【摘要】 目的了解大学生痤疮患者的治疗情况、就医行为特点及影响因素。方法 2007年9月—2010年9月采用专题讲座、现场医疗咨询、问卷式调查的形式对广州七所高校的大学生痤疮患者进行调研。结果有54.6%(795/1 456)的患者曾接受过治疗,其中49.0%(390/795)只选择美容院,21.4%(170/795)只选择医院,21.8%(173/795)既到过医院也到过美容院,7.8%(62/795)选择只使用祛痘化妆品。1~4年级接受治疗率分别为43.0%(226/526)、55.9%(232/415)、53.6%(180/336)、87.7%(157/179),差异有统计学意义(P=0.000)。男女生比较,女生接受治疗率为64.6%(534/826),男生为41.4%(261/630),女生高于男生,差异有统计学意义(P=0.000)。经Logistic回归分析表明,痤疮严重程度是影响患者是否接受治疗的因素〔OR=1.419,95%CI(1.243,1.619),P=0.000〕。661人没有接受治疗,其中194人(29.3%)认为痤疮不是疾病,没必要治疗;270人(40.8%)认为自己的痤疮很轻,不需要治疗;35人(5.3%)因治疗费用昂贵而不治疗。10.7%(34/317)的学生治疗费占生活费的比例超过30%,15.8%(70/443)认为无法负担治疗费用。结论对痤疮认识不足,选择错误的治疗手段及治疗费用超负荷是延误大学生就医使病情加重的主要原因。重度痤疮、女生及大四学生患者更愿意接受治疗。更多还原

【Abstract】 Objective To investigate the treatment of acne on the college students,and assess their treatment seeking behavior and impact factors. Methods The college students from seven universities in Guangzhou suffered from acne were interviewed with special lecture,on- the- spot medical advice and questionnaires in 2007 September to 2010 September. Results Just 54. 6%( 795 /1 456) acne college students have been treated,of which,49. 0%( 390 /795) only choose beauty salon,21. 4%( 170 /795) only choose hospitals,21. 8%( 173 /795) choose both beauty salon and hospitals,and 7. 8%( 62 /795)bought acne cosmetics only. There are differences between the ratio of all grades for treatment,43. 0%( 226 /526) 、55. 9%( 232/415) 、53. 6%( 180/336) 、87.7%( 157/179). The rate of treatment in the senior students was highest( P =0. 000). As for the comparison of the treatment ratio between males and females,41.4%( 261/630) and 64.6%( 534/826) the males’ was lower than females’( P = 0. 000). Logistic regression analysis showed that the severity of acne is a factor affecting whether patients were treated 〔OR = 1. 419,95% CI( 1. 243,1. 619),P = 0. 000〕. In the 661 patients without treatment,194( 29. 3%) believed that acne was not a disease and treatment was not necessary,270( 40. 8%) thinked that their acne was mild,and 35( 5. 3%) were due to the expensive cost of treatment. 10. 7%( 34 /317) patients’ treatment costs accounted for more than 30% of their cost of living. 15. 8%( 70 /443) cannot afford treatment costs. Conclusion The main reasons leading to the delays in medical treatment includes the lack of understanding of acne,the false choice of treatment and the overload treatment costs are. The more severe acne patients,female students and senior students are more willing to accept treatment.更多还原