Yıl: 2021 Cilt: 19 Sayı: 3 Sayfa Aralığı: 125 - 135 Metin Dili: İngilizce DOI: 0.21911/aai.581 İndeks Tarihi: 16-05-2022

Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization

Öz:
Objective: The avoidance of house dust mite (HDM) is crucial in the management of HDM allergies. We aimed to demonstrate the implementation and perspective of the parents whose children had HDM allergy/sensitization to HDM avoidance measures. Materials and Methods: Parents of the patients with HDM sensitization were interviewed via telephone questionnaires. Results: One hundred and three patients with asthma (73.8%), allergic rhinitis (AR) (77.7%) and/or atopic dermatitis (AD) (29.1%) aged four to 18 years were included in the study. Seventy-one patients had multiple allergic diseases (68.9%). Of the parents, 39.8% fully adhered to HDM avoidance measures, and their education status was as follows: 41.5% illiterate/elementary/middle school, 31.7% high school, and 26.8% associate’s degree/university. In addition, 32.2% of the mothers who were partially adherent (n=62) were illiterate or had graduated from elementary/middle school, 33.9% had graduated from high school, and 33.9% had an associate’s degree or had graduated from university. Forty-one (39.8%) mothers were working, and most of them (61%) had graduated from university or had an associate’s degree. Nearly half of the mothers who were partially adherent to HDM measures were working (n=32). In the multivariate analysis, the risk factors for partial adherence to measures was to be a working mother [OR:4.072, 95%CI: 1.350-12.882, p=0.013] and to have the belief that the measures were useless [OR:4.886, 95%CI: 1.499-15.923, p=0.008]. However, no relationship was shown between adherence to the measures and the severity of AR or AD, asthma control status and having multiple allergic diseases. Conclusion: Full adherence to HDM avoidance measures was considerably dependent on the mothers’ working status and belief in the ineffectiveness of the measures whereas there was no relationship to the severity of allergic diseases. This study also revealed how the education status of the mothers affected the adherence to allergen avoidance measures in real life.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Calderón MA, Linneberg A, Kleine-Tebbe J, De Blay F, de Rojas DHF, Virchow JC, et al. Respiratory allergy caused by house dust mites: What do we really know? J Allergy Clin Immunol 2015;136:38-48.
  • 2. Sánchez-Borges M, Fernandez-Caldas E, Thomas WR, Chapman MD, Lee BW, Caraballo L, et al. International consensus (ICON) on: clinical consequences of mite hypersensitivity, a global problem. World Allergy Organ J 2017;10:14-40.
  • 3. Arlian LG, Platts-Mills TA. The biology of dust mites and the remediation of mite allergens in allergic disease. J Allergy Clin Immunol 2001;107:S406-S13.
  • 4. Sahiner UM, Buyuktiryaki AB, Yavuz ST, Yilmaz EA, Cavkaytar O, Tuncer A, et al. The spectrum of aeroallergen sensitization in children diagnosed with asthma during first two years of life. Allergy Asthma Proc 2013;34:356-61
  • 5. Arbes Jr SJ, Cohn RD, Yin M, Muilenberg ML, Burge HA, Friedman W, et al. House dust mite allergen in US beds: Results from the First National Survey of Lead and Allergens in Housing. J Allergy Clin Immunol 2003;111:408-14.
  • 6. Portnoy J, Miller JD, Williams PB, Chew GL, Miller JD, Zaitoun F, et al. Environmental assessment and exposure control of dust mites: a practice parameter. Ann Allergy Asthma Immunol 2013;111:465-507.
  • 7. Pedersen SE, Hurd SS, Lemanske Jr RF, Becker A, Zar HJ, Sly PD, et al. Global strategy for the diagnosis and management of asthma in children 5 years and younger. Pediatr Pulmonol 2011;46:1-17.
  • 8. Bateman ED, Hurd S, Barnes P, Bousquet J, Drazen J, FitzGerald M, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008;31:143-78.
  • 9. Eichenfield LF, Tom WL, Chamlin SL, Feldman SR, Hanifin JM, Simpson EL, et al. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol 2014;70:338-51.
  • 10. Bachert C, Bosnic-Anticevich S, Brignardello-Petersen R, Canonica GW, Casale T, Chavannes NH, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines. J Allergy Clin Immunol 2017;140:950-8.
  • 11. Turkish Statistical Institute (TURKSTAT). İstatistik veri portalı. İstihdam, işsizlik ve ücret. Acces date: 20.08.2020. Available from: https://www.tuik.gov.tr.
  • 12. Mesleklere göre çalışma saatleri. Çalışma saatleri-Açılış Kapanış Saatleri. Access date: 16.01.2021. Available from: https://www. calismasaati.net/.
