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A 9-year Trend in the Prevalence of Allergic Disease Based on National Health Insurance Data
Byoungin Yoo, Yoonhyung Park, Kwanjun Park, Hoseob Kim
J Prev Med Public Health. 2015;48(6):301-309.   Published online November 13, 2015
  • 9,096 View
  • 160 Download
  • 19 Crossref
AbstractAbstract PDFSupplementary Material
To investigate trends in the prevalence of allergic disease over a 9-year period.
Using National Health Insurance Service (NHIS) data, the annual number of patients with allergic disease was obtained for each regional subdivisions (small cities, counties, and districts) from 2003 to 2011. Annual populations for each sub-region were obtained and used to calculate the standardized prevalence. To compare prevalence within the study period, data was standardized spatially and temporally. For standardization, demographic data was used to obtain the registered population and demographic structure for 2010, which was used to perform direct standardization of previous years. In addition, a geographic information system (GIS) was used to visualize prevalence for individual sub-regions, and allergic diseases were categorized into five groups according to prevalence.
The nationwide outpatient prevalence of allergic rhinitis increased approximately 2.3-fold, from 1.27% in 2003 to 2.97% in 2013, while inpatient prevalence also increased approximately 2.4-fold,. The outpatient prevalence of asthma increased 1.2-fold, and inpatient prevalence increased 1.3-fold. The outpatient prevalence of atopic dermatitis decreased approximately 12%, and inpatient prevalence decreased 5%.
There was a large difference between prevalence estimated from actual treatment data and prevalence based on patients’ self-reported data, particularly for allergic rhinitis. Prevalence must continually be calculated and trends should be analyzed for the efficient management of allergic diseases. To this end, prevalence studies using NHIS claims data may be useful.


