KMID : 1035620160040050345
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Allergy Asthma & Respiratory Disease 2016 Volume.4 No. 5 p.345 ~ p.353
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Prevalence of atopic dermatitis and its associated factors for elementary school children in Gyeonggi-do province
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Kim Eun-ji
Ri Soo-hyun Seo Sung-Chul Choung Ji-Tae Yoo Young
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Abstract
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Purpose : This study aimed to investigate the prevalence of atopic dermatitis (AD) and associated factors for AD in a total of 2,077 children from 5 elementary schools in Gyeonggi-do province.
Methods : AD was defined when parents answered "Yes" to a question in the on International Study of Asthma and Allergies in Childhood questionnaire "Has your child ever has itchy rashes with xax and wane pattern for at least 6 months?" in October 2012. SCORing Atopic Dermatitis index, skin prick testing and blood testing, were evaluated.
Results : The prevalence of AD was 25.9% among 2,077 elementary school children in Gyeonggi-do province. Proportions of obesity (8.0% vs. 4.5%, P=0.004) and breast-feeding over 6 months (46.6% vs. 41.3%, P=0.035) were significantly higher in children with AD than those without. No significant differences were found in terms of sex, age, body mass index, history of breast-feeding ever and mode of delivery beween AD and non-AD children. obesity (adjusted odds ration [aOR], 1.80; 95% confidence interval [CI], 1.13?2.75; P=0.006) and breast-feeding over 6 months (aOR, 1.35; 95% CI, 1.03?1.77; P=0.029) were found as significant associated factors for AD. When stratified by sex, obesity in boys (aOR, 2.67; 95% CI, 1.53?4.66; P=0.001) and breast-feeding history in girls (aOR, 1.47; 95% CI, 1.03?2.11; P=0.034) were independently considered significant associated factors for AD. We found more boys (66.7%, P=0.028) than girls among the severe AD cases. Male sex was considered an associated factor of having severe AD (aOR, 2.23; 95% CI, 1.01?4.73; P=0.048).
Conclusion : The prevalence of AD was 25.9% in elementary school children in Gyeonggi-do. province obesity and breast-feeding over 6 months were found as associated factors of having AD. Male sex was considered an associated factor for severe AD.
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KEYWORD
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Atopic dermatitis, Child
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