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Cited by 121Acne and Rosacea Treatments and EffectsDermatology and Skin DiseasesSkin Protection and Aging

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A Review of Advancement on Influencing Factors of Acne: An Emphasis on Environment Characteristics

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Yang, Jianting, Yang, Haoran, Xu, Aie, He, Li·2020·Frontiers in Public Health
DOI 10.3389/fpubh.2020.00450PMC PMC7527424
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Abstract

Background: Acne vulgaris is known as a commonly-seen skin disease with a considerable impact on the quality of life. At present, there have been a growing number of epidemiological, medical, demographic and sociological researches focusing on various influencing factors in the occurrence of acne. Nevertheless, the correlation between environmental factors and acne has yet to be fully investigated. Objective: To assess the impacts of individual, natural and social environmental factors on acne and to construct a framework for the potential impact of built environment on acne. Methods: A thorough review was conducted into the published social demographical, epidemiological, and environmental studies on acne through PubMed, Google Scholar and Web of Science, with reference made to the relevant literature. Results: The influencing factors in acne are classed into four major categories. The first one includes individual socio-economic and biological factors, for example, gender, age, economic level, heredity, obesity, skin type, menstrual cycle (for females), diet, smoking, cosmetics products, electronic products, sleep quality and psychological factors. The second one includes such natural environmental factors as temperature, humidity, sun exposure, air pollution and chloracne. The third one relates to social environment, including social network and social media. The last one includes built environmental factors, for example, population density, food stores, green spaces, as well as other built environment characteristics for transport. Acne can be affected negatively by family history, overweight, obesity, oily or mixed skin, irregular menstrual cycles, sugary food, greasy food, dairy products, smoking, the improper use of cosmetics, the long-term use of electronics, the poor quality of sleep, stress, high temperature, sun exposure, air pollution, mineral oils and halogenated hydrocarbons. Apart from that, there are also potential links between built environment and acne. Conclusions: It is necessary to determine the correlation between the built environment and acne based on the understanding of the impact of traditional factors (sociology of population and environment) on acne gained by multidisciplinary research teams. Moreover, more empirical studies are required to reveal the specific relationship between built environment and acne.

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Figure 1 Illustrates the study inclusion and exclusion process.
Figure 1 Illustrates the study inclusion and exclusion process.CC BY · PubMed Central
Figure 2 Factors of individual's socio-economic and biological factors affecting acne.
Figure 2 Factors of individual's socio-economic and biological factors affecting acne.CC BY · PubMed Central
Figure 3 Factors of natural environment affecting acne.
Figure 3 Factors of natural environment affecting acne.CC BY · PubMed Central
Figure 4 Factors of social environment affecting acne.
Figure 4 Factors of social environment affecting acne.CC BY · PubMed Central
Figure 5 Pathways linking built environment (fast food restaurant and greenspace) to health outcomes (negative: there is a negative effect; positive: there is a positive effect).
Figure 5 Pathways linking built environment (fast food restaurant and greenspace) to health outcomes (negative: there is a negative effect; positive: there is a positive effect).CC BY · PubMed Central
Figure 6 The framework of impacts of built environment on acne (indirect: there is an indirect effect; direct: there is a direct effect).
Figure 6 The framework of impacts of built environment on acne (indirect: there is an indirect effect; direct: there is a direct effect).CC BY · PubMed Central

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Cited by

Sorted by citations

Metadata

Authors
Yang, J., Yang, H., Xu, A., & He, L.
Affiliations
  • First Affiliated Hospital of Kunming Medical University (CN)
  • East China Normal University (CN)
  • Third People's Hospital of Hangzhou (CN)
Corresponding author
Yang, Haoran
ORCID
Venue
Frontiers in Public Health
Publisher
Frontiers Media SA
Published
2020-09-17
Volume
8
Pages
450-450
ISSN
2296-2565 (ISSN-L)
DOI
10.3389/fpubh.2020.00450
PMC
PMC7527424
OpenAlex
W3084849923
Cited by
121
References
10
Citations by year
2026: 22 · 2025: 27 · 2024: 23 · 2023: 33 · 2022: 11 · 2021: 5
FWCI
2.05
Type
journal article
Language
en
Open access
Licence
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Ministry of Education of China (IRT17-R49)
Topics
  • Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
Keywords
acne, risk factors, built environment, environmental factors, social environment, air pollution, sun exposure, obesity, sleep quality, social media, population density, green spaces, diet, smoking, heredity (biology)
MeSH terms
Built Environment, Acne Vulgaris, Air Pollution, Diet, Female, Humans, Quality of Life

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