Determinants associated with uncontrolled asthma in Portugal: a national population-based study

Detalhes bibliográficos
Autor(a) principal: Camarinha, Catarina
Data de Publicação: 2023
Outros Autores: Fernandes, Milene, Alarcão, Violeta, Franco, João, Manaças, M. E., Bárbara, Cristina, Nicola, Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/57275
Resumo: © 2020 Published by Elsevier España, S.L.U. on behalf of Sociedade Portuguesa de Pneumologia. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
id RCAP_b172984fdb9f77b8aa429d04d650b6fc
oai_identifier_str oai:repositorio.ul.pt:10451/57275
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Determinants associated with uncontrolled asthma in Portugal: a national population-based studyAsthmaControlDeterminantsUncontrolled© 2020 Published by Elsevier España, S.L.U. on behalf of Sociedade Portuguesa de Pneumologia. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).Introduction and objectives: Asthma is a chronic and heterogeneous disease that affects people of all ages and has a high estimated increase in prevalence worldwide. Asthma control represents a main goal in the disease management. International studies revealed low levels of disease control resulting in a significant burden for healthcare systems, not only in terms of quality of life, but also in terms of health costs. Modifiable and non-modifiable factors have been identified as relating to poor asthma control level. In this study we evaluated the distribution of asthma control levels in Portuguese adult population and examine the determinants associated with uncontrolled asthma. Materials and methods: Using a similar methodology to the one employed in the Asthma Insights and Reality in Europe (AIRE) survey, 327 active asthmatic patients were identified by random phone number and completed a questionnaire during 2011 to 2012. Asthma control was assessed by the evaluation of GINA based symptom control, by Asthma Control Test.äó (ACT) and by self-perception of control. To examine the relationship between uncontrolled asthma and its determinants, univariate logistic regression analysis, sequential multivariable regression and population attributable risk percentage were determinate. Results: 35.2% active asthmatic patients had uncontrolled asthma, 64.8% partially controlled and none of the individuals had total control of asthma assessed by ACT test. Factors significantly associated with poor asthma control scores were: age (OR 1.02 per year of age; 95% CI: 1.01.Çô1.03), female sex (OR 1.87; 95% CI: 1.15.Çô3.04), educational level (OR 0.5; 95% CI: 0.28.Çô0.89 at high school level or over), occupation (OR 4.92; 95% CI: 2.12.Çô11.42 if looking for a first job or unemployed) (OR 2.51; 95% CI: 1.35.Çô4.65 if being retired), income (OR 0.23; 95% CI: 0.07.Çô0.72 if >619 euros), BMI (OR 1.09 per BMI unit; 95% CI: 1.03.Çô1.14), having rhinitis symptoms (OR 4.40; 95% CI: 2.56.Çô7.58) and using inhaled corticosteroids (OR 0.44; 95%CI: 0.24.Çô0.82 if used in the past or never used). Looking for a first job or being unemployed, BMI and having rhinitis symptoms remained significant after multivariate adjustments. Conclusions: Uncontrolled asthma was associated with several determinants. Their identification can contribute to improve asthma care both from clinical and from public health perspectives.This study was supported by a grant from the General Directorate of Health (DGS) of the Portuguese Health Ministry and by a scientific grant from AstraZeneca Foundation.ElsevierRepositório da Universidade de LisboaCamarinha, CatarinaFernandes, MileneAlarcão, VioletaFranco, JoãoManaças, M. E.Bárbara, CristinaNicola, Paulo2023-04-27T13:50:47Z20232023-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/57275engPulmonology. 2023 Jan-Feb;29(1):29-412531-042910.1016/j.pulmoe.2020.02.0142531-0437info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T17:05:23Zoai:repositorio.ul.pt:10451/57275Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:07:41.454457Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Determinants associated with uncontrolled asthma in Portugal: a national population-based study
title Determinants associated with uncontrolled asthma in Portugal: a national population-based study
spellingShingle Determinants associated with uncontrolled asthma in Portugal: a national population-based study
Camarinha, Catarina
Asthma
Control
Determinants
Uncontrolled
title_short Determinants associated with uncontrolled asthma in Portugal: a national population-based study
title_full Determinants associated with uncontrolled asthma in Portugal: a national population-based study
title_fullStr Determinants associated with uncontrolled asthma in Portugal: a national population-based study
title_full_unstemmed Determinants associated with uncontrolled asthma in Portugal: a national population-based study
title_sort Determinants associated with uncontrolled asthma in Portugal: a national population-based study
author Camarinha, Catarina
author_facet Camarinha, Catarina
Fernandes, Milene
Alarcão, Violeta
Franco, João
Manaças, M. E.
Bárbara, Cristina
Nicola, Paulo
author_role author
author2 Fernandes, Milene
Alarcão, Violeta
Franco, João
Manaças, M. E.
Bárbara, Cristina
Nicola, Paulo
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Camarinha, Catarina
Fernandes, Milene
Alarcão, Violeta
Franco, João
Manaças, M. E.
Bárbara, Cristina
Nicola, Paulo
dc.subject.por.fl_str_mv Asthma
Control
Determinants
Uncontrolled
topic Asthma
Control
Determinants
Uncontrolled
description © 2020 Published by Elsevier España, S.L.U. on behalf of Sociedade Portuguesa de Pneumologia. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
publishDate 2023
dc.date.none.fl_str_mv 2023-04-27T13:50:47Z
2023
2023-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/57275
url http://hdl.handle.net/10451/57275
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Pulmonology. 2023 Jan-Feb;29(1):29-41
2531-0429
10.1016/j.pulmoe.2020.02.014
2531-0437
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799134630861864960

Registros relacionados