上海市某社区儿童特应性皮炎患病情况及其影响因素

严淑贤; 彭卓欣; 朱俭锋; 彭琬晴; 徐峰; 徐金华; 杨超; 赵卓慧

上海市某社区儿童特应性皮炎患病情况及其影响因素

Prevalence of Atopic Dermatitis and Associated Factors among Children in a Shanghai Community

摘要

摘要:
目的调查上海市长宁区儿童特应性皮炎(AD)患病情况,探讨儿童AD的相关危险因素。

方法对上海市长宁区某社区2 457名6~12岁儿童进行AD患病情况及其可能影响因素的问卷调查,并对数据进行单因素和多因素分析。

结果上海市长宁区儿童AD累积患病率为11.8%,较小的年龄、家族过敏史(OR, 95% CI分别为2.35,1.77~3.12)、母亲怀孕前一年或怀孕期间(1.73, 1.25~2.40)及儿童出生后居住装修半年内的房屋(1.77, 1.32~2.38)、复合/木制/毛毯作为儿童房间地面材料(1.62, 1.02~2.57)、居住地出现发霉状况(1.72, 1.17~2.60)、儿童被动吸烟(1.64,1.16~2.33)、单纯使用天然气/煤气作为家庭燃料(1.73, 1.07~2.81)等因素与儿童AD患病有统计学关联。

结论室内家居环境与儿童AD可能有关。

Abstract:
Objective To estimate the prevalence of childhood atopic dermatitis (AD) in Changning District of Shanghai as well as its associated risk factors.

Methods A cross-sectional study was conducted in 2 457 children aged 6-12 years old in a community of Changning District.Questionnaires were distributed asking about children's general information and residential environment and the prevalence of AD.The data were analyzed by univariate and multivariate logistic regressions.

Results The total cumulative prevalence of AD was 11.8%.Younger age,family history of allergic diseasesodds ratio (OR),2.35;95% confidence interval (CI),1.77-3.12,mothers lived in newly decorated homes (NDH)(within 6 months after decoration)1 year before or during pregnancy (1.73,1.25-2.40),children lived in NDH (1.77,1.32-2.38),laminated/wood/carpeting floors (1.62,1.02-2.57),mold in homes (1.72,1.17-2.60),children passive smoking (1.64,1.16-2.33),and use of natural gas/coal gas only for cooking (1.73,1.07-2.81) were independent risk factors for children's AD.

Conclusion Home environmental factors might be related with AD in children.

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