Low self-esteem issues can make a person suffering from acne withdraw from many social events. It makes developing new personal relationships (especially love relationships) more difficult. Low self-esteem can also cause problems with career advancement as the person may find it difficult to present a positive attitude. This may sometimes even lead to suicidal thoughts.<ref name="CNN">{{cite news|title=Bad acne linked to suicidal thinking in teens|publisher=CNN|author1=Lynne Peeples|url=https://www.cnn.com/2010/HEALTH/09/16/health.acne.suicidal.thinking/index.html|accessdate=July 9, 2020|date=September 16, 2010}}</ref> Some of the treatments for acne have also shown a link with more suicide attempts.<ref name"PToday">{{cite news|publisher=Psychology Today|title=Acne and Suicide|url=https://www.psychologytoday.com/us/blog/evolutionary-psychiatry/201107/acne-and-suicide|date=July 31, 2011|accessdate=July 9, 2020|author1=Emily Deans}}</ref>
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Low self-esteem issues can make a person suffering from acne withdraw from many social events. It makes developing new personal relationships (especially love relationships) more difficult. Low self-esteem can also cause problems with career advancement as the person may find it difficult to present a positive attitude. This may sometimes even lead to suicidal thoughts.<ref name="CNN">{{cite news|title=Bad acne linked to suicidal thinking in teens|publisher=CNN|author1=Lynne Peeples|url=https://www.cnn.com/2010/HEALTH/09/16/health.acne.suicidal.thinking/index.html|accessdate=9 July 2020|date=16 September 2010}}</ref> Some of the treatments for acne have also shown a link with more suicide attempts.<ref name"PToday">{{cite news|publisher=Psychology Today|title=Acne and Suicide|url=https://www.psychologytoday.com/us/blog/evolutionary-psychiatry/201107/acne-and-suicide|date=31 July 2011|accessdate=9 July 2020|author1=Emily Deans}}</ref>
== Causes of acne ==
== Causes of acne ==
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==Epidemiology==
==Epidemiology==
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There are 650 million people in the world with acne, which is around 9.4% of the global population.<ref name="LancetEpi2012">{{cite journal|last=Vos|first=T|date=15 December 2012|title=Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.|url=|journal=Lancet|volume=380|issue=9859|pages=2163-96|pmid=23245607|via=}}</ref> More females are getting acne than males (9.8% versus 9.0%).<ref name=LancetEpi2012/> Acne affects 40 to 50 million people in the United States (16%) and approximately 3 to 5 million in Australia (23%).<ref>{{cite journal |author=Gary M White|title=Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris |journal=J. Am. Acad. Dermatol. |volume=39 |issue=2 Pt 3 |pages=S34–7 |date=August 1998 |pmid=9703121 |doi= 10.1016/S0190-9622(98)70442-6|url=}}</ref> Acne affects people of all ethnic groups.<ref name=Color2010>{{cite journal|author1=Sejal K. Shah|author2=Andrew F. Alexis|title=Acne in skin of color: practical approaches to treatment|journal=J Dermatolog Treat |volume=21 |issue=3 |pages=206–11 |date=04 February 2010|pmid=20132053 |doi=10.3109/09546630903401496}}</ref>
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There are 650 million people in the world with acne, which is around 9.4% of the global population.<ref name="LancetEpi2012">{{cite journal|last=Vos|first=T|date=15 December 2012|title=Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.|journal=Lancet|volume=380|issue=9859|pages=2163-96|pmid=23245607}}</ref> More females are getting acne than males (9.8% versus 9.0%).<ref name=LancetEpi2012/> Acne affects 40 to 50 million people in the United States (16%) and approximately 3 to 5 million in Australia (23%).<ref>{{cite journal |author=Gary M White|title=Recent findings in the epidemiologic evidence, classification, and subtypes of acne vulgaris |journal=J. Am. Acad. Dermatol. |volume=39 |issue=2 Pt 3 |pages=S34–7 |date=August 1998 |pmid=9703121 |doi= 10.1016/S0190-9622(98)70442-6}}</ref> Acne affects people of all ethnic groups.<ref name=Color2010>{{cite journal|author1=Sejal K. Shah|author2=Andrew F. Alexis|title=Acne in skin of color: practical approaches to treatment|journal=J Dermatolog Treat |volume=21 |issue=3 |pages=206–11 |date=4 February 2010|pmid=20132053 |doi=10.3109/09546630903401496}}</ref>