Is a low level of education a limiting factor for asthma control in a population with access to pulmonologists and to treatment?

To determine whether a low level of education is a risk factor for uncontrolled asthma in a population of patients who have access to pulmonologists and to treatment. This was a cross-sectional study involving outpatients > 10 years of age diagnosed with asthma who were followed by a pulmonologis...

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Bibliographic Details
Published in:	Jornal brasileiro de pneumologia Vol. 45; no. 1; p. e20180052
Main Authors:	Emilio, Cassia Caroline, Mingotti, Cintia Fernanda Bertagni, Fiorin, Paula Regina, Lima, Leydiane Araujo, Muniz, Raisa Lemos, Bigotto, Luis Henrique, Marchi, Evaldo, Ponte, Eduardo Vieira
Format:	Journal Article
Language:	English
Published:	Brazil Sociedade Brasileira de Pneumologia e Tisiologia 01-01-2019
Subjects:	Asthma Educational status Original RESPIRATORY SYSTEM Spirometry Treatment adherence and compliance Spirometry Espirometria Cooperação e adesão ao tratamento Asma Treatment adherence and compliance Asthma Educational status Escolaridade
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Summary:	To determine whether a low level of education is a risk factor for uncontrolled asthma in a population of patients who have access to pulmonologists and to treatment. This was a cross-sectional study involving outpatients > 10 years of age diagnosed with asthma who were followed by a pulmonologist for at least 3 months in the city of Jundiai, located in the state of São Paulo, Brazil. The patients completed a questionnaire specifically designed for this study, the 6-item Asthma Control Questionnaire (to assess the control of asthma symptoms), and a questionnaire designed to assess treatment adherence. Patients underwent spirometry, and patient inhaler technique was assessed. 358 patients were enrolled in the study. Level of education was not considered a risk factor for uncontrolled asthma symptoms (OR = 0.99; 95% CI: 0.94-1.05), spirometry findings consistent with obstructive lung disease (OR = 1.00; 95% CI: 0.99-1.01), uncontrolled asthma (OR = 1.03; 95% CI: 0.95-1.10), or the need for moderate/high doses of inhaled medication (OR = 0.99; 95% CI: 0.94-1.06). The number of years of schooling was similar between the patients in whom treatment adherence was good and those in whom it was poor (p = 0.08), as well as between those who demonstrated proper inhaler technique and those who did not (p = 0.41). Among asthma patients with access to pulmonologists and to treatment, a low level of education does not appear to be a limiting factor for adequate asthma control.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1806-3713 1806-3756 1806-3756
DOI:	10.1590/1806-3713/e20180052