J Prev Med Public Health.  2012 Nov;45(6):374-380.

The Relationship Between Psychosocial Stress and Allergic Disease Among Children and Adolescents in Gwangyang Bay, Korea

• Lee MR
• Son BS
• Park YR
• Kim HM
• Moon JY
• Lee YJ
• Kim YB

Abstract

OBJECTIVES
Stress is considered a causal factor in many diseases, allergic disease being one of them. The prevalence of allergic disease is increasing in Korea, but the relationship between allergic symptoms and stress is not empirically well known. We aimed to evaluate the relationship between allergy-related symptoms and stress in children and adolescents.
METHODS
We investigated 698 children and adolescents living in Gwangyang Bay, Korea, using a multi-stage cluster sampling method. Using the International Study of Asthma and Allergies in Childhood and the Psychosocial Well-being Index, these subjects were surveyed on allergy-related symptoms and psychosocial stressors in their lives, respectively. We used a multivariate logistic analysis for odds ratios for the complaint rate of allergic symptoms, after adjusting for age, gender, household income, body mass index, and residence.
RESULTS
After adjustments, lifetime rhinitis (odds ratio [OR], 1.024), rhinoconjunctivitis (OR, 1.090), diagnosis of itchy eczema (OR, 1.040), treatment of itchy eczema (OR, 1.049), 12-month allergic conjunctivitis (OR, 1.026), diagnosis of allergic conjunctivitis (OR, 1.031), and treatment of allergic conjunctivitis (OR, 1.034) were found to be significantly associated with stress.
CONCLUSIONS
Our results support the notion that there is a relationship between stress and allergic symptoms in children and adolescents. Further research into any causal relationship between stress and allergies, as well as preventative public health plans for decreasing stress in children and adolescents are needed.

Keyword

Psychological stress; Asthma; Rhinitis; Atopic dermatitis; Allergic conjunctivitis

MeSH Terms

Adolescent
Child
Cluster Analysis
Conjunctivitis, Allergic/diagnosis/psychology/therapy
Cross-Sectional Studies
Eczema/diagnosis/psychology/therapy
Female
Humans
Hypersensitivity/diagnosis/epidemiology/*psychology
Interviews as Topic
Logistic Models
Male
Questionnaires
Republic of Korea
Rhinitis/diagnosis/psychology
*Stress, Psychological