX.0000470561.85599.0d.
    1. El-Hamd MA, Nada EEA, Moustafa MA, Mahboob-Allah RA. Prevalence of acne vulgaris and its impact of the quality of life among secondary school-aged adolescents in Sohag Province, Upper Egypt. J Cosmet Dermatol. 2017;16(3):370–3. doi: 10.1111/jocd.12328.
    1. Al Robaee AA. Prevalence, knowledge, beliefs and psychosocial impact of acne in University students in Central Saudi Arabia. Saudi Med J. 2005;26(12):1958–61.
    1. Abo El-Fetoh NM, Alghamdi RS, Albarqi WA, Asiri SAM, Alruwaili NQ. Epidemiology Of Acne Vulgaris In Adolescent And Young Females In Riyadh City, Kingdom Of Saudi Arabia. Int J Adv Res. 2016;4(12):589–98. doi: 10.21474/IJAR01/2434.
    1. Bajawi S, Salih S, Mahfouz MS, Bajawi N, Asiri B. Acne Vulgaris Awareness and Impact on Quality of Life and Psychological Status of Adolescent School Children in Jazan, Saudi Arabia. International Journal of Sciences: Basic and Applied Research. 2016;25(2):374–84.
    1. Bahattab ES, Alharbi AA, Alsulami BA, Alfahmi KZ, Alzahrani SF, Sharkar OA, et al. Acne Vulgaris and Its Influence on Quality of Life of Female Patients, Makkah, Saudi Arabia. Int J Med Res Prof. 2017;3(1):184–8.
    1. Alajlan A, Alhazzani Y, Alhowaish N. Prevalence, level of knowledge and lifestyle association with acne vulgaris among medical students. Journal of Dermatology & Dermatologic Surgery. 2017;21(2):58–6. doi: 10.1016/j.jdds.2017.01.001.
    1. Al Natour S. Acne vulgaris: Perceptions and beliefs of Saudi adolescent males. J Fam Community Med. 2017;24(1):34. doi: 10.4103/2230-8229.197180.
    1. Cardiff Faculty of Medicine, Dermatology Department. Dermatology Quality of Life Index Arabic version. 2017. Available from: .
    1. Meyer K, Pappas A, Dunn K, Cula GO, Seo I, Ruvolo E, et al. Evaluation of seasonal changes in facial skin with and without acne. J Drugs Dermatol. 2015;14:593–601.
    1. Ikaraoha CI, Taylor GO, Anetor JI, Onuegbu JA. Pattern of skin surface lipids in some south-western nigerians with acne vulgaris. West Afr J Med. 2004;23:65–8. doi: 10.4314/wajm.v23i1.28086.
    1. Shengjie L, Zhang Y, Zheng G, et al. Investigation and analysis of sick status and influencing factors on the undergraduates facial acne vulgaris in Taian. Chin J Dermato-venereol. 2012;26:625–7.
    1. Hazarika N, Archana M. The psychosocial impact of acne vulgaris. Indian Journal of Dermatology. 2016;61(5):515–20. doi: 10.4103/0019-5154.190102.
    1. Abo El-Fetoh NM, Alenezi NG, Alshamari NG, Alenezi OG. Epidemiology of acne vulgaris in adolescent male students in Arar, Kingdom of Saudi Arabia. J Egypt Public Health Assoc. 2016;91(3):144–9. doi: 10.1097/01.EPX.0000492401.39250.62.
    1. Walker N, Lewis-Jones MS. Quality of life and acne in Scottish adolescent schoolchildren: use of the Children’s Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Indexγopy; (CADI) J Eur Acad Dermatol Venereol. 2006;20(1):45–50. doi: 10.1111/j.1468-3083.2005.01344.x.
    1. Tasoula E, Gregoriou S, Chalikias J, Lazarou D, Danopoulou I, Katsambas A, et al. The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece. Results of a population survey An Bras Dermatol. 2012;87(6):862–9.
    1. Kokandi A. Evaluation of Acne Quality of Life and Clinical Severity in Acne Female Adults. Dermatol Res Pract. 2010;2010 doi: 10.1155/2010/410809. pii: 410809.
    1. Safizadeh H, Shamsi-Meymandy S, Naeimi A. Quality of Life in Iranian Patients with Acne. Dermatology Research and Practice. 2012 doi: 10.1155/2012/571516.
    1. Abdel-Hafez K, Mahran AM, Hofny ERM, Mohammed KA, Darweesh AM, Aal AA. The impact of acne vulgaris on the quality of life and psychologic status in patients from upper Egypt. International Journal of Dermatology. 2009;48(3):280–5. doi: 10.1111/j.1365-4632.2009.03838.x.
    1. Magin P, Adams J, Heading G, Pond D, Smith W. Psychological sequelae of acne vulgaris: results of a qualitative study. Can Fam Physician. 2006;52:978–9.
    1. Thomas DR. Psychosocial effects of acne. J Cutan Med Surg. 2004;8( Suppl 4):3–5. doi: 10.1007/s10227-004-0752-x.
    1. Niemeier V, Kupfer J, Gieler U. Acne vulgaris-psychosomatic aspects. J Dtsch Dermatol Ges. 2006;4(12):1027–36. doi: 10.1111/j.1610-0387.2006.06110.x.
    1. Reich A, Trybucka K, Tracinska A, Samotij D, Jasiuk B, Srama M, et al. Acne itch: Do acne patients suffer from itching? Acta Derm Venereol. 2008;88:38–42. doi: 10.2340/00015555-0355.

Source: PubMed

3
Suscribir