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Diaper dermatitis: a survey of risk factors in Thai children aged under 24 months
Chonnakarn Sukhneewat1, Jitjira Chaiyarit2, Leelawadee Techasatian3
1Pediatric Department, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Insights
Diaper dermatitis affects 36.1% of Thai infants, particularly those aged 1-6 months. Key risk factors include infrequent diaper changes, previous rash episodes, cloth diaper use, and talcum powder application.
Area of Science:
- Pediatrics
- Dermatology
- Public Health
Background:
- Diaper dermatitis is a common skin condition in infants.
- Understanding its prevalence and risk factors is crucial for effective prevention and management.
Purpose of the Study:
- To determine the prevalence of diaper dermatitis in Thai children aged 1-24 months.
- To identify associated risk factors for diaper dermatitis in this population.
Main Methods:
- A cross-sectional study involving 1153 participants.
- Data collected via structural questionnaires.
- Statistical analysis using univariate and multivariate logistic regression.
Main Results:
- The prevalence of diaper dermatitis was 36.1%, decreasing with age.
- Highest prevalence observed in infants aged 1-6 months.
- Significant risk factors identified: infrequent nighttime diaper changes, prior rash history, cloth diaper use, and talcum powder application.
Conclusions:
- Nighttime diaper changes are critical and cannot be compensated by daytime changes.
- Talcum powder use significantly increases diaper dermatitis risk.
- Findings inform preventive strategies for diaper dermatitis in infants.
Background:
To identify the prevalence and risk factors associated with diaper dermatitis in Thai children aged 1-24 months.
Methods:
This was a cross-sectional study of 1153 participants using structural questionnaires, which was conducted at Khon Kaen University Faculty of Medicine Pediatric department in Thailand. Univariate and multivariate logistic regression analyses were used to test the association between diaper dermatitis and its possible risk factors.
Results:
The prevalence of diaper dermatitis among the study population was 36.1%, a rate which significantly decreased with age. The highest prevalence was found in subjects who were one to six months old. Risk factors that had a statistically significant association with diaper dermatitis in both univariate and multivariate analysis were i) diaper changing fewer than three times/night, ii) previous episodes of diaper rash, iii) using cloth diapers, and iv) topical application of baby talcum powder to the diaper area.
Conclusions:
Frequent diaper changings during the daytime do not compensate for fewer changings during the night. Moreover, the use of baby talcum powder on the diaper area significantly increased the risk of diaper dermatitis among the study population. These findings should be applied in future preventive strategies for diaper dermatitis in this age group.
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