  • 13. Joseph KE, Adams CD, Cottrell L, Hogan MB, Wilson NW. Providing dust mite-proof covers improves adherence to dust mite control measures in children with mite allergy and asthma. Ann Allergy Asthma Immunol 2003;90:550-3.
  • 14. Sekerel B, Soyer O, Keskin O, Uzuner N, Yazicioglu M, Kılıç M, et al. The reliability and validity of Turkish version of Childhood Asthma Control Test. Qual Life Res 2012;21:685-90.
  • 15. Uysal MA, Mungan D, Yorgancioglu A, Yildiz F, Akgun M, Gemicioglu B, et al. The validation of the Turkish version of Asthma Control Test. Qual Life Res 2013;22:1773-9.
  • 16. Boulet LP, Reddel HK, Bateman E, Pedersen S, FitzGerald JM, O’Byrne PM. The global initiative for asthma (GINA): 25 years later. Eur Respir J 2019;54:1-201.
  • 17. Türk Toraks Derneği Astım Çalışma Grubu, T. Astım Tanı Tedavi Rehberi. Türk Toraks Derg 2009;10:6-75.
  • 18. Heinzerling L, Frew A, Bindslev‐Jensen C, Bonini S, Bousquet J, Bresciani M, et al. Standard skin prick testing and sensitization to inhalant allergens across Europe–a survey from the GA2LEN network. Allergy 2005;60:1287-300.
  • 19. Leas BF, D’Anci KE, Apter AJ, Bryant-Stephens T, Lynch MP, Kaczmarek JL, et al. Effectiveness of indoor allergen reduction in asthma management: A systematic review. J Allergy Clinical Immunol 2018;141:1854-69.
  • 20. Ercan M, Kaymak E, Yüksek M. Ev tozu akarlarına duyarlı astımlı çocuklarda çevresel kontrol uygulamalarının astım kontrolündeki etkisi. Asthma Allergy Immunol 2016; 11:14-8.
  • 21. Pedroletti C, Millinger E, Dahlen B, Söderman P, Zetterström O. Clinical effects of purified air administered to the breathing zone in allergic asthma: A double-blind randomized cross-over trial. Respir Med 2009;103:1313-9.
  • 22. Popplewell E, Innes V, Lloyd‐Hughes S, Jenkins E, Khdir K, Bryant T, et al. The effect of high‐efficiency and standard vacuum‐cleaners on mite, cat and dog allergen levels and clinical progress. Pediatr Allergy Immunol 2000;11:142-8.
  • 23. Glasgow NJ, Ponsonby A-L, Kemp A, Tovey E, van Asperen P, McKay K, et al. Feather bedding and childhood asthma associated with house dust mite sensitisation: A randomised controlled trial. Arch Dis Child 2011;96:541-7.
  • 24. Shirai T, Matsui T, Suzuki K, Chida K. Effect of pet removal on pet allergic asthma. Chest 2005;127:1565-71.
  • 25. Matsui EC, Perzanowski M, Peng RD, Wise RA, Balcer-Whaley S, Newman M, et al. Effect of an integrated pest management intervention on asthma symptoms among mouse-sensitized children and adolescents with asthma: A randomized clinical trial. JAMA 2017;317:1027-36.
  • 26. DiMango E, Serebrisky D, Narula S, Shim C, Keating C, Sheares B, et al. Individualized household allergen intervention lowers allergen level but not asthma medication use: A randomized controlled trial. J Allergy Clin Immunol Pract 2016;4:671-9.
  • 27. El-Ghitany EM, Abd El-Salam MM. Environmental intervention for house dust mite control in childhood bronchial asthma. Environ Health Prev Med 2012;17:377-84.
  • 28. Breysse J, Dixon S, Gregory J, Philby M, Jacobs DE, Krieger J. Effect of weatherization combined with community health worker in-home education on asthma control. Am J Public Health 2014;104:e57-e64
  • 29. Civelek E, Cakir B, Orhan F, Yuksel H, Boz AB, Uner A, et al. Risk factors for current wheezing and its phenotypes among elementary school children. Pediatr Pulmonol 2011;46:166-74.
  • 30. Denson-Lino J, Willies-Jacobo L, Rosas A, O’Connor R, Wilson N. Effect of economic status on the use of house dust mite avoidance measures in asthmatic children. Ann Allergy 1993;71(2):130-2.
  • 31. Jirapongsananuruk O, Malainual N, Sangsupawanich P, Aungathiputt V, Vichyanond P. Partial mattress encasing significantly reduces house dust mite antigen on bed sheet surface: A controlled trial. Ann Allergy Asthma Immunol 2000;84:305-10.
