天津地区化妆品皮炎患病率及相关知识认知情况调查

发布时间：2018-06-08 22:45

本文选题：化妆品 + 化妆品皮炎　；参考：《天津医科大学》2017年硕士论文

【摘要】：随着我国经济的发展,人民生活水平的逐步提高,越来越多的人民群众开始注重自身的容貌的修饰。不论男女老少,都希望呈现出整洁的外表,所以越来越多的人开始使用化妆品,发扬自身优点,补救缺陷,改善生活质量。随着化妆品的广泛应用,化妆品皮炎的患病率逐年升高,因此应提高对化妆品及化妆品皮炎的认识。研究目的:通过对天津地区不同人群调查,了解本地区人群化妆品皮炎的患病率,化妆品使用习惯及人们对化妆品皮炎相关知识了解的状况,总结出不同种类化妆品的不良反应发生率,寻找影响化妆品皮炎发病的危险因素及预防措施,从而指导人们化妆品使用、减少化妆品皮炎的发病。方法:2014年8月至2016年1月通过在天津医科大学总医院门诊、天津市公安医院门诊、天津医科大学及南开大学在校学生、居委会及企事业单位、政府机关发放问卷调查表的方式,对被调查者的个人资料、化妆品的使用及过敏情况、对化妆品及化妆品皮炎的认知情况等相关内容进行调查,共发放问卷2000份,有效问卷1961份,进行统计分析。结果:在接受调查的天津地区化妆品使用者中,化妆品皮炎的患病率达到27.79%。日常使用化妆品的女性为100%。年龄在30岁~及35岁~的女性所占比例最大,分别为23.20%和19.21%。公司职员、自由职业、事业单位人员排在前三位,分别为27.84%、21.20%、15.81%。月收入在3000-7000元的化妆品使用者最多,占总的化妆品使用人数的49.71%。在日常使用的化妆品中,最常用的是进口品牌(2514种),国产品牌次之(1923种),无批准文号者最少(168种);在使用种类方面,最常用的化妆品为普通护肤类(1852种),其次为清洁类(1020种)、防晒类(640种)、彩妆类(512种)。可疑致敏的化妆品种类共954种,包括国产品牌439种,进口品牌368种,其中排在前四位的分别是:护肤类为311种(32.60%),彩妆类153种(16.04%),清洁类126种(13.21%),防晒类100种(10.48%)。此外,有147例可疑致敏化妆品是无批准文号产品(包括美容院自制产品)。天津地区的化妆品使用者,以咨询朋友、网络、电视或广播为获得化妆品、化妆品皮炎知识的主要途径,获取相关知识的途径比较有限,应实施多种形式、多种渠道的相关教育。大部分化妆品过敏者均使用国产、进口品牌中有批准文号的化妆品。使用国产化妆品的过敏率比使用进口化妆品的过敏率高。化妆品过敏者的皮肤表现:主要为急性皮炎,皮疹主要以红斑、丘疹、水肿为主,少数表现为慢性皮炎,表现为色素沉着、色素脱失等。可有疼痛、瘙痒、烧灼感。在536名化妆品过敏者中,未做过斑贴试验的高达占92.16%,而做过斑贴实验的仅占7.84%。说明应加强在人群中宣传斑贴实验实施的必要性。性别是化妆品皮炎患病的独立影响因素,女性化妆品使用者较男性使用者患化妆品皮炎的风险更大,差异有统计学意义。化妆品的使用频率中,每天均用的人,占45.26%,经常使用的占15.55%,偶尔使用的占39.19%,化妆品皮炎患者使用频率高的比例显著高于非化妆品皮炎患者。有1177名化妆品使用者会同时使用多种化妆品,占61.02%,有397例化妆品皮炎患者同时使用2种或2种以上化妆品。化妆品皮炎患者使用化妆品种类要显著多于非化妆品皮炎人群。化妆品皮炎患者的皮肤类型分布为:混合型为247例,占46.08%;油性为61例,占11.38%;干性为100例,占18.66%;中性为44例,占8.21%,表明混合型皮肤类型的患者最多。在研究人群中,化妆品皮炎患病的危险因素主要包括性别、皮肤类型、使用频率、混合使用情况。按性别分层分析发现,混合使用情况是男性患化妆品皮炎的危险性因素,皮肤类型、使用频率是女性患化妆品皮炎的危险性因素。结论:1.在接受调查的天津地区化妆品使用者中,化妆品皮炎的患病率达到27.79%。调查结果显著高于门诊确诊的化妆品皮炎患者数量,应提醒化妆品过敏者及时就医。2.在536名化妆品过敏者中,未做过斑贴试验而明确诊断的占92.16%,而做过斑贴实验的仅占7.84%。说明应加强在人群中宣传斑贴试验。3.天津地区的化妆品使用者,以咨询朋友、网络、电视或广播为获得化妆品、化妆品皮炎知识的主要途径,获取化妆品及化妆品皮炎的相关知识的途径比较有限。对化妆品使用者应实施多种形式、多种渠道的相关健康教育。4.在研究人群中,化妆品皮炎患病的危险因素主要包括性别、皮肤类型、使用频率、混合使用情况。按性别分层分析发现,混合使用情况是男性患化妆品皮炎的危险性因素,皮肤类型、使用频率是女性患化妆品皮炎的危险性因素。
[Abstract]:With the development of our country's economy and the gradual improvement of the people's living standard, more and more people begin to pay attention to their appearance modification. No matter whether men or women or young or old, they are hoping to show a clean appearance. So more and more people begin to use cosmetics, develop their own advantages, remedy defects and improve the quality of life. The prevalence of cosmetic dermatitis increased year by year. Therefore, the understanding of cosmetics and cosmetic dermatitis should be improved. Objective: to understand the prevalence rate of cosmetic dermatitis in the local population, the use habits of cosmetics and the knowledge about the dermatitis related to cosmetics in Tianjin area. The incidence of adverse reactions of kinds of cosmetics, to find out the risk factors and preventive measures affecting the incidence of cosmetic dermatitis, so as to guide the use of cosmetics and reduce the incidence of cosmetic dermatitis. Methods: from August 2014 to January 2016, through the outpatient clinic in General Hospital Affiliated to Tianjin Medical University, the Medical University Of Tianjin and south open. University students, residents' committees and enterprises and enterprises, government organs issued questionnaires, investigated the personal data of the respondents, the use and allergies of cosmetics, and the cognition of cosmetics and cosmetic dermatitis. A total of 2000 questionnaires were issued, 1961 valid questionnaires were analyzed. The results were as follows: Among the cosmetics users in Tianjin area, the prevalence of cosmetic dermatitis in women with 27.79%. daily use of cosmetics was the largest in women aged 30 and 35 years old, 23.20% and 19.21%. employees, freelance and institutions in the top three, 27.84%, 21.20%, 15.81%., respectively. The most commonly used cosmetics users with a monthly income of 3000-7000 yuan, accounting for the total number of