Child Health Nursing Research · Published 2026-07-31 · DOI 10.4094/chnr.2026.017
Youna Lee, Anna Lee, Yoon Jung Shin, Eun Kyoung Choi
Purpose Atopic dermatitis (AD) in adolescents has received less attention than AD in infants and children. However, AD can persist or worsen after school age and affect health-related quality of life (HRQoL) beyond adolescence. This study aimed to examine HRQoL and its associated factors among adolescents with AD, guided by Roy’s Adaptation Model. Methods This cross-sectional study was conducted between May and August 2023 and included adolescents aged 13–18 years with AD. Data on symptom experience, body image, peer relationships, self-management, HRQoL, and general and disease-related characteristics were collected using self-report questionnaires and electronic medical records. Data were analyzed using descriptive statistics, the independent t-test, analysis of variance, Pearson correlation analysis, and multiple regression analysis. Results A total of 97 adolescents with AD participated in the study, including 60 males (61.9%) and 37 females (38.1%). Participants were aged 13–18 years, with a mean age of 15.8±1.7 years. HRQoL was negatively correlated with symptom experience and positively correlated with body image, peer relationships, and self-management. Multiple regression analysis showed that allergen sensitization, symptom experience, and self-management were significantly associated with HRQoL, explaining approximately 40.0% of the variance. Conclusion Symptom experience and self-management were identified as key factors associated with HRQoL among adolescents with AD. Interventions aimed at reducing symptom burden and promoting active self-management are essential for improving HRQoL. These findings highlight the need to support adolescents’ independence and underscore the importance of personalized education and effective self-management programs.
Abstract from DOAJ. Public domain (CC0 1.0).
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Lee, Y., Lee, A., Shin, Y., et al. (2026). Factors associated with the health-related quality of life of adolescents with atopic dermatitis in South Korea: a cross-sectional study. Child Health Nursing Research. https://doi.org/10.4094/chnr.2026.017