Callander Emily J, Schofield Deborah J
Faculty of Pharmacy, The University of Sydney, Sydney, Australia.
Faculty of Pharmacy, The University of Sydney, Sydney, Australia.
Ann Allergy Asthma Immunol. 2015 May;114(5):374-8. doi: 10.1016/j.anai.2015.02.017. Epub 2015 Mar 26.
Studies on the indirect costs of asthma have taken a narrow view of how the condition affects the living standards of patients by examining only the association with employment and income.
To build on the current cost-of-illness literature and identify whether having asthma is associated with an increased risk of poverty, thus giving a more complete picture of the costs of asthma to individuals and society.
Longitudinal analysis of the nationally representative Household Income and Labour Dynamics in Australian survey to estimate the relative risk of income poverty, multidimensional poverty, and long-term multidimensional poverty between 2007 and 2012 and population attributable risk method to estimate the proportion of poverty between 2007 and 2012 directly attributable to asthma.
No significant difference was found in the risk of falling into income poverty between those with and without asthma (P = .07). Having asthma increased the risk of falling into multidimensional poverty by 1.35 (95% confidence interval [CI], 1.01-1.83) and the risk of falling into chronic multidimensional poverty by 2.22 (95% CI, 1.20-4.10). Between 2007 and 2012, a total of 5.2% of income poverty cases (95% CI, 5.1%-5.4%), 7.8% of multidimensional poverty cases (95% CI, 7.7%-8.0%), and 19.6% of chronic multidimensional poverty cases (95% CI, 19.2%-20.0%) can be attributed to asthma.
Asthma is associated with an increased risk of falling into poverty. This should be taken into consideration when considering the suitability of different treatment options for patients with asthma.
关于哮喘间接成本的研究，仅通过考察哮喘与就业和收入的关联，对该疾病如何影响患者生活水平的观点较为狭隘。
在当前疾病成本文献的基础上，确定患哮喘是否与贫困风险增加相关，从而更全面地了解哮喘给个人和社会带来的成本。
对具有全国代表性的澳大利亚家庭收入与劳动力动态调查进行纵向分析，以估计2007年至2012年间收入贫困、多维贫困和长期多维贫困的相对风险，并采用人群归因风险方法估计2007年至2012年间直接归因于哮喘的贫困比例。
有哮喘和无哮喘者陷入收入贫困的风险无显著差异（P = 0.07）。患哮喘使陷入多维贫困的风险增加1.35（95%置信区间[CI]，1.01 - 1.83），陷入慢性多维贫困的风险增加2.22（95%CI，1.20 - 4.10）。在2007年至2012年间，共有5.2%的收入贫困病例（95%CI，5.1% - 5.4%）、7.8%的多维贫困病例（95%CI，7.7% - 8.0%）和19.6%的慢性多维贫困病例（95%CI，19.2% - 20.0%）可归因于哮喘。
哮喘与陷入贫困的风险增加相关。在考虑哮喘患者不同治疗方案的适用性时应予以考虑。
