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尼日利亚拉各斯阿利莫肖地方政府辖区6至14岁儿童特应性皮炎相关因素

Factors Associated with Atopic Dermatitis among Children Aged 6 to 14 Years in Alimosho Local Government, Lagos, Nigeria.

作者信息

Kayode Olubunmi A, Mokoatle Charlotte M, Rathebe Phoka C, Mbonane Thokozani P

机构信息

Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg 2000, South Africa.

出版信息

Children (Basel). 2023 May 17;10(5):893. doi: 10.3390/children10050893.

Abstract

There has been a rise in the prevalence of atopic dermatitis (AD) globally, especially in low-and middle-income countries such as Nigeria. The condition has been linked to genetic predisposes, living conditions, and environmental factors. Environmental factors are considered a significant contributor to AD in low- and middle-income countries. This study determined the prevalence of AD in south-western Nigeria and identified risk factors in home and school environments that children aged 6 to 14 years are exposed to. A cross-sectional study was adopted, and the total sample size was 349. Four randomly selected health facilities were used for the study. A questionnaire was used to determine the risk factors in the population. Data analysis was performed using the latest version of Statistical Package for Social Science (SPSS). The prevalence of atopic dermatitis in this study is 25%. Atopic dermatitis was found to be common in females (27%). According to the univariate analysis, children who lived where trucks pass on the street almost daily had the highest cases of atopic dermatitis (28%). Children with rugs in their houses (26%) and those whose houses are surrounded by bushes (26%) had higher cases of atopic dermatitis. Children who played on school grass (26%), attended creche with rubber toys (28%), and attended school where wooden chairs (28%) and chalkboards (27%) are used had a higher number of AD. Bivariate analysis showed an association between AD with a mother's monthly income ( = 0.012) and eating potatoes ( = 0.005), fruits ( = 0.040), and cereal ( = 0.057). In the multivariate analysis, the consumption of fruits ( = 0.02), potatoes ( < 0.001), and cereal ( = 0.04) were identified as risk factors associated with AD. It is envisaged that the study will serve as a basis for possible research on evidence-based and primary prevention options. Hence, we recommend health education activities to empower communities to protect themselves against environmental risk factors that are preventable.

摘要

全球范围内,特应性皮炎(AD)的患病率呈上升趋势,尤其是在尼日利亚等低收入和中等收入国家。这种疾病与遗传易感性、生活条件和环境因素有关。在低收入和中等收入国家,环境因素被认为是导致AD的一个重要因素。本研究确定了尼日利亚西南部AD的患病率,并确定了6至14岁儿童在家庭和学校环境中接触到的风险因素。采用横断面研究,总样本量为349。随机选择了四个卫生设施用于该研究。使用问卷来确定人群中的风险因素。使用最新版本的社会科学统计软件包(SPSS)进行数据分析。本研究中特应性皮炎的患病率为25%。发现特应性皮炎在女性中更为常见(27%)。根据单因素分析,几乎每天都有卡车在街上经过的地方居住的儿童患特应性皮炎的病例最多(28%)。家中有地毯的儿童(26%)以及房屋被灌木丛环绕的儿童(26%)患特应性皮炎的病例较多。在学校草地上玩耍的儿童(26%)、在有橡胶玩具的托儿所上学的儿童(28%)以及在使用木椅(28%)和黑板(27%)的学校上学的儿童患AD的人数较多。双因素分析显示AD与母亲的月收入(=0.012)以及食用土豆(=0.005)、水果(=0.040)和谷物(=0.057)之间存在关联。在多因素分析中,食用水果(=0.02)、土豆(<0.001)和谷物(=0.04)被确定为与AD相关的风险因素。预计该研究将作为可能的基于证据的初级预防方案研究的基础。因此,我们建议开展健康教育活动,使社区有能力保护自己免受可预防的环境风险因素的影响。

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