“…However, several population studies have demonstrated considerable geographic and racial/ethnic variations in the prevalence of AD. 18,19,20 Based on partially understood environmental factors, AD appears to be more common in industrialized nations and urban settings than in developing countries and rural communities. 21 Survey study about population in northern Europe, the United States, and Japan has reported prevalence rates of 15.6%, 17.2%, and 21%, respectively, whereas a prevalence of 8.5% was reported in a recent study from South Eastern Nigeria.…”