Prevalence of Actinic Keratoses and Associated Factors in a Representative Sample of the Italian Adult Population: Results From the Prevalence of Actinic Keratoses Italian Study, 2003-2004
OBJECTIVE The Prevalence of Actinic Keratoses Italian Study (PraKtis) was designed to estimate the point prevalence of actinic keratoses (AKs) and associated factors in a representative sample of the Italian adult population. DESIGN A representative sample of people 45 years or older was selected fr...
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| Veröffentlicht in: | Archives of dermatology (1960) 2006-06, Vol.142 (6), p.722-726 |
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| container_title | Archives of dermatology (1960) |
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| creator | Naldi, Luigi Chatenoud, Liliane Piccitto, Roberto Colombo, Paolo Placchesi, Elena Benedetti La Vecchia, Carlo |
| description | OBJECTIVE The Prevalence of Actinic Keratoses Italian Study (PraKtis) was designed to estimate the point prevalence of actinic keratoses (AKs) and associated factors in a representative sample of the Italian adult population. DESIGN A representative sample of people 45 years or older was selected from the electoral rolls according to a stratified random sampling design. SETTING A total of 180 specifically trained interviewers contacted the sampled subjects and conducted face-to-face, computer-assisted interviews and skin assessments. PARTICIPANTS A total of 12 483 subjects contacted and interviewed from March 1, 2003, through April 30, 2004. MAIN OUTCOME MEASURES History of AKs and evidence of AKs at the interview. RESULTS Overall, an estimated 34% of the Italian population reported ever having undergone a dermatological examination. A history of AKs was reported by 0.3% of the total sample. Topical therapy was the most popular treatment according to 39% of subjects, whereas 25% reported that they did not receive therapy. Based on the interviewer's judgment, the point prevalence of AKs was 1.4% (95% confidence interval, 1.2%-1.8%). Forty-two percent of people with AKs were unaware of their condition. The prevalence was higher among men than women and increased steadily with age. The prevalence increased with lighter phenotype and with more severe facial wrinkling. It also increased with the reported number of hours spent in the sun during the week and on holidays. No clear variation was observed according to the reported use of sunscreens. Lesions were usually multiple (median number, 4). There was a strong association between a history of nonmelanoma skin cancers and the presence of AKs (odds ratio, 4.5; 95% confidence interval, 1.8-11.0). CONCLUSIONS The prevalence of AKs in our study was remarkably lower than expected based on data from the United States and Australia; in Italy, AKs seem to be underdiagnosed and undertreated.Arch Dermatol. 2006;142:722-726--> |
| doi_str_mv | 10.1001/archderm.142.6.722 |
| format | Article |
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DESIGN A representative sample of people 45 years or older was selected from the electoral rolls according to a stratified random sampling design. SETTING A total of 180 specifically trained interviewers contacted the sampled subjects and conducted face-to-face, computer-assisted interviews and skin assessments. PARTICIPANTS A total of 12 483 subjects contacted and interviewed from March 1, 2003, through April 30, 2004. MAIN OUTCOME MEASURES History of AKs and evidence of AKs at the interview. RESULTS Overall, an estimated 34% of the Italian population reported ever having undergone a dermatological examination. A history of AKs was reported by 0.3% of the total sample. Topical therapy was the most popular treatment according to 39% of subjects, whereas 25% reported that they did not receive therapy. Based on the interviewer's judgment, the point prevalence of AKs was 1.4% (95% confidence interval, 1.2%-1.8%). Forty-two percent of people with AKs were unaware of their condition. The prevalence was higher among men than women and increased steadily with age. The prevalence increased with lighter phenotype