1
|
Ünal BÜ, Demirbaş A, Erdoğan BG. Social media use as a source of information by acne vulgaris patients. J Cosmet Dermatol 2024; 23:3312-3318. [PMID: 39016682 DOI: 10.1111/jocd.16477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2024] [Accepted: 07/05/2024] [Indexed: 07/18/2024]
Abstract
BACKGROUND Social media and internet usage is undeniably high. Misinformation obtained from the internet and wrong treatment methods can cause serious problems in patients with acne vulgaris (AV). In this study, the sociodemographic data of AV patients, their frequency of using the internet as an information source, the relationship between them, and their attitudes and behaviors regarding their disease due to these programs were examined. METHODS 481 patients aged 14 and over diagnosed with AV were included in the study. It was conducted in a descriptive cross-sectional type. Acne severity of all patients included in the study was determined using the Global Acne Grading System. RESULTS 78.3 percent of participants use social media to get information about AV. It was determined that men and single people used social media about their illnesses at a statistically significantly higher rate than women and married people (p = 0.004). In addition, patients aged 13-18 and high school graduates use social media as a source of information about their diseases, and this rate is statistically significantly higher (p < 0.001). CONCLUSION Especially in the last decade, the use of social media tools to spread health messages has increased significantly. Because it has a chronic course and can cause cosmetic problems, AV patients may frequently resort to communication sources such as social media. Considering the possibility of social media misinforming patients, physicians should be aware that their patients with AV frequently use social media and should improve themselves in creating correct awareness on this issue.
Collapse
Affiliation(s)
- Bahar Ürün Ünal
- Department of Family Medicine, Faculty of Medicine, Selcuk University, Konya, Turkey
| | - Abdullah Demirbaş
- Department of Dermatology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Burcu Gök Erdoğan
- Department of Family Medicine, Faculty of Medicine, Selcuk University, Konya, Turkey
| |
Collapse
|
2
|
Gazibara T, Cakic M, Cakic J, Grgurevic A, Pekmezovic T. Familiarity with the internet and health apps, and specific topic needs are amongst the factors that influence how online health information is used for health decisions amongst adolescents. Health Info Libr J 2024; 41:283-297. [PMID: 35652454 DOI: 10.1111/hir.12440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 03/21/2022] [Accepted: 05/19/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Many adolescents believe that online health information is reliable, particularly when they are familiar with the source of information. OBJECTIVE To analyse the degree of influence of online health information on high school students' health decisions and examine whether socio-demographic characteristics, digital literacy, use of different websites and interest in specific health topics are associated with a stronger influence of online health information on adolescents' health-related decisions. METHODS Participants were students from four public high schools in Belgrade, Serbia. Socio-demographic and behavioural questionnaire as well as the e-health literacy scale (eHEALS) were used to collect data. RESULTS The study sample comprised 702 students. A total of 79.6% of students reported that online health information influenced their health decisions to a certain extent (from 'a little' to 'a lot'). Being a boy, using the internet since younger age, better self-perceived e-health literacy, using health apps, Google, health forums, websites of health institutions, social media and YouTube, being interested in diet/nutrition, sexually transmitted infections and cigarettes were the characteristics associated with a stronger influence of online health information on students' health decisions. CONCLUSION This study provides clues about how online health-related information can be used to adjust and enhance health promotion amongst adolescents.
Collapse
Affiliation(s)
- Tatjana Gazibara
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Milica Cakic
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Jelena Cakic
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Anita Grgurevic
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Tatjana Pekmezovic
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| |
Collapse
|
3
|
Finan CF, Leon P, Midani L, Hill DA, Smidt AC. Social media use among adolescents with acne: A cross-sectional survey study. Pediatr Dermatol 2024; 41:835-837. [PMID: 38725265 DOI: 10.1111/pde.15651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Accepted: 04/27/2024] [Indexed: 09/28/2024]
Abstract
Social media is increasingly used by patients for the management of skin conditions like acne, despite the potential risk for low-quality information. This study surveyed 45 participants between the ages of 12 and 17 years to investigate factors that could be associated with social media use among adolescents with acne. The likelihood of social media use was not significantly increased by clinical severity of acne, more severe physical barriers (greater than or equal to 20 miles to the dermatology clinic), more severe temporal barriers (waiting 12 or more weeks for a first dermatology appointment), or worsened quality of life (assessed via the Skindex-Teen score). This study increases understanding of adolescents' social media behaviors, particularly as a way to seek information for skin conditions like acne.
Collapse
Affiliation(s)
- Cyrelle F Finan
- Division of Pediatric Dermatology, Children's National Medical Center, Washington, DC, USA
- Department of Dermatology, University of New Mexico, Albuquerque, New Mexico, USA
| | - Phoenix Leon
- School of Medicine, University of New Mexico, Albuquerque, New Mexico, USA
| | - Lynn Midani
- School of Medicine, University of New Mexico, Albuquerque, New Mexico, USA
| | - Deirdre A Hill
- Department of Internal Medicine, Division of Epidemiology, Biostatistics, and Preventive Medicine, University of New Mexico, Albuquerque, New Mexico, USA
| | - Aimee C Smidt
- Department of Dermatology, University of New Mexico, Albuquerque, New Mexico, USA
- Department of Pediatrics, University of New Mexico, Albuquerque, New Mexico, USA
| |
Collapse
|
4
|
Liu YT, Wang YW, Tu C, Ren JW, Huo J, Nan XJ, Dou JH, Peng ZH, Zeng WH. Recommendations for managing adult acne and adolescent acne based on an epidemiological study conducted in China. Sci Rep 2024; 14:16327. [PMID: 39009634 PMCID: PMC11251184 DOI: 10.1038/s41598-024-67215-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2024] [Accepted: 07/09/2024] [Indexed: 07/17/2024] Open
Abstract
There are numerous differences between adult acne and adolescent acne in terms of causes, distribution, and characteristics of skin lesions, as well as treatment. This paper aims to summarize the differences between adult and adolescent acne in China, in order to propose more suitable ways to improve their quality of life. We collected basic information, acne-related information, acne-affecting factors, quality of life scores and treatment-related information of acne patients. A total of 552 questionnaires were collected. Adult acne is typically predominant on the cheeks, similar to adolescent acne, with a relatively lower incidence in other areas, apart from the jawline. Pigmentation and depressed scars are present in nearly half of acne patients, while hypertrophic scars are less frequently observed. Teenagers often have a higher consumption of dairy products, sugary drinks, and high-sugar and high-fat foods. Eczema is more common in adult acne. Additionally, more adults than teenagers experience stress and poor quality of life related to acne. Adolescents are more likely to seek treatment online and on social media. Clinicians must thoroughly evaluate diverse risk factors and formulate personalized acne management strategies for patients with different types of acne.
