1199名高中生痤疮患病率、危险因素及Cardiff痤疮残疾指数调查

Prevalence,risk factors and Cardiff Acne Disability Index survey of acne in 1,199 high school students

目的了解修水县中学生痤疮患病率、危险因素及生活质量。方法现场调查修水县某中学1199名高一学生,并填写Cardiff痤疮残疾指数(CADI)问卷。结果1199名学生中,痤疮现患率为60.21%;痤疮现患率的性别差异无统计学意义(P>0.05),但男性痤疮严重程度明显高于女性(P<0.01)。多元Logistic回归分析显示生活/成长地区、特应性疾病、痤疮家族史、每天睡眠时间<7 h、每周使用电脑时间≥12 h、大便干燥、爱吃甜味食品是痤疮发病的危险因素。男性痤疮患者CADI得分明显低于女性(P<0.01)。CADI得分与轻度痤疮存在显著正相关(P<0.01),但其与中重度痤疮无关(P>0.05)。结论修水县中学生痤疮现患率处于我国中等水平,其危险因素包括家族史、特应性疾病、不良生活及饮食习惯;痤疮对患者心理健康和生活质量有一定的影响。

Objective To study the prevalence,risk factors and Cardiff Acne Disability Index(CADI)survey of acne among high school students in Xiushui county.Methods The questionnaire and CADI survey were performed in 1,199 fresh students of a high middle school in Xiushui county.Results The overall acne prevalence was 60.21%in 1,199 students.Although there was no gender difference in acne prevalence(P>0.05),acne was more severe in males than in females(P<0.01).Multivariate logistic regression showed that living/growing region,atopic disease,family history of acne,sleep time<7 h/d,computer time≥12 h per week,dry stool,and sweet food were risk factors for acne.CADI scores were lower in females than in males(P<0.01).CADI scores were positively correlated with mild acne(P<0.01)but not with moderate-severe acne(P>0.05).Conclusion A moderate prevalence of acne is present in high school students of Xiushui county compared with other areas of China.The risk factors include family history,atopic disease,and unhealthy living and eating habits.There is an impact of acne on patients.mental health and quality of life.