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Factors associated with quality of life in facial melasma: a cross‐sectional study
Author(s) -
Pollo C. F.,
Miot L. D. B.,
Meneguin S.,
Miot H. A.
Publication year - 2018
Publication title -
international journal of cosmetic science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.532
H-Index - 62
eISSN - 1468-2494
pISSN - 0142-5463
DOI - 10.1111/ics.12464
Subject(s) - melasma , quality of life (healthcare) , marital status , cross sectional study , medicine , demography , psychology , perception , young adult , clinical psychology , dermatology , gerontology , environmental health , pathology , population , nursing , neuroscience , sociology
Background Melasma is a common chronic focal hypermelanosis that affects photexposed areas as face, mainly in women at fertile age. It inflicts a significant impact in quality of life; nevertheless, quality of life scores (e.g. MELASQoL) are not strongly correlated with clinical severity (e.g. MASI) in facial melasma, suggesting that different factors can influence the perception of disease beyond the clinical extension or the intensity of pigmentation. Objectives To explore clinical and socio‐demographic aspects that influences MELASQoL scores. Methods Cross‐sectional study enrolling 155 adults (>18 y.o.) with facial melasma. MELASQoL, MASI, clinical and demographic information were assessed. The associations among factors were explored by multivariable methods. Results The mean (SD) age of the participants was 39 (8) years, and 134 (86%) were females. The correlation (Spearman′s rho) between MELASQoL and MASI was 0.35 ( P < 0.05). In a multivariate regression, MELASQoL score was associated ( P ≤ 0.05) to MASI score (β = 0.6), lower income (β = 6.8), be single (β = 4.2) and low education level (β = 5.0). At multiple correspondence analysis, MASI, sex, marriage, education and income were associated with MELASQoL, as well as MASI was associated to skin phototypes, income and education level. Conclusion The perception of life quality impairment in melasma is influenced by low scholarly, low family income, single marital status and greater clinical severity.