Fromer Leonard M, Blaiss Michael S, Jacob-Nara Juby A, Long Randall M, Mannion Karen M, Lauersen Lori A
University of California, Los Angeles, School of Medicine, Los Angeles, California, USA.
Allergy Asthma Proc. 2014 Jul-Aug;35(4):307-15. doi: 10.2500/aap.2014.35.3766.
Allergic rhinitis (AR) affects ~60 million people in the United States. This study evaluates awareness, attitudes, and behaviors of AR sufferers on the management of their condition. This U.S.-based survey evaluated 1600 adult AR sufferers to assess their perceptions of AR diagnosis, treatment preferences, and interactions with health care practitioners (HCPs). Two consumer groups of AR sufferers were assessed: users of over-the-counter (OTC) medications only (n = 1020) and users of prescription (Rx) ± OTC medications (n = 580). The Rx group included 451 intranasal steroid (INS) users. Eighty-two percent of respondents indicated that they require minimal to no HCP guidance to manage AR; 51% had not visited an HCP in the past 2 years. Eighty-six percent of respondents agreed that they can self-recognize AR symptoms, and 69% suspected allergies before diagnosis. On suspecting nasal allergies, 52% of sufferers purchased an OTC medication. Seventy-two percent of AR sufferers said they are likely to go to an HCP if symptoms persist after they tried multiple OTC options. Rx users perceived INSs to be more beneficial in treating AR and showed a high level of satisfaction (a score of 7.4 out of 10). Forty-eight percent of AR sufferers felt the need for more efficacious OTC medications to better manage their AR symptoms. This study indicated that AR sufferers perceive that they self-recognize AR symptoms and initiate their management with OTC options. The availability of OTC medications did not deter AR sufferers from visiting HCPs for advice when symptoms worsen. Nonetheless, more efficacious OTC options are still desired.
在美国,过敏性鼻炎(AR)影响着约6000万人。本研究评估了AR患者对自身病情管理的认知、态度和行为。这项基于美国的调查评估了1600名成年AR患者,以评估他们对AR诊断的看法、治疗偏好以及与医疗保健从业者(HCPs)的互动。评估了两组AR患者消费者群体:仅使用非处方药(OTC)的患者(n = 1020)和使用处方药(Rx)±非处方药的患者(n = 580)。Rx组包括451名使用鼻内类固醇(INS)的患者。82%的受访者表示,他们在管理AR时只需极少的HCP指导或无需指导;51%的人在过去两年中未就诊于HCP。86%的受访者同意他们能够自我识别AR症状,69%的人在诊断前怀疑自己过敏。在怀疑鼻腔过敏时,52%的患者购买了非处方药。72%的AR患者表示,如果在尝试多种非处方药后症状仍持续,他们可能会去看HCP。Rx使用者认为INS在治疗AR方面更有益,并表现出高度的满意度(满分10分,得分为7.4)。48%的AR患者认为需要更有效的非处方药来更好地管理他们的AR症状。这项研究表明,AR患者认为他们能够自我识别AR症状,并开始使用非处方药进行自我管理。非处方药的可获得性并没有阻止AR患者在症状恶化时去咨询HCP。尽管如此,人们仍然希望有更有效的非处方药选择。