Photoprotection awareness and practices among patients with systemic lupus erythematosus and its association with disease activity and severity

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Abstract

Objective: The objective of this paper is to determine photoprotection awareness, knowledge, practices, and its relationship with disease activity and damage in patients with systemic lupus erythematosus (SLE). Methods: A cross-sectional study was performed. Data were acquired from in-person interviews and medical records. Results: A total of 199 (89.6%) females and 23 (10.4%) males were recruited. Median age was 39.00 (interquartile range (IQR) 18) years, disease duration 12.12 (IQR 8) years, Fitzpatrick skin phototype III 119 (53.6%) and IV 81 (36.5%). Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2 K) was 2.95 (IQR 4) while Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SLICC-ACR DI) was 1.20 (IQR 2). The majority 205 (92.3%) were aware of sun exposure effects on SLE. Photoprotection methods were shade seeking 209 (94.1%), sun avoidance 212 (95.5%), long pants 168 (75.7%), long sleeves 155 (69.8%), sunscreen 116 (52.3%), sunglasses 114 (51.4%) and head cover 103 (46.4%). Significantly higher photoprotection practice scores (PPS) were observed in females, Malays, and individuals with higher education level and internet accessibility. PPS were not significantly correlated with SLICC-ACR DI and SLEDAI-2 K. Independent predictors for good photoprotection practice (GPP) were ethnicity (OR = 3.66, 95% CI 1.78–7.53), awareness (OR = 3.77, 95% CI 1.09–13.08) and cutaneous involvement (OR = 2.43, 95% CI 1.11–5.28). Photoprotection methods and GPP were not predictors for disease activity or damage. Conclusion: Photoprotection awareness and knowledge was good. Shade seeking and sun avoidance were the common photoprotection methods practised. The use of sunscreen requires improvement. Photoprotection awareness and cutaneous manifestation were predictors for GPP. Neither photoprotection methods nor GPP were associated with disease activity or damage.

Original languageEnglish
Pages (from-to)1287-1295
Number of pages9
JournalLupus
Volume27
Issue number8
DOIs
Publication statusPublished - 1 Jul 2018

Fingerprint

Systemic Lupus Erythematosus
Solar System
Sunscreening Agents
Skin Manifestations
Skin
Rheumatology
Internet
Medical Records
Cross-Sectional Studies
Head
Interviews
Education

Keywords

  • cutaneous lupus erythematosus
  • Photoprotection
  • photosensitivity
  • systemic lupus erythematosus

ASJC Scopus subject areas

  • Rheumatology

Cite this

@article{a385566a22b2473f8babb044ab2cb901,
title = "Photoprotection awareness and practices among patients with systemic lupus erythematosus and its association with disease activity and severity",
abstract = "Objective: The objective of this paper is to determine photoprotection awareness, knowledge, practices, and its relationship with disease activity and damage in patients with systemic lupus erythematosus (SLE). Methods: A cross-sectional study was performed. Data were acquired from in-person interviews and medical records. Results: A total of 199 (89.6{\%}) females and 23 (10.4{\%}) males were recruited. Median age was 39.00 (interquartile range (IQR) 18) years, disease duration 12.12 (IQR 8) years, Fitzpatrick skin phototype III 119 (53.6{\%}) and IV 81 (36.5{\%}). Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2 K) was 2.95 (IQR 4) while Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SLICC-ACR DI) was 1.20 (IQR 2). The majority 205 (92.3{\%}) were aware of sun exposure effects on SLE. Photoprotection methods were shade seeking 209 (94.1{\%}), sun avoidance 212 (95.5{\%}), long pants 168 (75.7{\%}), long sleeves 155 (69.8{\%}), sunscreen 116 (52.3{\%}), sunglasses 114 (51.4{\%}) and head cover 103 (46.4{\%}). Significantly higher photoprotection practice scores (PPS) were observed in females, Malays, and individuals with higher education level and internet accessibility. PPS were not significantly correlated with SLICC-ACR DI and SLEDAI-2 K. Independent predictors for good photoprotection practice (GPP) were ethnicity (OR = 3.66, 95{\%} CI 1.78–7.53), awareness (OR = 3.77, 95{\%} CI 1.09–13.08) and cutaneous involvement (OR = 2.43, 95{\%} CI 1.11–5.28). Photoprotection methods and GPP were not predictors for disease activity or damage. Conclusion: Photoprotection awareness and knowledge was good. Shade seeking and sun avoidance were the common photoprotection methods practised. The use of sunscreen requires improvement. Photoprotection awareness and cutaneous manifestation were predictors for GPP. Neither photoprotection methods nor GPP were associated with disease activity or damage.",
keywords = "cutaneous lupus erythematosus, Photoprotection, photosensitivity, systemic lupus erythematosus",
author = "{Abdul Kadir}, {W. D.} and Adawiyah Jamil and Shaharir, {Syahrul Sazliyana} and {Md Nor}, Norazirah and {Abdul Gafor}, {Abdul Halim}",
year = "2018",
month = "7",
day = "1",
doi = "10.1177/0961203318770016",
language = "English",
volume = "27",
pages = "1287--1295",
journal = "Lupus",
issn = "0961-2033",
publisher = "SAGE Publications Ltd",
number = "8",

}

TY - JOUR

T1 - Photoprotection awareness and practices among patients with systemic lupus erythematosus and its association with disease activity and severity

AU - Abdul Kadir, W. D.

