EstaumversogeradaunicamenteparavisualizaodentrodoSGP.

5
Aversoaserimpressautilizaroutrospadresdeformatao.
ThisisaversiongeneratedonlyforvisualizationinsideofSGP.
Theversiontobeprintedwilluseotherformattingpatterns.

Investigao
Investigation

Cdigodefluxo2634

INSATISFAOEACNEVULGAREMADOLESCENTESMASCULINOSEFATORES
ASSOCIADOS

DISSATISFACTIONANDACNEVULGARISONMALEADOLESCENTSANDASSOCIATEDFACTORS

Autores
VivianeChristinaSienaIsaacsson:Reumatologista MestrandaemSadeeComportamento
Abreviaturadonomedoautorparaindexao:IsaacssonVCS
HIRAMLARANGEIRADEALMEIDAJR.:LivreDocenteProf.AssistenteUniversidadeFederaldePelotas
Abreviaturadonomedoautorparaindexao:
RodrigoPereiraDuquia:DoutoremSadeeComportamentoProf.AdjuntodeDermatologiaFFCMPA
Abreviaturadonomedoautorparaindexao:DuquiaRP
JulianodeAvelarBreunig:DoutoremCinciasMdicasProf.AdjuntodeDermatologiaUNISC
Abreviaturadonomedoautorparaindexao:BreunigJA
PauloRicardoMartinsdeSouza:MestreemCinciasMdicasPreceptordeDermatologiaPUCRS
Abreviaturadonomedoautorparaindexao:SouzaPRM

Descritores(Palavraschave) Keywords

AcneVulgarEpidemiologiaPsicologiadoAdolescente AcneVulgarisEpidemiologyAdolescentPsychology

Resumo Abstract

FundamentosAacnevulgartemaltaprevalncia,perturbandoa
qualidadedevidaduranteaadolescncia.ObjetivosAvaliar
insatisfaoeacneemindivduosmasculinosde18anoseseus
fatoresassociados.MtodosUmquestionriofoiaplicadopor
entrevistadorestreinadosatodososadolescentesquese
apresentaramparaseleonoserviomilitar,ainsatisfaoe
acnefoiavaliadaporescaladefacesautoaplicada.Acnefacial,
presternalenodorsoforamavaliadosseparadamente.
ResultadosForamentrevistados2.200adolescentescom18
anos.Destes,1678apresentavamacnenafacee974(54,05%)
demonstraraminsatisfao.Acnepresternalfoirelatadapor686
edesses326(47,52%)relataraminsatisfao.Quantoaoimpacto
daacnecomlocalizaonodorso,dos1103quearelataram,568
(51,50%)assinalaraminsatisfao.Acnefacial/dorsale
insatisfaoforamassociadascombaixaescolaridade,baixo
nveleconmicoecomraanobranca.Acnepresternale
insatisfaoestiveramassociadascombaixaescolaridadee
baixonveleconmico.ConclusoEsteestudodebase
populacionalencontrouumaprevalnciaaltadeacnenaface,
seguidapelodorsoepeito,comaltopercentualdeinsatisfao
dosindivduosafetados.
BackgroundAcnevulgarishashighprevalence,disturbingthe
qualityoflifeduringadolescence.ObjectivesTomeasure
dissastifactionandacnein18yearoldmaleindividualsandist
associatedfactors.MethodsAquestionnairewasappliedby
trainedinterviewerstoallboysduringselectiontothemilitary
service,thedissatisfactionwithacnewasevaluatedusingaself
administeredfacescale.Facial,prestrernalanddorsalacnewere
evaluatedseparately.ResultsAtotalof2,200adolescents,aged
18years,wereinterviewed.Amongthese,1,678hadacneonthe
faceand974(54.05%)showedsomedegreeofdissatisfaction.
Regardingtheimpactofacnelocalizedonthechest,from686
adolescents326(47.52%)reporteddissatisfaction.Foracne
localizedontheback,from1,103affectedindividuals568
(51.50%)showeddissatisfaction.Facial/dorsalacneand
dissatisfactionwerestatisticallyasssociatedwithlowerincome,
lowereducationlevelandwithnonwhites.Presternalacneand
dissatisfactionwerestatisticallyasssociatedwithlowerincome
andlowereducationlevel.ConclusionThispopulationbased
studyfoundahighprevalenceofacneontheface,backand
chest,withhighratesofinsatisfaction.

