Environmental factors associated with childhood eczema: Findings from a national web-based survey

Background: Genetic and environmental factors are known to be related to the development of childhood eczema. Our aim was to assess the environmental factors associated with the prevalence of eczema among children using a web-based survey. Methods: In June 2012, we conducted a nation-wide web-based...

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Main Authors: Mari Sasaki, Koichi Yoshida, Yuichi Adachi, Mayumi Furukawa, Toshiko Itazawa, Hiroshi Odajima, Hirohisa Saito, Michihiro Hide, Akira Akasawa
Format: Article
Language:English
Published: Elsevier 2016-10-01
Series:Allergology International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1323893016300296
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author Mari Sasaki
Koichi Yoshida
Yuichi Adachi
Mayumi Furukawa
Toshiko Itazawa
Hiroshi Odajima
Hirohisa Saito
Michihiro Hide
Akira Akasawa
author_facet Mari Sasaki
Koichi Yoshida
Yuichi Adachi
Mayumi Furukawa
Toshiko Itazawa
Hiroshi Odajima
Hirohisa Saito
Michihiro Hide
Akira Akasawa
author_sort Mari Sasaki
collection DOAJ
description Background: Genetic and environmental factors are known to be related to the development of childhood eczema. Our aim was to assess the environmental factors associated with the prevalence of eczema among children using a web-based survey. Methods: In June 2012, we conducted a nation-wide web-based survey to identify the prevalence and characteristics of allergic diseases among Japanese children. The prevalence of allergic diseases including eczema was assessed using the International Study of Asthma and Allergies in Childhood core questionnaire. The associations between eczema prevalence and environmental factors, as well as those between background characteristics and comorbid allergic diseases among 6–12 year old children were assessed. Results: A total of 28,348 children were included in the analysis. The prevalence of current eczema was 13.0%. Current eczema was significantly associated with a higher prevalence of wheeze, rhinitis, and food allergy. In multiple logistic regression models, birth during autumn (aOR: 1.18 95%CI: 1.06–1.31) or winter (aOR: 1.21 95%CI: 1.08–1.34), duration of exclusive breastfeeding for at least 6 months (aOR: 1.14 95%CI: 1.06–1.23), and ownership of a pet from infancy (aOR: 2.61 95%CI: 1.68–4.07) were also associated with a higher prevalence of eczema. The prevalence was lower in those with a high annual household income (aOR: 0.90 95%CI: 0.81–0.99) and 2 or more siblings (aOR: 0.86 95%CI: 0.76–0.97). Conclusions: Duration of breastfeeding, season of birth, pet ownership, household income, and the number of siblings were associated with the prevalence of childhood eczema in a nationwide web survey.
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spelling doaj.art-f503e5f608cf4ebd99c02eeae13dffb72022-12-22T02:49:32ZengElsevierAllergology International1323-89302016-10-0165442042410.1016/j.alit.2016.03.007Environmental factors associated with childhood eczema: Findings from a national web-based surveyMari Sasaki0Koichi Yoshida1Yuichi Adachi2Mayumi Furukawa3Toshiko Itazawa4Hiroshi Odajima5Hirohisa Saito6Michihiro Hide7Akira Akasawa8Division of Allergy, Tokyo Metropolitan Children's Medical Center, Tokyo, JapanDivision of Allergy, Tokyo Metropolitan Children's Medical Center, Tokyo, JapanDepartment of Pediatrics, University of Toyama, Toyama, JapanDivision of Allergy, Tokyo Metropolitan Children's Medical Center, Tokyo, JapanDepartment of Pediatrics, University of Toyama, Toyama, JapanDepartment of Pediatrics, Fukuoka National Hospital, Fukuoka, JapanDepartment of Allergy and Immunology, National Research Institute for Child Health and Development, Tokyo, JapanDepartment of Dermatology, Integrated Health Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JapanDivision of Allergy, Tokyo Metropolitan Children's Medical Center, Tokyo, JapanBackground: Genetic and environmental factors are known to be related to the development of childhood eczema. Our aim was to assess the environmental factors associated with the prevalence of eczema among children using a web-based survey. Methods: In June 2012, we conducted a nation-wide web-based survey to identify the prevalence and characteristics of allergic diseases among Japanese children. The prevalence of allergic diseases including eczema was assessed using the International Study of Asthma and Allergies in Childhood core questionnaire. The associations between eczema prevalence and environmental factors, as well as those between background characteristics and comorbid allergic diseases among 6–12 year old children were assessed. Results: A total of 28,348 children were included in the analysis. The prevalence of current eczema was 13.0%. Current eczema was significantly associated with a higher prevalence of wheeze, rhinitis, and food allergy. In multiple logistic regression models, birth during autumn (aOR: 1.18 95%CI: 1.06–1.31) or winter (aOR: 1.21 95%CI: 1.08–1.34), duration of exclusive breastfeeding for at least 6 months (aOR: 1.14 95%CI: 1.06–1.23), and ownership of a pet from infancy (aOR: 2.61 95%CI: 1.68–4.07) were also associated with a higher prevalence of eczema. The prevalence was lower in those with a high annual household income (aOR: 0.90 95%CI: 0.81–0.99) and 2 or more siblings (aOR: 0.86 95%CI: 0.76–0.97). Conclusions: Duration of breastfeeding, season of birth, pet ownership, household income, and the number of siblings were associated with the prevalence of childhood eczema in a nationwide web survey.http://www.sciencedirect.com/science/article/pii/S1323893016300296EczemaEpidemiologyPrevalenceRisk factorWeb survey
spellingShingle Mari Sasaki
Koichi Yoshida
Yuichi Adachi
Mayumi Furukawa
Toshiko Itazawa
Hiroshi Odajima
Hirohisa Saito
Michihiro Hide
Akira Akasawa
Environmental factors associated with childhood eczema: Findings from a national web-based survey
Allergology International
Eczema
Epidemiology
Prevalence
Risk factor
Web survey
title Environmental factors associated with childhood eczema: Findings from a national web-based survey
title_full Environmental factors associated with childhood eczema: Findings from a national web-based survey
title_fullStr Environmental factors associated with childhood eczema: Findings from a national web-based survey
title_full_unstemmed Environmental factors associated with childhood eczema: Findings from a national web-based survey
title_short Environmental factors associated with childhood eczema: Findings from a national web-based survey
title_sort environmental factors associated with childhood eczema findings from a national web based survey
topic Eczema
Epidemiology
Prevalence
Risk factor
Web survey
url http://www.sciencedirect.com/science/article/pii/S1323893016300296
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