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Oak and Lee: Prevalence Rate and Factors Associated with Atopic Dermatitis among Korean Middle School Students
Original Article

J Korean Acad Nurs 2012;42(7):992-1000.

Published online: 12 December 2012

DOI: https://doi.org/10.4040/jkan.2012.42.7.992

Prevalence Rate and Factors Associated with Atopic Dermatitis among Korean Middle School Students

Ji Won Oak1, Hea Shoon Lee2

1Department of Nursing, Tongmyong University, Busan, Korea

2Department of Nursing, Dongseo University, Busan, Korea

Address reprint requests to : Lee, Hea Shoon Department of Nursing, Dongseo University, San 69-1 Jurye-2-dong, Sasang-gu, Busan 617-716, Korea Tel: +82-10-5399-0380 Fax: +82-51-320-2721 E-mail: lhs7878@hanmail.net

Received 13 June 2012       Revised 7 July 2012       Accepted 16 November 2012

Copyright © 2012 Korean Society of Nursing Science

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to verify prevalence rates of atopic dermatitis (AD) in middle school students in Korea and to define AD and associated factors.

Methods

This study was conducted using secondary analysis of raw data from the ‘The 6th Korean National Adolescent Health Behavior Survey, 2010’ conducted by the Korea Centers for Disease Control. The participants were 37,570 students. General characteristics and health behavior-related characteristics were analyzed using descriptive statistics, χ2-test and logistic regression analysis.

Results

Results are as follows. 1. There were 8,494 middle school students (22.6%), who had been diagnosed with AD during the last 12 months. 2. Factors associated with AD in middle school students were gender (p< .001), grade level (p= .001), father’s education (p< .001), mother’s education (p= .032), regular dietary habits (breakfasts, p= .025; lunches; p= .003), stress (p< .001), recognition of subjective awareness of one’s health conditions (p< .001), hand washing before meals at school (p= .013), and cessation education for both smoking (p= .002) and alcohol (p= .031).

Conclusion

Results of the study indicate that in order to alleviate AD symptoms in these students, there is a need to develop nursing interventions and education programs taking into consideration these variables and verifying the effects of interventions and programs.

Keywords: Dermatitis, Atopic, Prevalence, Adolescent, Health behavior

References

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Table 1.
Differences in General Characteristics between Groups (N=37,570)
Characteristics Categories n (%) Atopic dermatitis (n=8,494)
 Non-atopic dermatitis (n=29,076)
 χ2 (p)
n (%) n (%)
Gender Male 19,956 (53.1) 3,826 (45.0) 1,6130 (55.5) 287.26 (<.001)
Female 17,614 (46.9) 4,668 (55.0) 1,2946 (44.5)
Grade level 1st 12,468 (33.2) 2,892 (33.0) 9,756 (32.9) 8.34 (.015)
2nd 12,499 (33.3) 2,861 (33.7) 9,638 (33.1)
3rd 12,603 (33.5) 2,741 (32.3) 9,862 (33.9)
Father's education ≤Middle school 1,763 (4.7) 319 (3.8) 1,444 (5.0) 86.46 (<.001)
level High school 20,674 (55.0) 4,405 (51.9) 16,269 (56.0)
≥College 15,133 (40.3) 3,770 (44.4) 11,363 (39.1)
Mother's education ≤Middle school 1,580 (4.2) 302 (3.6) 1,278 (4.4) 54.35 (<.001)
level High school 24,236 (64.5) 5,273 (62.1) 18,963 (65.1)
≥College 11,754 (31.3) 2,929 (34.4) 8,835 (30.4)
Economic High 12,643 (33.7) 2,917 (34.3) 9,726 (33.5) 2.80 (.247)
status Average 17,398 (46.3) 3,872 (45.6) 13,526 (46.5)
Low 7,529 (20.0) 1,705 (20.1) 5,824 (20.0)
Table 2.
Differences in Health Behavior-related Characteristics between Groups
Characteristics Categories n (%) Atopic dermatitis (n=8,494)
 Non-atopic dermatitis (n=29,076)
 χ2 (p)
n (%) n (%)
Smoking status No 29,649 (78.9) 6,829 (80.4) 22,820 (78.5) 14.47 (<.001)
Yes 7,921 (21.1) 1,665 (19.6) 6,256 (21.5)
BMI Under-weight 12,662 (33.7) 2,705 (32.9) 9,957 (35.4) 18.83 (<.001)
Normal 21,013 (55.9) 4,894 (59.5) 16,119 (57.4)
Over-weight 2,541 (6.8) 604 (7.3) 1,937 (6.9)
Obese 99 (0.3) 21(0.3) 78 (0.3)
Regular dietary habit Number of breakfasts none 3,511 (9.3) 735 (8.7) 2,776 (9.5) 25.71 (<.001)
(days/week) 1~2 5,665 (15.1) 1,174 (13.8) 4,491 (15.4)
3~5 6,868 (18.3) 1,646 (19.4) 5,221 (18.0)
6~7 21,526 (57.3) 4,939 (58.1) 16,587 (57.0)
Number of lunches none 840 (2.2) 147 (1.7) 691 (2.3) 51.98 (<.001)
(days/week) 1~2 2,881 (7.7) 523 (6.2) 2,358 (8.1)
3~5 3,749 (10.0) 834 (9.8) 2,915 (10.0)
6~7 30,100 (80.1) 6,990 (82.3) 23,110 (79.5)
Number of dinners none 881 (2.3) 152 (1.8) 729 (2.5) 30.93 (<.001)
(days/week) 1~2 3,519 (9.4) 728 (8.6) 2,791 (9.6)
3~5 6,808 (18.1) 1,643 (19.3) 5,165 (17.8)
6~7 26,362 (70.2) 5,971 (70.3) 20,391 (70.1)
Number of times of none 4,521 (12.0) 1,133 (13.3) 3,388 (11.7) 21.83 (<.001)
to drink milk (times/week) 1~2 6,415 (17.1) 1,488 (17.5) 4,927 (16.9)
3~4 7,721 (20.6) 1,696 (20.0) 6,025 (20.7)
5~6 6,201 (16.5) 1,383 (16.3) 4,818 (16.6)
≥7 12,712 (33.8) 2,794 (32.9) 9,918 (34.1)
Mental health Stress High 15,392 (41.0) 3,824 (45.0) 11,568 (39.8) 83.04 (<.001)
Normal 15,329 (40.8) 3,312 (39.0) 12,017 (41.3)
Low 6,849 (18.2) 1,358 (16.0) 5,491 (18.9)
Depression No 24,633 (65.6) 5,354 (63.0) 19,279 (66.3) 31.19 (<.001)
Yes 12,937 (34.4) 3,140 (37.0) 9,797 (33.7)
Subjective awareness of one's health conditions Healthy 24,631 (65.6) 5,164 (60.8) 19,467 (67.0) 190.21 (<.001)
Normal 10,414 (27.7) 2,547 (30.0) 7,867 (27.1)
Unhealthy 2,525 (6.7) 783 (9.2) 1,742 (6.0)
Washing hands before meals Never 2,619 (7.0) 663 (7.8) 1,956 (6.7) 41.20 (<.001)
(at school) Sometimes 11,281 (30.0) 2,714 (32.0) 8,568 (29.5)
Often 12,517 (33.3) 2,766 (32.6) 9,751 (33.5)
Always 11,152 (29.7) 2,351 (27.7) 8,801 (30.3)
After a restroom visit (at home) Never 609 (1.6) 140 (1.6) 469 (1.6) 13.21 (.004)
Sometimes 3,217 (8.6) 761 (9.0) 2,456 (8.4)
Often 8,190 (21.8) 1,734 (20.4) 6,456 (22.2)
Always 25,554 (68.0) 5,859 (69.0) 19,695 (67.7)
Status of receiving health Smoking cessation No 13,049 (34.7) 2,715 (32.0) 10,334 (35.5) 37.12 (<.001)
education Yes 24,521 (65.3) 5,779 (68.0) 18,742 (64.5)
Alcohol cessation No 20,245 (53.9) 4,381 (51.6) 15,864 (54.6) 23.54 (<.001)
Yes 17,325 (46.1) 4,113 (48.4) 13,212 (45.4)
Personal hygiene No 21,332 (56.8) 4,679 (55.1) 16,653 (57.3) 12.83 (<.001)
Yes 16,238 (43.2) 3,815 (44.9) 12,423 (42.7)

