Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler

Yılmaz, Mustafa; KARAKOÇ, Bingöl Gülbin; KENDİRLİ, Seval Güneser; Altintas, Derya Ufuk; Bayram, İbrahim

Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler

İbrahim BAYRAM, (Çukurova Üniversitesi, Tıp Fakültesi, Çocuk Allerji ve İmmünoloji Bilim Dalı, Adana, Türkiye)

Seval Güneser KENDİRLİ, (Çukurova Üniversitesi, Tıp Fakültesi, Çocuk Allerji ve İmmünoloji Bilim Dalı, Adana, Türkiye)

Derya Ufuk ALTINTAŞ, (Çukurova Üniversitesi, Tıp Fakültesi, Çocuk Allerji ve İmmünoloji Bilim Dalı, Adana, Türkiye)

Mustafa YILMAZ, (Çukurova Üniversitesi, Tıp Fakültesi, Çocuk Allerji ve İmmünoloji Bilim Dalı, Adana, Türkiye)

Bingöl Gülbin KARAKOÇ (Çukurova Üniversitesi, Tıp Fakültesi, Çocuk Allerji ve İmmünoloji Bilim Dalı, Adana, Türkiye)

Göztepe Tıp Dergisi

1 0

Yıl: 2003 Cilt: 18 Sayı: 4 Sayfa Aralığı: 225 - 230 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler

Öz:

Bu çalışmada, egzema prevalansını ve etkileyen risk faktörlerini araştırmayı amaçladık. Çalışma, 6-18 yaş arasındaki okul çağı çocukları rasgele seçilerek yapıldı. Soru listesi, International Study of Asthma and Allergies In Childhood (ISAAC) soru listesi temel alınarak oluşturuldu.Adana'da 3164 (% 51.9 kız, % 48.1 erkek), Payas'ta 1353 (% 50.5 kız, % 49.5 erkek) öğrenci çalışmaya dahil edildi. Egzema prevalansı; Adana'da % 8.3, Payasta ise % 9.3 olarak saptandı. Bu iki yerleşim birimindeki fark istatistiksel olarak anlamlı değildi (p=0.27). Ailesel atopi, allerjik rinit ve astımın öğrencide bulunması, Adana ve Payas'taki çocuklarda egzema için risk oluşturmaktaydı (P<0.00001). Bununla birlikte, son 12 ayda ve daha önce sinüzit, rinit tanısı alanlar ve bronşit enfeksiyonu geçirenler ve evde nem olması egzema için her iki yerleşim birimindeki çocuklarda risk faktörü olduğu görüldü. Adana'daki öğrencilerde 15-18 yaş gurubuna göre, 6-10 yaş grubundaki çocuklar ve evde bir paket ve üzerinde sigara içilmesi egzema için riskli iken, Payas'taki öğrenciler için herhangi bir risk saptanmadı. Her iki yerleşim birimi için; ısınma şekli, cinsiyet, evde hayvan beslenmesi, evde sigara içilmesi ve babanın sigara içmesinin bir risk oluşturmadığı saptandı (P>0.05). Payas'taki çocuklar için ise annenin sigara içmesi, çocukların tüylü oyuncağının olması egzema için risk oluştururken (p<0.05), Adana'daki çocuklarda risk saptanmadı (p>0.05).

Anahtar Kelime: Hatay Ergen Risk faktörleri Adana Çocuk Yaygınlık Anketler Egzema

Konular: Temel Sağlık Hizmetleri Pediatri

Eczema prevalence and affecting risk factors in the Adana and Payas (Hatay)

Öz:

The aim of this study was to determine the prevalence of eczema and factors affecting eczema among schoolchildren in Adana and Payas, Hatay. The prevalence survey was conducted in schoolchildren aged 6-18 years old. The questionnaire was based on the ISAAC questionnaires and was distributed among primary and secondary schoolchildren. If the children were younger than 12 years of age their parent completed the questionnaire.This study was done among 3164 students in Adana (51.9 % boys, 48.1 % girls) and among 1353 students in Payas (% 49.5 boys, 50.5 % girls). The prevalence of eczema was found 8.3 % in Adana and 9.3 % in Payas. The family histories of atopy, dampness at home, allergic rhinitis, bronchitis, rhinitis, history of frequent sinusitis, rhinitis and sinusitis in the last year were found to be significantly higher in both cities. On the other hand, the heating systems, sexuality, father smoking habits, the smoking habits at home, presence of domestic animals at home weren't important for eczema in both the cities. In addition toys made out of feather's, smoking habits among mother's were found to be significantly higher for eczema in Payas, but it wasn't same for Adana. In comparison to children aged 15-18 years among eczema children, the age group 6-10 and one or more packet of cigarette smoking at home was higher risk in Adana but there weren't the same risks among student in Payas.

