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Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study

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National Hospital of Dermatology and Venereology, Hanoi 100000, Vietnam
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Department of Dermatology and Venereology, Hanoi Medical University, Hanoi 100000, Vietnam
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Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
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Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
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Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
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Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
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Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
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Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(3), 305; https://doi.org/10.3390/ijerph16030305
Received: 20 November 2018 / Revised: 21 January 2019 / Accepted: 22 January 2019 / Published: 23 January 2019
Skin diseases have caused a heavy burden on the infected population worldwide. This study aimed to examine the health-related quality of life (HRQOL) among patients with different skin diseases and identify associated factors. A cross-sectional study with 430 participants was conducted at the Vietnam National Hospital of Dermatology and Venereology (NHD) from September to November 2018. The EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) instrument was employed, which measures the EQ-5D index from five domains including mobility, self-care, usual activity, pain/discomfort, and anxiety/depression. Multivariate Tobit regression was adopted to determine factors that were associated with HRQOL (EQ-5D index). The rate of atopic dermatitis was the highest with 28.8%, following by contact dermatitis (17.0%) and skin fungal infections (13.0%). Regarding HRQOL, anxiety/depression was the most common health problem in patients with skin diseases (71.8%), following by pain/discomfort (63.6%). The mean EQ-5D index score was 0.73 (SD = 0.19). The lowest EQ-5D index scores were obtained for females with skin infections (mean = 0.52) and for males with psoriasis (mean = 0.59). Females had significantly lower scores compared to males (Coef. = −0.06; 95% CI = −0.11 to −0.01). Higher income and living in rural areas were also negatively correlated with the EQ-5D index. This study demonstrated the low HRQOL among patients with skin diseases in Vietnam and emphasized the vulnerability of patients with different socioeconomic statuses to their HRQOL. View Full-Text
Keywords: dermatology; health-related quality of life; socioeconomic status; skin disorder; Vietnam dermatology; health-related quality of life; socioeconomic status; skin disorder; Vietnam
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Nguyen, S.H.; Nguyen, L.H.; Vu, G.T.; Nguyen, C.T.; Le, T.H.T.; Tran, B.X.; Latkin, C.A.; Ho, C.S.H.; Ho, R.C.M. Health-Related Quality of Life Impairment among Patients with Different Skin Diseases in Vietnam: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2019, 16, 305.

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