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HOME > J Korean Acad Community Health Nurs > Volume 26(2); 2015 > Article
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

© 2015 Korean Academy of Community Health Nursing

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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  • 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
n (%) or M±SD n (%) or M±SD
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)
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)
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)
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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