Lee Kyung-Suk, Rha Yeong-Ho, Oh In-Hwan, Choi Yong-Sung, Choi Sun-Hee
Department of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, 59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 13496, South Korea.
Department of Pediatrics, Kyung Hee University School of Medicine, 23, Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
BMC Pediatr. 2016 Jan 27;16:19. doi: 10.1186/s12887-016-0549-2.
Various international reports have shown that socioeconomic and sociodemographic variables are correlated with allergic diseases; however, little is known about how these variables affect Korean adolescents. This study was conducted to identify socioeconomic and sociodemographic risk factors for allergic diseases in Korean adolescents to provide information for preventing and managing such conditions.
Data from the 2011 Korea Youth Risk Behavior Web-based Survey (KYRBWS-VII) of 75,643 adolescents were used. An anonymously administered online survey was conducted to collect dependent variable information on perceived sexes, residence, family affluence (Family Affluence Scale; FAS), parental education levels, subjective academic achievement, obesity, drinking and smoking. The independent variables were asthma, allergic rhinitis and atopic dermatitis. Multivariate logistic regression was used to analyze the correlations between the dependent and independent variables.
Low subjective academic achievement, obesity, drinking and smoking were risk factors for asthma. High FAS, parental bachelor's degree and high subjective academic achievement were risk factors for allergic rhinitis. Finally, high FAS, maternal bachelor's degree and high subjective academic achievement were risk factors for atopic dermatitis.
We found that high socioeconomic status (SES) was a risk factor for allergic diseases in Korean adolescents. We propose that the greater access to medical services and immunization (e.g., hygiene hypothesis) afforded by high SES influenced the prevalence of allergic diseases. Thus, as the Korean economy develops further, the prevalence of allergic diseases is likely to increase. Controlling harmful behavioral risk factors, such as drinking and smoking, may help to prevent adolescent allergic diseases.
多项国际报告表明，社会经济和社会人口统计学变量与过敏性疾病相关；然而，对于这些变量如何影响韩国青少年，人们知之甚少。本研究旨在确定韩国青少年过敏性疾病的社会经济和社会人口统计学风险因素，为预防和管理此类疾病提供信息。
使用了2011年韩国青少年风险行为网络调查（KYRBWS-VII）中75643名青少年的数据。通过匿名在线调查收集关于感知性别、居住情况、家庭富裕程度（家庭富裕量表；FAS）、父母教育水平、主观学业成绩、肥胖、饮酒和吸烟等因变量信息。自变量为哮喘、过敏性鼻炎和特应性皮炎。采用多因素逻辑回归分析因变量与自变量之间的相关性。
主观学业成绩低、肥胖、饮酒和吸烟是哮喘的风险因素。高FAS、父母学士学位和高主观学业成绩是过敏性鼻炎的风险因素。最后，高FAS、母亲学士学位和高主观学业成绩是特应性皮炎的风险因素。
我们发现高社会经济地位（SES）是韩国青少年过敏性疾病的一个风险因素。我们认为，高SES带来的更多医疗服务和免疫接种机会（例如，卫生假说）影响了过敏性疾病的患病率。因此，随着韩国经济进一步发展，过敏性疾病的患病率可能会增加。控制饮酒和吸烟等有害行为风险因素可能有助于预防青少年过敏性疾病。
