A Cross-sectional Epidemiological Study on Trends in the Prevalence of Allergic Diseases among Children and Adolescents in the Jeju Area in 2008 and 2013

Hye-Sook Lee; Sung-Chul Hong; Jeong Hong Kim; Jae-Wang Kim; Keun-Hwa Lee; Jaechun Lee

doi:10.12799/jkachn.2015.26.2.160

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Original Article
A Cross-sectional Epidemiological Study on Trends in the Prevalence of Allergic Diseases among Children and Adolescents in the Jeju Area in 2008 and 2013: Hye-Sook Lee, Sung-Chul Hong, Jeong Hong Kim, Jae-Wang Kim, Keun-Hwa Lee, Jaechun Lee; Journal of Korean Academy of Community Health Nursing 2015;26(2):160-168.
DOI: https://doi.org/10.12799/jkachn.2015.26.2.160
Published online: June 30, 2015

¹School of Medicine, Jeju National University, The Environmental Health Center, Jeju, Korea.

²School of Medicine, Jeju National University, The Environmental Health Center, Preventive Medicine, Jeju, Korea.

³School of Medicine, Jeju National University, The Environmental Health Center, Otorhinolaryngology, Jeju, Korea.

⁴School of Medicine, Jeju National University, The Environmental Health Center, Dermatology, Jeju, Korea.

⁵School of Medicine, Jeju National University, The Environmental Health Center, Microbiology, Jeju, Korea.

⁶School of Medicine, Jeju National University, The Environmental Health Center, Internal Medicine, Jeju, Korea.

• Received: September 11, 2014 • Revised: June 18, 2015 • Accepted: June 26, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Abstract

Purpose
This study was to find epidemiological trends in the prevalence of allergic diseases among children and adolescents in Jeju Province, Korea.
Methods
Two questionnaire surveys of the same method were conducted, respectively, in 2008 and in 2013 with five years' interval with 1,296 participants in 2008 and 878 in 2013 who were elementary and secondary students sampled at random from the same five schools. 'International Study of Asthma and Allergies in Childhood (ISAAC)' was applied to the parents with their written consent to the survey.
Results
The results of analysis showed an increasing trend in the prevalence of lifetime asthma (8.6% in 2008 and 10.4% in 2013) and in the prevalence of lifetime allergic rhinitis (25.3% in 2008 and 31.1% in 2013) (p=.003), and a decreasing trend in the prevalence of lifetime atopic dermatitis (32.0% in 2008 and 26.8% in 2013) (p=.011).
Conclusion
This research showed an increasing trend in the prevalence of asthma and allergic rhinitis among children and adolescents in Jeju Province compared to that 5 years ago, but represented a declining trend in the prevalence of atopic dermatitis.
Key Words: Prevalence; Asthma; Allergic rhinitis; Atopic dermatitis; Students

Table 1

Participants' General Characteristics in 2008 and 2013

Characteristics	2008	2013	p
Characteristics	n (%) or M±SD	n (%) or M±SD	p
Participants (age range)
Elementary school children (7~12)	534 (41.2)	332 (37.8)	.255
Middle school children (13~15)	371 (28.6)	273 (31.1)
High school children (16~18)	391 (30.2)	273 (31.1)
	13.2±3.25 (7~18)^†	13.2±3.27 (7~18)^†	.793
Gender
Male	645 (49.8)	417 (47.5)	.298
Female	651 (50.2)	461 (52.5)
Total	1,296 (100.0)	878 (100.0)

^†Age, Mean±Standard Deviation (Age Range).

Table 2

Comparison of Prevalence of Asthma Symptoms, Lifetime Diagnosis, Treatments in Jeju Children and Adolescents between 2008 and 2013

Items	Elementary (7~12 yr)		Middle (13~15 yr)		High (16~18 yr)		Total (7~18 yr)
Items	2008	2013	2008	2013	2008	2013	2008	2013
Wheeze symptoms, ever	14.6	12.6	12.6	15.9	10.4	17.2	12.8	15.0
Lifetime diagnosis of asthma	10.2	9.7	7.8	13.6^*	6.8	8.2	8.6	10.4
Tx of asthma, last 12 months	2.3	2.8	2.4	1.9	1.4	2.3	2.1	2.3

Note. Values are presented as %; Tx=treatment; ^*p<.05.

Table 3

Comparison of Prevalence of Allergic Rhinitis Symptoms, Lifetime Diagnosis, Treatments in Jeju Children and Adolescents between 2008 and 2013

Items	Elementary (7~12 yr)		Middle (13~15 yr)		High (16~18 yr)		Total (7~18 yr)
Items	2008	2013	2008	2013	2008	2013	2008	2013
AR symptoms, ever	37.9	40.3	44.8	43.6	45.9	46.8	42.2	43.4
Lifetime diagnosis of AR	22.4	28.9^*	22.5	27.8	31.9	37.0	25.3	31.1^**
Tx of AR, last 12 months	16.5	21.1	16.4	19.7	24.1	23.9	18.7	21.5

Note. Values are presented as %; AR=allergic rhinitis; Tx=treatment; ^*p<.05, ^**p<.01.

