창원시 학동 전기 소아들의 아토피 피부염 유병률과 그 원인에 관한 연구
Prevalence Rate and Etiologic Risk Factors of Atopic Dermatitis in the Preschool Children in Changwon
2
조회
0
다운로드
17
인용
0
참고문헌
키워드
초록
In the past decade there has been increasing concern about the atopic dermatitis (AD) associated with environmental diseases. AD has been increased in the last decade and known as one of the multifactoral diseases, which has the genetic background and environmental factors at the same time. The purposes of this study were to investigate the prevalence rate and etiologic risk factors of atopic dermatitis in preschool children in Changwon, which is a one of the Korean cities and has a large industrial complex. We reviewed and analyzed the statistical data, obtained from Korea National Health Insurance Corporation, related to prevalence rate by age and administrative district. A cross-sectional questionnaire survey, based on ISAAC (International Study of Allergy and Asthma in Childhood), was conducted on random samples of preschool children (5 to 8 years old) of large sized kindergartens in Changwon. The lifetime and last one years prevalence of AD in preschool children in Changwon was increased from 1998 to 2008. The prevalence rate of AD in the preschool children in Changwon city was 9.6%. The prevalence rate in boys was 9.7% and that in girls was 9.4%. The one year prevalence of AD was ranked as middle among other provincial cities in Korea in 2008. This study showed that the prevalence rate of the atopic disease in Changwon was 9% in 2008, which was increased especially compare to 2000. More active governmental approaches for control and prevention of atopic dermatitis for children are recommended. Further studies are needed for more accurate estimation of the prevalence of AD in Korea including different regional and age population.
Abstract
In the past decade there has been increasing concern about the atopic dermatitis (AD) associated with environmental diseases. AD has been increased in the last decade and known as one of the multifactoral diseases, which has the genetic background and environmental factors at the same time. The purposes of this study were to investigate the prevalence rate and etiologic risk factors of atopic dermatitis in preschool children in Changwon, which is a one of the Korean cities and has a large industrial complex. We reviewed and analyzed the statistical data, obtained from Korea National Health Insurance Corporation, related to prevalence rate by age and administrative district. A cross-sectional questionnaire survey, based on ISAAC (International Study of Allergy and Asthma in Childhood), was conducted on random samples of preschool children (5 to 8 years old) of large sized kindergartens in Changwon. The lifetime and last one years prevalence of AD in preschool children in Changwon was increased from 1998 to 2008. The prevalence rate of AD in the preschool children in Changwon city was 9.6%. The prevalence rate in boys was 9.7% and that in girls was 9.4%. The one year prevalence of AD was ranked as middle among other provincial cities in Korea in 2008. This study showed that the prevalence rate of the atopic disease in Changwon was 9% in 2008, which was increased especially compare to 2000. More active governmental approaches for control and prevention of atopic dermatitis for children are recommended. Further studies are needed for more accurate estimation of the prevalence of AD in Korea including different regional and age population.
참고문헌 (16)
- Korean Academy of Pediatric Allergy and Respiratory Disease, "Review on a national basis epidemiologic study for allergic disease of Korea child, young boys and girls", Korean Academy of Pediatric Allergy and Respiratory Disease, 7(1), pp.15~16 (1997)
- Finla, A. Y., "Quality of life in atopic dermatitis", Journal of the American Academy of Dermatology, 45, pp.S64~S66 (2001)
- 남승연, "학동 전기 소아에서의 알레르기 질환의 유병률과 위험 인자에 관한 연구", 대한소아알레르기및호흡기학회지, 15(4), pp.439~445 (2005), 대한 소아알레르기 호흡기학회
- 오재원, "1995년과 2000년의 학동기와 2003년 학동전기 소아에서의 아토피피부염의 역학적 변화에 관한 전국적인 연구", 대한소아알레르기및호흡기학회지, 13(4), pp.227~237 (2003), 대한 소아알레르기 호흡기학회
- Haileamlak, A., "Early life risk factors for atopic dermatitis in ethiopian children", Journal of Allergy and Clinical Immunology, 115(2), pp.370~376 (2005)
- Williams, H. C., "Atopic dermatitis new information from epidemiological studies", British Journal of Hospital Medicine, 52, pp.409~412 (1994)
- Yoon, S. P., "The environment and lifestyles of atopic dermatitis patients", Korean Dermatological Association, 37(8), pp.983~991 (1999)
- Morren, M. A., "Atopic dermatitis; triggering factors", Journal of Allergy and Clinical Immunology, 31, pp.467~473 (1994)
- Schultz, L. F, "The epidmiology of atopic dermtitis", Monographs in Allergy, 31, pp.9~28 (1993)
- Businco, L., "Precention of atopic disease in ‘at risk newborns’ by prolonged breast-feeding", Annals of Allergy, Asthma & Immunology, 51, pp.296~299 (1983)
- Hide, D. W., "Effect of allergen avoidance in infancy on allergic maniestations at age two years", Journal of Allergy and Clinical Immunolog, 9, pp.842~846 (1994)
- Sigurs, N, "Maternal avoidace of eggs, cow's milk and fish during lactation: effect on allergic manifestations, skin-prick tests, and specific IgE antibodies in chilren at age 4 years", Journal of the American Academy of Pediatrics, 89(4), pp.735~739 (1992)
- Faith-magnusson, K, "Allergy pre vention by maternal elimination deit during late pregnancy 5-year follow up of randomized study", Journal of Allergy and Clinical Immunology, 89, pp.709~713 (1992)
- Kramer, M. S., "Do breast feeing and delayed introduction of solid foods protect against subesequent atopic eczema", Journal of the American Academy of Pediatrics, 98, pp.546~550 (1981)
- Zeiger, R. S., "The development and prediction of atopy in high risk children : folow up at age seven years in a prospective randomized study of combined maternal and infant food allergen avoidance", Journal of Allergy and Clinical Immunology, 95, pp.1179~1190 (1995)
- 이은주, "아토피 피부염 환자의 MAST 화학발광법에 의한 알레르겐 검사 성적과 임상 평가와의 상관관계", 대한피부과학회지, 41(2), pp.197~206 (2003), 대한피부과학회