02365nas a2200313 4500000000100000008004100001260003400042653002400076653005700100653002100157653001700178100001200195700001500207700001300222700001100235700001200246700001200258700001600270700001300286700001400299700001300313700001500326245007600341856021700417300001200634490000800646520137200654022002502026 2021 d bOxford University Press (OUP)10aInfectious Diseases10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aParasitology1 aLake SJ1 aEngelman D1 aSokana O1 aNasi T1 aBoara D1 aMarks M1 aWhitfeld MJ1 aRomani L1 aKaldor JM1 aSteer AC1 aCarvalho N00aHealth-related quality of life impact of scabies in the Solomon Islands uhttps://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 a148-1560 v1163 a
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.
a0035-9203, 1878-3503