Korean J Adult Nurs.  2019 Jun;31(3):259-268. 10.7475/kjan.2019.31.3.259.

Factors related to Asthma in Korean Adults: A Secondary Data Analysis of the Korea National Health and Nutrition Examination Survey from 2016

• Yun MJ

• KMID: 2450090
• DOI: http://doi.org/10.7475/kjan.2019.31.3.259

Abstract

PURPOSE
The purpose of this study was to identify the prevalence of asthma and related factors in Korean adults using national health statistics.
METHODS
This study used statistical data from the 2016 Korea National Health and Nutrition Examination Survey. The subjects were 5,841 adults aged 19 years or older. The collected data included questions about general, health and disease-related characteristics. Data were analyzed by complex sample test and complex sample multiple logistic regression analysis with the SPSS/WIN 24.0 program.
RESULTS
The prevalence of asthma was 2.7%. Factors related to asthma were age (Odds Ratio [OR]=2.21, 95% Confidence Interval [CI]=1.32~3.70), depression (OR=2.62, 95% CI=1.41~4.86), allergic rhinitis (OR=3.51, 95% CI=2.26~5.45), and atopic dermatitis (OR=5.82, 95% CI=3.21~10.53).
CONCLUSION
The results of this study showed that asthma-related factors in Korean adults were age, depression, allergic rhinitis and atopic dermatitis. Therefore, considering these factors, it may be helpful to educate about depression - related nursing intervention for asthma patients and to prevention of allergic antigen exposure for asthma patients.

MeSH Terms

Adult*
Asthma*
Depression
Dermatitis, Atopic
Humans
Korea*
Logistic Models
Nursing
Nutrition Surveys*
Prevalence
Rhinitis, Allergic
Statistics as Topic*

Reference

1. Global Initiative for Asthma. Pocket guide for asthma management and prevention [Internet]. Fontana: 2019 Global Initiative for Asthma;2019. [cited 2019 April 12]. Available from:. https://ginasthma.org/wp-content/uploads/2019/04/GINA-2019-main-Pocket-Guide-wms.pdf.

2. Statistics Korea. Experiences of asthma diagnosis [Internet]. Seoul: Statistics Korea;2016. [cited 2018 October 15]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117_12_Y086&conn_path=I2.

3. Statistics Korea. Trends experiences of asthma diagnosis: sex, age 19 and over [Internet]. Seoul: Statistics Korea;2016. [cited 2018 October 15]. Available from:. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N112&conn_path=I2.

4. Chung M-H, Park H. Symptom experiences, sleep quality and quality of life for patients with asthma. Journal of the Korea Academia-Industrial cooperation Society. 2016; 17(11):616–28. https://doi.org/10.5762/KAIS.2016.17.11.616.

5. Kim MN, Lee WK, Park JY. The ecological analysis of asthmatic occurrence in patients: using the national health insurance data. Journal of the Korean Data & Information Science Society. 2013; 24(4):679–88. https://doi.org/10.7465/jkdi.2013.24.4.679.

6. Mazurek JM, Syamlal G. Prevalence of asthma, asthma attacks, and emergency department visits for asthma among working adults - national health interview survey, 2011-2016. Morbidity and Mortality Weekly Report. 2018; 67(13):377–86. https://doi.org/10.15585/mmwr.mm6713a1.

7. Cho SH. Korean guideline for asthma [Internet]. Seoul: The Korean Academy of Asthma, Allergy and Clinical Immunology;2015. [cited 2018 October 15]. Available from:. http://www.allergy.or.kr/board/view.html?code=notice&num=1378.

8. Yu J. Allergic march: progression from atopic dermatitis to asthma. Korean Journal of Asthma, Allergy and Chinical Immunology. 2012; 32(3):137–43.

9. Shin NE, Yoo SM, Kim KN, Lee SY, Lee EJ, Kim HB, et al. The relation of overweight to asthma and other allergic diseases in high school students in Korea. Korean Journal of Family Medicine. 2009; 30(4):269–76. https://doi.org/10.4082/kjfm.2009.30.4.269.

10. Shin J-Y, Kwon B, Sin H-S, Ye Y-M, Park H-S, Nahm D-H. Association between IgG autoantibodies to cytokeratin 18 protein and clinical severity in adult asthmatic patients. Korean Journal of Asthma, Allergy and Chinical Immunology. 2006; 36(3):219–24.

11. Lee T, Kim J, Kim S, Kim K, Park Y, Kim Y, et al. Risk factors for asthma-related healthcare use: longitudinal analysis using the NHI claims database in a Korean asthma cohort. PLoS ONE. 2014; 9(11):e112844. https://doi.org/10.1371/journal.pone.0112844.

12. Jun HJ, Ly SY. Asthma prevalence of Korean adults and related variables. Poster session presented at: Korean Living Science Association 2012 Conference & Winter Conference Publishing. 2012. November 30; Cheongju.

13. Lee SH. Association between asthma and obesity among Korean adult: base on community health survey 2009~2011 [master's thesis]. Seoul: Korea University;2015. p. 17–46.

14. Park IS, Yun HK. Asthma worsening factors of adolescent asthma patients in Korea -associated with intake of antioxi-dant food-. Journal of Digital Convergence. 2017; 15(6):297–304. https://doi.org/10.14400/JDC.2017.15.6.297.

15. Piipari R, Jaakkola JJK, Jaakkola N, Jaakkola MS. Smoking and asthma in adults. European Respiratory Journal. 2004; 24(5):734–9. https://doi.org/10.1183/09031936.04.00116903.

