热带、亚热带四地区中学生痤疮现患情况及危险因素分析  

The Prevalence and Risk Factors of Middle School Students Acne in tropical and Subtropical Areas.

作　　者：向守宝[1] 张宏[1] 曾翰翔[1] 巢和安[1] 陈俏玲[1] 吴赤篷[1] 

机构地区：[1]暨南大学附属第一医院皮肤科,广东广州510632

出　　处：《中国皮肤性病学杂志》2009年第2期113-115,共3页The Chinese Journal of Dermatovenereology

基　　金：广东省科技计划项目(粤科计字[2001]281-5)

摘　　要：目的评估马来西亚、印度尼西亚、澳门、广州四地区中学生痤疮患病情况及其危险因素。方法采用横断面问卷调查方法,于2001年9～10月(澳门)、2004年9～12月(广州)及2005年9～12月(马来西亚和印度尼西亚)分别对上述四地区的中学,以学校为单位抽签随机整群抽取18所中学,共13215名12～20岁的中学生,进行逐一检查,并以问卷调查的方法收集痤疮的流行病学资料。所有资料应用SPSS 13.0软件进行Logistic回归分析。结果四地区痤疮总患病率是51.13%,男53.35%,女46.65%,男女患病率差异无显著性意义(P=0.062)。四地区中学生痤疮患病率分别为65.24%,58.26%,45.47%和32.81%,地区间患病率差异有显著性意义(P=0.000)。多因素logistic回归分析显示排气较臭、便秘、食用油炸食物、口臭、直系亲属有痤疮史、经常睡觉很晚、腹胀、乳晕周围体毛较长等为其危险因素。认为痤疮及其并发症影响其容貌的男生占77.81%,女生占69.26%;认为自信心下降者男生占79.26%,女生占72.23%。结论广州、澳门、马来西亚及印度尼西亚四地区中学生痤疮患病率高,危险因素主要涉及内分泌、生活环境与生活习惯、消化道功能紊乱等。痤疮及其并发症对其容貌及自信心影响较大。Objective To assess the prevalence and risk factors of middle school students＇acne in, Malaysia , Indonesia, Macao and Guangzhou. Methods With cross-sectional study, a questionnaire survey for the epidemiological information of acne was carried out in Sep-Oct 2001 （Macuo） ,Sep-Dec 2004 （Guangzhou） and Sep-Dec 2005 （Malaysia and Indonesia）. A group of 13 215 persons aged from 12 to 20 of 18 middle schools were drawn out from 103 middle schools in Macao, Guangzhou, Malaysia and Indonesia by random and cluster sampling. The software SPSS 13.0 statistically was used to analyze the date. Results The incidence rate of acne was 51.13% among the middle school students in these areas, among which 53.35% in male and 46.65% in female （P = 0. 062）. The peak age of ache patients was 18 years-old in both male and female. The incidence rate of acne in Malaysia, Indonesia, Macao and Guangzhou was 65.24% ,58.26% ,45.47% and 32.81% , there were differences in incidence rates among the four districts（P = 0. 000） . According to the results of multiple logistic regression, the risk factors of acne were fart frequently , constipation , fried food, bad breath , inheritance, late sleep, abdominal distention, high androgen level. Among these patients, 77.81% of the male and 69.26% of the female considered that acne and its complications had a big influence to their appearance; 79.26% of the male and 72.23% of the female regarded that would impact their self-confidence. Conclusion The middle school students in Macao, Guangzhou, Malaysia and Indonesia were frequently suffer from acne. Incretion and inheritance background,life habit and gastrointestinal dysfunction may be among the most important risk factors of acne. Acne and its complications have bad impact on the appearance and self-confidence of middle school students.

关 键 词：痤疮 流行病学 危险因素 中学生 

分 类 号：R758.73[医药卫生—皮肤病学与性病学]