Cheng Brian T, Silverberg Jonathan I
Department of Allergy & Immunology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Department of Dermatology, The George Washington University School of Medicine and Health Sciences, Washington, DC.
J Am Acad Dermatol. 2021 Oct;85(4):885-892. doi: 10.1016/j.jaad.2021.02.069. Epub 2021 Mar 2.
The impact of childhood atopic dermatitis (AD) and psoriasis on school absenteeism is not fully elucidated.
To determine the burden and predictors of chronic school absenteeism in children with AD and psoriasis.
Data were analyzed from the 1999-2015 Medical Expenditure Panel Surveys, cross-sectional, population-based studies of health status and function in the United States.
Among 3132 and 200 children with AD and psoriasis, respectively, 1544 (67.7%) and 97 (62.5%) missed ≥1 day, and 120 (3.9%) and 5 (3.6%) missed ≥15 days (chronically absent) per year due to illness. AD was associated with chronic absenteeism overall (logistic regression; adjusted odds ratio 1.42, 95% CI [1.13-1.78]) and with more severe disease (mild-moderate: 1.33 [1.04-1.70], severe: 2.00 [1.21-3.32]). No statistical difference in chronic absenteeism was found for children with versus those without psoriasis (1.26 [0.51-3.12]). Parents of children with AD were more likely to miss work for caregiving versus those of children without AD, whereas parents of children with psoriasis had similar rates of work absenteeism versus those of children without psoriasis.
The severity of AD and psoriasis was assessed by treatment pattern.
Children in the United States with AD had increased chronic school absenteeism. Further interventions are warranted to prevent school absenteeism in childhood AD.
儿童特应性皮炎（AD）和银屑病对缺课的影响尚未完全阐明。
确定AD和银屑病患儿长期缺课的负担及预测因素。
分析了1999 - 2015年医疗支出面板调查的数据，这些是基于美国人口的健康状况和功能横断面研究。
在分别患有AD和银屑病的3132名和200名儿童中，每年因疾病缺课≥1天的分别有1544名（67.7%）和97名（62.5%），缺课≥15天（长期缺课）的分别有120名（3.9%）和5名（3.6%）。总体而言，AD与长期缺课相关（逻辑回归；调整优势比1.42，95%可信区间[1.13 - 1.78]），且与病情更严重相关（轻度 - 中度：1.33 [1.04 - 1.70]，重度：2.00 [1.21 - 3.32]）。患银屑病的儿童与未患银屑病的儿童在长期缺课方面未发现统计学差异（1.26 [0.51 - 3.12]）。AD患儿的父母因照顾孩子而误工的可能性高于未患AD患儿的父母，而银屑病患儿的父母与未患银屑病患儿的父母误工率相似。
AD和银屑病的严重程度通过治疗模式进行评估。
美国患有AD的儿童长期缺课情况增加。有必要采取进一步干预措施以预防儿童AD导致的缺课。
