Evidence map›Paper›PMID 36028919›Full record

ArticleAsthma research and practice2022

Level of asthma control and its determinants among adults living with asthma attending selected public hospitals in northwestern, Ethiopia: using an ordinal logistic regression model.

Eyayaw Ashete Belachew, Sumeya Tadess, Mekuriaw Alemayehu, Emneteab Mesfin Ayele

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Article in Asthma research and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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4 citing papers in PubMed.

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5 · Who and what money

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4 authors.

Eyayaw Ashete BelachewDepartment of Clinical Pharmacy, University of Gondar, P. O. Box - 196, Gondar, Ethiopia. eyayawashete2016@gmail.com.
Sumeya TadessDepartment of Clinical Pharmacy, University of Gondar, P. O. Box - 196, Gondar, Ethiopia.
Mekuriaw AlemayehuInstitute of Public Health, University of Gondar, P. O. Box - 196, Gondar, Ethiopia.
Emneteab Mesfin AyeleDepartment of Clinical Pharmacy, University of Gondar, P. O. Box - 196, Gondar, Ethiopia.

Funding

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6 · The paper itself

Abstract

backgroundAsthma is a major public health challenge and is characterized by recurrent attacks of breathlessness and wheezing that vary in severity and frequency from person to person. Asthma control is an important measure of health outcomes of the patients with asthma and reflecting the impact of an illness and its treatment from the patient's perspective. Therefore, this study assessed the asthma control levels and their determinants among adults living with asthma in selected public referral hospitals in northwestern Ethiopia. MATERIALS AND

methodA multicenter institutional-based cross-sectional study was conducted in North-western Ethiopia, from October to December 2021. A systematic random sampling technique was employed to recruit the study participants. Bi-variable and multivariable ordinal logistic regression was used to determine the independent predictors of asthma control levels. A p-value of < 0.05 was considered as statistically significant.

resultA total of 409 patients were included in the final analysis. Asthma was controlled by 28.9% with 95%CI (24.7, 33.5) people who have asthma. Regarding the potential predictor of asthma control level, being male (AOR = 6.5, 95%CI (1.28, 32.44), Married (AOR = 3.62, 95%CI (1.28, 10.27), healthcare provider adherence to guideline usage (AOR = 8.4,95%CI (2.7, 26) and non-fuel users (AOR = 6.0, 95%CI (1.5, 22.5) were variables that increase asthma control. However, non-adherent to medication (AOR = 0.16, 95%CI (0.059, 0.48), low level of patient enablement (AOR = 0.19, (95%CI) (0.08, 0.49) and poor relationship with healthcare provider (AOR = 0.024,95%CI (0.02, 0.23) were variables that significantly decreased asthma control level.

conclusionThe findings indicated that asthma control remains suboptimal in a large proportion of patients with asthma in the study setting. Socio-demographic, clinical, healthcare-related, and medication-related variables were significantly associated with asthma control. Therefore, our study highlights multifaceted interventions, including comprehensive asthma education along with an integrated treatment plan to improve asthma control and quality of life.

Indexed as

AsthmaAsthma controlDeterminantEthiopia

Identifiers

PMID36028919
PMCPMC9419339

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.