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학령기 아동의 알레르기 질환 유병률과 관련요인: 국민건강영양조사 자료[2013~2016] 활용

Factors related to the Prevalence of Allergic Diseases in School-aged Children: An Analysis of the Korea National Health and Nutrition Examination Survey (2013~2016)

글로벌 건강과 간호 2019년 9권 2호 p.88 ~ 98
이수진 ( Lee Su-Jin ) - 동아대학교병원

이해정 ( Lee Hae-Jung ) - 부산대학교 간호대학

Abstract


Purpose: The purpose of this study was to examine factors affecting the prevalence of allergic diseases among school-aged children in order to establish a theoretical basis for a family-centered nursing intervention.

Methods: A secondary data analysis study design was adopted. This study used raw data from the sixth (2013~2015) and seventh (2016) Korea National Health and Nutrition Examination Surveys, and 1,750 school-aged children (7~12 years) participated in the survey. The allergic diseases included allergic rhinitis, atopic dermatitis, and asthma. Data were analyzed using descriptive statistics, chi-squared tests, and multiple logistic regression.

Results: Of the participants, 53.2% and 46.8% were boys and girls, respectively. The prevalence of allergic diseases was 38.6%. In the multiple logistic regression, girls had a 0.76 times lower risk of developing allergic diseases than boys (95% confidence interval [CI] = 0.62~0.93), and senior elementary school students (10~12 years) had a 1.24 times higher prevalence of allergic diseases (95% CI = 1.02~1.52) than junior elementary school students (7~<10 years). Families with three or more generations had a 0.60 times lower risk of allergic diseases than one-or two-generation families (95% CI = 0.60~0.93). Parents with allergic diseases showed a development of allergic diseases 2.27 times (95% CI = 1.84~2.80) higher than parents without allergic diseases. Allergic diseases were 0.58 times (95% CI = 0.37~0.90) less common in parents in average health and 0.61 times (95% CI = 0.39~0.96) less common in parents in good health than in parents in poor health.

Conclusion: The findings of this study suggest that senior male school age children from one or two-generation families, having parents with allergic diseases or poor health status need special attention to prevent and manage allergic diseases. Future research in health promotion for families at high risk of allergic disease is warranted to prevent and manage potential allergic disease in school age children.

키워드

천식; 알레르기 비염; 아토피 피부염; 아동; 부모
Asthma; Rhinitis; Allergic; Dermatitis; Atopic; Child; Parents
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