Collapse
Affiliation(s)
- Yan-Ting Liu
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Ya-Wen Wang
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Chen Tu
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Jian-Wen Ren
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Jia Huo
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Xiao-Juan Nan
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Jia-Hao Dou
- Health Science Center, Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Zi-He Peng
- Health Science Center, Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China
| | - Wei-Hui Zeng
- Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, Shaanxi, China.
| |
Collapse
|
5
|
Ertekin SS, Salici NS, Manav Bas V, Karali MG, Ergün EZ, Avcı EB, Tellal ES, Yüksel EI, Rasulova G, Erdil D. Influence of Social Media and Internet on Treatment Decisions in Adult Female Acne Patients: A Cross-Sectional Survey Study. Dermatol Pract Concept 2024; 14:dpc.1403a156. [PMID: 39122512 PMCID: PMC11314130 DOI: 10.5826/dpc.1403a156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/23/2024] [Indexed: 08/12/2024] Open
Abstract
INTRODUCTION Adult female acne is a chronic condition that significantly impacts quality of life. The content on social media can influence patients perception of their disease and serve as a channel through which they may seek or obtain treatment options. OBJECTIVES This study aims to evaluate the impact of social media usage habits on treatment decisions among adult female acne patients. METHODS A cross-sectional, multicenter survey study involved 358 females aged 25 or above, diagnosed with acne. Sociodemographic data were collected, and social media behavior, treatment choices, outcomes, and motivation were explored. RESULTS Among 358 participants, 95.3% used at least 1 social media platform; 72.1% sought acne information online. Top platforms used to seek acne information were Google (75.6%), Instagram (72.3%), YouTube (60%), and TikTok (29.4%). For advice, 67.4% consulted doctor accounts, 53.5% non-medical influencers, 53.5% patient accounts, and 36.1% product promotion accounts. Commonly followed advice included skincare products (88%), dietary changes (42.3%), home remedies (38.8%), exercise (30.3%), topical medications (25.2%), and dietary supplements (17.4%). Notably, 20.9% were willing to alter prescribed treatment by their physician for acne based on social media advice. Patient motivations included quick information access (84.1%) and difficulty in securing dermatologist appointments (54.3%). CONCLUSIONS The study reveals widespread social media use among adult female acne patients, highlighting concerns about potentially misleading information. Dermatologists can enhance the impact of social media by providing reliable sources for patients.
Collapse
Affiliation(s)
| | | | - Vildan Manav Bas
- Department of Dermatology, Istanbul Training and Research Hospital, Health Science University, Istanbul, Turkey
| | | | - Ecem Zeliha Ergün
- Dermatology Clinic, Kadıköy Florence Nightingale Hospital, Istanbul, Turkey
| | - Elif Bal Avcı
- Dermatology Clinic, Bayburt State Hospital, Bayburt, Turkey
| | - Ebru Sarıkaya Tellal
- Department of Dermatology, Istanbul Training and Research Hospital, Health Science University, Istanbul, Turkey
| | - Esma Inan Yüksel
- Department of Dermatology, Biruni University, School of Medicine, Istanbul, Turkey
| | - Günel Rasulova
- Department of Dermatology, Koç University School of Medicine, Istanbul, Turkey
| | - Duygu Erdil
- Department of Dermatology, Istanbul Training and Research Hospital, Health Science University, Istanbul, Turkey
| |
Collapse
|
6
|
Owens KE, Faraz K, Jiang SW, Gerhardt C, Liu B, Green CL, Nicholas MW. Public perspective and knowledge of isotretinoin on Instagram. Clin Dermatol 2024:S0738-081X(24)00091-9. [PMID: 38906198 DOI: 10.1016/j.clindermatol.2024.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/23/2024]
Affiliation(s)
| | | | - Simon W Jiang
- Department of Dermatology, Duke University School of Medicine, Durham, NC, USA
| | - Caroline Gerhardt
- Department of Dermatology, Duke University School of Medicine, Durham, NC, USA
| | - Beiyu Liu
- Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, NC, USA
| | - Cynthia L Green
- Department of Biostatistics & Bioinformatics, Duke University School of Medicine, Durham, NC, USA
| | - Matilda W Nicholas
- Department of Dermatology, Duke University School of Medicine, Durham, NC, USA.
| |
Collapse
|
7
|
Wecker H, Höllerl L, Schick TS, Biedermann T, Zink A, Ziehfreund S. Patient Journey und krankheitsbezogene Nutzung digitaler Medien: Eine Querschnittsstudie unter Dermatologie-Patienten in Deutschland: Patient journey and disease-related digital media usage: A cross-sectional study among dermatology patients across Germany. J Dtsch Dermatol Ges 2024; 22:377-388. [PMID: 38450942 DOI: 10.1111/ddg.15311_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 11/24/2023] [Indexed: 03/08/2024]
Abstract
ZusammenfassungHintergrund und ZieleZiel dieser Studie war es, die Auswirkungen der Nutzung gesundheitsbezogener digitaler Medien auf die Arzt‐Patienten‐Beziehung und die Patient Journey (Weg des Patienten durch alle Phasen seiner Erkrankung) zu untersuchen, um positive Veränderungen in der dermatologischen Praxis zu bewirken.Patienten und MethodikVon Juni bis November 2022 füllten Personen mit Hautkrankheiten in Deutschland einen Fragebogen zur Bewertung der gesundheitsbezogenen Nutzung digitaler Medien, der E‐Health‐Kompetenz, des Einflusses der Nutzung digitaler Medien auf die Arzt‐Patienten‐Beziehung und die Patient Journey sowie soziodemografischer und gesundheitlicher Merkmale aus. Die Daten wurden deskriptiv und mittels linearer Regressionen analysiert.ErgebnisseInsgesamt wurden 919 Teilnehmer analysiert (medianes Alter: 47,00, Interquartilsbereich [28,00; 61,00] Jahre, weiblich: 53,6%, Nutzer digitaler Medien im Kontext der Erkrankung: 56,8%). Google und Online‐Enzyklopädien wurden am häufigsten vor und nach der dermatologischen Konsultation genutzt. Online‐Selbsthilfegruppen wurden von 76,3% der nicht behandelten Teilnehmer in Anspruch genommen. Die Nutzung digitaler Medien hatte keinen Einfluss auf die Arzt‐Patienten‐Beziehung und wirkte sich positiv auf die Patient Journey aus. Positive Auswirkungen wurden mit höherer E‐Health‐Kompetenz, Zufriedenheit mit der Qualität digitaler Medien, Bedeutung digitaler Medien, ländlichem Wohnsitz, höherem Bildungsniveau und Vertrauen in Dermatologen in Verbindung gebracht.SchlussfolgerungenDie dermatologische Versorgung in Arztpraxen kann vom Potenzial digitaler Gesundheitsmedien profitieren. Eine evidenzbasierte digitale Gesundheitsplattform ist erforderlich, um die E‐Health‐Kompetenz der Betroffenen zu erhöhen und ihre Zufriedenheit mit der Qualität digitaler Medien zu verbessern.
