Cardiff acne disability index in Sarawak, Malaysia.

Ann Dermatol

Department of Dermatology, Sarawak General Hospital, Jalan Hospital, Sarawak, Department of Dermatology and Clinical Research Centre, Kuala Lumpur Hospital, Jalan Pahang, Kuala Lumpur, Malaysia.

Published: May 2012

AI Article Synopsis

  • Acne is seen as a cosmetic issue in Malaysia, but its psychological effects on individuals are not well-studied.
  • The study examined the quality of life impact of acne on 200 patients using the Cardiff Acne Disability Index (CADI) and found that most experienced mild impairment, particularly in emotional well-being.
  • Findings suggest that lower family income and certain demographics (females, indigenous groups, and those with higher education) are linked to greater emotional distress from acne, highlighting the need for better management and resources.

Article Abstract

Background: Acne is considered a cosmetic nuisance in Malaysia since no insurance coverage is provided for its treatment. Its psychological impact is unknown.

Objective: The aim of this study is to determine the impact of acne on quality of life and its relationship with severity.

Methods: A cross-sectional study using the Cardiff acne disability index (CADI) and Global Acne Grading System for acne severity grading was done in three government-run dermatology clinics in Sarawak, Malaysia.

Results: The study cohort of 200 patients had a mean CADI score of 5.1. Most of the patients (59.5%) had mild CADI impairment, with the domain of feelings most affected. Patients with a family income <1,000 United States Dollor/month had a higher mean CADI (mean 5.5 vs. 4.4; p=0.04). Females, indigenous groups, and patients with tertiary education tended to have more severe CADI impairment (p>0.05). The correlation between CADI and mild acne severity was low (Pearson correlation coefficient=0.35; p<0.001) but became insignificant for moderate and severe acne.

Conclusion: Acne impairment in Sarawak was moderate and must be addressed. It should be viewed as a psychologically disabling disease requiring optimal management and resource allocation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3346905PMC
http://dx.doi.org/10.5021/ad.2012.24.2.158DOI Listing

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