An epidemiological study on face masks and acne in a Nigerian population.
An epidemiological study on face masks and acne in a Nigerian population.
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DOI：
10.1371/journal.pone.0268224
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
寻常痤疮是一种影响男性和女性的皮肤病，对生活质量产生重大影响。 COVID-19 大流行的爆发导致全球采取了一系列非药物干预措施，以减少病毒的传播，特别是因为该疾病尚无已知的治愈方法或明确的治疗方法。一项关键的非药物干预措施是建议戴口罩。据报道，戴口罩会带来不适，包括各种皮疹、痤疮和头痛，这些可能会妨碍正确使用口罩。虽然高收入国家已经全面探讨了与使用口罩相关的皮肤病问题，但撒哈拉以南非洲的数据却很少。我们的目的是确定发展中国家环境中口罩使用与寻常痤疮发展之间的关联。随后，我们确定了寻常痤疮发生的危险因素，例如戴口罩的时间、口罩的类型以及既往皮肤病史。我们的目的还在于确定继发于使用口罩的痤疮发展的潜力，以减少戴口罩的倾向。这是一项在联邦首都区阿布贾的两个地方政府区域内进行的观察性横断面研究。训练有素的访谈员对 1316 名连续同意的成年参与者进行了预先测试的问卷调查，这些参与者在不同的公共场所随机接近以获得知情同意。将信息输入 MS Excel 并使用 Epi-info 进行分析。共有 1316 人参与了这项研究，平均年龄 34.4 ±12.3 岁，中位年龄 35.5 岁。男女比例为1:1.41。在本研究的 1316 名参与者中，有 323 名 (24.5%) 报告称持续佩戴口罩后出现新发痤疮或痤疮恶化。外科口罩最不可能诱发痤疮，p<0.05。与佩戴外科口罩相比，使用N95口罩和布口罩的人患痤疮的可能性分别是其1.89倍和1.41倍。有痤疮病史的人戴口罩后更有可能出现新痤疮或痤疮恶化 OR 3.89, 95% CI 2.85, 5.33； p <0.05）。每天佩戴口罩的时间长短与新发痤疮的发生或痤疮恶化没有显着相关性。在本研究中，报告有过敏史的人更有可能出现痤疮（OR 2.01，95% CI 1.50，2.88；p<0.05）。在这项研究中，192 名 (59.4%) 报告使用口罩后出现痤疮的人表示，他们对戴口罩有负面倾向。我们发现持续使用口罩后痤疮更容易发生或恶化，这可能对 COVID-19 的控制策略产生影响。 N95 口罩与痤疮的相关性更显着这一发现值得关注，因为这是医疗机构中的首选口罩。对于医学界来说，研究可行且安全的建议来帮助缓解这种情况非常重要。
Acne vulgaris is a skin disorder that affects males and females with significant impact on quality of life. The onset of the COVID-19 pandemic led to a series of non-pharmaceutical interventions globally to reduce the spread of the virus particularly since there have been no known cures or definitive treatment for the disease. One key non-pharmaceutical intervention was recommendation on wearing of face masks. There are reports of discomfort associated with wearing face mask including complaints of various skin rashes, acne and headaches which could hinder appropriate use of face masks. While the dermatological problems associated with face mask use have been comprehensively explored in high income countries, the data is sparse in sub-Saharan Africa. We aimed to determine the association between face mask use and development of acne vulgaris in our developing country setting. We subsequently determined risk factors for development of acne vulgaris such as duration of wearing face masks, type of face mask, and prior dermatological skin condition history. We aimed to also determine the potential of acne development secondary to face mask use to reducing predisposition to wearing face masks. This was an observational cross-sectional study conducted in within two local government areas of the Federal Capital Territory, Abuja. Trained interviewers administered pre-tested questionnaires to 1316 consecutive consenting adult participants randomly approached for informed consent at various public locations. Information was inputted into MS Excel and analyzed using Epi-info. A total number of 1316 persons participated in this study with mean age 34.4 ±12.3 years and median age 35.5years. Male: female ratio was 1:1.41. New onset acne or worsening of acne following consistent wearing of face masks was reported by 323 (24.5%) of the 1316 participants in this study. The surgical face mask was the least likely to predispose to acne p<0.05. Compared with the surgical mask, persons using N95 face mask and cloth mask were 1.89 and 1.41 times more likely to have acne respectively. Persons with prior history of acne were more likely to develop new acne or experience worsening of acne following wearing of face mask OR 3.89, 95% CI 2.85, 5.33; p <0.05). The length of time of daily mask wearing was not significantly associated with occurrence of new onset acne or worsening of acne. Persons reporting prior histories of allergy were more likely to develop acne in this study (OR 2.01, 95% CI 1.50, 2.88; p<0.05). In this study, 192 (59.4%) of those who reported having acne following face masks use responded they have a negative predisposition to wearing masks. Our finding of greater predisposition to development or worsening of acne following consistent use of face masks could have implications for the control strategy of COVID-19. The finding that the N95 face mask was more significantly associated with acne is of concern as this is the preferred face mask in healthcare settings. It is important for the medical community to investigate feasible and safe recommendations to help alleviate this condition.
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DOI：
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发表时间：
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期刊：
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