Collapse
Affiliation(s)
- Hannah Wecker
- Klinik und Poliklinik für Dermatologie und Allergologie, TUM School of Medicine and Health, Technische Universität München, München, Deutschland
| | - Lea Höllerl
- Klinik und Poliklinik für Dermatologie und Allergologie, TUM School of Medicine and Health, Technische Universität München, München, Deutschland
| | - Teresa Sophie Schick
- Klinik und Poliklinik für Dermatologie und Allergologie, TUM School of Medicine and Health, Technische Universität München, München, Deutschland
| | - Tilo Biedermann
- Klinik und Poliklinik für Dermatologie und Allergologie, TUM School of Medicine and Health, Technische Universität München, München, Deutschland
| | - Alexander Zink
- Klinik und Poliklinik für Dermatologie und Allergologie, TUM School of Medicine and Health, Technische Universität München, München, Deutschland
- Division of Dermatology and Venereology, Department of Medicine Solna, Karolinska Institute, Stockholm, Schweden
| | - Stefanie Ziehfreund
- Klinik und Poliklinik für Dermatologie und Allergologie, TUM School of Medicine and Health, Technische Universität München, München, Deutschland
| |
Collapse
|
8
|
Wecker H, Höllerl L, Schick TS, Biedermann T, Zink A, Ziehfreund S. Patient journey and disease-related digital media usage: A cross-sectional study among dermatology patients across Germany. J Dtsch Dermatol Ges 2024; 22:377-387. [PMID: 38308182 DOI: 10.1111/ddg.15311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 10/24/2023] [Indexed: 02/04/2024]
Abstract
BACKGROUND AND OBJECTIVES This study aimed to fill the gap of evidence-based data by examining the impact of health-related digital media use's impact on the patient-physician relationship and patient journey, with the goal of driving positive changes in office-based dermatological practice. PATIENTS AND METHODS German individuals with skin conditions completed a questionnaire assessing health-related digital media use, eHealth literacy, impact of digital media use on the patient-physician relationship and patient journey, and sociodemographic and health characteristics from June to November 2022, followed by descriptive analysis and linear regressions. RESULTS Overall, 919 participants were analyzed (median age: 47.00, interquartile range [28.00; 61.00] years, female: 53.6%, health-related digital media users: 56.8%). Google and online encyclopedias were commonly used before and after dermatological consultations. Online self-help groups were used by 75% of non-treated participants. Digital media use had no impact on the patient-physician relationship and a positive impact on the patient journey. Positive impacts were associated with higher eHealth literacy, satisfaction with digital media quality, importance of digital media, rural residence, high education, and trust in dermatologists. CONCLUSIONS The potential of health-related digital media in office-based dermatological care necessitates the drive of an evidence-based digital health platform to improve eHealth literacy and satisfaction with the quality of digital media among affected individuals.
Collapse
Affiliation(s)
- Hannah Wecker
- Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany
| | - Lea Höllerl
- Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany
| | - Teresa Sophie Schick
- Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany
| | - Tilo Biedermann
- Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany
| | - Alexander Zink
- Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany
- Division of Dermatology and Venereology, Department of Medicine Solna, Karolinska Institute, Stockholm, Sweden
| | - Stefanie Ziehfreund
- Technical University of Munich, TUM School of Medicine and Health, Department of Dermatology and Allergy, Munich, Germany
| |
Collapse
|
9
|
Kashyap S, Besra L, Kar HK. Evaluation of Risk Factors Associated With Adult-Onset Acne in Patients Attending a Tertiary Care Center in East India: A Case-Control Study. Cureus 2024; 16:e53296. [PMID: 38435859 PMCID: PMC10906343 DOI: 10.7759/cureus.53296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND In recent years, the aesthetic appearance of the skin has emerged as a crucial factor influencing perceptions of beauty and contributing to self-confidence. The pursuit of flawless skin represents a prevalent focus within beauty regimens. Adult-onset acne (AOA) is the development of acne between the ages of 26 to 50 and it is emerging as a prevalent dermatological concern among this population. Individuals perceiving their skin as falling short of an 'ideal' standard may let it affect their quality of life. Significant gaps in our understanding persist regarding the contributing risk factors for AOA. OBJECTIVE The study aims to assess both established and novel risk factors potentially influencing the onset of adult acne. Additionally, it seeks to calculate the odds ratio (OR) for AOA in both females and males exposed to the surveyed risk factors over a 24-month period. MATERIALS AND METHODS Various risk factors were assessed, including stress, hormonal markers, psychological factors, environmental exposures, dietary habits, and cosmetic use. A total of 140 participants, consisting of 70 healthy individuals were selected. Discordant groups were analyzed for AOA. Detailed interviews were conducted to obtain a comprehensive medical history, focusing on potential risk factors, for patients diagnosed with acne. The OR was calculated to determine the likelihood of association between risk factors and the development of AOA. A proper protocol was devised, and statistical data was analyzed using Statistical Package for Social Sciences (SPSS; IBM Corp., Armonk, NY, USA). RESULTS The most significant risk factors in the development of AOA in the Indian population based on OR and confidence interval (CI) were positive personal history of acne (OR 3.12 [95% CI 1.20 - 8.03]), positive family history of acne (OR 10.24 [95% CI 2.89 - 36.1]), overweight BMI (OR 6.16 [95% CI 2.56 - 14.76]), hormonal imbalance (OR 9.27 [95% CI 2.03 - 42.29]), menstrual irregularity in females (OR 12.94 [95% CI 3.59 - 46.53]), exposure to mineral oil or halogenated hydrocarbon use (OR 4.13 [95% CI 1.28 - 13.24]), less than six hours of sleep (OR 4.16 [95% CI 1.10 - 15.64]), chemical peels in females (OR 11.28 [95% CI 2.45 - 51.90]), diet consisting mainly of carbohydrates, high salt, saturated fats (OR 29.97 [95% CI 3.84 - 227.25]) and less than 2 liters of water intake in patients (OR 19.18 [95% CI 1.08 - 339.04]). Risk factors that were associated with a decreased likelihood of AOA included normal menstruation (OR 0.03 [95% CI 0.01 - 0.12]), healthy oral intake (OR 0.04 [95% CI 0.00 - 0.17]), no psychological stressors/depression/anxiety (OR 0.43 [95% CI 0.21 - 0.85]), no environmental factors (OR 0.07 [95% CI 0.02 - 0.24]), no associated cosmetic use (OR 0.45 [95% CI 0.22 - 0.90]), normal BMI (OR 0.18 [95% CI 0.07 - 0.39]), no history of acne (OR 0.12 [95% CI 0.05 - 0.26]). CONCLUSION AOA is a complex and multifactorial condition, and most of the risk factors mentioned in this study on Indian skin type contribute to its development. The approach for AOA should be holistic. In addition to following a recommended treatment protocol, education should be provided about lifestyle modification, stress management, exercise, and environmental factors to help prevent and manage AOA.
