The Nuance

Why Is Acne More Prevalent Than Ever?

It may have something to do with your skin’s microbiome

Markham Heid
Elemental
Published in
4 min readJun 27, 2019

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Photo by jurien huggins on Unsplash

BBack in the 1990s and early 2000s, doctors from the United States and Venezuela conducted acne exams on more than 1,300 people living in two remote sections of Paraguay and Papua New Guinea. The results of those exams appeared in a JAMA Dermatology paper and they were, to quote the paper’s authors, “astonishing.”

The doctors turned up virtually zero cases of acne among rural men and women. The contrast between the clear complexions of the people in the study and the high occurrence of acne in the modernized world was so striking that the study authors wrote that the discrepancy “cannot be solely attributed to genetic differences among populations but likely results from differing environmental factors.”

In the U.S., acne pimples are a near-universal affliction among teens and are increasingly common among adults. By some estimates, nearly all American kids have to deal with acne pimples from time to time. Roughly one in three women in their thirties struggles with acne, along with 20% of men, according to a study in the Journal of the American Academy of Dermatology.

“Acne is not just for teens — there are extraordinary numbers of…

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Markham Heid
Elemental

I’m a frequent contributor at TIME, the New York Times, and other media orgs. I write mostly about health and science. I like long walks and the Grateful Dead.