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서성철,Seo, Seong-Cheol 환경보전협회 2014 환경정보 Vol.414 No.-
환경성질환은 19세기 이후 산업화 등으로 인한 특정 물질 등으로 인한 오염이 집중, 심화되면서 그 악영향에 대한 관심 및 중요성이 더욱 커지고 있는 실정이다. 대표적인 환경성질환인 아토피피부염, 알레르기비염, 천식 등 알레르기질환이 지속적으로 증가하는 추세이며, 특히 면역력이 약한 어린이, 청소년 및 노인층을 중심으로 꾸준히 발생하고 있어, 이에 대한 예방관리에 더욱 더 많은 관심을 기울일 필요가 있다.
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지방자치단체 중심의 아토피 예방관리 프로그램 효과 평가
서성철,조용민,류승훈,이승길,이지연,정지태,Seo, SungChul,Cho, YongMin,Ryu, SeungHun,Lee, Seung Kil,Lee, Ji Yeon,Choung, Ji Tae 한국환경보건학회 2013 한국환경보건학회지 Vol.39 No.4
Objectives: We evaluated the effects of an allergy control program on children with atopic dermatitis (AD) in five schools located within Gyeonggi-do. Methods: Based on the results of the 12-month prevalence of AD symptoms from an International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire of all students (n=2109; 1040 boys, 1069 girls) at five randomly selected schools, 227 students with AD symptoms were screened. Finally, 188 students with greater than 1 on SCORAD (SCORing Atopic Dermatitis) determined by a physician were selected. The allergy control program includes education related to allergic diseases, skin prick tests, and SCORAD evaluation, as well as keeping a daily journal to check the usage of moisturizer at least once a day. To determine the effectiveness of the allergy control program, SCORAD evaluation was performed again six weeks later. Results: The most common symptom for 12-month prevalence was rhinorrhea (33.9%), followed by atopic skin lesions (14.8%) and wheezing (4.0%). The 12-month prevalences of the three allergic diseases were higher for boys than for girls, and a significant difference was found for allergic rhinitis (P<0.001). The mean SCORAD index decreased significantly from 26.1 to 17.5 after the completion of the six-week control program (P<0.01). In particular, these differences were more pronounced for the group which used the daily journal (P<0.001). Conclusions: Our findings indicate that the allergy control program including usage of a daily journal as well as regular monitoring could be a promising tool for preventing and alleviating the symptoms of allergic diseases.
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