Hidradenitis suppurativa (HS) is associated with low socioeconomic status (SES): A cross-sectional reference study

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Journal: J. Am. Acad. Dermatol. 2016 Oct;75(4):755-759.e1

Author(s): Deckers IE, Janse IC, van der Zee HH, Nijsten T, Boer J, Horváth B, Prens EP

BACKGROUND: Hidradenitis suppurativa (HS) is a chronic debilitating disease, whereby school attendance and employment can be disturbed.

OBJECTIVE: We sought to determine the socioeconomic status (SES) in patients with HS relative to other dermatologic patients, and whether specific clinical HS characteristics correlate with SES.

METHODS: For this multicenter cross-sectional reference study, data were collected from patients with HS and sex- and age-matched dermatologic patients in a 1:2 ratio. SES was derived from the mean household income and real estate value on a neighborhood level.

RESULTS: The SES distribution among 1018 patients with HS was significantly lower than among 2039 age- and sex-matched dermatologic control patients (P < .001). In patients with HS a low SES was associated with axillary involvement (odds ratio 1.42, P = .04), high body mass index (odds ratio 1.03, P = .003), and lower age at inclusion (odds ratio 0.98, P = .001), but not with disease severity or age of disease onset.

LIMITATIONS: SES was based on postal code level and causality cannot be determined.

CONCLUSION: In the general population, low SES is associated with an unhealthy lifestyle such as smoking and obesity. Therefore, low SES might be a risk factor for developing HS.

Dermatology Journal and/or Publisher

Journal Name: Journal of the American Academy of Dermatology
Journal Abbreviation: J. Am. Acad. Dermatol.
Journal Volume: 75, Issue: 4
Journal Date Published: 2016-10-01

National Center for Biotechnology Information

PMI ID: 27453539
Article: Source Link
Created: 2016-09-20

Abstract Source: National Center for Biotechnology Information, U.S. National Library of Medicine Abstract Query for “Hidradenitis suppurativa”

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