儿童特应性与父母社会阶层
Atopy in children and parental social class.
作者信息
Heinrich J, Popescu M A, Wjst M, Goldstein I F, Wichmann H E
机构信息
GSF Research Center for Environment and Health, Institute of Epidemiology, Neuherberg, Oberschleissheim, Germany.
出版信息
Am J Public Health. 1998 Sep;88(9):1319-24. doi: 10.2105/ajph.88.9.1319.
OBJECTIVES
This analysis was conducted to determine whether atopic disorders were related to social class in a pediatric population of a former socialist country.
METHODS
A cross-sectional study of 2471 schoolchildren was carried out in 1992 and 1993 in 3 towns in the former East Germany. Parents completed a standardized questionnaire regarding health events and lifestyle factors. In addition, skin-prick tests were performed and total serum immunoglobulin (IgE) was determined.
RESULTS
Lifetime prevalence rates for atopic disease and rates of allergic sensitization were highest in children from social class III (in which parents had more than 10 years of formal education) and lowest in social class I (less than 10 years of parental education), while rates in social class II (10 years of parental education) were constant at an intermediate level.
CONCLUSIONS
The data confirmed the assumption that in formerly socialist countries social inequalities existed under the socialist system, which were reflected by a social gradient in health outcomes. The findings support the hypothesis that increased access to modern lifestyle could be one reason for the increasing rates of atopic disorders during the last 3 decades.
目的
进行此项分析以确定在一个前社会主义国家的儿童群体中，特应性疾病是否与社会阶层有关。
方法
1992年和1993年在前东德的3个城镇对2471名学童开展了一项横断面研究。家长们完成了一份关于健康事件和生活方式因素的标准化问卷。此外，进行了皮肤点刺试验并测定了血清总免疫球蛋白（IgE）。
结果
特应性疾病的终生患病率和过敏致敏率在社会阶层III（父母接受正规教育超过10年）的儿童中最高，在社会阶层I（父母受教育年限不足10年）的儿童中最低，而社会阶层II（父母受教育年限为10年）的患病率则稳定在中间水平。
结论
数据证实了这样一种假设，即在以前的社会主义国家，社会主义制度下存在社会不平等现象，这在健康结果的社会梯度中有所体现。这些发现支持了以下假设，即过去30年中获得现代生活方式的机会增加可能是特应性疾病发病率上升的一个原因。
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