Evidence map›Paper›PMID 34193097›Full record

ArticleBMC public health2021

Association of stress management skills and stressful life events with allergy risk: a case-control study in southern China.

Jingru Cheng, Fei Li, Yigui Lai, Jieyu Chen, Xiaomin Sun, Lei Xiang, Pingping Jiang, Shengwei Wu, Ya Xiao, Lin Zhou and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 55% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Jingru Cheng *Department of Nephrology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Fei Li *School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Yigui Lai *Department of Traditional Chinese Medicine, People's Hospital of Yangjiang, Yangjiang, 529500, Guangdong, China.
Jieyu ChenSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Xiaomin SunSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Lei XiangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Pingping JiangSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Shengwei WuSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Ya XiaoSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Lin ZhouEndocrinology Department, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Ren LuoSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Xiaoshan ZhaoSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China. zhaoxs0609@163.com.ORCID 0000-0003-3081-0103
Yanyan LiuSchool of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China. 799042406@qq.com.
Southern Medical University · CNTCM-Intigrated Cancer Center of Southern Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNNanfang Hospital · CN

Funding

the Key Project of National Natural Science Foundation of China 81830117the National Science Foundation of China 81703952the National Science Foundation of China 81760821the Natural Science Foundation of Guangdong Province, China 2018A0303130320the NSFC-Guangdong joint fund U1132001the Science & Technical Plan of Guangzhou, Guangdong, China 201903010069
6 · The paper itself

Abstract

backgroundPsychosocial stress and stressful life events are known to aggravate allergic diseases. Less is known about the impact of stress management skills on allergies. Here we sought to determine whether stress management skills are associated with the allergies and to assess the combined effects of stress management skills and stressful events on allergy risk.

methodsA survey on risk factors for self-reported allergic diseases was carried out among 28,144 southern Chinese people; 14 stressful life events and 8 stress management skills were retrospectively recorded in a case-control setting with multivariate logistic regression analysis. Multiplicative and additive interactions between stressful events and stress management skills were evaluated.

resultsStressful events significantly increased allergy risk. The odds ratio (OR) for allergies was 1.65 (95% confidence interval CI, 1.41-1.93) for those reporting one or two stressful events and 3.10 (95% CI, 2.55-3.79) for those reporting more than three stressful events compared to participants without stressful events. Stress management skills were adversely associated with allergic risk for people experiencing stressful events (OR, 0.71; 95% CI, 0.53-0.97) when adjusted demographically, particularly "concentrate on pleasant thoughts at bedtime" (OR, 0.67; 95% CI, 0.51-0.89), "pace myself to prevent tiredness" (OR, 0.67; 95% CI, 0.54-0.83), "get enough sleep" (OR, 0.48; 95% CI, 0.32-0.72) and "take some time for relaxation each day" (OR, 0.55; 95% CI, 0.37-0.80). But in people without stressful events, no association was observed. There was a significant linear trend for allergy risk from good stress management skills with no stressful events to poor stress management skills with stressful events (P < 0.001), with significant interaction in additive models (P = 0.006).

conclusionsThere are independent and antagonistic combined associations of stressful life events and stress management skills with allergy risk. The data supports the use of stress management skills in managing allergic disease among people with stressful life events.

Indexed as

HypersensitivityStress, PsychologicalCase-Control StudiesChinaHumansLife Change EventsRetrospective StudiesRisk FactorsAllergy riskStressful life eventsStress management skills

Identifiers

PMID34193097
PMCPMC8247235
OpenAlexW3168413332

What OpenQuestion holds

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LicenceCC BY
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.