Abstract
PURPOSE
This study aimed to investigate the association between indoor environmental exposures and behavioral problems in children with allergic diseases.
METHODS
We used data from 2015 Panel Study of Korean Children (PSKC). The subjects of this study included 825 children aged 7 years with asthma, allergic rhinitis, or atopic dermatitis. The data was analyzed using hierarchical multiple regression.
RESULTS
Factors influencing behavioral problems in children with allergic diseases were passive smoking (β=.15, p < .001), painting from 1year after birth until 1 year ago (β=.13, p < .001), using of linoleum as floor materials (β=.09, p < .001), change of wallpaper From 2 years before pregnancy until 1year after birth (β=.08, p < .001), change of wallpaper from 1year after birth until 1 year ago (β=.07, p < .001), keeping hot food or water in plastic container (β=.06, p < .001), remodeling from 1 year after birth until 1year ago (β=.04, p < .001), using of plastic container (β=.03, p < .001), and change of floor materials from 1 year after birth until 1year ago (β=.01, p=.006) which explained about 10% of behavioral problems.
CONCLUSION
This study showed that indoor environmental exposures were associated with behavioral problems in children with allergic diseases. Based on the findings of this study, programs focusing on controlling of indoor environmental exposures may help to prevent and reduce behavioral problems in children with allergic diseases.
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| Association between Environmental Factors in Home and Behavioral Problems in Children with Allergic Diseases: Based on 2015 Panel Study of Korean Children Survey
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Miseon Son ,1
and Eunsun Ji2
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1Doctoral Student, Department of Nursing, Konkuk University Glocal Campus, Chungju, Korea.
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2Associate Professor, Department of Nursing, Konkuk University Glocal Campus, Chungju, Korea.
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Corresponding author: Ji, Eunsun. Department of Nursing, Konkuk University Glocal Campus, 268 Chungwon-daero, Chungju 27478, Korea. Tel: +82-43-840-3957, Fax: +82-43-840-3958, Email: esji@kku.ac.kr
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Received December 05, 2018; Revised September 24, 2019; Accepted October 15, 2019.
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Purpose
This study aimed to investigate the association between indoor environmental exposures and behavioral problems in children with allergic diseases.
Methods
We used data from 2015 Panel Study of Korean Children (PSKC). The subjects of this study included 825 children aged 7 years with asthma, allergic rhinitis, or atopic dermatitis. The data was analyzed using hierarchical multiple regression.
Results
Factors influencing behavioral problems in children with allergic diseases were passive smoking (β=.15, p<.001), painting from 1year after birth until 1 year ago (β=.13, p<.001), using of linoleum as floor materials (β=.09, p<.001), change of wallpaper From 2 years before pregnancy until 1year after birth (β=.08, p<.001), change of wallpaper from 1year after birth until 1 year ago (β=.07, p<.001), keeping hot food or water in plastic container (β=.06, p<.001), remodeling from 1 year after birth until 1year ago (β=.04, p<.001), using of plastic container (β=.03, p<.001), and change of floor materials from 1 year after birth until 1year ago (β=.01, p=.006) which explained about 10% of behavioral problems.
Conclusion
This study showed that indoor environmental exposures were associated with behavioral problems in children with allergic diseases. Based on the findings of this study, programs focusing on controlling of indoor environmental exposures may help to prevent and reduce behavioral problems in children with allergic diseases.
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Keywords:
Asthma; Rhinitis, Allergic; Dermatitis, Atopic; Problem behavior; Environmental exposure
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Lee HS, Lee JC, Hong SC, Kim JW, Kim SY, Lee KH. Prevalence and risk factors for allergic diseases of preschool children living in Seogwipo, Jeju, Korea. Korean Journal of Asthma, Allergy and Clinical Immunology 2012;32(2):107–114.
Ahn KM, Kim JH, Kwon HJ, Chae YM, Hahm MI, Lee KJ, et al. The prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in Korean children: Nationwide cross-sectional survey using complex sampling design. Journal of the Korean Medical Association 2011;54(7):769–778. [doi: 10.5124/jkma.2011.54.7.769]
Cho AR, Lee SY, Kim YH, Yoo Y, Yang HJ, Lee JS, et al. Multicenter study on factors influencing the quality of life of asthmatic children and their caregivers. Pediatric Allergy and Respiratory Disease 2012;22(1):37–44. [doi: 10.7581/pard.2012.22.1.37]
Feng B, Jin H, Xiang H, Li B, Zheng X, Chen R, et al. Association of pediatric allergic rhinitis with the ratings of attentiondeficit/ hyperactivity disorder. American Journal of Rhinology & Allergy 2017;31(3):161–167. [doi: 10.2500/ajra.2017.31.4439]
Chun HY. Relationships among behavior problem, peer interaction, and parental factors in young boys and girls with atopic dermatitis. Korean Journal of Childcare and Education 2016;12(6):19–39. [doi: 10.14698/jkcce.2016.12.06.019]
Speer F. The allergic tension-fatigue syndrome in children. International Archives of Allergy and Immunology 1958;12(3-4):207–214. [doi: 10.1159/000228455]
Train A. In: Children behaving badly: Could my child have a disorder?. London: Souvenir Pr Ltd; 2000. pp. 224.
