Details:

Alternative Title:
J Asthma
Publisher's site:
http://dx.doi.org/10.3109/02770903.2011.644012
Personal Author:
Zahran, Hatice S. ; Person, Cara J. ; Bailey, Cathy ; Moorman, Jeanne E.
Zahran, Hatice S. ; Person, Cara J. ; Bailey, Cathy ; Moorman, Jeanne E. Less -
Description:
Background

Patient self-management, besides expert care, is necessary to improve health outcomes among persons with asthma. Our objective was to describe the characteristics of persons with asthma likely to receive asthma self-management education.

Methods

The 2006 and 2007 Behavioral Risk Factor Surveillance System (BRFSS) Child and Adult Asthma Call-back Survey (ACBS) data were analyzed. Binary and multinomial response logistic regression models were used to examine the association between asthma self-management education and explanatory variables.

Results

Of the 31,278 persons who ever had asthma, 3953 of the children (75.8%) and 19,723 of the adults (72.8%) were classified as having active asthma. For both children and adults, the three most commonly reported asthma education components were being taught how to use an inhaler (78.6% and 89.8%, respectively); being taught what to do during an asthma episode (86.3% and 74.6%); and to recognize early signs or symptoms of an asthma episode (82.0% and 64.4%). Children and adults who reported routine care visits, hospitalization, and asthma episodes in the past 12 months because of asthma were more likely to report several asthma education components and higher asthma education scores. Children aged 12–17 years were more likely to report having instruction in peak flow meter use (1.3; 1.1–1.6) and inhaler use (1.3; 1.2–1.4), whereas older adults (aged 54–64 years or 65+ years), adults who were not high school (HS) graduates, and smokers were less likely to report having asthma management education than the corresponding comparison groups.

Conclusions

Having a routine care visit, being hospitalized, and having an asthma episode were significantly associated with reporting multiple asthma education components, whereas being an older adult, having less than a HS degree, and being a smoker were associated with reporting fewer asthma education components. Asthma control programs should continue to monitor asthma self-management education and promote asthma education to all persons with asthma, especially for older adults, persons with less education, and smokers.


Subjects:
[+]
Adolescent Adult Aged Age Factors Anti-Asthmatic Agents Asthma Behavioral Risk Factor Surveillance System Child Cross-Sectional Studies Female Health Behavior Humans Logistic Models Male Middle Aged Monitoring, Physiologic Multivariate Analysis Patient Education As Topic Predictive Value Of Tests Prognosis Questionnaires Risk Factors Self Care Severity Of Illness Index Sex Factors Spirometry Treatment Outcome Young Adult
Source:
J Asthma. 49(1):98-106.
Pubmed ID:
22216949
Pubmed Central ID:
PMC4552393
Document Type:
Journal Article
Funding:
HBZ4/Intramural CDC HHS/United States
Name as Subject:
Behavioral Risk Factor Surveillance System (U.S.)
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:83bda668457935c33952fa23f8d854a98216bf9337575a97874be45b9778672c
Download URL:
https://stacks.cdc.gov/view/cdc/33932/cdc_33932_DS1.pdf
File Type:

Supporting Files

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