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Does Stress Increase the Risk of Atopic Dermatitis in Adolescents? Results of the Korea Youth Risk Behavior Web-Based Survey (KYRBWS-VI)

Authors
 Jeoung A. Kwon  ;  Eun-Cheol Park  ;  Minjee Lee  ;  Ki-Bong Yoo  ;  Sohee Park 
Citation
 PLOS ONE, Vol.8(8) : e67890, 2013 
Journal Title
 PLOS ONE 
Issue Date
2013
MeSH
Adolescent ; Adolescent Behavior ; Child ; Cross-Sectional Studies ; Dermatitis, Atopic/epidemiology* ; Female ; Humans ; Logistic Models ; Male ; Odds Ratio ; Parents ; Risk Factors ; Sex Factors ; Students/statistics & numerical data
Keywords
Adolescent ; Adolescent Behavior ; Child ; Cross-Sectional Studies ; Dermatitis, Atopic/epidemiology* ; Female ; Humans ; Logistic Models ; Male ; Odds Ratio ; Parents ; Risk Factors ; Sex Factors ; Students/statistics & numerical data
Abstract
This study investigated the relationship between level of stress in middle and high school students aged 12-18 and risk of atopic dermatitis. Data from the Sixth Korea Youth Risk Behavior Web-based Survey (KYRBWS-VI), a cross-sectional study among 74,980 students in 800 middle schools and high schools with a response rate of 97.7%, were analyzed. Ordinal logistic regression analyses were conducted to determine the relationship between stress and atopic dermatitis with severity. A total of 5,550 boys and 6,964 girls reported having been diagnosed with atopic dermatitis. Younger students were more likely to have atopic dermatitis. Interestingly, the educational level of parents was found to be associated with having atopic dermatitis and having more severe condition. In particular, girls with mothers with at least college education had a 41% higher risk of having atopic dermatitis and severe atopic condition (odds ratio (OR)) = 1.41, 95% CI, 1.22-1.63; P<0.0001) compared with those with mothers who had attended middle school at most. Similar trend was shown among both boys and girls for their father's education level. The stress level was found to be significantly associated with the risk of atopic dermatitis. Compared to boys with who reported "no stress", boys with "very high" stress had 46% higher the risk of having more severe atopic dermatitis (OR = 1.46, 95% CI, 1.20-1.78; P<0.0001), 44% higher (OR = 1.44, 95% CI, 1.19-1.73; P<0.0001) with "high" stress, and 21% higher (OR = 1.21, 95% CI, 1.00-1.45; P = 0.05) with "moderate" stress. In contrast, we found no statistically significant relationship between stress and atopic dermatitis in girls. This study suggests that stress and parents' education level were associated with atopic dermatitis. Specifically, degree of stress is positively correlated with likelihood of being diagnosed with this condition and increasing the severity
Files in This Item:
T201302553.pdf Download
DOI
10.1371/journal.pone.0067890
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87453
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