Trabalhosubmetidoem(Article'ssubmissionin):20/3/201310:59:56
Instituio(Affiliation):UniversidadeCatlicadePelotas

Correspondncia(Correspondence):GonalvesChaves373ProgramadePsGraduaoemSadeComportamento

SuporteFinanceiro(Financialsupport):Nenhum

ConflitodeInteresses(ConflictofInterest):Nenhum

Submetidopara(Submitedfor):AnaisBrasileirosdeDermatologia(BrazilianAnnalsofDermatology)

ArtigonumeradonoSGPsobcdigodefluxo(TheArticlewasnumberedinSGPforthefluxcode):2634

ContedodotrabalhoemIngls(ContentofworkinEnglish)

2INTRODUCTION

4Acnevulgarisorjuvenileacnehashighprevalenceamongadolescentsofbothsexes1.Thelesionintensityis
variable,disturbingthequalityoflifeduringadolescenceandtriggeringorworseningemotionalproblems13mainly
becausetheface,theupperneckandthetrunkarethemostcommonlyaffectedareasofthebody.

5Skindiseasessuchaspsoriasis,atopiceczemaandacnecansubstantiallyinterferewithsocialandoccupational
functioningandresultinimpairmentinqualityoflife4.Thesocialandpsychologicalmorbiditythatoccursinpatients
withcommonconditionsoftheskincanbeignoredandnotdealtproperly,andthusmaybeunderestimatedby
healthcareprofessionals48.

6Inliterature,thereisonlyasinglestudythatexclusivelycoversthemalepopulation,butinthiscase,theauthors
haveevaluatedthemostfrequentdiseasesoftheskinandnotjustacne.ThisstudycarriedoutbyBashirKetal
assessed114militarymenwithdermatologicaldiseasesandfoundthatdepressionwasfrequentamongmen
sufferingfromillnessessuchasurticaria,pruritus,acnevulgarisandpsoriasis4.

7Theimpactofacneonpsychologicalparametersandimplicationsforacnetreatmentarenotfullyunderstood.
Therefore,thispopulationbasedstudyisjustifiedforconsideringacneahighlyprevalentdisease,withgreat
emotionalandsocialimpact.

9MATERIALANDMETHODS

10

11MilitaryServiceismandatoryforallBrazilianmaleswhentheyturneighteen.Aquestionnairewasappliedby
trainedinterviewerstoallyoungmenwhopresentedforselectiontothemilitaryserviceinthecityofxxxxxThis
questionnaireincludedquestionsondiet,smoking,skincolor,familystructure,socioeconomiclevelandsome
specificquestionsaboutactiveacneorscars.Thoseindividualswithacneansweredquestionsonhowtheyfelt
aboutthisconditionanditslocation(face,chestandback).Thedissatisfactionwithacnewasevaluatedusinga
selfadministeredfacescale,whichwascharacterizedbybeingavisualscale"inbetween"fivepointscomposedof
stylizedfacesthatconsistedofacircle,witheyesthatdidnotchange,andamouththatvariedfromaline,which
meantindifference,toasemicirclefacingdownward,showingsadnessanddissatisfaction(Figure1).This
evaluationmethodwaschosenbecauseitwaseasytounderstandanduse.

