title: Limited role of marital status in the impact of dermatological diseases on quality of life.
abstract: Health status, health services utilization and mortality differ by marital status for both sexes in most conditions, but little is known about dermatological diseases. We evaluated whether marital status is associated with the impact that dermatological diseases have on quality of life (QoL). Data from two surveys on dermatological outpatients were pooled. Marital status, sex, age, and educational level were analysed in relation to QoL (using the scales of the Skindex-29 questionnaire: emotions, symptoms, and functioning) and psychological well-being (using the GHQ-12 questionnaire). Data on 5,471 patients (59% females, 46% married) were obtained. Married patients in univariate analysis had lower mean values on the emotions scale and higher mean values in the symptoms scale of the Skindex-29 compared to singles. Statistically significant differences were identified only in men, for the emotions scale and for the GHQ-12. Females had significantly higher mean scores than males on each of the Skindex-29 scales and on the GHQ-12. Married patients had a lower disease impact on the emotions scale even if they suffered a higher impact on the symptoms scale. However, after multiple adjustment, gender seems to be more relevant than marital status in the evaluation of health status.
authors.affiliation: Health Services Research Unit, IDI-IRCCS Via Monti di Creta 104, 00167 Rome, Italy. ste.tab@idi.it
authors.forename: Stefano
authors.initials: S
authors.lastname: Tabolli
authors.forename: Calogero
authors.initials: C
authors.lastname: Pagliarello
authors.forename: Cristina
authors.initials: C
authors.lastname: Di Pietro
authors.forename: Damiano
authors.initials: D
authors.lastname: Abeni
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016001:Confidence Intervals; D004644:Emotions; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage / Q000523:psychology*; D008875:Middle Aged; D016017:Odds Ratio; D011788:Quality of Life / Q000523:psychology*; D012720:Severity of Illness Index; D012737:Sex Factors; D012847:Single Person / Q000523:psychology*; D012871:Skin Diseases / Q000523:psychology*; D011795:Surveys and Questionnaires