Dermatoses of the Caribbean: Burden of skin disease and associated socioeconomic status in the Caribbean.
Caribbean
DALY, disability-adjusted life-year
GDP, gross domestic product
Global Burden of Disease Study (GBD) database
HIV
acne vulgaris
atopic dermatitis
basal cell carcinoma
cellulitis
contact dermatitis
decubitus ulcer
dermatoepidemiology
disability-adjusted life-years (DALYs)
filariasis
fungal skin diseases
global medicine
gross domestic product (GDP) per capita
health care disparities
health equity
leishmaniasis
melanoma
nonmelanoma skin cancer (NMSC)
oral cancer
pruritus
psoriasis
pyoderma
scabies
socioeconomic status
squamous cell carcinoma
syphilis
tuberculosis
urticaria
viral skin diseases
Journal
JAAD international
ISSN: 2666-3287
Titre abrégé: JAAD Int
Pays: United States
ID NLM: 101774762
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
accepted:
07
03
2020
entrez:
19
8
2021
pubmed:
25
4
2020
medline:
25
4
2020
Statut:
epublish
Résumé
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. This study aims to measure the burden of skin disease in the Caribbean from epidemiologic and socioeconomic standpoints. 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. 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. 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.
Identifiants
pubmed: 34409311
doi: 10.1016/j.jdin.2020.03.002
pii: S2666-3287(20)30005-5
pmc: PMC8361888
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3-8Informations de copyright
© 2020 by the American Academy of Dermatology, Inc. Published by Elsevier Inc.
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