title: Smoking and dietary factors associated with moderate-to-severe acne in French adolescents and young adults: results of a survey using a representative sample.
abstract: BACKGROUND
  Dietary factors and smoking play a role in acne.
  
  
  METHODS
  CSA Santé conducted a survey in France in 2012. Each individual answered a questionnaire to report acne, with associated epidemiological variables. Data on subjects between 15 and 24 years of age were extracted. The characteristics of subjects reporting acne were compared to subjects reporting no acne, using univariate and multivariate analysis.
  
  
  RESULTS
  The daily consumption of chocolate and sweets was independently and highly associated with acne, with an odds ratio of 2.38 (95% CI: 1.31-4.31). Smoking more than 10 cigarettes a day was highly associated with no acne, with an odds ratio of 0.44 (95% CI: 0.30-0.66). The regular use of cannabis was associated with acne, with an odds ratio of 2.88 (95% CI: 1.55-5.37).
  
  
  CONCLUSIONS
  Chocolate, sweets and cannabis smoking are associated with acne. We found tobacco to be protective. We failed to investigate the respective roles of sugar, lipids and milk.
authors.affiliation: Department of Dermatology, AP-HP, Henri Mondor Hospital, Université Paris-Est Créteil Val de Marne (UPEC), Créteil, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Wolkenstein
authors.forename: Laurent
authors.initials: L
authors.lastname: Misery
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Amici
authors.forename: Rémi
authors.initials: R
authors.lastname: Maghia
authors.forename: Sébastien
authors.initials: S
authors.lastname: Branchoux
authors.forename: Christine
authors.initials: C
authors.lastname: Cazeau
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Voisard
authors.forename: Charles
authors.initials: C
authors.lastname: Taïeb
mesh_terms: D000152:Acne Vulgaris / Q000453:epidemiology* / Q000209:etiology*; D000293:Adolescent; D003625:Data Collection; D004032:Diet; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D012307:Risk Factors; D012720:Severity of Illness Index; D012907:Smoking; D011795:Surveys and Questionnaires; D055815:Young Adult