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Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study

BACKGROUND AND AIMS: Asthma is common in Malaysia but neglected. Achieving optimal asthma control and care is a challenge in the primary care setting. In this study, we aimed to identify the risk factors for poor asthma control and pattern of care among adults and children (5–17 years old) with asth...

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Autores principales: Hussein, Norita, Liew, Su May, Hanafi, Nik Sherina, Lee, Ping Yein, Cheong, Ai Theng, Ghazali, Sazlina Shariff, Chinna, Karuthan, Pang, Yong Kek, Kassim, Asiah, Parker, Richard A., Schwarze, Jürgen, Sheikh, Aziz, Pinnock, Hilary, Khoo, Ee Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154831/
https://www.ncbi.nlm.nih.gov/pubmed/37152232
http://dx.doi.org/10.1002/hsr2.1021
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author Hussein, Norita
Liew, Su May
Hanafi, Nik Sherina
Lee, Ping Yein
Cheong, Ai Theng
Ghazali, Sazlina Shariff
Chinna, Karuthan
Pang, Yong Kek
Kassim, Asiah
Parker, Richard A.
Schwarze, Jürgen
Sheikh, Aziz
Pinnock, Hilary
Khoo, Ee Ming
author_facet Hussein, Norita
Liew, Su May
Hanafi, Nik Sherina
Lee, Ping Yein
Cheong, Ai Theng
Ghazali, Sazlina Shariff
Chinna, Karuthan
Pang, Yong Kek
Kassim, Asiah
Parker, Richard A.
Schwarze, Jürgen
Sheikh, Aziz
Pinnock, Hilary
Khoo, Ee Ming
author_sort Hussein, Norita
collection PubMed
description BACKGROUND AND AIMS: Asthma is common in Malaysia but neglected. Achieving optimal asthma control and care is a challenge in the primary care setting. In this study, we aimed to identify the risk factors for poor asthma control and pattern of care among adults and children (5–17 years old) with asthma attending six public health clinics in Klang District, Malaysia. METHODS: We conducted a cross‐sectional study collecting patients’ sociodemographic characteristics, asthma control, trigger factors, healthcare use, asthma treatment, and monitoring and use of asthma action plan. Descriptive statistics and stepwise logistic regression were used in data analysis. RESULTS: A total of 1280 patients were recruited; 85.3% adults and 14.7% children aged 5–17 years old. Only 34.1% of adults had well‐controlled asthma, 36.5% had partly controlled asthma, and 29.4% had uncontrolled asthma. In children, 54.3% had well‐controlled asthma, 31.9% had partly controlled, and 13.8% had uncontrolled asthma. More than half had experienced one or more exacerbations in the last 1 year, with a mean of six exacerbations in adults and three in children. Main triggers for poor control in adults were haze (odds ratio [OR] 1.51; 95% confidence interval [CI] 1.13–2.01); cold food (OR 1.54; 95% CI 1.15–2.07), extreme emotion (OR 1.90; 95% CI 1.26–2.89); air‐conditioning (OR 1.63; 95% CI 1.20–2.22); and physical activity (OR 2.85; 95% CI 2.13–3.82). In children, hot weather (OR 3.14; 95% CI 1.22–8.11), and allergic rhinitis (OR 2.57; 95% CI 1.13–5.82) contributed to poor control. The majority (81.7% of adults and 64.4% of children) were prescribed controller medications, but only 42.4% and 29.8% of the respective groups were compliant with the treatment. The importance of an asthma action plan was reported less emphasized in asthma education. CONCLUSION: Asthma control remains suboptimal. Several triggers, compliance to controller medications, and asthma action plan use require attention during asthma reviews for better asthma outcomes.
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spelling pubmed-101548312023-05-04 Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study Hussein, Norita Liew, Su May Hanafi, Nik Sherina Lee, Ping Yein Cheong, Ai Theng Ghazali, Sazlina Shariff Chinna, Karuthan Pang, Yong Kek Kassim, Asiah Parker, Richard A. Schwarze, Jürgen Sheikh, Aziz Pinnock, Hilary Khoo, Ee Ming Health Sci Rep Original Research BACKGROUND AND AIMS: Asthma is common in Malaysia but neglected. Achieving optimal asthma control and care is a challenge in the primary care setting. In this study, we aimed to identify the risk factors for poor asthma control and pattern of care among adults and children (5–17 years old) with asthma attending six public health clinics in Klang District, Malaysia. METHODS: We conducted a cross‐sectional study collecting patients’ sociodemographic characteristics, asthma control, trigger factors, healthcare use, asthma treatment, and monitoring and use of asthma action plan. Descriptive statistics and stepwise logistic regression were used in data analysis. RESULTS: A total of 1280 patients were recruited; 85.3% adults and 14.7% children aged 5–17 years old. Only 34.1% of adults had well‐controlled asthma, 36.5% had partly controlled asthma, and 29.4% had uncontrolled asthma. In children, 54.3% had well‐controlled asthma, 31.9% had partly controlled, and 13.8% had uncontrolled asthma. More than half had experienced one or more exacerbations in the last 1 year, with a mean of six exacerbations in adults and three in children. Main triggers for poor control in adults were haze (odds ratio [OR] 1.51; 95% confidence interval [CI] 1.13–2.01); cold food (OR 1.54; 95% CI 1.15–2.07), extreme emotion (OR 1.90; 95% CI 1.26–2.89); air‐conditioning (OR 1.63; 95% CI 1.20–2.22); and physical activity (OR 2.85; 95% CI 2.13–3.82). In children, hot weather (OR 3.14; 95% CI 1.22–8.11), and allergic rhinitis (OR 2.57; 95% CI 1.13–5.82) contributed to poor control. The majority (81.7% of adults and 64.4% of children) were prescribed controller medications, but only 42.4% and 29.8% of the respective groups were compliant with the treatment. The importance of an asthma action plan was reported less emphasized in asthma education. CONCLUSION: Asthma control remains suboptimal. Several triggers, compliance to controller medications, and asthma action plan use require attention during asthma reviews for better asthma outcomes. John Wiley and Sons Inc. 2023-05-02 /pmc/articles/PMC10154831/ /pubmed/37152232 http://dx.doi.org/10.1002/hsr2.1021 Text en © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Hussein, Norita
Liew, Su May
Hanafi, Nik Sherina
Lee, Ping Yein
Cheong, Ai Theng
Ghazali, Sazlina Shariff
Chinna, Karuthan
Pang, Yong Kek
Kassim, Asiah
Parker, Richard A.
Schwarze, Jürgen
Sheikh, Aziz
Pinnock, Hilary
Khoo, Ee Ming
Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study
title Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study
title_full Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study
title_fullStr Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study
title_full_unstemmed Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study
title_short Asthma control and care among six public health clinic attenders in Malaysia: A cross‐sectional study
title_sort asthma control and care among six public health clinic attenders in malaysia: a cross‐sectional study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154831/
https://www.ncbi.nlm.nih.gov/pubmed/37152232
http://dx.doi.org/10.1002/hsr2.1021
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