Association of atopic dermatitis with delinquent behaviors in US children and adolescents

Jaya Manjunath, Nanette B. Silverberg, Jonathan I. Silverberg

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Childhood atopic dermatitis (AD) is associated with chronic itch, pain and sleep disturbance, which may predispose children to high-risk behaviors in their school and home environments. We examined the association between AD and delinquent/high-risk behaviors in children and adolescents. Data were analyzed from The Fragile Families and Child Wellbeing Study, a longitudinal birth cohort study consisting of 4898 children born in urban cities between 1998 and 2000. A 1-year history of AD was associated with ≥ 75th percentile of mean delinquent behavior scores at age 9 (adjusted odds ratio (aOR) [95% confidence interval] 1.39 [1.14–1.68]), but not age 15 (1.05 [0.86–1.29]). At age 9, a 1-year history of AD was associated with a higher number of delinquent behaviors (adjusted risk ratio [95% CI] 1.12 [1.03–1.23]). AD at ages 5 (aOR [95%CI] 1.31 [1.04–1.64]) and 9 (1.38 [1.14–1.67]) was associated with the highest quartile of mean delinquent behavior scores at ages 9 or 15. Children with AD persisting at multiple age groups had significantly increased odds of ≥ 75th percentile of mean delinquent behavior scores at age 15 (aOR [95%CI] 1.41 [1.09–1.81]). AD was found to be associated with the following delinquent problems: damaging property (aOR [95%CI] 1.38 [1.08–1.77]), cheating on a test (1.62 [1.17–2.26]), fist fight involvement (1.47 [1.21–1.79]) and school suspension (1.36 [1.08–1.71]). This study suggests that childhood AD may precede the onset of delinquent and high-risk behaviors later in childhood and adolescence.

Original languageEnglish
Pages (from-to)975-982
Number of pages8
JournalArchives of Dermatological Research
Volume314
Issue number10
DOIs
StatePublished - Dec 2022

Keywords

  • Atopic dermatitis
  • Delinquent behavior
  • Eczema
  • High-risk behavior
  • School behavior
  • Smoking

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