Asthma control among adults in Saudi Arabia. Study of determinants.

Content Provider	Europe PMC
Author	BinSaeed, Abdulaziz A.
Copyright Year	2015
Abstract	Objectives:To explore the determinants of uncontrolled asthma in Saudi Arabia.Methods:A consecutive series of adult asthma patients attending 3 pulmonary primary care clinics in Riyadh, Saudi Arabia for a scheduled appointment were interviewed. A multiple logistic regression analysis was used.Results:The proportion of patients with uncontrolled asthma was 68.1% (177/260). Daily tobacco smoking or monthly household income less than 15,000 Saudi Arabian Riyals were associated with a 4.6 (95% confidence interval [CI]=1.3-16.4) and 3.4 (95% CI=1.8-6.6) times increase in the odds of having uncontrolled asthma. Patients with less than a graduate degree (odds ratio [OR]=3.1; 95% CI=1.0-9.5) or patients who were unemployed, disabled, or too ill to work (OR=3.1; 95% CI=1.4-6.9) had poorer asthma control. Having heartburn during the past 4 weeks decreased the odds of asthma control by 2.5 (95% CI=1.3-4.9), and having chronic sinusitis during the past 4 weeks decreased the odds of asthma control by 2.0 (95% CI=1.0-4.0) times. Being female (OR=2.0; 95% CI=1.0-4.0) or ≥35 years of age (OR=2.0; 95% CI=1.0-3.9) was also associated with having uncontrolled asthma.Conclusion:Our findings suggest that most respondents had uncontrolled asthma. Less modifiable socio-demographic factors (for example, income, education, occupation, gender, and age) significantly increased the odds of having uncontrolled asthma. However, modifiable risk factors such as tobacco smoking and clinical factors such as heartburn and chronic sinusitis could also be targeted for intervention.
ISSN	03795284
Journal	Saudi Medical Journal
Volume Number	36
PubMed Central reference number	PMC4436758
Issue Number	5
PubMed reference number	25935182
e-ISSN	16583175
DOI	10.15537/smj.2015.5.10929
Language	English
Publisher	Saudi Medical Journal
Publisher Date	2015-05-01
Publisher Place	Saudi Arabia
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright: © Saudi Medical Journal
Content Type	Text
Resource Type	Article
Subject	Medicine