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

Feng Xu, Shuxian Yan, Qile Zheng, Fei Li, Weihan Chai, Minmin Wu, Haidong Kan, Dan Norback, Jinhua Xu and Zhuohui Zhao
Additional contact information
Feng Xu: Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China
Shuxian Yan: Department of Dermatology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China
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

IJERPH, 2016, vol. 13, issue 6, 1-11

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.

Keywords: dermatology; home environment; redecoration; mold; dampness; urban residency; heredity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/13/6/537/pdf (application/pdf)
https://www.mdpi.com/1660-4601/13/6/537/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:13:y:2016:i:6:p:537-:d:70934

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().