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Academic Journal of Medicine & Health Sciences, 2023, 4(9); doi: 10.25236/AJMHS.2023.040913.

The Correlation between Mask-Wearing Practices and Skin Damage during the COVID-19 Pandemic in Hainan Region


Jun Ling1, Zengqiang Feng2, Xiaoyuan Zhou3, Xiaoyu Dai1, Wen Lv4, Junhong Ye5

Corresponding Author:
Jun Ling

1Dermatology, Fifth People's Hospital of Hainan Province, Haikou, 570206, China

2Hainan Blood Center, Haikou, 570206, China

3Pharmacy Department of the Fifth People's Hospital of Hainan Province, Haikou, 570206, China

4Fu Department of Traditional Chinese Medicine, The Fifth People's Hospital of Hainan Province, Haikou, 570206, China

5Dermatology Hospital, Chinese Academy of Medical Sciences, Nanjing, 210042, China


This study aims to assess mask-wearing practices and associated facial skin damage during the COVID-19 pandemic in Hainan, analyzing their correlation. Participants from dermatology, community, and free clinics between December 9, 2022, and April 1, 2023, were surveyed. Of 2023 collected online questionnaires, 2013 (99.51% validity) were used. Among these, 1962 individuals reported facial skin damage, including redness, itching, acne breakouts, and discomfort due to heat. Single-factor analysis revealed that skin conditions, cosmetic use, skin type, mask type, usage practices, replacement, duration, reuse, and hot weather significantly impacted facial skin damage (P<0.05). Multiple-factor Logistic regression analysis demonstrated that non-neutral skin, correct mask type usage, distinguishing the mask sides, proper replacement, daily duration, reuse, and hot weather were linked to skin damage. Notably, non-neutral skin, improper mask use, incorrect distinction of mask sides, inadequate replacement, longer daily duration, extended mask-wearing periods, frequent reuse, and hot weather correlated with higher facial skin damage proportions among participants (P<0.05). In conclusion, during the Hainan COVID-19 pandemic, prolonged mask-wearing often led to facial skin damage. This outcome was more common in cases of distinct skin types, inadequate mask-wearing practices, longer usage durations, and hot weather conditions.


Hainan region; COVID-19; pandemic; mask-wearing; facial skin damage; influencing factors

Cite This Paper

Jun Ling, Zengqiang Feng, Xiaoyuan Zhou, Xiaoyu Dai, Wen Lv, Junhong Ye. The Correlation between Mask-Wearing Practices and Skin Damage during the COVID-19 Pandemic in Hainan Region. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 9: 83-88. https://doi.org/10.25236/AJMHS.2023.040913.


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