دورية أكاديمية

Global Associations between UVR Exposure and Current Eczema Prevalence in Children from ISAAC Phase Three

التفاصيل البيبلوغرافية
العنوان: Global Associations between UVR Exposure and Current Eczema Prevalence in Children from ISAAC Phase Three
المؤلفون: Fuertes, E, Flohr, C, Silverberg, JI, Standl, M, Strachan, DP
المصدر: 1256 ; 1248
بيانات النشر: ELSEVIER SCIENCE INC
سنة النشر: 2017
المجموعة: Imperial College London: Spiral
مصطلحات موضوعية: Science & Technology, Life Sciences & Biomedicine, Dermatology, ATOPIC ECZEMA, CHILDHOOD ISAAC, CLIMATE, ASTHMA, ALLERGIES, MECHANISMS, MUTATIONS, POLLUTION, SYMPTOMS, RHINITIS, Adolescent, Age Distribution, Child, Preschool, Eczema, Environmental Exposure, Female, Global Health, Health Surveys, Humans, Internationality, Linear Models, Male, Prevalence, Severity of Illness Index, Sex Distribution, Time Factors
الوصف: We sought to examine the relationship globally between UVR dose exposure and current eczema prevalences. ISAAC Phase Three provided data on eczema prevalence for 13- to 14-year-olds in 214 centers in 87 countries and for 6- to 7-year-olds in 132 centers in 57 countries. Linear and nonlinear associations between (natural log transformed) eczema prevalence and the mean, maximum, minimum, standard deviation, and range of monthly UV dose exposures were assessed using linear mixed-effects regression models. For the 13- to 14-year-olds, the country-level eczema prevalence was positively and linearly associated with country-level monthly mean (prevalence ratio = 1.31 [95% confidence interval = 1.05–1.63] per kJ/m2) and minimum (1.25 [1.06–1.47] per kJ/m2) UVR dose exposure. Linear and nonlinear associations were also observed for other metrics of UV. Results were similar in trend, but nonsignificant, for the fewer centers with 6- to 7-year-olds (e.g., 1.24 [0.96–1.59] per kJ/m2 for country-level monthly mean UVR). No consistent within-country associations were observed (e.g., 1.05 [0.89–1.23] and 0.92 [0.71–1.18] per kJ/m2 for center-level monthly mean UVR for the 13- to 14- and 6- to 7-year-olds, respectively). These ecological results support a role for UVR exposure in explaining some of the variation in global childhood eczema prevalence.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 0022-202X
العلاقة: JOURNAL OF INVESTIGATIVE DERMATOLOGY; http://hdl.handle.net/10044/1/59998Test; https://dx.doi.org/10.1016/j.jid.2017.02.966Test
DOI: 10.1016/j.jid.2017.02.966
الإتاحة: https://doi.org/10.1016/j.jid.2017.02.966Test
http://hdl.handle.net/10044/1/59998Test
حقوق: © 2017 The Authors. Published by Elsevier, Inc. on behalf of the Society for Investigative Dermatology. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0Test/
رقم الانضمام: edsbas.7CB08E78
قاعدة البيانات: BASE
الوصف
تدمد:0022202X
DOI:10.1016/j.jid.2017.02.966