A Multicenter Cross-Sectional Study on Quality of Life and Work Productivity among Women with Skin Disease
DOI:
https://doi.org/10.31674/mjn.2024.v15i04.003Abstract
Background: The most visible organ of a human being is considered to be the skin. The effects of visible skin disorders on quality of life (QoL) and productivity at work go far beyond their clinical manifestations, especially among women. The objective of this research is to evaluate the quality of life and work productivity of women with skin conditions who attend public hospitals. Methods: A Cross-sectional study was carried out from March 2023 to May 2023 at the dermatology clinics of Kuala Lumpur Hospital and Selayang Hospital. With 404 respondents, the researcher used a proportionate and random sampling technique. The Dermatology Life Quality Index (DLQI) and Work Productivity and Activity Impairment - General Health (WPAI- GH) scales were included in the self-administered questionnaire. The data in this study were analyzed using Statistical Packages for the Social Sciences (SPSS) Version 28. Results: Eczema was frequently diagnosed in the respondents (42.1%) aged 18– 30 (53.7%) followed by acne vulgaris (30.9%) and psoriasis (27%). Patients with eczema had the most significant effect on the DLQI score (35.9%). The outcome for WPAI-GH observed psoriasis patients showed the highest absenteeism (M=8.6, SD=15.4). There was no significant difference between types of skin diseases with WPAI-GH subscales (p>0.05). Activity impairment was significantly associated with the DLQI score (p<0.05). Conclusion: These results demonstrated the need for dermatologists and nurses to develop comprehensive care approaches that address the multidimensional impact of skin diseases on patients to improve their quality of life and productivity at work by putting into practice strategies to overcome the issues. Since the nurses are at the forefront of patient care, they possess the expertise to recognize how skin diseases may influence patients' daily functioning and professional productivity; thus, specific strategies can be planned, which will improve the patient's overall health outcomes.
Keywords:
Acne Vulgaris, Eczema, Psoriasis, Quality of Life (QoL), Skin Disease, Women, Work ProductivityDownloads
References
Ali, F. M., Johns, N., Salek, S., & Finlay, A. Y. (2018). Correlating the dermatology life quality index with psychiatric measures: a systematic review. Clinics in Dermatology, 36(6), 691-697. https://doi.org/10.1016/j.clindermatol.2018.08.014
AlOtaibi, H. M., AlFurayh, N. A., AlNooh, B. M., Aljomah, N. A., & Alqahtani, S. M. (2021). Quality of life assessment among patients suffering from different dermatological diseases. Saudi Medical Journal, 42(11), 1195. https://doi.org/10.15537/smj.2021.42.11.20210560
Arima, K., Gupta, S., Gadkari, A., Hiragun, T., Kono, T., Katayama, I., ... & Eckert, L. (2018). Burden of atopic dermatitis in Japanese adults: analysis of data from the 2013 National Health and Wellness Survey. The Journal of Dermatology, 45(4), 390-396.https://doi.org/10.1111/1346-8138.14218
Dagne, D. D. A. (2018). Recognizing neglected skin diseases: WHO publishes pictorial training guide. World Health Organization Global, Geneva, Switzerland. https://www.who.int/news/item/08-06-2018-recognizing-neglected-skin-diseases-who- publishes-pictorial-training-guide . . Accessed on 15th October, 2022
Department of Statistic Malaysia. (2021). Salaries & Wages. Ministry of Economy Department of Statistics Malaysia. https://www.dosm.gov.my/portal-main/release-content/salaries-&- wages-survey-report-malaysia-2021. . Accessed on 10th October, 2022.
