Level of education and asthma control in adult-onset asthma
Objective: 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. Methods: Subjects with current asthma...
Published in: | Journal of Asthma |
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Main Authors: | , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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Umeå universitet, Avdelningen för medicin
2022
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Subjects: | |
Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181640 https://doi.org/10.1080/02770903.2021.1871742 |
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Umeå University: Publications (DiVA) |
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English |
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ACT adult-onset asthma Asthma asthma control education inhaled corticosteroids non-atopic asthma socioeconomic status treatment Respiratory Medicine and Allergy Lungmedicin och allergi |
spellingShingle |
ACT adult-onset asthma Asthma asthma control education inhaled corticosteroids non-atopic asthma socioeconomic status treatment Respiratory Medicine and Allergy Lungmedicin och allergi Ilmarinen, Pinja Stridsman, Caroline Bashir, Muwada Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Nwaru, Bright I. Wennergren, Göran Level of education and asthma control in adult-onset asthma |
topic_facet |
ACT adult-onset asthma Asthma asthma control education inhaled corticosteroids non-atopic asthma socioeconomic status treatment Respiratory Medicine and Allergy Lungmedicin och allergi |
description |
Objective: 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. Methods: 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). Results: 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. Conclusions: 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 |
Ilmarinen, Pinja Stridsman, Caroline Bashir, Muwada Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Nwaru, Bright I. Wennergren, Göran |
author_facet |
Ilmarinen, Pinja Stridsman, Caroline Bashir, Muwada Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Nwaru, Bright I. Wennergren, Göran |
author_sort |
Ilmarinen, Pinja |
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 |
Umeå universitet, Avdelningen för medicin |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181640 https://doi.org/10.1080/02770903.2021.1871742 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Journal of Asthma, 0277-0903, 2022, 59:4, s. 840-849 orcid:0000-0002-0553-8067 orcid:0000-0002-2358-8754 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181640 doi:10.1080/02770903.2021.1871742 ISI:000627313600001 Scopus 2-s2.0-85102267446 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/02770903.2021.1871742 |
container_title |
Journal of Asthma |
container_start_page |
1 |
op_container_end_page |
20 |
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1779318227343507456 |
spelling |
ftumeauniv:oai:DiVA.org:umu-181640 2023-10-09T21:54:36+02:00 Level of education and asthma control in adult-onset asthma Ilmarinen, Pinja Stridsman, Caroline Bashir, Muwada Tuomisto, Leena E. Vähätalo, Iida Goksör, Emma Kankaanranta, Hannu Backman, Helena Langhammer, Arnulf Piirilä, Päivi Rönmark, Eva Lundbäck, Bo Nwaru, Bright I. Wennergren, Göran 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181640 https://doi.org/10.1080/02770903.2021.1871742 eng eng Umeå universitet, Avdelningen för medicin Umeå universitet, Avdelningen för hållbar hälsa Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland Krefting Research Center, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland Department of Paediatrics, University of Gothenburg, Queen Silvia Children’s Hospital, Gothenburg, Sweden Department of Respiratory Medicine, Seinäjoki Central Hospital, Seinäjoki, Finland; Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Krefting Research Center, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden Department of Public Health and Nursing, HUNT Research Centre, Faculty of Medicine and Health Sciences, NTNU, Norwegian University of Science and Technology, Levanger, Norway; Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway Unit of Clinical Physiology, HUS Medical Diagnostic Center, Helsinki University Central Hospital, Helsinki, Finland; University of Helsinki, Helsinki, Finland Krefting Research Center, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Wallenberg Center for Molecular and Translational Medicine, University of Gothenburg, Gothenburg, Sweden Krefting Research Center, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Paediatrics, University of Gothenburg, Queen Silvia Children’s Hospital, Gothenburg, Sweden Journal of Asthma, 0277-0903, 2022, 59:4, s. 840-849 orcid:0000-0002-0553-8067 orcid:0000-0002-2358-8754 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-181640 doi:10.1080/02770903.2021.1871742 ISI:000627313600001 Scopus 2-s2.0-85102267446 info:eu-repo/semantics/openAccess ACT adult-onset asthma Asthma asthma control education inhaled corticosteroids non-atopic asthma socioeconomic status treatment Respiratory Medicine and Allergy Lungmedicin och allergi Article in journal info:eu-repo/semantics/article text 2022 ftumeauniv https://doi.org/10.1080/02770903.2021.1871742 2023-09-22T13:55:58Z Objective: 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. Methods: 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). Results: 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. Conclusions: 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 Umeå University: Publications (DiVA) Journal of Asthma 1 20 |