Table 4

Comparison of Prevalence of Atopic Dermatitis Symptoms, Lifetime Diagnosis, Treatments in Jeju Children and Adolescents between 2008 and 2013

Items	Elementary (7~12 yr)		Middle (13~15 yr)		High (16~18 yr)		Total (7~18 yr)
Items	2008	2013	2008	2013	2008	2013	2008	2013
Itchy eczema symptoms, ever	26.3	22.9	22.9	20.7	21.3	28.5^*	23.9	24.0
Lifetime diagnosis of AD	42.8	29.4^**	24.5	20.7	23.4	29.9	32.0	26.8^*
Tx of AD, last 12 months	16.8	16.0	10.7	8.7	8.3	11.2	12.6	12.3

Note. Values are presented as %; AD=atopic dermatitis; Tx=treatment; ^*p<.05, ^**p<.001.

This research was supported by the Environmental Health Center, the Ministry of Environment.

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Association between electronic cigarette smoking and allergic rhinitis – The Korea National Health and Nutrition Examination Survey (2015)
Hye Ran Jeon, Youn Seon Choi, Seon Mee Kim, So Jung Yoon, Jin Wook Kim, Man Kim, Ji Young Lee, Jung Hwan Yoon
Allergy, Asthma & Respiratory Disease.2017; 5(6): 344. CrossRef

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A Cross-sectional Epidemiological Study on Trends in the Prevalence of Allergic Diseases among Children and Adolescents in the Jeju Area in 2008 and 2013

Characteristics	2008	2013	p
Characteristics	n (%) or M±SD	n (%) or M±SD	p
Participants (age range)
Elementary school children (7~12)	534 (41.2)	332 (37.8)	.255
Middle school children (13~15)	371 (28.6)	273 (31.1)
High school children (16~18)	391 (30.2)	273 (31.1)
	13.2±3.25 (7~18)^†	13.2±3.27 (7~18)^†	.793
Gender
Male	645 (49.8)	417 (47.5)	.298
Female	651 (50.2)	461 (52.5)
Total	1,296 (100.0)	878 (100.0)

Items	Elementary (7~12 yr)		Middle (13~15 yr)		High (16~18 yr)		Total (7~18 yr)
Items	2008	2013	2008	2013	2008	2013	2008	2013
Wheeze symptoms, ever	14.6	12.6	12.6	15.9	10.4	17.2	12.8	15.0
Lifetime diagnosis of asthma	10.2	9.7	7.8	13.6^*	6.8	8.2	8.6	10.4
Tx of asthma, last 12 months	2.3	2.8	2.4	1.9	1.4	2.3	2.1	2.3

Items	Elementary (7~12 yr)		Middle (13~15 yr)		High (16~18 yr)		Total (7~18 yr)
Items	2008	2013	2008	2013	2008	2013	2008	2013
AR symptoms, ever	37.9	40.3	44.8	43.6	45.9	46.8	42.2	43.4
Lifetime diagnosis of AR	22.4	28.9^*	22.5	27.8	31.9	37.0	25.3	31.1^**
Tx of AR, last 12 months	16.5	21.1	16.4	19.7	24.1	23.9	18.7	21.5

Items	Elementary (7~12 yr)		Middle (13~15 yr)		High (16~18 yr)		Total (7~18 yr)
Items	2008	2013	2008	2013	2008	2013	2008	2013
Itchy eczema symptoms, ever	26.3	22.9	22.9	20.7	21.3	28.5^*	23.9	24.0
Lifetime diagnosis of AD	42.8	29.4^**	24.5	20.7	23.4	29.9	32.0	26.8^*
Tx of AD, last 12 months	16.8	16.0	10.7	8.7	8.3	11.2	12.6	12.3

Table 1 Participants' General Characteristics in 2008 and 2013

^†Age, Mean±Standard Deviation (Age Range).

Table 2 Comparison of Prevalence of Asthma Symptoms, Lifetime Diagnosis, Treatments in Jeju Children and Adolescents between 2008 and 2013

Note. Values are presented as %; Tx=treatment; ^*p<.05.

Table 3 Comparison of Prevalence of Allergic Rhinitis Symptoms, Lifetime Diagnosis, Treatments in Jeju Children and Adolescents between 2008 and 2013

Note. Values are presented as %; AR=allergic rhinitis; Tx=treatment; ^*p<.05, ^**p<.01.

Table 4 Comparison of Prevalence of Atopic Dermatitis Symptoms, Lifetime Diagnosis, Treatments in Jeju Children and Adolescents between 2008 and 2013

Note. Values are presented as %; AD=atopic dermatitis; Tx=treatment; ^*p<.05, ^**p<.001.