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Real-World Acne Treatment Patterns, Preferences, and Adherence in Thailand: A Cross-Sectional Analysis
Anon Paichitrojjana1, Anand Paichitrojjana2
1School of Anti-Aging and Regenerative Medicine, Mae Fah Luang University, Bangkok, Thailand.
Patient Preference and Adherence
|October 23, 2025
Summary
Thai individuals with acne commonly use topical and procedural treatments, with low adherence rates. Improving patient education and addressing barriers like cost and side effects are crucial for better acne vulgaris management.
Area of Science:
- Dermatology
- Public Health
Background:
- Acne vulgaris is a prevalent chronic skin condition impacting physical and psychological health.
- Effective acne management necessitates personalized, long-term strategies focusing on adherence.
- Research predominantly covers Western populations, overlooking regional treatment patterns like those in Thailand.
Purpose of the Study:
- To investigate acne treatment preferences among Thai individuals.
- To identify factors influencing treatment choices and adherence patterns.
- To explore the gap between preferred and actual acne treatment modalities.
Main Methods:
- A cross-sectional survey of 1,237 Thai participants (aged 18-45) using a validated questionnaire.
- Assessment of demographics, treatment usage, preferences, decision-making factors, satisfaction, and adherence.
- Statistical analysis including descriptive statistics, chi-square, t-tests, and multivariate logistic regression.
Main Results:
- Topical treatments and comedone extraction were most common; oral therapies were underutilized.
- Treatment preferences aligned with actual usage, with combination therapies being prevalent.
- Adherence was low (33.71%), influenced by treatment duration, modality, quality of life impact, and satisfaction; barriers included cost, slow results, and side effects.
Conclusions:
- Thai acne patients favor topical and procedural treatments, differing from Western trends.
- Cultural factors and gender influence treatment choices.
- Culturally sensitive education and evidence-based guidance are vital to enhance adherence and outcomes for acne vulgaris.
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