Impact of Atopic Dermatitis on Adult Women's Lives: A Survey of 1,009 French Women

Acta Derm Venereol. 2024 May 13:104:adv10321. doi: 10.2340/actadv.v104.10321.

Abstract

Atopic dermatitis (AD) is one of the most common inflammatory diseases, and has a higher prevalence among females in adulthood. The aim of this observational, cross-sectional, survey-based study was to evaluate the impact of AD on the daily lives of adult women patients. A scientific committee composed exclusively of women constructed a specific questionnaire in partnership with the French Eczema Association. Severity of AD was evaluated with the Patient-Oriented Eczema Measure (POEM). A sample of 1,009 adult women (mean age ± standard deviation: 41.8 ± 14.2 years) with AD was identified from a representative sample of the French population (82% response rate 1,230 women surveyed). According to the POEM, 50.64% (n = 511) of subjects were identified as having mild AD, 39.35% (n = 397) moderate AD, and 10.01% (n = 101) severe AD. Overall, 67.7% (n = 682) reported that their eczema involved a visible area (face, neck or hands), and 19.6% (n = 198) a sensual area (breasts/chest, genital area or buttocks). Of the 720 women with menstrual cycles, exacerbations of AD were reported to occur mostly before (50.6%) and during (48.3%) menstruation. A small proportion of women, 7.3% (n = 74), reported being afraid of becoming pregnant because of their eczema. If AD involvement was in a visible area it had a greater impact on romantic relationships, sexual relationships and occupation. If AD involvement was in a sensual area it had a greater influence on romantic relationships and sexuality. Particular attention should be given to patients with localization of AD on the face, neck or hands, as they have a higher risk of social exclusion. Moreover, these results should encourage health professionals to ask patients with AD about the possible involvement of sensual areas.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Cost of Illness
  • Cross-Sectional Studies
  • Dermatitis, Atopic* / diagnosis
  • Dermatitis, Atopic* / epidemiology
  • Dermatitis, Atopic* / psychology
  • Female
  • France / epidemiology
  • Health Surveys
  • Humans
  • Middle Aged
  • Pregnancy
  • Quality of Life*
  • Severity of Illness Index*
  • Surveys and Questionnaires
  • Young Adult

Grants and funding

This study was funded by Leo Pharma.