The relationship between skin phototype, gender, and stress level with the incidence of acne vulgaris among adolescents in Surakarta

Acne vulgaris (AV) is formed by inflammation of the sebaceous follicles with the prevalence hits its peak during the adolescence. It can be occurred by factors including skin phototype, gender, and stress. However, there is still limited study discussing on skin phototype and the AV prevalence especially in Asian descents. Besides, it is currently unclear which factor is most influential in affecting AV. The aim of this study was to evaluate the relationship between skin phototype, gender, and stress level with the incidence of AV among adolescents. This was a cross-sectional study with 102 adolescents aged 14-18 years old as respondents. Data were collected by doctor’s examination (intra-rater, kappa=0.805) with 3 questionnaires consists of Perceived Stress Scale (PSS), Minessota Multiphasic Personality Index (MMPI-2) lie-scale, and Fitzpatrick Skin Type (FST). Chi-square test showed the significant p value (p<0.05) in all variables. Regression logistic showed gender had the greatest Odds Ratio (OR=38.610) followed by skin phototype (OR=8.226) and the stress level (OR=5.612). There was significant relationship between skin phototype, gender, and stress level with the incidence of AV among adolescents in Surakarta.