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Cited by 123Dermatological diseases and infestationsDermatology and Skin DiseasesLeprosy Research and Treatment

Impaired quality of life in adults and children with scabies from an impoverished community in Brazil

Worth, Christine, Heukelbach, Jorg, Fengler, Gernot, Walter, Birke, Liesenfeld, Oliver, Feldmeier, Hermann·2012·International Journal of Dermatology
DOI 10.1111/j.1365-4632.2011.05017.x
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Abstract

Background Scabies is highly prevalent in resource‐poor communities in developing countries and is associated with considerable morbidity in this setting. How the parasitic skin disease impairs the quality of life of patients has rarely been investigated. Methodology A modified Dermatology Life Quality Index (mDLQI) was developed to assess the quality of life in adults and children with scabies living in an urban slum in Fortaleza, capital of Ceará State, Brazil. A total of 105 patients with scabies (58 children and 57 adults) were included in the study. The diagnosis was made by dermatoscopy, skin scraping, and adhesive film test. Results Feelings of shame was the restriction most frequently noted (adults 77.2% and children 46.6%). Other types of quality of life impairment were the need to dress differently (35.1 vs. 29.3%), restriction on leisure activities (24.6 vs. 36.8%), social exclusion (24.6 vs. 17.9%), stigmatization (21.1 vs. 25.0%), teasing (only children: 26.3%), and problems with sexual partners (only adults: 10.9%). Women and girls perceived more restrictions than men and boys. mDLQI scores indicated that 13.9% of the patients noticed a large or very large effect on their life, 65.2% considered their quality of life lightly or moderately reduced by scabies, and 20.9% did not feel any restrictions. The degree of impairment increased parallel to the degree of itching and severity of scabies ( P = 0.003). Limitations Owing to active case finding, most of the patients were in an early phase of scabies, and clinical pathology was not very pronounced. Conclusion Scabies considerably impaired the quality of life in adults and children living in poverty in an urban slum. Females particularly suffered from restrictions.

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  • Dermatologic quality of life is more impaired for vulnerable groups: people of advanced age, women, and children.

    “Dermatologic QoL is also more impaired for members of vulnerable groups: people of advanced age, women, and children.”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [14]

  • Infectious skin conditions are prevalent among disenfranchised people; the homeless, prisoners, and victims of violence are disproportionately affected.

    “Infectious skin conditions are prevalent among disenfranchised people. The homeless, prisoners, and victims of violence are disproportionately affected in these settings”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [14]

  • Brazilian children with scabies reported high rates of teasing (26%) and social exclusion (17%) secondary to their disease.

    “Brazilian children with scabies reported high rates of teasing (26%) and social exclusion (17%) secondary to their disease”

    From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [14]

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Authors
Worth, C., Heukelbach, J., Fengler, G., Walter, B., Liesenfeld, O., & Feldmeier, H.
Affiliations
  • Charité – Universitätsmedizin Berlin (DE)
  • Stiftung Mandacaru (BR)
Corresponding author
Feldmeier, Hermann
ORCID
Venue
International Journal of Dermatology
Publisher
Wiley
Published
2012-02-20
Volume
51
Issue
3
Pages
275-282
ISSN
  • 0011-9059 (ISSN-L)
  • 1365-4632
DOI
10.1111/j.1365-4632.2011.05017.x
OpenAlex
W1899735501
Cited by
123
References
36
Citations by year
2026: 8 · 2025: 10 · 2024: 14 · 2023: 14 · 2022: 9 · 2021: 17 · 2020: 9 · 2019: 8 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 4 · 2013: 4 · 2012: 1
FWCI
3.53
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • International Journal of Dermatology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Deutscher Akademischer Austauschdienst
  • Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Topics
  • Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
  • Health Sciences › Medicine › Infectious Diseases › Leprosy Research and Treatment
Keywords
scabies, quality of life, Dermatology Life Quality Index, urban slums, poverty, social stigma, shame, social exclusion, children, adults, gender differences, pruritus
MeSH terms
Adolescent, Adult, Aged, Brazil, Child, Child, Preschool, Developing Countries, Female, Humans, Male, Middle Aged, Poverty Areas, Quality of Life, Scabies, Dermoscopy, Young Adult

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