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

2023Journal article Open access
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dc.contributor.authorCamarinha, Catarina
dc.contributor.authorFernandes, Milene
dc.contributor.authorAlarcão, Violeta
dc.contributor.authorFranco, João
dc.contributor.authorManaças, M. E.
dc.contributor.authorBárbara, Cristina
dc.contributor.authorNicola, Paulo
dc.date.accessioned2023-04-27T13:50:47Z
dc.date.available2023-04-27T13:50:47Z
dc.date.issued2023
dc.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/).pt_PT
dc.description.abstractIntroduction 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.pt_PT
dc.description.sponsorshipThis 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPulmonology. 2023 Jan-Feb;29(1):29-41pt_PT
dc.identifier.doi10.1016/j.pulmoe.2020.02.014pt_PT
dc.identifier.eissn2531-0437
dc.identifier.issn2531-0429
dc.identifier.urihttp://hdl.handle.net/10451/57275
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/pulmonologypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectAsthmapt_PT
dc.subjectControlpt_PT
dc.subjectDeterminantspt_PT
dc.subjectUncontrolledpt_PT
dc.titleDeterminants associated with uncontrolled asthma in Portugal: a national population-based studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage41pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage29pt_PT
oaire.citation.titlePulmonologypt_PT
oaire.citation.volume29pt_PT
person.familyNameCamarinha
person.familyNameAlarcão
person.familyNameBárbara
person.familyNameMorais Zamith Nicola
person.givenNameCatarina
person.givenNameVioleta
person.givenNameCristina
person.givenNamePaulo Jorge
person.identifier1330713
person.identifier.ciencia-id081A-5187-84DE
person.identifier.ciencia-id171F-DE21-B23B
person.identifier.ciencia-idEC13-192D-69C8
person.identifier.orcid0000-0002-6906-1392
person.identifier.orcid0000-0002-4807-5904
person.identifier.orcid0000-0003-0915-4105
person.identifier.orcid0000-0003-0175-8457
person.identifier.ridL-3256-2015
person.identifier.scopus-author-id24342657400
person.identifier.scopus-author-id6701574502
person.identifier.scopus-author-id7003405044
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationdc4cafaa-248f-4e9d-b125-1638be49c5b4
relation.isAuthorOfPublication7c7526a4-e6c9-4372-b47f-30751239ddeb
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relation.isAuthorOfPublicationb43213c5-6a7a-4779-904e-19909e396b89
relation.isAuthorOfPublication.latestForDiscoveryb43213c5-6a7a-4779-904e-19909e396b89

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