Childhood eczema prevalence in New Zealand using topical corticosteroid dispensing data

Objectives To determine the prevalence of eczema among children in New Zealand. Methods Population‐based retrospective observational study utilising national pharmaceutical dispensing records for topical corticosteroids and emollients for all New Zealand children aged 0–14 years from 1st January 200...

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Veröffentlicht in:Australasian journal of dermatology 2024-11, Vol.65 (7), p.576-584
Hauptverfasser: Harvey, Georgina, Purvis, Diana J., Thompson, John M. D., Haskell, Libby, Kennedy, Harriet, Hoare, Karen, Dalziel, Stuart R.
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container_end_page 584
container_issue 7
container_start_page 576
container_title Australasian journal of dermatology
container_volume 65
creator Harvey, Georgina
Purvis, Diana J.
Thompson, John M. D.
Haskell, Libby
Kennedy, Harriet
Hoare, Karen
Dalziel, Stuart R.
description Objectives To determine the prevalence of eczema among children in New Zealand. Methods Population‐based retrospective observational study utilising national pharmaceutical dispensing records for topical corticosteroids and emollients for all New Zealand children aged 0–14 years from 1st January 2006 to 31st December 2019. Data are reported using descriptive statistics, with comparisons between ethnicities and socioeconomic quintiles undertaken with rate ratios. Results Based on dispensing data, the prevalence of eczema for New Zealand children aged 0–14 years in 2018 was 14.0% (95% CI 14.0%–14.1%), with prevalence decreasing in older age groups (children aged
doi_str_mv 10.1111/ajd.14347
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D. ; Haskell, Libby ; Kennedy, Harriet ; Hoare, Karen ; Dalziel, Stuart R.</creator><creatorcontrib>Harvey, Georgina ; Purvis, Diana J. ; Thompson, John M. D. ; Haskell, Libby ; Kennedy, Harriet ; Hoare, Karen ; Dalziel, Stuart R.</creatorcontrib><description>Objectives To determine the prevalence of eczema among children in New Zealand. Methods Population‐based retrospective observational study utilising national pharmaceutical dispensing records for topical corticosteroids and emollients for all New Zealand children aged 0–14 years from 1st January 2006 to 31st December 2019. Data are reported using descriptive statistics, with comparisons between ethnicities and socioeconomic quintiles undertaken with rate ratios. Results Based on dispensing data, the prevalence of eczema for New Zealand children aged 0–14 years in 2018 was 14.0% (95% CI 14.0%–14.1%), with prevalence decreasing in older age groups (children aged &lt;1 year 26.0% (25.6%–26.4%); children aged 10–14 years 8.8% (8.7%–8.9%)). Prevalence was higher in Pacific children (23.6% (23.3%–24.0%)), but slightly lower in Māori children (13.2% (13.0%–13.3%)). Conclusion Eczema is a common condition affecting a considerable proportion of children in New Zealand. This study provides nationwide paediatric prevalence data for New Zealand, and highlights the increased burden of eczema in Pacific children. Inequity in dispensing of topical corticosteroids is postulated to explain the reduced rates found for Māori children compared to previous studies. These results support the need for further research to determine factors contributing to differing eczema prevalence rates in New Zealand.</description><identifier>ISSN: 0004-8380</identifier><identifier>ISSN: 1440-0960</identifier><identifier>EISSN: 1440-0960</identifier><identifier>DOI: 10.1111/ajd.14347</identifier><identifier>PMID: 39003644</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Administration, Topical ; Adolescent ; Adrenal Cortex Hormones - administration &amp; dosage ; Adrenal Cortex Hormones - therapeutic use ; atopic dermatitis ; Child ; Child, Preschool ; Children ; Corticosteroids ; dispensing records ; Eczema ; Eczema - drug therapy ; Eczema - epidemiology ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Maori People ; New Zealand ; New Zealand - epidemiology ; Pacific Island People ; Paediatric prevalence ; Pediatrics ; Population studies ; Prevalence ; Retrospective Studies ; Steroids</subject><ispartof>Australasian journal of dermatology, 2024-11, Vol.65 (7), p.576-584</ispartof><rights>2024 Australasian College of Dermatologists.