Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Factors Affecting Asthma and Atopic Dermatitis in Korean Children: A Population-based Cross-sectional Survey

부모의 특성을 포함한 아동기 천식과 아토피 피부염의 영향요인: 제5기 2차년도(2011년) 국민건강영양조사 자료를 중심으로

  • Yi, Yunjeong (Department of Nursing, Kyung-in Women's University) ;
  • Kim, Jisoo (Department of Nursing, Gachon University)
  • Received : 2014.07.29
  • Accepted : 2014.09.17
  • Published : 2015.01.31
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Abstract

Purpose: The purpose of this study was to investigate factors affecting childhood asthma and atopic dermatitis. Methods: For this study, data for 1,170 children (1-11 years) from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V-2, 2011) were analyzed. First correlation matrices were computed to test the normality of every data set and then to be in accordance with the real demographic composition, data were added weight before being analyzed. Results: The child with asthma of a three generation family (OR=3.91, 95% CI [1.33, 11.45], p=.013) compared with a two generation family showed higher asthma development, and maternal asthma (OR=9.71, 95% CI [2.66, 35.40], p=.001) showed higher asthma development in child. The only factor affecting atopic dermatitis was parental perceptions of child health: poor (OR=3.40, 95% CI [1.29, 8.98], p=.014). Conclusion: These results suggest that childhood asthma and atopic dermatitis are both affected by parental perceptions of child health. Accordingly, management and support programs for children who have asthma and/or atopic dermatitis and their families should be comprehensive and also give attention to any other health problems because health perception represents quality of life.

목적 본 연구는 국민건강영양조사 자료를 이용하여 아동 천식과 아토피피부염에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 방법 본 연구는 보건복지부, 질병관리본부가 공동으로 수행한 2011년 국민건강영양조사 제5기 2차년도(KNHANES V-2) 자료를 이용한 2차 분석으로 12세 미만 아동 1,170명을 대상으로 SPSS를 이용한 복합표본 분석을 하였으며 각 단위별 가중치를 적용하였다. 결과 본 연구를 통해 아동 천식에는 3세대 가족구성, 주관적 건강상태에 대한 인식이 보통이하인 경우, 그리고 어머니의 천식이 영향요인으로 확인되었고 아토피 피부염은 주관적 건강상태에 대한 인식이 영향요인으로 확인되었다. 결론 아동기 주요 문제가 되고 있는 천식과 아토피 피부염 모두 부모로부터 인식되는 주관적 건강상태와 관련이 있는 것으로 나타났는데 주관적 건강인식이 삶의 질을 반영하는 결과인 만큼 아동의 천식과 아토피 피부염은 질병으로써의 치료뿐만 아니라 가족과 아동을 모두 포함하는 포괄적인 건강증진에 초점을 두는 중재방안이 필요하다. 본 연구를 토대로 천식과 아토피 피부염 아동과 가족의 삶의 질 향상을 위한 간호중재 방안을 마련하는 연구의 계기가 마련되기를 기대한다.