Collapse
Affiliation(s)
- Surbhi Kashyap
- Department of Dermatology, Venereology and Leprosy, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| | - Laxman Besra
- Department of Dermatology, Venereology and Leprosy, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| | - Hemanta K Kar
- Department of Dermatology, Venereology and Leprosy, Kalinga Institute of Medical Sciences, Bhubaneswar, IND
| |
Collapse
|
10
|
Lagacé F, D’Aguanno K, Prosty C, Laverde-Saad A, Cattelan L, Ouchene L, Oliel S, Genest G, Doiron P, Richer V, Jfri A, O’Brien E, Lefrançois P, Powell M, Moreau L, Litvinov IV, Muntyanu A, Netchiporouk E. The Role of Sex and Gender in Dermatology - From Pathogenesis to Clinical Implications. J Cutan Med Surg 2023; 27:NP1-NP36. [PMID: 37401812 PMCID: PMC10486181 DOI: 10.1177/12034754231177582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 03/29/2023] [Accepted: 04/09/2023] [Indexed: 07/05/2023]
Abstract
BACKGROUND Sex and gender have increasingly been recognized as significant risk factors for many diseases, including dermatological conditions. Historically, sex and gender have often been grouped together as a single risk factor in the scientific literature. However, both may have a distinct impact on disease incidence, prevalence, clinical presentation, severity, therapeutic response, and associated psychological distress. OBJECTIVES AND PROJECT DESCRIPTION The mechanisms that underlie differences in skin diseases between males, females, men, and women remain largely unknown. The specific objectives of this review paper are:To highlight the biological differences between males and females (sex), as well as the sociocultural differences between men and women (gender) and how they impact the integumentary system.To perform a literature review to identify important sex- and gender-related epidemiological and clinical differences for various skin conditions belonging to a range of disease categories and to discuss possible biological and sociocultural factors that could explain the observed differences.To discuss dermatological skin conditions and gender-affirming treatments within the transgender community, a population of individuals who have a gender identity which is different than the gender identity they were assigned at birth. FUTURE IMPACT With the rising number of individuals that identify as non-binary or transgender within our increasingly diverse communities, it is imperative to recognize gender identity, gender, and sex as distinct entities. By doing so, clinicians will be able to better risk-stratify their patients and select treatments that are most aligned with their values. To our knowledge, very few studies have separated sex and gender as two distinct risk factors within the dermatology literature. Our article also has the potential to help guide future prevention strategies that are patient-tailored rather than using a universal approach.
Collapse
Affiliation(s)
- François Lagacé
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | | | - Connor Prosty
- Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Alexandra Laverde-Saad
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Leila Cattelan
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Lydia Ouchene
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Sarah Oliel
- Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Genevieve Genest
- Division of Allergy and Immunology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Philip Doiron
- Division of Dermatology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Vincent Richer
- Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada
| | - Abdulhadi Jfri
- Department of Dermatology, Brigham and Women’s Hospital/Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
| | - Elizabeth O’Brien
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Philippe Lefrançois
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Mathieu Powell
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Linda Moreau
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Ivan V. Litvinov
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Anastasiya Muntyanu
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| | - Elena Netchiporouk
- Division of Dermatology, Faculty of Medicine, McGill University, Montréal, Québec, Canada
| |
Collapse
|
11
|
Wojtara MS. Use of Social Media for Patient Education in Dermatology: Narrative Review. JMIR DERMATOLOGY 2023; 6:e42609. [PMID: 37632938 PMCID: PMC10335153 DOI: 10.2196/42609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 11/24/2022] [Accepted: 03/17/2023] [Indexed: 08/28/2023] Open
Abstract
BACKGROUND Social media has rapidly become one of the main avenues for news and communication among those with access to technology. Nearly 60% or 4.7 billion people worldwide use social media. Different social media networks provide users with a barrage of posts, opinions, and transformations. With this noticeable uptick in physician and patient education usage of social media, exploration of the impacts of social media on patient education in dermatology is crucial. OBJECTIVE The goal of this narrative review was to evaluate existing peer-reviewed literature examining the use of social media for patient education in dermatology and to establish trends and implications. Additional attention was given to different social media sites, and potential differences in modalities of posts such as short-form videos on TikTok and Instagram Reels, long-form videos on YouTube, and infographics on Twitter, Instagram, and Facebook. METHODS PubMed, Access DermatologyDxRx, and Scopus searches of peer-reviewed publications were performed to discover articles with social media and patient education keywords in combination with other health care-relevant or dermatology-relevant keywords. Subsequently, the screening of these studies was performed by the author who has experience with education and research experience in health care, dermatology, social media, and telehealth. Ultimately, the selected articles were summarized through qualitative analysis of key points and presented for further discussion. RESULTS Through this narrative review, the researcher was able to identify several publications focusing on dermatology and social media. Some common subject areas included the use of social media for the promotion of private dermatology practices, residency programs, and research journals. So long as providers, such as dermatologists, take ethical considerations into account, these platforms can provide patients with curated educational content. In addition, several publications emphasized the use of social media as a form of patient education on dermatologic conditions but also as a source of misinformation. CONCLUSIONS This narrative review illuminated the use of social media as a form of patient education for dermatology, with its applications addressed across many demographics and situations. As social media platforms continue to update their algorithms, content filters, and posts, social media may become a reputable form of patient education in dermatology. Future studies and innovations should continue to explore innovations in this space, the efficacy of different modalities of posts, and longitudinal differences in patient outcomes and health literacy.
Collapse
Affiliation(s)
- Magda Sara Wojtara
- Department of Human Genetics, University of Michigan Medical School, Ann Arbor, MI, United States
| |
Collapse
|
12
|
Perche PO, Cook MK, White JC, Feldman SR, Strowd LC. Dermatology through the lens of social media: A qualitative study among adolescents. Pediatr Dermatol 2023. [PMID: 36815604 DOI: 10.1111/pde.15285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 02/05/2023] [Indexed: 02/24/2023]
Abstract
Social media (SM) use has accelerated at an unprecedented pace and dermatology literature evaluating SM use is primarily centered on the quality and quantity of dermatologic content, with minimal research on how adolescent patients experience such content. We recruited 15 patients between the ages of 13-18 years from the Atrium Health Wake Forest Baptist Department of Dermatology to interview regarding their experience with dermatologic content on SM. Despite most participants' insightful comments on SM use and the relative lack of dermatologic content validation on SM, many participants adopted skin care advice from SM. Adolescents are particularly vulnerable to social influence and it is important dermatologists understand how pervasive skin-related content is on these platforms.
