Evidence map›Paper›PMID 30339272›Full record

ArticleThe British journal of dermatology2019

Atopic dermatitis, educational attainment and psychological functioning: a national cohort study.

J Smirnova, L B von Kobyletzki, M Lindberg, Å Svensson, S M Langan, S Montgomery

Open access · greenAbstract read
In one paragraph

Article in The British journal of dermatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  11. Association between atopic dermatitis and learning disability in children.The journal of allergy and clinical immunology. In practice · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

J SmirnovaClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.ORCID 0000-0002-6786-5872
L B von KobyletzkiClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
M LindbergClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.
Å SvenssonDepartment of Dermatology, Skåne University Hospital, Malmö, Sweden.
S M LanganFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, U.K.
S MontgomeryClinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.ORCID 0000-0001-6328-5494
Örebro University · SELondon School of Hygiene & Tropical Medicine · GB

Funding

Wellcome Trust 205039Wellcome Trust 205039/Z/16/Z
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) might adversely affect academic performance, possibly through influences on psychological functioning such as stress resilience.

objectivesTo investigate the association of atopic dermatitis with stress resilience, cognitive function and educational attainment.

methodsWe used data from a national cohort of men who underwent a military conscription examination at ages 17-20 years in Sweden between 1969 and 1976. All potential conscripts met a physician who assessed current or previous history of AD. Stress resilience was measured by a psychologist using a semistructured interview. The conscription assessment included a written cognitive function test. The highest level of education achieved was identified through record linkage.

resultsThe study population included 234 715 men, 1673 (0·7%) of whom had a diagnosis of AD. AD was associated with a greater risk of low stress resilience [adjusted relative risk ratio (RRR) 1·60, 95% confidence interval (CI) 1·38-1·86]. AD was associated with higher cognitive function (β-coefficient 0·15, 95% CI 0·05-0·24) and higher educational level (RRR 1·29, 95% CI 1·13-1·47). However, adjustment for socioeconomic characteristics of the family of origin attenuated the magnitude of the associations and eliminated the statistical significance (β-coefficient 0·06, 95% CI -0·03 to 0·15; RRR 1·16, 95% CI 1·00-1·35).

conclusionsSwedish men with AD had lower stress resilience in late adolescence but did not have lower cognitive function or poorer educational attainment. The lower stress resilience associated with AD is consistent with an increased risk of possible long-term adverse health outcomes.

Indexed as

Academic SuccessCognitionResilience, PsychologicalAdolescentDermatitis, AtopicHumansMaleMilitary PersonnelPrevalenceProspective StudiesRisk FactorsSocioeconomic FactorsStress, PsychologicalSwedenYoung Adult

Identifiers

PMID30339272
PMCPMC7610563
OpenAlexW2897078568

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.