지방자치단체 중심의 아토피 예방관리 프로그램 효과 평가Evaluation of Effectiveness for an Atopy Prevention Program Operated by a Local Government
- Other Titles
- Evaluation of Effectiveness for an Atopy Prevention Program Operated by a Local Government
- Authors
- 서성철; 정지태; 조용민; 류승훈; 이승길; 이지연
- Issue Date
- 2013
- Publisher
- 한국환경보건학회
- Keywords
- Allergic disease; diary; ISAAC; prevalence; allergy prevention program
- Citation
- 한국환경보건학회지, v.39, no.4, pp.383 - 390
- Indexed
- KCI
- Journal Title
- 한국환경보건학회지
- Volume
- 39
- Number
- 4
- Start Page
- 383
- End Page
- 390
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/104506
- DOI
- 10.5668/JEHS.2013.39.4.320
- ISSN
- 1738-4087
- Abstract
- Objectives: We evaluated the effects of an allergy control program on children with atopic dermatitis (AD) in five schools located within Gyeonggi-do.
Methods: Based on the results of the 12-month prevalence of AD symptoms from an International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire of all students (n=2109; 1040 boys, 1069 girls) at five randomly selected schools, 227 students with AD symptoms were screened. Finally, 188 students with greater than 1 on SCORAD (SCORing Atopic Dermatitis) determined by a physician were selected. The allergy control program includes education related to allergic diseases, skin prick tests, and SCORAD evaluation, as well as keeping a daily journal to check the usage of moisturizer at least once a day. To determine the effectiveness of the allergy control program, SCORAD evaluation was performed again six weeks later.
Results: The most common symptom for 12-month prevalence was rhinorrhea (33.9%), followed by atopic skin lesions (14.8%) and wheezing (4.0%). The 12-month prevalences of the three allergic diseases were higher for boys than for girls, and a significant difference was found for allergic rhinitis (P<0.001). The mean SCORAD index decreased significantly from 26.1 to 17.5 after the completion of the six-week control program (P<0.01). In particular, these differences were more pronounced for the group which used the daily journal (P<0.001).
Conclusions: Our findings indicate that the allergy control program including usage of a daily journal as well as regular monitoring could be a promising tool for preventing and alleviating the symptoms of allergic diseases.
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