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A. Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry 2003;60(8):837–844. [doi: 10.1001/archpsyc.60.8.837]
Pyun BY. Risk factors of atopic dermatitis in young children. Pediatric Allergy and Respiratory Disease 2005;15(3):235–237.
Park DW, Kim SH, Yoon HJ. The impact of indoor air pollution on asthma. Allergy, Asthma & Respiratory Disease 2017;5(6):312–319. [doi: 10.4168/aard.2017.5.6.312]
Choi KY, Cho K, Seo SC. Environmentally hazardous substances and associated environmental factors in homes of atopic dermatitis children: A case-control study. Journal of Odor and Indoor Environment 2017;16(3):235–241. [doi: 10.15250/joie.2017.16.3.235]
Kim SH, Park DJ, Byun HJ, Lee HS, Oh IB, Sim CS, et al. House dust mites and associated environmental factors in homes of atopic children: A case-control study. Korean Journal of Environmental Health Sciences 2012;38(3):204–212. [doi: 10.5668/JEHS.2012.38.3.204]
Feitosa CA, Santos DN, Barreto do Carmo MB, Santos LM, Teles CA, Rodrigues LC, et al. Behavior problems and prevalence of asthma symptoms among Brazilian children. Journal of Psychosomatic Research 2011;71(3):160–165. [doi: 10.1016/j.jpsychores.2011.02.004]
Forns J, Dadvand P, Foraster M, Álvarez-Pedrerol M, Rivas I, López-Vicente M, et al. Traffic-related air pollution, noise at school, and behavioral problems in Barcelona schoolchildren: A cross-sectional study. Environmental Health Perspectives 2016;124(4):529–535. [doi: 10.1289/ehp.1409449]
Wang BL, Pang ST, Sun JP, Zhang XL, Li XL, Sun YG, et al. Levels of polychlorinated biphenyls in settled house dust from urban dwellings in China and their neurodevelopmental effects on preschool-aged children. Science of the Total Environment 2015;505:402–408. [doi: 10.1016/j.scitotenv.2014.10.026]
Kim EJ. In: The relationship among phthalate exposure, pubertal development and problem behavior in children [dissertation]. [Cheonan]: Dankook University; 2018. pp. 156.
Philippat C, Nakiwala D, Calafa AM, Botton J, De Agostini M, Heude B, et al. Prenatal exposure to nonpersistent endocrine disruptors and behavior in boys at 3 and 5 years. Environmental Health Perspectives 2017;125(9):097014. [doi: 10.1289/ehp1314]
Perera FP, Wang S, Vishnevetsky J, Zhang B, Cole KJ, Tang D, et al. Polycyclic aromatic hydrocarbons-aromatic DNA adducts in cord blood and behavior scores in New York city children. Environmental Health Perspectives 2011;119(8):1176–1181. [doi: 10.1289/ehp.1002705]
Schug TT, Janesick A, Blumberg B, Heindel JJ. Endocrine disrupting chemicals and disease susceptibility. The Journal of Steroid Biochemistry and Molecular Biology 2011;127(3-5):204–215. [doi: 10.1016/j.jsbmb.2011.08.007]
Cha YH, Kim YH. Developmental trajectories of childrens internalizing and externalizing problem behaviors and their predictors. Journal of the Korean Home Economics Association 2010;48(5):25–48. [doi: 10.6115/khea.2010.48.5.025]
Kang SJ. A study on the influence of family background on the development of a child's social emotion -centering on the pathways of maternal depression and family conflict-. Journal of Social Sciences 2010;26(1):115–149.
Kim SS, Kim YS. Comparative study on the influences of social capital on psychosocial development in childhood and early adolescence. Korean Journal of Youth Studies 2011;18(9):53–71.
Kim BO, Lee JS. Relationships among stress coping strategies, emotion regulation ability, and behavior problems in children from low-income and middle-income families. Korean Journal of Human Ecology 2008;17(6):1051–1063. [doi: 10.5934/KJHE.2008.17.6.1051]
Cohen J. In: Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Earlbaum Associates; 1988. pp. 567.
Oh KJ, Kim YA. In: Manual for the ASEBA school-age forms. Seoul: Huno; 2010. pp. 96.
Choi EJ, Lee MJ, Yun HJ, Kim JH, Lee JS, Park JH, et al. Behavioral characteristics and parental stress in elementary school children with bronchial asthma and allergic rhinitis. Allergy Asthma & Respiratory Disease 2016;4(3):205–211. [doi: 10.4168/aard.2016.4.3.205]
Lee KS, Oh EY, Park JH, Hong CH, Lee SY. Comparison of child behavior checklist between allergic and non-allergic patients. Journal of Asthma, Allergy and Clinical Immunology 2001;21(2):178–186.
Yang CF, Yang CC, Wang IJ. Association between allergic diseases, allergic sensitization and attention-deficit/hyperactivity disorder in children: A large-scale, population-based study. Journal of the Chinese Medical Association 2018;81(3):277–283. [doi: 10.1016/j.jcma.2017.07.016]
Lee BJ, Kim SS, Kim NH. An exploratory study on Korean children's development: The effects of socioeconomic factors and social capital. Journal of The Korean Society of Child Welfare 2010;31:107–141.
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