</rights><rights>Copyright © 2024 The Australasian College of Dermatologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2437-7b5c2ba1b0d5f76e8a5b1ccfcf1e07034efcc68ab85eb8c226af58205c6fd5493</cites><orcidid>0000-0002-3485-3293 ; 0000-0002-4501-2211</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajd.14347$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajd.14347$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39003644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harvey, Georgina</creatorcontrib><creatorcontrib>Purvis, Diana J.</creatorcontrib><creatorcontrib>Thompson, John M. D.</creatorcontrib><creatorcontrib>Haskell, Libby</creatorcontrib><creatorcontrib>Kennedy, Harriet</creatorcontrib><creatorcontrib>Hoare, Karen</creatorcontrib><creatorcontrib>Dalziel, Stuart R.</creatorcontrib><title>Childhood eczema prevalence in New Zealand using topical corticosteroid dispensing data</title><title>Australasian journal of dermatology</title><addtitle>Australas J Dermatol</addtitle><description>Objectives To determine the prevalence of eczema among children in New Zealand. Methods Population‐based retrospective observational study utilising national pharmaceutical dispensing records for topical corticosteroids and emollients for all New Zealand children aged 0–14 years from 1st January 2006 to 31st December 2019. Data are reported using descriptive statistics, with comparisons between ethnicities and socioeconomic quintiles undertaken with rate ratios. Results Based on dispensing data, the prevalence of eczema for New Zealand children aged 0–14 years in 2018 was 14.0% (95% CI 14.0%–14.1%), with prevalence decreasing in older age groups (children aged &lt;1 year 26.0% (25.6%–26.4%); children aged 10–14 years 8.8% (8.7%–8.9%)). Prevalence was higher in Pacific children (23.6% (23.3%–24.0%)), but slightly lower in Māori children (13.2% (13.0%–13.3%)). Conclusion Eczema is a common condition affecting a considerable proportion of children in New Zealand. This study provides nationwide paediatric prevalence data for New Zealand, and highlights the increased burden of eczema in Pacific children. Inequity in dispensing of topical corticosteroids is postulated to explain the reduced rates found for Māori children compared to previous studies. These results support the need for further research to determine factors contributing to differing eczema prevalence rates in New Zealand.</description><subject>Administration, Topical</subject><subject>Adolescent</subject><subject>Adrenal Cortex Hormones - administration &amp; dosage</subject><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>atopic dermatitis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Corticosteroids</subject><subject>dispensing records</subject><subject>Eczema</subject><subject>Eczema - drug therapy</subject><subject>Eczema - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Maori People</subject><subject>New Zealand</subject><subject>New Zealand - epidemiology</subject><subject>Pacific Island People</subject><subject>Paediatric prevalence</subject><subject>Pediatrics</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Steroids</subject><issn>0004-8380</issn><issn>1440-0960</issn><issn>1440-0960</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFO3DAQQC1UBMuWAz9QWeqlPYQdx3acHNHS0iIEFyokLpZjT4pX2Ti1ExB8PYFdOFRiDjOXp6fRI-SIwTGbZmFW7pgJLtQOmTEhIIOqgE9kBgAiK3kJ--QgpRUA40zKPbLPKwBeCDEjN8s737q7EBxF-4RrQ_uI96bFziL1Hb3EB3qLpjWdo2Py3V86hN5b01Ib4uBtSAPG4B11PvXYvRLODOYz2W1Mm_Bwe-fkz88f18tf2cXV2e_lyUVmc8FVpmpp89qwGpxsVIGlkTWztrENQ1DABTbWFqWpS4l1afO8MI0sc5C2aJwUFZ-TbxtvH8O_EdOg1z5ZbKeHMYxJc1BVJZVUYkK__oeuwhi76TvNWV7wslDTnpPvG8rGkFLERvfRr0181Az0S2091davtSf2y9Y41mt07-Rb3glYbIAH3-LjxyZ9cn66UT4DMJOJXQ</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Harvey, Georgina</creator><creator>Purvis, Diana J.