Keywords

References

  1. Ahn, K., Kim, J., Kwon, H. J., Chae, Y., Hahm, M. I., Lee, K. J., et al. (2011). The prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in Korean children: Nationwide cross-sectional survey using complex sampling design. Journal of Korean Medical Association, 54(7), 769-778. http://dx.doi.org/10.5124/jkma.2011.54.7.769
  2. Ahn, S. H., Seo, W. H., Kim, S. J., Hwang, S. J., Park, H. Y., Han, Y. S., et al. (2005). Risk factors of moderate to severe atopic dermatitis in the first 6 months of life. Pediatric Allergy and Respiratory Disease, 15(3), 242-249.
  3. Almqvist, C., Pershagen, G., & Wickman, M. (2005). Low socioeconomic status as a risk factor for asthma, rhinitis and sensitization at 4 years in a birth cohort. Clinical & Experimental Allergy, 35(5), 612-618. http://dx.doi.org/10.1111/j.1365-2222.2005.02243.x
  4. Asher, M. I., Montefort, S., Bjorksten, B., Lai, C. K., Strachan, D. P., Weiland, S. K., et al. (2006). 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(9537), 733-743. http://dx.doi.org/10.1016/s0140-6736(06)69283-0
  5. Carroll, C. L., Balkrishnan, R., Feldman, S. R., Fleischer, A. B., & Manuel, J. C. (2005). The burden of atopic dermatitis: Impact on the patient, family, and society. Pediatric Dermatology, 22(3), 192-199. http://dx.doi.org/10.1111/j.1525-1470.2005.22303.x
  6. Cho, A. R., Lee, S. Y., Kim, Y. H., Yoo, Y., Yang, H. J., Lee, J. S., et al. (2012). Multicenter study on factors influencing the quality of life of asthmatic children and their caregivers. Pediatric Allergy and Respiratory Disease, 22(1), 37-44. http://dx.doi.org/10.7581/pard.2012.22.1.37
  7. Cho, S. I., Kim, J. H., Chung, B. Y., Ahn, I. S., Kim, H. O., Park, C. W., et al. (2011). Quality of life in children and adolescents with atopic dermatitis. Korean Journal of Dermatology, 49(5), 415-421.
  8. Cole, J. C., Ownby, D. R., Havstad, S. L., & Peterson, E. L. (2004). Family history, dust mite exposure in early childhood, and risk for pediatric atopic and asthma. Journal of Allergy and Clinical Immunology, 114(1), 105-110. http://dx.doi.org/10.1016/j.jaci.2004.04.007
  9. Galli, E., Gianni, S., Auricchio, G., Brunetti, E., Mancino, G., Rossi, P., et al. (2007). Atopic dermatitis and asthma. Allergy and Asthma Proceedings, 28(5), 540-543. http://dx.doi.org/ 10.2500/aap2007.28.3048
  10. Gdalevich, M., Mimouni, D., & Mimouni, M. (2001). Breast-feeding and the risk of bronchial asthma in childhood: A systematic review with meta-analysis of prospective studies. Journal of Pediatrics, 139(2), 261-266. http://dx.doi.org/10.1067/mpd.2001.117006
  11. Gdalevich, M., Mimouni, D., David, M., & Mimouni, M. (2001). Breastfeeding and the onset of atopic dermatitis in childhood: A systematic review and meta-analysis of prospective studies. Journal of the American Academy of Dermatology, 45(4), 520-527. http://dx.doi.org/10.1067/mjd.2001.114741
  12. Gehring, U., Strikwold, M., Schram-Bijkerk, D., Weinmayr, G., Grnunet, J., Nagel, G., et al. (2008). Asthma and allergic symptoms in relation to house dust endotoxin: ISAAC II. Clinical & Experimental Allergy, 38(12), 1911-1920. http://dx.doi.org/10.1111/j.1365-2222.2008.03087.x
  13. Illi, S., von Mutius, E., Lau, S., Nickel, R., Gruber, C., Niggemann, B., et al. (2004). The natural course of atopic dermatitis from birth to age 7 years and the association with asthma. Journal of Allergy and Clinical Immunology, 113(5), 925-931. http://dx.doi.org/10.1016/s0091-6749(04)00994-7
  14. Juniper, E. F. (2001). Using humanistic health outcomes data in asthma. Pharmacoeconomics, 19(Suppl. 2), 13-19. http://dx.doi.org/10.2165/00019053-200119002-00003