Citations to this article as recorded by  
  • Referral Pathways for Children with Atopic Diseases in Denmark
    Gitte Færk, Malin Glindvad Ahlström, Viktoria Helt-Eggers Lura, Susanne Reventlow, Jeanne Duus Johansen, Jacob P. Thyssen, Kirsten Skamstrup Hansen, Lone Skov
    Acta Dermato-Venereologica.2024; 104: adv34961.     CrossRef
  • Impact of Allergic Disease on the Risk of Mycobacterial Disease
    Taehee Kim, Hayoung Choi, Hyun Lee, Kyungdo Han, Dong Won Park, Tai Sun Park, Ji-Yong Moon, Tae-Hyung Kim, Jang Won Sohn, Ho Joo Yoon, Sang-Heon Kim
    The Journal of Allergy and Clinical Immunology: In Practice.2023; 11(9): 2830.     CrossRef
  • Decline in hospitalization for childhood asthma in different air pollution regions in Taiwan, 2001–2012
    Ching-Yen Kuo, Chin-Kan Chan, Jing-Long Huang, Chiung-Yi Wu, Dinh-Van Phan, Huei Yu Lo, Chien Lung Chan
    International Journal of Environmental Health Research.2022; 32(1): 95.     CrossRef
  • The associations between residential greenness and allergic diseases in Chinese toddlers: A birth cohort study
    Lizi Lin, Yujing Chen, Jing Wei, Shengchi Wu, Shu Wu, Jin Jing, Guanghui Dong, Li Cai
    Environmental Research.2022; 214: 114003.     CrossRef
  • Cluster Analysis of Inhalant Allergens in South Korea: A Computational Model of Allergic Sensitization
    Dong-Kyu Kim, Young-Sun Park, Kyung-Joon Cha, Daeil Jang, Seungho Ryu, Kyung Rae Kim, Sang-Heon Kim, Ho Joo Yoon, Seok Hyun Cho
    Clinical and Experimental Otorhinolaryngology.2021; 14(1): 93.     CrossRef
  • Asthma, Allergic Rhinitis, and Atopic Dermatitis Incidence in Korean Adolescents before and after COVID-19
    Hyo Geun Choi, Il Gyu Kong
    Journal of Clinical Medicine.2021; 10(15): 3446.     CrossRef
  • Long-term pollen trends and associations between pollen phenology and seasonal climate in Atlanta, Georgia (1992-2018)
    Arie Manangan, Claudia Brown, Shubhayu Saha, Jesse Bell, Jeremy Hess, Chris Uejio, Stanley Fineman, Paul Schramm
    Annals of Allergy, Asthma & Immunology.2021; 127(4): 471.     CrossRef
  • Comparison of efficacy of laser and radio-wave methods of surgical treatment of patients with chronic rhinitis
    V. M. Svistushkin, E. S. Shchennikova, E. V. Sinkov
    Meditsinskiy sovet = Medical Council.2021; (12): 116.     CrossRef
  • Allergic Rhinitis Is Associated With Loss of Energy and Concentration Difficulty: A Cross-sectional Study
    Martín Robles-Figueroa, Martín Bedolla-Barajas, Jaime Morales-Romero, Norma A. Pulido-Guillén, Luis R. Manuel Bustos-Gutiérrez
    American Journal of Rhinology & Allergy.2020; 34(1): 108.     CrossRef
  • Atopic Disease and Anemia in Korean Patients: Cross-Sectional Study with Propensity Score Analysis
    Kiyon Rhew, Joshua D Brown, Jung Mi Oh
    International Journal of Environmental Research and Public Health.2020; 17(6): 1978.     CrossRef
  • Ten-Year trends and prevalence of asthma, allergic rhinitis, and atopic dermatitis among the Korean population, 2008–2017
    Jihyun Ha, Seung Won Lee, Dong Keon Yon
    Clinical and Experimental Pediatrics.2020; 63(7): 278.     CrossRef
  • Epidemiology and Seasonal Variation of Ménière’s Disease: Data from a Population-Based Study
    Min Hee Kim, Chunhoo Cheon
    Audiology and Neurotology.2020; 25(4): 224.     CrossRef
  • Relationships between self-reported asthma and pulmonary function and various measures of obesity
    Jaeeun Myung, Hyeain Lee, Tae Hyun Kim, Euna Han
    Journal of Asthma.2018; 55(7): 741.     CrossRef
  • Time trends of the prevalence of allergic diseases in Korea: A systematic literature review
    Sung-Yoon Kang, Woo-Jung Song, Sang-Heon Cho, Yoon-Seok Chang
    Asia Pacific Allergy.2018;[Epub]     CrossRef
  • Treatment of Allergic Rhinitis as a Strategy for Preventing Asthma
    Jaymin B. Morjaria, Massimo Caruso, Rosalia Emma, Cristina Russo, Riccardo Polosa
    Current Allergy and Asthma Reports.2018;[Epub]     CrossRef
  • Lipid profiles in adolescents with and without asthma: Korea National Health and nutrition examination survey data
    Sun-Hye Ko, Jaewook Jeong, Myong Ki Baeg, Kyung-Do Han, Hwan Soo Kim, Jong-seo Yoon, Hyun Hee Kim, Jin Tack Kim, Yoon Hong Chun
    Lipids in Health and Disease.2018;[Epub]     CrossRef
  • The Trend of Change of Allergic Diseases over the Years: Three Repeated Surveys from 1994 to 2014
    Dilek Doğruel, Gülbin Bingöl, Derya Ufuk Altıntaş, Gülşah Seydaoğlu, Ahmet Erkan, Mustafa Yılmaz
    International Archives of Allergy and Immunology.2017; 173(3): 178.     CrossRef
  • Prevalence of Allergic Disease in Korean Adults: Results from the Korea National Health and Nutrition Examination Survey (2010–2012)
    Donghyuk Im, Young Soo Yang, Hye Rang Choi, Seongjun Choi, Hyunjoo Nahm, Kyujin Han, Seok-Chan Hong, Jin Kook Kim, Jae Hoon Cho
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2017; 60(10): 504.     CrossRef
  • Epidemiology of asthma
    Patricia A. Loftus, Sarah K. Wise
    Current Opinion in Otolaryngology & Head and Neck Surgery.2016; 24(3): 245.     CrossRef
The Relationship Between Psychosocial Stress and Allergic Disease Among Children and Adolescents in Gwangyang Bay, Korea
Mee-Ri Lee, Bu-Soon Son, Yoo-Ri Park, Hye-Mi Kim, Jong-Youn Moon, Yong-Jin Lee, Yong-Bae Kim
J Prev Med Public Health. 2012;45(6):374-380.   Published online November 29, 2012
  • 9,644 View
  • 74 Download
  • 13 Crossref
AbstractAbstract PDF

Stress is considered a causal factor in many diseases, allergic disease being one of them. The prevalence of allergic disease is increasing in Korea, but the relationship between allergic symptoms and stress is not empirically well known. We aimed to evaluate the relationship between allergy-related symptoms and stress in children and adolescents.