16. Lee JS. The association between smoking and asthma. Allergy Asthma & Respiratory Disease. 2018; 6(3):137–40. https://doi.org/10.4168/aard.2018.6.3.137.

17. Lee H-M, Oh H-W, Yoon S-P, Yoon Y-W, Jo C-H. Relationship between obesity and prevalence of adult allergic disease: the sixth Korea national health and nutrition examination survey (2013). Korean Journal of Family Medicine. 2016; 6(3):185–90. https://doi.org/10.21215/kjfp.2016.6.3.185.

18. Lin Y-C, Lai C-C, Chien C-C, Chen C-M, Chiang S-R, Ho C-H, et al. Is insomnia a risk factor for new-onset asthma? A population-based study in Taiwan. BMJ Open. 2017; 7:e018714. https://doi.org/10.1136/bmjopen-2017-018714.

19. Guarnieri M, Balmes JR. Outdoor air pollution and asthma. The Lancet. 2014; 383(9928):1581–92. https://doi.org/10.1016/S0140-6736(14)60617-6.

20. Han S-H, Park J-S, Seo S-H, Yoon JE, Jee SH. Factors affecting the morbidity related to respiratory dieseases in urban Korea. Korea Journal of Population Studies. 2005; 28(2):205–17.

21. Hwang SJ, Kim JH, Chung SH, Park DH, Shim JW, Kim DS, et al. Impact of environmental tobacco smoke exposure and home environment on asthma and wheeze in school children. Pedi-atric Allergy and Respiratory Disease. 2010; 20(4):238–46.

22. Northridge J, Ramirez OF, Stingone JA, Claudio L. The role of housing type and housing quality in urban children with asthma. Journal of Urban Health. 2010; 87(2):211–24. https://doi.org/10.1007/s11524-009-9404-1.

23. Park SY, Kwon HS, Kim H, Yang HJ, Cho YS. The prevalence and incidence of asthma in Korea using Korea national health and nutrition examination survey. Obstructive Lung Disease. 2016; 4(1):23–32.

24. Van Lieshout RJ, Bienenstock J, MacQueen GM. A review of candidate pathways underlying the association between asthma and major depressive disorder. Psychosomatic Medicine. 2009; 71(2):187–95. https://doi.org/10.1097/PSY.0b013e3181907012.

25. Brunner WM, Schreiner PJ, Sood A, Jacobs Jr DR. Depression and risk of incident asthma in adults. The CARDIA study American Journal of Respiratory and Critical Care Medicine. 2014; 189(9):1044–51. https://doi.org/10.1164/rccm.201307-1349OC.

26. To T, Stanojevic S, Moores G, Gershon AS, Bateman ED, Cruz AA, et al. Global asthma prevalence in adults: findings from the cross-sectional world health survey. BMC Public Health. 2012; 12:204. https://doi.org/10.1186/1471-2458-12-204.

27. Scott KM, Von Korff M, Ormel J, Zhang MY, Bruffaerts R, Alonso J, et al. Mental disorders among adults with asthma: results from the World Mental Health Survey. General Hospital Psychiatry. 2007; 29(2):123–33. https://doi.org/10.1016/j.genhosppsych.2006.12.006.

28. Kim WJ, Bae H, Choi BK, Hwang JM, Shin KW, Kim MH, et al. Depressive conditions in relation to asthma severity and control. Tuberculosis and Respiratory Diseases. 2010; 69(4):265–70. https://doi.org/10.4046/trd.2010.69.4.265.

29. Jang AS, Kim SH, Kim TB, Park HW, Kim SH, Chang YS, et al. Impact of atopy on asthma and allergic rhinitis in the cohort for reality and evolution of adult asthma in Korea. Allergy, Asthma & Immunology Research. 2013; 5(3):143–9. https://doi.org/10.4168/aair.2013.5.3.143.

30. Choi J-H. Allergic rhinitis and comorbidities. Korean Journal of Medicine. 2013; 85(5):457–62. https://doi.org/10.3904/kjm.2013.85.5.457.

31. Choi J-E, Shin T-R, Park S-M, Kim J-H, Shin S-H, Lee H-Y, et al. Association of body mass index with airway hyper-responsiveness and lung function in adult asthmatics. Allergy Asthma & Respiratory Disease. 2014; 2(1):16–22. https://doi.org/10.4168/aard.2014.2.1.16.

32. Son KY, Park KS, Hwang HH, Yun BS, Lee SJ, Kim MA, et al. Prevalence of allergic diseases among primary school children in Ilsan, Gyeonggi and changes of symptoms after environmental control in 2005. Allergy Asthma & Respiratory Disease. 2007; 17(4):348–93.

33. Kim NY. The status of the exposure levels of children suffering from respiratory allergies to environmental factors [master's thesis]. Daegu: Kyungpook National University;2009. p. 9–18.

34. Skaaby T, Kilpeläinen TO, Taylor AE, Mahendran Y, Wong A, Ahluwalia TS, et al. Association of alcohol consumption with allergic disease and asthma: a multicentre Mendelian ran-domization analysis. Addiction. 2019; 114(2):216–25. https://doi.org/10.1111/add.14438.

35. Rosenberg SL, Miller GE, Brehm JM, Celedón JC. Stress and asthma: novel insights on genetic, epigenetic, and immunologic mechanisms. Journal of Allergy and Clinical Immunology. 2014; 134(5):1009–15. https://doi.org/10.1016/j.jaci.2014.07.005.