Asthma Control and Its Predictive Factors in Adult Asthma Patients

Albataineh, Eman; Al-Zayadneh, Enas; Al-Shagahin, Hani; Soloman, Ahlam Al; Altarawneh, Areej Hamed; Aldmour, Ibrahim

doi:10.14740/jocmr4021

Cited by 11 publications

(14 citation statements)

References 44 publications

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“…Interestingly, individuals who self-identified as black were not found to have a higher prevalence than white individuals, in contrast with current findings from asthma prevalence research 47 . The effect of age and prevalent asthma found in this study showed decreasing odds of asthma with increasing age, which does not seem to be biologically consistent nor does it appear to be consistent with the current body of research 48 and may be explained instead by a misclassification bias within the prevalence data. However, we did observe that the decreased prevalence in the diagnoses of asthma (from 8.2% for first quartile of age to 1.6% of fourth quartile of age).…”

Section: Discussioncontrasting

confidence: 74%

A cross-sectional analysis of associations between environmental indices and asthma in U.S. counties from 2003 to 2012

Hurbain

Liu

Strickland

et al. 2021

J Expo Sci Environ Epidemiol

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Background: To capture the impacts of environmental stressors, environmental indices like the Air Quality Index, Toxic Release Inventory and Environmental Quality Index have been used to investigate environmental quality and its association with public health issues. However, past studies often rely on relatively small sample sizes, and they have typically not adjusted for important individual-level disease risk factors. Objective: We aim to estimate associations between existing environmental indices and asthma prevalence over a large population and multiple years. Methods: Based on data availability, we assessed the predictive capability of these indices for prevalent asthma across U.S. counties from 2003 to 2012. We gathered asthma data from the U.S. CDC Behavioral Risk Factor Surveillance System by county and used multivariable weighted logistic regression models to estimate the associations between the environmental indices and asthma, adjusting for individual factors such as smoking, income level, and obesity. Results: Environmental indices showed little to no correlation with one another and with prevalent asthma over time. Associations of environmental indices with prevalent asthma were very weak; whereas individual factors were more substantially associated with prevalent asthma. Significance: Our study suggests that an improved environmental index is needed to predict population-level asthma prevalence.

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Section: Discussioncontrasting

confidence: 74%

A cross-sectional analysis of associations between environmental indices and asthma in U.S. counties from 2003 to 2012

Hurbain

Liu

Strickland

et al. 2021

J Expo Sci Environ Epidemiol

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“…A study by ( 25 ) revealed that only 28.6% of the investigated physicians (general practitioners) have adequate knowledge regarding asthma, and only 10.4% of them had adequate practice in asthma management ( 25 ). A cross-sectional study by ( 26 ) reported that asthma control in Jordan was achieved in 45.2% of the study sample ( 26 ). Several other studies also reported poor management of asthma.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a large study in 2018 in the Middle East and North Africa reported that asthma was controlled in <30% of patients and it was attributed to poor adherence to prescribed medication, smoking, lack of medical insurance, and education level ( 28 ). Such results indicate that access to proper treatment, medication adherence, follow-ups by physicians, and education among healthcare providers and patients are mandatory to achieve better control of asthma ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

Physicians' Knowledge and Practices Regarding Asthma in Jordan: A Cross-Sectional Study

