TY - JOUR
T1 - The epidemiology of acne vulgaris in a multiethnic adolescent population from Rotterdam, the Netherlands
T2 - A cross-sectional study
AU - Witkam, Willemijn C.A.M.
AU - Dal Belo, Susi E.
AU - Pourhamidi, Sayeh
AU - Raynaud, Edouard
AU - Moreau, Magali
AU - Aguilar, Luc
AU - Jansen, Pauline W.
AU - Nijsten, Tamar E.C.
AU - Pardo, Luba M.
N1 - Publisher Copyright:
© 2023 American Academy of Dermatology, Inc.
PY - 2024/3
Y1 - 2024/3
N2 - Background: Although acne is a prevalent multifactorial inflammatory skin condition, few studies were performed in multiethnic populations. Objectives: To study the prevalence and determinants of acne in a multiethnic study at the start of puberty. Methods: This cross-sectional study is embedded in Generation R, a population-based prospective study from Rotterdam, the Netherlands. Three-dimensional facial photos at the center visit in 2016-2019 (of ∼13-year-olds) were used to grade acne severity using the Global Evaluation of the Acne Severity (GEA). Analyses were stratified by biological sex and explored through chi-square tests and multivariable ordinal logistic regression. Results: A total of 4561 children (51% girls) with a median age of 13.5 (IQR 13.3-13.6) were included. The visible acne prevalence (GEA 2-5) for girls vs boys was 62% vs 45% and moderate-to-severe acne (GEA 3-5) 14% vs 9%. Higher puberty stages (adjusted odds ratios: 1.38 [1.20-1.59] and 2.16 [1.86-2.51] for girls and boys, respectively) and darker skin colors V and VI (adjusted odds ratios: 1.90 [1.17-3.08] and 2.43 [1.67-3.56]) were associated with more severe acne in both sexes, and being overweight in boys (adjusted odds ratio: 1.58 [1.15-2.17]). Limitations: Cross-sectional design. Conclusions: Acne prevalence was high at the age of 13 years and was associated with advanced puberty, darker skin color, and weight status.
AB - Background: Although acne is a prevalent multifactorial inflammatory skin condition, few studies were performed in multiethnic populations. Objectives: To study the prevalence and determinants of acne in a multiethnic study at the start of puberty. Methods: This cross-sectional study is embedded in Generation R, a population-based prospective study from Rotterdam, the Netherlands. Three-dimensional facial photos at the center visit in 2016-2019 (of ∼13-year-olds) were used to grade acne severity using the Global Evaluation of the Acne Severity (GEA). Analyses were stratified by biological sex and explored through chi-square tests and multivariable ordinal logistic regression. Results: A total of 4561 children (51% girls) with a median age of 13.5 (IQR 13.3-13.6) were included. The visible acne prevalence (GEA 2-5) for girls vs boys was 62% vs 45% and moderate-to-severe acne (GEA 3-5) 14% vs 9%. Higher puberty stages (adjusted odds ratios: 1.38 [1.20-1.59] and 2.16 [1.86-2.51] for girls and boys, respectively) and darker skin colors V and VI (adjusted odds ratios: 1.90 [1.17-3.08] and 2.43 [1.67-3.56]) were associated with more severe acne in both sexes, and being overweight in boys (adjusted odds ratio: 1.58 [1.15-2.17]). Limitations: Cross-sectional design. Conclusions: Acne prevalence was high at the age of 13 years and was associated with advanced puberty, darker skin color, and weight status.
UR - http://www.scopus.com/inward/record.url?scp=85179814115&partnerID=8YFLogxK
U2 - 10.1016/j.jaad.2023.10.062
DO - 10.1016/j.jaad.2023.10.062
M3 - Article
C2 - 37967670
AN - SCOPUS:85179814115
SN - 0190-9622
VL - 90
SP - 552
EP - 560
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
IS - 3
ER -