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Prevalence of and Coping Patterns for Allergic Diseases in Preschool and School-age Children in Nam-gu, Ulsan

울산광역시 남구 지역의 미취학 및 학령기 아동의 알레르기질환 유병률 및 대처 양상

  • Im, Dasom (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Pyo, Jeehee (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan Metropolitan City Public Health Policy's Institute,) ;
  • Ock, Minsu (Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan Metropolitan City Public Health Policy's Institute)
  • 임다솜 (울산대학교 의과대학 울산대학교병원 예방의학과) ;
  • 표지희 (울산대학교 의과대학 울산대학교병원 예방의학과.울산광역시 공공보건의료지원단) ;
  • 옥민수 (울산대학교 의과대학 울산대학교병원 예방의학과.울산광역시 공공보건의료지원단)
  • Received : 2021.07.19
  • Accepted : 2021.09.03
  • Published : 2021.12.31

Abstract

Purpose: The epidemiologic understanding of allergic diseases, including prevalence and risk factors, is needed for allergy management. This study identified the prevalence of and coping patterns for various types of allergies, such as asthma, allergic rhinitis (AR), atopic dermatitis (AD), allergic conjunctivitis (AC), food allergy (FA), and drug allergy (DA), in Nam-gu, Ulsan, one of the most industrialized districts in Korea. Methods: A cross-sectional study was performed using a self-report multiple choice questionnaire. The International Study of Asthma and Allergies in Childhood (ISAAC) and other measures were reviewed to develop the questionnaire. Data was collected from May 9th to November 30th of 2018. Descriptive and frequency analyses were performed to apprehend the prevalence of symptoms, diagnostic rates, diagnosis dates, treatment history, and others. Results: By randomized sampling, 9,102 children from 25 nurseries, 25 kindergartens, and 15 elementary schools participated in the study. The prevalence of asthma, AR, AD, AC, FA, and DA were 11.1%, 48.7%, 15.5%, 17.6%, 15.1%, and 2.0%, respectively. The respective rate of ever being diagnosed with asthma, AR, AD, AC, FA, and DA were 4.2%, 38.4%, 25.5%, 23.3%, 9.7%, and 1.1%, respectively. Last year's allergy related school absenteeism rates were 10.8%, 4.1%, and 1.3% for asthma, AR, and AD, respectively. Lastly, 59.2% of the participants considered air pollution as the most challenging factor in allergy management. Conclusion: This study comprehensively investigated the current state of various allergic diseases in Nam-gu, Ulsan. The study's findings are expected to be applied to strategies for decreasing the socioeconomic burden of allergic diseases.