Dahmash

2021

Front. Public Health

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Objectives: Asthma is a chronic non-communicable disease that causes significant morbidity and mortality and requires ongoing clinical care. Appropriate knowledge by physicians is vital in the management of asthma. Therefore, this study aims to explore and identify the gaps in physicians' knowledge and practices concerning the management of asthma.Methods: A cross-sectional study using an online survey was conducted in Jordan to understand the gap in knowledge and practices in the management of asthma among physicians. A previously validated questionnaire was employed, the Physicians' Practice Assessment Questionnaire (PPAQ). The knowledge questions based on the Global Initiative for Asthma (GINA) guidelines were used to assess knowledge and practice among the study's participants. Predictors of good practice were identified using logistic regression.Results: A total of 271 physicians participated in this survey. The overall knowledge among physicians scored above 78%. However, gaps were pertinent to identifying the signs of asthma attacks that accounted for 61.9% of the participants, whereas only 67.6% of the physicians knew the drugs used for the management of asthma. The study revealed alarming results when practices were assessed, with the overall percentage of physicians applying the required practices did not exceed 57.1 ± 25.7%. Logistic regression analysis to determine predictors of good practice showed that out of several independent variables, physicians who see 6–10 asthma patients per day are five times more likely to follow the guidelines' recommendations in their practice; senior physicians (>50 years old) and those who see 1–5 asthma patients daily are around two times more likely to follow the guidelines (p 0.001).Conclusions: The findings of this study identified the need to transform knowledge into practice. This could be achieved through professional education and constant reminders to physicians in a simple form, as well as a clinical audit of practice. There is a need for novel knowledge transfer approaches to induce behavioral and practice change toward the management of asthma.

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“…Price et al reported more than 40% of asthma patients used their reliever medications three or more times in the previous week, which the author may judge the reason for the high levels of uncontrolled asthma [34]. Several studies also reported patients with severe asthma [12,[61][62][63], history of asthma exacerbations/hospitalizations [45,49,53,61,63,64], who had comorbid diseases [13,[50][51][52]65], smoking [43,52,66], oral corticosteroid use [12,63], and irregular follow-up visit [56,67] were more likely had a higher rate of uncontrolled asthma.…”

Section: Plos Onementioning

confidence: 99%

Asthma control and its predictors in Ethiopia: Systematic review and meta-analysis

et al. 2022

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Background Determining the status of asthma control and identifying risk factors for poor asthma control is a key strategy for curbing the negative health impacts and the financial burden of the disease. Therefore, this review was aimed to determine the rate of asthma control and assess the predictors of uncontrolled asthma in Ethiopia. Methods PubMed, Web of Science, and Google Scholar searches were performed using key terms; “asthma, bronchial asthma, control, controlled, uncontrolled and Ethiopia” up to October 16, 2020. University repositories were also searched to retrieve gray literature. The results were presented as a prevalence rate with a 95% confidence interval (CI). Subgroup analysis and meta-regression were performed to identify the sources of heterogeneity in the outcomes. Results From 1,388 patients, based on the Global Initiative for Asthma (GINA) symptom control, the rate of the uncontrolled asthma was 45.0% (95% CI 34.0% - 56.0%) with a considerable heterogeneity between the studies; (I2: 94.55, p< 0.001). About 19.0% (95% CI 10.0% - 29.0%); (I2: 96.04, p< 0.001) of the asthma patients had a well-controlled asthma. Moreover, 36.0% (95% CI 22.0% - 50.0%), (I2: 97.11, p< 0.001) of patients had a partly controlled asthma. Similarly, based on the asthma control test (ACT), the rate of well-controlled asthma was 22.0% (95% CI 3% - 42.0%), with considerable heterogeneity between the studies; (I2: 97.75, p< 0.001). The most frequent predictors of uncontrolled asthma were incorrect inhalation techniques, frequent SABA use, moderate/severe persistent asthma, history of exacerbations, presence of comorbidities, use of oral corticosteroids, and irregular follow-up. Conclusion The rate of uncontrolled asthma in Ethiopia was high. Several factors are associated with uncontrolled asthma. Comprehensive asthma educations at each follow-up visit should be strengthened to minimize the morbidity and the cost of uncontrolled asthma.

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Asthma Control and Its Predictive Factors in Adult Asthma Patients

Cited by 11 publications

References 44 publications

A cross-sectional analysis of associations between environmental indices and asthma in U.S. counties from 2003 to 2012

A cross-sectional analysis of associations between environmental indices and asthma in U.S. counties from 2003 to 2012

Physicians' Knowledge and Practices Regarding Asthma in Jordan: A Cross-Sectional Study

Asthma control and its predictors in Ethiopia: Systematic review and meta-analysis

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