The prevalence of allergic rhinitis and atopic dermatitis in late adolescents differs according to their gender
PubMed

Keywords

Allergic rhinitis
Atopic dermatitis
Late adolescent

Abstract

Background: In Mexico, there are very few studies aimed at establishing the prevalence of allergic rhinitis (AR) and atopic dermatitis (AD) in late adolescents.

Objective: To determine the prevalence of allergic rhinitis and atopic dermatitis in late adolescents and compare it according to their gender.

Methods: A cross-sectional study that included 1992 15 to 18 year old adolescents who were recruited through a stratified and randomized probabilistic sample by clusters. The prevalence of AR (allergic rhinitis) and AD (atopic dermatitis) was identified with the questionnaire of “The International Study of Asthma and Allergies in Childhood”.

Results: 1056 (53%) women and 936 (47%) men were included in the study. The prevalence of AR was 9.0% (95% CI = 7.8% - 10.4%); the frequency was higher in women (6.7% versus 11.1%, p = 0.001). The symptoms of rhinitis plus conjunctivitis predominated in women (16.0% versus 23.1%, p < 0.0001). The prevalence of AD was 5.2% (95% CI = 4.3% - 6.2%) and, once again, it was more frequent in women (7.7% versus 2.4%, p < 0.0001). The main factors associated with AR and AD were the female gender and a history of family atopic allergic diseases (p < 0.001).

Conclusions: There was a significant difference in the prevalence of AR and AD according to gender in late adolescents; women were most affected. In addition, a history of family atopic allergic diseases was another risk factor that was linked to both diseases.

PubMed

References

Peng W, Novak N. Pathogenesis of atopic dermatitis. Clin Exp Allergy. 2015;45(3):566-574. DOI: 10.1111/cea.12495

Zhao J, Bai J, Shen K, Xiang L, Huang S, Chen A, et al. Self-reported prevalence of childhood allergic diseases in three cities of China: a multicenter study. BMC Public Health. 2010;10:551. DOI: 10.1186/1471-2458-10-551

Akcay A, Tamay Z, Ergin A, Guler N. Prevalence and risk factors of atopic eczema in Turkish adolescents. Pediatr Dermatol. 2014;31(3):319-325. DOI: 10.1111/pde.12244

Kim DH, Park YS, Jang HJ, Kim JH, Lim DH. Prevalence and allergen of allergic rhinitis in Korean children. Am J Rhinol Allergy. 2016;30(3):72-78. DOI: 10.2500/ajra.2013.27.4317

Sritipsukho P, Satdhabudha A, Nanthapisal S. Effect of allergic rhinitis and asthma on the quality of life in young Thai adolescents. Asian Pac J Allergy Immunol. 2015;33(3):222-226. DOI: 10.12932/AP0548.33.3.2015

Augustin M, Radtke MA, Glaeske G, Reich K, Christophers E, Schaefer I, et al. Epidemiology and comorbidity in children with psoriasis and atopic eczema. Rev Dermatology. 2015;231(1):35-40. DOI:10.1159/000381913

Katotomichelakis M, Danielides G, Iliou T, Anastassopoulos G, Nikolaidis C, Kirodymos E, et al. Allergic sensitization prevalence in a children and adolescent population of Northeastern Greece region. Int J Pediatr Otorhinolaryngol. 2016;89:33-37. DOI: 10.1016/j.ijporl.2016.07.027

Arrais M, Lulua O, Quifica F, Rosado-Pinto J, Gama JMR, Taborda-Barata L, et al. Prevalence of asthma and allergies in 13-14-year old adolescents from Luanda, Angola. Int J Tuberc Lung Dis. 2017;21(6):705-712. DOI: 10.5588/ijtld.16.0530

Varona-Pérez P, Fabré-Ortiz D, Venero-Fernández S, Suárez-Medina R, Molina-Esquivel E, Romero-Placeres M. Rinitis alérgica, prevalencia y factores de riesgo en adolescentes cubanos. Rev Cubana Hig Epidemiol. 2014;52(3):330-345. Disponible en: https://www.medigraphic.com/pdfs/revcubhigepi/chi-2014/chi143f.pdf

Varona-Pérez P, Fabré-Ortiz D, Águila R, Corona B, Venero-Fernández S, Suárez-Medina R. Prevalencia de síntomas de dermatitis atópica en niños y adolescentes en La Habana (2002-2003). Rev Cubana Med Gen Integr. 2012;28(1):42-51. DOI: 10.29262/ram.v65i2.301

Cooper PJ, Vaca M, Rodríguez A, Chico ME, Santos DN, Rodrigues LC, et al. Hygiene, atopy and wheeze-eczema-rhinitis symptoms in school children from urban and rural Ecuador. Rev Thorax. 2014;69(3):232-239. DOI: 10.1136/thoraxjnl-2013-203818

Mancilla-Hernández E, Medina-Ávalos MA, Barnica-Alvarado RH, Soto-Candia D, Guerrero-Venegas R, Zecua-Nájera Y. Prevalencia de rinitis alérgica en poblaciones de varios estados de México. Rev Alerg Mex. 2015;62(3):196-201. DOI: 10.29262/ram.v64i3.221

Valente-Mérida, J. Epidemiología y factores de riesgo de la rinitis alérgica y las enfermedades alérgicas. Rev Alerg Asma Inmunol Pediatr. 2001;10(2):32.