12Fortheassociationanalysis,thesampleweredividedintoindifferenttotheoutcome(whentheytickedface1)
andwithsomedegreeofdissatisfaction(thosewhotickedfaces2,3,4and5).Schoolingwasdividedinto
quartilesthefirstquartileincludedthosewithlowerschoolinglevel,thesocioeconomiclevelwasdividedaccording
totheABEP(BrazilianAssociationofMarketResearchCompanies),whereEstandsforthelowerlevelandA,the
upper,bothvariableswereanalyzedwiththelineartendencetest.Theskincolorwasdichotomizedinwhitesand
nonwhitesandthePearson`schisquaretestwasused.

13Individualswithmentaldisabilityorinabilitytorespondthequestionnairewereexcluded.

14ThestatisticalanalysiswascarriedoutusingStatasoftware.ThisstudywasapprovedbytheResearchEthics
Committeeoftheinstitution.Allparticipantssignedaninformedconsentform.

15

16RESULTS

17

18Atotalof2,200adolescents,aged18years,wereinterviewed.Thesampleisdescribedintable1.

19Infacialacne704(41.95%)wereindifferent,indorsalacne535(48.50%)markedface1,andregarding
presternalacne,360(52.48%)showedindifference,table2showstheasnwersinthe5differentsdegrees.

20Analysesofassociatedfactors

21FacialAcnewhenwemadeanassociationwiththeschoolingquartiles,inthefirstquartile,66.04%were
dissatisfiedwithacneontheface,inthesecond60.52%,inthethird53.27%,andinthefourthquartile,thegroup
withbetterschoolinglevel51.82%wasdissatisfied.Whenlineartrendtestwasapplied,anassociationwas
statisticallysignificant(p<0.001).Thelowertheeducationlevel,themoreconcernweretheadolescentsabout
havingacneontheface(table3).

22Fortheanalysiswithregardtoskincolor,theyweredichotomizedinwhitesandnonwhitesamongwhites,
55.74%showedsomedegreeofdissatisfaction,andamongnonwhites,64.37%.Thisdifferencewasstatistically
significant(p=0.002)(table4).

23Theassociationwiththepresenceofacneonthefaceandsocioeconomicstatusshowedthat:58.62%inlevelD
weredissatisfied,inlevelC60.70%,levelB56.98%andlevelA42.86%weredissatisfied.Thisassociationwas
statisticallysignificant(p=0.004)(table3).

24Preexternalacneregardingschooling:inthefirstquartile60.69%reporteddissatisfaction,inthesecond
48.23%,inthethird41.24%,andinthegroupwithhigherschoolinglevel,orthefourthquartile,41.03%were
unsatisfied,thusindividualswithlowerlevelofeducationpresentedahigherdegreeofdissatisfaction(p<0.001)
(table3).

25Inrelationtoskincolor,46.21%ofthewhiteindividualsreporteddissatisfaction,andamongnonwhites51.90%.
Thisassociationwasnotstatisticallysignificant(p=0.238)(table4).

26Forthesocioeconomiclevels,59.26%showeddissatisfactioninlevelD,50.33%inlevelC,45.51%inlevelB
and37.78%inlevelA.Thisassociationwasstatisticallysignificant(p=0.035)(table3).

27Acneonthebackschoolinglevel,inthefirstquartile59.64%saidtheyhadsomedegreeofdissatisfaction,in
thesecond50.45%,inthethird51.10%andinthefourthquartile45.02%.Therefore,thelowertheschoolinglevel,
themoreconcernwillbetheadolescentswithacneontheirback.Thisassociationwasstatisticallysignificant(p=
0.001)(table3).

28Whitesweremoredissatisfiedwiththepresenceofacneonthebackthannonwhites(p=0.013).Amongwhites,
49.40%saidtheyhadsomedegreeofdissatisfaction,whileamongnonwhitesitwas58.17%(table4).

29Asforthesocioeconomiclevel,60%inlevelDhadsomedegreeofdissatisfaction,55.53%inlevelC,48.63%
inlevelB,and41.03%inlevelA.Againadolescentsfromthelowersocialclassesweremoreconcernwithacne,
withstatisticalsignificance(p=0.003)(table3).

