# Allergic disorders and socio-economic status: A study of schoolchildren in an urban area of Makassar, Indonesia
> Hamid F.

URL kanonis: https://discover.unhas.ac.id/publications/allergic-disorders-and-socio-economic-status-a-study-of-schoolchildren-in-an-urb
Jurnal / Konferensi: Clinical and Experimental Allergy
Tahun terbit: 2015
DOI: https://doi.org/10.1111/cea.12517
ISSN: 09547894
Kuartil SJR: Q1
Citations: 17

## Authors
- Hamid F.

## Abstract
BACKGROUND: In urban centres of developing countries, there is great variation in socio-economic status (SES) and lifestyle; however, little information is available on allergic disorders in groups with high- or low-SES within the same urban area. OBJECTIVE: To determine the prevalence of allergic disorders and investigate risk factors related to them among high- and low-SES schoolchildren in Makassar, the capital city of South Sulawesi, Indonesia. METHOD: This cross-sectional study was performed in 623 children originating from high- (N = 349) and low-SES (N = 274) schools. Information on reported allergic symptoms and potential factors associated with allergic disorders was obtained by questionnaire. Specific IgE and skin prick test (SPT) reactivity were determined against aeroallergens [Dermatophagoides pteronyssinus (HDM) and cockroach]. Total IgE and helminth infections were also assessed. RESULT: The prevalence of SPT to any aeroallergens was significantly higher in high-SES than in low-SES school (25% vs. 8%, P < 0.001, respectively). However, specific IgE against cockroach and total IgE were significantly lower in high- than in low-SES children. Allergic symptoms were reported more often in low- compared to high-SES children. Specific IgE to aeroallergens significantly increased the risk of SPT positivity to the same aeroallergen in the high-, but not in the low-SES children. In the high- but not in low-SES, there was a significant positive association between SPT to HDM and wheeze. Similarly, cockroach skin reactivity and elevated BMI increased the risk of eczema in the high-SES children only. CONCLUSION AND CLINICAL RELEVANCE: Skin prick test is higher in high-SES, whereas IgE and allergic symptoms are higher in low-SES children. Specific IgE is a risk factor for being SPT-positive, and SPT positivity is a risk factor for allergic symptoms but only in children of high- and not low-SES school. Therefore, the socio-economic status of a child might affect the diagnosis of allergic disease in a developing country.

## Keywords
- Environmental health
- Geography
- Medicine
- Socioeconomics
- Socioeconomic status
- Economic growth
- Sociology
- Economics
- Population

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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