Socioeconomic Inequalities and Severity of Plaque Psoriasis at a First Consultation in Dermatology Centers.

Abstract:

:Psoriasis has major physical, psychological, and social impacts: its management should not be restricted by individual financial considerations in Western countries as these have well-structured health systems and social/insurance coverage. We investigated if the socioeconomic characteristics of patients were associated with severity of psoriasis and access to healthcare. In a cross-sectional study, we included 903 patients with psoriasis that were consulting for the first time. We showed that low educational level was associated with severity of disease in multivariate analyses. Moreover, patients of lower class and lower educational level, with severe psoriasis, had seen fewer physicians and had less frequently received a systemic treatment. Thus, physicians need to be vigilante of patients with a low socioeconomic status. Both low socioeconomic status and less access to dermatologists are associated with clinical severity of psoriasis at a first consultation.

journal_name

Acta Derm Venereol

authors

Mahé E,Beauchet A,Reguiai Z,Maccari F,Ruer-Mulard M,Chaby G,Le Guyadec T,Estève E,Goujon-Henry C,Parier J,Barthelemy H,Bégon E,Steiner HG,Bénéton N,Boyé T,Mery-Bossard L,Schmutz JL,Bravard P,Michèle-Léa Sigal and the

doi

10.2340/00015555-2625

subject

Has Abstract

pub_date

2017-05-08 00:00:00

pages

632-638

issue

5

eissn

0001-5555

issn

1651-2057

journal_volume

97

pub_type

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