30

31DISCUSSION

32

33Acneisadiseasewithhighprevalenceamongadolescentsandyoungadults.Studiesindicatethatupto95%of
menand83%ofwomenareaffectedbyituntiltheyreachtheirtwenties9.Inapproximately10%ofcases,acne
becomessevere6,10,11.

34Adolescenceisaperiodofphysical,emotionalandsocialchanges3,6.Itisatransitionandadaptationphase,in
whichtheadolescentschangetheirchainoffriendlyandloverelationshipsandbegintoacquireanewstatusin
society11.Thisistheexactperiodthatacneappears.Despitebeingconsideredacosmeticandtemporary
problem,thesequelaeofacnecanbepermanentinthelivesofindividualsaffectedbyit8,10.Suchapotentially
disfiguringcondition,acnecanresultinlowselfesteemfeelingsorbereinforcedbyinsensitivecommentsand
experiencesofinterpersonalrejection12,13.

35Thispopulationbasedstudyfoundahigherprevalenceofacneontheface,backandchest,respectively.

36Withrespecttolocation,individualswithacneonthefaceexhibitedhigherratesofdissatisfactionwiththeir
appearance58.04%ofadolescentsreportedsomedegreeofdissatisfaction,followedby51.49%dissatisfiedwith
theacneontheirback,and47.52%ontheirchest.Intheliterature,therewasonlyonearticlethatstratifiedthecases
accordingtothelesiontopography.Theresultsfoundaresimilartoours,althoughthestudyonlycomprised145
individuals9.

37Whenourresultswereanalyzedinrelationtoskincolor,thenonwhiteindividualswithacneonthefaceandback
weremoreaffectedthanwhites.Forindividualswithacneonthechesttheresultwasnotsignificant,whichcanbe
explainedbythesmallernumberofindividualsinthisgroup.Again,thestudymentionedinthepreviousparagraph
obtainedsimilarresults,thatnonwhiteindividualssuffermorewithacne9.

Whenthesocioeconomicandschoolinglevelswereanalyzedregardlessoftopography,individualsoflower
educationandlowerincomefeltmoreaffectedbythepresenceofacne.Thiscouldbeexplainedbythegreater
difficultyofdisadvantagedclassestogetaccesstotreatment.

Skinappearanceisimportantfortheindividualsselfimageandsocialinteraction11,12.Inadolescence,acne
vulgarisisthemostcommonskindisease,anditsconsequencesofthisdiseaseinappearancecanleadto
changesinbodyimage,whichinturn,mayresultinanger,fear,shame,anxiety,depression,embarrassment,
bullyingandstigmatizationofindividualsinagroup2,1820.Lackofconfidence,socialwithdrawal,feelingsof
insecurityandinferiority,limitedemploymentopportunities,difficultiesatworkandininterpersonalrelationships,
andsuicidalideationarealsorelatedtotheeffectsofchangesinthoseindividualswithacne2,5,6,10,16.

Thisstudyisjustifiedbythehighprevalenceofjuvenileacneandtheprovenemotionalimpactthatthisdisease
causes2124.Therearenostudiesfocusingonthemalepopulation.Inaddition,oursamplecomprised2,200men
andisconsideredapopulationbasedstudy,notfoundinanyotherpublishedworkuntilnowwithBraziliansamples.
Inthisstudy,genderandagearenotvariables,andconstitutealimitationofthisstudy.

Theimpactcausedbyacnecanbemoresevereforpatientsthandoctorsbelievetherefore,itisimportanttofocus
theevaluationontheindividualssubjectivity,andnotonlyintheobjectivityofthisskinlesion.

ConclusionThispopulationbasedstudyfoundahighprevalenceofacneontheface,backandchest,withhigh
ratesofinsatisfaction.

ContedodotrabalhoemPortugus(ContentofworkinPortuguese)
1

2INTRODUO

3Aacnevulgaroujuveniltemaltaprevalncia,acometendoquasetodososjovens,deambosossexos1.A
intensidadevarivel,perturbandoaqualidadedevidaduranteaadolescnciaedesencadeandoouagravando
problemasemocionais,principalmentepelalocalizaonafaceetronco13.