Anahtar Kelime: Child Prevalence Questionnaires Eczema Hatay Adolescent Risk Factors Adana

Konular: Temel Sağlık Hizmetleri Pediatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Stevens SR, Cooper KD: Allergic skin diseases. In: Clinical immunology principles and practice, Rich RR, Fleisher TA, Schwartz BD (ed.) et al, 4 th ed., st louis, Mosby-year book; with permission 1993.
2. Andrae S, Axelson O, Björksten B, Fredriksson M, et al: Symptoms of bronchial hyperreactivity and asthma in relation to environmental factors. Archives of Disease in Childhood 63:473-478, 1988.
3. Asher MI, Keil U, Anderson HR, Beasley R, et al: International Study and Allergies Childhood (ISAAC): rationale and methods. Eur Respir J 3:483-491, 1995.
4. Asher MI, Pattemore PK, Harrison AC, Mitchell EA, et al: International comparison of the prevalence of asthma symptoms and bronchial hyperresponsiveness. Am Rev Respir dis 138:524-529, 1988.
5. Bewtra AK, Townley RG: Bronchial hyperresponsiveness in normal and asthmatic children, in: Childhood asthma pathophysiology and treatment,.Tinkelman DG, Naspitz CK (ed.) Second edition, revised and expanded. Dekker company p.29-40, 1993.
6. Mutius EV, Fritzch C, Weiland SK, Roll G, et al: Prevalence of asthma and allergic disorders among children in united Germany: a descriptive comparison. BMJ 305:1395-1399, 1992.
7. Mutius EV, Martinez FD, Fritzsch C, Nicolai T, et al: Prevalence of asthma and atopy in two areas of west and East Germany. Am J Respir Crit Care Med 149:358-364, 1994.
8. Gergen PJ, Mullally DI and Evans R: National Survey of Prevalence of Asthma Among Children in the United States, 1976 to 1980. Pediatrics 81:1-7, 1988.
9. Brauer M, Hoek G, Van Vliet P, Meliefste K, Fischer PH, Wijga A, et al: Air pollution from traffic and the development of respiratory infections and asthmatic and allergic symptoms in children. Am J Respir Crit Care Med 166(8): 1092-1098, 2002.
10. Björksten B: Epidemiology of pollution induced airway disease in Scandinavia and Eastern Europe. Allergy 52(suppl 38):23-25,
11. Balmes JR: The Role of Ozone Exposure in the Epidemiology of Asthma. Environ Health Perspect 101(Suppl 4):219-224, 1993.
12. Miyamoto T: Epidemiology of pollution-induced airway disease in Japan. Allergy 52(Suppl 38):30-34, 1997.
13. Murlas CG, Routn JH: Sequence of pathologic Changes in the Airway Mucosa of Guinea Pigs during Ozone-Induced Bronchial Hyperreactivity. AM Rev Respir Dis 131:314-320, 1985.
14. Peden DB: Mechanisms of pollution-induced airway disease:in vivo, Allergy 52(Suppl 38):37-44, 1997.
15. Samet JM, Speizer FE: Assesment of health effects in epidemio-logic studies of air pollution. Environ Health Perspect lOl(Suppl 4);149-154, 1993.
16. Schmitzberger A, Rhomberg K, Biichele H, Puchegger R et al: Efects of air pollution on the respiratory tract of children. Pediatric Pulmonology 15:68-74, 1993.
17. Takenaka H, Zang K, Diaz-Sanchez D, et al: Enhanced human IgE production result from exposure to aromatic hydrocarbons from diesel exhaust: direct effects on B-cell IgE production. J Allergy Clin Immunol 95:103-115, 1995.
18. Kendirli GS, Altıntaş DU, Akmanlar N, Yurdakul Z, Bolat B: Prevalence of childhood allergic disease in Adana, Southern Turkey Eur J Epi 1474:347-350, 1998.
19. Kalyoncu AF, Selçuk TV, Karakoca Y, Emri AS et al: Prevalence of childhood asthma and allergic disease in Ankara Turkey Allergy 49:485-488, 1994.
20. Küçüködük Ş, Aydın M, Çetinkaya F, Dinç H et al: The prevalence of asthma and other allergic diseases in a province of Turkey Turk J Pediatr 38:149-153, 1996.
21. Sapan N: Prevalence of atopic diseases in schoolchildren in Bursa. XV. International Congress of Allergology and Clinical Immunology, 26 June-1 July. Stockholm, Sweden. Allergy Clin Immunol (Suppl 2):169,1994.
22. Broder I, Higgins M, Matthews K, Keller J: Epidemiology of asthma and allergic rhinitis in a total community, Tecumseh, Michigan. III. Second Survey of the Community. J Allergy Clin Immunol 53:127-38,1974.