BMI=Body mass index.

Table 3.
Factors that Affect the Occurrence of Atopic Dermatitis (N=37,570)
Variables Categories ß SE Wald p Odds ratio 95% CI*
Lower Upper
Gender (male) Female .41 .02 285.27 <.001 1.52 1.45 1.59
Grade level (1st) 2nd .10 .03 10.21 .001 1.10 1.04 1.18
3rd .07 .03 5.07 .024 1.07 1.01 1.14
School record (high) Medium .15 .03 23.49 <.001 1.16 1.09 1.24
Low .06 .03 3.79 .052 1.07 1.00 1.14
Father's education level High school −.31 .07 17.69 <.001 0.73 0.63 0.85
(≤Middle school) ≥College −.14 .03 20.29 <.001 0.87 0.82 0.92
Mother's education level High school −.22 .07 8.11 .004 0.80 0.69 0.93
(≤Middle school) ≥College −.06 .03 4.57 .032 0.93 0.88 0.99
Number of breakfasts (none) (days/week) 1-2 −.03 .04 0.60 .436 0.96 0.87 1.05
3-5 −.03 .04 0.88 .346 0.96 0.88 1.04
6-7 −.07 .03 5.03 .025 0.83 0.77 0.96
Number of lunches (none) 1-2 −.20 .10 4.38 .036 0.81 0.66 0.98
(days/week) 3-5 −.16 .05 8.61 .003 0.84 0.75 0.94
6-7 −.06 .04 1.98 .159 0.94 0.86 1.02
Stress (high) Normal −.18 .02 45.09 <.001 0.83 0.79 0.87
Low −.29 .03 66.47 <.001 0.74 0.69 0.80
Subjective awareness of one's health conditions Normal .18 .02 45.86 <.001 1.20 1.14 1.27
Unhealthy .51 .04 124.22 <.001 1.66 1.52 1.82
Washing hands before meals (at school) Sometimes −.10 .05 1.25 .262 0.94 0.85 1.04
(never washed) Often −.02 .05 3.66 .056 0.90 0.81 1.00
Always −.04 .05 6.19 .013 0.87 0.78 0.97
Smoking cessation education status (no) Yes −.09 .03 9,65 .002 0.90 0.85 0.96
Alcohol cessation education status (no) Yes −.06 .03 4.64 .031 0.94 0.88 0.99

* CI=Confidence interval.

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