Risk factor analysis of allergic rhinitis in 6-8 year-old children in Taipei

Ciao-Lin Ho1, Wei-Fong Wu2

  • 1Second Degree Bachelor of Science in Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC.

Plos One
|April 2, 2021
PubMed

Insights

Allergic rhinitis (AR) affects 42.8% of children in Taiwan. Key risk factors include early antibiotic use, asthma, eczema, and cat exposure, while older siblings may offer protection.

Area of Science:

  • Pediatrics
  • Environmental Health
  • Epidemiology

Background:

  • Allergic rhinitis (AR) incidence has risen significantly in Taiwan over the last 30 years.
  • Understanding the prevalence and risk factors for AR in children is crucial for public health.
  • Previous research has not comprehensively examined these factors in the Taiwanese pediatric population.

Purpose of the Study:

  • To investigate the prevalence of rhinitis in young children in Taipei.
  • To identify personal and environmental risk factors associated with rhinitis in early childhood.
  • To provide evidence-based recommendations for AR prevention.

Main Methods:

  • A cross-sectional survey involving 24,999 first-grade children (aged 6-8 years) in Taipei.
  • Utilized modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaires completed by parents or caregivers.
  • Employed logistic regression analysis to assess associations between rhinitis and various risk factors.

Main Results:

  • The prevalence of rhinitis in the past 12 months was 42.8% among the surveyed children.
  • Significant risk factors for rhinitis included male gender, early-life antibiotic use, bronchiolitis, diagnosed asthma, diagnosed eczema, and early-life cat exposure.
  • Having older siblings was associated with a reduced risk of rhinitis.

Conclusions:

  • Early-life antibiotic use and cat exposure in the first year of life are potential targets for rhinitis prevention.
  • Public health strategies should consider factors like antibiotic stewardship and pet ownership in infancy.
  • Tailored preventive measures can be developed based on identified risk factors and rhinitis severity in specific subgroups.