TY - JOUR KW - Infectious Diseases KW - Public Health, Environmental and Occupational Health KW - General Medicine KW - Parasitology AU - Lake SJ AU - Engelman D AU - Sokana O AU - Nasi T AU - Boara D AU - Marks M AU - Whitfeld MJ AU - Romani L AU - Kaldor JM AU - Steer AC AU - Carvalho N AB -

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.

BT - Transactions of The Royal Society of Tropical Medicine and Hygiene DO - 10.1093/trstmh/trab096 IS - 2 LA - eng N2 -

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.

PB - Oxford University Press (OUP) PY - 2021 SP - 148 EP - 156 T2 - Transactions of The Royal Society of Tropical Medicine and Hygiene TI - Health-related quality of life impact of scabies in the Solomon Islands UR - 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 VL - 116 SN - 0035-9203, 1878-3503 ER -