P022 : Topical steroid phobia among parents of children with atopic dermatitis in Korea

Background: Topical steroids are effective therapeutic agent for treatment of atopic dermatitis (AD). However, there is a vague phobia when using topical steroids among parents of children with AD due to lacking correct information about this subject. Objectives: The purpose of this study is to assess the current state of steroid phobia and the relationship of these concerns with level of adherence with treatment among parents of atopic children in Korea. Methods: 127 parents of atopic children were interviewed using structural questionnaire. Results: Overall, 67% of the parents were exposed to steroid phobia. There were statistically significant difference of steroid phobia according to awareness of side effects, application of topical steroids and relationship between topical steroid phobia and adherence (p<0.05). The most recognized side effects of topical steroids is skin atrophy and thinning (71.9%). The most prevalent source of information about steroid phobia is internet (49.2%). Degree of AD severity (odds ratio[OR]=5.332(moderate),9.040(severe) vs mild; p=0.001) and awareness of side effects of topical steroids (OR=2.658; p=0.021) were predictive factors for steroid phobia. Conclusion: Our study showed the prevalence of inaccurate information about topical steroids through other sources, not through a doctor, can lead to steroid phobia. Therefore, we emphasized the important role of dermatologists as a provider of appropriate information and education when using topical steroids.