We investigated 698 children and adolescents living in Gwangyang Bay, Korea, using a multi-stage cluster sampling method. Using the International Study of Asthma and Allergies in Childhood and the Psychosocial Well-being Index, these subjects were surveyed on allergy-related symptoms and psychosocial stressors in their lives, respectively. We used a multivariate logistic analysis for odds ratios for the complaint rate of allergic symptoms, after adjusting for age, gender, household income, body mass index, and residence.


After adjustments, lifetime rhinitis (odds ratio [OR], 1.024), rhinoconjunctivitis (OR, 1.090), diagnosis of itchy eczema (OR, 1.040), treatment of itchy eczema (OR, 1.049), 12-month allergic conjunctivitis (OR, 1.026), diagnosis of allergic conjunctivitis (OR, 1.031), and treatment of allergic conjunctivitis (OR, 1.034) were found to be significantly associated with stress.


Our results support the notion that there is a relationship between stress and allergic symptoms in children and adolescents. Further research into any causal relationship between stress and allergies, as well as preventative public health plans for decreasing stress in children and adolescents are needed.



Citations to this article as recorded by  
  • Work-related stress and atopic dermatitis: Results from the study on occupational allergy risks
    Tobias Weinmann, Felix Forster, Katharina Hell, Jessica Gerlich, Laura Wengenroth, Wolff Schlotz, Christian Vogelberg, Erika von Mutius, Dennis Nowak, Katja Radon
    Journal of Occupational and Environmental Hygiene.2023; 20(2): 109.     CrossRef
  • Anxiety-like behavior induced by allergen is associated with decreased irregularity of breathing pattern in rats
    Atefeh Sadeghi, Saeed Pazhoohan, Saeed Hajihashemi, Mohammad Reza Palizvan, Morteza Valizadeh
    Respiratory Physiology & Neurobiology.2022; 298: 103847.     CrossRef
  • Early childhood traffic-related air pollution and risk of allergic rhinitis at 2–4 years of age modification by family stress and male gender: a case-control study in Shenyang, China
    Shuai Hao, Fang Yuan, Pai Pang, Bo Yang, Xuejun Jiang, Aihui Yan
    Environmental Health and Preventive Medicine.2021;[Epub]     CrossRef
  • Association of stress management skills and stressful life events with allergy risk: a case-control study in southern China
    Jingru Cheng, Fei Li, Yigui Lai, Jieyu Chen, Xiaomin Sun, Lei Xiang, Pingping Jiang, Shengwei Wu, Ya Xiao, Lin Zhou, Ren Luo, Xiaoshan Zhao, Yanyan Liu
    BMC Public Health.2021;[Epub]     CrossRef
  • Impact of acute stress on itch sensation and scratching behaviour in patients with atopic dermatitis and healthy controls
    H. Mochizuki, M.J. Lavery, L.A. Nattkemper, C. Albornoz, R. Valdes Rodriguez, C. Stull, L. Weaver, J. Hamsher, K.M. Sanders, Y.H. Chan, G. Yosipovitch
    British Journal of Dermatology.2019; 180(4): 821.     CrossRef
  • Health effects of environmental pollution in population living near industrial complex areas in Korea
    Sang-Yong Eom, Jonghyuk Choi, Sanghyuk Bae, Ji-Ae Lim, Guen-Bae Kim, Seung-Do Yu, Yangho Kim, Hyun-Sul Lim, Bu-Soon Son, Domyung Paek, Yong-Dae Kim, Heon Kim, Mina Ha, Ho-Jang Kwon
    Environmental Health and Toxicology.2018; 33(1): e2018004.     CrossRef
  • Stressors of School-age Children With Allergic Diseases: A Qualitative Study
    Misa Iio, Mana Hamaguchi, Mayumi Nagata, Koichi Yoshida
    Journal of Pediatric Nursing.2018; 42: e73.     CrossRef
  • Allergic rhinitis, atopic dermatitis, and asthma are associated with differences in school performance among Korean adolescents
    So Young Kim, Min-Su Kim, Bumjung Park, Jin-Hwan Kim, Hyo Geun Choi, Luo Zhang
    PLOS ONE.2017; 12(2): e0171394.     CrossRef
  • Psychoneuroimmunoendocrinology: clinical implications
    Sandra Nora González-Díaz, Alfredo Arias-Cruz, Bárbara Elizondo-Villarreal, Olga Patricia Monge-Ortega
    World Allergy Organization Journal.2017; 10: 19.     CrossRef
  • Can a better patient phenotyping predict the efficacy of tiotropium in asthmatic adolescents?
    Gennaro Liccardi, Luigino Calzetta, Antonello Salzillo, Amedeo Piccolo, Gloria Pane, Paola Rogliani
    Expert Opinion on Pharmacotherapy.2017; 18(8): 833.     CrossRef
  • Nasal diseases and psychological distress
    Deping Wang, Wenlong Luo
    Psychology, Health & Medicine.2016; 21(1): 67.     CrossRef
  • Concealing Emotions at Work Is Associated with Allergic Rhinitis in Korea
    Hongdeok Seok, Jin-Ha Yoon, Jong-Uk Won, Wanhyung Lee, June-Hee Lee, Pil Kyun Jung, Jaehoon Roh
    The Tohoku Journal of Experimental Medicine.2016; 238(1): 25.     CrossRef
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English Abstract
Estimating the Prevalence of Atopic Dermatitis in School Students of Jejudo, Korea.
Jong Myon Bae, Kyung Sue Shin
J Prev Med Public Health. 2009;42(3):171-176.
  • 4,977 View
  • 37 Download
  • 6 Crossref
AbstractAbstract PDF
The frequency of visiting clinics in Jejudo for treating atopic dermatitis (AD) has been reported to be higher than that for other counties of Korea. The aim of this work was to estimate the prevalence of AD for the students of the primary, middle and high schools in Jejudo, Korea. METHODS: We planned to evaluate about 5,000 students, so classes were randomly selected by random systematic sampling methods. The parents of all the students in the selected classes were asked to respond to a structured questionnaire concerned with the prevalence of AD. RESULTS: The prevalence of AD based on ever being diagnosed by a doctor, on currently being diagnosed by a doctor, on ever being treated for AD by a doctor, on currently being treated for AD by a doctor was 25.57% (95% CI=25.3-25.8), 14.67% (95% CI=14.5-14.9), 21.90% (95% CI=21.6-22.2) and 14.41% (95% CI=14.2-14.6), respectively. CONCLUSIONS: On comparing the prevalence of AD, the students in Jejudo had a higher number of recurrence events in spite of their lower number of cases. Further studies are needed to evaluate these aspects of AD.