Collapse
Affiliation(s)
- Patrick O Perche
- Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Madison K Cook
- Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Jonathan C White
- Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Steven R Feldman
- Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.,Department of Pathology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.,Department of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.,Department of Dermatology, University of Southern Denmark, Odense, Denmark
| | - Lindsay C Strowd
- Department of Dermatology, Center for Dermatology Research, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| |
Collapse
|
13
|
Cretu S, Dascalu M, Salavastru CM. Validation of the Cardiff acne disability index and the impact of educational materials in a Romanian cultural adaptation context. J Cosmet Dermatol 2023; 22:1595-1601. [PMID: 36718840 DOI: 10.1111/jocd.15609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 11/07/2022] [Accepted: 12/16/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND Acne has a high impact on patients being a chronic, common, and visible skin condition. Knowledge regarding treatment improves outcomes. The Cardiff Acne Disability Index (CADI) is commonly used in clinical practice for quality-of-life assessment. It has been validated in many languages, however, not in Romanian. AIMS To validate the Romanian adaptation of the CADI and educational materials for acne patients. PATIENTS AND METHOD A 12-week prospective cross-sectional Web-based study, including 3rd- to 5th-year medical students attending our university was conducted. We obtained permission from the CADI copyright owner and performed the steps of the standardized translation process. The Romanian CADI adaptation was delivered online in a test-retest setup, during which participants were offered acne educational materials and completed a knowledge evaluation questionnaire. RESULTS A total of 95 complete answers were analyzed. The Romanian CADI adaptation showed good internal consistency, with Cronbach's α = 0.807 in the first application and Cronbach's α = 0.839 in the second. High test-retest reliability was observed, with interclass correlation coefficient ICC = 0.987 and Spearman's rank correlation coefficient rs = 0.970 for the overall CADI scores between the two administrations. The mean baseline score in the knowledge evaluation questionnaire was 15.52 points (±1.556), with a statistically significant improvement after exposure to the educational material (Z = -7.207, p < 0.001). This material was considered useful or very useful by 78(82.8%) participants. CONCLUSION Romanian acne patients can benefit from CADI, a reliable and disease-specific tool for quality-of-life evaluation, together with validated, guideline-aligned educational material in their language.
Collapse
Affiliation(s)
- Stefana Cretu
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.,Dermatology PhD Student, Dermatology Research Unit, Colentina Clinical Hospital, Bucharest, Romania
| | - Mihai Dascalu
- Department of Computer Science, Polytechnic University of Bucharest, Bucharest, Romania
| | - Carmen-Maria Salavastru
- "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.,Pediatric Dermatology Department, Colentina Clinical Hospital, Bucharest, Romania
| |
Collapse
|
14
|
Barrutia L, Vega-Gutiérrez J, Santamarina-Albertos A. What do Patients Want to See on Social Media? Evidence From a Two-Year Experiment. Dermatol Pract Concept 2023; 13:dpc.1301a20. [PMID: 36892385 PMCID: PMC9946073 DOI: 10.5826/dpc.1301a20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2022] [Indexed: 02/04/2023] Open
Abstract
INTRODUCTION Dermatological information on social media is dominated by misleading and potentially harmful content from nonexperts. Literature suggests that, to address this issue, dermatologists should develop an online presence. However, the successful presence of dermatologists on social media has been criticized for focusing on cosmetic dermatology and not representing the broad spectrum of the specialty. OBJECTIVES The aim of this study was to systematically analyze which dermatological topics interest the public most, and to find out whether it is feasible for a dermatologist to become influential on social media while presenting all dermatological topics equally. METHODS The study was performed on an educational dermatology YouTube channel. The 101 videos published in a two-year period were divided into cosmetic (51 videos) and medical dermatology (50 videos). Student's t-test was conducted to determine whether there were significant differences in views. Medical dermatology videos were then classified into three categories: Acne, facial dermatoses (excluding acne) and other dermatological diseases. A Kruskal-Wallis test was used to compare these three categories and cosmetic dermatology. RESULTS When comparing cosmetic and medical dermatology, no significant differences were found. When comparing the four categories, cosmetic dermatology and acne were found to generate significantly more views that other dermatological diseases. CONCLUSIONS The public seems to be particularly interested in cosmetic dermatology and acne. This might make it challenging to become successful on social media while presenting a balanced portrayal of dermatology. However, focusing on popular topics can provide a real chance to be influential and protect vulnerable people from misinformation.
Collapse
Affiliation(s)
- Leire Barrutia
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Clinical University Hospital of Valladolid, Valladolid, Spain
| | - Jesús Vega-Gutiérrez
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Río Hortega University Hospital, Valladolid, Spain
| | - Alba Santamarina-Albertos
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Clinical University Hospital of Valladolid, Valladolid, Spain
| |
Collapse
|
15
|
Alnaim L, Alshahrani A. Self-medication for acne among Saudi Undergraduate University Students: A cross-sectional study. Niger J Clin Pract 2023; 26:16-22. [PMID: 36751818 DOI: 10.4103/njcp.njcp_587_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Background Understanding the perceptions and practices associated with self-medication among undergraduate university students is of significant importance since there is evidence showing that self-medication is prevalent among this group. Aims The aim of this study is to evaluate the perceptions and extent of self-medication among undergraduate university students as well as assess their knowledge and patterns of self-medication for acne. A cross-sectional study was conducted with undergraduate university students aged between 18 and 25 years. Materials and Methods Students were briefed about the purpose of the study, and a pretested questionnaire was used for assessment. Statistical analyses were performed using SPSS version 25. Results Five hundred and nineteen students participated in this study. Approximately 55.3% had self-medicated, and 38.2% of the participants reported self-medicating because they thought the situation was simple and did not require a doctor's visit. Adapalene was the most commonly administered medication (53%). Furthermore, 74.7% of the respondents said that they saw improvement after treatment. Conclusions A high percentage of students self-medicate their acne, many of whom use medication without a prescription. However, inappropriate use of drugs can increase the risk of adverse effects.
Collapse
Affiliation(s)
- L Alnaim
- Department of Clinical Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - A Alshahrani
- Department of Clinical Pharmacy, King Saud University, Riyadh, Saudi Arabia
| |
Collapse
|
16
|
Toy J, Wan V, Lee DG, Liu C, Fleming P, Lynde C. Perspectives and knowledge of acne vulgaris among young adolescents. Pediatr Dermatol 2022; 40:308-311. [PMID: 36576107 DOI: 10.1111/pde.15230] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 12/09/2022] [Indexed: 12/29/2022]
Abstract
Acne occurs in up to 90% of young adolescents, but prior research has found that this population exhibits a limited understanding of acne and is vulnerable to myths and misinformation accumulated from family members, friends, and social media. We created a virtual presentation on skin hygiene, acne prevention, and acne-associated stigma for adolescent youth (aged 9-13) to improve acne health literacy, which was reviewed by three board-certified dermatologists. A descriptive cross-sectional study using data collected for quality improvement (n = 209, total) revealed that approximately half (n = 102/202, 50.5%) of all students believed that acne could not be treated with medications, only 34.0% (n = 67/197) believed acne could impact their mental health, and most students incorrectly believed that dirt buildup (n = 124/209, 59.3%) and poor hygiene (n = 125/209, 59.8%) were pathogenic for acne. Our results stress the necessity of early evidence-based educational interventions as a cornerstone to breaking self-perpetuating myths and misinformation that may lead to acne mismanagement, delayed access to healthcare, and permanent scarring later in life.
