DOI QR코드

DOI QR Code

Prevalence Rate and Indoor Risk Factors for Atopic Dermatitis in the School Aged Children in Changwon

학령기 아동의 아토피 피부염 유병률과 교실 실내 환경 위험요인에 관한 연구 -통합창원시 지역을 중심으로-

  • Received : 2013.08.09
  • Accepted : 2013.09.15
  • Published : 2013.09.30

Abstract

The purpose of this study was to investigate the prevalence rate of atopic dermatitis (AD) and indoor risk factors of AD in school-aged children living in Changwon, which is one of the largest industrial cities in Korean. Data were collected from 2,118 children in 12 elementary schools in Changwon city. A cross-sectional questionnaire based on the Korean Version of the ISAAC (International Study of Allergy and Asthma in Childhood) was employed to survey the $1^{st}$ and $4^{th}$ year elementary students from the 12 elementary schools in Changwon. The life time and last 12-month prevalence of itchy eczema were 20.6%; 70.5% in the elementary children. The life time and last 12-month prevalence of AD diagnosis were 28.8%; 12.6% in the elementary children. There was only one elementary school that was abnormal in the levels of particulate matters (PM), and $Co_2$. Multivariate logistic regression analysis revealed that risk factors for AD were BMI, the levels of PM, $Co_2$, CO, $No_2$, $O_3$, Ethylebenzene, and Xylene. This study could be used to manage possible risk factors that are related to the prevalence of AD and develop the strategies for prevention of AD.