  15. Kim, C. Y., Park, H. W., Ko, S. K., Chang, S. I., Moon, H. B., Kim, Y. Y., et al. (2011). The financial burden of asthma: A nationwide comprehensive survey conducted in the Republic of Korea. Allergy, Asthma & Immunology Research, 3(1), 34-38. http://dx.doi.org/10.4168/aair.2011.3.1.34
  16. Kim, E. J., Kim, H. O., & Park, Y. M. (2008). A study on quality of life and economic burden in Korean patients with atopic dermatitis and their parents. Korean Journal of Dermatology, 46(1), 160-170.
  17. Kim, M. N., Lee, W. K., & Park, J. Y. (2013). The ecological analysis of asthmatic occurrence in patients: Using the national health insurance data. Journal of the Korean Data & Information Science Society, 24(4), 679-688. http://dx.doi.org/10.7465/jkdi.2013.24.4.679
  18. Laubereau, B., Filipiak-Pittroff, B., von Berg, A., Grub, A., Reinhardt, D., Wichmann, H. E., et al. (2004). Caesarean section and gastrointestinal symptoms, atopic dermatitis, and sensitization during the first year of life. Archives of Disease in Childhood, 89(11), 993-997. http://dx.doi.org/10.1136/adc.2003.043265
  19. Lee, H. B., Shin, S. A., & Oh, J. W. (2008). New patterns of childhood asthma prevalence in six Asian countries: Comparison of ISAAC phases I and III. Pediatric Allergy and Respiratory Disease, 18(1), 70-77.
  20. Lee, H. S., Lee, J. C., Hong, S. C., Kim, J. W., Kim, S. Y., & Lee, K. H. (2012). Prevalence and risk factors for allergic diseases of preschool children living in Seogwipo, Jeju, Korea. Journal of Asthma, Allergy and Clinical Immunology, 32(2), 107-114.
  21. Lee, J. H., Kim, E. H., Cho, J. B., Kim, H. Y., Suh J. M., Ahn, K. M., et al. (2011). Comparison of prevalence and risk factors of atopic dermatitis by physical examination and questionnaire survey in elementary school children. Pediatric Allergy and Respiratory Disease, 21(3), 186-196. http://dx.doi.org/10.7581/pard.2011.21.3.186
  22. Lee, S. Y., Kwon, J. W., Seo, J. H., Song, Y. H., Kim, B. J., Yu, J., et al. (2012). Prevalence of atopy and allergic diseases in Korean children: Associations with a farming environment and rural lifestyle. International Archives of Allergy and Immunology, 158(2), 168-174. http://dx.doi.org/10.1159/000330820
  23. Lee, Y. M., & Hwang, S. W. (2008). Prevalence and risk factors for atopic dermatitis in pre-school and school aged children. Journal of Korean Academy of Child Health Nursing, 14(3), 285-294.
  24. Lee, Y. M., & Kim, B. S. (2008). Prevalence and risk factors of asthma in community childhood. Journal of Korean Biological Nursing Science, 10(1), 53-61.
  25. Nam, S. Y., Yoon, H. S., & Kim, W. K. (2005). Prevalence of allergic disease in kindergarten age children in Korea. Pediatric Allergy and Respiratory Disease, 15(4), 439-445.
  26. National Health Insurance Corporation. (2013, May 6). Preschooler asthma. Retrieved July 21, 2014, from http://www.nhis.or.kr
  27. National Health Insurance Corporation. (2014, March 26). Atopic dermatitis. Retrieved July 21, 2014, from http://www.nhis.or.kr
  28. Park, M. J., Luo, S., Kwon, J. M. Stock, T. H., Delclos, G., Kim, H., et al. (2013). Effects of air pollution on asthma hospitalization rates in different age groups in metropolitan cities of Korea. Air Quality, Atmosphere, and Health, 6(3), 543-551. http://dx.doi.org/10.1007/s11869-013-0195-x
  29. Strachan, D. P. (2000). Family size, infection and atopy: The first decade of the hygiene hypothesis. Thorax, 55(suppl. 1), S2-S10. https://doi.org/10.1136/thorax.55.suppl_1.S2
  30. Wilson, K. M. & Weis, E. (2011). The epidemiology and health effects of tobacco smoke exposure. Current Pediatric Reviews, 7(2), 76-80. http://dx.doi.org/10.2174/157339611795735594

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