城市和农村地区在亚托皮肤炎风险中的地理差异:系统性审查和元分析
Jun-Oh Shin1,2,3, Kihun Kim4,5, Hoon-Soo Kim1
1Department of Dermatology, College of Medicine, Pusan National University, Busan, South Korea.
概括
城市生活增加了发展亚托邦性皮肤炎的风险,特别是在儿童中. 这一元分析证实,与农村环境相比,城市环境中的发病率更高.
科学领域:
- 皮肤病学 皮肤病学
- 流行病学 流行病学
- 环境健康 环境健康
背景情况:
- 亚托匹性皮肤炎是儿童常见的慢性炎症性皮肤病.
- 现有研究表明,城市环境与亚托皮炎风险增加之间存在潜在联系.
研究的目的:
- 系统地审查和元分析观察性研究,调查城市与农村生活和亚托皮肤炎发展之间的关联.
- 探索基于年龄,出版年份和国家的风险差异.
主要方法:
- 对Embase和MEDLINE数据库进行了全面的搜索.
- 包括观察性研究,对年龄,出版年份和国家进行子组分析.
- 分析了43项涉及1,728,855名受试者的研究数据.
主要成果:
- 城市居住与阿托皮性皮肤炎的风险增加显著相关 (OR 1.56).
- 增加的风险在儿童中明显 (OR 1.55),但在成人中没有统计学意义 (OR 1.29).
- 近几十年来风险上升,发展中国家的几率更高 (OR 1.95) 与发达国家 (OR 1.35) 相比.
结论:
- 证据支持城市生活与阿托皮性皮肤炎风险增加之间存在显著的关联.
- 在城市环境中,儿童似乎更容易受到导致亚托皮炎的环境因素的影响.
- 这些发现突显了城市化和地理位置对亚托邦性皮肤炎流行率的影响.
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