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Community knowledge and attitude in recognizing asthma symptoms and using medication for asthma attacks: a cross-sectional study

  • Arina Dery Puspitasari EMAIL logo , Bindaria Mutmaina Prabawati and Alfian Nur Rosyid
Published/Copyright: June 25, 2021

Abstract

Objectives

Uncontrolled asthma may be life-threatening. Poor understanding of disease process and appropriate medication use appears to influence community attitude in facing asthmatic patients in an emergency, thereby contributing to increasing the risk of mortality. This study aimed to analyze community-level knowledge about asthma and attitude towards asthma management.

Methods

This observational, cross-sectional study was conducted among the community in Gresik, Indonesia, from March to July 2019. Participants included in this study were adults, who could read, write, and communicate well. Data were collected through questionnaires to evaluate the level of knowledge and attitude towards asthma.

Results

In total, 100 respondents were selected with 91% of women, with a mean age of 49.11 ± 14.42 years and with various levels of education. The respondents had good knowledge by getting a score of 76%. Knowledge regarding recognition of asthma symptoms was scored the highest (83%). However, knowledge about medication use for asthma was lacking, especially in identifying the medicine choice (21%) and inhaler use (48%). The respondents also showed a ‘positive’ attitude with a score of 89%. Most respondents (72%) agreed that when inhaled drugs were unable to relieve the asthma attack, they need to bring the patient to a hospital.

Conclusions

The level of respondent’s knowledge in recognizing asthma symptoms was good, but there were misconceptions about asthma medication, especially in inhaler use. Overall, the respondents had a positive attitude towards asthma perception and management.


Corresponding author: Arina Dery Puspitasari, Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia, Phone: +6282132659919, E-mail:

Funding source: Universitas Airlangga

Acknowledgments

We would like to thank Universitas Airlangga for supporting this study.

  1. Research funding: Universitas Airlangga has funded this research. Universitas Airlangga played no role in thr study design, in the collection, analysis, and interpretation of data, in the writing of the report, or in the decision to submit the report for publication. Research-related decisions were determined by the researcher.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: All authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individual participants involved in the study.

  5. Ethical approval: The study protocol was approved by the Institutional Review Board of the Public Health Faculty of Universitas Airlangga.

References

1. Woodruff, P, Bhakta, N, Fahy, V. Asthma: pathogenesis and phenotypes. In: Broaddus, VC, Mason, RJ, KingJr, TE, Lazarus, SC, Murray, JF, Nadel, JA, et al.., editors. Murray and Nadel’s Textbook of Respiratory Medicine, 6th ed. Philadelphia: Elsevier Inc.; 2016:713–30 pp.10.1016/B978-1-4557-3383-5.00041-5Search in Google Scholar

2. Global Initiative for Asthma. Global strategy for asthma management and prevention (2017 update). Available from: www.ginasthma.org [Accessed 30 Oct 2019].Search in Google Scholar

3. Badan Penelitian dan Pengembangan Kesehatan. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2013. Available from: https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/ [Accessed 30 Oct 2019].Search in Google Scholar

4. Fergeson, JE, Patel, SS, Lockey, RF. Acute asthma, prognosis, and treatment. J Allergy Clin Immunol 2017;139:438–47. https://doi.org/10.1016/j.jaci.2016.06.054.Search in Google Scholar

5. Guilbert, TW, Garris, C, Jhingran, P, Bonafede, M, Tomaszewski, KJ, Bonus, T, et al.. Asthma that is not well-controlled is associated with increased healthcare utilization and decreased quality of life. J Asthma 2011;48:126–32. https://doi.org/10.3109/02770903.2010.535879.Search in Google Scholar

6. Scherer, YK, Bruce, S. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung 2001;30:250–7. https://doi.org/10.1067/mhl.2001.116013.Search in Google Scholar

7. Cagney, KA, Browning, CR. Exploring neighborhood-level variation in asthma and other respiratory diseases: the contribution of neighborhood social context. J Gen Intern Med 2004;19:229–36. https://doi.org/10.1111/j.1525-1497.2004.30359.x.Search in Google Scholar

8. Clark, NM, Mitchell, HE, Rand, CS. Effectiveness of educational and behavioral asthma interventions. Pediatrics 2009;123:S185–92. https://doi.org/10.1542/peds.2008-2233i.Search in Google Scholar

9. Mancuso, CA, Sayles, W, Allegrante, JP. Knowledge, attitude, and self-efficacy in asthma self-management and quality of life. J Asthma 2010;47:883–8. https://doi.org/10.3109/02770903.2010.492540.Search in Google Scholar

10. Lakhanpaul, M, Bird, D, Culley, L, Hudson, N, Robertson, N, Johal, N, et al.. The use of a collaborative structured methodology for the development of a multifaceted intervention programme for the management of asthma (the MIA project), tailored to the needs of children and families of South Asian origin: a community-based, partici. Health Serv Deliv Res 2014;2:1–226. https://doi.org/10.3310/hsdr02280.Search in Google Scholar

