Browse > Article
http://dx.doi.org/10.3961/jpmph.2012.45.6.374

The Relationship Between Psychosocial Stress and Allergic Disease Among Children and Adolescents in Gwangyang Bay, Korea  

Lee, Mee-Ri (Department of Preventive Medicine & Institute of Environmental and Occupational Medicine, Soonchunhyang University College of Medicine)
Son, Bu-Soon (Department of Environmental Health Science, Soonchunhyang University)
Park, Yoo-Ri (Department of Preventive Medicine & Institute of Environmental and Occupational Medicine, Soonchunhyang University College of Medicine)
Kim, Hye-Mi (Department of Preventive Medicine & Institute of Environmental and Occupational Medicine, Soonchunhyang University College of Medicine)
Moon, Jong-Youn (Department of Preventive Medicine & Institute of Environmental and Occupational Medicine, Soonchunhyang University College of Medicine)
Lee, Yong-Jin (Department of Occupational and Environment Medicine, Soonchunhyang University College of Medicine)
Kim, Yong-Bae (Department of Preventive Medicine & Institute of Environmental and Occupational Medicine, Soonchunhyang University College of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.45, no.6, 2012 , pp. 374-380 More about this Journal
Abstract
Objectives: Stress is considered a causal factor in many diseases, allergic disease being one of them. The prevalence of allergic disease is increasing in Korea, but the relationship between allergic symptoms and stress is not empirically well known. We aimed to evaluate the relationship between allergy-related symptoms and stress in children and adolescents. Methods: We investigated 698 children and adolescents living in Gwangyang Bay, Korea, using a multi-stage cluster sampling method. Using the International Study of Asthma and Allergies in Childhood and the Psychosocial Well-being Index, these subjects were surveyed on allergy-related symptoms and psychosocial stressors in their lives, respectively. We used a multivariate logistic analysis for odds ratios for the complaint rate of allergic symptoms, after adjusting for age, gender, household income, body mass index, and residence. Results: After adjustments, lifetime rhinitis (odds ratio [OR], 1.024), rhinoconjunctivitis (OR, 1.090), diagnosis of itchy eczema (OR, 1.040), treatment of itchy eczema (OR, 1.049), 12-month allergic conjunctivitis (OR, 1.026), diagnosis of allergic conjunctivitis (OR, 1.031), and treatment of allergic conjunctivitis (OR, 1.034) were found to be significantly associated with stress. Conclusions: Our results support the notion that there is a relationship between stress and allergic symptoms in children and adolescents. Further research into any causal relationship between stress and allergies, as well as preventative public health plans for decreasing stress in children and adolescents are needed.
Keywords
Psychological stress; Asthma; Rhinitis; Atopic dermatitis; Allergic conjunctivitis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kay AB. Overview of allergy and allergic diseases: with a view to the future. Br Med Bull 2000;56(4):843-864.
2 Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet 1998;351(9111):1225-1232.
3 Pearce N, Aït-Khaled N, Beasley R, Mallol J, Keil U, Mitchell E, et al. Worldwide trends in the prevalence of asthma symptoms:phase III of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax 2007;62(9):758-766.
4 Ahn K, Kim J, Kwon HJ, Chae Y, Hahm MI, Lee KJ, et al. The prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in Korean children: nationwide cross-sectional survey using complex sampling design. J Korean Med Assoc 2011;54(7):769-778 (Korean).
5 Sandberg S, Paton JY, Ahola S, McCann DC, McGuinness D, Hillary CR, et al. The role of acute and chronic stress in asthma attacks in children. Lancet 2000;356(9234):982-987.
6 Wright RJ, Rodriguez M, Cohen S. Review of psychosocial stress and asthma: an integrated biopsychosocial approach. Thorax 1998;53(12):1066-1074.
7 Wright RJ, Cohen RT, Cohen S. The impact of stress on the development and expression of atopy. Curr Opin Allergy Clin Immunol 2005;5(1):23-29.
