Acne in primary care: A cross-sectional analysis

Brown, Hilary; Tapley, Amanda; Driel, Mieke van; Davey, Andrew; Holliday, Elizabeth G.; Ball, Jean; Morgan, Simon; Patsan, Irena; Mulquiney, Katie; Spike, Neil; FitzGerald, Kristen; Magin, Parker

doi:10.31128/ajgp-02-19-4864

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…This makes acne the most frequent skin disease in this age group. Although more than 80% of adolescents consider acne as an unavailable part of their childhood [5], acne is associated with significant physical and psychosocial morbidity [6]. Acne can have a negative impact on patients' mood, self-esteem and quality of life (QoL) [7,8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and quality of life of facial acne: a cross-sectional study in high school students in Poland

Szepietowska¹,

Dąbrowska²,

Nowak³

et al. 2022

pdia

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Introduction: Acne is a frequent chronic inflammatory disease, which affects most commonly adolescents. It might have a negative effect on patients' well-being. Aim: To appraise the prevalence of facial acne among adolescents and to assess how acne of different clinical severity influences quality of life in this age group. Material and methods: This cross-sectional study was conducted on a representative sample of individuals aged 15-19 years in high schools in Poland. A total of 730 students were included in the final analysis. Standardized photographs according to the Investigator's Global Assessment (IGA) were used for self-assessment of both the presence and severity of facial acne. The Dermatology Life Quality Index (DLQI) was employed to evaluate subjects' quality of life (QoL) impairment. Results: Facial acne was found in 547 (74.9%) respondents with no significant difference in acne prevalence among females (75.1%) and males (74.6%). The vast majority of acne individuals (90.9%) suffered from minimal and mild acne, moderate acne was reported by 7.3% and severe one by 1.8% of acne students. Acne had a small effect on QoL (DLQI mean score of 2.8 ±3.6 points); females had significantly more decreased QoL than males (3.17 ±3.74 and 1.76 ±2.69 points, respectively). QoL impairment positively correlated with the clinical severity of facial acne. Conclusions: Facial acne is a common health problem in adolescents. Although it is not very severe in the majority of subjects it significantly decreases their QoL. Therefore, acne should be treated as a serious skin condition requiring a holistic approach to the patients.

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Section: Introductionmentioning

confidence: 99%

Prevalence and quality of life of facial acne: a cross-sectional study in high school students in Poland

Szepietowska¹,

Dąbrowska²,

Nowak³

et al. 2022

pdia

View full text Add to dashboard Cite

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“…An Australian populationbased study has previously shown acne to be a common problem in school students, with prevalence ranging from 28% in 10-12-year-olds to 93% in 16-18-year-olds [63]. While little is known about the prevalence of acne in Aboriginal youth, a cross-sectional analysis of data from primary care reported a lower frequency of acne presentations by Aboriginal youth; suggesting either a lower incidence of acne or lower rates of Aboriginal youth seeking medical care for acne [64]. Further, among Australian studies profiling the case-mix of patients seen in various dermatology outpatient clinics, presentation for acne was uncommon in Aboriginal patients [21,22,65].…”

Section: Non-infectious Skin Diseasesmentioning

confidence: 99%

Describing skin health and disease in urban-living Aboriginal children: co-design, development and feasibility testing of the Koolungar Moorditj Healthy Skin pilot project