  • 32. Schumann S-A, Hickner J. Dust mite control measures don’t help asthma patients. J Fam Pract 2008;57:789-92.
  • 33. Carpio-Escalona LV, González-de-Olano D. Use of the Internet by patients attending allergy clinics and its potential as a tool that better meets patients’ needs. J Allergy Clin Immun Pract 2018;6:1064-6.
  • 34. Sebelefsky C, Karner D, Voitl J, Klein F, Voitl P, Böck A. Internet health seeking behaviour of parents attending a general paediatric outpatient clinic: A cross-sectional observational study. J Telemed Telecare 2015;21:400-7.
  • 35. Calderón MA, Kleine-Tebbe J, Linneberg A, De Blay F, de Rojas DHF, Virchow JC, et al. House dust mite respiratory allergy: An overview of current therapeutic strategies. J Allergy Clin Immun Pract 2015;3:843-55.
  • 36. Gehring U, Heinrich J, Jacob B, Richter K, Fahlbusch B, Schlenvoigt G, et al. Respiratory symptoms in relation to indoor exposure to mite and cat allergens and endotoxins. Eur Respir J 2001;18:555-63.
  • 37. Morais-Almeida M, Gaspar Â, Pires G, Prates S, Rosado-Pinto J. Risk factors for asthma symptoms at school age: An 8-year prospective study. Allergy Asthma Proc 2007;28:183-9.
APA ÇETINKAYA P, Soyak Aytekin E, Akarsu A, SAHINER U, Şekerel B, SOYER Ö (2021). Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. , 125 - 135. 0.21911/aai.581
Chicago ÇETINKAYA Pınar GÜR,Soyak Aytekin Elif,Akarsu Aysegul,SAHINER Umit,Şekerel Bülent,SOYER Özge Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. (2021): 125 - 135. 0.21911/aai.581
MLA ÇETINKAYA Pınar GÜR,Soyak Aytekin Elif,Akarsu Aysegul,SAHINER Umit,Şekerel Bülent,SOYER Özge Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. , 2021, ss.125 - 135. 0.21911/aai.581
AMA ÇETINKAYA P,Soyak Aytekin E,Akarsu A,SAHINER U,Şekerel B,SOYER Ö Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. . 2021; 125 - 135. 0.21911/aai.581
Vancouver ÇETINKAYA P,Soyak Aytekin E,Akarsu A,SAHINER U,Şekerel B,SOYER Ö Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. . 2021; 125 - 135. 0.21911/aai.581
IEEE ÇETINKAYA P,Soyak Aytekin E,Akarsu A,SAHINER U,Şekerel B,SOYER Ö "Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization." , ss.125 - 135, 2021. 0.21911/aai.581
ISNAD ÇETINKAYA, Pınar GÜR vd. "Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization". (2021), 125-135. https://doi.org/0.21911/aai.581
APA ÇETINKAYA P, Soyak Aytekin E, Akarsu A, SAHINER U, Şekerel B, SOYER Ö (2021). Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. Astım Allerji İmmünoloji, 19(3), 125 - 135. 0.21911/aai.581
Chicago ÇETINKAYA Pınar GÜR,Soyak Aytekin Elif,Akarsu Aysegul,SAHINER Umit,Şekerel Bülent,SOYER Özge Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. Astım Allerji İmmünoloji 19, no.3 (2021): 125 - 135. 0.21911/aai.581
MLA ÇETINKAYA Pınar GÜR,Soyak Aytekin Elif,Akarsu Aysegul,SAHINER Umit,Şekerel Bülent,SOYER Özge Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. Astım Allerji İmmünoloji, vol.19, no.3, 2021, ss.125 - 135. 0.21911/aai.581
AMA ÇETINKAYA P,Soyak Aytekin E,Akarsu A,SAHINER U,Şekerel B,SOYER Ö Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. Astım Allerji İmmünoloji. 2021; 19(3): 125 - 135. 0.21911/aai.581
Vancouver ÇETINKAYA P,Soyak Aytekin E,Akarsu A,SAHINER U,Şekerel B,SOYER Ö Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization. Astım Allerji İmmünoloji. 2021; 19(3): 125 - 135. 0.21911/aai.581
IEEE ÇETINKAYA P,Soyak Aytekin E,Akarsu A,SAHINER U,Şekerel B,SOYER Ö "Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization." Astım Allerji İmmünoloji, 19, ss.125 - 135, 2021. 0.21911/aai.581
ISNAD ÇETINKAYA, Pınar GÜR vd. "Parental Perspectives on the Implementation of House Dust Mite Avoidance Measures for Children with House Dust Mite Sensitization". Astım Allerji İmmünoloji 19/3 (2021), 125-135. https://doi.org/0.21911/aai.581