Acne Vulgaris in University Students: Prevalence, Knowledge and Lifestyle Association
DOI:
https://doi.org/10.37978/pjsm.v1i4.240Keywords:
acne vulgaris, medical student, hormones, lifestyle, stress, pakistsanAbstract
Objectives:
To assess the prevalence, level of knowledge and lifestyle association of acne vulgaris among undergraduate medical students of a public sector institute of Pakistan and to evaluate the level of knowledge and different lifestyle factors with gender and all the years of study. We aim to find most common factor associated with acne in our young generation, their understanding and misconception so that the clinical perception of future health professionals and therefore of the community regarding acne vulagris can be improved.
Methodology
In this cross-sectional study carried out among undergraduate medical students, the data was collected using stratified random sampling technique. A paper-based self-made English questionnaire was distributed to the participants by the researchers. Chi square test was used to compare differences of different categorical variables across gender and academic years.
Results:
A total of 170 medical students were recruited for the study according to the calculated sample size. More than half of the students (n:110; 64.7%) had acne vulgaris out of which 75 (68%) were females. Years of study were significantly related to knowledge. Gender was significantly related to lifestyle where females had acne lesions appearing more at the time of stress. However, females had less disturbed sleep as compared to males.
Conclusions:
Acne is a prevalent problem in the medical community with females being most affected. Help seeking attitude was lacking and knowledge was adequate with some misconceptions. Hormones and stress were the most perceived causal factors. However, stress was the only significantly associated lifestyle factor.
References
Allayali AZ, Asseri BN, AlNodali NI, Alhunaki RNM, Algoblan SFG (2017) Assessment of Prevalence, Knowledge, Attitude, and Psychosocial Impact of Acne Vulgaris among Medical Students in Saudi Arabia. J Clin Exp Dermatol Res 8: 404. DOI:10.4172/2155-9554.10.
Zohra FT, Sultana T, Islam S, Nasreen T. Evaluation of severity in patients of acne vulgaris by global acne grading system in Bangladesh. Clini Pathol. 2017;1(1):1-3. Available from: DOI: https://doi.org/10.23880/cprj-16000105. DOI: https://doi.org/10.23880/cprj-16000105
Alajlan A, Al Turki YA, AlHazzani Y, Alhowaish N, AlEid N, Alhozaimi Z, Al Saleh W, Yahya AB, Alkriadees Y, Alsuwaidan S. Prevalence, level of knowledge and lifestyle association with acne vulgaris among medical students. J Dermatol Dermatol Surg. 2017;21(2):58-61. DOI: https://doi.org/10.1016/j.jdds.2017.01.001
Juhl CR, Bergholdt HKM, Miller IM, Jemec GBE, Kanters JK, Ellervik C. Dairy Intake and Acne Vulgaris: A Systematic Review and Meta-Analysis of 78,529 Children, Adolescents, and Young Adults. Nutrients. 2018;10(8):1049. Available from: DOI: 10.3390/nu10081049. PMC6115795. DOI: https://doi.org/10.3390/nu10081049
Wolkenstein P, Machovcová A, Szepietowski JC, Tennstedt D, Veraldi S, Delarue A. Acne prevalence and associations with lifestyle: a cross-sectional online survey of adolescents/young adults in 7 European countries. J Eur Acad Dermatol Venereol. 2018;32(2):298-306. Available from: DOI: 10.1111/jdv.14475. Epub 2017 Sep 6. DOI: https://doi.org/10.1111/jdv.14475
Shivaswamy KN, Shyamprasad AL, Sumathy TK, Ranganathan C, Kumar SP. Knowledge of Acne among medical students: Pretest and posttest assessment. ISRN Dermatol. 2014;2014:727981. Available from: DOI: 10.1155/2014/727981. DOI: https://doi.org/10.1155/2014/727981
Tameez-Ud-Din A, Malik IJ, Bhatti AA, Tameez Ud Din A, Sadiq A, Khan MT, Chaudhary NA, Arshad D. Assessment of knowledge, attitude, and practices regarding self-medication for Acne among medical students. Cureus. 2019 Aug 28;11(8):e5510. Available from: DOI: 10.7759/cureus.5510. PMC6818732. DOI: https://doi.org/10.7759/cureus.5510
Ulvestad M, Bjertness E, Dalgard F, Halvorsen JA. Acne and dairy products in adolescence: results from a Norwegian longitudinal study. J Eur Acad Dermatol Venereol. 2017;31(3):530-535. Available from: DOI: 10.1111/jdv.13835. Epub 2016 Jul 16. DOI: https://doi.org/10.1111/jdv.13835
@article{Romanska-Gocka2016,
author = {Roma{'{n}}ska-Gocka, Krystyna and Wo{'{z}}niak, Magdalena and Kaczmarek-Skamira, El{.{z}}bieta and Zegarska, Barbara},
journal = {Adv. Dermatology Allergol. Dermatologii i Alergol.},
number = {6},
pages = {416},
publisher = {Termedia Publishing},
title = {{The possible role of diet in the pathogenesis of adult female acne}},
volume = {33},
year = {2016}
}
Al-Natour SH. Acne vulgaris: Perceptions and beliefs of Saudi adolescent males. J Family Community Med. 2017;24(1):34-43. Available from: DOI: 10.4103/2230-8229.197180. PMID: 28163574; PMCID: PMC5248432. DOI: https://doi.org/10.4103/2230-8229.197180
Babar O, Mobeen A (September 22, 2019) Prevalence and Psychological Impact of Acne Vulgaris in Female Undergraduate Medical Students of Rawalpindi and Islamabad, Pakistan. Cureus 11(9): e5722. DOI: https://doi.org/10.7759/cureus.5722
Meysamie, Alipasha & Taee, Farough & Mohammadi-Vajari, Mohammad-Ali & Yoosefi-Khanghah, Siamak & Emamzadeh-Fard, Sahra & Abbasi, Mehrshad. (2014). Sample size calculation on web, can we rely on the results?. Journal of Medical Statistics and Informatics. 2. 3. 10.7243/2053-7662-2-3. DOI: https://doi.org/10.7243/2053-7662-2-3
Muthupalaniappen L, Tan HC, Puah JW, Apipi M, Sohaimi AE, Mahat NF, Rafee NM. Acne prevalence, severity and risk factors among medical students in Malaysia. Clin Ter. 2014;165(4):187-92. Available from: DOI: 10.7417/CT.2014.1731.
