Severity of psoriasis among adult males is associated with smoking, not with alcohol use

Context: Lifestyle factors such as tobacco smoking and alcohol use can affect the presentation and course of psoriasis. There is a paucity of data on this subject from India. Aims: To find out whether increased severity of psoriasis in adult Indian males is associated with tobacco smoking and alcoho...

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Main Authors: N Asokan, Priya Prathap, P P Rejani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2014;volume=59;issue=3;spage=237;epage=240;aulast=Asokan
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author N Asokan
Priya Prathap
P P Rejani
author_facet N Asokan
Priya Prathap
P P Rejani
author_sort N Asokan
collection DOAJ
description Context: Lifestyle factors such as tobacco smoking and alcohol use can affect the presentation and course of psoriasis. There is a paucity of data on this subject from India. Aims: To find out whether increased severity of psoriasis in adult Indian males is associated with tobacco smoking and alcohol use. Settings and Design: Cross-sectional study in the Department of Dermatology of a Tertiary Care Teaching Hospital. Subjects and Methods: Male patients above 18 years of age attending a psoriasis clinic between March 2007 and May 2009 were studied. Severity of psoriasis (measured using Psoriasis Area and Severity Index - PASI) among smokers and non-smokers was compared. We also studied the correlation between severity of psoriasis and nicotine dependence (measured using Fagerström Test for Nicotine Dependence) and alcohol use disorders (measured using Alcohol Use Disorders Identification Test- AUDIT). Statistical Analysis: Z-test, Odd′s ratio, Chi-square test, Spearman′s correlation coefficient. Results: Of a total of 338 patients, 148 were smokers and 173 used to consume alcohol. Mean PASI score of smokers was more than that of non-smokers (Z-test, z = −2.617, P = 0.009). Those with severe psoriasis were more likely to be smokers (χ2 = 5.47, P = 0.02, OR = 1.8, Confidence Interval 1.09-2.962). There was a significant correlation between PASI scores and Fagerström score (Spearman′s correlation coefficient = 0.164, P < 0.01). Mean PASI scores of persons who used to consume alcohol and those who did not were comparable.(Z-test, z = −0.458, P = 0.647). There was no association between severity of psoriasis and alcohol consumption.(χ2 = 0.255, P = 0.613, Odds Ratio = 1.14, CI 0.696-1.866). There was no correlation between PASI scores and AUDIT scores (Spearman′s correlation coefficient = 0.024, P > 0.05). Conclusions: Increased severity of psoriasis among adult males is associated with tobacco smoking, but not with alcohol use.
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spelling doaj.art-1d04ef9884304ccababc7829331c5c5b2022-12-21T20:36:37ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112014-01-0159323724010.4103/0019-5154.131382Severity of psoriasis among adult males is associated with smoking, not with alcohol useN AsokanPriya PrathapP P RejaniContext: Lifestyle factors such as tobacco smoking and alcohol use can affect the presentation and course of psoriasis. There is a paucity of data on this subject from India. Aims: To find out whether increased severity of psoriasis in adult Indian males is associated with tobacco smoking and alcohol use. Settings and Design: Cross-sectional study in the Department of Dermatology of a Tertiary Care Teaching Hospital. Subjects and Methods: Male patients above 18 years of age attending a psoriasis clinic between March 2007 and May 2009 were studied. Severity of psoriasis (measured using Psoriasis Area and Severity Index - PASI) among smokers and non-smokers was compared. We also studied the correlation between severity of psoriasis and nicotine dependence (measured using Fagerström Test for Nicotine Dependence) and alcohol use disorders (measured using Alcohol Use Disorders Identification Test- AUDIT). Statistical Analysis: Z-test, Odd′s ratio, Chi-square test, Spearman′s correlation coefficient. Results: Of a total of 338 patients, 148 were smokers and 173 used to consume alcohol. Mean PASI score of smokers was more than that of non-smokers (Z-test, z = −2.617, P = 0.009). Those with severe psoriasis were more likely to be smokers (χ2 = 5.47, P = 0.02, OR = 1.8, Confidence Interval 1.09-2.962). There was a significant correlation between PASI scores and Fagerström score (Spearman′s correlation coefficient = 0.164, P < 0.01). Mean PASI scores of persons who used to consume alcohol and those who did not were comparable.(Z-test, z = −0.458, P = 0.647). There was no association between severity of psoriasis and alcohol consumption.(χ2 = 0.255, P = 0.613, Odds Ratio = 1.14, CI 0.696-1.866). There was no correlation between PASI scores and AUDIT scores (Spearman′s correlation coefficient = 0.024, P > 0.05). Conclusions: Increased severity of psoriasis among adult males is associated with tobacco smoking, but not with alcohol use.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2014;volume=59;issue=3;spage=237;epage=240;aulast=AsokanAlcohol drinkingpsoriasisseveritysmoking
spellingShingle N Asokan
Priya Prathap
P P Rejani
Severity of psoriasis among adult males is associated with smoking, not with alcohol use
Indian Journal of Dermatology
Alcohol drinking
psoriasis
severity
smoking
title Severity of psoriasis among adult males is associated with smoking, not with alcohol use
title_full Severity of psoriasis among adult males is associated with smoking, not with alcohol use
title_fullStr Severity of psoriasis among adult males is associated with smoking, not with alcohol use
title_full_unstemmed Severity of psoriasis among adult males is associated with smoking, not with alcohol use
title_short Severity of psoriasis among adult males is associated with smoking, not with alcohol use
title_sort severity of psoriasis among adult males is associated with smoking not with alcohol use
topic Alcohol drinking
psoriasis
severity
smoking
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2014;volume=59;issue=3;spage=237;epage=240;aulast=Asokan
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AT priyaprathap severityofpsoriasisamongadultmalesisassociatedwithsmokingnotwithalcoholuse
AT pprejani severityofpsoriasisamongadultmalesisassociatedwithsmokingnotwithalcoholuse