Dataset Information

Knowledge, attitudes, and perceptions of hidradenitis suppurativa among young adults in Singapore.

ABSTRACT:

Background

The prevalence of hidradenitis suppurativa (HS) is 0.00033% to 4.10% globally. Few epidemiological studies derive from Asia, with social stigmatization postulated to result in under-diagnosis.

Objective

This study aimed to assess the self-reported prevalence of HS, and the knowledge, attitudes, and perceptions towards HS among Singaporean young-adults.

Methods

A cross-sectional study (n = 158) was conducted by anonymous online questionnaire. The association between demographic factors and risk of potentially undiagnosed HS was evaluated using multivariable logistic regression. Differences between attitude-perception scores by demographic factors and knowledge of HS were tested using two-sample t-tests.

Results

The prevalence of diagnosed and potentially undiagnosed HS was 0.63% and 8.9%, respectively. Non-Chinese had significantly higher social attitude-perception scores than Chinese (P = .029). Females had significantly higher social (P = .048) as well as economic and work (P = .037) attitude-perception scores than males. Those with knowledge of HS had significantly higher attitude-perception scores for interpersonal (P = .031) and social (P = .0052) subsections.

Limitations

Small sample size, low frequency of HS cases, and self-reported prevalence may not generalize to the broader population in Singapore.

Conclusion

Our results suggest a potential underdiagnosis of HS. Non-Chinese stigmatize HS less than Chinese, and females less than males. Individuals with knowledge of HS might be more open to interpersonal and social interactions with HS sufferers.

SUBMITTER: Ng MSP

PROVIDER: S-EPMC10236457 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Knowledge, attitudes, and perceptions of hidradenitis suppurativa among young adults in Singapore.

Ng Matthew Song Peng MSP Lim Joel Guanyi JG Koh John Ming Yan JMY Lee Sz-Ying SY Seah Claire Hui Xian CHX Chang Samuel Jun Yi SJY Tan Joshua Teik Ann JTA Tan Vanessa Wei Shen VWS Kumar Dhana Senthil DS Choi Ellie Ci-En EC Jemec Gregor G Frew John J Seow Wei Jie WJ Chandran Nisha Suyien NS

JAAD international 20230407

<h4>Background</h4>The prevalence of hidradenitis suppurativa (HS) is 0.00033% to 4.10% globally. Few epidemiological studies derive from Asia, with social stigmatization postulated to result in under-diagnosis.<h4>Objective</h4>This study aimed to assess the self-reported prevalence of HS, and the knowledge, attitudes, and perceptions towards HS among Singaporean young-adults.<h4>Methods</h4>A cross-sectional study (<i>n</i> = 158) was conducted by anonymous online questionnaire. The associatio ...[more]

PMID: 37274383

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Project description:ImportanceUp to 50% of patients may have hidradenitis suppurativa (HS) onset between age 10 and 21 years. To our knowledge, little is known about how adolescents with HS utilize health care during their journey to receiving a diagnosis.ObjectiveTo assess the clinical characteristics and health care utilization patterns of pediatric vs adult patients with HS.Design, setting, and participantsThis retrospective cohort study included adult and pediatric patients with HS claims from the MarketScan medical claims database during the study period, January 1, 2012, to December 31, 2016. The data were analyzed between March 1 and March 31, 2021.ExposuresClinical characteristics and health care utilization patterns of pediatric vs adult patients with HS.Main outcomes and measuresHealth care utilization patterns were examined and included concurrent diagnoses, outpatient care by discipline, and emergency/urgent care and inpatient claims.ResultsThis study included 8727 members, comprising 1094 pediatric (155 male [14.2%] and 939 female patients [85.8%]; mean [SD] age, 14.3 [2.47] years) and 7633 adult patients (1748 men [22.9%] and 5885 women [77.1%]; mean [SD] age, 37.2 [12.99] years). Pediatric patients were likely to see pediatricians, dermatologists, emergency department (ED) staff, and family physicians before diagnosis and commonly received diagnoses of folliculitis and comedones. Pediatric patients with HS had high rates of comorbid skin and general medical conditions, including acne vulgaris (558 [51.0%]), acne conglobata (503 [45.9%]), obesity (369 [33.7%]), and anxiety disorders (367 [33.6%]). A higher percentage of pediatric than adult patients had HS-specific claims for services rendered by emergency and urgent care physicians (35.6% vs 28.2%; P < .001; and 18.1% vs 13.4%; P < .001; respectively). However, adult patients were more likely to have inpatient stays (2.38% vs 4.22%; P = .002). Pediatric patients had 2.24 ED claims per person, while adults had 3.5 claims per person. The mean cost per ED claim was similar between groups ($413.27 vs $682.54; P = .18). The largest component of the total 5-year disease-specific cost was the cost of inpatient visits for pediatric and adult patients with HS.Conclusions and relevanceThis cohort study suggests that pediatric patients utilize high-cost ED care when HS can often be treated as an outpatient. These data suggest that there are opportunities to improve recognition of HS in pediatric patients by nondermatologists and dermatologists.

Dataset Information

Knowledge, attitudes, and perceptions of hidradenitis suppurativa among young adults in Singapore.

Background

Objective

Methods

Results

Limitations

Conclusion

Publications

Knowledge, attitudes, and perceptions of hidradenitis suppurativa among young adults in Singapore.

Similar Datasets

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