Prevalence of skin disease in a cohort of shelter-based homeless men
Prevalence of skin disease in a cohort of shelter-based homeless men
复制标题
DOI：
10.1016/s0190-9622(99)70048-4
复制
发表时间：
1999-08-01
影响因子：
13.8
通讯作者：
Dover, JS
中科院分区：
文献类型：
--
作者：
Stratigos, AJ;Stern, R;Dover, JS
背景：皮肤病是无家可归者发病的常见原因。各种传染性和非传染性的条件已被描述在这一人群中加剧营养不良，暴露于危险的环境，精神疾病，身体伤害，并有限的获得healthcare.Objective：我们的目的是研究皮肤病的患病率在选定的一组无家可归的人口。我们评估了一个队列的142名无家可归的男子谁是过夜的主要波士顿无家可归者收容所的男子在3个月内（1992年3月至6月）的皮肤病。受试者自愿参加免费皮肤检查。完成一份关于年龄、种族、无家可归时间和一般医疗状况的详细问卷后，由皮肤科医生进行彻底的皮肤检查。在接受检查的人群中，最常见的皮肤病是足癣（38%），（20.4%），创伤性损伤（19.7%）、趾甲真菌病（15.4%），寻常痤疮（18.3%）和脂溢性皮炎（13.3%）。令我们惊讶的是，大多数患者的皮肤检查结果相对正常，只有少数病理结果，最常见的原因是足部卫生差和长期暴露在潮湿环境中。我们认为，我们这一批人的状况相对较好，这要归功于收容所在衣物、清洁设施和医疗保健方面提供的极好的照顾。我们的研究结果可能代表了皮肤病的患病率在庇护所为基础的无家可归者，但不是在街头无家可归的人谁可能有更差的卫生条件，也许更多的皮肤病。
Background: Cutaneous disease is a frequent cause of morbidity in homeless people. A variety of infectious and noninfectious conditions have been described in this population that are exacerbated by malnutrition, exposure to hazardous environment, psychiatric disease, physical injuries, and limited access to health care.Objective: Our purpose was to study the prevalence of skin disease in a selected group of the homeless population.Methods: We evaluated skin diseases in a cohort of 142 homeless men who were staying overnight in a major Boston homeless shelter for men over a period of 3 months (March-June 1992). The subjects participated in the study by volunteering for a free skin examination. Completion of a detailed questionnaire on age, race, duration of homelessness, and general medical status was followed by a thorough skin examination performed by dermatologists.Results: The most prevalent skin diseases in the examined population were tinea pedis (38%), pitted keratolysis of the feet (20.4%), traumatic injuries (19.7%), toenail onychomycosis (15.4%), acne vulgaris (18.3%), and seborrheic dermatitis (13.3%).Conclusion: To our surprise the majority of patients had relatively normal findings from skin examinations with only a few pathologic findings, most often related to poor foot hygiene and long-term exposure to moisture. We attribute the relatively good condition of our cohort to the excellent care provided by the shelter with regard to clothing, cleaning facilities, and medical care. Our findings may represent the prevalence of skin diseases in shelter-based homeless but not in street homeless persons who are likely to have much poorer hygiene and perhaps more skin disease.