title: Acne-Related Quality of Life Among Female Adults of Different Races/Ethnicities.
abstract: BACKGROUND
  Acne impairs quality of life, but its effect on different races/ethnicities is unclear. This study evaluated racial/ethnic differences in acne-related quality of life and psychological symptoms among female adults.
  
  
  METHODS
  A Web-based survey was conducted with U.S. female adults (25-45 years old) with facial acne (≥25 visible lesions). Outcomes included sociodemographics, clinical characteristics, acne-related quality of life (Acne-Specific Quality of Life Questionnaire), psychological symptoms (Patient Health Questionnaire), and work/school productivity. Racial/ethnic differences were evaluated using descriptive statistics and analysis of variance/chi-square analyses.
  
  
  RESULTS
  Three-hundred twelve subjects (Black = 30.8%, Hispanic = 17.6%, Asian/other = 17.3%, White = 34.3%) completed the survey (mean age = 35.3 ± 5.9 years). Acne negatively impacted quality of life for all subjects. Black subjects reported significantly less negative impact on self-perception versus Asian/other (Black = 12.6 ± 9.9, Asian/other = 8.4 ± 8.6;p= .05). Social functioning was less negatively impacted in White and Black subjects versus Asian/other (White = 12.7 ± 7.5, Asian/other = 8.4 ± 7.8,p< .05; Black = 12.1 ± 9.2, Asian/other = 8.4 ± 7.8,p= .06). Over one third (total sample = 40.7%, Black = 31.3%, Hispanic = 36.4%, Asian/other = 50.0%, White = 46.7%) reported moderate/severe anxiety/depression symptoms. Acne also impacted ability to concentrate on work/school.
  
  
  CONCLUSIONS
  Racial/ethnic differences were observed in acne-related quality of life and psychological symptoms in female adults; acne negatively impacted self-perceptions and social/emotional functioning.
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Joe
authors.initials: J
authors.lastname: Gorelick
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Selena R
authors.initials: SR
authors.lastname: Daniels
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Ariane K
authors.initials: AK
authors.lastname: Kawata
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Arnold
authors.initials: A
authors.lastname: Degboe
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Teresa K
authors.initials: TK
authors.lastname: Wilcox
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Caroline T
authors.initials: CT
authors.lastname: Burk
authors.affiliation: California Skin Institute, San Jose, CA.
authors.forename: Tracee
authors.initials: T
authors.lastname: Douse-Dean
keywords: Acne; Female; Observational Study; QoL; Survey