Arslan Bahar, Türk Murat, Hayme Serhat, Aydin Ömür, Gokmen Derya, Buhari Gozde Koycu, Sozener Zeynep Celebi, Gemicioglu Bilun, Bulut Ismet, Beyaz Sengul, Orcen Cihan, Ozdemir Secil Kepil, Keren Metin, Damadoglu Ebru, Yakut Tugce, Kalpaklioglu Ayse Fusun, Baccioglu Ayse, Yalim Sumeyra Alan, Yilmaz Insu, Kalkan Ilkay Koca, Ozgun Niksarlioglu Elif Yelda, Kalyoncu Ali Fuat, Karakaya Gul, Erbay Muge, Nayci Sibel, Tepetam Fatma Merve, Gelincik Asli Akkor, Dirol Hulya, Goksel Ozlem, Karaoglanoglu Selen, Erkekol Ferda Oner, Isik Sacide Rana, Yildiz Fusun, Yavuz Yasemin, Karadogan Dilek, Bozkurt Nurgul, Seker Ummuhan, Oguzulgen Ipek Kivilcim, Basyigit Ilknur, Baris Serap Argun, Ucar Elif Yilmazel, Erdogan Tuba, Polatli Mehmet, Ediger Dane, Gunaydin Fatma Esra, Pur Leyla, Katran Zeynep Yegin, Sekibag Yonca, Aykac Enes Furkan, Mungan Dilsad, Gul Ozcan, Cengiz Ali, Akkurt Bulent, Ozden Seyma, Demir Semra, Unal Derya, Aslan Ayse Feyza, Can Ali, Gumusburun Reyhan, Bogatekin Gulhan, Akten Hatice Serpil, Inan Sinem, Erdinc Munevver, Ogus Aliye Candan, Kavas Murat, Yulug Demet Polat, Cakmak Mehmet Erdem, Kaya Saltuk Bugra, Alpagat Gulistan, Ozgur Eylem Sercan, Uzun Oguz, Gulen Sule Tas, Pekbak Gulseren, Kizilirmak Deniz, Havlucu Yavuz, Donmez Halil, Cetin Gulden Pacaci, Soyyigit Sadan, Kara Bilge Yilmaz, Karakis Gulden Pasaoglu, Dursun Adile Berna, Kendirlinan Resat, Ozturk Ayse Bilge, Sevinc Can, Simsek Gokcen Omeroglu, Abadoglu Oznur, Cerci Pamir, Yucel Taskin, Yorulmaz Irfan, Tezcaner Zahide Ciler, Tatar Emel Cadalli, Suslu Ahmet Emre, Ozer Serdar, Dursun Engin, Yorgancioglu Arzu, Celik Gulfem Elif, Uysal Mehmet Atilla
Erciyes University, School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Kayseri, Turkey.
University of Health Sciences, Kayseri City Training and Research Hospital, Clinic of Allergy and Immunology, Kayseri, Turkey.
Clin Transl Allergy. 2025 Jan;15(1):e70018. doi: 10.1002/clt2.70018.
Asthma is one of the most common causes of chronic respiratory disease, and countries with low socioeconomic status have both a high prevalence of asthma and asthma-related death.
In this study, we aimed to determine socioeconomic levels of asthmatic patients according to a national database and investigate the effects of social markers on disease control in our region.
This is an analysis of data from 2053 adult asthma patients from a multicentre chart study in Turkey. Socioeconomic status (SES) data were collected from questionnaires and this form was sent to the patients via e-mail. Parameters related to social status and poor disease control were analyzed.
Illiteracy (OR:2.687 [95% CI: 1.235-5.848]; p = 0.013) and lower household income (OR:1,76 [95% CI: 1.002-3.09]; p = 0.049) were found as independent risk factors for hospitalization in the multivariate logistic regression analysis. Therewithal, being aged between 40 and 60 (OR: 1.435 [95% CI: 1.074-1.917]; p = 0.015), illiteracy (OR: 2.188 [95% CI: 1.262-3.795]; p = 0.005) and being employed (OR: 1.466 [95% CI: 1.085-1.847]; p = 0.011) were considered as independent risk factors for systemic corticosteroid use at least 3 days within last 1 year.
As a result of our national database, education level, household income and working status briefly socioeconomic status have impacts on asthma control. Identification of social markers in asthma and better recognition of risk factors based on the population gives us clues to provide better asthma control in the future.
哮喘是慢性呼吸道疾病最常见的病因之一，社会经济地位较低的国家哮喘患病率和哮喘相关死亡率均较高。
在本研究中，我们旨在根据国家数据库确定哮喘患者的社会经济水平，并调查社会指标对我们地区疾病控制的影响。
这是一项对来自土耳其多中心图表研究的2053例成年哮喘患者的数据进行的分析。社会经济地位（SES）数据通过问卷调查收集，该表格通过电子邮件发送给患者。分析了与社会地位和疾病控制不佳相关的参数。
在多因素逻辑回归分析中，文盲（比值比：2.687 [95%置信区间：1.235 - 5.848]；p = 0.013）和家庭收入较低（比值比：1.76 [95%置信区间：1.002 - 3.09]；p = 0.049）被发现是住院的独立危险因素。此外，年龄在40至60岁之间（比值比：1.435 [95%置信区间：1.074 - 1.917]；p = 0.015）、文盲（比值比：2.188 [95%置信区间：1.262 - 3.795]；p = 0.005）和就业（比值比：1.466 [95%置信区间：1.085 - 1.847]；p = 0.011）被视为过去1年内至少3天使用全身糖皮质激素的独立危险因素。
基于我们的国家数据库，教育水平、家庭收入和工作状况（简而言之，社会经济地位）对哮喘控制有影响。识别哮喘中的社会指标并更好地认识基于人群的危险因素，为我们未来提供更好的哮喘控制提供了线索。
