Prevalencija i kvalitet života srednjoškolaca sa aknama u Srbiji

  • Jelena Peric Institute of Dermatology, Clinical Center of Serbia, Belgrade, Serbia
  • Natasa Maksimovic Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Janko Jankovic Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Biljana Mijovic Institute of Public Health, Užice, Serbia
  • Vesna Reljic Institute of Dermatology, Clinical Center of Serbia, Belgrade, Serbia
  • Slavenka Jankovic Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Ključne reči: Acne Vulgaris||, ||, Questionnaires||, Quality of Life||, Pupil||,

Sažetak


Uvod/Cilj. Akne predstavljaju često oboljenje adolescenata, sa značajnim emocionalnim i psihološkim uticajem. Cilj ovog istraživanja bio je da se proceni prevalencija akni i njihov uticaj na kvalitet života srednjoškolaca u Srbiji. Metode. U maju 2011. godine sprovedena je studija preseka u dve srednje medicinske škole u Srbiji. Samo učenici koji su dostavili pisanu saglasnost za učešće u studiji (n = 440) zamoljeni su da popune dva upitnika: kratak opšti standardni upitnik i Kardifov indeks nesposobnosti u vezi akni (CADI), specifični upitnik za procenu kvaliteta života obolelih od akni. Za analizu pouzdanosti CADI upitnika korišćeni su Kronbahov koeficijent alfa (za testiranje unutrašnje konzistentnosti upitnika) i Spirmanova korelaciona analiza. Rezultati. Studijsku populaciju sačinjavalo je 440 učenika, 281 iz Beograda i 159 iz Užica. Među njima je bilo 371 (84,3%) devojčica i 69 (15,7%) dečaka, sa sličnom distribucijom po polu u oba grada. Ukupan prosečni uzrast učenika bio je 16,48 godina (SD = 0,55). Od 440 učenika njih 228 (51,8%) navelo je postojanje akni. Prevalencija akni bila je značajno viša kod učenika iz Užica (73,6%) nego kod onih iz Beograda (39,6%). Ukupni prosečni CADI skor za ceo uzorak bio je 2,87 ± 2,74, sa sličnim smanjenjem kvaliteta života kod adolescenata u Beogradu i Užicu. Kronbahov koeficijent alfa iznosio je 0,82. Zaključak. Studija je pokazala da je kod većine učenika sa aknama umereno narušen kvalitet života. Srpska verzija CADI upitnika je pouzdana, validna i korisna za procenu uticaja akni na kvalitet života adolescenata.

Ključne reči:

akne; adolescenti; škole; srbija; prevalenca; kvalitet života; upitnici.

Reference

Wolff H. Diseases of Hair. In: Burgdorf WH, Plewig G, Wolff HH, Landthaler M, editors. Braun-Falco’s Dermatology. 3rd ed. Ber-lin: Springer; 2009; p. 1050−2.

Khoo J. The psychological impact of acne: patients' perceptions. J Am Acad Dermatol 1995; 32(5): S26–S30.

Mulder MM, Sigurdsson V, van Zuuren EJ, Klaassen EJ, Faber JA, de Wit JB, et al. Psychosocial impact of acne vulgaris. Evaluation of the relation between a change in clinical acne severity and psychosocial state. Dermatology 2001; 203(2): 124−30.

Tallab TM. Beliefs, perceptions and psychological impact of acne vulgaris among patients in the Assir region of Saudi Ara-bia. West Afr J Med 2004 23(1): 85–7.

Tan JK. Psychosocial impact of acne vulgaris: evaluating the evidence. Skin Therapy Lett 2004; 9(7): 1–3.

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(8): 978–9.

Mallon E, Newton JN, Klassen A, Stewart-Brown SL, Ryan TJ, Finlay AY. The quality of life in acne: a comparison with gen-eral medical conditions using generic questionnaires. Br J Dermatol 1999; 140(4): 672–6.

Lewis-Jones MS, Finlay AY. The Children’s Dermatology Life Quality Index (CDLQI): Initial validation and practical use. Br J Dermatol 1995; 132(6): 942–9.