Keywords

References

  1. Charman CR, Williams HC(2003) The use of corticosteroid and corticosteroid phobia in atopic dermatitis. Clin in Dermatol 21(3), 193-200 https://doi.org/10.1016/S0738-081X(02)00368-1
  2. Hong SJ, Ahn KM, Lee SY, Kim KE(2008) The prevalences of asthma and allergic diseases in Korea children. Pediatr Allergy Respir Dis 18, 15-25
  3. Hong SL, Lee MS, Sohn MH, Shim JY, Han YS, Park KS, Ahn YM, Son BK, Lee HB, The Korean ISAAC Study Group(2004) Self-reported prevalence and risk factors of asthma among Korean adolescents 5-year follow-up study 1995-2000. Clin Exp Allergy 34(10), 1556-1562 https://doi.org/10.1111/j.1365-2222.2004.02084.x
  4. Horii KA, Simon SD, Liu DY, Sharma V(2007) Atopic dermatitis in children in the United States, 1997-2004: visit trends, patient and provider characteristics, and prescribing patterns. Pediatr 120(3), e527-534 https://doi.org/10.1542/peds.2007-0289
  5. Howlett S(1999) Emotional dysfunction child-family relationships and childhood atopic dermatitis. Br J Dermatol 140(38), 381-384 https://doi.org/10.1046/j.1365-2133.1999.02696.x
  6. Kay J, Gawkrodger DJ, Mortimer MJ, Jaron AG(1994) The prevalence of childhood atopic eczema in a general population. J Am Acad Dermatol 30, 35-39 https://doi.org/10.1016/S0190-9622(94)70004-4
  7. Korean Ministry of Health and Welfare(2011) The statistics of Korean health status. Available from http://kostat.go.kr [cited 2012 July 18]
  8. Kwon HJ, Kim YJ, Park SB, Yu DS, Kim JW(2006) Study of atopic dermatitis information on the internet in Korea. Korean J Dermatol 44, 137-140
  9. Lapidus CS, Kerr PE(2001) Social impact of atopic dermatitis. Med Health 84(9), 294-295
  10. Lee CH(2011) Analysis on correlation between exposure to indoor Air pollutants and allergic diseases of elementary school students in Ulsan Korea. Master's Thesis, Ulsan University
  11. Lee HS, Kim JS, Pyun BY(2002) Changes of the prevalence and the allergens of atopic dermatitis in children from 1992 to 2002. Pediatr Allergy Respir Dis Korea 12(4), 263-270
  12. Lee JH, Kim KH, Kim MN, Kim JW, Ro YS, Park YL, Park CW, Lee KH, Lee AY, Cho SH, Choi JH(2006) Report from ADRG The guideline of Korean atopic dermatitis. Korean J Dermatol 44, 907-913
  13. Lee JK, Lee HS, Ha JS, Park DJ, Paik DH, Ha KC(2009) Prevalence rate and etiologic risk factors of atopic dermatitis in the preschool children in Changwon. J Env Hlth Sci 35(3), 169-177 https://doi.org/10.5668/JEHS.2009.35.3.169
  14. Lee SI, Shin MH, Lee HB, Lee JS, Son BK, Koh YY, Kim KE, Ahn YO(2001) Prevalence of symptoms of asthma and other allergic diseases in Korean children a nationwide questionnaire survey. J Korean Med Sci 16(2), 155-164 https://doi.org/10.3346/jkms.2001.16.2.155
  15. Lee YM, Hwang SW(2008) Prevalence and risk factors of atopic dermatitis in pre-school and school aged childrend. J Korean Acad Child Health Nurs 14(3), 285-294
  16. Lewis SA, Britton JR(1998) Consistent effect of high socioeconomic status and low birth order and the modifying effect of maternal smoking on the risk of allergic disease during childhood. Respir Med 92(10), 1237-1244 https://doi.org/10.1016/S0954-6111(98)90427-9
  17. Lewis-Jones MS, Finlay AY(1995) The children's dermatology life quality index initial validation and practical use. Br J Dermatol 132(6), 942-949
  18. Magin PJ, Adams J, Heading GS, Pond DC, Smith W(2006) Complementary and alternative medicine therapies in acne psoriasis and atopic eczema Results of a qualitative study of patients'e experiences and perceptions. J Altern Complement Med 12, 451-457 https://doi.org/10.1089/acm.2006.12.451
  19. Marks R, Kilkenny M, Plunkett A, Merlin K(1999) The prevalence of common skin conditions in Australian school students. Br J Dermatol 140(3), 468-473 https://doi.org/10.1046/j.1365-2133.1999.02711.x
  20. Michael JB, Susanne F(2000) Adult-onset atopic dermatitis. Aust J Dermatol 41(4), 225-228 https://doi.org/10.1046/j.1440-0960.2000.00442.x
  21. Mitchell T, Paige D, Spowart K(1998) Eczema and your child: A parent's guide. Class publishing: London
  22. National Institute for Health and Clinical Excellence (2007) Atopic eczema in children: Management of atopic eczema in children from birth up to the age of 12 Years. Clinical Guideline No. 57, NICE: London
  23. Oh JW, Kim KE, Pyun BY, Lee HR, Choung JT, Hong SJ, Park KS, Lee SY, Song SW, Kim CH, Ahn KM, Nam SY, Shon MH, Kim WK, Lee MH, Kwon BC, Choi SY, Lee SY, Lee HB, Lee SI, Lee JS(2003) Nationwide study for epidemiological change of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea.
  24. Pediatr Allergy Respir Dis Korea 13(4), 227-237 Purvis DJ, Thompson JM, Clark PM, Robinson E, Black PN, Wild CJ(2005) Risk factors for atopic dermatitis in New Zealand children at 3.5 years of age. Br J Dermatol 152(4), 742-749 https://doi.org/10.1111/j.1365-2133.2005.06540.x
  25. Robinson J(2011) Assessment and management of atopic eczema in children. Nug Stand 26(1), 48-56
  26. Stone KD(2002) Atopic diseases of childhood. Curr Opin Pediatr 14(5), 634-646 https://doi.org/10.1097/00008480-200210000-00012
  27. Tay YK, Kong KH, Khoo L, Goh GL, Giam YC(2002) The prevalence and descriptive epidemiology of atopic dermatitis in Singapore school children. Br J Dermatol 146(1), 101-106 https://doi.org/10.1046/j.1365-2133.2002.04566.x
  28. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Commitee(1998) Worldwide variation in prevalence of symptoms of asthma, allergic rhino-conjunctivitis, and atopic eczema: ISAAC. Lancet 351(9111), 1225-1232 https://doi.org/10.1016/S0140-6736(97)07302-9
  29. The Korean ISAAC Study Group(2004) Self-reported prevalence and risk factors of asthma among Korean adolescents 5-year follow-up study 1995-2000. Clin Exp Allergy 34(10), 1556-1562 https://doi.org/10.1111/j.1365-2222.2004.02084.x

Cited by

  1. The Effects of a School-Based Atopy Care Program for School-Aged Children vol.37, pp.8, 2015, https://doi.org/10.1177/0193945914539737
  2. Time trends of the prevalence of allergic diseases in Korea: A systematic literature review vol.8, pp.1, 2018, https://doi.org/10.5415/apallergy.2018.8.e8
  3. Occurrence and distribution of indoor volatile organic compounds in residential spaces by sampling methods vol.17, pp.4, 2018, https://doi.org/10.15250/joie.2018.17.4.362
  4. 2013-2017 국민건강영양조사 자료에 근거한 미세먼지 오염도가 높은 지역의 40세 이상 성인남성의 식생활과 건강관련 특성 및 질환 상관성 분석 vol.35, pp.4, 2013, https://doi.org/10.7318/kjfc/2020.35.4.363