Adult eczema in Italy: prevalence and associations with environmental factors
Abstract
Background: Studies on the prevalence of eczema and atopic dermatitis (AD), and on the factors associated with these diseases, have been mostly performed in children, whereas studies on adult populations are lacking. Objectives: To determine the prevalence of eczema and AD in the Italian adult population, and to investigate risk factors associated with the disease. Methods: A postal screening questionnaire was administered to 18 357 randomly selected subjects aged 20–44 years in the Gene–Environment Interaction in Respiratory Diseases study, which involved seven centres distributed across northern, central and southern Italy. The questionnaire included items on the occurrence of doctor‐diagnosed eczema, asthma and hay fever, socio‐demographic characteristics and environmental exposures. Results: In all, 10 464 (57.0%) subjects responded to the questionnaire. The prevalence of current eczema was 8.1% (95% CI: 7.6–8.7%), while the prevalence of eczema with asthma and/or hay fever (EAH), which was adopted as proxy of AD, was 3.4% (95% CI: 3.1–3.8%). About 60% of the subjects with current eczema reported the onset of the disease in adulthood. In multi‐variable models, the prevalence of eczema was significantly associated with female sex, older age, living close to industrial plants, high levels of heavy traffic near home and living in central‐southern Italy. Conclusions: Eczema and EAH are highly prevalent in Italian young adults, especially in women. Our results suggest that adult onset is not unusual, and that environmental factors may influence the occurrence of eczema and EAH.
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The prevalence of eczema was associated with living close to industrial plants and heavy traffic in particular.
“This hypothesis has also been proposed after the multivariable analysis on the data of an Italian survey (N = 10 083 subjects aged 20–44 years)85 that found that the prevalence of eczema was associated with living close to industrial plants and heavy traffic in particular”
From The impact of airborne pollution on skin (2019) · cites this paper as [85]
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- Authors
- Pesce, G., Marcon, A., Carosso, A., Antonicelli, L., Cazzoletti, L., Ferrari, M., Fois, A. G., Marchetti, P., Olivieri, M., Pirina, P., Pocetta, G., Tassinari, R., Verlato, G., Villani, S., & de Marco, R.
- Affiliations
- University of Verona (IT)
- Unit of Respiratory Medicine and Allergology CPA‐ASL TO‐2 Turin Italy
- Azienda Ospedaliero-Universitaria delle Marche (IT)
- University of Sassari (IT)
- Unit of Occupational Medicine AO Istituti Ospedalieri di Verona Verona Italy
- University of Perugia (IT)
- University of Turin (IT)
- University of Pavia (IT)
- Unit of Epidemiology and Medical Statistics Department of Public Health and Community Medicine University of Verona Verona Italy
- Corresponding author
- Pesce, G.
- ORCID
- Venue
- Journal of the European Academy of Dermatology and Venereology
- Publisher
- Wiley
- Published
- 2014-11-02
- Volume
- 29
- Issue
- 6
- Pages
- 1180-1187
- ISSN
- 0926-9959 (ISSN-L)
- 1468-3083
- OpenAlex
- W1971894956
- Cited by
- 88
- References
- 30
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 7 · 2023: 7 · 2022: 4 · 2021: 17 · 2020: 6 · 2019: 9 · 2018: 8 · 2017: 7 · 2016: 5 · 2015: 6
- FWCI
- 6.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the European Academy of Dermatology and Venereology (publishedVersion)
- PubMed (publishedVersion)
- UnissResearch (Università degli Studi di Sassari) (submittedVersion)
- Funders
- Cariverona Foundation
- Italian Ministry of Health
- Chiesi Farmaceutici
- Italian Medicines Agency
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Dermatology › Contact Dermatitis and Allergies
- Keywords
- atopic dermatitis, prevalence, environmental risk factors, young adults, industrial pollution, traffic exposure, sex differences
- MeSH terms
- Adult, Asthma, Climate, Dermatitis, Atopic, Eczema, Female, Rhinitis, Allergic, Seasonal, Health Surveys, Humans, Italy, Male, Residence Characteristics, Risk Factors, Sex Factors, Comorbidity, Prevalence, Age of Onset, Motor Vehicles, Young Adult, Gene-Environment Interaction
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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