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Examining impacts of allergic diseases on psychological problems and tobacco use in Korean adolescents: the 2008-2011 Korean National Health and Nutrition Examination Survey.
PLoS One 2015; 10(4):e0125172Plos

Abstract

PURPOSE

Asthma during adolescence can induce social, psychological, and behavioral problems. We examined the impact of asthma and other allergic diseases on psychological symptoms and health risk behaviors among South Korean adolescents.

METHODS

In this population-based cross-sectional study, 3192 adolescents (10-18 years of age) participating in the 2008-2011 Korean National Health and Nutrition Examination Survey were enrolled. Psychological problems associated with clinically diagnosed asthma, allergic rhinitis, and atopic dermatitis were assessed using questionnaires and surveys. Data was analyzed using logistic regression to determine the association of depression with allergic disease while controlling for age, sex, body mass index, smoking experience, and alcohol use.

RESULTS

Asthma and atopic dermatitis were associated with a higher prevalence of depression (17.2% and 13%, respectively). After adjusting for the covariates, asthma patients were approximately two times as likely to have depression as non-allergic participants (odds ratio, 1.81; 95% confidence interval, 1.22-2.68). Psychosocial stress significantly increased in the following order: no allergy, any allergy without asthma, asthma only, and asthma with any allergy (p for linear trend = 0.01). The asthma without other allergies group showed the highest prevalence of cigarette smoking (p = 0.007).

CONCLUSIONS

In this study, asthma with or without other allergies was significantly related to increases in depression, psychosocial stress, and smoking experience. Thus, care should be taken to adjust treatment to account for the psychological symptoms and health risk behaviors common among asthmatic adolescents.

Authors+Show Affiliations

Department of Pediatrics, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Biostatistics, The Catholic University of Korea, Seoul, Republic of Korea.Department of Biostatistics, The Catholic University of Korea, Seoul, Republic of Korea.Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Pediatrics, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Pediatrics, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25897790

Citation

Chun, Yoon Hong, et al. "Examining Impacts of Allergic Diseases On Psychological Problems and Tobacco Use in Korean Adolescents: the 2008-2011 Korean National Health and Nutrition Examination Survey." PloS One, vol. 10, no. 4, 2015, pp. e0125172.
Chun YH, Han K, Park YG, et al. Examining impacts of allergic diseases on psychological problems and tobacco use in Korean adolescents: the 2008-2011 Korean National Health and Nutrition Examination Survey. PLoS ONE. 2015;10(4):e0125172.
Chun, Y. H., Han, K., Park, Y. G., Yoon, J. S., Kim, H. H., Kim, J. T., & Jeong, D. C. (2015). Examining impacts of allergic diseases on psychological problems and tobacco use in Korean adolescents: the 2008-2011 Korean National Health and Nutrition Examination Survey. PloS One, 10(4), pp. e0125172. doi:10.1371/journal.pone.0125172.
Chun YH, et al. Examining Impacts of Allergic Diseases On Psychological Problems and Tobacco Use in Korean Adolescents: the 2008-2011 Korean National Health and Nutrition Examination Survey. PLoS ONE. 2015;10(4):e0125172. PubMed PMID: 25897790.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Examining impacts of allergic diseases on psychological problems and tobacco use in Korean adolescents: the 2008-2011 Korean National Health and Nutrition Examination Survey. AU - Chun,Yoon Hong, AU - Han,Kyungdo, AU - Park,Yong-Gyu, AU - Yoon,Jong-Seo, AU - Kim,Hyun Hee, AU - Kim,Jin Tack, AU - Jeong,Dae Chul, Y1 - 2015/04/21/ PY - 2014/07/23/received PY - 2015/03/21/accepted PY - 2015/4/22/entrez PY - 2015/4/22/pubmed PY - 2016/3/31/medline SP - e0125172 EP - e0125172 JF - PloS one JO - PLoS ONE VL - 10 IS - 4 N2 - PURPOSE: Asthma during adolescence can induce social, psychological, and behavioral problems. We examined the impact of asthma and other allergic diseases on psychological symptoms and health risk behaviors among South Korean adolescents. METHODS: In this population-based cross-sectional study, 3192 adolescents (10-18 years of age) participating in the 2008-2011 Korean National Health and Nutrition Examination Survey were enrolled. Psychological problems associated with clinically diagnosed asthma, allergic rhinitis, and atopic dermatitis were assessed using questionnaires and surveys. Data was analyzed using logistic regression to determine the association of depression with allergic disease while controlling for age, sex, body mass index, smoking experience, and alcohol use. RESULTS: Asthma and atopic dermatitis were associated with a higher prevalence of depression (17.2% and 13%, respectively). After adjusting for the covariates, asthma patients were approximately two times as likely to have depression as non-allergic participants (odds ratio, 1.81; 95% confidence interval, 1.22-2.68). Psychosocial stress significantly increased in the following order: no allergy, any allergy without asthma, asthma only, and asthma with any allergy (p for linear trend = 0.01). The asthma without other allergies group showed the highest prevalence of cigarette smoking (p = 0.007). CONCLUSIONS: In this study, asthma with or without other allergies was significantly related to increases in depression, psychosocial stress, and smoking experience. Thus, care should be taken to adjust treatment to account for the psychological symptoms and health risk behaviors common among asthmatic adolescents. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/25897790/Examining_impacts_of_allergic_diseases_on_psychological_problems_and_tobacco_use_in_Korean_adolescents:_the_2008_2011_Korean_National_Health_and_Nutrition_Examination_Survey_ L2 - http://dx.plos.org/10.1371/journal.pone.0125172 DB - PRIME DP - Unbound Medicine ER -