Gonçalves G, Amado JM, Matos ME, Massa A. The prevalence of Acne among a group of Portuguese medical students. J Eur Acad Dermatol Venereol. 2012;26(4):514-7. Available from: DOI: 10.1111/j.1468-3083.2011.04080.x. Epub 2011 Apr 22. DOI: https://doi.org/10.1111/j.1468-3083.2011.04080.x
Alanazi MS, Hammad SM, Mohamed AE. Prevalence and psychological impact of Acne vulgaris among female secondary school students in Arar city, Saudi Arabia, in 2018. Electron Physician. 2018;10(8):7224-7229. Available from: DOI: 10.19082/7224. DOI: https://doi.org/10.19082/7224
El-Hamd MA, Nada EE-DA-A, Moustafa MA-K, Mahboob-Allah RA. Prevalence of acne vulgaris and its impact of the quality of life among secondary school-aged adolescents in Sohag Province, Upper Egypt. J Cosmet Dermatol. 2017;16(3):370–3. DOI: https://doi.org/10.1111/jocd.12328
Shen Y, Wang T, Zhou C, Wang X, Ding X, Tian S, et al. Prevalence of acne vulgaris in Chinese adolescents and adults: a community-based study of 17,345 subjects in six cities. Acta Derm Venereol. 2012;92(1):40–4. DOI: https://doi.org/10.2340/00015555-1164
Yahya H. Acne vulgaris in Nigerian adolescents–prevalence, severity, beliefs, perceptions, and practices. Int J Dermatol. 2009 May;48(5):498–505. DOI: https://doi.org/10.1111/j.1365-4632.2009.03922.x
Smithard A, Glazebrook C, Williams HC. Acne prevalence, knowledge about Acne and psychological morbidity in mid-adolescence: a community-based study. Br J Dermatol. 2001;145(2):274-279. Available from: DOI:10.1046/j.1365-2133.2001.04346.x. DOI: https://doi.org/10.1046/j.1365-2133.2001.04346.x
Desai KP, Martyn-Simmons C, Viner R, Segal T. Help-seeking behaviours, opportunistic treatment and psychological implications of adolescent Acne: Cross-sectional studies in schools and hospital outpatient departments in the UK. BMJ Open. 2017;7(9):1–6. DOI: https://doi.org/10.1136/bmjopen-2017-016964
Ali G, Mehtab K, Sheikh ZA, Ali HG, Kader SA, Mansoor H, et al. Beliefs and perceptions of Acne among a sample of students from Sindh Medical College, Karachi. J Pak Med Assoc. 2010;60(1):51–4.
Al Robaee AA. Prevalence, knowledge, beliefs and psychosocial impact of Acne in University students in Central Saudi Arabia. Saudi Med J. 2005;26(12):1958-1961.
Farid-ur-Rehman, Niazi NAK. Beliefs and perceptions about Acne among undergraduate medical students. J Pakistan Assoc Dermatologists. 2007;17(4):231–4.
Green J, Sinclair RD. Perceptions of acne vulgaris in final year medical student written examination answers. Australas J Dermatol. 2001;42(2):98–101. DOI: https://doi.org/10.1046/j.1440-0960.2001.00489.x
Lynn DD, Umari T, Dunnick CA, Dellavalle RP. The epidemiology of acne vulgaris in late adolescence. Adolesc Health Med Ther. 2016;7:13–25. DOI: https://doi.org/10.2147/AHMT.S55832
Chiu A, Chon SY, Kimball AB. The response of skin disease to stress: changes in the severity of acne vulgaris as affected by examination stress. Arch Dermatol. 2003;139(7):897–900. DOI: https://doi.org/10.1001/archderm.139.7.897
Tariq S, Tariq S, Tariq S, Jawed S. Perceived stress, severity and sources of stress among female medical students in a private medical college in Pakistan. J Pak Med Assoc. 2020 Jan 1;70(1):162–7. DOI: https://doi.org/10.5455/JPMA.2153
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Author
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
Under CC-BY Liscence, you are free to
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- for any purpose, even commercially.
Please cite the author everytime you share. Thank You