23. Bener A, Al-Jawadi TQ, Özkaragöz F and Anderson JAD: Prevalence of and wheeze in two different climatic areas of Saudi Arabia. Indian J Chest Dis. Allied Sci, 35, 1, pp.9-15, 1993.
24. Al Frayh AR, Shakoor Z, Gad El Rab MO, Hasnain SM: Increased prevalence of asthma in Saudi Arabia. Ann Allergy Asthma Immunol 86(3):292-296, 2001.
25. Anderson HR, Butland BK, Strachan DP: Trends in prevalence and severity of childhood asthma. BMJ 308:1600-1604, 1994.
26. Burr ML, Limb ES, Andrae S, Barry DMJ et al: Childhood Asthma in Four Countries: A Comparative Survey. International J Epi 23: 341-347, 1994.
27. Luyt DK, Burton PR, Simpson H: Epidemiological study of wheeze, doctor diagnosed asthma, and cough in preschool children in Leicestershire, BMJ 306:1386-1390, 1993.
28. Peat JK, Woolcock AJ, Leeder SR, Blackburn CRB: Astma and bronchitis in Sydney schoolchildren. I. prevalence during a six-year study. Am J Epidemiol 111:721-727, 1980.
29. Asher MI, Barry D, Clayton T, Crane J, D'Souza W, EUwood P, et al: The burden of symptoms of asthma, allergic rhinoconjunc-tivities and atopic eczema in children and adolescents in six New Zealand centres: ISAAC Phase One. N Z Med J 114(1128):114-120 2001.
30. Vichyanond P, Sunthornchart S, Singhirannusorn V, Ruan-grat S, Kaewsomboon S, Visitsunthorn N: Prevalence of asthma, allergic rhinitis and eczema among university students in Bangkok Respir Med 96(.l):34-38, 2002.
31. Montefort S, Muscat HA, Caruana S, Lenicker H: Allergic conditions in 5-8-year-old Maltese schoolchildren: prevalence, severity, and associated risk factors [ISAAC]. Pediatr Allergy Immunol 13(2):98-104, 2002.
32. Nystad W, Magnus P, Roksund O, Svidal O: The prevalence of respiratory symptoms and asthma among school childreen in three different areas of Norway. Pediatr Allergy Immunol 8:35-40, 1997.
33. Teeratakulpisarn J, Pairojkul S, Heng S: Survey of the prevalence of asthma, allergic rhinitis and eczema in schoolchildren from Khon Kaen, Northeast Thailand, an ISAAC study. International Study of Asthma and Allergies in Childhood. Asian Pac J Allergy Immunol 18(4):187-194,2000.
34. Braun-Fahrlander C, Wiithrich B, Gassner M, Grize L, et al and the SCARPOL-team: Validation of a rhinitis symptom questionnaire (ISAAC core questions) in a population of Swiss school children visiting the school health services. Pediatr Allergy Immunol 8:75-82, 1997.
35. Crain EF, Weis KB, Bijur PE, Hers M, et al: An estimate of the prevalence and wheezing among inner-City children. Pediatrics 94:356-362, 1994.
36. Frisher T, Kuehr J, Meinert R, Karmaus W, Urbabek R: Risk factors for childhood asthma and recurrent wheezy bronchitis. Eur J Pediatrics 152:771-775, 1993.
37. Burr ML, Butland BK, King S and Williams EV: Changes in asthma prevalence: two surveys 15 years apart. Archives of Disease in Childhood 64:1452-1456, 1989.
38. Yamada E, Vanna AT, Naspitz CK, Sole D: Iriternational Study of Asthma and Allergies in Childhood (ISAAC): validation of the written questionnaire (eczema component) and prevalence of atopic eczema among Brazilian children. J Investig Allergol Clin Immunol 12(l):34-41,2002.
39. Shamssain MH, Shamsian N: Prevalence and severity of asthma, rhinitis, and atopic eczema in 13- to 14-year-old schoolchildren from the northeast of England. Ann Allergy Asthma Immunol 86(4):428-432, 2001.
40. Barber K, Mussin E and Taylor DK: Fetal exposure to involuntary maternal smoking and childhood respiratory disease. Ann Allergy Asthma Immunol 76:427-430, 1996.
41. Forastiere F, Agabiti N, Corbo GM, Pisteli R, et al: Passive smoking as a determinant of bronchial responsiveness in children. Am J Respir Crit Care Med 1994; 149 pp.365-370.
42. Ehrlich R, Kattan M, Godbold J, Saltzberg DS, et al: Childhood asthma and passive smoking. Am Rev Respir Dis 145-594-599 1992.
43. Warner AM, Björksten B, Münir AKM, Möller C, et al: Childhood asthma and exposure to indoor allergens: low mite levels are associated with sensivity. Pediatric Allergy and Immunology 7:61-67, 1996.

