RT Journal Article
SR Electronic
T1 The Burden of Childhood Atopic Dermatitis in the Primary Care Setting: A Report from the Meta-LARC Consortium
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 191
OP 200
DO 10.3122/jabfm.2019.02.180225
VO 32
IS 2
A1 Al-naqeeb, Jinan
A1 Danner, Sankirtana
A1 Fagnan, Lyle J.
A1 Ramsey, Katrina
A1 Michaels, LeAnn
A1 Mitchell, Julie
A1 Branca, Kelsey
A1 Morris, Cynthia
A1 Nease, Donald E.
A1 Zittleman, Linda
A1 Levy, Barcey
A1 Daly, Jeanette
A1 Hahn, David
A1 Dolor, Rowena J.
A1 Williams, Hywel C.
A1 Chalmers, Joanne R.
A1 Hanifin, Jon
A1 Tofte, Susan
A1 Zuckerman, Katharine E.
A1 Hansis, Karen
A1 Gundersen, Mollie
A1 Block, Julie
A1 Karr, Francie
A1 Dunbrasky, Sandra
A1 Siebe, Kathy
A1 Dillon, Kristen
A1 Cibotti, Ricardo
A1 Lapidus, Jodi
A1 Simpson, Eric L.
YR 2019
UL http://www.jabfm.org/content/32/2/191.abstract
AB Background: 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.Objective: 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.Design: A cross-sectional survey study of a convenience sample of children under the age of 5 attending primary care practices for any reason.Setting: Ten primary care practices in 5 US states.Results: 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 (P < .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.Conclusions: 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.