Do allergic clinical manifestations increase the risk of behavioral problems in children? A cross‐sectional study
Do allergic clinical manifestations increase the risk of behavioral problems in children? A cross‐sectional study
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过敏临床表现是否会增加儿童行为问题的风险？
DOI：
10.1111/pai.13542
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发表时间：
2021
影响因子：
4.4
通讯作者：
Asano Midori
中科院分区：
文献类型：
--
作者：
Yamaguchi Chikae;Ebara Takeshi;Futamura Masaki;Ohya Yukihiro;Asano Midori
研究背景过敏性疾病的临床表现往往伴随着行为或情绪方面的问题，如多动或心理健康状况恶化。然而，以前关于这种关联的研究没有充分调整混杂因素，如养育压力，人口统计学特征或过敏表现。本研究旨在探讨儿童过敏的临床表现和行为问题之间的关系，调整混杂因素，如人口统计学特征，父母的压力，和过敏相关的variables.MethodsWe进行了一项在线横断面调查照顾者的儿童年龄2-6岁（n= 633）。优势和困难问卷（SDQ）被用来确定儿童的行为特征作为主要结果。过敏性临床表现、喘息、皮疹和鼻部症状是暴露变量。协会估计使用逻辑回归分析与倾向分数调整confersifers.ResultsWe分析了633照顾2-6岁的儿童（有效率，61.5%）。单变量分析显示，喘息与行为问题相关（比值比[OR] = 1.48，95%置信区间[CI]：1.01-2.16），行为问题是SDQ的一个行为组成部分。皮疹也与多动有关（OR = 1.62，95% CI：1.02-2.57）。此外，鼻子症状与行为问题（OR = 1.65，95%CI：1.16-2.33）和情绪症状（OR=1.62，95%CI：1.06-2.45）相关。调整后的潜在混杂因素，喘息（调整OR = 1.69，95%CI：1.04-2.75）和鼻子症状（调整OR = 1.56，95%CI：1.05-2.34）仍然与conduct problems.ConclusionsThis study revealed that a history of whitezing and nose symptoms in children is associated with a increased risk of behavioral problems，especially，conduct problems.
BackgroundChildren with allergic clinical manifestations tend to have behavioral or emotional problems such as hyperactivity or worse mental health. However, previous studies on this association did not adequately adjust for confounders like parenting stress, demographic characteristics, or allergy presentation. This study aimed to investigate the relationship between childhood allergic clinical manifestations and behavioral problems, adjusting for confounders such as demographic characteristics, parenting stress, and allergy‐related variables.MethodsWe conducted an online cross‐sectional survey among caregivers of children aged 2–6 years (n= 633). The Strengths and Difficulties Questionnaire (SDQ) was used to determine children's behavioral characteristics as the primary outcome. Allergic clinical manifestations, wheeze, rash, and nose symptoms were the exposure variables. Associations were estimated using logistic regression analyses with propensity scores to adjust for confounders.ResultsWe analyzed 633 caregivers of children aged 2–6 years (valid rate, 61.5%). Univariate analyses showed that wheezing was associated with conduct problems (odds ratio [OR] = 1.48, 95% confidence interval [CI]:1.01–2.16), a behavioral component of the SDQ. Rash was also associated with hyperactivity (OR = 1.62, 95% CI: 1.02–2.57). Furthermore, nose symptoms were associated with conduct problems (OR = 1.65, 95% CI:1.16–2.33) and emotional symptoms (OR=1.62, 95% CI:1.06–2.45). After adjusting for potential confounders, wheezing (adjusted OR = 1.69, 95% CI:1.04–2.75) and nose symptoms (adjusted OR = 1.56, 95% CI: 1.05–2.34) remained associated with conduct problems.ConclusionsThis study revealed that a history of wheezing and nose symptoms in children is associated with an increased risk of behavioral problems, in particular, conduct problems.
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影响因子：
14.2
作者：
Yaghmaie, Pouya;Koudelka, Caroline W.;Simpson, Eric L.
通讯作者：
Simpson, Eric L.
早期特应性皮炎与随后的注意缺陷或自闭症疾病之间的纵向关联：基于人群的病例对照研究。
影响因子：
1.6
作者：
Lee CY;Chen MH;Jeng MJ;Hsu JW;Tsai SJ;Bai YM;Hung GY;Yen HJ;Chen TJ;Su TP
通讯作者：
Su TP
影响因子：
1.7
作者：
Matsuishi, Toyojiro;Nagano, Miki;Kakuma, Tatsuyuki
通讯作者：
Kakuma, Tatsuyuki
影响因子：
14.2
作者：
Schmitt, Jochen;Apfelbacher, Christian;Heinrich, Joachim
通讯作者：
Heinrich, Joachim
影响因子：
5.1
作者：
Liao, Tzu-Chu;Lien, Yi-Ting;Chen, Chuan-Yu
通讯作者：
Chen, Chuan-Yu