Validation of quality of life instruments in Adolescents with facial Acne Vulgaris in Ibadan, Nigeria: any influence of social class
DOI:
https://doi.org/10.60787/tnhj.v18i2.373Keywords:
Quality of life, Social class, Validation, Cardiff Acne Disability Index, Children’s Dermatology Life Quality Index, Adolescent acneAbstract
Background: Studies have revealed diminished quality of life (QOL) in adolescents who have facial acne vulgaris. Generic and disease specific QOL questionnaires are used for this QOL assessment. These documents have not been cross-validated in Nigeria.
Aims and Objectives: This study aims to Cross-validate the Cardiff Acne Disability Index (CADI) and the Children’s Dermatology Life Quality Index (CDLQ), determine if acne impairs the QOL of Nigerian adolescents and the socio-demographic (age and social class of the adolescents) factors that influence this QOL.
Methodology: This was a cross-sectional population based study of 574 students aged 9-20 years from four co-educational secondary schools with two private schools representing the high socioeconomic class and two public schools representing the low socioeconomic class. QOL was assessed using the CADI and the CDLQ questionnaires and a questionnaire for socio-demographic data was administered. Data was analyzed with SPSS 16.
Results: A total of 574 students were studied, 48.9% males and 51.0% females. The CADI and the CDLQI correlated fairly with a Spearman’s rho co-efficient of 0.522. The median CADI was 2 with an inter-quartile range of 4 and the median CDLQI score was 1.00 with an inter-quartile range of 3.75. Median CADI score was 2 (4.00) in both high and low socio-economic classes Correlation between age and CADI was poor with a Spearman’s coefficient of 0.078.
Conclusion: Both QOL instruments correlated well and can be used for QOL assessment in Nigerian adolescents who have facial acne vulgaris.
Downloads
References
Reljic V, Maksimovic N, Jankovic J, Mijovic B, Peric J, Jankovic S. Evaluation of the quality of life in adolescents with acne. Vojnosanit Pregl. 2014;71:634-8.
Jankovic S, Vukicevic J, Djordjevic S, Jankovic J, Marinkovic J. Quality of life among schoolchildren with acne: Results of a cross-sectional study. Indian J Dermatol Venereol Leprol 2012;78:454-8
Ogedegbe EE, Henshaw EB. Severity and impact of acne vulgaris on the quality of life of adolescents in Nigeria. Clinical, Cosmetic and Investigational Dermatology 2014:7 329–334.
Isaacson VCS, Almeida Jr HL, Duquia RP, Breunig JA, Souza PRM. Dissatisfaction and Acne Vulgaris in Male Adolescents and Associated Factors. An. Bras. Dermatol. 2014;89:576-579.
Law MP, Chuh AA, Lee A, Molinari N. Acne prevalence and beyond: acne disability and its predictive factors among Chinese late adolescents in Hong Kong. Clin Exp Dermatol. 2010;35:16-21.
Vilar GN, Santos LA, Filho JFS. Quality of life, self-esteem and psychosocial factors in adolescents with acne vulgaris. An. Bras. Dermatol. 2015;90:622-9.
Halvorsen JA, Stern RS, Dalgard F, Thoresen M, Bjertness E, Lien L. Suicidal Ideation, Mental Health Problems, and Social Impairment Are Increased in Adolescents with Acne: A Population-Based Study. J. Invest. Dermatol. .2011; 131:363-370.
Tasoula E, Gregoriou S, Chalikias J, Lazarou D, Danopoulou I, Katsambas A, Rigopoulos D. The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece. Results of a population survey. An Bras Dermatol. 2012;87:862-9.
Takahashi N, Suzukamo Y, Nakamura M, Miyachi Y, Green J, Ohya Y et al. Japanese Version Of Dermatology Life Quality Index:Validity And Reliability In Patients With Acne. Health And Quality Of Life Outcomes 2006;4:1-7.
Abdel-Hafez K, Mahran AM, Hojny ERM, Mohammed KA, Darweesh AM, Aal AA. The Impact of Acne Vulgaris on the QOL and Psychologic Status in Patients from Upper Egypt. Int J. of Dermat 2009;48:280-285.
Chen CL, Kuppermann M, Caughey AB, Zane LT. A Community-Based Study of Acne-Related Health Preferences In Adolescents. Arch Dermatol 2008; 144:988-994.
Hassan J, Grogan S, Clark-carter D. The Individual Health Burden of Acne Appearance-related Distress in Male and Female Adolescents and Adults with Back, Chest and Facial Acne. J. Health Psychology.2009;14:1105–1118.
Kobayashi M, Kabashima K, Nakamura M, Tokura Y. Effects of Oral Antibiotic Roxithromycin on QOL in Acne Patients. J. of Dermatol. 2009; 36:383-391.
Chen CL, Kuppermann M, Caughey AB, Zane LT. A Community-Based Study of Acne-Related Health Preferences In Adolescents. Arch Dermatol 2008; 144:988-994.
Both H, Essink-Bot M, Busschbach J, Nijsten T. Critical Review of Generic and Dermatol-Specific HRQOL instruments. J of Investigative Dermatol 2007; 127:2726-2739
Jackson C. The General Health Questionnaire. Occupational Med 2007;57:79.
Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI) – A Simple Practical Measure for Routine Clinical Use. Clinical and Experimental Dermatol. 1994;19:210-216.
Lewis-Jones MS, Finlay AY. The Children's Dermatology Life Quality Index (CDLQI): Initial Validation and Practical use. British Journal of Dermatology, 1995; 132: 942-949.
Yahya H. Acne Vulgaris in Nigerian Adolescents- Prevalence, Severity, Beliefs, Perceptions and Practices. Int. J. Dermatol 2009;48:498-505
Finlay AY. Cardiff Acne Disability Index. www.dermatology.org.uk Site visited 24/1/2010.
Walters A, Sandhu D, Beattie P, Ezughah F, Lewis-Jones S. Severity Stratification of Children's Dermatology Life Quality Index (CDLQI) Scores. Br J Dermatol 2010;163 s1: 121.
Walker N, Lewis-Jones MS. Quality of Life and Acne in Scottish Adolescent School Children: Use of the Children’s Dermatology Life Quality Index and the Cadiff Acne Disability Index. J Eur Acad Dermatol Venereol 2005; 20:45-50.
Law MPM, Chuh AAT, Lee A. Validation of a Chinese Version of the Cardiff Acne Disability Index. Hong Kong Med. J. 2009;15:12-17.
Statistical Package for Social Sciences (SPSS) Version 15.0 for Windows; Released 2006. Chicago:SPSS Inc.
Peric J, Maksimovic N, Jankovic J, Mijovic B, Reljic V, Jankovic S. Prevalence and Quality of Life in High School Pupils with Acne in Serbia. Vojnosanit Pregl. 2013;70:935-9
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 The Nigerian Health Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Journal is owned, published and copyrighted by the Nigerian Medical Association, River state Branch. The copyright of papers published are vested in the journal and the publisher. In line with our open access policy and the Creative Commons Attribution License policy authors are allowed to share their work with an acknowledgement of the work's authorship and initial publication in this journal.
This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.
The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations. While the advice and information in this journal are believed to be true and accurate on the date of its going to press, neither the authors, the editors, nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
TNHJ also supports open access archiving of articles published in the journal after three months of publication. Authors are permitted and encouraged to post their work online (e.g, in institutional repositories or on their website) within the stated period, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). All requests for permission for open access archiving outside this period should be sent to the editor via email to editor@tnhjph.com.