Child Health Nursing Research

  • 제18권3호
  • /
  • Pages.143-149
  • /
  • 2012
  • /
  • 2287-9110(pISSN)
  • /
  • 2287-9129(eISSN)
한국아동간호학회 (Korean Academy of Child Health Nursing)
권호 표지
DOI QR코드

DOI QR Code

청소년 대상의 건강상태, 생활습관과 아토피 피부염의 관계

Relationship between Health Status and Life Styles and Atopic Dermatitis in Adolescents

  • 소은선 (수원여자대학교 간호과) ;
  • 여지영 (수원여자대학교 간호과)
  • So, Eun-Sun (Department of Nursing, Suwon Women's College) ;
  • Yeo, Ji-Young (Department of Nursing, Suwon Women's College)
  • 투고 : 2012.05.16
  • 심사 : 2012.07.06
  • 발행 : 2012.07.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim was to explore the relationship between health status/life style and prevalence of atopic dermatitis in adolescents. Methods: Data from 1,743 adolescents (aged 13 to 18 years) derived from the fourth Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed using binary logistic regression and the classification and regression tree (CART) model. Results: The prevalence rate of atopic dermatitis was 10.3%. Third quartile income class (OR=2.19, 95% CI=1.20-4.00), fair and unhealthy self-rated health (OR=1.49, 95% CI=1.06-2.11; OR= 2.73, 95% CI=1.64-4.55), past or current smoker (OR=0.41, 95% CI=0.20-0.85; OR=0.44, 95% CI=0.21-0.92), and more than average stress (OR=1.43, 95% CI=1.03-1.99) were related with increased prevalence of atopic dermatitis. The high prevalence risk groups for atopic dermatitis were adolescents who perceived themselves to be healthy on self-rated health and had more than average stress and those who perceived themselves to be unhealthy and who never smoked. Conclusion: The results of the study indicate that health status, smoking, and stress are associated with a prevalence risk for adolescent atopic dermatitis in different degrees. Therefore, for control of atopic dermatitis, various interventions for smoking and stress need to be reinforced for the high prevalence atopic dermatitis groups.