Collapse
Affiliation(s)
- Jeffrey Toy
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Vincent Wan
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Dong Goo Lee
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Chaocheng Liu
- Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada
| | - Patrick Fleming
- Division of Dermatology, University of Toronto, Toronto, Ontario, Canada
| | - Charles Lynde
- Division of Dermatology, University of Toronto, Toronto, Ontario, Canada.,The Lynde Institute for Dermatology, Markham, Ontario, Canada
| |
Collapse
|
17
|
Petiot A, Heron-Mermin D, Leyral C, Seneschal J, Beylot-Barry M. The harmful effects of aesthetic care: Dealing with new kinds of exogenous acne. Ann Dermatol Venereol 2022; 149:289-290. [PMID: 35688669 DOI: 10.1016/j.annder.2022.02.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 11/22/2021] [Accepted: 02/09/2022] [Indexed: 12/30/2022]
Affiliation(s)
- A Petiot
- Department of Dermatology, Saint-André Hospital, Bordeaux University Hospital, 33000 Bordeaux, France
| | - D Heron-Mermin
- Department of Dermatology, Saint-André Hospital, Bordeaux University Hospital, 33000 Bordeaux, France
| | - C Leyral
- Private dermatology practice, 33127 Martignas-sur-Jalle, France
| | - J Seneschal
- Department of Dermatology, Saint-André Hospital, Bordeaux University Hospital, 33000 Bordeaux, France
| | - M Beylot-Barry
- Department of Dermatology, Saint-André Hospital, Bordeaux University Hospital, 33000 Bordeaux, France.
| |
Collapse
|
18
|
Abstract
PURPOSE OF REVIEW To identify factors that impact accessibility to pediatric dermatology and review healthcare delivery models that improve access and address these barriers. RECENT FINDINGS Up to one-third of pediatric primary care visits include a skin-related problem, yet pediatric dermatology subspecialist services are highly inaccessible. Workforce shortages and geographic, sociocultural, and economic barriers perpetuate inaccessibility. Teledermatology expands care, particularly to underserved or geographically remote communities, and reduces healthcare-related costs. Federal legislation to support telehealth services with adequate reimbursement for providers with parity between live, video, and phone visits will dictate the continued feasibility of virtual visits. Innovative care delivery models, such as language-based clinics, multidisciplinary teleconferencing, or embedded dermatology services within primary care are other promising alternatives. SUMMARY Despite efforts to expand access, dermatology still ranks among the most underserved pediatric subspecialties. Improving access requires a multipronged approach. Efforts to expand exposure and mentorship within pediatric dermatology, diversify the workforce and clinical curriculum, recruit and retain clinicians in geographically underserved areas, and collaborate with policymakers to ensure adequate reimbursement for teledermatology services are necessary.
Collapse
|
19
|
Barrutia L, Vega-Gutiérrez J, Santamarina-Albertos A. Benefits, drawbacks, and challenges of social media use in dermatology: A systematic review. J DERMATOL TREAT 2022; 33:2738-2757. [PMID: 35506617 DOI: 10.1080/09546634.2022.2069661] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
The presence of dermatological information on social media has grown exponentially over the last two decades. Consequently, the recent literature on this topic is abundant. Many authors have highlighted that social media constitutes a unique opportunity for patient education. Additionally, numerous other benefits of these platforms have been reported. However, other authors have focused on the potential risks that these networks involve. The main concerns are patient confidentiality, legal considerations and ethical issues. Therefore, we stand at a crossroads where the many advantages of social media use in dermatology seem to be underestimated due to the presence of potential drawbacks. At this point, we propose that a systematic review of the positive and negative aspects of using social media in dermatology is necessary. We carried out a comprehensive systematic review dating from inception to July 2021. Finally, 161 articles were included. Fifteen benefits, 11 drawbacks and 10 challenges of social media use in dermatology were identified and discussed. Suggested strategies to address the identified drawbacks were provided. Overall, while there are risks to using social media, they are outnumbered by their benefits. Therefore, dermatologists should embrace this opportunity to educate patients and aim to create rigorous and engaging content.
Collapse
Affiliation(s)
- Leire Barrutia
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Clinical University Hospital of Valladolid, Valladolid, Spain
| | - Jesús Vega-Gutiérrez
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Río Hortega University Hospital, Valladolid, Spain
| | - Alba Santamarina-Albertos
- Dermatology, Medicine and Toxicology Department, University of Valladolid, Valladolid, Spain.,Dermatology Department, Clinical University Hospital of Valladolid, Valladolid, Spain
| |
Collapse
|
20
|
O'Connor C, O'Grady C, Murphy M. Spotting fake news: a qualitative review of misinformation and conspiracy theories in acne vulgaris. Clin Exp Dermatol 2022; 47:1707-1711. [PMID: 35434841 PMCID: PMC9545561 DOI: 10.1111/ced.15222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2022] [Indexed: 11/23/2022]
Abstract
Acne vulgaris is an extremely common disorder of the pilosebaceous unit, typically manifest as a highly visible facial and upper trunk dermatosis, with teenagers most frequently affected. This cohort is markedly susceptible to misinformation, given their impressionable age, distress about their appearance and high internet usage. This study aimed to assess the content of acne‐related misinformation available online. A formal review of PubMed was performed in March 2022, using the terms ‘acne’ AND ‘misinformation’ OR ‘disinformation’ OR ‘conspiracy theory’, along with an informal Google search using combinations of these terms, and further targeted searches on TikTok, Twitter, Facebook and Instagram. Key themes of acne‐related misinformation included diet and other ‘causes’ of acne, unconventional acne ‘cures’ and a distrust of conventional acne treatments. Websites promoting misinformation were frequently affiliated with companies selling products that promised to cure acne, often in a remarkably short time. Dermatologists should be aware of the nature of acne‐related misinformation available online and be prepared to counter it with scientific principles and facts.