Department of Statistics Malaysia. (2022). Current Population Estimates, Malaysia, 2022. Ministry of Economy Department of Statistics Malaysia. https://v1.dosm.gov.my/v1/index.php?r=column/cthemeByCat&cat=155&bul_id=dTZXanV6 UUdyUEQ0SHNWOVhpSXNMUT09&menu_id=L0pheU43NWJwRWVSZklWdzQ4TlhU UT09 . Accessed on 30th October, 2022
Dreno, B., Bordet, C., Seite, S., Taieb, C., & ‘Registre Acné’Dermatologists. (2019). Acne relapses: impact on quality of life and productivity. Journal of The European Academy of Dermatology and Venereology, 33(5), 937-943. https://doi.org/10.1111/jdv.15419
Fellizar, K. (2019). 7 Types Of Skin Conditions Women Are More Likely To Have, According To Experts. Bustle. https://www.bustle.com/p/7-types-of-skin-conditions-women-are-more- likely-to-have-according-to-experts-18668062. . Accessed on 15th October, 2022
Flohr, C., & Hay, R. (2021). Putting the burden of skin diseases on the global map. British Journal of Dermatology, 184(2), 189-190. https://doi.org/10.1111/bjd.19704
Ghafoor, R., Saleem, F., Iqbal, Q., Hassali, M. A., Hashmi, F. K., Haider, S., ... & Salman, M. (2018). Quality of life in patients with skin diseases attending a Public Healthcare Institute of Quetta City, Pakistan. Journal of Pharmacy Practice and Community Medicine, 4(1). https://doi.org/10.5530/jppcm.2018.1.5
Gisondi, P., Puig, L., Richard, M. A., Paul, C., Nijsten, T., Taieb, C., ... & EADV Burden of Skin Diseases Project Team. (2023). Quality of life and stigmatization in people with skin diseases in Europe: A large survey from the ‘burden of skin diseases’ EADV project. Journal of the European Academy of Dermatology and Venereology, 37, 6-14. https://doi.org/10.1111/jdv.18917
Greaves, M. W. (2020). Skin Disease | Description, Types, & Treatment | Britannica. https://www.britannica.com/science/human-skin-disease. . Accessed on 30th October, 2022
Hayashi, M., Saeki, H., Ito, T., Fukuchi, O., Umezawa, Y., Katayama, H., ... & Nakagawa, H. (2013). Impact of disease severity on work productivity and activity impairment in Japanese patients with psoriasis. Journal of Dermatological Science, 72(2), 188-191. https://doi.org/10.1016/j.jdermsci.2013.06.003
Itakura, A., Tani, Y., Kaneko, N., & Hide, M. (2018). Impact of chronic urticaria on quality of life and work in Japan: results of a real‐world study. The Journal of Dermatology, 45(8), 963-970. https://doi.org/10.1111/1346-8138.14502
Jeon, C., Yan, D., Nakamura, M., Sekhon, S., Bhutani, T., Berger, T., & Liao, W. (2017). Frequency and management of sleep disturbance in adults with atopic dermatitis: a systematic review. Dermatology and Therapy, 7, 349-364. https://doi.org/10.1007/s13555-017-0192-3
Kalboussi, H., Kacem, I., Aroui, H., El Maalel, O., Maoua, M., Brahem, A., ... & Mrizak, N. (2019). Impact of allergic contact dermatitis on the quality of life and work productivity. Dermatology Research and Practice, 2019. https://doi.org/10.1155/2019/3797536
Kassab, Y. W., Muhamad, S. A., Aldahoul, H., Mohammed, I., Paneerselvam, G., & Ayad, M. (2019). The impact of skin disorders on patients’ quality of life in Malaysia. Journal of Clinical Intensive Care and Medicine, 4, 001-009. https://doi.org/10.29328/journal.jcicm.1001018
Mazlan, S. A., & Sharoni, S. K. A. (2023). Quality of Life and Emotional Status Among Women with Skin Disease: A Multicenter Cross-Sectional Study. Malaysian Journal of Medicine and Health Sciences, 20(2), 182-19.https://medic.upm.edu.my/upload/dokumen/2024032111560923_MJMHS_0957.pdf
Mian, M., Silfvast-Kaiser, A., Paek, S., Kivelevitch, D., & Menter, A. (2019). A review of the most common dermatologic conditions and their debilitating psychosocial impacts. International Archives of Internal Medicine, 3, 018. https://doi.org/10.23937/2643-4466/1710018