키워드

참고문헌

  1. Ahn, K. M., Kim, J. H., Kwon, H. J., Chae, Y. M., Hahm, M. I., Lee, K. J., et al. (2011). The prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in Korean children: Nationwide cross-sectional survey using complex sampling design. Journal of Korean Medical Association, 54, 769-778. https://doi.org/10.5124/jkma.2011.54.7.769
  2. Al-Sahab, B., Atoui, M., Musharrafieh, U., Zaitoun, F., Ramadan, F., & Tamim, H. (2008). Epidemiology of eczema among Lebanese adolescents. International Journal of Public Health, 53, 260-267. https://doi.org/10.1007/s00038-008-7085-2
  3. Ball, J. W., Bindler, R. C., & Cowen, K. J. (2010). Child Health Nursing: Partnering with Children and Families (2nd ed.). Upper Saddle River, NJ: Prentice Hall.
  4. Carr, J. D. (2009). Evidence-based management of childhood atopic eczema. British Journal of Nursing, 18, 603-610. https://doi.org/10.12968/bjon.2009.18.10.42465
  5. Carroll, C. L., Balkrishnan, R., Feldman, S. R., Fleischer, A. B., & Manuel, J. C. (2005). The burden of atopic dermatitis: Impact on the patient, family, and society. Pediatric Dermatology, 22, 192-199. https://doi.org/10.1111/j.1525-1470.2005.22303.x
  6. Chida, Y., Hamer, M., & Steptoe, A. (2008). A bidirectional relationship between psychosocial factors and atopic disorders: a systematic review and meta-analysis. Psychosomatic Medicine, 70, 102-116. https://doi.org/10.1097/PSY.0b013e31815c1b71
  7. Halbert, A. R., Weston, W. L., & Morelli, J. G. (1995). Atopic dermatitis: Is it an allergic disease? Journal of the American Academy of Dermatology, 33, 1008-1018. https://doi.org/10.1016/0190-9622(95)90295-3
  8. Hjern, A., Hedberg, A., Hagrund, B., & Rosen, M. (2001). Does tobacco smoke prevent atopic disorders? A study of two generations of Swedish residents. Clinical and Experimental Allergy, 31, 908-914. https://doi.org/10.1046/j.1365-2222.2001.01096.x
  9. Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38(1), 21-37. https://doi.org/10.2307/2955359
  10. Jang, H. J., & Shin, Y. H. (2002). The correlational analysis between perceived health status, self-esteem, and self-care agencies among adolescents. Journal of Korean Academy of Nursing, 32, 186-195. https://doi.org/10.4040/jkan.2002.32.2.186
  11. Kim, D. H. (2010). Factors associated with behavioral problems in children with atopic dermatitis. Journal of the Korean Society of Maternal and Child Health, 14, 206-214. https://doi.org/10.21896/jksmch.2010.14.2.206
  12. Kim, J. W. (2003). Allergic and immunological aspect of atopic dermatitis. Korean Journal of Dermatology, 41, 687-689.
  13. Kim, J. W., Park, C. W., Kim, T. Y., & Kim, H. O. (1984). A study on the influence of serum IgE level on T cell function in atopic dermatitis. The Korean Journal of Dermatology, 22, 593-599.
  14. Kim, S. G. (1998). A study on cell immunity in VT-trainees by skin test. Korean Journal of Physical Education, 37, 190-200.
  15. Kim, S. J., Lee, J. E., Ahn, H. Y., Baek, S. S., Yun, H. Y., Jeong, S. Y., et al. (2002). Elementary school children's lifestyle. Korean Journal of Child Health Nursing, 8(1), 32-43.
  16. King, R. M., & Wilson, G. V. (1991). Use of a diary technique to investigate psychosomatic relations in atopic dermatitis. Journal of Psychosomatic Research, 35, 697-706. https://doi.org/10.1016/0022-3999(91)90120-D
  17. Lee, H. S., Kim, J. S., & Pyun, B. Y. (2002). Changes of the prevalence and the allergens of atopic dermatitis in children. Pediatric Allergy and Respiratory Disease, 12, 263-270.
  18. Lee, Y. M., & Hwang, S. O. (2008). Prevalence and risk factors for atopic dermatitis in pre-school and school aged children. Journal of Korean Academy of Child Health Nursing, 14, 285-294.
  19. Linneberg, A., Hertzum, I., Husemoen, L. L., Johansen, N., & Jorgensen, T. (2006). Association between alcohol consumption and aeroallergen sensitization in Danish adults. Clinical and Experimental Allergy, 36, 714-721. https://doi.org/10.1111/j.1365-2222.2006.02507.x
  20. McNally, N. J., Phillips, D. R., & Wiliams, H. C. (1998). The problem of atopic eczema: Aetiological clues from the environment and lifestyles. Social Science & Medicine, 46, 729-741. https://doi.org/10.1016/S0277-9536(97)00174-3
  21. Nolte, H., Backer, V., & Porsbjerg, C. (2001). Environmental factors as a cause for the increase in allergic disease. Annals of Allergy, Asthma, & Immunology, 87, 7-11. https://doi.org/10.1016/S1081-1206(10)62333-2
  22. Peate, I. (2011). Eczema: Causes, symptoms and treatment in the community. British Journal of Community Nursing, 16, 324-331. https://doi.org/10.12968/bjcn.2011.16.7.324
  23. Reuveni, H., Chapnick, G., Tal, A., & Tarasiuk, A. (1999). Sleep fragmentation in children with atopic dermatitis. Archives of Pediatrics & Adolescent Medicine, 153, 249-253. https://doi.org/10.1001/archpedi.153.3.249
  24. Segerstrom, S. C., & Miller, G. E. (2004). Psychological stress and the human immune system: A meta-Analytic study of 30 years of inquiry. Psychological Bulletin, 130, 601-630. https://doi.org/10.1037/0033-2909.130.4.601
  25. Sherrill, D. L., Halonen, M., & Burrows, B. (1994). Relationships between total serum IgE, atopy, and smoking: A twenty-year follow-up analysis. Journal of Allergy and Clinical Immunology, 94, 954-962. https://doi.org/10.1016/0091-6749(94)90113-9
  26. Shirakawa, T., & Morimoto, K. (1991). Lifestyle effect on total IgE. Allergy, 46, 561-569. https://doi.org/10.1111/j.1398-9995.1991.tb00624.x
  27. Wilson, K. M., & Weis, E. (2011). The epidemiology and health effects of tobacco smoke exposure. Current Pediatric Reviews, 7(2), 76-80. https://doi.org/10.2174/157339611795735594
  28. Yoon, S. P., Kim, B. S., Ree, J. H., Lee, S. C., & Kim, Y. K. (1999). The environment and lifestyles of atopic dermatitis patients. The Korean Journal of Dermatology, 37, 983-991.
  29. Yura, A., & Shimizu, T. (2001). Trends in the prevalence of atopic dermatitis in school children: longitudinal study in Osaka Prefecture, Japan, from 1985 to 1997. British Journal of Dermatology, 145, 966-973. https://doi.org/10.1046/j.1365-2133.2001.04506.x

피인용 문헌

  1. Latent Mean Analysis of Health Behavior between Adolescents with a Health Problem and Those without: Using the 2009 Korean Youth Health Behavior Survey vol.24, pp.4, 2012, https://doi.org/10.12799/jkachn.2013.24.4.488
  2. 캠프 형식의 입원 치료를 받은 소아 아토피피부염 환자 6례 vol.28, pp.2, 2012, https://doi.org/10.7778/jpkm.2014.28.2.040
  3. 어린이용품에 함유된 휘발성유기화합물의 비발암 위해성평가 vol.40, pp.3, 2012, https://doi.org/10.5668/jehs.2014.40.3.178
  4. 캠프 형식의 입원 치료를 받은 여중생 아토피피부염 환자 6례 vol.27, pp.4, 2012, https://doi.org/10.7730/jscm.2015.27.4.404
  5. 청소년 알레르기 질환 유병률과 관련 요인 -2013년 청소년 건강행태 온라인조사 활용 vol.27, pp.1, 2012, https://doi.org/10.7465/jkdi.2016.27.1.155
  6. 다문화가정 청소년의 건강행태에 따른 알레르기질환 유병률 연구 - 질병관리본부 제10차(2014년) 청소년건강행태온라인조사 - vol.29, pp.2, 2012, https://doi.org/10.19031/jkheea.2017.06.29.2.41
  7. 성별에 따른 한국 청소년의 아토피 피부염 심각성과 영향요인 vol.30, pp.2, 2017, https://doi.org/10.15434/kssh.2017.30.2.164
  8. Assessment of relationship between the use of household products and atopic dermatitis in Seoul: focused on products with associated risks vol.34, pp.2, 2019, https://doi.org/10.5620/eht.e2019006
  9. 개인 건강 기록을 통한 아토피 피부염 환자의 사상체질 특성에 관한 연구 vol.31, pp.4, 2012, https://doi.org/10.7730/jscm.2019.31.4.41
  10. 청소년 알레르기질환과 미세먼지의 관련성 vol.33, pp.3, 2012, https://doi.org/10.15434/kssh.2020.33.3.148