본문 바로가기
KERD
논문KCI 등재

한국 어린이 청소년의 알레르기질환에 관한 지역별 유병률에 대한 분석

Analysis of regional prevalence of allergic diseases in Korean school children

2

조회

0

다운로드

24

인용

0

참고문헌

키워드

주제분류소아과학

초록

Purpose: This study aimed to analyze the prevalence of allergic diseases in Korean schoolchildren according to their residential areas in 2010. Methods: A nationwide, cross-sectional study was conducted in children aged 6–7 years (n=4,003) and adolescents aged 12–13 years (n=4,112) who were randomly selected. Demographic and disease-related information was obtained through a Korean version of ISAAC (International Study of Asthma and Allergies in Childhood) questionnaire, and skin prick tests for 18 inhalant allergens were performed. Results: There was statistically significant regional difference in the prevalence of allergic rhinitis (AR) (P<0.05). The regions with highest and lowest prevalence in 12- to 13-year-old children were as follows: Chungcheong and Honam in “Diagnosis of AR, ever” (33.7% vs. 24.5%), Jeju and Yeongnam in “Treatment of AR, last 12 months” (25.5% vs. 18.0%), Chungcheong and Yeongnam in “Rhinitis with sensitization” (31.6% vs. 23.6%). The regions with highest and lowest prevalence in 6–7 years old children were as follows: Yeongnam and Seoul in “Diagnosis of AR, ever” (42.1% vs. 31.0%), Yeongnam and Jeju in “Treatment of AR, last 12 months” (31.8% vs. 21.9%), Jeju and Seoul in “Rhinitis with sensitization” (26.0% vs. 18.4%). We also found a regional difference in inhalant allergens among the children with “rhinitis with sensitization”. Conclusion: The prevalence of AR in children differs according to residential areas in a nationwide survey in 2010 while there is no significant regional difference in the prevalence of asthma and AD.

Abstract

Purpose: This study aimed to analyze the prevalence of allergic diseases in Korean schoolchildren according to their residential areas in 2010. Methods: A nationwide, cross-sectional study was conducted in children aged 6–7 years (n=4,003) and adolescents aged 12–13 years (n=4,112) who were randomly selected. Demographic and disease-related information was obtained through a Korean version of ISAAC (International Study of Asthma and Allergies in Childhood) questionnaire, and skin prick tests for 18 inhalant allergens were performed. Results: There was statistically significant regional difference in the prevalence of allergic rhinitis (AR) (P<0.05). The regions with highest and lowest prevalence in 12- to 13-year-old children were as follows: Chungcheong and Honam in “Diagnosis of AR, ever” (33.7% vs. 24.5%), Jeju and Yeongnam in “Treatment of AR, last 12 months” (25.5% vs. 18.0%), Chungcheong and Yeongnam in “Rhinitis with sensitization” (31.6% vs. 23.6%). The regions with highest and lowest prevalence in 6–7 years old children were as follows: Yeongnam and Seoul in “Diagnosis of AR, ever” (42.1% vs. 31.0%), Yeongnam and Jeju in “Treatment of AR, last 12 months” (31.8% vs. 21.9%), Jeju and Seoul in “Rhinitis with sensitization” (26.0% vs. 18.4%). We also found a regional difference in inhalant allergens among the children with “rhinitis with sensitization”. Conclusion: The prevalence of AR in children differs according to residential areas in a nationwide survey in 2010 while there is no significant regional difference in the prevalence of asthma and AD.

참고문헌 (24)

