S. George et al., A POSSIBLE EXPLANATION FOR THE INCREASED REFERRAL OF ATOPIC-DERMATITIS FROM THE ASIAN COMMUNITY IN LEICESTER, British journal of dermatology, 136(4), 1997, pp. 494-497
The population of the city of Leicester contains, in addition to the '
native' population, a large immigrant 'Asian' community originating fr
om the Indian subcontinent, Among referrals to our department, atopic
dermatitis IAD) was 3.3 times more common in Asians, We therefore perf
ormed a study based on a cohort of consecutive births in Leicester hos
pitals to investigate the possible ethnic difference in prevalence and
to examine possible reasons for an ethnic difference in referral patt
ern. Parents of 1 800 children were asked at the time of the birth to
allow their child to be entered on a register, A year later, parents o
f a sample of 499 of these children, 158 Asian and 341 non-Asian, were
invited for interview and for examination of the children. A total of
413 children were examined. The overall point prevalence of AD was 10
.7% (95% confidence interval, 7.7%-13.7%). There was no significant et
hnic difference. However, a history of eczema in a first degree relati
ve was found in 14.2% of Asian subjects and 35.1% of non-Asians (P < 0
.0001, chi-square test). The data suggest the increased referrals to o
ur clinic from the Asian community may result from a lower level of fa
miliarity with AD.