Mixed evidence on the relationship between socioeconomic position and atopic dermatitis: A systematic review.
Mixed evidence on the relationship between socioeconomic position and atopic dermatitis: A systematic review.
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DOI：
10.1016/j.jaad.2021.09.018
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发表时间：
2022-03
影响因子：
13.8
通讯作者：
Abuabara K
中科院分区：
文献类型：
--
作者：
Bajwa H;Baghchechi M;Mujahid M;Kang Dufour MS;Langan SM;Abuabara K
社会经济地位较低通常预示着较差的健康状况，但多项研究发现，特应性皮炎与较高的社会经济地位有关，然而这种关系的本质仍不明确。
系统地回顾有关社会经济地位和特应性皮炎的文献，并确定这种关联是否因患者或研究特征而异。
在PubMed和Embase数据库中进行了文献检索。涉及社会经济地位的所有衡量指标与特应性皮炎患病率或发病率之间关联的个体层面研究符合纳入标准。两名独立评审员筛选了所有文本并提取了所有数据进行定性综合分析。
88项研究符合纳入标准。总体而言，42%（37/88）的研究发现特应性皮炎与社会经济地位呈正相关，15%（13/88）发现呈负相关，43%（38/88）发现无关联或关联不一致。在欧洲进行的研究、针对儿童的研究以及基于湿疹自我报告的研究更有可能发现与社会经济地位呈正相关。
在社会经济地位的测量和特应性皮炎的定义方面，研究各不相同，这限制了定量综合分析。
特应性皮炎与社会经济地位之间存在正相关的证据并不一致。
多项研究以及之前的一项系统综述报告了特应性皮炎与社会经济地位之间存在正相关，但这种关系的原因仍不清楚。
这项最新的系统综述发现，大多数（58%）研究未发现特应性皮炎与社会经济地位之间存在正相关。
Lower socioeconomic position usually portends worse health outcomes, but multiple studies have found that atopic dermatitis is associated with higher socioeconomic position, but the nature of this relationship remains unclear. To systematically review the literature on socioeconomic position and atopic dermatitis and determine if the association varies by patient or study characteristics. A literature search was conducted in the PubMed and Embase databases. Individual-level studies addressing the association between all measures of socioeconomic position and the prevalence or incidence of atopic dermatitis were eligible for inclusion. Two independent reviewers screened all texts and extracted all data for qualitative synthesis. 88 studies met inclusion criteria. Overall, 42% (37/88) of studies found atopic dermatitis to be positively associated with socioeconomic position, 15% (13/88) found a negative association, and 43% (38/88) found a null or inconsistent association. Studies conducted in Europe, among children, and based on self-report of eczema were more likely to find a positive association with socioeconomic position. Studies varied both in terms of measurement of socioeconomic position and definition of atopic dermatitis, limiting quantitative synthesis. There is not consistent evidence of a positive association between atopic dermatitis and socioeconomic position. A number of studies and a prior systematic review reported a positive association between atopic dermatitis and socioeconomic position, but the reason for this relationship remains unclear This updated systematic review found that a majority (58%) of studies did not find a positive association between atopic dermatitis and socioeconomic position
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影响因子：
64.8
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14.2
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