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...
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ftunivtampere:oai:trepo.tuni.fi:10024/132939 2024-01-07T09:45:33+01:00 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 Tampere University BioMediTech Seinäjoen keskussairaala VA Clinical Medicine 2022 2727304 fulltext https://trepo.tuni.fi/handle/10024/132939 https://doi.org/10.1080/02770903.2021.1871742 en eng 4 59 0277-0903 ORCID: /0000-0003-0962-8446/work/99251860 https://trepo.tuni.fi/handle/10024/132939 URN:NBN:fi:tuni-202106115833 doi:10.1080/02770903.2021.1871742 cc by 4.0 openAccess 3121 Internal medicine 3142 Public health care science environmental and occupational health article 2022 ftunivtampere https://doi.org/10.1080/02770903.2021.1871742 2023-12-14T00:07:26Z 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. Peer reviewed Article in Journal/Newspaper Northern Sweden Tampere University: Trepo Journal of Asthma 1 20 |
institution |
Open Polar |
collection |
Tampere University: Trepo |
op_collection_id |
ftunivtampere |
language |
English |
topic |
3121 Internal medicine 3142 Public health care science environmental and occupational health |
spellingShingle |
3121 Internal medicine 3142 Public health care science environmental and occupational health 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 |
3121 Internal medicine 3142 Public health care science environmental and occupational health |
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. Peer reviewed |
author2 |
Tampere University BioMediTech Seinäjoen keskussairaala VA Clinical Medicine |
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 |
publishDate |
2022 |
url |
https://trepo.tuni.fi/handle/10024/132939 https://doi.org/10.1080/02770903.2021.1871742 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
4 59 0277-0903 ORCID: /0000-0003-0962-8446/work/99251860 https://trepo.tuni.fi/handle/10024/132939 URN:NBN:fi:tuni-202106115833 doi:10.1080/02770903.2021.1871742 |
op_rights |
cc by 4.0 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 |
_version_ |
1787427114327212032 |