Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Estimating the Prevalence of Atopic Dermatitis in School Students of Jejudo, Korea

제주도 재학생의 아토피 피부염 유병률 추정

  • 배종면 (제주대학교 의과학 연구소) ;
  • 신경수 (제주대학교 의과학 연구소)
  • Published : 2009.05.31
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Abstract

Objectives : The frequency of visiting clinics in Jejudo for treating atopic dermatitis (AD) has been reported to be higher than that for other counties of Korea. The aim of this work was to estimate the prevalence of AD for the students of the primary, middle and high schools in Jejudo, Korea. Methods : We planned to evaluate about 5,000 students, so classes were randomly selected by random systematic sampling methods. The parents of all the students in the selected classes were asked to respond to a structured questionnaire concerned with the prevalence of AD. Results : The prevalence of AD based on ever being diagnosed by a doctor, on currently being diagnosed by a doctor, on ever being treated for AD by a doctor, on currently being treated for AD by a doctor was 25.57% (95% CI=25.3-25.8), 14.67% (95% CI=14.5-14.9), 21.90% (95% CI=21.6-22.2) and 14.41% (95% CI=14.2-14.6), respectively. Conclusions : On comparing the prevalence of AD, the students in Jejudo had a higher number of recurrence events in spite of their lower number of cases. Further studies are needed to evaluate these aspects of AD.

