Browse > Article
http://dx.doi.org/10.15434/kssh.2017.30.2.164

Severity of Atopic Dermatitis and Associated Factors in Korean Adolescents by Sex  

Yi, Yunjeong (Department of Nursing, Kyung-In Women's University)
Hyun, Sook Jung (Baekseok Arts University, Department of Management.Administration)
Lee, Jinhwa (Department of Nursing, University of Ulsan)
An, Ji Yeon (Department of Nursing, Kyung-In Women's University)
Publication Information
Abstract
Purpose: Despite the high incidence, the incidence of atopic dermatitis among adolescents has been continuously increasing. The study was conducted to examine the severity of atopic dermatitis among middle school students and to identify the factors affecting the severity. Methods: The data used in the analysis are from 2015 Youth Health Behavior Online Survey. Complex sample analysis was conducted to analyze the severity of atopic dermatitis which was defined by the treatment experience of atopic dermatitis and the number of absent days due to the disease as its criteria. Binary logistic regression of the factors affecting the severity of atopic dermatitis by gender was done. Results: The severity of atopic dermatitis was high in male students who were in a lower grade (freshmen), who smoked, or who consumed soft drinks at least once a week, while in female students who were in a lower grade (freshmen, sophomore), who consumed alcohol, who consumed highly caffeinated drinks at least once a week or who consumed sweet drinks at least once a week. The severity of atopic dermatitis was lower in female students who lived in big cities or medium/small sized cities or engaged in physical activities less than three times a week. Conclusion: For atopic dermatitis among middle school students, the importance of dietary management should be considered. This indicates that families, schools, and communities have their own responsibilities and efforts to relieve the symptoms of the atopic dermatitis.
Keywords
Adolescent; Atopic; Dematitis; Allergic; Severity;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Nutten S. Atopic dermatitis: Global epidemiology and risk factors. Annals of Nutrition and Metabolism. 2015;66(suppl 1):8-16. https://doi.org/10.1159/000370220   DOI
2 Kim JH. Mental health in adolescents with allergic diseases-using data from the 2014 Korean Youth's Risk Behavior Webbased Study. Journal of Korean Society of School Health. 2015;28(2):79-88. https://doi.org/10.15434/kssh.2015.28.2.79   DOI
3 Jo YM, Yi JS. Factors affecting allergic disease in general high school students. Journal of Health Informatics and Statistics. 2016;41(3):297-306. https://doi.org/10.21032/jhis.2016.41.3.297   DOI
4 Kim JH. Mental health in adolescents with allergic disease-using data from the 2014 Korean Youth's Risk Behavior Web-based Study. Journal of the Korean Society of School Health. 2015;28:79-88. https://doi.org/10.15434/kssh.2015.28.2.79   DOI
5 Peter D, Motala C, Subramanian H, Spergel J, Schneider LC, Wollenberg A. Management of difficult-to-treat atopic dermatitis. The journal of allergy and clinical immunology: In Practice. 2013;1:142-151. https://doi.org/10.1016/j.jaip.2012.09.002   DOI
6 Dhami S, Sheikh A. Estimate the prevalence of aero-allergy and/or food allergy in infant, children and young people with moderate-to-severe atopic eczema/dermatitis in primary care: Multi-centre, cross sectional study. Journal of the Royal Society of Medicine. 2016;108(6):229-236. https://doi.org/10.1177/0141076814562982   DOI
7 Chang J, Bilker WB, Hoffstad O, margolis DJ. Cross-sectional comparisons of patient-reported disease control, disease severity, and symptom frequency in children with atopic dermatitis. British Journal of dermatology. 2017. Forthcoming.
8 Park YL, Park J. Pathogenesis of atopic dermatitis. Korean Journal of Investigative Dermatology. 2007;14(3):67-72.
9 Yu JS, Lee CJ, Lee HS, Kim JH, Han YS, Ahn KM, et al. Prevalence of atopic dermatitis in Korea: Analysis by using national statistics. Dermatology, 2012;27:681-685. https://doi.org/10.3346/jkms.2012.27.6.681
10 So ES, Yeo JY. Relationship between health status and life styles and atopic dermatitis in Adolescents. Journal of Korean Academy Child Health Nursing. 2012;18(3);143-149. https://doi.org/10.4094/jkachn.2012.18.3.143   DOI
11 Ahn KM, Kim JH, Kwon HJ, Chae YM, Hahm MI, Lee KJ, et al. The prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in Korean children: National cross-sectional survey using complex sampling design. Journal of Korean Medicine Association. 2011;54(7):769-778. https://doi.org/10.5124/jkma.2011.54.7.769   DOI
12 Goel N, Singh BP, Arora N, Kumar R. Effect of smoking on atopic predisposition and sensitisation to allergens. Indian Journal of Chest Disease and Allied Sciences. 2008;50:329-333.