Keywords

References

  1. Tao A, Raz E. Allergy Bioinformatics. Netherlands: Springer; 2015.
  2. Seite S, Kuo AM-S, Taieb C, Strugar TL, Lio P. Self-reported prevalence of allergies in the USA and impact on skin-an epidemiological study on a representative sample of american adults. International Journal of Environmental Research and Public Health. 2020;17(10):3360. https://doi.org/10.3390/ijerph17103360
  3. Eder W, Ege MJ, von Mutius E. The asthma epidemic. The New England Journal of Medicine. 2006;355(21):2226-2235. https://doi.org/10.1056/NEJMra054308
  4. Wong GWK, Li Jing, Bao Y-X, Wang J-Y, Leung TF, Li L-L, et al. Pediatric allergy and immunology in China. Pediatric Allergy and Immunology. 2018;29(2):127-132. https://doi.org/10.1111/pai.12819
  5. Panjari M, Koplin JJ, Dharmae SC, Peters RL, Gurrin LC, Sawyer SM, et al. Nut allergy prevalence and differences between Asian-born children and Australian-born children of Asian descent: a state-wide survey of children at primary school entry in Victoria, Australia. Clinical Experimental Allergy. 2016;46(4):602-609. https://doi.org/10.1111/cea.12699
  6. Prescott S, Allen KJ. Food allergy: riding the second wave of the allergy epidemic. Pediatric Allergy and Immunology. 2011;22(2):155-160. https://doi.org/10.1111/j.1399-3038.2011.01145.x
  7. Abuabara K, Yu AM, Okhovat J-P, Allen IE, Langan SM. The prevalence of atopic dermatitis beyond childhood: a systematic review and meta-analysis of longitudinal studies. Allergy. 2018;73(3):696-704. https://doi.org/10.1111/all.13320
  8. Vakharia PP, Silvergerg JI. Adult-onset atopic dermatitis: characteristics and management. American Journal of Clinical Dermatology. 2019;20(6):771-779. https://doi.org/10.1007/s40257-019-00453-7
  9. Fuxench ZC, Block JK, Boguniewicz M, Boyle J, Fonacier L, Gelfand JM, et al. Atopic dermatitis in America study: a cross-sectional study examining the prevalence and disease burden of atopic dermatitis in the US adult population. Journal of Investigative Dermatology. 2019;139(3):583-590. https://doi.org/10.1016/j.jid.2018.08.028
  10. Lee HS, Hong SC, Kim JH, Kim JW, Lee KH, Lee JC, et al. A cross-sectional epidemiological study on trends in the prevalence of allergic diseases among children and adolescents in the Jeju area in 2008 and 2013. Journal of Korean Academy of Community Health Nursing. 2015;26(2):160-168. https://doi.org/10.12799/jkachn.2015.26.2.160
  11. Kim JY, Han YJ, Lee JS, Lee JH, Jo SH, Kim SH, et al. Evaluation of a possible association between allergic rhinitis and depression, suicidal ideation, and suicide attempts among adolescents based on a nationwide cross-sectional study. International Journal of Pediatric Otorhinolaryngology. 2020;134:110070. https://doi.org/10.1016/j.ijporl.2020.110070
  12. Lee E, Kim A, Ye YM, Choi SE, Park HS. Increasing prevalence and mortality of asthma with age in Korea, 2002-2015: a nationwide, population-based study. Allergy, Asthma Immunology Reserach. 2020;12(3):467-484. https://doi.org/10.4168/aair.2020.12.3.467
  13. Kim B-K, Kim J-Y, Kang M-K, Yang M-S, Park H-W, Min K-U, et al. Allergies are still on the rise? a 6-year nationwide population -based study in Korea. Allergology International. 2016;65(2):186-191. https://doi.org/10.1016/j.alit.2015.11.002
  14. Lee E, Jeong K, Shin YS, Nam D-H, Park H-S, Choi H-N, et al. Causes of food allergy according to age and severity: a recent 10-year retrospective study from a single tertiary hospital. Allergy Asthma & Respiratory Disease. 2020;8(2):80-88. https://doi.org/10.4168/aard.2020.8.2.80
  15. Loh W, Tang MLK. The epidemiology of food allergy in the global context. International Journal of Environmental Research and Public Health. 2018;15(9):2043. https://doi.org/10.3390/ijerph15092043
  16. Hossny E, Ebisawa M, El-Gamal Y, Arasi S, Dahdah L, El-Owaidy R, et al. Challenges of managing food allergy in the developing world. World Allergy Organization Journal. 2019;12(11):100089. https://doi.org/10.1016/j.waojou.2019.100089
  17. Yoo I, Kim D. Mothers' experiences of parenting of a child with atopic dermatitis. Journal of the Korean Society of Maternal and Child Health. 2006;10(2):169-179. https://doi.org/10.1007/s10995-006-0095-x
  18. Lee E, Lee S-Y, Yang H-J, Hong S-J. Epidemiology of allergic diseases in Korean Children. Allergy Asthma & Respiratory Disease. 2018;6(Suppl 1):S9-S20. https://doi.org/10.4168/aard.2018.6.S1.S9
  19. Korea Disease Control and Prevention Agency. 2017 Community health promotion project guide, atopic dermatitis and asthma prevention and management. Osong: Korea Disease Control and Prevention Agency; 2017. p. 34-55.
  20. Suh M, Kim HH, Sohn MH, Kim KE, Kim C, Shin DC. Prevalence of allergic diseases among Korean school-age children: a nationwide cross-sectional questionnaire study. Journal of Korean Medical Science. 2011;26(3):332-8. https://doi.org/10.3346/jkms.2011.26.3.332
  21. Yang L, Fu J, Zhou Y. Research progress in atopic march. Frontiers in Immunology. 2020;11:1907. https://doi.org/10.3389/fimmu.2020.01907
  22. Szefler SJ, Cloutier MM, Villarreal M, Hollenbach JP, Gleason M, Haas-Howard C, et al. Building bridges for asthma care: reducing school absence for inner-city children with health disparities. The Journal of Allergy and Clinical Immunology. 2019; 143(2):746-754.e2. https://doi.org/10.1016/j.jaci.2018.05.041
  23. Ibrahim NK, Alhainiah M, Khayat M, Abulaban O, Almaghrabi S, Felmban O. Quality of life of asthmatic children and their caregivers. Pakistan Journal of Medical Sciences. 2019;35(2):521-526. https://doi.org/10.12669/pjms.35.2.686
  24. Kim E. The relationship between particulate matter and allergic disease among adolescents. Journal of the Korean Society of School Health. 2020;33(3):148-155. https://doi.org/10.15434/KSSH.2020.33.3.148
  25. Kim HO. The effect of adolescent health behavior on the prevalence of allergic diseases based on the 15th (2019) Korea youth risk behavior web-based survey. Journal of the Korean Society of School Health. 2020;33(2):125-138. https://doi.org/10.15434/KSSH.2020.33.2.125
  26. Lee JT, Cho YS, Son JY, Lee JW, Lee SJ, Chung YH, et al. A study of monitoring method on exposure level and biomarkers of environmental pollutants -focused on Ulsan industrial complex area-. Journal of Environmental Health Sciences. 2008;34(3):188-198. https://doi.org/10.5668/JEHS.2008.34.3.188
  27. Han SJ, Chung WK, Koo DW. 2008 Ulsan academic research project "Environmental issues and environmental movements in Ulsan". Ulsan: Ulsan Research Institute; 2008. p. 60-62.
  28. Lee YM. Advanced course: allergy. How do I provide primary care as an allergist? Spring Conference; 2016 April 23; Busan Bexco Convention Hall. Seoul: The Korean Association of Internal Medicine; 2016. p. 218-220.
  29. Baek KS, Lee JW. A study on the knowledge level and educational demand about pediatric asthma of mothers of children with asthma. The Journal of Korean Academic Society of Nursing Education. 2005;11(2):252-259.
  30. Morrison AK, Glick A, Yin HS. Health literacy: implications for child health. Pediatrics in Review. 2019;40(6):263-277. https://doi.org/10.1542/pir.2018-0027