4Aqualidadedevidadepessoascomdoenasdepelecomopsorase,eczemaatpicoeacnepodemser
significantementeprejudicada,emtermospsicolgicos,comimpactonaatividadecotidiana4.Amorbidadesocial
epsicolgicaqueocorreempacientescomcondiescomunsdepelepodemserignoradasenoabordadas
adequadamente,edessaformapodemsersubestimadaspelosprofissionaisdesade48.

5Naliteraturahumnicoestudoqueabordaapopulaomasculinaexclusivamente,masnestecasoosautores
avaliaramasdoenasdepelemaisfreqentesenoapenasacne.EsteestudodeBashirKetalavaliou114
militaresdosexomasculinocomdoenasdermatolgicaseconstatouqueadepressofreqenteemhomens
portadoresdedoenascomourticria,prurido,acnevulgarepsorase4.

6Oimpactodaacnenosparmetrospsicolgicoseasimplicaesparaotratamentonosoplenamente
conhecidos,estetrabalhojustificaseporseraacneumadoenadealtaprevalnciaedegrandeimpacto
emocionalesocial,almdenoexistiremtrabalhosdebasepopulacionalqueavaliamexclusivamenteosjovens
dosexomasculino.

8MaterialeMtodos

10Todososbrasileirosdosexomasculinoestoobrigadosprestaodoserviomilitaraocompletarem
dezoitoanos.Umquestionriofoiaplicadoporentrevistadorestreinadosatodososadolescentesquese
apresentaramparaseleonoserviomilitarnacidadedexxxxx.Estequestionrioeracompostoporquestes
sobredieta,tabagismo,cordapele,estruturafamiliar,nvelsocioeconmicoequestesespecficassobreacne
ativaoucicatrizes.Osindivduosqueapresentavamlesesporacnerespondiamaquestesespecficasdecomo
sesentiamemrelaoaestadoenaesualocalizao,quefoidividaemface,peitoedorso.Ainsatisfaoe
acnefoiavaliadaporescaladefacesautoaplicadaquesecaracterizavaporserumaescalavisualintervalarde
cincopontos,compostaporfacesestilizadasqueconsistiamemumcrculo,comolhosquenomudam,euma
bocaquevariadesdeumtrao,quesignificavaindiferena,atummeiocrculovoltadoparabaixo,queinspirao
sentimentodetristezaeinsatisfao(Figura1).Estemtododeavaliaofoiescolhidoporserdefcil
compreensoeaplicao.

11Paraaanlisedeassociao,dividimosaamostraemindiferentesaodefecho(quandoassinalaramaface1)
ecomalgumgraudeinsatisfao(osqueassinalaramasface2,3,4e5).Aescolaridadefoidivididaemquartis,
ondeoprimeiroquartilforamosqueestudarammenos,onvelsocioeconmicoquefoidivididosegundoaABEP,
ondeonvelEeramosdepiornveleosdonvelA,osmaisricos,ambosforamanalizadoscomtestede
tendncialinear.Paraacordapelefoidicotomizadaembrancosenobrancoseutlizadootestedoquiquadrado
dePearson.

12Indivduoscomdeficinciamentaloucomincapacidadepararesponderaoquestionrioforamexcludos.

13ParaaanliseestatsticafoiusadoosoftwareStata.EsteprojetofoiaprovadopeloComitdeticada
instituioenvolvidanapesquisaeosindivduosassinaramumtermodeconsentimentopsinformado.

14

15Resultados:

16

17Foramentrevistados2.200adolescentescom18anos.Aamostradescritanatabela1.Comacnenaface
704(41,95%)semostraramindiferentes,quantoacnedorsal,535(48,50%)mostraramseindiferentes,ena
acnepresternal360(52.48%)mostraramseindiferentes.Atabela2descreveasrespostasnaescalafacial.

