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Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean

INTRODUCTION: Dermatologic disease represents a significant burden worldwide, but the regional effect of skin disease in the Caribbean and how it relates to socioeconomic status remain unknown. OBJECTIVE: This study aims to measure the burden of skin disease in the Caribbean from epidemiologic and s...

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Autores principales: Giesey, Rachel L., Mehrmal, Sino, Uppal, Prabhdeep, Delost, Maria E., Delost, Gregory R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8361888/
https://www.ncbi.nlm.nih.gov/pubmed/34409311
http://dx.doi.org/10.1016/j.jdin.2020.03.002
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author Giesey, Rachel L.
Mehrmal, Sino
Uppal, Prabhdeep
Delost, Maria E.
Delost, Gregory R.
author_facet Giesey, Rachel L.
Mehrmal, Sino
Uppal, Prabhdeep
Delost, Maria E.
Delost, Gregory R.
author_sort Giesey, Rachel L.
collection PubMed
description INTRODUCTION: Dermatologic disease represents a significant burden worldwide, but the regional effect of skin disease in the Caribbean and how it relates to socioeconomic status remain unknown. OBJECTIVE: This study aims to measure the burden of skin disease in the Caribbean from epidemiologic and socioeconomic standpoints. METHODS: We selected Global Burden of Disease Study data sets to analyze disability-adjusted life-years (DALYs) and the annual rate of change of dermatoses between 1990 and 2017 in 18 Caribbean countries and the United States. The principal country-level economic factor used was gross domestic product per capita from the World Bank. RESULTS: Countries with lower gross domestic product per capita had higher DALYs for dermatology-related infectious diseases, urticaria, asthma, and atopic dermatitis. Countries with higher gross domestic product per capita had higher DALYs of cutaneous neoplasms, contact dermatitis, psoriasis, and pruritus. Several Caribbean countries were among the top worldwide for annual increase in DALYs for melanoma, nonmelanoma skin cancers, bacterial skin disease, and total skin and subcutaneous diseases. CONCLUSION: Despite promising ongoing interventions in skin disease, better support is needed in both resource-rich and -poor areas of the Caribbean. DALYs can serve as a purposeful measure for directing resources and care to improve the burden of skin disease in the Caribbean.
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spelling pubmed-83618882021-08-17 Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean Giesey, Rachel L. Mehrmal, Sino Uppal, Prabhdeep Delost, Maria E. Delost, Gregory R. JAAD Int Original Article INTRODUCTION: Dermatologic disease represents a significant burden worldwide, but the regional effect of skin disease in the Caribbean and how it relates to socioeconomic status remain unknown. OBJECTIVE: This study aims to measure the burden of skin disease in the Caribbean from epidemiologic and socioeconomic standpoints. METHODS: We selected Global Burden of Disease Study data sets to analyze disability-adjusted life-years (DALYs) and the annual rate of change of dermatoses between 1990 and 2017 in 18 Caribbean countries and the United States. The principal country-level economic factor used was gross domestic product per capita from the World Bank. RESULTS: Countries with lower gross domestic product per capita had higher DALYs for dermatology-related infectious diseases, urticaria, asthma, and atopic dermatitis. Countries with higher gross domestic product per capita had higher DALYs of cutaneous neoplasms, contact dermatitis, psoriasis, and pruritus. Several Caribbean countries were among the top worldwide for annual increase in DALYs for melanoma, nonmelanoma skin cancers, bacterial skin disease, and total skin and subcutaneous diseases. CONCLUSION: Despite promising ongoing interventions in skin disease, better support is needed in both resource-rich and -poor areas of the Caribbean. DALYs can serve as a purposeful measure for directing resources and care to improve the burden of skin disease in the Caribbean. Elsevier 2020-04-25 /pmc/articles/PMC8361888/ /pubmed/34409311 http://dx.doi.org/10.1016/j.jdin.2020.03.002 Text en © 2020 by the American Academy of Dermatology, Inc. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Giesey, Rachel L.
Mehrmal, Sino
Uppal, Prabhdeep
Delost, Maria E.
Delost, Gregory R.
Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean
title Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean
title_full Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean
title_fullStr Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean
title_full_unstemmed Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean
title_short Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean
title_sort dermatoses of the caribbean: burden of skin disease and associated socioeconomic status in the caribbean
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8361888/
https://www.ncbi.nlm.nih.gov/pubmed/34409311
http://dx.doi.org/10.1016/j.jdin.2020.03.002
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