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- Title
Health-related quality of life impact of scabies in the Solomon Islands.
- Authors
Lake, Susanna J; Engelman, Daniel; Sokana, Oliver; Nasi, Titus; Boara, Dickson; Marks, Michael; Whitfeld, Margot J; Romani, Lucia; Kaldor, John M; Steer, Andrew C; Carvalho, Natalie
- Abstract
Background Scabies causes intense itching and skin lesions. A small number of studies have shown that scabies impacts health-related quality of life (HRQoL), but no studies have been conducted in the Pacific region. We assessed the impact of scabies on HRQoL in a high-prevalence setting using the Children's Dermatology Life Quality Index (CDLQI) and Dermatology Life Quality Index (DLQI). We also assessed the validity of these tools in a Pacific Island population. Methods The study was conducted in the Solomon Islands. Participants with and without skin disease were randomly selected. HRQoL indices were scored on a scale of 0–30. Results We surveyed 1051 adults (91 with scabies) and 604 children (103 with scabies). Scabies had a small impact on HRQoL, with a median DLQI score of 2 (interquartile range [IQR] 0–6) and a CDLQI score of 2 (IQR 0–4). Scores increased linearly with severity. The greatest impact on QoL was due to itch, sleep disturbance and impacts on education and employment. Conclusions Scabies has a small but measurable impact on HRQoL. The DLQI and CDLQI scores were discriminated between the skin-related QoL of patients with scabies and the control group, indicating that these tools are appropriate to measure skin-related QoL in the Solomon Islands.
- Subjects
SOLOMON Islands; SCABIES; QUALITY of life; SLEEP interruptions; ISLANDS; SKIN diseases
- Publication
Transactions of the Royal Society of Tropical Medicine & Hygiene, 2022, Vol 116, Issue 2, p148
- ISSN
0035-9203
- Publication type
Article
- DOI
10.1093/trstmh/trab096