Faculty of Medicine
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Item type:Publication, Socioeconomic status hypothesis in asthma and eczema in young adolescents(The Balkan Societies of Allergology and Clinical Immunology, 2006); ;Stavric, Katerina; ;Seckova, LidijaKimovska, MilicaBackground: As studies in different populations have shown conflicting results about the relationship between asthma and socioeconomic status and its association with eczema has been less extensively studied, the study was aimed to explore the socioeconomic status hypothesis in asthma and eczema in young adolescents in the Republic of Macedonia. Methods: The self-reported data from 3026 children aged 13/14 years from randomly selected schools in Skopje, the capital of Macedonia, were obtained through the standardized International Study of Asthma and Allergies in Childhood Phase Three written questionnaires. Family size, mother’s educational level, tobacco smoke at home, wood/coal/oil heating at home and body mass index, as some socioeconomic status measures, were statistically correlated to asthma and eczema symptoms by odds ratios with 95% confidence interval (OR, 95% CI) in binary logistic regression. Results: Small families and overweight significantly increased the risk of ever-diagnosed asthma (OR 2.160, 95% CI 1.110-4.203 P=0.023 and OR 2.085, 95% CI 1.109-3.922 P=0.023, respectively). As well overweight was significantly associated with increased risk of current night cough (OR 1.365, 95% CI 1.053-1.771 P=0.019), while mother’s university education with decreased risk of the same symptom (OR 0.759, 95% CI 0.620-0.930 P=0.008). A significant association between the severity of asthma, eczema and investigated measures of socioeconomic status was not found. Conclusion: The results support the positive association between socioeconomic status and asthma only, without any effect of socioeconomic status on asthma severity and eczema. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Acetaminophen intake and risk of asthma, hay fever and eczema in early adolescence(2007-09); ;Stavric, Katerina; ;Seckova, LidijaKimovska, MilicaA positive association between acetaminophen intake and allergic diseases has recently been reported in developed countries with impaired oxidant/antioxidant balance and promotion of atopy as proposed underlying mechanisms. The aim of the study was to explore the relationship between acetaminophen intake and asthma, hay fever, and eczema in The Republic of Macedonia as a country with acetaminophen intake not physician-controlled, high passive smoke exposure and dietary antioxidant intake, and moderately low prevalence of allergic diseases. Self-reported data obtained through the standardized International Study of Asthma and Allergies in Childhood Phase Three written questionnaires of 3026 adolescents aged 13/14 years from randomly selected schools in Skopje, the capital of Macedonia, were used. The frequency of current acetaminophen intake--both unadjusted and adjusted for confounding factors--was correlated to current and ever-diagnosed asthma, hay fever and eczema by odds ratios (OR, 95% CI) in binary logistic regression. Use of acetaminophen at least once monthly increased the risk of current wheeze (adjusted OR 2.04, 1.31-3.20 p = 0.002), asthma 'ever' (adjusted OR 2.77, 1.06-7.26 p=0.039), current allergic rhinoconjunctivitis (adjusted OR 2.95, 1.79-4.88 p=0.000) and hay fever 'ever' (adjusted OR 2.25, 1.36-3.70 p=0.002). A significant association between frequent acetaminophen intake and atopic eczema and also between infrequent acetaminophen intake and investigated allergic diseases was not established. The findings suggest an increased risk of asthma and hay fever, but not atopic eczema associated with frequent acetaminophen use in a developing country.
