Eczema prevalence in the United States: Data from the 2003 National Survey of Children’s Health

By T. Shaw, G. P. Currie, Caroline W. Koudelka, E. Simpson. Journal of Investigative Dermatology, 2010

710 citations recorded by the source corpus.

Using the 2003 National Survey of Children’s Health (NSCH) sponsored by the federal Maternal and Child Health Bureau, we calculated prevalence estimates of eczema nationally and for each state among a nationally representative sample of 102,353 children 17 years of age and under. Our objective was to determine the national prevalence of eczema/atopic dermatitis in the United States pediatric population and to further examine geographic and demographic associations previously reported in other countries. Overall, 10.7% of children were reported to have a diagnosis of eczema in the last 12 months. Prevalence ranged from 8.7% to 18.1% between states and districts, with the highest prevalence reported in many of the East Coast states, as well as Nevada, Utah, and Idaho. After adjusting for confounders, metropolitan living was found to be a significant factor in predicting a higher disease prevalence with an OR of 1.67 (95% confidence interval of 1.19-2.35, p=0.008). Black race (OR 1.70, p=0.005) and education level in the household greater than high school (OR 1.61, p=0.004) were also significantly associated with a higher prevalence of eczema. The wide range of prevalence suggests social or environmental factors may influence disease expression.

Subfields: Dermatology, Immunology and Allergy

View Paper: https://www.semanticscholar.org/paper/04445384594d1ac7ac77017eddd66a6673a31098

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Citations in the corpus

• Guidelines of Care for the Management of Atopic Dermatitis Part 4: Prevention of Disease Flares and Use of Adjunctive Therapies and Approaches (2014, background): “There are no consistent findings to suggest that male or female sex affects AD risk, but being of black race does appear to increase risk.(126) A higher level of parental education is a risk factor for disease, but the effect of socioeconomic status is unclear.”
• The Burden of Atopic Dermatitis: Summary of a Report for the National Eczema Association. (2017, methodology): “2% of US children and adults, respectively (Shaw et al., 2011; Silverberg et al., 2015).”
• Atopic dermatitis: a disease of altered skin barrier and immune dysregulation (2011, background): “7–18%) reported in the most recent US data derived from the 2003 National Survey of Children’s Health (4) suggests that environmental or other unidentified factors may influence disease expression.”
• Temporal shifts in the skin microbiome associated with disease flares and treatment in children with atopic dermatitis (2012, background): “The prevalence of AD has more than doubled in industrialized countries with no clear cause (Asher et al. 2006; Shaw et al. 2011) and at a high cost (Bickers et al. 2006).”