18AnlisesdeFatoresAssociados

19AcnefacialQuandofizemosumaassociaocomosquartisdeescolaridade,noprimeiroquartil,66,04%se
mostraraminsatisfeitoscomacnenaface,nosegundo60,52%,noterceiro53,27%,enoquartoquartil,ogrupo
commelhorescolaridade,51,82%semostraraminsatisfeitos(tabela3).

20Aoaplicarotestedetendncialinearhouveumaassociaoestatisticamentesignificativa(p<0.001)entre
escolaridadeeinsatisfaocomaacnenaface,sendoqueconformeaescolaridadediminui,osadolescentesse
importammaiscomaacnenaface.

21Paraanlisecomcordapeleforamdicotomizadosembrancosenobrancos,entreosbrancos55,74%
mostraramalgumgraudeinsatisfaoeentreosnobrancos64,37%.,eestadiferenafoiestatisticamente
significativa(p=0,002)(tabela4).

22Aassociaocomapresenadeacnenafaceenvelsocioeconmicodemonstrouque:nonvelD58,62%se
declararaminsatisfeitos,nonvelsocioeconmicoC60,70%,nonvelB56,98%enonvelA42,86%insatisfeitos,
estaassociaofoiestatisticamentesignificativa(p=0,004)(tabela3).

23Acnepresternalassociaocomescolaridade:noprimeiroquartil60,69%assinalaraminsatisfao,no
segundo48,23%,noterceiro41,24%,enogrupodemaiorescolaridade,ouoquartoquartil,41,03%sediziam
insatisfeitos,destaformaosindivduoscommenorgraudeescolaridadeapresentarammaiorgraudeinsatisfao
comaacnenaregiopeitoral(p<0,001)(tabela3).

24Emrelaocordapele,osindivduosbrancos46,21%assinalaraminsatisfao,eentreosnobrancos
51,90%.Estaassociaonofoiestatisticamentesignificativa(p=0,238)(tabela4).

25Nosnveissocioeconmicos,nonvelD59,26%mostraraminsatisfao,nonvelC50,33%,nonvelB45,51%
enonvelA37,78%.Estaassociaofoiestatisticamentesignificativa(p=0,035)(tabela3).

26Acnenodorsonveldeescolaridade,entreosadolescentesdoprimeiroquartil59,64%disseramquetinham
algumgraudeinsatisfao,nosegundo50,45%,noterceiro51,10%,noquartoquartil45,02%.Destaforma
conformeaescolaridadediminui,osadolescentesvoseimportandomaiscomaacnenodorso,sendoesta
associaoestatisticamentesignificativa(p=0,001)(tabela3).

27Comrelaoacordapele,osnobrancossemostrarammaisinsatisfeitoscomapresenadeacnenodorso
doqueosbrancos(p=0,013).Entreosbrancos49,40%disseramteralgumgraudeinsatisfao,enquantoque
entreosnobrancosfoide58,17%(tabela4).

28Quantoaonvelsocioeconmico,60%apresentavamalgumgraudeinsatisfaononvelD,55,53%nonvelC,
48,63%nonvelBe41,03nonvelA.Aplicandootestedetendncialinear,osadolescentesdasclassessociais
maisbaixasseimportammaiscomaacnenodorsoqueosdeclassessociaismaisaltas,comsignificncia
estattica(p=0,003)(tabela3).

29

30Discusso

31Aacneumaafecocomaltaprevalnciaentreadolescenteseadultosjovens.Estudosapontamqueat
95%doshomense83%dasmulheressoacometidosatosvinteeumanosdeidade9,eemaproximadamente
10%doscasosaacnegrave6,10,11.

