{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:37:44Z","timestamp":1792064264877,"version":"4.4.0"},"reference-count":48,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,9,6]],"date-time":"2017-09-06T00:00:00Z","timestamp":1504656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Pierre Fabre Dermatologie"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although acne vulgaris is a common skin disorder, limited epidemiological data exist specifically for European populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the prevalence of self\u2010reported acne among young people in Europe and evaluate the effect of lifestyle on acne.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a cross\u2010sectional population\u2010based online survey in representative samples of individuals aged 15\u201324\u00a0years in Belgium, Czech and Slovak Republics, France, Italy, Poland and Spain (<jats:italic>n<\/jats:italic>\u00a0=\u00a010\u00a0521), identified by a quota sampling method based on age, geographic location and socio\u2010professional category.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overall adjusted prevalence of self\u2010reported acne was 57.8% (95% confidence interval 56.9% to 58.7%). The rates per country ranged from 42.2% in Poland to 73.5% in the Czech and Slovak Republics. The prevalence of acne was highest at age 15\u201317\u00a0years and decreased with age. On multivariate analysis, a history of maternal or paternal acne was associated with an increased probability of having acne (odds ratio 3.077, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>2.743 to 3.451, and 2.700, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>2.391 to 3.049, respectively; both<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001), as was the consumption of chocolate (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>1.276, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>1.094 to 1.488, for quartile 4 vs. quartile 1). Increasing age (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>0.728, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>0.639 to 0.830 for age 21\u201324\u00a0years vs. 15\u201317\u00a0years) and smoking tobacco (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>0.705, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>0.616 to 0.807) were associated with a reduced probability of acne.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The overall prevalence of self\u2010reported acne was high in adolescents\/young adults in the European countries investigated. Heredity was the main risk factor for developing acne.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.14475","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T09:22:44Z","timestamp":1500024164000},"page":"298-306","source":"Crossref","is-referenced-by-count":144,"title":["Acne prevalence and associations with lifestyle: a cross\u2010sectional online survey of adolescents\/young adults in 7 European countries"],"prefix":"10.1111","volume":"32","author":[{"given":"P.","family":"Wolkenstein","sequence":"first","affiliation":[{"name":"Department of Dermatology H\u00f4pital Henri Mondor APHP UPEC Cr\u00e9teil France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Machovcov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Venerology Motol Hospital Prague Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.C.","family":"Szepietowski","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venerology and Allergology Medical University Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Tennstedt","sequence":"additional","affiliation":[{"name":"Department of Dermatology UCL Cliniques Universitaires Saint\u2010Luc Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Veraldi","sequence":"additional","affiliation":[{"name":"Department of Pathophysiology and Transplantation University of Milan Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Delarue","sequence":"additional","affiliation":[{"name":"Pierre Fabre Dermatologie Les Cauquillous Lavaur France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12149"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5070\/D34HP8N68P"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.2009.47"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12160"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2005.01344.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/IJAMH.2007.19.4.407"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1071\/HC09020"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3083.2001.00357.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S55832"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-5945-12-13"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12878"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1111\/j.1468-3083.2011.04329.x","article-title":"Acne: prevalence and relationship with dietary habits in Eskisehir, Turkey","volume":"26","author":"Aksu AE","year":"2012","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"e_1_2_9_14_1","first-page":"768","article-title":"The influence of dietary patterns on acne vulgaris in Koreans","volume":"20","author":"Jung JY","year":"2010","journal-title":"Eur J Dermatol"},{"key":"e_1_2_9_15_1","first-page":"428","article-title":"Diet and acne update: carbohydrates emerge as the main culprit","volume":"13","author":"Mahmood SN","year":"2014","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/86.1.107"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1346"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.2001.04290.x"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.2004.01646.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jid.5700326"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2006.01915.x"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000366195"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-5945-5-2"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.02.018"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494812454235"},{"key":"e_1_2_9_26_1","unstructured":"SkarupovaK.Technical report: Computer\u2010assisted and online data collection in general population surveys. 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