Published online Jan 31, 2015.
https://doi.org/10.4168/aard.2015.3.1.62
Analysis of regional prevalence of allergic diseases in Korean school children
Abstract
Purpose
This study aimed to analyze the prevalence of allergic diseases in Korean schoolchildren according to their residential areas in 2010.
Methods
A nationwide, cross-sectional study was conducted in children aged 6-7 years (n=4,003) and adolescents aged 12-13 years (n=4,112) who were randomly selected. Demographic and disease-related information was obtained through a Korean version of ISAAC (International Study of Asthma and Allergies in Childhood) questionnaire, and skin prick tests for 18 inhalant allergens were performed.
Results
There was statistically significant regional difference in the prevalence of allergic rhinitis (AR) (P<0.05). The regions with highest and lowest prevalence in 12- to 13-year-old children were as follows: Chungcheong and Honam in "Diagnosis of AR, ever" (33.7% vs. 24.5%), Jeju and Yeongnam in "Treatment of AR, last 12 months" (25.5% vs. 18.0%), Chungcheong and Yeongnam in "Rhinitis with sensitization" (31.6% vs. 23.6%). The regions with highest and lowest prevalence in 6-7 years old children were as follows: Yeongnam and Seoul in "Diagnosis of AR, ever" (42.1% vs. 31.0%), Yeongnam and Jeju in "Treatment of AR, last 12 months" (31.8% vs. 21.9%), Jeju and Seoul in "Rhinitis with sensitization" (26.0% vs. 18.4%). We also found a regional difference in inhalant allergens among the children with "rhinitis with sensitization"
Conclusion
The prevalence of AR in children differs according to residential areas in a nationwide survey in 2010 while there is no significant regional difference in the prevalence of asthma and AD.
Fig. 1
Sensitization rate to inhalant allergens according to residential areas in children aged 6-7 years (A-C) and 12-13 years (D-F) with "rhinitis with sensitization". Data on indoor allergens (A, D) are presented, while the distribution of sensitization to tree pollen and grass pollen (B, E) along with weed pollen and fungi (C, F) are shown as well. *P<0.05. Der p, Dermatophagoides pteronyssinus; Der f, Dermatophagoides farina; Tyro p, Tyrophagus putrescentiae.
Table 1
Demographic characteristics of study population
Table 2
Prevalence of allergic diseases in elementary school children (6 to 7 years)
Table 3
Prevalence of allergic diseases in middle school children (12 to 13 years)
This study was funded by the Korean Center for Disease Control and Prevention (2010E3303400).
References
-
Asher MI, Montefort S, Bjorksten B, Lai CK, Strachan DP, Weiland SK, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet 2006;368:733–743.
-
-
Oh JW, Kim KE, Pyun BY, Lee HR, Choung JT, Hong SJ, et al. Nationwide study for epidemiological change of atopic dermatitis in school aged children between 1995 and 2000 and kindergarten aged children in 2003 in Korea. Pediatr Allergy Respir Dis 2003;13:227–237.
-
-
Hong SJ, Ahn KM, Lee SY, Kim KE. The prevalences of asthma and allergic diseases in Korean children. Korean J Pediatr 2008;51:343–350.
-
-
Son KY, Park KS, Hwang HH, Yun BS, Lee SJ, Kim MA, et al. Prevalence of allergic diseases among primary school children in Ilsan, Gyeonggi and Changes of symptoms after environmental control in 2005. Pediatr Allergy Respir Dis 2007;17:384–393.
-
-
Hong SJ, Kim SW, Oh JW, Rah YH, Ahn YM, Kim KE, et al. The validity of the ISAAC written questionnaire and the ISAAC video questionnaire (AVQ 3.0) for predicting asthma associated with bronchial hyperreactivity in a group of 13-14 year old Korean schoolchildren. J Korean Med Sci 2003;18:48–52.
-
-
Lee SY, Hong SJ, Kim BS, Kim CK, Lee DJ, Lee DK, et al. The association between recent dietary pattern as a risk factor of 12-month asthma symptom prevalence in Korean elementary school children. Pediatr Allergy Respir Dis 2006;16:296–305.
-
-
Seong HU, Cho SD, Park SY, Yang JM, Lim DH, Kim JH, et al. Nationwide survey on the prevalence of allergic diseases according to region and age. Pediatr Allergy Respir Dis 2012;22:224–231.
-
-
Lee KJ, Kwon HJ, Ahn K, Chae Y, Hahm MI, Kim JH, et al. Sampling design and design effect analysis for the epidemiologic study of allergic diseases in Korean children. Surv Res 2012;13:111–128.
-
-
Ahn K, Kim J, Kwon HJ, Chae Y, Hahm MI, Lee KJ, et al. The prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in Korean children: nationwide cross-sectional survey using complex sampling design. J Korean Med Assoc 2011;54:769–778.
-
-
Oh JW. Characteristics and distribution of airborne pollen and mold. Pediatr Allergy Respir Dis 1998;8:1–15.
-
-
Oh JW. Development of pollen concentration prediction models. J Korean Med Assoc 2009;52:579–591.
-
-
Sozańska B, Blaszczyk M, Pearce N, Cullinan P. Atopy and allergic respiratory disease in rural Poland before and after accession to the European Union. J Allergy Clin Immunol 2014;133:1347–1353.
-
-
Lee HS, Lee J, Kim JW, Hong SC, Kim SY, Lee KH. The prevalence of allergic diseases in children living In Jeju. Pediatr Allergy Respir Dis 2012;22:248–255.
-
-
Hwang SH, Jung SY, Lim DH, Son BK, Kim JH, Yang JM, et al. Epidemiology of allergic rhinitis in Korean children. Allergy Asthma Respir Dis 2013;1:321–332.
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MeSH Terms
Figures
Tables
Funding Information
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Korean Center for Disease Control and Prevention
2010E3303400