Traffic-Related Air Pollution, Climate, and Prevalence of Eczema in Taiwanese School Children
Open accessAbstract
The prevalence of childhood eczema is increasing in many countries. Epidemiological studies, however, say little of its association to outdoor air pollution and climate factors. We conducted a nationwide survey of middle-school students in Taiwan from 1995 to 1996. The 12-month prevalence of eczema was compared with air monitoring station data of temperature, relative humidity, and criteria air pollutants. A total of 317,926 children attended schools located within 2 km of 55 stations. Prevalence rates of recurrent eczema were 2.4 and 2.3% in boys and girls, respectively, with prevalence rates of flexural eczema 1.7% in both sexes. After adjustment for possible confounders, flexural eczema was found to be associated with traffic-related air pollutants, including nitrogen oxides and carbon monoxide. Recurrent eczema was associated with traffic-related air pollution only in girls. There were no associations for the highest monthly means of temperature, whereas the annual means and the lowest monthly means of temperature were negatively related to flexural eczema, but only in girls. The lowest monthly mean relative humidity was positively related to eczema. The results suggest that air pollution and climatic factors, which showed stronger associations in girls than boys, may affect the prevalence of childhood eczema.
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Wildfires in North America have resulted in downwind air pollution, causing rises in CO concentrations to levels that have been associated with a higher prevalence of AD.
“More recently, wildfires in North America have resulted in downwind air pollution, causing rises in CO concentrations [16] to levels that have been associated with a higher prevalence of AD [17].”
From The Burden of Air Pollution on Skin Health: a Brief Report and Call to Action (2024) · cites this paper as [17]
The Results and Table 4 report an association between higher CO and flexural eczema prevalence, but the statistically significant CO result was limited to Taiwanese schoolgirls. Table 2 gives annual CO concentrations in the studied communities; the paper does not establish that the wildfire-related concentrations mentioned in the citing sentence reached comparable levels. The wildfire pollution itself is attributed to a different citation. (LLM, conf=0.85)
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“More recently, wildfires in North America have resulted in downwind air pollution, causing rises in CO concentrations [16] to levels that have been associated with a higher prevalence of AD [17].”
Background
- Authors
- Lee, Y.-L., Su, H.-J., Sheu, H.-M., Yu, H.-S., & Guo, Y. L.
- Affiliations
- National Cheng Kung University (TW)
- Kaohsiung Medical University (TW)
- Venue
- Journal of Investigative Dermatology
- Publisher
- Elsevier BV
- Published
- 2008-10
- Volume
- 128
- Issue
- 10
- Pages
- 2412-2420
- ISSN
- 0022-202X (ISSN-L)
- OpenAlex
- W2019577055
- Cited by
- 128
- References
- 51
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 11 · 2022: 10 · 2021: 12 · 2020: 12 · 2019: 13 · 2018: 9 · 2017: 8 · 2016: 11 · 2015: 4 · 2014: 4 · 2013: 8 · 2012: 2
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Investigative Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council
- Chang Gung University
- Chang Gung Medical Foundation
- Kaohsiung Medical University
- National Yang-Ming University
- National Taiwan University
- China Medical University
- Environmental Protection Administration, Executive Yuan, R.O.C. Taiwan
- National Cheng Kung University
- Taipei Veterans General Hospital
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- pediatric atopic dermatitis, traffic-related air pollution, nitrogen oxides, carbon monoxide, temperature, relative humidity, climatic factors, sex differences, junior high school students, Taiwan
- MeSH terms
- Adolescent, Air Pollution, Vehicle Emissions, Carbon Monoxide, Child, Climate, Eczema, Environmental Exposure, Female, Humans, Humidity, Male, Students, Taiwan, Temperature, Prevalence, Sex Distribution
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