Citations to this article as recorded by  
  • Time trends of the prevalence of allergic diseases in Korea: A systematic literature review
    Sung-Yoon Kang, Woo-Jung Song, Sang-Heon Cho, Yoon-Seok Chang
    Asia Pacific Allergy.2018;[Epub]     CrossRef
  • Prevalence of Atopic Dermatitis in Korean Children Based on Data From the 2008-2011 Korean National Health and Nutrition Examination Survey
    Ji Hyun Lee, Kyung Do Han, Kyung min Kim, Yong Gyu Park, Jun Young Lee, Young Min Park
    Allergy, Asthma & Immunology Research.2016; 8(1): 79.     CrossRef
  • Prevalence of Atopic Dermatitis in Korean Children Based on Data From the 2008-2011 Korean National Health and Nutrition Examination Survey
    Ji Hyun Lee, Kyung Do Han, Kyung min Kim, Yong Gyu Park, Jun Young Lee, Young Min Park
    Allergy, Asthma & Immunology Research.2016; 8(1): 79.     CrossRef
  • The necessity of an observational study on the interactions between allergic history and citrus fruit intake for the prevention of pancreatic cancer
    Jong-Myon Bae
    Epidemiology and Health.2015; 37: e2015028.     CrossRef
  • Prevalence of Allergic Diseases among Korean School-age Children: A Nationwide Cross-Sectional Questionnaire Study
    Mina Suh, Ho-Hyun Kim, Myung Hyun Sohn, Kyu-Earn Kim, Changsoo Kim, Dong Chun Shin
    Journal of Korean Medical Science.2011; 26(3): 332.     CrossRef
  • Geographical and Sociodemographic Risk Factors for Allergic Diseases in Korean Children
    Hyejung Lee, Gwang Suk Kim
    Asian Nursing Research.2011; 5(1): 1.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health