International Journal of Dermatology
Volume 47, Issue 3, 2008, Pages 236-241

The association of dermatologist-diagnosed and self-reported skin diseases with skin-related quality of life in Latino migrant farmworkers (Article)

Quandt S.A.* , Schulz M.R. , Vallejos Q.M. , Feldman S.R. , Verma A. , Fleischer A.B. , Rapp S.R. , Arcury T.A.
  • a Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • b Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • c Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • d Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • e Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • f Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • g Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States
  • h Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, United States, Division of Public Health Sciences, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, United States

Abstract

Background: Skin diseases are known to affect the quality of life (QoL), but data to support this are based on clinical samples. Few data document the skin-related QoL in the general population, and whether its association differs with self-reported or dermatologist-diagnosed skin ailments. Farmworkers are at high risk for skin diseases, and are an appropriate population in which to explore these associations. Objectives: To compare the association between skin-related QoL and workers' self-reports of skin conditions or dermatologist-diagnosed skin diseases over the course of a work season. Methods: Three hundred and four Latino farmworkers were recruited from 45 randomly selected residential sites in North Carolina, USA, for longitudinal surveillance. The participants were interviewed up to five times at 3-week intervals and the reported skin problems and Dermatology Life Quality Index (DLQI) were recorded. Nine digital photographs were taken of each participant. A board-certified dermatologist rated each for the presence of specific skin diseases. Results: An impact of skin disease on QoL was reported in 16% of interviews. In multivariate analyses with self-reported skin problems, feet or skin fungus, rash, itching, and poison ivy were predictors of QoL. Dermatologist-diagnosed inflammatory diseases and pigmentary disorders were significant predictors of QoL. The association was stronger for self-reported skin problems than for dermatologist-diagnosed conditions. Conclusions: In a population of farmworkers, skin problems had a clinically significant impact on QoL. Itch-related conditions and cosmetic conditions, such as acne and melasma, were important determinants of QoL. Treatment for these conditions in this population may enhance QoL. © 2008 The International Society of Dermatology.

Author Keywords

[No Keywords available]

Index Keywords

patient care longitudinal study dermatomycosis skin pruritus agricultural worker skin disease human Longitudinal Studies Self Report North Carolina controlled study Logistic Models Skin Diseases rash Hispanic Americans interview quality of life United States migrant worker Humans Hispanic Adolescent Interviews as Topic male dermatology female prediction Risk Factors Multivariate Analysis Agricultural Workers' Diseases prevalence Article Questionnaires adult major clinical study medical photography medical specialist poison ivy Transients and Migrants chloasma esthetics disease association acne
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-39449109136&doi=10.1111%2fj.1365-4632.2008.03518.x&partnerID=40&md5=eb7bbb091f9b2051841f790cb640d4c9
DOI: 10.1111/j.1365-4632.2008.03518.x
ISSN: 00119059
Cited by: 14
Original Language: English