The Burden of Childhood Atopic Dermatitis in the Primary Care Setting: A Report from the Meta-LARC Consortium

Jinan Al-Naqeeb; Sankirtana Danner; Lyle J Fagnan; Katrina Ramsey; LeAnn Michaels; Julie Mitchell; Kelsey Branca; Cynthia Morris; Donald E Nease Jr; Linda Zittleman; Barcey Levy; Jeanette Daly; David Hahn; Rowena J Dolor; Hywel C Williams; Joanne R Chalmers; Jon Hanifin; Susan Tofte; Katharine E Zuckerman; Karen Hansis; Mollie Gundersen; Julie Block; Francie Karr; Sandra Dunbrasky; Kathy Siebe; Kristen Dillon; Ricardo Cibotti; Jodi Lapidus; Eric L Simpson

doi:10.3122/jabfm.2019.02.180225

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The Burden of Childhood Atopic Dermatitis in the Primary Care Setting: A Report from the Meta-LARC Consortium

Journal article

Open access

The Burden of Childhood Atopic Dermatitis in the Primary Care Setting: A Report from the Meta-LARC Consortium

Jinan Al-Naqeeb, Sankirtana Danner, Lyle J Fagnan, Katrina Ramsey, LeAnn Michaels, Julie Mitchell, Kelsey Branca, Cynthia Morris, Donald E Nease Jr, Linda Zittleman, …

Journal of the American Board of Family Medicine, Vol.32(2), pp.191-200

03/2019

DOI: 10.3122/jabfm.2019.02.180225

PMID: 30850455

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Abstract

Little is known about the burden of atopic dermatitis (AD) encountered in US primary care practices and the frequency and type of skin care practices routinely used in children. To estimate the prevalence of AD in children 0 to 5 years attending primary care practices in the United States and to describe routine skin care practices used in this population. A cross-sectional survey study of a convenience sample of children under the age of 5 attending primary care practices for any reason. Ten primary care practices in 5 US states. Among 652 children attending primary care practices, the estimated prevalence of ever having AD was 24% (95% CI, 21-28) ranging from 15% among those under the age of 1 to 38% among those aged 4 to 5 years. The prevalence of comorbid asthma was higher among AD participants compared to those with no AD, namely, 12% and 4%, respectively ( < .001). Moisturizers with high water:oil ratios were most commonly used (ie, lotions) in the non-AD population, whereas moisturizers with low water:oil content (ie, ointments) were most common when AD was present. Our study found a large burden of AD in the primary care practice setting in the US. The majority of households reported skin care practices that may be detrimental to the skin barrier, such as frequent bathing and the routine use of moisturizers with high water: oil ratios. Clinical trials are needed to identify which skin care practices are optimal for reducing the significant burden of AD in the community.

Comorbidity

Feasibility Studies

Baths - adverse effects

Baths - statistics & numerical data

Case-Control Studies

Child, Preschool

Cost of Illness

Cross-Sectional Studies

Dermatitis, Atopic - epidemiology

Dermatitis, Atopic - therapy

Humans

Infant

Parents

Prevalence

Primary Health Care - statistics & numerical data

Severity of Illness Index

Skin Care - adverse effects

Skin Care - methods

Skin Care - statistics & numerical data

Skin Cream - administration & dosage

Details

Title: Subtitle: The Burden of Childhood Atopic Dermatitis in the Primary Care Setting: A Report from the Meta-LARC Consortium
Creators: Jinan Al-Naqeeb - Oregon Health & Science University
Sankirtana Danner - Oregon Health & Science University
Lyle J Fagnan - Family Medicine
Katrina Ramsey - Oregon Health & Science University
LeAnn Michaels
Julie Mitchell - Oregon Health & Science University
Kelsey Branca - Oregon Health & Science University
Cynthia Morris - Medical Informatics & Clinical Epidemiology
Donald E Nease Jr
Linda Zittleman - University of Denver
Barcey Levy - University of Iowa
Jeanette Daly - University of Iowa
David Hahn - University of Wisconsin–Madison
Rowena J Dolor - Duke University
Hywel C Williams - University of Nottingham
Joanne R Chalmers - University of Nottingham
Jon Hanifin
Susan Tofte
Katharine E Zuckerman
Karen Hansis - Patient Advocate Foundation
Mollie Gundersen - Patient Advocate Foundation
Julie Block - National Eczema Association
Francie Karr - Columbia University
Sandra Dunbrasky - Treasure Valley Community College
Kathy Siebe - Winding Waters Clinic
Kristen Dillon - Oregon Health & Science University
Ricardo Cibotti - National Institutes of Health
Jodi Lapidus - School of Public Health
Eric L Simpson
Resource Type: Journal article
Publication Details: Journal of the American Board of Family Medicine, Vol.32(2), pp.191-200
DOI: 10.3122/jabfm.2019.02.180225
PMID: 30850455
NLM abbreviation: J Am Board Fam Med
ISSN: 1557-2625
eISSN: 1558-7118
Grant note: UL1 TR000128 / NCATS NIH HHS U34 AR065739 / NIAMS NIH HHS
Language: English
Date published: 03/2019
Academic Unit: Epidemiology; Family and Community Medicine
Record Identifier: 9984297339102771

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