Table 3.
Associations of epidemic-related impacts with patient-reported outcomes of skin diseases (N=506).
Exposure group | Perceived stress (VASa ≥7) |
Depression (PHQ-9b ≥8) |
Anxiety (GAD-7c ≥8) |
Impaired quality of life (DLQId ≥10) |
|||||||||
|
|
aORe,f | 95% CI | P value | aOR | 95% CI | P value | aOR | 95% CI | P value | aOR | 95% CI | P value |
Isolation | |||||||||||||
|
Unaffected | Refg | N/Ah | N/A | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A |
|
Restricted | 0.90 | 0.52-1.56 | .71 | 1.36 | 0.84-2.21 | .21 | 1.39 | 0.73-2.64 | .31 | 1.22 | 0.70-2.12 | .48 |
|
Isolated | 1.02 | 0.59-1.77 | .93 | 1.81 | 1.13-2.89 | .013 | 2.20 | 1.23-3.96 | .008 | 1.78 | 1.05-3.01 | .03 |
Loss of income | |||||||||||||
|
Unaffected | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A |
|
Reduced | 1.59 | 0.91-2.79 | .10 | 2.22 | 1.38-3.57 | .001 | 1.64 | 0.88-3.06 | .12 | 1.27 | 0.73-2.20 | .40 |
|
Complete loss | 4.05 | 2.13-7.72 | <.001 | 2.56 | 1.43-4.58 | .002 | 2.48 | 1.19-5.13 | .02 | 2.62 | 1.40-4.92 | .003 |
Unemployment | |||||||||||||
|
Unaffected | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A |
|
Unemployed | 2.41 | 1.42-4.08 | .001 | 2.11 | 1.30-3.43 | .003 | 2.60 | 1.45-4.65 | .001 | 2.59 | 1.54-4.35 | <.001 |
Adherence to treatment | |||||||||||||
|
Adherent | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A | Ref | N/A | N/A |
|
No treatment needed | 0.81 | 0.461.41 | .45 | 0.86 | 0.52-1.44 | .26 | 0.66 | 0.33-1.29 | .22 | 0.58 | 0.32-1.04 | .07 |
|
Nonadherent | 0.81 | 0.46-1.42 | .46 | 1.39 | 0.84-2.31 | .68 | 1.39 | 0.75-2.58 | 0.297 | 1.35 | 0.78-2.33 | .29 |
aVAS: Visual Analog Scale.
bPHQ-9: Patient Health Questionnaire-9.
cGAD-7: Generalized Anxiety Disorder-7.
dDLQI: Dermatology Life Quality Index.
eaOR: adjusted odds ratio.
fAdjusted for age, gender, income, and educational level.
gRef: reference group.
hN/A: not applicable.