  1. Asher MI, "Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys", Lancet, 368, pp.733~743 (2006)
  2. 오재원, "1995년과 2000년의 학동기와 2003년 학동전기 소아에서의 아토피피부염의 역학적 변화에 관한 전국적인 연구", Allergy Asthma & Respiratory Diseases, 13(4), pp.227~237 (2003), 대한 소아알레르기 호흡기학회
  3. 이상일, "Prevalence of Childhood Asthma in Korea: International Study of Asthma and Allergies in Childhood", Allergy, Asthma & Immunology Research, 2(2), pp.61~64 (2010), 대한천식알레르기학회
  4. 홍수종, "한국 소아알레르기 질환의 유병률", Korean Journal of Pediatrics, 51(4), pp.343~350 (2008), 대한소아과학회
  5. 손기영, "2005년 경기도 일산 지역 초등학생의 알레르기 질환 유병률 및 환경변화에 따른 증상 변화", Allergy Asthma & Respiratory Diseases, 17(4), pp.384~393 (2007), 대한 소아알레르기 호흡기학회
  6. Lee SI, "Prevalences of symptoms of asthma and other allergic diseases in korean children: a nationwide questionnaire survey", J Korean Med Sci, 16, pp.155~164 (2001)
  7. Soo-JongHong, "The Validity of the ISAAC Written Questionnaire and the ISAAC Video Questionnaire (AVQ 3.0) for Predicting Asthma Associated with Bronchial Hyperreactivity in a Group of 13-14 Year Old Korean Schoolchildren", Journal of Korean Medical Science, 18(1), pp.48~52 (2003), 대한의학회
  8. Hong SJ, "Self-reported prevalence and risk factors of asthma among Korean adolescents: 5-year follow-up study, 1995-2000", Clin Exp Allergy, 34, pp.1556~1562 (2004)
  9. Hong SJ, "High body mass index and dietary pattern are associated with childhood asthma", Pediatr Pulmonol, 41, pp.1118~1124 (2006)
  10. 이수영, "The Association between Recent Dietary Pattern as a Risk Factor of 12-month Asthma Symptom Prevalence in Korean Elementary achool Children", Allergy Asthma & Respiratory Diseases, 16(4), pp.296~305 (2006), 대한 소아알레르기 호흡기학회
  11. Ahn KM, "Fever, use of antibiotics, and acute gastroenteritis during infancy as risk factors for the development of asthma in Korean school-age children", J Asthma, 42, pp.745~750 (2005)
  12. 성현우, "국민건강보험공단의 자료를 이용한 알레르기 질환 전국 연령별 유병률 조사", Allergy Asthma & Respiratory Diseases, 22(3), pp.224~231 (2012), 대한 소아알레르기 호흡기학회
  13. 이기재, "알레르기 질환 유병률 조사의 표본설계와 설계효과 분석", 조사연구, 13(2), pp.111~128 (2012), 한국조사연구학회[DOI]
  14. 안강모, "2010년 한국 어린이·청소년의 천식, 알레르기 비결막염, 아토피피부염 증상 유병률 조사: 복합표본설계를 이용한 전국 서베이", 대한의사협회지, 54(7), pp.769~778 (2011), 대한의사협회
  15. Oh JW, "Characteristics and distribution of airborne pollen and mold", Pediatr Allergy Respir Dis, 8, pp.1~15 (1998)
  16. 오재원, "대기 중 알레르기 화분(꽃가루) 농도 예보제 개발", 대한의사협회지, 52(6), pp.579~591 (2009), 대한의사협회
  17. 김지현, "Sensitization to Aeroallergens in Korean Children: A Populationbased Study in 2010", Journal of Korean Medical Science, 26(9), pp.1165~1172 (2011), 대한의학회
  18. Bibi H, "Comparison of positive allergy skin tests among asthmatic children from rural and urban areas living within small geographic area", Ann Allergy Asthma Immunol, 88, pp.416~420 (2002)
  19. Wong GW, "Childhood asthma epidemiology : insights from comparative studies of rural and urban populations", Pediatr Pulmonol, 43, pp.107~116 (2008)
  20. Sozańska B, "Atopy and allergic respiratory disease in rural Poland before and after accession to the European Union", J Allergy Clin Immunol, 133, pp.1347~1353 (2014)
  21. Lee SY, "Prevalence of atopy and allergic diseases in Korean children : associations with a farming environment and rural lifestyle", Int Arch Allergy Immunol, 158, pp.168~174 (2012)
  22. Soyoung Hong, "The Prevalence of Atopic Dermatitis, Asthma, and Allergic Rhinitis and the Comorbidity of Allergic Diseases in Children", 환경독성보건학회지, 27, pp.1~8 (2012), 환경독성보건학회
  23. 이혜숙, "제주지역 소아의 알레르기 질환 유병률 전수 조사", Allergy Asthma & Respiratory Diseases, 22(3), pp.248~255 (2012), 대한 소아알레르기 호흡기학회
  24. 황선혜, "한국 소아의 알레르기비염 역학", Allergy Asthma & Respiratory Diseases, 1(4), pp.321~332 (2013), 대한 소아알레르기 호흡기학회

관련 논문AI추천

한국 소아의 알레르기비염 역학김수영, 김양호, 김정희, 손병관, 양준모, 오인보, 이근화, 이지호, 이혜숙, 임대현, 정숙영, 홍성철, 황선혜대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2013 · 제1권 제4호인천과 아산지역 소아청소년의 흡입 알레르겐 감작률 및 다항원 감작과 알레르기질환 발병과의 관계이은, 권호장, 김예니, 김정선, 김형영, 김환철, 박인호, 서주희, 양송이, 유승도, 유지숙, 이기재, 이보은, 이종현, 임영욱, 임종한, 정영호, 최연희, 하미나, 홍수종대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2013 · 제1권 제1호한국 초·중·고등학생 알레르기비염의 전국 유병률과 위험 인자에 대한 분석이은, 강희태, 권지원, 김수영, 김수진, 김영호, 김유미, 김환철, 백영욱, 범은애, 사공준, 서주희, 손미아, 양송이, 오경재, 이기재, 이철갑, 임신예, 정해관, 조현주, 하미나, 홍수종대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2015 · 제3권 제4호2006년 초등학생의 알레르기 질환 유병률의 전국적 역학조사김경원, 김규언, 김창수, 손명현, 신동천, 지혜미대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2009 · 제19권 제2호울산광역시 일개 초등학교 소아들의 알레르기 및 아토피질환의 유병률김양호, 심창선, 오인보, 윤재국, 이지호, 최승원대한천식알레르기학회 · 천식 및 알레르기2011 · 제31권 제2호제주지역 소아의 알레르기 질환 유병률 전수 조사김수영, 김재왕, 이근화, 이재천, 이혜숙, 홍성철대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2012 · 제22권 제3호

이 간행물의 다른 논문 (13건)