Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Erkek Sanayi Çalışanlarında Akne Prevalansı, Epidemiyolojisi ve Olası Faktörlerle İlişkisi
ACNE PREVALANCE, EPIDEMIOLOGY AND RELATIONSHIP OF POSSIBLE FACTORS IN THE MALE WORKERS OF INDUSTRY COMPANY
Sefer NAMLIa, Rebiay APAYDINb, Gaye ÜNALc, Çiğdem ÇAĞLAYANd, Nilgün BİLENb, Dilek BAYRAMGÜRLERb
aÖzel Kocaeli Tıp Merkezi, bDermatoloji AD, dHalk Sağlığı AD, Kocaeli Üniversitesi Tıp Fakültesi, KOCAELİcDermatoloji Kliniği, Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, İSTANBUL
Turkiye Klinikleri J Dermatol. 2005;15(1):15-22
Article Language: TR
Full Text
ÖZET
Amaç: Akne çoğunlukla ergenlik döneminde görülen, yaygın bir dermatozdur. Puberte dönemindeki prevalansına dair yapılan birçok çalışma olmasına rağmen genel populasyonda akne prevalansı ve olası faktörlerle ilişkisine yönelik çalışmalar nadirdir. Bu çalışmada, sanayi çalışanlarında akne prevalansının epidemiyolojik özellikleri ve yaşam tarzıyla olası ilişkisinin araştırılması amaçlanmıştır. Gereç ve Yöntemeler: Kesitsel tipteki çalışmamız, Kocaelinin Körfez ilçesi Yarımca Sanayi Sitesindeki küçük sanayi işletmesi çalışanlarının katılımıyla yapıldı. Katılımcılara ait demografik özellikler, tıbbi özgeçmiş, çalıştığı işkolunun özellikleri, sigara ve alkol alışkanlığı, günlük yüz yıkama ve duş alışkanlığı gibi yaşam tarzına ait bilgiler görüşmeci tarafından standart anket formuna kaydedildi. Dermatolojik muayene ile akne varlığı ve şiddeti tespit edildi. Bulgular: Bu çalışmada küçük sanayi işletmelerinde çalışan tamamı erkek 395 kişi (14-62 yaş arası, ortalama 27,15) ile görüşüldü. Dermatolojik muayenede, katılımcıların %39,5inde akne vulgaris tespit edildi, mesleki akne ise saptanmadı. Akneli kişilerin %94,8i 30 yaş altındaydı ve bu oran istatistiksel olarak anlamlıydı (P=0,000). Ailesinde akne hikayesi olan kişilerde (p=0,002) ve cilt tipi yağlı olan kişilerde (p=0,016) akne prevalansı istatistiksel olarak anlamlı oranda fazla iken günlük duş alışkanlığı olan kişilerde anlamlı oranda azdı (p=0,005). Akneli kişilerde şiddeti 1-12 arasında değişen derecelendirmeye göre akne şiddeti derecesi 1-10 arasında değişmekteydi (ortalama 4,73±1,98) ve yağlı cilt yapısı olanlarda şiddetli derecede akne anlamlı oranda fazlaydı (p=0,035). Sigara kullanma oranı çalışma grubunda %66,1 idi ve 30 yaş altında (%43,5) istatistiksel olarak anlamlı derecede fazlaydı (p=0,001). Akne sigara kullanan kişilerde daha az saptanmasına rağmen anlamlı değildi (p=0,213). Günlük sigara tüketimi fazla olanlarda akne prevalansı anlamlı oranda düşüktü (p=0,000). Alkol kullanma oranı %15 idi ve 41 yaş üzerinde anlamlı oranda fazlaydı (p=0,029), ancak akne ile arasında ilişki tespit edilmedi. Sonuç: Kişinin yaşının genç olması, cilt tipinin yağlı olması ve diğer aile bireylerinde akne öyküsünün bulunması akne gelişim olasılığını artırmakta, günlük duş alışkanlığının olması ise azaltmaktadır.

Anahtar Kelimeler: Akne, epidemiyoloji, sigara içme, hijyen
ABSTRACT
Objective: Acne is a common dermatosis that is mostly seen in adolescence. Although there are a lot of studies about the prevalance of acne in the puberty period, there are relatively few data on the prevalance of this condition and relation with the possible factors in the general population. In this study, it was aimed to investigate the possible relation between acne prevalance, and epidemiological features and life style factors on industry workers. Material and Methods: Our cross-sectional study was done with the participation of the small industry company workers of Yarımca Industry Region in Körfez city of Kocaeli. The informations of all participitants such as demographic features, medical history, features of the work force, alcohol and cigarette consumption, life style information such as washing face and taking bath daily were recorded to standard questionnaire form by interviewer. The presence and severity of acne was determined by dermatological examination. Results: In this study, it was interviewed with 395 small industry company workers, all were men (between 14-62 years with a mean age of 27,15). In the dermatological examination acne vulgaris was determined in 39,5% of the participants, occupational acne was not determined. The age of the 94,8% of people with acne was under 30 years and this rate was statistically significant (p=0,000). Acne prevalance was significantly higher in people with positive family history (p=0,002) and oily skin type (p=0,016), whereas was significantly lower in the people having daily bath (p=0,005). In acne patients, severity score which was changeable between 1-12 was between 1-10 (mean 4,73±1,98), severe acne prevalance was significantly higher in people having oily skin type (p=0,035). Smoking rate was 66,1% in the study group and the rate (43,5%) statistically was significant higher at under 30 years (p=0,001). Although acne was determined to be less among smoking people, this was not significant (p=0,213). Acne prevalance was significantly lower when the amount of smoking per day increased (p=0,000). Alcohol consumption rate was 15% and was significantly higher over the 41 years (p=0,029), but the relationship with the acne prevalance was not determined. Conclusion: There is a positive correlation between acne prevalance and young age, oily skin type and positive family history; and an inverse correlation with daily bathing.

Keywords: Acne, epidemiology, smoking, hygiene

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