Background

Children from families without 2 married biologic parents have an increased risk of poverty and poor health. The relationship between family structure and atopic dermatitis (AD) has not been elucidated.

Objectives

To determine the prevalence of AD and related outcomes in children from different family structures.

Methods

Data on 13,275 children (age ≤17 years) and their parents from the 2012 National Health Interview Survey were analyzed.

Results

In multivariable logistic regression models adjusting for sociodemographic groups, children from single-adult households (adjusted odds ratio [aOR], 1.272; 95% confidence interval [CI], 1.050-1.542), families with 2 or fewer members (aOR, 1.413; 95% CI, 1.079-1.852), families with a mother but no father present (aOR, 1.402; 95% CI, 1.179-1.667), nonbiologic fathers (aOR, 1.464; 95% CI, 1.089-1.969), or unmarried mothers (aOR, 1.508; 95% CI, 1.017-2.237) had increased odds of AD. Among children with AD, there were significantly increased odds of having only good, fair, or poor versus very good or excellent overall health (aOR, 1.545; 95% CI, 1.262-1.893) and greater odds of depression (aOR, 2.287; 95% CI, 1.523-3.434), anxiety (aOR, 2.001; 95% CI, 1.543-2.595), and stress (aOR, 2.013; 95% CI, 1.499-2.704).

Limitations

Cross-sectional study.

Conclusions

Children in the United States who are from families with single adults, single mothers, nonbiologic fathers, or unmarried mothers may have increased odds of AD. Family structures were associated with poorer overall health, depression, anxiety, and stress in children with AD.

中文翻译：

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美国儿童家庭结构与特应性皮炎的关系

背景

没有2个已婚生物父母的家庭的孩子，贫穷和健康不良的风险增加。家庭结构与特应性皮炎（AD）之间的关系尚未阐明。

目标

确定来自不同家庭结构的儿童中AD的患病率和相关结局。

方法

分析了2012年全国健康访问调查中的13,275名儿童（≤17岁）及其父母的数据。

结果

在针对社会人口学群体进行调整的多变量logistic回归模型中，单身成人家庭的孩子（调整后的优势比[aOR]为1.272； 95％置信区间[CI]为1.050-1.542），成员数为2个或更少的家庭（aOR为1.413； 95％CI（1.079-1.852），有母亲但没有父亲在场的家庭（aOR，1.402; 95％CI，1.179-1.667），非生物学父亲（aOR，1.464; 95％CI，1.089-1.969）或未婚母亲（aOR，1.508； 95％CI，1.017-2.237）有增加的AD几率。在患有AD的儿童中，仅具有良好，一般或较差的总体健康状况的几率显着增加（aOR为1.545； 95％CI为1.262-1.893），而患抑郁症的几率更高（aOR为2.287； 95） ％CI，1.523-3.434），焦虑（aOR，2.001； 95％CI，1.543-2.595），和压力（aOR，2.013； 95％CI，1.499-2.704）。

局限性

横断面研究。

结论

在美国，单身成年人，单身母亲，非生物学父亲或未婚母亲的家庭中的孩子患AD的几率可能会增加。家庭结构与AD儿童的整体健康状况较差，抑郁，焦虑和压力有关。