cosmetics used by 49.71%. in the daily use of cosmetics, the most commonly used are imported brands (2514), domestic brands the second (1923), the least (168) without the approval number; in the use of species, the most commonly used cosmetics (1852 kinds), followed by the common cosmetics. For cleaning (1020), sunscreen (640), cosmetics (512), 954 species of suspicious sensitized cosmetics, including 439 domestic brands and 368 imported brands, among which the top four are 311 (32.60%), 153 cosmetics (16.04%), 126 cleaning (13.21%), and sunscreen 100 species (10.48%). In addition, there are suspicious cases. Sensitized cosmetics are no approval number products (including homemade products of beauty salon). Cosmetics users in Tianjin area are the main way to obtain cosmetics and cosmetic dermatitis by consulting friends, network, television or radio. The ways to obtain relevant knowledge are limited, and many forms and various channels should be implemented. Cosmetics allergy allergies are all used in China, and there are some cosmetics in the imported brands. The allergy rate of domestic cosmetics is higher than that of imported cosmetics. The skin manifestations of cosmetic allergic people are mainly acute dermatitis, the rash is mainly erythema, papules, edema, and the few are chronic dermatitis, and the color is pigmented and color. There is pain, pruritus, and burning sensation. Among 536 cosmetic allergies, Gao Dazhan 92.16%, which has not been tested by patch test, only accounts for the necessity of promoting the implementation of patch testing in the crowd. Sex is an independent influence factor of cosmetic dermatitis and female cosmetic users are more than men. The risk of cosmetic dermatitis is greater and the difference is statistically significant. In the frequency of cosmetic use, people use 45.26%, often use 15.55%, occasionally use 39.19%, and the proportion of cosmetic dermatitis patients is higher than non cosmetic dermatitis. 1177 cosmetics users will simultaneously make use of cosmetic dermatitis Using a variety of cosmetics, accounting for 61.02%, 397 cosmetic dermatitis patients are using 2 or more than 2 kinds of cosmetics. Cosmetic dermatitis patients use cosmetics more than non cosmetic dermatitis. The distribution of skin types in cosmetic dermatitis patients is: mixed type is 247 cases, 46.08%, 61 cases, 11.38%, and 100 cases, accounting for 100 cases. 18.66%, neutrality was 44 cases, accounting for 8.21%, which showed that the patients with mixed skin type were the most. In the study population, the risk factors of cosmetic dermatitis included sex, skin type, frequency of use, and mixed use. The sex stratification analysis found that the mixed use was a risk factor for cosmetic dermatitis in men, and the skin type, The frequency of use is a risk factor for cosmetic dermatitis in women. Conclusion: 1. among the cosmetics users in Tianjin area, the prevalence of cosmetic dermatitis was significantly higher than the number of cosmetic dermatitis patients diagnosed by 27.79%.. It should be reminded that cosmetic allergers were hospitalized in time for 536 cosmetic allergies. No spot patch test accounted for 92.16% of the definite diagnosis, while only 7.84%., which did patch test, indicated that the cosmetics users in the Tianjin area should be strengthened in the crowd,.3., to consult friends, network, television or radio as the main way to obtain cosmetics and cosmetic dermatitis, and to obtain cosmetic and cosmetic dermatitis. The approaches to related knowledge are limited. For cosmetics users, multiple forms and multiple channels of health education.4. are used in the study population. The risk factors for cosmetic dermatitis include gender, skin type, frequency of use, and mixed use. The risk factors for dermatitis, skin type and frequency of use are risk factors for cosmetic dermatitis in women.
【学位授予单位】：天津医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R758.2

【参考文献】