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References

  1. Kapoor R, Menon C, Hoffstad O, Bilker W, Leclerc P, Margolis DJ, The prevalence of atopic triad in children with physician-confirmed atopic dermatitis, J Am Acad Dermatol 2008;58(1):68-73 https://doi.org/10.1016/j.jaad.2007.06.041
  2. Williams HC, On the definition and epidemiology of atopic dermatitis, Dermatol Clin 1995;13(3): 649-657
  3. 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 https://doi.org/10.1016/S0140-6736(97)07302-9
  4. Schultz Larsen F, Diepgen T, Svensson A, The occurrence of atopic dermatitis in north Europe: An international questionnaire study, J Am Acad Dermatol 1996; 34(5 Pt 1): 760-764 https://doi.org/10.1016/S0190-9622(96)90009-2
  5. Selnes A, Odland JO, Bolle R, Holt J, Dotterud LK, Lund E, Asthma and allergy in Russian and Norwegian schoolchildren: Results from two questionnaire-based studies in the Kola Peninsula, Russia, and northern Norway, Allergy 2001; 56(4): 344-348 https://doi.org/10.1034/j.1398-9995.2001.00640.x
  6. Poysa L, Korppi M, Pietikainen M, Remes K, Juntunen-Backman K, Asthma, allergic rhinitis and atopic eczema in Finnish children and adolescents, Allergy 1991; 46(3):161-165 https://doi.org/10.1111/j.1398-9995.1991.tb00564.x
  7. Agata H, Kondo N, Fukutomi O, Hayashi T, Shinoda S, Nishida T, et al,Comparison of allergic diseases and specific IgE antibodies in different parts of Japan, Ann Allergy 1994;72(5): 447-451
  8. National Health Insurance Corporation. Seoul: National Health Insurance Corporation; c2007 [cited 2008 Jan 31], Available from: URL:http:// www.nhic.or.kr. (Korean)
  9. Jeju Special Self-Governing Provincial Office of Education, Status of Jeju education, Jeju: Jeju Special Self-Governing Province; c1999-2009[cited 2008 May 31] Available from: URL: http://jeju.go.kr (Korean)
  10. Lee HJ, Byun DG, Kim JW, Epidemiologic studies of the prevalence of atopic dermatitis in Korea, Korean J Dermatol 1996;34(6):898-907 (Korean)
  11. Mar A, Marks R, The descriptive epidemiology of atopic dermatitis in the community, Australas J Dermatol 1999; 40(2):73-78 https://doi.org/10.1046/j.1440-0960.1999.00324.x
  12. Williams HC, Burney PG, Pembroke AC, Hay RJ. The U.K, Working Party s Diagnostic Criteria for Atopic Dermatitis. III, Independent hospital validation, Br J Dermatol 1994; 131(3):406-416 https://doi.org/10.1111/j.1365-2133.1994.tb08532.x
  13. Gardner MJ, Altman DG, Statistics with Confidence: Confidence Intervals and Statistical Guidelines, London: British Medical Journal;1989
  14. Kim YH, Kim JW, Houh W, A study on incidence and genetic background of atopic dermatitis, Korean J Dermatol 1979; 17(2):105-110 (Korean)
  15. Lee SC, Byun DG, Lee WC, Kim JW. The prevalence and some minor clinical features of atopic dermatitis in the first grade school children of Puchon city of Kyonggi-do, Korean J Dermatol 1995; 33(1): 1-7 (Korean)
  16. Bak H, Ahn SK, A statistical study of dermatoses (2000-2004), Korean J Dermatol 2005;43(9):1192-1199 (Korean)
  17. Choi HS, Yun SK, Kim HU, Ihm CW, A statitical study of dermatoses in the Jeonbuk Province (1979-1980, 1987-2002), Korean J Dermatol 2005;43(5): 606-618 (Korean)
  18. Pearce N, Weiland S, Keil U, Langridge P, Anderson HR, Strachan D, et al, Self-reported prevalence of asthma symptoms in children in Australia, England, Germany and New Zealand: An international comparison using the ISAAC protocol, Eur Respir J 1993; 6(10):1455-1461
  19. Purvis DJ, Thompson JM, Clark PM, Robinson E, Black PN, Wild CJ, et al. Risk factors for atopic dermatitis in New Zealand children at 3.5 years of age, Br J Dermatol 2005;152(4): 742-749 https://doi.org/10.1111/j.1365-2133.2005.06540.x
  20. Williams HC, Burney PG, Hay RJ, Archer CB, Shipley MJ, Hunter JJ, et al. The U.K. Working Party s Diagnostic Criteria for Atopic Dermatitis. I. Derivation of a minimum set of discriminators for atopic dermatitis, Br J Dermatol 1994;131(3): 383-396 https://doi.org/10.1111/j.1365-2133.1994.tb08530.x
  21. Leung DY, Bieber T, Atopic dermatitis, Lancet 2003;361(9352):151-160 https://doi.org/10.1016/S0140-6736(03)12193-9
  22. Choi SW, Ju YS, Kim DS, Kim JY, Kwon HJ, Kang DH, et al, Reliability and validity of the Korean version of ISAAC questionnaire, Korean J Prev Med 1998; 31(3): 361-371(Korean)
  23. Oh JW, Kim KE, Pyun BY, Lee HR, Choung JT, Hong SJ, et al, Nationwide study for epidemiological change of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea, Pediatr Allergy Respir Dis 2003;13(4):227-237 (Korean)
  24. Taylor B, Wadsworth J, Wadsworth M, Peckham C, Changes in the reported prevalence of childhood eczema since the 1939-45 war, Lancet 1984;2(8414): 1255-1257 https://doi.org/10.1016/S0140-6736(84)92805-8
  25. Williams HC, Is the prevalence of atopic dermatitis increasing? Clin Exp Dermatol 1992;17(6):385-391 https://doi.org/10.1111/j.1365-2230.1992.tb00244.x
  26. Gimhae Health Center, Report of the community-based ZERO movement against atopy and asthma in 2007, Gimhae: Gimhae Health Center;c2005-2007 [cited 2008 Jan 31] Available from: URL:http://www.ghhealth.or.kr(Korean)
  27. Dold S, Wjst M, von Mutius E, Reitmeir P, Stiepel E, Genetic risk for asthma, allergic rhinitis, and atopic dermatitis, Arch Dis Child 1992;67(8):1018-1022 https://doi.org/10.1136/adc.67.8.1018
  28. Lee YL, Li CW, Sung FC, Yu HS, Sheu HM, Guo YL, Environmental factors, parental atopy and atopic eczema in primary-school children: a cross-sectional study in Taiwan, Br J Dermatol 2007;157(6):1217-1224 https://doi.org/10.1111/j.1365-2133.2007.08215.x
  29. Bohme M, Wickman M, Lennart Nordvall S, Svartengren M, Wahlgren CF, Family history and risk of atopic dermatitis in children up to 4 years, Clin Exp Allergy 2003;33(9):1226- 1231 https://doi.org/10.1046/j.1365-2222.2003.01749.x
  30. Schafer T, Dirschedl P, Kunz B, Ring J, Uberla K, Maternal smoking during pregnancy and lactation increases the risk for atopic eczema in the offspring, J Am Acad Dermatol 1997;36(4):550-556 https://doi.org/10.1016/S0190-9622(97)70242-1
  31. Dotterud LK, Kvammen B, Bolle R, Falk ES, A survey of atopic diseases among school children in Sor-Varanger community, Possible effects of subarctic climate and industrial pollution from Russia, Acta Derm Venereol 1994;74(2):124-128
  32. Smidesang I, Saunes M, Storro O, Oien T,Holmen TL, Johnsen R, et al, Atopic dermatitis among 2-year olds; High prevalence, but predominantly mild disease: The PACT study, Norway, Pediatr Dermatol 2008;25(1):13-18 https://doi.org/10.1111/j.1525-1470.2007.00574.x
  33. Kay J, Gawkrodger DJ, Mortimer MJ, Jaron AG, The prevalence of childhood atopic eczema in a general population, J Am Acad Dermatol 1994;30(1):35-39 https://doi.org/10.1016/S0190-9622(94)70004-4

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