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Cited by 71Dermatology and Skin DiseasesDermatological diseases and infestationsHealth Systems, Economic Evaluations, Quality of Life

The effect of skin diseases on quality of life in patients from different social and ethnic groups in Cape Town, South Africa

Jobanputra, Raj, Bachmann, Max·2000·International Journal of Dermatology
DOI 10.1046/j.1365-4362.2000.00073.x
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Abstract

Abstract Background Skin diseases can greatly affect the quality of life (QoL). Little is known, however, of their impact on QoL in the developing world. This study was designed to assess the effect of skin diseases in such a setting. Methods A questionnaire survey of patients using the Dermatology Life Quality Index (DLQI), modified to the cultural needs of the population. The adapted instrument was translated into Afrikaans and Xhosa. Six hundred and seven patients attending general dermatology clinics at Groote Schuur Hospital and 53 controls were recruited. Influences on QoL of clinical severity, employment, education, age, sex, and home language were examined. Results Participants included 313 (52%) English‐speaking, 215 (35%) Afrikaans‐speaking, and 79 (13%) Xhosa‐speaking dermatology patients. Independent risk factors for having a high disability score were dermatologists' assessment of severity, younger age, unemployment, and language (odds ratio, 0.13; 95% confidence interval (CI) of 0.03–0.5 for Xhosa speakers compared to Afrikaans speakers). Gender was not associated with a high score, but females were more likely to report effects of skin disease on self‐esteem, clothing choice, treatment problems, and anxiety. Conclusions In this multicultural setting, social class and language group, but not gender, influenced the impact of skin disease on overall QoL. Xhosa speakers were apparently less affected than other patients. This could be due to cultural differences in the experience of skin disease and in the perception of disability, or to biases in questionnaire responses. Anxiety and depression were relevant dimensions of QoL in this study and should be considered for inclusion in future research. The adapted and translated DLQI was valid and reliable.

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  • In the South African study, women reported greater impact on self-esteem, clothing choice, and treatment problems.

    “Women reported greater impact on self-esteem, clothing choice, treatment problems and clothing choice in the South African study.”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [9]

  • Seniors were much more likely to experience disability due to a skin condition.

    “Seniors were much more likely to experience disability due to a skin condition.”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [9]

  • In a South African study, patients with skin complaints had significantly poorer quality of life than controls in depression, anxiety, effect on work or study, clothing choice, and looking after home.

    “A study of QoL in South African patients with skin complaints found that patients with these diseases had significantly poorer QoL compared to controls in realms such as depression, anxiety, effect on work or study, clothing choice, looking after one’s home”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [9]

  • Conditions with the highest disability burden often have disabling symptoms such as pruritus, including dermatitis, prurigo, and papular urticaria.

    “Conditions that constitute the highest disability burden are often characterized by disabling symptoms like pruritus. These conditions include dermatitis, prurigo, and papular urticaria”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [9]

  • Increased clinical severity was an independent predictor of decreased quality of life in a study of skin conditions among South Africans.

    “Increased clinical severity was an independent predictor of decreased QoL in a study of skin conditions among South Africans”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [9]

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Authors
Jobanputra, R., & Bachmann, M.
Affiliations
Southmead Hospital (GB)
ORCID
Bachmann, Max
Venue
International Journal of Dermatology
Publisher
Wiley
Published
2000-11
Volume
39
Issue
11
Pages
826-831
ISSN
  • 0011-9059 (ISSN-L)
  • 1365-4632
DOI
10.1046/j.1365-4362.2000.00073.x
OpenAlex
W2104263215
Cited by
71
References
18
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 8 · 2020: 2 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 3 · 2014: 3 · 2013: 2 · 2012: 3
FWCI
0.80
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 2805 d)
Locations
  • International Journal of Dermatology (publishedVersion)
  • PubMed (publishedVersion)
  • UEA Digital Repository (University of East Anglia) (submittedVersion)
Topics
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
  • Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords
skin diseases, quality of life, Dermatology Life Quality Index, disability, social class, language groups, Afrikaans speakers, unemployment, self-esteem, anxiety, depression, cultural adaptation of questionnaires, Cape Town
MeSH terms
Adult, Aged, Anxiety, Clothing, Depression, Ethnicity, Female, Humans, Male, Quality of Life, Surveys and Questionnaires, Self Concept, Skin Diseases, Social Class, South Africa, Statistics as Topic

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