32Aadolescnciaumperododemudanasfsicas,emocionaisesociais3,6.umafasedetransioemque
oindivduomudasuacadeiaderelacionamentosecomeaaadquirirumnovostatusnasociedade,nos
relacionamentoscomosamigoseamorosos11,umafasedeadaptaes.Ejustamentenesteperodoquea
acnesurge.Eapesardeservistacomoumproblemaestticoetemporrio,osefeitosdaacnepodemser
permanentesnavidadosindivduosacometidos8,10.Umaalteraopotencialmentedesfigurantecomoaacne,
poderesultaremsentimentosdeautodepreciaoousoreforadosporcomentriosinsensveiseexperincias
derejeiointerpessoal12,13.

33Esteestudodebasepopulacionalencontrouumaprevalnciamaiordeacnenaface,seguidapelodorsoe
peito,respectivamente.
34Comrelao`alocalizao,indivduoscomacnenafaceapresentavamndicesmaioresdeinsatisfaocoma
aparncia,sendoque58,04%dosadolescentesassinalaramalgumgraudeinsatisfao,seguidopor51,49%
insatisfeitoscomaacnenodorsoe47,52%nopeito.Naliteratura,apenasumartigoencontradoestratificavaos
casossegundoatopografiadasleses,eencontrouresultadosemelhanteaonosso,emboraoestudotenha
avaliadoapenas145indivduos9.

35Quandonossosresultadosforamanalisadosemrelaocordapele,osindivduoscomacnenafaceeno
dorsonobrancossemostrarammaisimpactadosqueosbrancos.Paraosindivduoscomacnenopeitoo
resultadonofoisignificativo,oquepodeserexplicadopelomenornmerodeindivduosnestegrupo.Maisuma
vezoestudocitadonopargrafoanteriorfoiconcordantecomessatendnciadequeindivduosnobrancos
sofremmaiscomaacne9.

36Aoanalisaraescolaridadeeonvelsocioeconmico,independentedatopografia,osindivduosdemenor
escolaridadeebaixarendasesentirammaisimpactadoscomapresenadaacne.Istopoderiaserexplicado
pelamaiordificuldadedeclassesmenosfavorecidasparaoacessoaotratamento.

37Aaparnciadapeleimportanteparaaautoimagemeinteraosocial11,12.Naadolescncia,aacnevulgar
adoenadepelemaisfrequente1317,easconsequnciasdestaafeconaaparnciapodemculminarcom
mudanasnaimagemcorporalqueporsuavezpodemresultaremraiva,medo,vergonha,ansiedade,depresso,
constrangimento,bullyingeestigmatizaodoindivduoemumgrupo2,1820.Faltadeconfiana,retraimento
social,sentimentosdeinseguranaeinferioridade,oportunidadesdeempregolimitadas,dificuldadesnotrabalho
enosrelacionamentosinterpessoais,almdeideaosuicidatambmsoalteraesrelacionadasaosefeitos
daacnenosindivduosacometidos2,5,6,10,16.

Estetrabalhojustificasepelaaltaprevalnciadaacneentreadolescentesepelocomprovadoimpactoemocional
queessadoenacausa2124.Noexistemestudosfocadosnapopulaomasculina.Almdisso,anossa
amostrafoicompostapor2.200adolescentesmasculinoseconsideradoumestudodebasepopulacional,que
noencontradaemnenhumoutrotrabalhopublicadoatapresentedatacomdadosbrasileiros.Nestetrabalho,
ogneroeaidadenosovariveis,sendoumalimitaodesteestudo.

Oimpactodaacnepodesermaissrioparaospacientesdoqueosmdicosacreditam,eimportantefocara
avaliaonasubjetividadedoindivduo,enosnaobjetividadedalesocutnea.

ConclusoEsteestudodebasepopulacionalencontrouumaprevalnciaaltadeacnenaface,seguidapelo
dorsoepeito,comaltopercentualdeinsatisfaodosindivduosafetados.

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Contedoaindanopreenchido
Imagensenviadaspeloautor.(Imagessentbytheauthor)

Figure1

scaleoffiguresusedinthequestionnaire,thefirstdemonstratingindifferencetotheoutcomeandtheother4withdifferentdegreesof
dissatisfaction.

Tabelas

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