Severity of Psoriasis Among Adult Males is Associated with Smoking, Not with Alcohol Use

Context: Lifestyle factors such as tobacco smoking and alcohol use can affect the presentation and course of psoriasis. There is a paucity of data on this subject from India. Aims: To find out whether increased severity of psoriasis in adult Indian males is associated with tobacco smoking and alcohol USC. Settings and Design: Cross-sectional study in the Department of Derniatology of a Tertiary Care Teaching Hospital. Subjects and Methods: Male patients above 18 years of age attending a psoriasis clinic between March 2007 and May 2009 were studied. Severity of psoriasis (measured using Psoriasis Area and Severity Index PASI) among smokers and non-smokers was compared. We also studied the correlation between severity of psoriasis and nicotine dependence (measured using Fa2erstrOm Test for Nicotine Dependence) and alcohol use disorders (measured using Alcohol Use Disorders identification Test AUDIT). Statistical Analysis: 7-test, Odd's ratio, Chi-square test, Spearman's correlation coefficient. Results: Of a total of 338 patients, 148 were smokers and 173 used to consume alcohol. Mean PASI score of smokers \vas more than that of non-smokers (Z-test, z = 2.617, P = 0.009). Those with severe psoriasis were more likely to he smokers (x2 = 5.47, P = 0.02, OR = 1..8, Confidence Interval 1.09-2.962). There Was a significant correlation between PASI scores and Fagerstrnm score (Spearman's correlation coefficient = 0.164, P < 0.01). Mean PASI scores of persons who used to consume alcohol and those who did not were comparable.(Z-test, z = 0.458, P = 0.647). There as no association between severity of psoriasis and alcohol consumption.(x2 = 0.255, P = 0.613, Odds Ratio = 1.14, CI 0.696-1.866). There was no correlation between PAST scores and AUDIT scores (Spearman's correlation coefficient 0.024, P> 0.05). Conclusions: Increased severity of psoriasis among adult males is associated with tobacco smoking, but not With alcohol use.