Ricciardo,

Kessaris,

Nannup

et al. 2024

Pilot Feasibility Stud

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Background Indigenous children in colonised nations experience high rates of health disparities linked to historical trauma resulting from displacement and dispossession, as well as ongoing systemic racism. Skin infections and their complications are one such health inequity, with the highest global burden described in remote-living Australian Aboriginal and/or Torres Strait Islander (hereafter respectfully referred to as Aboriginal) children. Yet despite increasing urbanisation, little is known about the skin infection burden for urban-living Aboriginal children. More knowledge is needed to inform service provision, treatment guidelines and community-wide healthy skin strategies. In this pilot study, we aimed to test the feasibility and design of larger multi-site observational studies, provide initial descriptions of skin disease frequency and generate preliminary hypotheses of association. Methods This project has been co-designed with local (Noongar) Elders to provide an Australian-first description of skin health and disease in urban-living Aboriginal children. In collaboration with an urban Aboriginal Community Controlled Health Organisation (Derbarl Yerrigan Health Service), we conducted a week-long cross-sectional observational cohort study of Aboriginal children (0–18 years) recruited from the waiting room. Participants completed a questionnaire, skin examination, clinical photos, and swabs and received appropriate treatment. We assessed the feasibility and impact of the pilot study. Results From 4 to 8 October 2021, we recruited 84 Aboriginal children of whom 80 (95%) were urban-living. With a trusted Aboriginal Health Practitioner leading recruitment, most parents (or caregivers) who were approached consented to participate. Among urban-living children, over half (45/80, 56%) of parents described a current concern with their child’s skin, hair and/or nails; and one-third (26/80, 33%) reported current itchy skin. Using a research-service model, 27% (21/79) of examined urban-living participants received opportunistic same-day treatment and 18% (14/79) were referred for later review. Conclusions This co-designed pilot study to understand skin health in urban-living Aboriginal children was feasible and acceptable, with high study participation and subsequent engagement in clinical care observed. Co-design and the strong involvement of Aboriginal people to lead and deliver the project was crucial. The successful pilot has informed larger, multi-site observational studies to more accurately answer questions of disease burden and inform the development of healthy skin messages for urban-living Aboriginal children.

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Describing skin health and disease in urban-living Aboriginal children: co-design, development and feasibility testing of the Koolungar Moorditj Healthy Skin pilot project

Ricciardo

Kessaris

Nannup

et al. 2023

Preprint

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Background: Indigenous children in colonised nations experience high rates of health disparities linked to historical trauma resulting from displacement and dispossession, as well as ongoing systemic racism. Skin infections and their complications are one such health inequity, with the highest global burden described in remote-living Australian Aboriginal and/or Torres Strait Islander (hereafter respectfully referred to as Aboriginal) children. Yet despite increasing urbanisation, little is known about the skin infection burden for urban-living Aboriginal children. More knowledge is needed to inform service provision, treatment guidelines and community-wide healthy skin strategies. In this pilot study we aimed to test the feasibility and design of larger multi-site observational studies, provide initial descriptions of skin disease frequency and generate preliminary hypotheses of association. Methods: This project has been co-designed with local (Noongar) Elders to provide an Australian-first description of skin health and disease in urban-living Aboriginal children. In collaboration with an urban Aboriginal Community Controlled Health Organisation (Derbarl Yerrigan Health Service), we conducted a week-long cross-sectional observational cohort study of Aboriginal children (0–18 years) recruited from the waiting room. Participants completed a questionnaire, skin examination, clinical photos, swabs and received appropriate treatment. We assessed the feasibility and impact of the pilot study. Results: From 4–8 October 2021, we recruited 84 Aboriginal children of whom 80 (95%) were urban-living. With a trusted Aboriginal Health Practitioner leading recruitment, most parents (or caregivers) who were approached consented to participate. Among urban-living children, over half (45/80, 56%) of parents described a current concern with their child’s skin, hair and/or nails; and one third (26/80, 33%) reported current itchy skin. Using a research-service model, 27% (21/79) of examined urban-living participants received opportunistic same-day treatment and 18% (14/79) were referred for later review. Conclusions: This co-designed pilot study to understand skin health in urban-living Aboriginal children was feasible and acceptable, with high study participation and subsequent engagement in clinical care observed. Co-design and strong involvement of Aboriginal people to lead and deliver the project was crucial. The successful pilot has informed larger, multi-site observational studies to more accurately answer questions of disease burden and inform development of healthy skin messages for urban-living Aboriginal children.

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Acne in primary care: A cross-sectional analysis

Cited by 3 publications

References 16 publications

Prevalence and quality of life of facial acne: a cross-sectional study in high school students in Poland

Prevalence and quality of life of facial acne: a cross-sectional study in high school students in Poland

Describing skin health and disease in urban-living Aboriginal children: co-design, development and feasibility testing of the Koolungar Moorditj Healthy Skin pilot project

Describing skin health and disease in urban-living Aboriginal children: co-design, development and feasibility testing of the Koolungar Moorditj Healthy Skin pilot project

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