Nowowiejska, J., Baran, A., & Flisiak, I. (2021). Mutual relationship between sleep disorders, quality of life and psychosocial aspects in patients with psoriasis. Frontiers in Psychiatry, 12, 674460. https://doi.org/10.3389/fpsyt.2021.674460
Mohamed, N. R., Rajab, A. Z., Shalaby, A. S., Farg, A. G., & El-Bakry, A. A. (2021). Psychiatric comorbidity and quality of life in patients with dermatological diseases. Menoufia Medical Journal, 34(1), 281. https://doi.org/10.4103/mmj.mmj_155_19
Nurye, Y., Tareke, M., Tadesse, M., Shegaw, M., & Mekonen, T. (2023). Depression among people with chronic skin disease at Boru Meda Hospital in Northeast Ethiopia. PLoS One, 18(2), e0282022. https://doi.org/10.1371/journal.pone.0282022
Oberoi, B., Singh, S., E, A., Agarwal, R., & Jandhyala, S. (2024). Correlation of skin-related quality of life with anxiety and depression in chronic dermatoses: A cross-sectional study. Medical Journal, Armed Forces India, 80(2), 178–183.https://doi.org/10.1016/j.mjafi.2023.05.004
Raosoft, I. (2020). Sample size calculator by Raosoft. Inc, in. http://www.raosoft.com/samplesize.html. . Accessed on 10th September, 2022
Reilly Associates. (2019). REILLY ASSOCIATES WPAI General Information. http://www.reillyassociates.net/WPAI_General.html. . Accessed on 20th September, 2022
Reilly, M. C., Zbrozek, A. S., & Dukes, E. M. (1993). The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics, 4(5), 353-365. https://doi.org/10.2165/00019053-199304050-00006
Romiti, R., Magalhães, R. F., & Duarte, G. V. (2024). Cumulative life course impairment in patients with dermatological diseases, with a focus on psoriasis. Anais Brasileiros de Dermatologia, 99(2), 269-276. https://doi.org/10.1016/j.abd.2023.08.006
Schuster, B., Ziehfreund, S., Albrecht, H., Spinner, C. D., Biedermann, T., Peifer, C., & Zink A. (2020). Happiness in dermatology: a holistic evaluation of the mental burden of skin diseases. Journal of the European Academy of Dermatology and Venereology, 34(6), 1331- 1339. https://doi.org/10.1111/jdv.16146
Seth, D., Cheldize, K., Brown, D., & Freeman, E. E. (2017). Global burden of skin disease: inequities and innovations. Current Dermatology Reports, 6, 204-210.https://doi.org/10.1007/s13671-017-0192-7
Strober, B., Greenberg, J. D., Karki, C., Mason, M., Guo, N., Hur, P., ... & Lebwohl, M. (2019). Impact of psoriasis severity on patient-reported clinical symptoms, health-related quality of life and work productivity among US patients: real-world data from the Corrona Psoriasis Registry. BMJ Open, 9(4), e027535. https://doi.org/10.1136/bmjopen-2018-027535
Svensson, A., Ofenloch, R. F., Bruze, M., Naldi, L., Cazzaniga, S., Elsner, P., ... & Diepgen,T. L. (2018). Prevalence of skin disease in a population‐based sample of adults from five European countries. British Journal of Dermatology, 178(5), 1111-1118.https://doi.org/10.1111/bjd.16248
Thakare, S., & Madke, D. B. (2024). Assessment of quality of life (QoL) in patients with chronic skin diseases: an observational study. F1000Research, 13, 139. https://doi.org/10.12688/f1000research.142903.1
World Health Ranking (2018). Health Profile: Malaysia. World Health Organisation. https://www.worldlifeexpectancy.com/country-health-profile/malaysia. . Accessed on 20th July, 2023
Zhang, X. J., Wang, A. P., Shi, T. Y., Zhang, J., Xu, H., Wang, D. Q., & Feng, L. (2019). The psychosocial adaptation of patients with skin disease: a scoping review. BMC Public Health, 19, 1-15. https://doi.org/10.1186/s12889-019-7775-0
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