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Impact of socioeconomic factors and house cleaning on asthma control in women

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Background:

It is known that socioeconomic factors affect various chronic diseases and also might affect asthma control. Exposure to house-cleaning products has been shown to impact both the onset and control of asthma.

Objective:

This study aimed to determine the effect of socioeconomic factors and house cleaning on asthma control of women with asthma.

Methods:

Adult women with asthma (N = 204) with informed consent were included in this single-center, cross-sectional observational study. A questionnaire, including items related to demographic, clinical, and socioeconomic features of the patients, was administered with a face-to-face interview by an investigator. A test to assess the level of asthma control was used to classify the patients as uncontrolled, partially controlled, and fully controlled. Wealth perception was measured with a visual analog scale. Investigated socioeconomic features were household size, monthly household income, education status, working status, occupation, and education status of the mothers of the patients.

Results:

Of the 204 adult female patients, 68.6% had uncontrolled, 14.7% had partially controlled, and 16.7% had fully controlled asthma. Partially or fully controlled asthma was higher (odds ratio [OR] 2.6 [95% confidence interval [CI], 1.09‐6.22]) in the highest income quantile compared with the lowest income quantile. Asthma was better controlled in women with a visual analog scale score of wealth perception ≥ 7 (OR 1.93 [95% CI, 1.04‐3.59]) and, in those who cleaned their houses, one to two times per week compared with zero times per week (OR 2.94 [95% CI, 1.19‐7.26]).

Conclusion:

Having a higher household income was the only socioeconomic factor associated with better asthma control. After adjusting for age, duration of asthma, and comorbidities, better asthma control was significantly associated with cleaning the house one to two times a week.

Keywords: Socioeconomic status; asthma control test; asthma regulation; cleaning at home; education; female asthma; hygiene; income; occupation; wealth perception

Document Type: Research Article

Affiliations: 1: From the Department of Chest Diseases, Ankara City Hospital, Ankara, Turkey; 2: Division of Allergy and Clinical Immunology, Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkey; and 3: Department of Chest Diseases, Faculty of Medicine, Hacettepe University, Ankara, Turkey

Publication date: 01 March 2022

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  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

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    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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