%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 22
%N 9
%P e22288
%T Association of Socioeconomic Changes due to the COVID-19 Pandemic With Health Outcomes in Patients With Skin Diseases: Cross-Sectional Survey Study
%A Guo,Yeye
%A Shen,Minxue
%A Zhang,Xu
%A Xiao,Yi
%A Zhao,Shuang
%A Yin,Mingzhu
%A Bu,Wenbo
%A Wang,Yan
%A Chen,Xiang
%A Su,Juan
%+ Department of Dermatology, Xiangya Hospital, Central South University, Xiangya Road #87, Changsha, 410008, China, 86 731 84327377, sujuanderm@csu.edu.cn
%K skin diseases
%K coronavirus disease 2019
%K unemployment
%K quality of life
%K web-based
%K survey
%K dermatology
%K COVID-19
%K lifestyle
%K impact
%K outcome
%K isolation
%D 2020
%7 11.9.2020
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: The outbreak of COVID-19 has profoundly influenced people’s lifestyles; these impacts have varied across subgroups of people. The pandemic-related impacts on the health outcomes of people with dermatological conditions are unknown. Objective: The aim of this paper was to study the association of COVID-19 pandemic–related impacts with health-related quality of life in patients with skin diseases. Methods: This was a cross-sectional study among Chinese patients with skin diseases. A self-administered web-based questionnaire was distributed through social media. Demographic and clinical data and pandemic-related impacts (isolation status, income changes, and employment status) were collected. The main outcomes included perceived stress (Visual Analog Scale), symptoms of anxiety (Generalized Anxiety Disorder-7) and depression (9-Item Patient Health Questionnaire), quality of life (Dermatology Life Quality Index), and health utility mapping based on the EQ-5D-3L descriptive system. Multivariable logistic regression was used to investigate the associations. Results: A total of 506 patients with skin diseases completed the survey. The mean age of the patients was 33.5 years (SD 14.0), and 217/506 patients (42.9%) were male. Among the 506 respondents, 128 (25.3%) were quarantined, 102 (20.2%) reported unemployment, and 317 (62.6%) reported decrease or loss of income since the pandemic. The pandemic-related impacts were significantly associated with impaired mental well-being and quality of life with different effects. Unemployment and complete loss of income were associated with the highest risks of adverse outcomes, with increases of 110% to 162% in the prevalence of anxiety, depression, and impaired quality of life. Conclusions: Isolation, income loss, and unemployment are associated with impaired health-related quality of life in patients with skin diseases during the COVID-19 pandemic. 
%M 32845850
%R 10.2196/22288
%U http://www.jmir.org/2020/9/e22288/
%U https://doi.org/10.2196/22288
%U http://www.ncbi.nlm.nih.gov/pubmed/32845850