Ryan Dieudonné

Undergraduate Student, Emory University

1 active project

Food Insecurity and HS

The aim of this study is to investigate the relationship between food insecurity and Hidradenitis Suppurativa (HS). Hidradenitis Suppurativa (HS) is a chronic inflammatory disease characterized by occlusion, inflammation, and scarring of the folliculo-pilo-sebaceous unit in intertriginous skin regions. Although…

Scientific Questions Being Studied

The aim of this study is to investigate the relationship between food insecurity and Hidradenitis Suppurativa (HS). Hidradenitis Suppurativa (HS) is a chronic inflammatory disease characterized by occlusion, inflammation, and scarring of the folliculo-pilo-sebaceous unit in intertriginous skin regions. Although there is an association between metabolic syndrome and HS, there is limited data on how nutrition and diet factors into HS disease progression. Like other inflammatory dermatologic conditions, HS is thought to be impacted by a disruption of the gut-skin axis5. Additionally, there is a large financial burden in treating HS which can worsen food insecurity. Our recent work suggested that people with skin conditions that cause wounds have a higher prevalence of food insecurity compared to the general population6. If people with HS indeed have a higher prevalence of food insecurity, healthcare providers can target this gap to improve outcomes.

Project Purpose(s)

  • Disease Focused Research (hidradenitis suppurativa)
  • Population Health

Scientific Approaches

Participants recruited for this study will be patients at the Emory Dermatology Clinic (Emory) who present to Emory for evaluation for Hidradenitis Suppurativa. Patients will be invited to participate in a survey evaluating food security.

After consenting, patients will also undergo physical exam for HS-Physician Global Assessment or Hurley Staging. The process will take up to 5-10 minutes. Subjects will then be asked to complete a questionnaire on their demographic characteristics as well as personal and household food availability. The questionnaire that will be used is modeled after the USDA three-stage screen for household food security. Questionnaires will be available in English and Spanish and will be administered by an interviewer. This procedure will occur during a one-time patient visit with no follow-up.

Anticipated Findings

The primary outcome is the prevalence of food insecurity amongst patients with HS. Secondary outcomes include comparing prevalence of food insecurity amongst patients with HS to that of the general populations as well as in another inflammatory skin condition, plaque psoriasis. We also seek to establish a relationship between food insecurity and severity of disease in HS. We hypothesize that food insecurity will be more common amongst patients with HS when compared to the general population.

Demographic Categories of Interest

  • Income Level

Data Set Used

Controlled Tier

Research Team

Owner:

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