Influence of some of occupational factors on the course of psoriasis in men and women
Objectives - to study the influence of workplace factors affecting the course of psoriasis in men and women in Ufa. Material and methods. 630 patients were assessed for the level of social status, level of education, types of work, the presence of harmful factors, the frequency of requests for medical care, the clinical severity according to Psoriasis Area Severity Index (PASI), the Dermatology Life Quality Index (DLQI), the level of anxiety and depression on the HADS scale. Results. Among the negative factors that influence the course of the disease, men more often than women noted excessive physical activity, while women more often than men noted hypothermia, noise, chemicals, twice as often vibration and shift work. The same number of respondents of both sexes identified stress and hypodynamia as the leading factors. Women noted the negative influence of the stress factor on the course of psoriasis more distinctly than men (average score 3.9±0.2 and 2.8±0.3, accordingly). The level of anxiety was significantly higher in women (7.5± 1.4) than in men (5.7±0.6), while the coefficient of variation in men is one and a half times higher than in women. Conclusion. It is necessary to plan activities aimed at reducing the level of occupational stress and increasing resistance to stress in women with psoriasis and optimize physical activity to reduce its negative impact on men with psoriasis, and optimize physical activity to reduce its negative impact on men with psoriasis. A deeper study of triggers in all areas of life, that have a negative impact on the course of the disease, should be continued. The complex action on the triggers through preventive measures will help to increase the effectiveness of drug treatment and improve the quality of life of patients with psoriasis.