Allergy Asthma Immunol Res.  2014 Sep;6(5):409-414. 10.4168/aair.2014.6.5.409.

Allergic Diseases and Multiple Chemical Sensitivity in Korean Adults

Affiliations
  • 1Graduate School of Public Health, Yonsei University, Seoul, Korea.
  • 2Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.
  • 3Division of Allergy and Immunology, Department of Internal Medicine, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea. jhleemd@yuhs.ac
  • 4Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
Multiple chemical sensitivity (MCS) is a clinical syndrome representing multi-organ and psychological symptoms caused by chronic exposure to various chemicals in low concentrations. We evaluated the prevalence and related factors of MCS targeting Korean adults using the Quick Environmental Exposure and Sensitivity Inventory (QEESI(c)).
METHODS
A total of 446 participants were recruited from Severance Hospital. Participants underwent a questionnaire interview including questions on sociodemographic factors, occupational and environmental factors, allergic diseases, and the QEESI(c). Among them, 379 participants completed the questionnaire and the QEESI(c). According to the QEESI(c) interpretation results, participants were divided into very suggestive (VS) group and less suggestive (LS) group.
RESULTS
The estimated prevalence of MCS was higher in allergic patients than non-allergic participants (19.7% and 11.3%, respectively, P=0.04). In the multivariate logistic regression analysis, ages of 30-39 (OR, 2.94; 95% CI, 1.25-6.95) and those of 40-49 (OR, 2.51; 95% CI, 1.02-6.21) were significantly related to MCS compared to those aged less than 30 years. Female sex (OR, 2.16; 95% CI, 1.11-4.18), experience of dwelling in a new house (OR, 2.05; 95% CI, 1.04-4.03), and atopic dermatitis (OR, 1.95; 95% CI, 1.04-3.69) were also significantly related to MCS. However, only age of 30-39 in the allergic group was significant in the stratified analysis.
CONCLUSIONS
The estimated prevalence of MCS was higher among allergic patients than non-allergic participants. People with experience of dwelling in a new house and atopic dermatitis were more at risk of being intolerant to chemicals. Further studies to provide the nationally representative prevalence data and clarify risk factors and mechanisms of MCS are required.

Keyword

Allergic disease; environmental exposure; multiple chemical sensitivity; QEESI

MeSH Terms

Adult*
Dermatitis, Atopic
Environmental Exposure
Female
Humans
Logistic Models
Multiple Chemical Sensitivity*
Prevalence
Risk Factors

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Jong-Sook Park, Ji-Hye Son, Choon-Sik Park, Hun Soo Chang
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