Being at school or university, studying and acne

A number of things could impact on people’s experience of being at school or university with acne:

  • how severe or manageable their acne was and whether they could cover it up
  • how common it was to have acne amongst their friends and peers
  • how understanding people were about their acne, and whether people were unkind
  • how supported or isolated they felt in general
  • how confident they felt about themselves

Having acne didn’t impact on school life for everyone. Molly has always felt confident about herself and no one mentioned it at school. Alexandra was always firm that she wanted to enjoy school and not let acne get in the way of this.

When Abbie started sixth form, her acne was clearing up and she had a nice group of friends who accepted her as she was.

Age at interview 17

Gender Female

Age at diagnosis 13

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But for many people going through school, college or university life with acne was a difficult time in their lives.

When Naomi was in primary school, no one else had acne. A cream she was prescribed didn’t work and she couldn’t cover her acne up.

Age at interview 22

Gender Female

Age at diagnosis 9

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Bullying and education about acne in schools and colleges

Most people started getting acne as they moved into secondary school and many felt that there was then increased peer pressure on them to cover up or find a remedy for their acne. Image consciousness seemed more important, and quite a few people felt singled out or bullied because of their acne.

People often had to cope on their own when others made hurtful comments or asked questions. Emma felt ‘isolated’ when she had acne at the age of 11 and had started at a secondary school where no one else had it. She found that ‘children can be a bit sort of mean about it’ and she became quite shy.

Devan remembers verbal bullying at school and a teacher pointing out his acne to other pupils. He has since set up a website to inform teachers and parents about bullying.

Age at interview 18

Gender Male

Age at diagnosis 13

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Rebecca started to feel more self-conscious about her skin during secondary school.

Age at interview 18

Gender Female

Age at diagnosis 12

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Some gave ideas about how schools could do more to educate young people as well as teachers (such as about causes and triggers) to support pupils with acne.

Because young children often think acne is related to poor hygiene, Emma suggests that information about the causes of acne should be part of the PSHE classes.

Age at interview 20

Gender Female

Age at diagnosis 10

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Ollie suggests doing an assembly or workshop to support children in school with acne.

Age at interview 16

Gender Male

Age at diagnosis 13

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In Nina’s school, they learnt about the causes of acne and she thinks this helped a lot. She was never bullied at school.

Age at interview 20

Gender Female

Age at diagnosis 12

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Participating in school and doing exams

Acne could disrupt school life and meant that people either missed lessons or were not able to perform in the same way as other pupils. People could be more self-conscious during certain lessons, like PE, if they were worried about other people seeing their acne or scarring. Devan wore his PE kit under his school clothes so that he could change without others seeing the acne on his back. A few people had to miss lessons to see their dermatologist or because they didn’t want to go to school or college.

Chris describes a day when he didn’t feel like going into college because of his acne.

Age at interview 20

Gender Male

Age at diagnosis 17

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Feeling self-conscious could affect how people participated in classes and exams. The stress of doing exams along with poor diet (‘comfort eating’) and missed skincare regimes meant acne was more severe for some near to exam time. Ollie felt his acne affected his confidence and that impacted on his performance in exams.

Harriet recalls teachers commenting that she didn’t contribute much in lessons and thinks that acne partly contributed towards her shyness at school.

Age at interview 21

Gender Female

Age at diagnosis 12

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Having certain treatments for acne, could in turn add to that stress. Rachael was sitting A-level exams when she was on isotretinoin and says she wasn’t her usual self. She thinks the drug contributed to her ‘not coping’ and crying a lot. Naomi explains how the check-ups associated with taking isotretinoin were time consuming and she found it a ‘traumatic time’ whilst taking the medicine.

The pressure of exams, plus having acne and going through different treatments, was all quite stressful for Abbie.

Age at interview 17

Gender Female

Age at diagnosis 13

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University life with acne

Starting university was a big change for some people. For most it meant moving away from their family home and this had practical challenges as well as worries about meeting new people. Living in student accommodation could mean sharing a bathroom with many other students, so that daily skincare routines had to be timed around other people and commitments like lectures.

Some found that university life included more opportunities for socialising with a wide range of people. Some found this difficult. Chris thinks the new opportunities to socialise and make new friends are the hardest things about starting university because this can make you feel more self-conscious. This wasn’t the case for everyone though.

Rachael feels less self-conscious at university because people are less cliquey.

Age at interview 18

Gender Female

Age at diagnosis 16

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Hester describes how she became more relaxed about not covering up her acne at university.

Age at interview 21

Gender Female

Age at diagnosis 15

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Going out in the evenings with friends often meant drinking alcohol and some people talked about the challenges of having to reduce their alcohol intake because of their acne or certain medications (like istotretinoin) they took for it.

Work life and acne

Most people we spoke to had some experience of work. This includes as an intern, volunteer, part-time employee or working in the holidays, and a...