</creator><creator>Thompson, John M. 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D. ; Haskell, Libby ; Kennedy, Harriet ; Hoare, Karen ; Dalziel, Stuart R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2437-7b5c2ba1b0d5f76e8a5b1ccfcf1e07034efcc68ab85eb8c226af58205c6fd5493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Administration, Topical</topic><topic>Adolescent</topic><topic>Adrenal Cortex Hormones - administration &amp; dosage</topic><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>atopic dermatitis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Corticosteroids</topic><topic>dispensing records</topic><topic>Eczema</topic><topic>Eczema - drug therapy</topic><topic>Eczema - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Maori People</topic><topic>New Zealand</topic><topic>New Zealand - epidemiology</topic><topic>Pacific Island People</topic><topic>Paediatric prevalence</topic><topic>Pediatrics</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Steroids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harvey, Georgina</creatorcontrib><creatorcontrib>Purvis, Diana J.</creatorcontrib><creatorcontrib>Thompson, John M. D.</creatorcontrib><creatorcontrib>Haskell, Libby</creatorcontrib><creatorcontrib>Kennedy, Harriet</creatorcontrib><creatorcontrib>Hoare, Karen</creatorcontrib><creatorcontrib>Dalziel, Stuart R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harvey, Georgina</au><au>Purvis, Diana J.</au><au>Thompson, John M. D.</au><au>Haskell, Libby</au><au>Kennedy, Harriet</au><au>Hoare, Karen</au><au>Dalziel, Stuart R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Childhood eczema prevalence in New Zealand using topical corticosteroid dispensing data</atitle><jtitle>Australasian journal of dermatology</jtitle><addtitle>Australas J Dermatol</addtitle><date>2024-11</date><risdate>2024</risdate><volume>65</volume><issue>7</issue><spage>576</spage><epage>584</epage><pages>576-584</pages><issn>0004-8380</issn><issn>1440-0960</issn><eissn>1440-0960</eissn><abstract>Objectives To determine the prevalence of eczema among children in New Zealand. Methods Population‐based retrospective observational study utilising national pharmaceutical dispensing records for topical corticosteroids and emollients for all New Zealand children aged 0–14 years from 1st January 2006 to 31st December 2019. Data are reported using descriptive statistics, with comparisons between ethnicities and socioeconomic quintiles undertaken with rate ratios. Results Based on dispensing data, the prevalence of eczema for New Zealand children aged 0–14 years in 2018 was 14.0% (95% CI 14.0%–14.1%), with prevalence decreasing in older age groups (children aged &lt;1 year 26.0% (25.6%–26.4%); children aged 10–14 years 8.8% (8.7%–8.9%)). Prevalence was higher in Pacific children (23.6% (23.3%–24.0%)), but slightly lower in Māori children (13.2% (13.0%–13.3%)). Conclusion Eczema is a common condition affecting a considerable proportion of children in New Zealand. This study provides nationwide paediatric prevalence data for New Zealand, and highlights the increased burden of eczema in Pacific children. Inequity in dispensing of topical corticosteroids is postulated to explain the reduced rates found for Māori children compared to previous studies. 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subjects Administration, Topical
Adolescent
Adrenal Cortex Hormones - administration & dosage
Adrenal Cortex Hormones - therapeutic use
atopic dermatitis
Child
Child, Preschool
Children
Corticosteroids
dispensing records
Eczema
Eczema - drug therapy
Eczema - epidemiology
Female
Humans
Infant
Infant, Newborn
Male
Maori People
New Zealand
New Zealand - epidemiology
Pacific Island People
Paediatric prevalence
Pediatrics
Population studies
Prevalence
Retrospective Studies
Steroids
title Childhood eczema prevalence in New Zealand using topical corticosteroid dispensing data
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