and with more severe facial wrinkling. It also increased with the reported number of hours spent in the sun during the week and on holidays. No clear variation was observed according to the reported use of sunscreens. Lesions were usually multiple (median number, 4). There was a strong association between a history of nonmelanoma skin cancers and the presence of AKs (odds ratio, 4.5; 95% confidence interval, 1.8-11.0). CONCLUSIONS The prevalence of AKs in our study was remarkably lower than expected based on data from the United States and Australia; in Italy, AKs seem to be underdiagnosed and undertreated.Arch Dermatol. 2006;142:722-726--></description><identifier>ISSN: 0003-987X</identifier><identifier>ISSN: 2168-6068</identifier><identifier>EISSN: 1538-3652</identifier><identifier>EISSN: 2168-6084</identifier><identifier>DOI: 10.1001/archderm.142.6.722</identifier><identifier>PMID: 16785374</identifier><identifier>CODEN: ARDEAC</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Age Factors ; Aged ; Biological and medical sciences ; Confidence intervals ; Data analysis ; Data collection ; Dermatology ; Dyskeratosis ; Estimates ; European Continental Ancestry Group - statistics & numerical data ; Female ; Genotype & phenotype ; Humans ; Interviews ; Interviews as Topic ; Italy - epidemiology ; Keratosis - epidemiology ; Keratosis - ethnology ; Keratosis - etiology ; Male ; Medical sciences ; Medical treatment ; Middle Aged ; Prevalence ; Risk ; Sex Factors ; Skin cancer ; Skin Neoplasms - epidemiology ; Skin Neoplasms - ethnology ; Skin Neoplasms - etiology ; Sunlight - adverse effects</subject><ispartof>Archives of dermatology (1960), 2006-06, Vol.142 (6), p.722-726</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Medical Association Jun 2006</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamadermatology/articlepdf/10.1001/archderm.142.6.722$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamadermatology/fullarticle/10.1001/archderm.142.6.722$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,780,784,3340,27924,27925,76361,76364</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17884078$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16785374$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Naldi, Luigi</creatorcontrib><creatorcontrib>Chatenoud, Liliane</creatorcontrib><creatorcontrib>Piccitto, Roberto</creatorcontrib><creatorcontrib>Colombo, Paolo</creatorcontrib><creatorcontrib>Placchesi, Elena Benedetti</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><creatorcontrib>Prevalence of Actinic Keratoses Italian Study (PraKtis) Group</creatorcontrib><title>Prevalence of Actinic Keratoses and Associated Factors in a Representative Sample of the Italian Adult Population: Results From the Prevalence of Actinic Keratoses Italian Study, 2003-2004</title><title>Archives of dermatology (1960)</title><addtitle>Arch Dermatol</addtitle><description>OBJECTIVE The Prevalence of Actinic Keratoses Italian Study (PraKtis) was designed to estimate the point prevalence of actinic keratoses (AKs) and associated factors in a representative sample of the Italian adult population. DESIGN A representative sample of people 45 years or older was selected from the electoral rolls according to a stratified random sampling design. SETTING A total of 180 specifically trained interviewers contacted the sampled subjects and conducted face-to-face, computer-assisted interviews and skin assessments. PARTICIPANTS A total of 12 483 subjects contacted and interviewed from March 1, 2003, through April 30, 2004. MAIN OUTCOME MEASURES History of AKs and evidence of AKs at the interview. RESULTS Overall, an estimated 34% of the Italian population reported ever having undergone a dermatological examination. A history of AKs was reported by 0.3% of the total sample. Topical therapy was the most popular treatment according to 39% of subjects, whereas 25% reported that they did not receive therapy. Based on the interviewer's judgment, the point prevalence of AKs was 1.4% (95% confidence interval, 1.2%-1.8%). Forty-two percent of people with AKs were unaware of their condition. The prevalence was higher