Association of family structure with atopic dermatitis in US children - 19/09/18
Abstract |
Background |
Children from families without 2 married biologic parents have an increased risk of poverty and poor health. The relationship between family structure and atopic dermatitis (AD) has not been elucidated.
Objectives |
To determine the prevalence of AD and related outcomes in children from different family structures.
Methods |
Data on 13,275 children (age ≤17 years) and their parents from the 2012 National Health Interview Survey were analyzed.
Results |
In multivariable logistic regression models adjusting for sociodemographic groups, children from single-adult households (adjusted odds ratio [aOR], 1.272; 95% confidence interval [CI], 1.050-1.542), families with 2 or fewer members (aOR, 1.413; 95% CI, 1.079-1.852), families with a mother but no father present (aOR, 1.402; 95% CI, 1.179-1.667), nonbiologic fathers (aOR, 1.464; 95% CI, 1.089-1.969), or unmarried mothers (aOR, 1.508; 95% CI, 1.017-2.237) had increased odds of AD. Among children with AD, there were significantly increased odds of having only good, fair, or poor versus very good or excellent overall health (aOR, 1.545; 95% CI, 1.262-1.893) and greater odds of depression (aOR, 2.287; 95% CI, 1.523-3.434), anxiety (aOR, 2.001; 95% CI, 1.543-2.595), and stress (aOR, 2.013; 95% CI, 1.499-2.704).
Limitations |
Cross-sectional study.
Conclusions |
Children in the United States who are from families with single adults, single mothers, nonbiologic fathers, or unmarried mothers may have increased odds of AD. Family structures were associated with poorer overall health, depression, anxiety, and stress in children with AD.
Le texte complet de cet article est disponible en PDF.Key words : atopic dermatitis, disparities, divorce, food security, fragile homes, poverty
Abbreviations used : AD, aOR, CI, OR
Plan
| Funding sources: Supported by the Agency for Healthcare Research and Quality (grant K12 HS023011), and the Dermatology Foundation. |
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| Conflicts of interest: None disclosed. |
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| Dr Silverberg is responsible for the study concept and design; he had full access to all the data in the study and takes responsibility for the integrity of the data and accuracy of the data analysis. Dr Silverberg and Mr McKenzie are both responsible for acquisition, analysis, and interpretation of the data; drafting of the manuscript; critical revision of the manuscript for important intellectual content; and statistical analysis. |
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| Reprints not available from the authors. |
Vol 79 - N° 4
P. 638 - octobre 2018 Retour au numéro
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