Acne Vulgaris: Prevalence, Severity, and Impact on Quality of Life and Self-esteem Among Egyptian Adolescents

Overview

Journal J Egypt Public Health Assoc

Publisher Springer

Specialty Public Health

Date 2020 Nov 9

PMID 33165744

Citations 19

Authors

Kholoud Tayel

Medhat Attia

Naglaa Agamia

Noha Fadl

Affiliations

Soon will be listed here.

Abstract

Background: Acne vulgaris is the most common dermatoses affecting adolescents with significant impact on their quality of life (QoL). The current study aimed to estimate the prevalence of acne, severity, and its impact on QoL and self-esteem among Egyptian adolescents.

Methods: A cross-sectional study was conducted. A total of 787 students were selected using multistage stratified random sampling from 12 secondary schools in Alexandria, Egypt. Data was collected using a self-reported questionnaire, and clinical examination was performed. Severity of acne and its impact on QoL and self-esteem were assessed using the Global Acne Grading System (GAGS), Cardiff Acne Disability Index (CADI), and Coopersmith self-esteem scale, respectively.

Results: Prevalence of self-reported acne was 34.7%. Females significantly reported acne more frequently than males (39.1% vs. 30.3%, p = 0.009). Prevalence of clinically confirmed acne was 24.4%, with higher rates among females (28.6%) than males (20.2%, p = 0.006). The majority of students had mild acne (75.5%). CADI showed that 11.4% had severe disability. A significant medium positive correlation between GAGS and CADI was found (r = 0.338, p < 0.01). Among acne group, low self-esteem was more prevalent among females (67.0%) than males (45.0%, p = 0.004).

Conclusions: Acne is a common problem among Egyptian school-aged adolescents with higher prevalence and impact in females. Our findings should alert health professionals and school authorities to timely identify, manage, and educate adolescents with acne.

Citing Articles

Effectiveness of Standard Therapy for Acne Vulgaris Based on Clinical Practice Guidelines in Indonesia.

Wiraputranto M, Sitohang I, Sampurna A, Ilyas M Clin Cosmet Investig Dermatol. 2024; 17:2165-2175.

PMID: 39364260 PMC: 11447280. DOI: 10.2147/CCID.S469143.

Prevalence and Contributing Factors of Acne Vulgaris Among the General Population in the Jazan Region, Saudi Arabia: A Cross-Sectional Study.

Mashi A, Daghriri S, Mobarki O, Otaif F, Suwaid O, Alharbi R Cureus. 2024; 16(7):e65407.

PMID: 39184770 PMC: 11344885. DOI: 10.7759/cureus.65407.

A microRNA focus on acne.

Gordon S, Layton A, Fawcett S, Ross K Dermatol Reports. 2024; 16(2):9902.

PMID: 38957637 PMC: 11216150. DOI: 10.4081/dr.2024.9902.

Impact of Lifestyle and Dietary Habits on the Prevalence of Acne Vulgaris: A Cross-Sectional Study From Saudi Arabia.

Khormi G, Aldubayyan N, Hakami M, Daghriri S, Aqeel S Cureus. 2024; 16(3):e57200.

PMID: 38681286 PMC: 11056197. DOI: 10.7759/cureus.57200.

Prevalence of acne and its impact on quality of life and practices regarding self-treatment among medical students.

Dabash D, Salahat H, Awawdeh S, Hamadani F, Khraim H, Koni A Sci Rep. 2024; 14(1):4351.

PMID: 38388743 PMC: 10883973. DOI: 10.1038/s41598-024-55094-6.

References

Morrison I, Loken L, Olausson H . The skin as a social organ. Exp Brain Res. 2009; 204(3):305-14. DOI: 10.1007/s00221-009-2007-y. View

Adityan B, Kumari R, Thappa D . Scoring systems in acne vulgaris. Indian J Dermatol Venereol Leprol. 2009; 75(3):323-6. DOI: 10.4103/0378-6323.51258. View

Vilar G, Dos Santos L, Sobral Filho J . Quality of life, self-esteem and psychosocial factors in adolescents with acne vulgaris. An Bras Dermatol. 2015; 90(5):622-9. PMC: 4631226. DOI: 10.1590/abd1806-4841.201533726. View