among men than women and increased steadily with age. The prevalence increased with lighter phenotype and with more severe facial wrinkling. It also increased with the reported number of hours spent in the sun during the week and on holidays. No clear variation was observed according to the reported use of sunscreens. Lesions were usually multiple (median number, 4). There was a strong association between a history of nonmelanoma skin cancers and the presence of AKs (odds ratio, 4.5; 95% confidence interval, 1.8-11.0). CONCLUSIONS The prevalence of AKs in our study was remarkably lower than expected based on data from the United States and Australia; in Italy, AKs seem to be underdiagnosed and undertreated.Arch Dermatol. 2006;142:722-726--></description><subject>Age Factors</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Confidence intervals</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Dermatology</subject><subject>Dyskeratosis</subject><subject>Estimates</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Female</subject><subject>Genotype & phenotype</subject><subject>Humans</subject><subject>Interviews</subject><subject>Interviews as Topic</subject><subject>Italy - epidemiology</subject><subject>Keratosis - epidemiology</subject><subject>Keratosis - ethnology</subject><subject>Keratosis - etiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Risk</subject><subject>Sex Factors</subject><subject>Skin cancer</subject><subject>Skin Neoplasms - epidemiology</subject><subject>Skin Neoplasms - ethnology</subject><subject>Skin Neoplasms - etiology</subject><subject>Sunlight - adverse effects</subject><issn>0003-987X</issn><issn>2168-6068</issn><issn>1538-3652</issn><issn>2168-6084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkd1qFDEYhoModq1egB5IEPTI2eZvJxnPluJqsWCxFTwL3yQZOmUmmSaZQu-tF9e0u23Bk54kkDzPy5e8CH2gZEkJoQcQzbl1cVxSwZb1UjL2Ai3oiquK1yv2Ei0IIbxqlPy3h96kdFEcphR7jfZoLdWKS7FANyfRXcHgvHE4dHhtcu97g3-5CDkklzB4i9cpBdNDdhZvwOQQE-49BvzHTdEl5zPk_srhUxin4T4mnzt8lGHoweO1nYeMT8I0DwUL_lvRUjlKeBPDeI8-N8ND1Gme7fVXzO6eVRbxFr3qYEju3W7fR383388Of1bHv38cHa6PK-BM5sp2RHHakcZwAcp1likupKhbarng5Ss6LmtFWqiFpY1oSEvbVgE1DbOSyo7voy_b3CmGy9mlrMc-GTcM4F2Yky5yI5moC_jpP_AizNGX2TTjnJaeuCwQ20ImhpSi6_QU-xHitaZE3xWrH4rVRdC1LsUW6eMueW5HZ5-UXZMF-LwDIBkYugje9OmJk0oJIlXh3m85GOHxVpCVkpzfArjCtkg</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Naldi, Luigi</creator><creator>Chatenoud, Liliane</creator><creator>Piccitto, Roberto</creator><creator>Colombo, Paolo</creator><creator>Placchesi, Elena Benedetti</creator><creator>La Vecchia, Carlo</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20060601</creationdate><title>Prevalence of Actinic Keratoses and Associated Factors in a Representative Sample of the Italian Adult Population: Results From the Prevalence of Actinic Keratoses Italian Study, 2003-2004</title><author>Naldi, Luigi ; Chatenoud, Liliane ; Piccitto, Roberto ; Colombo, Paolo ; Placchesi, Elena Benedetti ; La Vecchia, Carlo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a327t-df0831f09c34a8efd2834746b1d343678f37680ba64d19490b1bb8a1c92d717f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Confidence intervals</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Dermatology</topic><topic>Dyskeratosis</topic><topic>Estimates</topic><topic>European Continental Ancestry Group - statistics & numerical data</topic><topic>Female</topic><topic>Genotype & phenotype</topic><topic>Humans</topic><topic>Interviews</topic><topic>Interviews as Topic</topic><topic>Italy - epidemiology</topic><topic>Keratosis - epidemiology</topic><topic>Keratosis - ethnology</topic><topic>Keratosis - etiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Risk</topic><topic>Sex Factors</topic><topic>Skin cancer</topic><topic>Skin Neoplasms - epidemiology</topic><topic>Skin Neoplasms - ethnology</topic><topic>Skin Neoplasms - etiology</topic><topic>Sunlight - adverse effects</topic><toplevel>online_resources</toplevel><creatorcontrib>Naldi, Luigi</creatorcontrib><creatorcontrib>Chatenoud, Liliane</creatorcontrib><creatorcontrib>Piccitto, Roberto</creatorcontrib><creatorcontrib>Colombo, Paolo</creatorcontrib><creatorcontrib>Placchesi, Elena