@article{96661, keywords = {Infectious Diseases, Public Health, Environmental and Occupational Health, General Medicine, Parasitology}, author = {Lake SJ and Engelman D and Sokana O and Nasi T and Boara D and Marks M and Whitfeld MJ and Romani L and Kaldor JM and Steer AC and Carvalho N}, title = {Health-related quality of life impact of scabies in the Solomon Islands}, 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.

}, year = {2021}, journal = {Transactions of The Royal Society of Tropical Medicine and Hygiene}, volume = {116}, pages = {148-156}, publisher = {Oxford University Press (OUP)}, issn = {0035-9203, 1878-3503}, url = {https://scholar.google.com/scholar_url?url=https://academic.oup.com/trstmh/article-pdf/116/2/148/42793800/trab096.pdf&hl=en&sa=T&oi=ucasa&ct=ufr&ei=ipY4Yu6yCoyNygS33I_YDw&scisig=AAGBfm0N0Cn1pGzaeBHkbDNuDPk8RupkjA}, doi = {10.1093/trstmh/trab096}, language = {eng}, }