The association of dermatologist-diagnosed and self-reported skin diseases with skin-related quality of life in Latino migrant farmworkers
The association of dermatologist-diagnosed and self-reported skin diseases with skin-related quality of life in Latino migrant farmworkers
复制标题
DOI：
10.1111/j.1365-4632.2008.03518.x
复制
发表时间：
2008-03-01
影响因子：
3.6
通讯作者：
Arcury, Thomas A.
中科院分区：
文献类型：
--
作者：
Quandt, Sara A.;Schulz, Mark R.;Arcury, Thomas A.
背景 众所周知，皮肤病会影响生活质量 (QoL)，但支持这一点的数据基于临床样本。很少有数据记录一般人群中与皮肤相关的生活质量，以及其与自我报告或皮肤科医生诊断的皮肤疾病的关联是否有所不同。农场工人是皮肤病的高危人群，也是研究这些关联的合适人群。 目的 比较皮肤相关的生活质量与工人在工作季节自我报告的皮肤状况或皮肤科医生诊断的皮肤病之间的关联。 方法 从美国北卡罗来纳州随机选择的 45 个居住点招募 304 名拉丁裔农场工人进行纵向监测。参与者每 3 周接受一次最多五次访谈，并记录报告的皮肤问题和皮肤病生活质量指数 (DLQI)。为每位参与者拍摄九张数码照片。一位经过委员会认证的皮肤科医生对每个人是否存在特定皮肤病进行了评分。 结果 16% 的访谈报告了皮肤病对生活质量的影响。在对自我报告的皮肤问题、足部或皮肤真菌、皮疹、瘙痒和毒藤的多变量分析中，它们是生活质量的预测因素。皮肤科医生诊断的炎症性疾病和色素性疾病是生活质量的重要预测因素。与皮肤科医生诊断的情况相比，自我报告的皮肤问题的相关性更强。 结论 在农场工人群体中，皮肤问题对生活质量具有临床显着影响。与瘙痒相关的病症和美容状况，例如痤疮和黄褐斑，是生活质量的重要决定因素。针对这些疾病的治疗可能会提高该人群的生活质量。
Background Skin diseases are known to affect the quality of life (QoL), but data to support this are based on clinical samples. Few data document the skin-related QoL in the general population, and whether its association differs with self-reported or dermatologist-diagnosed skin ailments. Farmworkers are at high risk for skin diseases, and are an appropriate population in which to explore these associations.Objectives To compare the association between skin-related QoL and workers' self-reports of skin conditions or dermatologist-diagnosed skin diseases over the course of a work season.Methods Three hundred and four Latino farmworkers were recruited from 45 randomly selected residential sites in North Carolina, USA, for longitudinal surveillance. The participants were interviewed up to five times at 3-week intervals and the reported skin problems and Dermatology Life Quality Index (DLQI) were recorded. Nine digital photographs were taken of each participant. A board-certified dermatologist rated each for the presence of specific skin diseases.Results An impact of skin disease on QoL was reported in 16% of interviews. In multivariate analyses with self-reported skin problems, feet or skin fungus, rash, itching, and poison ivy were predictors of QoL. Dermatologist-diagnosed inflammatory diseases and pigmentary disorders were significant predictors of QoL. The association was stronger for self-reported skin problems than for dermatologist-diagnosed conditions.Conclusions In a population of farmworkers, skin problems had a clinically significant impact on QoL. Itch-related conditions and cosmetic conditions, such as acne and melasma, were important determinants of QoL. Treatment for these conditions in this population may enhance QoL.