Uslu G, Sendur N, Uslu M, Savk E, Karaman G, Eskin M. Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey. J Eur Acad Dermatol Venereol 2008; 22(4): 462–9.

Thomas DR. Psychosocial effects of acne. J Cutan Med Surg 2004; 8(Suppl 4): 3–5.

Motley RJ, Finlay AY. Practical use of a disability index in the routine management of acne. Clin Exp Dermatol 1992; 17(1): 1–3.

Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J, Basra MK. The Cardiff Acne Disability Index (CADI): linguistic and cultural validation in Serbian. Qual Life Res 2012; 22(1): 161−6.

Lello J, Pearl A, Arroll B, Yallop J, Birchall NM. Prevalence of acne vulgaris in Auckland senior high school students. N Z Med J 1995; 108(1004): 287–9.

Hull PR, D’Arcy C. Acne, depression, and suicide. Dermatol Clin 2005; 23(4): 665–74.

Gurel MS, Yanik M, Simsek Z, Kati M, Karaman A. Quality of life instrument for Turkish people with skin diseases. Int J Dermatol 2005; 44(11): 933–8.

Rigopoulos D, Gregoriou S, Ifandi A, Efastathiou G, Georgala S, Chalkias J, et al. Coping with acne׃ beliefs and perceptions in sample of secondary school Greek pupils. J Eur Acad Derma-tol Venereol 2007; 21(6): 806–10.

Yosipovitch G, Tang M, Dawn AG, Chen M, Goh CL, Chan YH, et al. Study of Psychological Stress, Sebum Production and Acne Vulgaris in Adolescents. Acta Derm Venereol 2007; 87(2): 135–9.

Walker N, Lewis-Jones MS. Quality of life and acne in Scottish adolescent schoolchildrend: use of the Children's Dermatology Life Quality Index (CDLQI) and the Cardiff Acne Disability Index (CADI). J Eur Acad Dermatol Venereol 2006; 20(1): 45–50.

Do JE, Cho SM, In SI, Lim KY, Lee S, Lee ES. Psychosocial as-pects of acne vulgaris: a community based study with Korean adolescents. Ann Dermatol 2009; 21(2): 125–9.

Janković S, Vukićević J, Djordjević S, Janković J, Marinković J. Quality of life among schoolchildren with acne: results of a cross-sectional study. Indian J Dermatol Venereol Leprol 2012; 78(4): 454−8.

Smithard A, Glazebrrook C, Williams HC. Acne prevalence, knowledge about acne and psychological morbidity in mid-adolescence: a community based study. Br J Dermatol 2001; 145(2): 274–9.

Kubota Y, Shirahige Y, Nakai K, Katsuura J, Moriue T, Yoneda K. Community-based epidemiological study of psychosocial ef-fects of acne in Japanese adolescents. J Dermatol 2010; 37(7): 617–22.

Salek MS, Khan GK, Finlay AY. Questionnaire techniques in as-sessing acne handicap: Reliability and validity study. Qual Life Res 1996; 5(1):131–8.

Oakley AM. The Acne Disability Index: usefulness confirmed. Australas J Dermatol 1996: 37(1): 37–9.

Agheai S, Mazaharinia N, Jafari P, Abbasfard Z. The Persian ver-sion of the Cardif Acne Disability Index. Reliability and validity study. Saudi Med J 2006; 27(1): 80–2.

Lasek RJ, Chren MM. Acne vulgaris and the quality of life of adult dermatology patients. Arch Dermatol 1998; 134(4): 454–8.

Urpe M, Pallanti S, Lotti T. Psychosomatic Factors in Derma-tology. Dermatol Clin 2005; 23(4): 601–8.

Gupta MA, Gupta AK. Depression and suicidal ideation in dermatology patients with acne, alopecia areata, atopic derma-titis and psoriasis. Br J Dermatol 1998; 139(5): 846–50.

Picardi A, Mazzoti E, Pasqiuni P. Prevalence and correlates of suicidal ideation, among patients with skin disease. J Am Acad Dermatol 2006; 54(3): 420–6.

Objavljeno
2017/01/20
Rubrika
Originalni članak