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Residential Risk Factors for Atopic Dermatitis in 3- to 6-Year Old Children: A Cross-Sectional Study in Shanghai, China

Author

Listed:
  • Feng Xu

    (Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China
    These authors contributed equally to this study.)

  • Shuxian Yan

    (Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China
    These authors contributed equally to this study.)

  • Qile Zheng

    (Department of Dermatology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350000, China)

  • Fei Li

    (Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China)

  • Weihan Chai

    (Department of Dermatology, Jiading District Traditional Chinese Medicine Hospital, Shanghai 201800, China)

  • Minmin Wu

    (School of Public Health, Key Lab of Public Health Safety of the Ministry of Education & Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai 200032, China)

  • Haidong Kan

    (School of Public Health, Key Lab of Public Health Safety of the Ministry of Education & Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai 200032, China)

  • Dan Norback

    (Department of Medical Science, Occupational and Environmental Medicine, Uppsala University, Uppsala 75185, Sweden)

  • Jinhua Xu

    (Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China)

  • Zhuohui Zhao

    (School of Public Health, Key Lab of Public Health Safety of the Ministry of Education & Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai 200032, China)

Abstract

Background : Atopic dermatitis (AD) is common among pre-school children in Shanghai. This study aimed to identify the risk factors for childhood AD from the perspectives of home environment, demographics and parents-grandparents’ atopic disease. Methods : A cross-sectional study was conducted in Shanghai in April–June, 2010. Preschool children’s parents or guardians were invited to participate a questionnaire survey in six districts (two urban and four suburban/rural) and 6624 children were finally recruited (51.3% boys). AD diagnosis was based on the U.K. Working Party’s (UKWP) criteria. Adjusted odds ratios (AOR) with 95% confidence intervals (95% CI) were calculated by multiple logistic regression. Results : A total of 8.5% of children ever had AD. Around 10.2% of the mothers had lived in newly renovated/decorated homes (NRDH) during the prenatal period (one year before or during pregnancy) and 9.5% got new home furniture (NHF) during the same period. AD was more common in children when mothers had lived in NRDH homes during the prenatal period (AOR = 1.41; 95% CI 1.03–1.93), the current home had indoor mold (2.00, 1.48–2.70), parents-grandparents’ had atopic diseases (3.85, 3.05–4.87), the children had food allergy (3.40, 2.63–4.40) or children lived in urban area (1.52, 1.18–1.96). Associations between AD and NRDH, NHF and indoor molds were only significant in children without parents-grandparents’ atopic diseases. There was an interaction effect between parents-grandparents’ atopic diseases and NRDH ( p < 0.05). Conclusions : Home renovation/ redecoration, new furniture and indoor mold, urban residency, heredity disposition and food allergy can be risk factors for childhood AD in Shanghai.

Suggested Citation

  • Feng Xu & Shuxian Yan & Qile Zheng & Fei Li & Weihan Chai & Minmin Wu & Haidong Kan & Dan Norback & Jinhua Xu & Zhuohui Zhao, 2016. "Residential Risk Factors for Atopic Dermatitis in 3- to 6-Year Old Children: A Cross-Sectional Study in Shanghai, China," IJERPH, MDPI, vol. 13(6), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:6:p:537-:d:70934
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    References listed on IDEAS

    as
    1. Feng Xu & Shuxian Yan & Fei Li & Minqiang Cai & Weihan Chai & Minmin Wu & Chaowei Fu & Zhuohui Zhao & Haidong Kan & Kefei Kang & Jinhua Xu, 2012. "Prevalence of Childhood Atopic Dermatitis: An Urban and Rural Community-Based Study in Shanghai, China," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-4, May.
    2. McNally, N. J. & Phillips, D. R. & Williams, H. C., 1998. "The problem of atopic eczema: aetiological clues from the environment and lifestyles," Social Science & Medicine, Elsevier, vol. 46(6), pages 729-741, March.
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    Cited by:

    1. Azahara María García-Serna & Elena Martín-Orozco & Trinidad Hernández-Caselles & Eva Morales, 2021. "Prenatal and Perinatal Environmental Influences Shaping the Neonatal Immune System: A Focus on Asthma and Allergy Origins," IJERPH, MDPI, vol. 18(8), pages 1-24, April.

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