Factors associated with having uncontrolled asthma in rural Appalachia.
| Autor: | Scott JB; Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, IL, USA., Browning SR; Department of Epidemiology, University of KY, Lexington, Kentucky., Schoenberg NE; Center for Health Equity Transformation and Department of Behavioral Science, University of Kentucky, Lexington, Kentucky., Strickland SL; American Epilepsy Society, Chicago, IL, USA.; Department of Health Sciences, College of Health Sciences, Rush University, Chicago, IL, USA., LaGorio LA; Department of Communication Disorders and Sciences, Division of Speech-Language Pathology, College of Health Sciences, Rush University, Chicago, IL, USA., Becker EA; Department of Cardiopulmonary Sciences, Division of Respiratory Care, College of Health Sciences, Rush University, Chicago, IL, USA. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of asthma : official journal of the Association for the Care of Asthma [J Asthma] 2024 Dec; Vol. 61 (12), pp. 1688-1697. Date of Electronic Publication: 2024 Jul 10. |
| DOI: | 10.1080/02770903.2024.2376231 |
| Abstrakt: | Background: Chronic respiratory disease disproportionately affects residents of Appalachia, particularly those residing in Central Appalachia. Asthma is particularly burdensome to Central Appalachian residents regarding cost and disability. Improving our understanding of how to mitigate these burdens requires understanding the factors influencing asthma control among individuals with asthma living in Central Appalachia, specifically rural Kentucky. Methods: This community-based, cross-sectional epidemiologic study used survey data to identify characteristics associated with uncontrolled and controlled asthma. The designation of "uncontrolled asthma" was based on a self-report of ≥ 2 asthma exacerbations in the past year. Individuals with ≤ 1 or no exacerbations were considered to have controlled asthma. Chi-square or Fisher exact tests assessed the association between categorical variables and asthma control categories. Logistic regression was conducted to determine the impact of factors on the likelihood of uncontrolled asthma. Results: In a sample of 211 individuals with self-reported asthma, 29% ( n = 61, 46 females) had uncontrolled asthma. Predictors of uncontrolled asthma included depression (odds ratio 2.61, 95% CI 1.22-5.61, p = .014) and living in multi-unit housing (odds ratio 4.99, 95% CI 1.47-16.96, p = .010) when controlling for age, sex, financial status, and occupation. Being overweight or obese was not a predictor of uncontrolled asthma. Physical activity and BMI did not predict the likelihood of uncontrolled asthma. Conclusion: This study highlights significant challenges rural communities in Appalachian Kentucky face in managing asthma. Factors like depression, housing conditions, and a lack of self-management strategies play pivotal roles in asthma control in this population. |
| Databáze: | MEDLINE |
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