Multicenter Study on Factors Influencing the Quality of Life of Asthmatic Children and Their Caregivers

Association between smoking type and prevalence of atopic dermatitis and asthma in men and women

AIM

This study aimed to examine the association between smoking type and the prevalence of atopic dermatitis and asthma in men and women.

BACKGROUND

Cases of allergic diseases have been steadily increasing worldwide. Smoking is associated with serious diseases. Only a few studies have assessed the association between smoking and atopic dermatitis and asthma in adults, and gender difference studies are scarce despite a significant difference in smoking rates.

METHODS

We conducted a secondary cross-sectional analysis of 17 886 adults with atopic dermatitis and 17 889 with asthma aged ≥19 years, using raw data from the Fifth Korea national Health and Nutrition Examination Survey (2010-2012).

RESULTS

The prevalence of atopic dermatitis in men was not associated with active or passive smoking, whereas asthma prevalence in men was associated with indoor passive smoking exposure at home. We found that atopic dermatitis prevalence in women was associated with current smoking status, whereas asthma prevalence in women was associated with the presence of an indoor daily smoker at home and indoor passive smoking exposure at home.

CONCLUSION

Asthmatic adults should be informed of the hazards of passive smoking, and women with atopic dermatitis should in particular be dissuaded from smoking.

[Structural Equation Model of Health-Related Quality of Life in School Age Children with Asthma]

PURPOSE

This study aimed to construct and test a hypothetical model of the quality of life of school-age children with asthma based on the health-related quality of life model by Wilson and Cleary.

METHODS

Data were collected from 205 pairs of pediatric outpatients diagnosed with asthma and their parents in Seoul and Gyeonggi-do from July 2016 to April 2017. The exogenous variables were asthma knowledge, number of accompanying allergic diseases, and social support. The endogenous variables were asthma self-efficacy, asthma symptom control, perceived health status, parental quality of life, and children's quality of life. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed.

RESULTS

Eighteen of the twenty-four hypotheses selected for the hypothetical model were attentive and supported statistically. Quality of life was explained by asthma self-efficacy, asthma symptom control, perceived health, parental quality of life, and asthma knowledge with 83.5%.

CONCLUSION

Strategies for promoting self-efficacy and enforcing asthma knowledge will be helpful for the improvement of health-related quality of life with school-aged asthmatic children.