Inadequate use of asthma medication in the United States: Results of the Asthma in America national population survey
Inadequate use of asthma medication in the United States: Results of the Asthma in America national population survey
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DOI：
10.1067/mai.2002.125489
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发表时间：
2002-07-01
影响因子：
14.2
通讯作者：
Martinez, F
中科院分区：
文献类型：
--
作者：
Adams, RJ;Fuhlbrigge, A;Martinez, F
背景：关于使用抗炎哮喘治疗的研究仅限于选定的人群或无法评估治疗对个人的适当性。目的：我们试图描述美国人群中哮喘药物的当前使用情况，并检查症状和社会人口统计学对药物使用的影响。方法：本研究基于 1998 年进行的横断面、全国性、随机数字拨号家庭电话调查，旨在识别当前患有哮喘的成年患者和儿童的父母。如果受访者被医生诊断为哮喘，并且在过去一年中服用哮喘药物或出现哮喘症状，则被归类为患有当前哮喘。 结果：在完成筛查问卷的 3273 个家庭 (7.8%) 中，有一个或多人符合当前哮喘的研究标准。其中，2509 名患有哮喘的人（721 名 16 岁儿童）接受了采访。 507 人 (20.1%) 报告目前正在使用抗炎药物。其中，大多数使用吸入性皮质类固醇（72.5%，其中 11.4% 报告使用抗白三烯类药物，18.6% 报告使用色甘酸奈多罗米。在过去一个月有持续性哮喘症状的人中，26.2% 报告目前使用某种形式的抗炎药物。在双变量分析中，收入较低、受教育程度较低、目前失业的人以及吸烟者的比例显着升高（P
Background: Studies of the use of anti-inflammatory asthma therapy have been limited to selected populations or have been unable to assess the appropriateness of therapy for individuals.Objective: We sought to describe the current use of asthma medication in the United States population and to examine the influence of symptoms and sociodemographics on medication use.Methods: This study was based on a cross-sectional, national, random-digit-dial household telephone survey in 1998 designed to identify adult patients and parents of children with current asthma. Respondents were classified as having current asthma if they had a physician's diagnosis of asthma and were either taking medication for asthma or had asthma symptoms during the past year.Results: One or more persons met the study criteria for current asthma in 3273 (7.8%) households in which a screening questionnaire was completed. Of these, 2509 persons (721 children.,, 16 years) with current asthma were interviewed. Current use of anti-inflammatory medication was reported by 507 (20.1%). Of these, most were using inhaled corticosteroids (72.5%, with use of antileukotrienes reported by 11.4% and use of cromolyn-nedocromil reported by 18.6%. Of persons with persistent asthma symptoms in the past month, 26.2% reported current use of Some form of anti-inflammatory medication. In bivariate analysis persons reporting lower income, less education, and present unemployment, as well as smokers, were significantly (P