13 Park SM, Choi HS, Bae JH. Instant noodles, processed food intake, and dietrary pattern are associated with atopic dermatitis in an adult population (KNHANES 2009-2011). Asia Pacific Journal of Clinical Nutrition. 2016;25(3):602-613. https://doi.org/10.6133/apjcn.092015.23
14 Shaheen SO, Rutterford C, Zuccolo L, Ring SM, Smith GD, Holloway JW, et al. Prenatal alcohol exposure and childhood atopic disease: A mendelian randonmization approach. Journal of Allergy and Clinical Immunology. 2014;133(1):225-232. https://doi.org/10.1016/j.jaci.2013.04.051   DOI
15 Lomholt FK, Nielsen SF, Nordestgaard BG. High alcohol consumption causes high IgE levels but not risk of allergic disease. Journal of Allergy and Clinical Immunology. 2016;138(5):1404-1413. https://doi.org/10.1016/j.jaci.2016.05.022   DOI
16 Flohr C, Mann J. New insights into the epidemiology of childhood atopic dermatitis. Allergy. 2014;69(1):3-16. https://doi.org/10.1111/all.12270   DOI
17 Oh JW. Food additives and allergic disease in childhood. Hanyang Medical Reviews. 2011;31(4):261-268. https://doi.org/10.7599/hmr.2011.31.4.261   DOI
18 Chapman JA, Bernstein L, Lee RE, Oppenheimer J, Nicklas RA, Portnoy JM, et al. Food allergy: A practice parameter. Annals of Allergy. Asthma and Immunology. 2006;96:S1-S68. https://doi.org/10.1016/S1081-1206(10)60926-X   DOI
19 Choi EH, Yoon NY. Pathogenesis of atopic dermatitis. Journal of Korean Medicine Association. 2014;57(3):218-255. https://doi.org/10.5124/jkma.2014.57.3.218   DOI
20 Chang CG. Development of school health indicator system for the health promotion of school children. Journal of the Korean Society School Health. 2012;25(2):204-213.
21 Hansen TE, Evjenth B, Holt J. Increasing prevalence of asthma, allergic rhinoconjunctivitis and eczema among schoolchildren: three surveys during the period 1985-2008. Acta Paediatrica. 2013;102(1):47-52. https://doi.org/10.1111/apa.12030   DOI
22 Korea Centers for Disease Control and Prevention. Korea youth risk behavior web-based survey [Internet]. Chengwon: Korea Centers for Disease Control and Prevention; 2008 [cited 2017 April 10]. Available from: http://yhs.cdc.go.kr
23 Kwon JA, Roh KY, Koh BK, Kim JW. Clinical characteristics of adolescence and adult atopic dermatitis in Korea. Korean Journal of Dermatology. 2004;42(8):949-954.
24 Korea Centers for Disease Control and Prevention. Korea youth risk behavior web-based survey [Internet]. Chengwon: Korea Centers for Disease Control and Prevention; 2012 [cited 2017 April 10]. Available from: http://www.bokjiro.go.kr
25 Hon KL, Tsang YCK, Poon TCW, Pong NH, Kwan M, Lau S, et al. Predicting eczema severity beyond childhood. Would Journal of Pediatrics. 2016;12(1):44-48. https://doi.org/10.1007/s12519-015-0064-9   DOI
26 Sandstrom MH, Faergemann J. Prognosis and prognostic factors in adult patient with atopic dermatitis: A long-term followup questionnaire study. British journal of dermatology. 2004;150:103-110.   DOI
27 Shobaili HA. The impact of childhood atopic dermatitis on the patients' family. Pediatric Dermatology. 2010;27(6):618-623. https://doi.org/10.1111/j.1525-1470.2010.01215.x   DOI
28 Daud LR, Garralda ME, David TJ. Psychosocial adjustment in preschool children with atopic eczema. Archives of Disease in Childhood. 1993;69(6):670-676.   DOI
29 Jang HS. A study of the influence of illness on body image and self concept -Specifically in children with asthma-. Journal of Korean Academy Nursing. 1982;12(2):80-90.
30 Lapidus CS, Kerr PE. Social impact of atopic dermatitis. Medicine and Health, Rhode Island. 2001;84(9):294-295.