Atopy in children and parental social class
Atopy in children and parental social class
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DOI：
10.2105/ajph.88.9.1319
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发表时间：
1998-09-01
影响因子：
12.7
通讯作者：
Wichmann, HE
中科院分区：
文献类型：
--
作者：
Heinrich, J;Popescu, MA;Wichmann, HE
目标。本分析旨在确定前社会主义国家儿童的特应性疾病是否与社会阶层有关。1992年和1993年在前东德的3个城镇对2471名学童进行了横断面研究。家长们完成了一份关于健康事件和生活方式因素的标准化问卷。此外，皮肤点刺试验和测定血清总免疫球蛋白（IEE）。结果：社会三级（父母受正规教育10年以上）儿童的终生特应性疾病患病率和过敏致敏率最高，社会一级（父母受教育10年以下）儿童的终生特应性疾病患病率最低，而社会二级（父母受教育10年）儿童的终生特应性疾病患病率处于中等水平。这些数据证实了一个假设，即在以前的社会主义国家，社会主义制度下存在社会不平等，这反映在健康结果的社会梯度上。研究结果支持了一个假设，即在过去30年里，越来越多的人接触到现代生活方式可能是特应性疾病发病率上升的原因之一。
Objectives. This analysis was conducted to determine whether atopic disorders were related to social class in a pediatric population of a former socialist country.Methods. A cross-sectional study of 2471 schoolchildren was carried out in 1992 and 1993 in 3 towns in the former East Germany. Parents completed a standardized questionnaire regarding health events and lifestyle factors. In addition, skin-prick tests were performed and total serum immunoglobulin (IEE) was determined.Results, Lifetime prevalence rates for atopic diseases and rates of allergic sensitization were highest in children fi om social class III (in which parents had more than 10 years of formal education) and lowest in social class I (less than 10 years of parental education), while rates in social class II (10 years of parental education) were constant at an intermediate level.Conclusions. The data confirmed the assumption that in formerly socialist countries social inequalities existed under the socialist system, which were reflected by a social gradient in health outcomes. The findings support the hypothesis that increased access to modem lifestyle could be one reason for the increasing rates of atopic disorders during the last 3 decades.