Parental fear of using topical corticosteroids in children under 18 years of age with atopic dermatitis at Ho Chi Minh city Hospital of Dermatology and Venereology

  • Nguyễn Thị Nga Trường Đại học Y khoa Phạm Ngọc Thạch
  • Mai Phi Long Trường Đại học Y khoa Phạm Ngọc Thạch
  • Nguyễn Trọng Hào Trường Đại học Y khoa Phạm Ngọc Thạch

Main Article Content

Keywords

Atopic dermatitis, topical corticosteroid phobia, TOPICOP.

Abstract

Objective: Assessment of parental fear of topical corticosteroid (TCS) use and related factors in children under 18 years of age with atopic dermatitis at Ho Chi Minh City Hospital of Dermatology and Venereology. Subject and method: A cross-sectional descriptive study conducted on 345 parents of children with atopic dermatitis at Ho Chi Minh City Hospital of Dermatology and Venereology from February 2025 to June 2025. Result: The median TOPICOP score was 50.0% (36.1% - 61.1%). The mean knowledge score was 42.3% ± 14.8%. The median fear score was 66.7% (33.3% - 88.9%), while the behavior score was 44.4% (22.2% - 77.8%). Higher levels of fear were observed among parents of younger children, those with early disease onset, a family history of allergy, mothers as the primary caregivers, higher educational attainment, and professional occupations. Conversely, increasing caregiver age was associated with lower fear levels (r = -0.17). Conclusion: Fear of topical corticosteroid use remains common among parents of children with atopic dermatitis, particularly in cases of younger age, early disease onset, or a family history of allergy. Strengthening counseling and health education is essential to improve knowledge and enhance treatment adherence.

Article Details

References

1. Weidinger S, Beck LA, Bieber T, Kabashima K, Irvine AD (2018) Atopic dermatitis. Nat Rev Dis Primers 4(1):1.
2. Eichenfield LF, Tom WL, Berger TG et al (2014) Guidelines of care for the management of atopic dermatitis: Management and treatment of atopic dermatitis with topical therapies. J Am Acad Dermatol 71(1): 116-32. doi:10.1016/j.jaad.2014.03.023.
3. Davis DMR, Drucker AM, Alikhan A et al (2024) Guidelines of care for the management of atopic dermatitis in adults with phototherapy and systemic therapies. J Am Acad Dermatol 90(2): 43-56. doi:10.1016/j.jaad.2023.08.102.
4. Raimondo A, Lembo S (2021) Atopic Dermatitis: Epidemiology and Clinical Phenotypes. Dermatol Pract Concept 11(4):2021146. doi:10.5826/dpc.1104a146.
5. Albogami MF, AlJomaie MS, Almarri SS et al (2023) Topical Corticosteroid Phobia Among Parents of Children with Atopic Dermatitis (Eczema)-A Cross-Sectional Study. Patient preference and adherence 17: 2761-2772.
6. Saito‐Abe M, Futamura M, Yamamoto‐Hanada K, Yang L, Suzuki K, Ohya Y (2019) Topical corticosteroid phobia among caretakers of children with atopic dermatitis: A cross‐sectional study using TOPICOP in Japan. Pediatric dermatology 36(3): 311-316.
7. El Hachem M, Gesualdo F, Ricci G et al (2017) Topical corticosteroid phobia in parents of pediatric patients with atopic dermatitis: A multicentre survey. Italian journal of pediatrics 43(1): 22.
8. Li AW, Yin ES, Antaya RJ (2017) Topical corticosteroid phobia in atopic dermatitis: A systematic review. JAMA dermatology 153(10): 1036-1042.
9. Nguyễn Minh Vinh, Nguyễn Thị Mỹ Hạnh, Châu Quốc Khánh, & Châu Văn Trở (2022) Thực trạng sợ corticosteroid bôi ở bệnh nhân viêm da cơ địa tại Bệnh viện Da liễu Thành phố Hồ Chí Minh. Journal of 108 - Clinical Medicine and Phamarcy 17(4). https://doi.org/10.52389/ydls.v17i4.1235.
10. Gerner T, Haugaard JH, Vestergaard C et al (2021) Healthcare utilization in Danish children with atopic dermatitis and parental topical corticosteroid phobia. Pediatric Allergy and Immunology 32(2): 331-341.
11. Aubert‐Wastiaux H, Moret L, Le Rhun A et al (2011) Topical corticosteroid phobia in atopic dermatitis: a study of its nature, origins and frequency. British journal of dermatology 165(4): 808-814.