Level of education and asthma control in adult-onset asthma
Education in itself and as a proxy for socioeconomic status, may influence asthma control, but remains poorly studied in adult-onset asthma. Our aim was to study the association between the level of education and asthma control in adult-onset asthma. Subjects with current asthma with onset >15 ye...
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2021
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ftdatacite:10.6084/m9.figshare.14194103.v1 2023-05-15T17:44:56+02:00 Level of education and asthma control in adult-onset asthma Pinja Ilmarinen Stridsman, Caroline Muwada Bashir Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Bright I. Nwaru Wennergren, Göran 2021 https://dx.doi.org/10.6084/m9.figshare.14194103.v1 https://tandf.figshare.com/articles/online_resource/Level_of_education_and_asthma_control_in_adult-onset_asthma/14194103/1 unknown Taylor & Francis https://dx.doi.org/10.1080/02770903.2021.1871742 https://dx.doi.org/10.6084/m9.figshare.14194103 Creative Commons Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/legalcode cc-by-4.0 CC-BY Biochemistry Medicine Genetics FOS Biological sciences Pharmacology 59999 Environmental Sciences not elsewhere classified FOS Earth and related environmental sciences 69999 Biological Sciences not elsewhere classified Developmental Biology Science Policy Other CreativeWork Online resource article 2021 ftdatacite https://doi.org/10.6084/m9.figshare.14194103.v1 https://doi.org/10.1080/02770903.2021.1871742 https://doi.org/10.6084/m9.figshare.14194103 2021-11-05T12:55:41Z Education in itself and as a proxy for socioeconomic status, may influence asthma control, but remains poorly studied in adult-onset asthma. Our aim was to study the association between the level of education and asthma control in adult-onset asthma. Subjects with current asthma with onset >15 years were examined within the Obstructive Lung Disease in Northern Sweden study (OLIN, n = 593), Seinäjoki Adult Asthma Study (SAAS, n = 200), and West Sweden Asthma Study (WSAS, n = 301) in 2009–2014 in a cross-sectional setting. Educational level was classified as primary, secondary and tertiary. Uncontrolled asthma was defined as Asthma Control Test (ACT) score ≤19. Altogether, 896 subjects with complete data on ACT and education were included (OLIN n = 511, SAAS n = 200 and WSAS n = 185). In each cohort and in pooled data of all cohorts, median ACT score was lower among those with primary education than in those with secondary and tertiary education. Uncontrolled asthma was most common among those with primary education, especially among daily ICS users (42.6% primary, 28.6% secondary and 24.2% tertiary; p = 0.001). In adjusted analysis, primary education was associated with uncontrolled asthma in daily ICS users (OR 1.92, 95% CI 1.15–3.20). When stratified by atopy, the association between primary education and uncontrolled asthma was seen in non-atopic (OR 3.42, 95% CI 1.30–8.96) but not in atopic subjects. In high-income Nordic countries, lower educational level was a risk factor for uncontrolled asthma in subjects with adult-onset asthma. Educational level should be considered in the management of adult-onset asthma. Article in Journal/Newspaper Northern Sweden DataCite Metadata Store (German National Library of Science and Technology) |
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DataCite Metadata Store (German National Library of Science and Technology) |
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topic |
Biochemistry Medicine Genetics FOS Biological sciences Pharmacology 59999 Environmental Sciences not elsewhere classified FOS Earth and related environmental sciences 69999 Biological Sciences not elsewhere classified Developmental Biology Science Policy |
spellingShingle |
Biochemistry Medicine Genetics FOS Biological sciences Pharmacology 59999 Environmental Sciences not elsewhere classified FOS Earth and related environmental sciences 69999 Biological Sciences not elsewhere classified Developmental Biology Science Policy Pinja Ilmarinen Stridsman, Caroline Muwada Bashir Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Bright I. Nwaru Wennergren, Göran Level of education and asthma control in adult-onset asthma |
topic_facet |
Biochemistry Medicine Genetics FOS Biological sciences Pharmacology 59999 Environmental Sciences not elsewhere classified FOS Earth and related environmental sciences 69999 Biological Sciences not elsewhere classified Developmental Biology Science Policy |
description |
Education in itself and as a proxy for socioeconomic status, may influence asthma control, but remains poorly studied in adult-onset asthma. Our aim was to study the association between the level of education and asthma control in adult-onset asthma. Subjects with current asthma with onset >15 years were examined within the Obstructive Lung Disease in Northern Sweden study (OLIN, n = 593), Seinäjoki Adult Asthma Study (SAAS, n = 200), and West Sweden Asthma Study (WSAS, n = 301) in 2009–2014 in a cross-sectional setting. Educational level was classified as primary, secondary and tertiary. Uncontrolled asthma was defined as Asthma Control Test (ACT) score ≤19. Altogether, 896 subjects with complete data on ACT and education were included (OLIN n = 511, SAAS n = 200 and WSAS n = 185). In each cohort and in pooled data of all cohorts, median ACT score was lower among those with primary education than in those with secondary and tertiary education. Uncontrolled asthma was most common among those with primary education, especially among daily ICS users (42.6% primary, 28.6% secondary and 24.2% tertiary; p = 0.001). In adjusted analysis, primary education was associated with uncontrolled asthma in daily ICS users (OR 1.92, 95% CI 1.15–3.20). When stratified by atopy, the association between primary education and uncontrolled asthma was seen in non-atopic (OR 3.42, 95% CI 1.30–8.96) but not in atopic subjects. In high-income Nordic countries, lower educational level was a risk factor for uncontrolled asthma in subjects with adult-onset asthma. Educational level should be considered in the management of adult-onset asthma. |
format |
Article in Journal/Newspaper |
author |
Pinja Ilmarinen Stridsman, Caroline Muwada Bashir Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Bright I. Nwaru Wennergren, Göran |
author_facet |
Pinja Ilmarinen Stridsman, Caroline Muwada Bashir Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Bright I. Nwaru Wennergren, Göran |
author_sort |
Pinja Ilmarinen |
title |
Level of education and asthma control in adult-onset asthma |
title_short |
Level of education and asthma control in adult-onset asthma |
title_full |
Level of education and asthma control in adult-onset asthma |
title_fullStr |
Level of education and asthma control in adult-onset asthma |
title_full_unstemmed |
Level of education and asthma control in adult-onset asthma |
title_sort |
level of education and asthma control in adult-onset asthma |
publisher |
Taylor & Francis |
publishDate |
2021 |
url |
https://dx.doi.org/10.6084/m9.figshare.14194103.v1 https://tandf.figshare.com/articles/online_resource/Level_of_education_and_asthma_control_in_adult-onset_asthma/14194103/1 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
https://dx.doi.org/10.1080/02770903.2021.1871742 https://dx.doi.org/10.6084/m9.figshare.14194103 |
op_rights |
Creative Commons Attribution 4.0 International https://creativecommons.org/licenses/by/4.0/legalcode cc-by-4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.6084/m9.figshare.14194103.v1 https://doi.org/10.1080/02770903.2021.1871742 https://doi.org/10.6084/m9.figshare.14194103 |
_version_ |
1766147244998787072 |