AU - Jamil, Adawiyah

AU - Shaharir, Syahrul Sazliyana

AU - Md Nor, Norazirah

AU - Abdul Gafor, Abdul Halim

PY - 2018/7/1

Y1 - 2018/7/1

N2 - Objective: The objective of this paper is to determine photoprotection awareness, knowledge, practices, and its relationship with disease activity and damage in patients with systemic lupus erythematosus (SLE). Methods: A cross-sectional study was performed. Data were acquired from in-person interviews and medical records. Results: A total of 199 (89.6%) females and 23 (10.4%) males were recruited. Median age was 39.00 (interquartile range (IQR) 18) years, disease duration 12.12 (IQR 8) years, Fitzpatrick skin phototype III 119 (53.6%) and IV 81 (36.5%). Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2 K) was 2.95 (IQR 4) while Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SLICC-ACR DI) was 1.20 (IQR 2). The majority 205 (92.3%) were aware of sun exposure effects on SLE. Photoprotection methods were shade seeking 209 (94.1%), sun avoidance 212 (95.5%), long pants 168 (75.7%), long sleeves 155 (69.8%), sunscreen 116 (52.3%), sunglasses 114 (51.4%) and head cover 103 (46.4%). Significantly higher photoprotection practice scores (PPS) were observed in females, Malays, and individuals with higher education level and internet accessibility. PPS were not significantly correlated with SLICC-ACR DI and SLEDAI-2 K. Independent predictors for good photoprotection practice (GPP) were ethnicity (OR = 3.66, 95% CI 1.78–7.53), awareness (OR = 3.77, 95% CI 1.09–13.08) and cutaneous involvement (OR = 2.43, 95% CI 1.11–5.28). Photoprotection methods and GPP were not predictors for disease activity or damage. Conclusion: Photoprotection awareness and knowledge was good. Shade seeking and sun avoidance were the common photoprotection methods practised. The use of sunscreen requires improvement. Photoprotection awareness and cutaneous manifestation were predictors for GPP. Neither photoprotection methods nor GPP were associated with disease activity or damage.

AB - Objective: The objective of this paper is to determine photoprotection awareness, knowledge, practices, and its relationship with disease activity and damage in patients with systemic lupus erythematosus (SLE). Methods: A cross-sectional study was performed. Data were acquired from in-person interviews and medical records. Results: A total of 199 (89.6%) females and 23 (10.4%) males were recruited. Median age was 39.00 (interquartile range (IQR) 18) years, disease duration 12.12 (IQR 8) years, Fitzpatrick skin phototype III 119 (53.6%) and IV 81 (36.5%). Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2 K) was 2.95 (IQR 4) while Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SLICC-ACR DI) was 1.20 (IQR 2). The majority 205 (92.3%) were aware of sun exposure effects on SLE. Photoprotection methods were shade seeking 209 (94.1%), sun avoidance 212 (95.5%), long pants 168 (75.7%), long sleeves 155 (69.8%), sunscreen 116 (52.3%), sunglasses 114 (51.4%) and head cover 103 (46.4%). Significantly higher photoprotection practice scores (PPS) were observed in females, Malays, and individuals with higher education level and internet accessibility. PPS were not significantly correlated with SLICC-ACR DI and SLEDAI-2 K. Independent predictors for good photoprotection practice (GPP) were ethnicity (OR = 3.66, 95% CI 1.78–7.53), awareness (OR = 3.77, 95% CI 1.09–13.08) and cutaneous involvement (OR = 2.43, 95% CI 1.11–5.28). Photoprotection methods and GPP were not predictors for disease activity or damage. Conclusion: Photoprotection awareness and knowledge was good. Shade seeking and sun avoidance were the common photoprotection methods practised. The use of sunscreen requires improvement. Photoprotection awareness and cutaneous manifestation were predictors for GPP. Neither photoprotection methods nor GPP were associated with disease activity or damage.

KW - cutaneous lupus erythematosus

KW - Photoprotection

KW - photosensitivity

KW - systemic lupus erythematosus

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DO - 10.1177/0961203318770016

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