제5기 국민건강영양조사로 추정한 소아 천식과 사회경제적 관계에 관한 연구 = Association between social economic status and asthma in Korean children: An analysis of the Fifth Korea National Health and Nutrition Examination Survey (2010-2012)

다국어 초록 (Multilingual Abstract)

Purpose: Asthma is one of the most common chronic conditions, and its prevalence has been increasing in recent decades. Social economic status is a well-known risk factor for asthma. This study was performed to investigate the relationship between social economic status and asthma in Korean children.
Methods: Data were acquired from 4,397 children, aged under 18 years who participated in the Fifth Korea National Health and Nutrition Examination Surveys, which was conducted from 2010 to 2012. The presence of asthma was based on self-reported, physician-diagnosed asthma in the Health Interview Surveys.
Results: The prevalence of pediatric asthma was 5.3%, while the prevalence of atopic dermatitis in children was 14.0%. In univariate analysis, asthmatic children tended to be male, to be older, to have asthmatic mothers, to suffer from atopic dermatitis and to live in urban areas (P<0.05). The parents’ marital status, employment status, education level, and the number of household members were not associated with pediatric asthma. In logistic regression analysis, older age, male sex, maternal asthma, pediatric atopic dermatitis, and urban residence were associated with a higher prevalence of childhood asthma (P<0.01).
Conclusion: Socioeconomic status was not an important risk factor for asthma in Korean children in our study. It is conceivable that socioeconomic factor could affect the asthma prevalence in a different manner in each country. Further studies are warranted to explore mechanisms responsible for the association between socioeconomic status and asthma in children. (Allergy Asthma Respir Dis 2018;6:90-96)

참고문헌 (Reference)

1 Vartiainen E, "Validation of self reported smoking by serum cotinine measurement in a community-based study" 56 : 167-170, 2002

2 Odhiambo JA, "Urban-rural differences in questionnaire-derived markers of asthma in Kenyan school children" 12 : 1105-1112, 1998

3 Jie Y, "Urban vs. rural factors that affect adult asthma" 226 : 33-63, 2013

4 Zhang X, "Trends in adult current asthma prevalence and contributing risk factors in the United States by state: 2000-2009" 13 : 1156-, 2013

5 Ahluwalia SK, "The indoor environment and its effects on childhood asthma" 11 : 137-143, 2011

6 Vardavas CI, "The independent role of prenatal and postnatal exposure to active and passive smoking on the development of early wheeze in children" 48 : 115-124, 2016

7 Xu R, "The impact of parental history on children's risk of asthma: a study based on the National Health and Nutrition Examination Survey-III" 8 : 51-61, 2015

8 Farber HJ, "The Impact of tobacco smoke exposure on childhood asthma in a medicaid managed care plan" 149 : 721-728, 2016

9 Thakur N, "Socioeconomic status and childhood asthma in urban minority youths. The GALA II and SAGE II studies" 188 : 1202-1209, 2013

10 Jayes L, "SmokeHaz: systematic reviews and meta-analyses of the effects of smoking on respiratory health" 150 : 164-179, 2016

11 Crump C, "Risk of asthma in young adults who were born preterm: a Swedish national cohort study" 127 : e913-e920, 2011

12 C. ANDREW ALIGNE, "Risk Factors for Pediatric Asthma" American Thoracic Society 162 (162): 873-877, 2000

13 Litonjua AA, "Race, socioeconomic factors, and area of residence are associated with asthma prevalence" 28 : 394-401, 1999

14 Yemaneberhan H, "Prevalence of wheeze and asthma and relation to atopy in urban and rural Ethiopia" 350 : 85-90, 1997

15 이상일, "Prevalence of Childhood Asthma in Korea: International Study of Asthma and Allergies in Childhood" 대한천식알레르기학회 2 (2): 61-64, 2010

16 Georgy V, "Prevalence and socioeconomic associations of asthma and allergic rhinitis in northern [corrected] Africa" 28 : 756-762, 2006

17 Rosas-Salazar C, "Prematurity, atopy, and childhood asthma in Puerto Ricans" 133 : 357-362, 2014

18 Wen HJ, "Predicting risk for childhood asthma by pre-pregnancy, perinatal, and postnatal factors" 26 : 272-279, 2015

19 Guarnieri M, "Outdoor air pollution and asthma" 383 : 1581-1592, 2014

20 Harju M, "Maternal socioeconomic status and the risk of asthma among offspring" 15 : 27-, 2015

21 Lundback B, "Is asthma prevalence still increasing?" 10 : 39-51, 2016

22 Hawkins SS, "Increased tobacco exposure in older children and its effect on asthma and ear infections" 48 : 647-650, 2011

23 Kim SY, "Increased prevalence of self-reported asthma among Korean adults: an analysis of KNHANES I and IV data" 191 : 281-288, 2013

24 Backman H, "Increased prevalence of allergic asthma from 1996 to 2006 and further to 2016-results from three population surveys" 47 : 1426-1435, 2017

25 Almqvist C, "Impact of gender on asthma in childhood and adolescence: a GA2LEN review" 63 : 47-57, 2008

26 Rodriguez MA, "Identification of population subgroups of children and adolescents with high asthma prevalence: findings from the Third National Health and Nutrition Examination Survey" 156 : 269-275, 2002

27 Eder W, "Hygiene hypothesis and endotoxin: what is the evidence?" 4 : 113-117, 2004

28 Krieger J, "Housing interventions and control of asthma-related indoor biologic agents: a review of the evidence" 16 (16): S11-S20, 2010

29 Wilson J, "Housing and allergens: a pooled analysis of nine US studies" 110 : 189-198, 2010

30 Jung-Choi KH, "Hidden female smokers in Asia: a comparison of self-reported with cotinine-verified smoking prevalence rates in representative national data from an Asian population" 21 : 536-542, 2012

31 Downs SH, "Having lived on a farm and protection against allergic diseases in Australia" 31 : 570-575, 2001

32 Caraballo RS, "Factors associated with discrepancies between self-reports on cigarette smoking and measured serum cotinine levels among persons aged 17 years or older: Third National Health and Nutrition Examination Survey, 1988-1994" 153 : 807-814, 2001

33 Wang MF, "Exposure to environmental tobacco smoke, human E-cadherin C-160A polymorphism, and childhood asthma" 111 : 262-267, 2013

34 Kuo CH, "Early life exposure to antibiotics and the risk of childhood allergic diseases: an update from the perspective of the hygiene hypothesis" 46 : 320-329, 2013

35 Hedman L, "Both environmental tobacco smoke and personal smoking is related to asthma and wheeze in teenagers" 66 : 20-25, 2011

36 Riedler J, "Austrian children living on a farm have less hay fever, asthma and allergic sensitization" 30 : 194-200, 2000

37 Woods RK, "Asthma is more prevalent in rural New South Wales than metropolitan Victoria, Australia" 5 : 257-263, 2000

38 Naleway AL, "Asthma and atopy in rural children: is farming protective?" 2 : 5-12, 2004

39 Camacho-Rivera M, "Associations of neighborhood concentrated poverty, neighborhood racial/ethnic composition, and indoor allergen exposures: a cross-sectional analysis of los angeles households, 2006-2008" 91 : 661-676, 2014

40 Neidell MJ, "Air pollution, health, and socio-economic status: the effect of outdoor air quality on childhood asthma" 23 : 1209-1236, 2004