In a study that highlights racial disparities in the everyday impact of eczema, new research published in JAMA Dermatology suggests that Hispanic and black children are more likely than white children to miss school due to the chronic skin disease.
Researchers from the Perelman School of Medicine at the University of Pennsylvania examined more than a decade’s-worth of data among children enrolled in a national eczema registry and found Hispanic children were most likely to have missed at least six days of school over six-month period due to their condition. Black children also saw higher probabilities of missed school days compared to white children.
Eczema, or atopic dermatitis (AD), tends to be more common among black children and slightly more common in Hispanic children when compared with whites. In addition to the physical impact, eczema is associated with negative psychological effects, including an increased likelihood of anxiety and depression, according to a media release from University of Pennsylvania School of Medicine.
“The effects of eczema are more than skin-deep, and studies have shown that the mental health and social impact of this condition can be significant – sometimes just as much or more than the physical – and may lead to a higher number of school days missed,” says the study’s lead author Joy Wan, MD, MSCE, a post-doctoral fellow and Instructor of Dermatology.
In the study, researchers specifically looked at eczema-related school absenteeism by race and ethnicity. They used data on 8,015 patients enrolled in the Pediatric Eczema Elective Registry (PEER) between November 2004 and July 2017. All patients were between the ages of 2 and 17 and had their AD diagnosed by a doctor.
Overall, 241 of them (3.3%) missed 6 or more days of school over a 6-month period, which meets the US Department of Education’s definition of chronic school absenteeism. When adjusted for demographic and other variables, data showed Hispanic children were 3.4 times more likely to be chronically absent due to AD than white children. Black children were 1.5 times more likely.
The PEER data are self-reported, and the authors say the children included in PEER may not represent the general population with eczema. They say more research is needed to better understand the link.
However, they point out this adds to a growing body of work that uncovers disparities related to eczema, including their recent study showing black and Hispanic children are more likely to go to an emergency room and black children are less likely to see a dermatologist for their eczema than white children, the release continues.
“Most people don’t realize the serious impact eczema can have on a person’s life, and our research shows minorities may be disproportionately affected,” states the study’s senior author Junko Takeshita, MD, PhD, MSCE, an assistant professor of Dermatology and Epidemiology, in the release.
“We still have a lot to learn about eczema-related disparities, but it’s becoming increasingly clear that these disparities need to be addressed.”
[Source(s): University of Pennsylvania School of Medicine, EurekAlert]