Azeez I A, Ladipo M M A, Ige O M
Medical Outpatient Department, State Hospital, Oyo, Nigeria.
Department of Family Medicine, University College Hospital, Ibadan, Nigeria.
Ann Ib Postgrad Med. 2016 Dec;14(2):85-91.
Asthma is a chronic disease which places considerable economic, social and public health burdens on the society. Education, occupation and income are the most widely used indicators of socioeconomic status (SES). Studies have shown increased asthma hospital admissions for those who are materially deprived and increased asthma severity in low social class groups. The aim of this study is to determine the impact of socioeconomic status on control of asthma in adults.
The study was a cross-sectional analytical one, conducted over a year at the Medical Outpatient Clinic of the University College Hospital Ibadan. The study population was composed of 355 randomly selected adults aged between 18years and 55years with an established diagnosis of asthma already on treatment.
Respondents with monthly income of 40000 and above had a higher proportion with good asthma control (74.1%) compared to those that earned 10000 to 39999 (69.0%) and less than 10000 (47.8%). This was statistically significant. Respondents in occupational class I/II had a slightly higher proportion with good asthma control (70.9%) compared to those in occupation class III/IV (70.1%) and occupation class V/VI (50.6%). This was statistically significant at p = 0.003.
Respondents in the higher occupational class had better asthma control than respondents in the lower occupational class. Respondents who were earning 40000 and above as monthly income had better control of asthma than other respondents. After adjusting for other variables, the predictor of good asthma control was monthly income of the respondents.
哮喘是一种慢性疾病，给社会带来了相当大的经济、社会和公共卫生负担。教育、职业和收入是社会经济地位（SES）最广泛使用的指标。研究表明，物质匮乏者的哮喘住院率增加，低社会阶层群体的哮喘严重程度增加。本研究的目的是确定社会经济地位对成人哮喘控制的影响。
该研究为横断面分析研究，在伊巴丹大学学院医院门诊部进行了一年。研究人群由355名年龄在18岁至55岁之间、已确诊哮喘且正在接受治疗的随机选择的成年人组成。
月收入40000及以上的受访者中哮喘控制良好的比例较高（74.1%），而收入在10000至39999之间的受访者这一比例为69.0%，收入低于10000的受访者这一比例为47.8%。这具有统计学意义。职业等级为I/II的受访者中哮喘控制良好的比例略高于职业等级为III/IV的受访者（70.1%）和职业等级为V/VI的受访者（50.6%）。在p = 0.003时，这具有统计学意义。
职业等级较高的受访者哮喘控制情况优于职业等级较低的受访者。月收入40000及以上的受访者哮喘控制情况优于其他受访者。在对其他变量进行调整后，哮喘控制良好的预测因素是受访者的月收入。
