Prevalence of Asthma and Its Association with Daily Habits in Jimma Town, Ethiopia

Ayana, Eden Yitna Tefereedgn and Andualem Mossie

doi:10.17352/oja.000009

Cited by 4 publications

(2 citation statements)

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“…Bronchial asthma is one of the most common public health problems in Ethiopia. Its prevalence increased over the last few decades with different contributing factors such cigarette smoking [8, 9], household economic status [10], occupational condition of the patients [9], residence of the patients [11], presence of vermin at household [9] and family history of asthma [12].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of bronchial asthma among adult patients in Debre Berhan Referral Hospital, Ethiopia 2018: a cross-sectional study

2019

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Objective Bronchial asthma is one of the major public health challenges throughout the world that negatively impact patients, families and community. The objective of this study was to assess the prevalence and associated risk factors of bronchial asthma among patients in adult emergency department of Debre Berhan Referral Hospital. A hospital based cross-sectional study design was used among 257 study participants. A systematic sampling technique was used to select the study participants. Data was collected by using pretested and structured questionnaire and analyzed by using SPSS version 20.0. Both bivariate and multivariate logistic regression model was used to identify the predictors of asthma. Results Prevalence of bronchial asthma among adult patients was 29.6%. Being an urban resident (AOR: 1.5: 95% CI 1.3–3.9), income of household less than 1000 EBr/month (AOR: 1.7: 95% CI 1.6–4.1), having family history of asthma (AOR: 2.7: 95% CI 1.3–5.8), and presence of vermin in the house (AOR: 2.4: 95% CI 1.2–4.7) were significantly associated with bronchial asthma. The authors concluded that the prevalence of bronchial asthma among adult patients was high. Therefore, educational program about the risk factors and preventive measures of asthma is highly recommended.

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Section: Introductionmentioning

confidence: 99%

Prevalence and associated factors of bronchial asthma among adult patients in Debre Berhan Referral Hospital, Ethiopia 2018: a cross-sectional study

2019

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“…Despite limited documented research on the determinants of asthma, prevalence studies found varying prevalence rates. A systematic review of major NCDs epidemiology ( Misganaw et al, 2014 ) as well as recent prevalence, and associated factor studies in Debrebirhan and Jimma town reported 29.6% and 4.9% rates, respectively ( Tefereedgn & Ayana, 2018 ; Shine, Muhamud & Demelash, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Determinants of asthma among adults in Tigray, Northern Ethiopia: a facility-based case-control study

Gebresillasie,

Worku,

Ahmed

et al. 2024

PeerJ

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Background Asthma is a public health concern affecting millions of productive age groups. Several studies were conducted on the determinants of asthma in children. However, little is known about the determinants of asthma among adults in Ethiopia. Understanding the determinants of asthma among adults can help reduce its burden. This study was aimed at identifying determinant factors for developing asthma among adults in Tigray hospitals. Methods A facility-based, unmatched case-control study design was conducted from January 1 to April 26, 2019. A total of 698 participants (228 cases and 470 controls) completed their guided interviews using structured and pretested questionnaires by trained data collectors. A modified standard questionnaire from the European Community Respiratory Health Survey II (ECRHS II) was used to collect the data. The case definition was patients having asthma, and the control definition was patients without asthma. Data were entered and cleaned using Epi Data Manager Version 3.1 software and imported to statistical packages for social sciences Version 25 software for analysis. To identify asthma determinants, bivariate and multivariable logistic regression models were fitted. Results The response rate for both cases and controls was 95.9%. The odds of developing asthma was nearly twice higher among those who resided in urban (AOR = 1.68; 95% CI [1.13–2.50]), more than twice higher among those who have income less than 1000 ETB (AOR = 2.3; 95% CI [1.17–4.56]), twice higher among those who had history of skin allergy (AOR = 2.09; 95% CI [1.14–3.86]), over four times higher among those with family history of asthma (AOR = 4.26; 95% CI [2.63–6.91]), three times higher among those having house dust or smoke exposure (AOR = 3.01; 95% CI [1.96–4.64]), over five times higher among those lifetime firewood users (AOR = 5.39; 95% CI [3.34–8.72]), door opening while cooking (AOR = 0.35; 95% CI [0.26–0.55]), nearly two times higher among those having house dampness (AOR = 1.98; 95% CI [1.069–3.68]), over seven times higher among pet owners (AOR = 7.46; 95% CI [4.04–13] and almost twice higher among those who were physically inactive (AOR = 1.75; 95% CI [1.11–2.85]). Conclusion Asthma has been associated with urbanization, low income, a history of allergic diseases, indoor smoke or dust, firewood use, pet ownership, and a sedentary lifestyle. The community should be informed about the known risks and implement preventive steps like opening a door while cooking to lower the risk of asthma.

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Medication regimen complexity and its impact on medication adherence and asthma control among patients with asthma in Ethiopian referral hospitals

Belachew

Netere

Sendekie

2022

asthma res and pract

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Background Various studies have found that medication adherence is generally low among patients with asthma, and that the complexity of the regimen may be a potential factor. However, there is no information on the complexity of the regimen and its relationship to adherence and asthma outcomes in Ethiopian asthma patients. Therefore, this study assessed how complex medication regimens affected medication adherence and asthma control in patients with asthma. Method From February 1 to May 30, 2022, a multicenter cross-sectional study was conducted in three public referral hospitals in northwestern Ethiopia. The Medication Complexity Index (MRCI), a 65-item validated instrument, was used to represent the complexity of medication regimens The Medication Adherence Rating Scale for Asthma (MARS-A) was used to assess medication adherence, and the ACT was used to measure the level of asthma control. The association between predictor and outcome variables was determined using multivariable logistic regression analysis. P-values of < 0.05 were declared as a significant association. Result Patients with asthma (n = 396) who met the inclusion criteria were included in the final analysis. About 21.2% and 24.5% of the participants had high asthma-specific MRCI and patient-level MRCI, respectively. The majority (84.4%) of the participants did not adhere to their medication, and 71% of the participants were classified as having uncontrolled asthma. According to the result of the multivariable analysis, moving from a high asthma-specific MRCI to a moderate asthma MRCI enhances the likelihood of medication adherence by 2.51 times (AOR = 2.51, 95%CI: (1.27, 7.71). Likewise, patients who have low asthma MRCI were four times more likely to adhere to the medication compared with high asthma MRCI (AOR = 3.80, 95%CI: (2.0, 11.1). Similarly, patients having low patient-level MRCI were eight times more likely their asthma level had been controlled (AOR = 7.84, 95%CI: 1.46 to 21.3) and patients who had moderate patient-level MRCI were three times (AOR = 2.83, 95%CI: 1.05 to 8.25) more controlled asthma compared with patients who had high patient level MRCI. Conclusion The majority of asthma patients had low and moderate complexity of MRCI. Patients with low and moderate regimen complexity demonstrated high adherence and had well-controlled asthma. Therefore, future researchers should consider MRCI as one factor for adherence and asthma control levels.

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Prevalence of Asthma and Its Association with Daily Habits in Jimma Town, Ethiopia

Cited by 4 publications

References 44 publications

Prevalence and associated factors of bronchial asthma among adult patients in Debre Berhan Referral Hospital, Ethiopia 2018: a cross-sectional study

Prevalence and associated factors of bronchial asthma among adult patients in Debre Berhan Referral Hospital, Ethiopia 2018: a cross-sectional study

Determinants of asthma among adults in Tigray, Northern Ethiopia: a facility-based case-control study

Medication regimen complexity and its impact on medication adherence and asthma control among patients with asthma in Ethiopian referral hospitals

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