Barraza-Villarreal A, Sanín-Aguirre LH, Téllez-Rojo MM, Lacasaña-Navarro M, Romieu I. Prevalencia de asma y otras enfermedades alérgicas en niños escolares de Ciudad Juárez, Chihuahua. Salud Publica Mex. 2001;43(5):433-443. DOI: 10.1590/S0036-36342001000500007

Bedolla-Barajas M, Morales-Romero J, Robles-Figueroa M, Fregoso-Fregoso M. Asma en adolescentes tardíos del occidente de México: prevalencia y factores asociados. Arch Bronconeumol. 2013;49(2):47-53. DOI: 10.1016/j.arbres.2012.09.006

The International Study of Asthma and Allergies in Childhood. [Sitio web]. Manual-ISAAC. Nueva Zelanda/Alemania; 1993. Disponible en: http://isaac.auckland.ac.nz/story/methods/resources/phaseonemanual.pdf

Johansson EK, Ballardini N, Bergström A, Kull I, Wahlgren CF. Atopic and non atopic eczema in adolescence: is there a difference? Br J Dermatol. 2015;173(4):962-968. DOI: 10.1111/bjd.13901

Solé D, Rosário-Filho NA, Sarinho ES, Camelo-Nunes IC, Barreto BA, Medeiros ML, et al. Prevalence of asthma and allergic diseases in adolescents: nine-year follow-up study (2003-2012). J Pediatr (Rio J). 2015;91(1):30-35. DOI: 10.1016/j.jped.2014.05.002

Penaranda A, Aristizabal G, García E, Vásquez C, Rodríguez-Martínez CE, Satizabal CL. Allergic rhinitis and associated factors in school children from Bogota, Colombia. Rhinology. 2012;50(2):122-128.

Tatto-Cano MI, Sanín-Aguirre LH, González V, Ruiz-Velasco S, Romieu I. Prevalence of asthma, rhinitis and eczema in schoolchildren in the city of Cuernavaca, Mexico. Salud Publica Mex. 1997;39(6):497-506.

Pinart M, Keller T, Reich A, Fröhlich M, Cabieses B, Hohmann C, et al. Sex-related allergic rhinitis prevalence switch from childhood to adulthood: a systematic review and meta-analysis. Int Arch Allergy Immunol. 2017;172(4):224-235. DOI: 10.1159/000464324

Fernández-Mayoralasa DM, Martín-Caballero JM, García-Marcos Álvarez L. Prevalencia de la dermatitis atópica en escolares de Cartagena y su relación con el sexo y la contaminación. An Pediatr. 2004;60(6):555-560. DOI: 10.1157/13062324

Carey MA, Card JW, Voltz JW, Arbes SJ, Germolec DR, Korach KS, et al. It’s all about sex: gender, lung development and lung disease. Trends Endocrinol Metab. 2007;18(8):308-313. DOI: 10.1016/j.tem.2007.08.003

Mulligan T, Frick MF, Zuraw QC, Stemhagen A, McWhirter C. Prevalence of hypogonadism in males aged at least 45 years: the HIM study. Int J Clin Pract. 2006;60(7):762-769. DOI: 10.1111/j.1742-1241.2006.00992.x

Laffont S, Blanquart E, Savignac M, Cénac C, Laverny G, Metzger D, et al. Androgen signaling negatively controls group 2 innate lymphoid cells. J Exp Med. 2017;214(6):1581-1592. DOI: 10.1084/jem.20161807

Lewis SA, Weiss ST, Platts-Mills TA, Burge H, Gold DR. The role of indoor allergen sensitization and exposure in causing morbidity in women with asthma. Am J Respir Crit Care Med. 2002;165(7):961-966. DOI: 10.1164/ajrccm.165.7.2103044

Larsson U, Taft C, Karlsson J, Sullivan M. Gender and age differences in the relative burden of rhinitis and asthma on health-related quality of life: a Swedish population study. Respir Med. 2007;101(6):1291-1298. DOI: 10.1016/j.rmed.2006.10.014

Rivero-Suárez MP, Carretero-Hernández G. Estudio clínico y alergológico en pacientes con manifestaciones cutáneas minor de dermatitis atópica. Actas Dermosifiliogr. 2002;93(4):231-242. DOI: 10.1016/S0001-7310(02)76564-2

Schmitz R, Atzpodien K, Schlaud M. Prevalence and risk factors of atopic diseases in German children and adolescents. Pediatr Allergy Immunol. 2012;23(8):716-723. DOI: 10.1111/j.1399-3038.2012.01342.x

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