Halvorsen J, Braae Olesen A, Thoresen M, Holm J, Bjertness E, Dalgard F . Comparison of self-reported skin complaints with objective skin signs among adolescents. Acta Derm Venereol. 2008; 88(6):573-7. DOI: 10.2340/00015555-0505. View

Kubota Y, Shirahige Y, Nakai K, Katsuura J, Moriue T, Yoneda K . Community-based epidemiological study of psychosocial effects of acne in Japanese adolescents. J Dermatol. 2010; 37(7):617-22. DOI: 10.1111/j.1346-8138.2010.00855.x. View

Law M, Chuh A, Lee A, Molinari N . Acne prevalence and beyond: acne disability and its predictive factors among Chinese late adolescents in Hong Kong. Clin Exp Dermatol. 2009; 35(1):16-21. DOI: 10.1111/j.1365-2230.2009.03340.x. View

Gallitano S, Berson D . How Acne Bumps Cause the Blues: The Influence of Acne Vulgaris on Self-Esteem. Int J Womens Dermatol. 2018; 4(1):12-17. PMC: 6047192. DOI: 10.1016/j.ijwd.2017.10.004. View

Purvis D, Robinson E, Merry S, Watson P . Acne, anxiety, depression and suicide in teenagers: a cross-sectional survey of New Zealand secondary school students. J Paediatr Child Health. 2006; 42(12):793-6. DOI: 10.1111/j.1440-1754.2006.00979.x. View

Abu El-Hamd M, Nada E, Moustafa M, Mahboob-Allah R . 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):370-373. DOI: 10.1111/jocd.12328. View

10.

Hanisah A, Omar K, Shah S . Prevalence of acne and its impact on the quality of life in school-aged adolescents in Malaysia. J Prim Health Care. 2010; 1(1):20-5. View

11.

Bagatin E, Timpano D, Ramos Dos Santos Guadanhim L, Nogueira V, Terzian L, Steiner D . Acne vulgaris: prevalence and clinical forms in adolescents from São Paulo, Brazil. An Bras Dermatol. 2014; 89(3):428-35. PMC: 4056700. DOI: 10.1590/abd1806-4841.20142100. View

12.

AlKhabbaz M, Al-Taiar A, Saeed M, Al-Sabah R, Albatineh A . Predictors of Acne Vulgaris among Adolescents in Kuwait. Med Princ Pract. 2019; 29(4):310-317. PMC: 7445669. DOI: 10.1159/000503711. View

13.

Karciauskiene J, Valiukeviciene S, Gollnick H, Stang A . The prevalence and risk factors of adolescent acne among schoolchildren in Lithuania: a cross-sectional study. J Eur Acad Dermatol Venereol. 2013; 28(6):733-40. DOI: 10.1111/jdv.12160. View

14.

El-Khateeb E, Khafagy N, Abd Elaziz K, Shedid A . Acne vulgaris: prevalence, beliefs, patients' attitudes, severity and impact on quality of life in Egypt. Public Health. 2014; 128(6):576-8. DOI: 10.1016/j.puhe.2014.03.009. View

15.

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. DOI: 10.1111/j.1468-3083.2007.02497.x. View

16.

Desai K, Martyn-Simmons C, Viner R, Segal T . Help-seeking behaviours, opportunistic treatment and psychological implications of adolescent acne: cross-sectional studies in schools and hospital outpatient departments in the UK. BMJ Open. 2017; 7(9):e016964. PMC: 5623513. DOI: 10.1136/bmjopen-2017-016964. View

17.

Hosthota A, Bondade S, Basavaraja V . Impact of acne vulgaris on quality of life and self-esteem. Cutis. 2016; 98(2):121-4. View

18.

Ogedegbe E, Henshaw E . Severity and impact of acne vulgaris on the quality of life of adolescents in Nigeria. Clin Cosmet Investig Dermatol. 2014; 7:329-34. PMC: 4266243. DOI: 10.2147/CCID.S73302. View

19.

Motley R, Finlay A . Practical use of a disability index in the routine management of acne. Clin Exp Dermatol. 1992; 17(1):1-3. DOI: 10.1111/j.1365-2230.1992.tb02521.x. View

20.

Shen Y, Wang T, Zhou C, Wang X, Ding X, Tian S . Prevalence of acne vulgaris in Chinese adolescents and adults: a community-based study of 17,345 subjects in six cities. Acta Derm Venereol. 2011; 92(1):40-4. DOI: 10.2340/00015555-1164. View