Collapse
Affiliation(s)
- Cathal O'Connor
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork.,Department of Medicine, University College Cork, Cork
| | - Ciara O'Grady
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork
| | - Michelle Murphy
- Department of Dermatology, South Infirmary Victoria University Hospital, Cork.,Department of Medicine, University College Cork, Cork
| |
Collapse
|
21
|
Bahaj RK, Alsaggaf ZH, Abduljabbar MH, Hariri JO. The Influence of Social Media on the Treatment of Acne in Saudi Arabia. Cureus 2022; 14:e23169. [PMID: 35444887 PMCID: PMC9009968 DOI: 10.7759/cureus.23169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2022] [Indexed: 11/05/2022] Open
Abstract
Objectives The purpose of this study was to examine the effects of social media on acne treatment among the Saudi Arabian population. Methods This was a cross-sectional survey-based study conducted from January 2021 to August 2021. A self-administered survey was distributed through social media to different regions of Saudi Arabia. The survey obtained participants’ sociodemographic information and details on whether people used social media for advice on acne treatment. It also asked whether they noticed any change in their acne based on social media recommendations. Results Of the 5,539 respondents, 4,227 experienced acne, of which 1,793 were influenced by social media. Most respondents were women. The majority of social media users were between 18 and 25 years old and chose social media as their first approach for acne advice. The most commonly used platform was Instagram (34%). The most frequent social media recommendation chosen was to increase water intake. Many noticed a slight change in their acne (64%), and 14.9% had side effects. There was a significant association between the use of social media for advice and gender (p-value < 0.001), education level (p-value = 0.002), and severity of acne (p-value < 0.001). Conclusion Social media has an influence on acne treatment, with many advice not recommended by established guidelines. These findings imply that dermatologists should pinpoint inaccuracies resulting from advice found on social media.
Collapse
|
22
|
|
23
|
Nguyen M, Case S, Botto N, Liszewski W. The use of social media platforms to discuss and educate the public on allergic contact dermatitis. Contact Dermatitis 2021; 86:196-203. [PMID: 34741559 DOI: 10.1111/cod.14004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2021] [Revised: 10/30/2021] [Accepted: 11/04/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Social media platforms are increasingly used by patients to research and discuss medical problems. OBJECTIVE The aim of this study was to identify by whom, how frequently, and how allergic contact dermatitis (ACD) is discussed on social media sites. METHODS Search terms allergic contact dermatitis and contact dermatitis were queried across Twitter, Instagram, Reddit, Facebook, YouTube, and Google search metrics. The frequency, content, and creators of content were assessed. RESULTS ACD content was identified on all platforms and was made by patients, physicians, professional organizations, and companies. When comparing the volume of posts, more content was on Instagram than Twitter, particularly among patients. Patients support groups were identified on Facebook but not on Reddit. A formal analysis of YouTube videos found that the medical information presented in these videos was often of poor quality. CONCLUSIONS Patch testing physicians should be aware information on ACD exist across social media sites. While some content is generated by physicians, patients and industry groups also post and share material. Patch testing physicians should be aware that there is an opportunity to share ACD information, but they should also be aware our patients are posting and creating online support communities independent of us. This article is protected by copyright. All rights reserved.
Collapse
Affiliation(s)
- Morgan Nguyen
- Department of Dermatology, Northwestern University, Chicago, IL
| | - Slaton Case
- Department of Dermatology, Northwestern University, Chicago, IL
| | - Nina Botto
- University of California at San Francisco, San Francisco, CA
| | | |
Collapse
|
24
|
Aslan Kayıran M, Karadağ AS, Alyamaç G, Çevirgen Cemil B, Demirseren DD, Aksoy H, Oğuz Kılıç S, Taş Demircan Y, İnan Yüksel E, Kalkan G, Yaşar G, Şikar Aktürk A, Kutlu Ö, Altıntaş Kakşi S, Elibüyük Aksaç S, Kaya Erdoğan H, Kaya Özden H, Sarıkaya Solak S, Koska MC, Yazıcı S. Social media use in patients with acne vulgaris: What do patients expect from social media? J Cosmet Dermatol 2021; 20:2556-2564. [PMID: 34087036 DOI: 10.1111/jocd.14272] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Accepted: 06/01/2021] [Indexed: 01/03/2023]
Abstract
BACKGROUND Acne vulgaris (AV) may affect external appearance and significantly deteriorate the quality of life of patients. Therefore, patients make various inquiries about their disease and seek treatment options. AIMS To investigate the social media usage habits of patients with AV concerning their diseases, and their recommendations for dermatologists related to social media use. METHODS A total of 1609 patients with AV completed the survey prepared by the authors and the Cardiff Acne Disability Index questionnaire. The Food and Drug Administration severity scores and clinical information of the patients were noted by their physicians. RESULTS Of the 1,489 patients who stated that they used social media, 46.31% regularly and 28.77% sometimes referred to these sources to make inquiries about AV. Social media usage for AV was statistically significantly higher in women, participants with short term and severe disease, those with a moderate income level, and those using topical treatment and cosmetics. They mostly used Google (67%), Instagram (54%), and YouTube (49%). While 76% of the participants stated that they did not share what they saw on the Internet with their doctor. Of the respondents, 18.5% were trying to contact their dermatologists through the Internet, and 69.73% would prefer experts such as dermatologists to post-AV-related content. CONCLUSIONS Our study shows that patients frequently resort to social media to seek information about AV. In the changing digital world order, it is observed that there is a need for dermatologists to use social media more actively to share accurate information about AV.
Collapse
Affiliation(s)
- Melek Aslan Kayıran
- Department of Dermatological and Venereal Diseases, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul Medeniyet University, Istanbul, Turkey
| | - Ayşe Serap Karadağ
- Department of Dermatological and Venereal Diseases, Memorial Ataşehir Hospital, Istanbul, Turkey
| | - Gökçen Alyamaç
- Department of Dermatological and Venereal Diseases, Private Medicana Bursa Hospital, Bursa, Turkey
| | - Bengü Çevirgen Cemil
- Department of Dermatological and Venereal Diseases, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University
| | - Düriye Deniz Demirseren
- Department of Dermatological and Venereal Diseases, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Hasan Aksoy
- Department of Dermatological and Venereal Diseases, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul Medeniyet University, Istanbul, Turkey
| | - Sevilay Oğuz Kılıç
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, 18 Mart University, Canakkale, Turkey
| | - Yuhanize Taş Demircan
- Department of Dermatological and Venereal Diseases, Adana Seyhan State Hospital, Adana, Turkey
| | - Esma İnan Yüksel
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Fırat University, Elazığ, Turkey
| | - Göknur Kalkan
- Department of Dermatological and Venereal Diseases, Ankara City Hospital, Health Sciences University, Ankara, Turkey
| | - Gülbin Yaşar
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Aysun Şikar Aktürk
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Ömer Kutlu
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Uşak University, Uşak, Turkey
| | - Sümeyye Altıntaş Kakşi
- Department of Dermatological and Venereal Diseases, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, İstanbul Medeniyet University, Istanbul, Turkey
| | | | - Hilal Kaya Erdoğan
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Eskişehir Osmangazi University, Eskisehir, Turkey
| | - Hatice Kaya Özden
- Department of Dermatological and Venereal Diseases, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey
| | - Sezgi Sarıkaya Solak
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - Mahmut Can Koska
- Department of Dermatological and Venereal Diseases, Artvin State Hospital, Artvin, Turkey
| | - Serkan Yazıcı
- Department of Dermatological and Venereal Diseases, Faculty of Medicine, Uludağ University, Bursa, Turkey
| |
Collapse
|
25
|
Sánchez-Sánchez E, Fernández-Cerezo FL, Díaz-Jimenez J, Rosety-Rodriguez M, Díaz AJ, Ordonez FJ, Rosety MÁ, Rosety I. Consumption of over-the-Counter Drugs: Prevalence and Type of Drugs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115530. [PMID: 34064096 PMCID: PMC8196755 DOI: 10.3390/ijerph18115530] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Revised: 05/07/2021] [Accepted: 05/15/2021] [Indexed: 01/30/2023]
Abstract
Recently, there has been an increase in the use of over-the-counter (OTC) drugs. The consumption of these medicines can be unsafe, as incorrect self-diagnosis or the ingestion of inappropriate doses can lead to side effects and the occurrence of adverse reactions and drug–drug interactions. A cross-sectional descriptive observational study was carried out, targeting the entire Spanish population by using an online questionnaire. The results showed that 78.9% of the subjects had previously taken or were currently taking OTC drugs. This consumption decreased as the age of the subjects increased, with a prevalence of 36.4% of subjects aged ≥ 71 taking OTC drugs. Analgesics were the most consumed OTC drugs (49.1%) especially in women, youngsters with non-formal educational qualifications, and individuals of a low–medium socioeconomic level residing in urban areas. Measures should be implemented to optimize the safe use of OTC drugs in order to avoid the occurrence of secondary events associated with the lack of knowledge related to their the usage.
