(2012) Understanding patients' experiences of hayfever and its treatment: a survey of illness and medication cognitions. Journal of Allergy and Therapy, S5 (008). ISSN 2155-6121 This version is available from Sussex Research Online: http://sro.sussex.ac.uk/49425/ This document is made available in accordance with publisher policies and may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the URL above for details on accessing the published version.
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IntroductionSeasonal allergic rhinitis (SAR), commonly known as hayfever, is a common and growing challenge in Primary Care. Increasing numbers of patients present with symptoms [1] and suboptimal use of medication is widespread [2]. he reported incidence of SAR is between 2-15%, depending on the diagnostic criteria and population [3]. he prevalence of SAR in UK school children has increased since the 1960s [1,4,5] and the lifetime prevalence of SAR also continues to increase in adults [6]. his rising prevalence has been relected in increased use of health services. Consultations with general practitioners (GPs) have increased [1]: the number of patients of all ages consulting GPs for SAR in England and Wales (ICD9-477) doubled between 1971-1991 [6]. Between 1991 and 2004, Primary Care prescriptions for nasal allergy increased by over 60% (from 2.7 to 4.5 million/year) and ocular antiinlammatory prescriptions increased by 50% to 1.4 million/year [6]. While increases in prevalence statistics may relect increased patient awareness or altered diagnostic practice, the increase in prescriptions does conirm that more people are seeking treatment for SAR [7].Common symptoms of SAR include sneezing, runny or blocked nose and itchy eyes [2,8]. Despite the availability of a wide range of symptom-relieving medications, SAR can signiicantly afect suferers' perceived health and quality of life [9][10][11][12][13][14]. Only a minority of SAR patients report good symptom control, although this statistic may be skewed because many people with SAR (44%) do not consult a clinician [15]. Suboptimal use of medication and poor symptom control may result from not taking medications as...