8 Tibosch MM, Verhaak CM, Merkus PJ. Psychological characteristics associated with the onset and course of asthma in children and adolescents: a systematic review of longitudinal effects. Patient Educ Couns 2011;82(1):11-19.
9 The Korean Society for Preventive Medicine. Health statistics for data collection and standardization of measurement. Seoul: Gyechuk; 2000, p. 92-142 (Korean).
10 Chang SJ, Cha BS, Koh SB, Kang MG, Koh SR, Park JK. Association between job characteristics and psychosocial distress of industrial workers. Korean J Prev Med 1997;30(1):129-144 (Korean).
11 Holguin F, Bleecker ER, Busse WW, Calhoun WJ, Castro M, Erzurum SC, et al. Obesity and asthma: an association modified by age of asthma onset. J Allergy Clin Immunol 2011;127(6): 1486.e2-1493.e2.
12 Stingone JA, Ramirez OF, Svensson K, Claudio L. Prevalence, demographics, and health outcomes of comorbid asthma and overweight in urban children. J Asthma 2011;48(9):876-885.
13 Crighton EJ, Wilson K, Senecal S. The relationship between socio-economic and geographic factors and asthma among Canada's Aboriginal populations. Int J Circumpolar Health 2010;69(2):138-150.
14 Korea Centers for Disease Control and Prevention. The fourth Korea National Health and Nutrition Examination Survey(KNHANES IV-3) 2009. Seoul: Korea Centers for Disease Control and Prevention; 2010, p. 554-562 (Korean).
15 Park YR. The relationship between allergy related symptoms and skin prick test of children and adolescents in Gwangyang bay industrial complex [dissertation]. Asan: Soonchunhyang University; 2011 (Korean).
16 Marin TJ, Chen E, Munch JA, Miller GE. Double-exposure to acute stress and chronic family stress is associated with immune changes in children with asthma. Psychosom Med 2009;71(4):378-384.
17 Alati R, O'Callaghan M, Najman JM, Williams GM, Bor W, Lawlor DA. Asthma and internalizing behavior problems in adolescence: a longitudinal study. Psychosom Med 2005;67(3):462-470.
18 Weil CM, Wade SL, Bauman LJ, Lynn H, Mitchell H, Lavigne J. The relationship between psychosocial factors and asthma morbidity in inner-city children with asthma. Pediatrics 1999;104(6):1274-1280.
19 Stevenson J; ETAC Study Group. Relationship between behavior and asthma in children with atopic dermatitis. Psychosom Med 2003;65(6):971-975.
20 Calam R, Gregg L, Simpson A, Simpson B, Woodcock A, Custovic A. Behavior problems antecede the development of wheeze in childhood: a birth cohort study. Am J Respir Crit Care Med 2005;171(4):323-327.
21 Feldman JM, Ortega AN, McQuaid EL, Canino G. Comorbidity between asthma attacks and internalizing disorders among Puerto Rican children at one-year follow-up. Psychosomatics 2006;47(4):333-339.
22 Kilpeläinen M, Koskenvuo M, Helenius H, Terho EO. Stressful life events promote the manifestation of asthma and atopic diseases. Clin Exp Allergy 2002;32(2):256-263.
23 Oh SH, Bae BG, Park CO, Noh JY, Park IH, Wu WH, et al. Associa tion of stress with symptoms of atopic dermatitis. Acta Derm Venereol 2010;90(6):582-588.
24 Arndt J, Smith N, Tausk F. Stress and atopic dermatitis. Curr Allergy Asthma Rep 2008;8(4):312-317.
25 Montoro J, Mullol J, Jáuregui I, Dávila I, Ferrer M, Bartra J, et al. Stress and allergy. J Investig Allergol Clin Immunol 2009;19 Suppl 1:40-47.
26 Dave ND, Xiang L, Rehm KE, Marshall GD Jr. Stress and allergic diseases. Immunol Allergy Clin North Am 2011;31(1):55-68.