Forum for Nordic Dermato-Venereology Nr 4, 2019 | Page 5

Dermato-Venereology in the Nordic Countries Tattoos and Body-piercings among French Teenagers N icolas K luger 1,2 , L aurent M isery 3 , S ophie S eité 4 and C harles T aieb 5,6 Dermatology, Venereology, Allergology, Skin and Allergies Hospital, University of Helsinki and Helsinki University Central Hospital, Meilahdentie 2, PO Box 160, FIN-00029, Helsinki, Finland, 2 ”Tattoo” Consultation, Department of Dermatology, Bichat-Claude Bernard Hospital, Assistance Publique-Hôpitaux de Paris, Paris, 3 Department of Dermatology, University Hospital of Brest, Brest, 4 La Roche-Posay Laboratoire Dermatologique, Levallois-Perret, 5 FIMARAD, Hopital Necker Enfants Malades, Paris, and 6 Scientific Director, European Market Maintenance Assessment, France. E-mail: nicolas.kluger@hus.fi. orcid 0000-0002-5225-8316 1 The prevalence of tattooing and body piercing (BP) in the French population aged ≥15 years are approximately 17% (1) and 12% (2), respectively. According to various European and North American studies (3), the specific prevalence of tat- tooing and BP among teenagers is approx- imately 7–15% and 20–30%, respectively. We performed an analysis, extracted from our previous survey conducted online between April and August 2017 (1, 2), focusing on tattoos and BP among French teenagers. We reviewed the responses of 175 teenagers aged 15–18 years extracted from a representative sample of 5,000 individuals from the general population (3.5% of the population). We enquired about demographics, smoking, BP (soft- ear lobe excluded), tattoos, hesitation, re- grets, and motivations. Quality of life was evaluated using the SF-12 ® health survey. B ody piercing The results showed that 9.7% of respond- ents currently had ≥ 1 BP (girls 13.6%, boys 7.4%), 5.7% had 1 BP and 4.0% had > 1 BP (Table I). Teenagers with BP were more likely to smoke (47% vs 15%, p = 0.004), girls especially (55.5% vs 15%, p = 0.003). The most common body parts for piercings were the external part of the ear (54.5%/3.4% of the total survey population), the inner part of the ear (27.3%/1.7%), followed by the nose, belly button and nipple (9.1% each/0.6%). The results showed that 40.9% hesitated be- fore their first BP, but only 5.9% expressed regret. Motivations included embellish- Forum for Nord Derm Ven 2019, Vol. 24, No. 4 Table I. Characteristics of the study population for body piercing (BP) (15–18 years) Prevalence by sex, n (%) Has Has ever had Smoking, n (%) Total With BP Total n = 175 Male n = 109 Female n = 66 p-value a 17 (9.7) 22 (12.6) 8 (7.4) 12 (11.0) 9 (13.6) 10 (15.1) < 0.001 NS 32 (18.3) 8 (47)* 22 (20.2) 3 (37.5) 10 (15.0) 5 (55.5)** 5 (41.7) 5 (41.7) 2 (16.7) 8 (80) 2 (20) 0 (0) NS – – 1 (12.5) 0 (0) NS 3 (25) 2 (16.7) 2 (16.7) 3 (25) 0 (0) 0 (0) 1 (8.3) 2 (16.7) 8 (80) 3 (30) 1 (10) 0 (0) 0 (0) 0 (0) 1 (10) 1 (10) 0.03 NS NS – – – NS NS Hesitations before the first BP b , n (%) Not at all 13 (59.1) A bit 7 (31.8) A lot 2 (9.1) Regrets No regrets 17 (94) c Self-reported motivations for getting BP d , n (%) Body embellishment 11 (50) Individuality, distinction 5 (22.7) Body appropriation 3 (13.6) Eroticism, sexuality 3 (13.6) Commitment 1 (4.5) Tradition, culture 0 (0) Endurance/stamina 1 (4.5) No reason 3 (13.6) Quality of life SF-12, mean±SD BP Physical composite score 53.3±7.3 Mental composite score 40.5±12.3 No BP (ref.) Physical composite score 54.9±6.8 Mental composite score 41.4±9.6 Self-reported side-effects, n (%) No 13 (59.1) Yes, once 5 (22.7) Yes, waxing and waning 2 (9.1) Yes, persistent 2 (9.1) Healing problems 2 (22) Irritation 3 (33.3) Infection 7 (77.8) Itch 1 (11.0) *p = 0.004 **p = 0.003 NS*** NS*** 6 (50) 2 (16.7) 2 (16.7) 2 (16.7) 1 (16.7) 1 (16.7) 5 (83.3) 0 (0) 7 (70) 3 (30) 0 (0) 0 (0) 1 (33) 2 (66) 2 (66) 1 (33) NS – – – NS NS NS NS Fischer’s exact test or Student’s t-test. The overall respondent’s number is 22: 5 teenagers, who had their BP removed, self-reported their motivations for getting a BP and their hesitations before their first BP. c Out of 17 responses. d Total over 100% as respondents could give several answers. *p=0.004 is for the total column (smokers with BP versus smokers without BP). **p=0.003 is for the femal column (female smokers with BP versus female smokers without BP). ***BP compared with no BP NS: not significant (p > 0.05). a b 115