Collapse
Affiliation(s)
- Eduardo Sánchez-Sánchez
- Internal Medicine Department, Punta de Europa Hospital, Algeciras, 11207 Cádiz, Spain;
- Instituto de Investigación e Innovación Biomédica de Cádiz (INiBICA), Hospital Universitario Puerta del Mar, Universidad de Cádiz, 11009 Cádiz, Spain
- Correspondence: ; Tel.: +34-671569320
| | | | - Jara Díaz-Jimenez
- Doctoral School of the University of Cádiz (EDUCA), Campus Cádiz, Edificio Hospital Real (Primera Planta), Plaza Falla 8, 11003 Cádiz, Spain;
| | - Manuel Rosety-Rodriguez
- Medicine Department, School of Medicine, University of Cádiz, Plaza Fragela s/n, 11003 Cadiz, Spain;
| | - Antonio Jesús Díaz
- Medicine Department, School of Nursing, University of Cadiz, Plaza Fragela s/n, 11003 Cadiz, Spain;
| | - Francisco Javier Ordonez
- Human Anatomy Department, School of Medicine, University of Cádiz, Plaza Fragela s/n, 11003 Cadiz, Spain; (F.J.O.); (I.R.)
| | - Miguel Ángel Rosety
- Move-It Research Group, Biomedical Research and Innovation Insitute of Cadiz, Puerta del Mar University Hospital, University of Cádiz, Plaza Fragela s/n, 11003 Cadiz, Spain;
| | - Ignacio Rosety
- Human Anatomy Department, School of Medicine, University of Cádiz, Plaza Fragela s/n, 11003 Cadiz, Spain; (F.J.O.); (I.R.)
| |
Collapse
|
26
|
Kaliyadan F, Alsultan H, Alsaqer H. The effect of social media on treatment options for acne vulgaris. ACTA ACUST UNITED AC 2021. [DOI: 10.24911/ijmdc.51-1605689866] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
27
|
Ranpariya V, Chu B, Fathy R, Lipoff JB. Dermatology without dermatologists? Analyzing Instagram influencers with dermatology-related hashtags. J Am Acad Dermatol 2020; 83:1840-1842. [DOI: 10.1016/j.jaad.2020.05.039] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 04/17/2020] [Accepted: 05/07/2020] [Indexed: 12/01/2022]
|
28
|
Yang J, Yang H, Xu A, He L. A Review of Advancement on Influencing Factors of Acne: An Emphasis on Environment Characteristics. Front Public Health 2020; 8:450. [PMID: 33042936 PMCID: PMC7527424 DOI: 10.3389/fpubh.2020.00450] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Accepted: 07/21/2020] [Indexed: 12/12/2022] Open
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.
Collapse
Affiliation(s)
- Jianting Yang
- The Center for Modern Chinese City Studies, East China Normal University, Shanghai, China.,School of Urban and Regional Science, East China Normal University, Shanghai, China.,Department of Dermatology and Venereology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Haoran Yang
- The Center for Modern Chinese City Studies, East China Normal University, Shanghai, China.,School of Urban and Regional Science, East China Normal University, Shanghai, China
| | - Aie Xu
- Department of Dermatology, Third People's Hospital of Hangzhou, Hangzhou, China
| | - Li He
- Department of Dermatology and Venereology, First Affiliated Hospital of Kunming Medical University, Kunming, China
| |
Collapse
|
29
|
Drug Safety Issues Covered by Lay Media: A Cohort Study of Direct Healthcare Provider Communications Sent between 2001 and 2015 in The Netherlands. Drug Saf 2020; 43:677-690. [PMID: 32212054 PMCID: PMC7305079 DOI: 10.1007/s40264-020-00922-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background Some drug safety issues communicated through direct healthcare professional communications (DHPCs) receive substantial media coverage, while others do not. Objectives The objective of this study was to assess the extent of coverage of drug safety issues that have been communicated through DHPCs in newspapers and social media. A secondary aim was to explore which determinants may be associated with media coverage. Methods Newspaper articles covering drug safety issues communicated through 387 DHPCs published between 2001 and 2015 were retrieved from LexisNexis Academic™. Social media postings were retrieved from Coosto™ for drugs included in 220 DHPCs published between 2010 and 2015. Coverage of DHPCs by newspapers and social media was assessed during the 2-month and 14-day time periods following issuance of the DHPC, respectively. Multivariate logistic regression was used to assess potential DHPC- and drug-related determinants of media coverage. Results 41 (10.6%) DHPC safety issues were covered in newspaper articles. Newspaper coverage was associated with drugs without a specialist indication [adjusted odds ratio 5.32; 95% confidence interval (2.64–10.73)]. Negative associations were seen for time since market approval [3–5 years 0.30; (0.11–0.82), 6–11 years 0.18; (0.06–0.58)] and year of the DHPC [0.88; (0.81–0.96)]. In the social media, 180 (81.8%) drugs mentioned in 220 DHPCs were covered. Social media coverage was associated with drugs without a specialist indication [6.92; (1.56–30.64)], and for DHPCs communicating clinical safety issues [5.46; (2.03–14.66)]. Conclusions Newspapers covered a small proportion of DHPC safety issues only. Most drugs mentioned in DHPCs were covered in social media. Coverage in both media were higher for drugs without a specialist indication. Electronic supplementary material The online version of this article (10.1007/s40264-020-00922-7) contains supplementary material, which is available to authorized users.
Collapse
|