Background: Acne vulgaris is the main skin disease problem for adolescents. The complication of acne in adolescents is scars left on the face, which affects stress levels. Stress has harmful potential when the conditions exceed the individual's ability to cope. Kenjeran area has a tropical climate and weather which are the factors that cause acne vulgaris. Objective: This research aims to study the association between acne vulgaris severity and stress among adolescents in Kenjeran, Surabaya Methods: This research used non-probability purposive sampling technique and observational analytic method with cross-sectional design. Assessment of the acne severity was carried out by dermatologist using Lehmann’s Grading System and stress levels were assessed using the Perceived Stress Scale questionnaire in 109 adolescent subjects. Results: The highest frequency is women aged 15 years. The dominance is in mild acne severity with moderate stress. It was found that adolescents with acne vulgaris are at risk of experiencing stress even though the analysis of the results using fisher-exact showed that there was no significant association between the acne severity and stress level in adolescents with acne vulgaris (p=0.113). Conclusion: The presence of acne vulgaris puts adolescents at risk of experiencing mild, moderate, or severe stress. It requires attention because can cause adverse effects that affect adolescents into adulthood life.

Background: Acne vulgaris (AV) is one of the most common cutaneous diseases in teenagers, which causes a decrease in self-esteem. Low self-esteem can affect the quality of life in AV patients. Purpose: This research aims to analyze the impact of AV on the quality of life in teenage patients based on their age, education level, and AV severity. Methods: This research used a non-probability purposive sampling technique and an observational analytic method with a cross-sectional design. The research location was SMPN 18 and SMAN 3 Surabaya. This study was conducted from August 2019 until January 2020. The samples were 109 teenagers; the total population was 2,121 teenagers. Research variables are AV severity and AV patients' quality of life. Research instruments were Lehmann’s Grading System for evaluating AV severity and Dermatology Life Quality Index (DLQI) in teenage AV patients. Data obtained was analyzed with the fisher-exact test method. Results: There were 46 (42.20%) males and 63 (57.80%) females in this study. DLQI results showed that AV had an enormous impact on quality of life in 12.80% of cases among all subjects. AV has a great potential to precipitate anxiety and affect the quality of life without considering the severity of the disease. Correlation between quality of life and age; quality of life and education level; quality of life and AV severity level resulted in p values of 0.19; 0.08; and 0.59. Conclusion: The management of AV in teenage patients should consist of individual treatment, education about AV, and its impact on the quality of life, as one of the critical social determinants of health.