11. Tejada, J, Punzalan, J. On the misuse of Slovin’s formula. Philipp Stat 2012;61:129–36.Search in Google Scholar

12. Adam, AM. Sample size Determination in survey Research. J Sci Res Reports 2020;26:90–7. https://doi.org/10.9734/jsrr/2020/v26i530263.Search in Google Scholar

13. Tam-Williams, JB, Jones, BL. Closing the gap: understanding African American asthma knowledge and beliefs. Ann Allergy Asthma Immunol 2018;121:458–63. https://doi.org/10.1016/j.anai.2018.07.015.Search in Google Scholar

14. Evers, U, Jones, SC, Caputi, P, Iverson, D. The asthma knowledge and perceptions of older Australian adults: implications for social marketing campaigns. Patient Educ Counsel 2013;91:392–9. https://doi.org/10.1016/j.pec.2012.12.011.Search in Google Scholar

15. Boss, LP, Evans, D, Ramos-Bonoan, C, Liao, W, Taggart, V, Redd, SC. Ensuring a scientific basis for community interventions for asthma. Int J Hyg Environ Health 2005;208:21–5. https://doi.org/10.1016/j.ijheh.2005.01.004.Search in Google Scholar

16. Nursalam, LH, Sari, NPWP. Faktor risiko asma dan perilaku pencegahan berhubungan dengan tingkat kontrol penyakit asma. J Ners 2009;4:9–18.10.20473/jn.v4i1.5005Search in Google Scholar

17. Moin, M. Challenges of asthma control in developing and developed countries. Iran J Allergy Asthma Immunol 2013;12:89.Search in Google Scholar

18. Braido, F, Baiardini, I, Sumberesi, M, Blasi, F, Canonica, GW. Obstructive lung diseases and inhaler treatment: results from a national public pragmatic survey. Respir Res 2013;14:1–8. https://doi.org/10.1186/1465-9921-14-94.Search in Google Scholar

19. Atmoko, W, Hana, KP, Evans, TB, Masbimoro, WA, Faisal, Y. Prevalens asma Tidak Terkontrol dan Faktor-Faktor yang Berhubungan dengan tingkat Kontrol asma di Poliklinik asma Rumah sakit persahabatan. J Respir Indo 2011;31:53–60.Search in Google Scholar

20. Herman, EJ, Garbe, PL, McGeehin, MA. Assessing community-based approaches to asthma control: the controlling asthma in American cities project. J Urban Health 2011;88(1 Suppl):1–6. https://doi.org/10.1007/s11524-010-9480-2.Search in Google Scholar

21. Milgram, LJH. Asthma medications should Be available for over-the-counter use: Con. Ann Am Thorac Soc 2014;11:975–9. https://doi.org/10.1513/annalsats.201403-129ar.Search in Google Scholar

22. Gerald, JK, Wechsler, ME, Martinez, FD. Asthma medications should Be available for over-the-counter use: pro. Ann Am Thorac Soc 2014;11:969–74. https://doi.org/10.1513/annalsats.201404-139oi.Search in Google Scholar

23. Reddel, HK, Ampon, RD, Sawyer, SM, Peters, MJ. Risks associated with managing asthma without a preventer: urgent healthcare, poor asthma control and over-the-counter reliever use in a cross-sectional population survey. BMJ Open 2017;7:e016688. https://doi.org/10.1136/bmjopen-2017-016688.Search in Google Scholar

24. Alotaibi, E, Alateeq, M. Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz medical city for national guard, Riyadh, Saudi Arabia. Risk Manag Healthc Pol 2018;11:67–75. https://doi.org/10.2147/rmhp.s143829.Search in Google Scholar

25. Fawcett, R, Porritt, K, Campbell, J, Carson, K. Experiences of parents and carers in managing asthma in children: a qualitative systematic review protocol. JBI Database Syst Rev Implement Rep 2017;15:657–65. https://doi.org/10.11124/jbisrir-2016-002999.Search in Google Scholar

26. Marsden, EJ, Somwe, SW, Chabala, C, Soriano, JB, Vallès, CP, Anchochea, J. Knowledge and perceptions of asthma in Zambia: a cross-sectional survey. BMC Pulm Med 2016;16:33.10.1186/s12890-016-0195-3Search in Google Scholar PubMed PubMed Central

27. Bruzzese, J-M, Unikel, LH, Evans, D, Bornstein, L, Surrence, K, Mellins, RB. Asthma Knowledge and asthma management Behavior in urban elementary school Teachers. J Asthma 2010;47:185–9. https://doi.org/10.3109/02770900903519908.Search in Google Scholar

28. Miles, C, Arden-Close, E, Thomas, M, Bruton, A, Yardley, L, Hankins, M, et al.. Barriers and facilitators of effective self-management in asthma: systematic review and thematic synthesis of patient and healthcare professional views. NPJ Prim Care Respir Med 2017;27:57. https://doi.org/10.1038/s41533-017-0056-4.Search in Google Scholar

Received: 2020-12-25
Accepted: 2021-03-02
Published Online: 2021-06-25

© 2021 Walter de Gruyter GmbH, Berlin/Boston

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