Benedetti</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><creatorcontrib>Prevalence of Actinic Keratoses Italian Study (PraKtis) Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of dermatology (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Naldi, Luigi</au><au>Chatenoud, Liliane</au><au>Piccitto, Roberto</au><au>Colombo, Paolo</au><au>Placchesi, Elena Benedetti</au><au>La Vecchia, Carlo</au><aucorp>Prevalence of Actinic Keratoses Italian Study (PraKtis) Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Actinic Keratoses and Associated Factors in a Representative Sample of the Italian Adult Population: Results From the Prevalence of Actinic Keratoses Italian Study, 2003-2004</atitle><jtitle>Archives of dermatology (1960)</jtitle><addtitle>Arch Dermatol</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>142</volume><issue>6</issue><spage>722</spage><epage>726</epage><pages>722-726</pages><issn>0003-987X</issn><issn>2168-6068</issn><eissn>1538-3652</eissn><eissn>2168-6084</eissn><coden>ARDEAC</coden><abstract>OBJECTIVE The Prevalence of Actinic Keratoses Italian Study (PraKtis) was designed to estimate the point prevalence of actinic keratoses (AKs) and associated factors in a representative sample of the Italian adult population. DESIGN A representative sample of people 45 years or older was selected from the electoral rolls according to a stratified random sampling design. SETTING A total of 180 specifically trained interviewers contacted the sampled subjects and conducted face-to-face, computer-assisted interviews and skin assessments. PARTICIPANTS A total of 12 483 subjects contacted and interviewed from March 1, 2003, through April 30, 2004. MAIN OUTCOME MEASURES History of AKs and evidence of AKs at the interview. RESULTS Overall, an estimated 34% of the Italian population reported ever having undergone a dermatological examination. A history of AKs was reported by 0.3% of the total sample. Topical therapy was the most popular treatment according to 39% of subjects, whereas 25% reported that they did not receive therapy. Based on the interviewer's judgment, the point prevalence of AKs was 1.4% (95% confidence interval, 1.2%-1.8%). Forty-two percent of people with AKs were unaware of their condition. The prevalence was higher among men than women and increased steadily with age. The prevalence increased with lighter phenotype and with more severe facial wrinkling. It also increased with the reported number of hours spent in the sun during the week and on holidays. No clear variation was observed according to the reported use of sunscreens. Lesions were usually multiple (median number, 4). There was a strong association between a history of nonmelanoma skin cancers and the presence of AKs (odds ratio, 4.5; 95% confidence interval, 1.8-11.0). CONCLUSIONS The prevalence of AKs in our study was remarkably lower than expected based on data from the United States and Australia; in Italy, AKs seem to be underdiagnosed and undertreated.Arch Dermatol. 2006;142:722-726--></abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>16785374</pmid><doi>10.1001/archderm.142.6.722</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Archives of dermatology (1960), 2006-06, Vol.142 (6), p.722-726 |
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| subjects | Age Factors Aged Biological and medical sciences Confidence intervals Data analysis Data collection Dermatology Dyskeratosis Estimates European Continental Ancestry Group - statistics & numerical data Female Genotype & phenotype Humans Interviews Interviews as Topic Italy - epidemiology Keratosis - epidemiology Keratosis - ethnology Keratosis - etiology Male Medical sciences Medical treatment Middle Aged Prevalence Risk Sex Factors Skin cancer Skin Neoplasms - epidemiology Skin Neoplasms - ethnology Skin Neoplasms - etiology Sunlight - adverse effects |
| title | Prevalence of Actinic Keratoses and Associated Factors in a Representative Sample of the Italian Adult Population: Results From the Prevalence of Actinic Keratoses Italian Study, 2003-2004 |
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