Department of Dermatology, St Luke's-Roosevelt Hospital and Beth Israel Medical Centers, New York, NY; Department of Dermatology, Northwestern University, Chicago, Ill.
J Allergy Clin Immunol. 2013 Nov;132(5):1132-8. doi: 10.1016/j.jaci.2013.08.031. Epub 2013 Oct 4.
Little is known about the epidemiology of eczema in adults. The goal of this study was to determine the prevalence of and associations with adult eczema in the United States.
We used the 2010 National Health Interview Survey from a nationally representative sample of 27,157 adults age 18 to 85 years.
Overall, the 1-year prevalence of eczema was 10.2% (95% CI, 9.7% to 10.6%). The 1-year prevalence of eczema with asthma and/or hay fever was 3.2% (95% CI, 2.8% to 3.3%). Adult eczema was associated with higher prevalence of asthma (P < .001, Rao-Scott χ(2) test), more asthma attacks in the past year (P < .001), and more persistent asthma (P = .02). In multivariate models eczema prevalence was significantly higher in older participants; female subjects; those with Hispanic ethnicity, US birthplace, and higher level of household education; and those currently working (all P ≤ .02, logistic regression).
This study provides US population-based estimates of eczema prevalence and asthma associations in adults. The results suggest multiple demographic and socioeconomic influences on the US prevalence of adult eczema.
成人湿疹的流行病学情况鲜为人知。本研究旨在确定美国成人湿疹的患病率及其与相关疾病的关联。
我们采用了全国代表性样本 27157 名 18 至 85 岁成年人的 2010 年国家健康访谈调查数据。
总体而言，成人湿疹的 1 年患病率为 10.2%（95%CI：9.7%至 10.6%）。伴有哮喘和/或花粉热的湿疹 1 年患病率为 3.2%（95%CI：2.8%至 3.3%）。成人湿疹与哮喘的更高患病率相关（P<.001，Rao-Scott χ2 检验）、过去 1 年中更多的哮喘发作（P<.001）和更持续的哮喘（P=0.02）。在多变量模型中，湿疹的患病率在年龄较大的参与者中、女性受试者中、具有西班牙裔血统、出生于美国、受教育程度较高的家庭以及目前正在工作的人群中显著更高（所有 P≤0.02，逻辑回归）。
本研究提供了美国基于人群的成人湿疹患病率和与哮喘关联的估计值。结果表明，多种人口统计学和社会经济因素对美国成人湿疹的患病率有影响。
