Socioeconomic Inequalities and Severity of Plaque Psoriasis at a First Consultation in Dermatology Centers

被引：25

作者：

Mahe, Emmanuel ^{[1
]}

Beauchet, Alain ^{[2
]}

Reguiai, Ziad ^{[3
]}

Maccari, Francois ^{[4
]}

Ruer-Mulard, Mireille ^{[5
]}

Chaby, Guillaume ^{[6
]}

Le Guyadec, Thierry ^{[7
]}

Esteve, Eric ^{[8
]}

Goujon-Henry, Catherine ^{[9
]}

Parier, Josiane ^{[10
]}

Barthelemy, Hugues ^{[11
]}

Begon, Edouard ^{[12
]}

Steiner, Henri-Georges ^{[13
]}

Beneton, Nathalie ^{[14
]}

Boye, Thierry ^{[15
]}

Mery-Bossard, Laure ^{[16
]}

Schmutz, Jean -Luc ^{[17
]}

Bravard, Pierre ^{[18
]}

Sigal, Michele-Lea ^{[1
]}

机构：

[1] Hop Victor Dupouy, Dept Dermatol, FR-95100 Argenteuil, France

[2] Univ Versailles St Quentin En Yvelines, Ctr Hosp Univ Ambroise Pare, Assistance Publ Hop Paris, Dept Publ Hlth, Boulogne, France

[3] Hop Robert Debre, Dept Dermatol, Reims, France

[4] Hop Instruct Armees Begin, Dept Dermatol, St Mande, France

[5] Private Off, Martigues, France

[6] Picardie Jules Verne Univ, Ctr Hosp Univ Amiens, Hop Sud, Dept Dermatol, Amiens, France

[7] Hop Instruct Armees Percy, Dept Dermatol, Clamart, France

[8] Ctr Hosp Reg Orleans, Dept Dermatol, Orleans, France

[9] Ctr Hosp Lyon Sud, Dept Clin Immunol & Allergy, Lyon, France

[10] Private Off, Paris, France

[11] Ctr Hosp Auxerre, Dept Dermatol, Auxerre, France

[12] Ctr Hosp Pontoise, Dept Dermatol, Pontoise, France

[13] Private Off, Vienne, France

[14] Ctr Hosp Mans, Dept Dermatol, Le Mans, France

[15] Hop Instruct Armees St Anne, Dept Dermatol, Toulon, France

[16] Hop Francois Quesnay, Dept Dermatol, Mantes La Jolie, France

[17] Hop Brabois, Dept Dermatol, Vandoeuvre Les Nancy, France

[18] Hop Jacques Monod, Dept Dermatol, Le Havre, France

来源：

ACTA DERMATO-VENEREOLOGICA | 2017年 / 97卷 / 05期

关键词：

psoriasis; social inequalities; treatment; epidemiology; SYSTEMIC ANTIINFLAMMATORY DRUGS; MYOCARDIAL-INFARCTION; METABOLIC COMORBIDITIES; CARDIOVASCULAR-DISEASE; CELL CARCINOMA; RISK-FACTORS; FOLLOW-UP; HEALTH; ASSOCIATION; MULTICENTER;

D O I：

10.2340/00015555-2625

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Psoriasis has major physical, psychological, and social impacts: its management should not be restricted by individual financial considerations in Western countries as these have well-structured health systems and social/insurance coverage. We investigated if the socioeconomic characteristics of patients were associated with severity of psoriasis and access to healthcare. In a cross-sectional study, we included 903 patients with psoriasis that were consulting for the first time. We showed that low educational level was associated with severity of disease in multivariate analyses. Moreover, patients of lower class and lower educational level, with severe psoriasis, had seen fewer physicians and had less frequently received a systemic treatment. Thus, physicians need to be vigilante of patients with a low socioeconomic status. Both low socioeconomic status and less access to dermatologists are associated with clinical severity of psoriasis at a first consultation.

引用

页码：632 / 638

页数：7

共 41 条

[1] Why are head and neck squamous cell carcinoma diagnosed so late? Influence of health care disparities and socio-economic factors [J].

Adrien, J. ;

Bertolus, C. ;

Gambotti, L. ;

Mallet, A. ;

Baujat, B. .

ORAL ONCOLOGY, 2014, 50 (02) :90-97

[2] Cardiovascular outcomes and systemic anti-inflammatory drugs in patients with severe psoriasis: 5-year follow-up of a Danish nationwide cohort [J].

Ahlehoff, O. ;

Skov, L. ;

Gislason, G. ;

Gniadecki, R. ;

Iversen, L. ;

Bryld, L. E. ;

Lasthein, S. ;

Lindhardsen, J. ;

Kristensen, S. L. ;

Torp-Pedersen, C. ;

Hansen, P. R. .

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY, 2015, 29 (06) :1128-1134

[3] Cardiovascular disease event rates in patients with severe psoriasis treated with systemic anti-inflammatory drugs: a Danish real-world cohort study [J].

Ahlehoff, O. ;

Skov, L. ;

Gislason, G. ;

Lindhardsen, J. ;

Kristensen, S. L. ;

Iversen, L. ;

Lasthein, S. ;

Gniadecki, R. ;

Dam, T. N. ;

Torp-Pedersen, C. ;

Hansen, P. R. .

JOURNAL OF INTERNAL MEDICINE, 2013, 273 (02) :197-204

[4] Current psoriasis treatments in an Italian population and their association with socio-demographical and clinical features [J].

Altobelli, E. ;

Marziliano, C. ;

Fargnoli, M. C. ;

Petrocelli, R. ;

Maccarone, M. ;

Chimenti, S. ;

Peris, K. .

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY, 2012, 26 (08) :976-982

[5]

Amin TT, 2011, RURAL REMOTE HEALTH, V11

[6]

Andrews Ross M, 2009, Pediatr Clin North Am, V56, P1421, DOI 10.1016/j.pcl.2009.09.002

[7]

Beck F, 2007, BAROMETRE SANTE 2005

[8] Psoriasis [J].

Boehncke, Wolf-Henning ;

Schoen, Michael P. .

LANCET, 2015, 386 (9997) :983-994

[9] Socioeconomic Deprivation and Survival After Stroke Findings From the Prospective South London Stroke Register of 1995 to 2011 [J].

Chen, Ruoling ;

McKevitt, Christopher ;

Rudd, Anthony G. ;

Wolfe, Charles D. A. .

STROKE, 2014, 45 (01) :217-223

[10] Psoriasis and Hypertension: A Case-Control Study [J].

Cohen, Arnon D. ;

Weitzman, Dahlia ;

Dreiher, Jacob .

ACTA DERMATO-VENEREOLOGICA, 2010, 90 (01) :23-26

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