Espinoza Luis Enrique, Espinoza Lucas Enrique, Wilson Michaela LaNay, Denton Tracy E
Department of Health Studies, Texas Woman's University, Denton, TX, USA.
Department of Criminal Justice, University of Texas Rio Grande Valley, Edinburg, TX, USA.
Am J Health Behav. 2018 Sep 1;42(5):74-84. doi: 10.5993/AJHB.42.5.7.
The objective of this study was to determine the characteristics of adults with active asthma who were most likely to acquire self-management asthma component education. We analyzed adult data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS)-Asthma Call-back Survey (ACBS). Multivariate logistic regression and multivariate linear regression models were used to analyze the association between asthma self-management education and predictors. Adults who had health insurance (aB = 0.33 [SE = 0.15], p < .05), routine care visits (aB = 0.75 [SE = 0.08], p < .05) and hospitalization (aB = 0.50 [SE = 0.23], p < .05) reported higher asthma education scores. Adults aged 18-34 years were more likely to report inhaler use instruction (aOR = 3.9; 95% CI: 2.5-6.3, p < .05), than older adults aged 65 years and older. Having a formal education, being a woman, and being black increased the likelihood of having a higher self-management score. Having health insurance, making routine visits, and having asthma episodes were associated with multiple asthma education components which ensures social justice. Asthma control programs need to reexamine asthma education components to make sure they are promoted to persons regardless of their age, education level, or sex."
本研究的目的是确定最有可能获得哮喘自我管理教育的成年哮喘患者的特征。我们分析了2014年行为危险因素监测系统(BRFSS)-哮喘回访调查(ACBS)中的成人数据。采用多因素逻辑回归和多因素线性回归模型分析哮喘自我管理教育与预测因素之间的关联。拥有医疗保险(β=0.33[标准误=0.15],p<0.05)、进行常规护理就诊(β=0.75[标准误=0.08],p<0.05)和住院治疗(β=0.50[标准误=0.23],p<0.05)的成年人报告的哮喘教育得分较高。18至34岁的成年人比65岁及以上的老年人更有可能报告吸入器使用指导(优势比=3.9;95%置信区间:2.5-6.3,p<0.05)。接受正规教育、女性身份和黑人身份会增加自我管理得分较高的可能性。拥有医疗保险、进行常规就诊和有哮喘发作与多个哮喘教育组成部分相关,这确保了社会公平。哮喘控制项目需要重新审视哮喘教育组成部分,以确保将其推广到所有人群,无论其年龄、教育水平或性别如何。