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Machine learning-based assessment of the built environment on prevalence and severity risks of acne

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机构: [1]East China Normal Univ, Liwa Inst Skin Hlth, Shanghai 200062, Peoples R China [2]East China Normal Univ, Sch Geog Sci, Shanghai 200241, Peoples R China [3]Kunming Univ Sci & Technol, Fac Environm Sci & Engn, Kunming 650500, Peoples R China [4]Shanghai Jiao Tong Univ, Dept Dermatol, Ruijin Hosp, Sch Med, Shanghai 200020, Peoples R China [5]Univ Utrecht, Fac Geosci, Dept Human Geog & Spatial Planning, NL-3584 CB Utrecht, Netherlands [6]Wuhan Univ, Int Inst Spatial Lifecourse Hlth ISLE, Sch Resource & Environm Sci, Wuhan, Peoples R China [7]Kunming Med Univ, Dept Dermatol, Affiliated Hosp 1, Kunming 650032, Peoples R China [8]Univ Hong Kong, Fac Architecture, Div Landscape Architecture, Pokfulam, Hong Kong, Peoples R China [9]Fudan Univ, Huashan Hosp, Dept Dermatol, Shanghai 200040, Peoples R China [10]Hangzhou Third Peoples Hosp, Dept Dermatol, Hangzhou 310009, Peoples R China [11]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Dermatol, Shanghai 200127, Peoples R China [12]Soochow Univ, Dept Dermatol, affiliated Hosp 1, Suzhou 215006, Peoples R China [13]Kunming Univ Sci & Technol, Fac Land Resource Engn, Kunming 650093, Peoples R China [14]Univ Luxembourg, Luxembourg Inst Socio Econ Res LISER, Esch Sur Alzette, Luxembourg [15]Skin Hlth Res Ctr, Yunnan Characterist Plant Extract Lab, Kunming 650032, Peoples R China
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摘要:
Understanding the determinants of acne prevalence and severity is crucial for effective prevention and management of this dermatological condition. While urban interventions have long-lasting, far-reaching, and costly implications for health promotion, the associations between built environments (BEs) and acne need further investigation. To address this gap, our study utilizes a nationwide cross-sectional sample of 23,488 undergraduates from 90 campuses in China to conduct a comprehensive analysis. We examined the combined and specific contributions of BEs in relation to other domains of acne-related factors in acne development. By employing the optimal random forest model, our findings reveal that BEs collectively ranked as the second-largest contributors to both the overall prevalence of acne among all participants and the severity of acne in the affected individuals. Moreover, our analysis identifies curvilinear associations between acne and most BEs, underscoring the importance of incorporating BE considerations into the prevention, diagnosis, and management of acne.

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第一作者机构: [1]East China Normal Univ, Liwa Inst Skin Hlth, Shanghai 200062, Peoples R China [2]East China Normal Univ, Sch Geog Sci, Shanghai 200241, Peoples R China [3]Kunming Univ Sci & Technol, Fac Environm Sci & Engn, Kunming 650500, Peoples R China
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通讯机构: [1]East China Normal Univ, Liwa Inst Skin Hlth, Shanghai 200062, Peoples R China [2]East China Normal Univ, Sch Geog Sci, Shanghai 200241, Peoples R China [3]Kunming Univ Sci & Technol, Fac Environm Sci & Engn, Kunming 650500, Peoples R China [7]Kunming Med Univ, Dept Dermatol, Affiliated Hosp 1, Kunming 650032, Peoples R China [15]Skin Hlth Res Ctr, Yunnan Characterist Plant Extract Lab, Kunming 650032, Peoples R China
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