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Prevalence of skin diseases and impact on quality of life in hilly region of Nepal
Kathmandu Medical College, Nepal.
Kathmandu Medical College, Nepal.
Linköping University, Department of Clinical and Experimental Medicine, Division of Inflammation Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Dermatology and Venerology.
2012 (English)In: Institute of Medicine. Journal, ISSN 1993-2979, Vol. 34, no 3, 44-49 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Skin diseases (SDs) are one of the most common health problems in Nepal. The objectives of this study are to determine the prevalence of SDs and impact on quality of life (QoL) in a rural community in Nepal.

Methods: A house-to-house survey was conducted in a community with 3,207 inhabitants, to obtain socio-demographic data and identify individuals with SDs. Free examination and treatment was offered at 4 health camps. Individuals with long-standing SDs were interviewed using the Dermatology Life Quality Index (DLQI).

Results: Of 735 individuals attending the health camps, 645 (mean age 24.9 years, range 0.5-90) had one or more SDs. The overall prevalence of SDs was 20.1% (males 18.1%, females 22.5% and children 28.2%). The most common SD categories were eczemas (12.2%), pigment disorders (4.1%), acne (2.7%), urticaria (2.4%) and moles and lumps (1.6%). In the Nepalese culture, the DLQI question on sexuality was too direct so only 9/10 questions were used. In the 75 patients who were interviewed, the mean DLQI score was 10.7 (range 7-19), indicating a large impact on QoL.

Conclusions: This population-based study shows that SDs were very common in a rural community in Nepal. The five most common SD categories comprise 77% of all SDs. Targeted training should enable health-care workers to prevent, accurately diagnose and manage these problems on site. An appropriate instrument to measure QoL adjusted to the socio-cultural norms of Nepal has to be developed.

Place, publisher, year, edition, pages
Kathmandu, Nepal: Institute of Medicine , 2012. Vol. 34, no 3, 44-49 p.
Keyword [en]
Prevalence; Quality of life; Skin disease
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:liu:diva-101086OAI: diva2:665236
Available from: 2013-11-19 Created: 2013-11-19 Last updated: 2015-11-17Bibliographically approved

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Rosdahl, Inger
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Division of Inflammation MedicineFaculty of Health SciencesDepartment of Dermatology and Venerology
Public Health, Global Health, Social Medicine and Epidemiology

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