APA	Bayram İ, KENDİRLİ S, Altintas D, Yılmaz M, KARAKOÇ B (2003). Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. , 225 - 230.
Chicago	Bayram İbrahim,KENDİRLİ Seval Güneser,Altintas Derya Ufuk,Yılmaz Mustafa,KARAKOÇ Bingöl Gülbin Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. (2003): 225 - 230.
MLA	Bayram İbrahim,KENDİRLİ Seval Güneser,Altintas Derya Ufuk,Yılmaz Mustafa,KARAKOÇ Bingöl Gülbin Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. , 2003, ss.225 - 230.
AMA	Bayram İ,KENDİRLİ S,Altintas D,Yılmaz M,KARAKOÇ B Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. . 2003; 225 - 230.
Vancouver	Bayram İ,KENDİRLİ S,Altintas D,Yılmaz M,KARAKOÇ B Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. . 2003; 225 - 230.
IEEE	Bayram İ,KENDİRLİ S,Altintas D,Yılmaz M,KARAKOÇ B "Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler." , ss.225 - 230, 2003.
ISNAD	Bayram, İbrahim vd. "Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler". (2003), 225-230.

APA	Bayram İ, KENDİRLİ S, Altintas D, Yılmaz M, KARAKOÇ B (2003). Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. Göztepe Tıp Dergisi, 18(4), 225 - 230.
Chicago	Bayram İbrahim,KENDİRLİ Seval Güneser,Altintas Derya Ufuk,Yılmaz Mustafa,KARAKOÇ Bingöl Gülbin Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. Göztepe Tıp Dergisi 18, no.4 (2003): 225 - 230.
MLA	Bayram İbrahim,KENDİRLİ Seval Güneser,Altintas Derya Ufuk,Yılmaz Mustafa,KARAKOÇ Bingöl Gülbin Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. Göztepe Tıp Dergisi, vol.18, no.4, 2003, ss.225 - 230.
AMA	Bayram İ,KENDİRLİ S,Altintas D,Yılmaz M,KARAKOÇ B Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. Göztepe Tıp Dergisi. 2003; 18(4): 225 - 230.
Vancouver	Bayram İ,KENDİRLİ S,Altintas D,Yılmaz M,KARAKOÇ B Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler. Göztepe Tıp Dergisi. 2003; 18(4): 225 - 230.
IEEE	Bayram İ,KENDİRLİ S,Altintas D,Yılmaz M,KARAKOÇ B "Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler." Göztepe Tıp Dergisi, 18, ss.225 - 230, 2003.
ISNAD	Bayram, İbrahim vd. "Adana ve Payas'ta (Hatay) egzema prevalansı ve etkileyen faktörler". Göztepe Tıp Dergisi 18/4 (2003), 225-230.