Allergy and Airway: Allergy - Asthma |

Physical and Socioeconomic Impact of Asthma on Patients’ Lives in Tertiary Hospitals in Nigeria FREE TO VIEW

Olufemi Desalu, MBChB; Adeniyi Aladesanmi, MBBS; Cajetan Onyedum; Adekunle Adeoti, MBBS; Aliyu Makusidi, MBBS
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University of Ilorin, Ilorin, Nigeria

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):1A. doi:10.1016/j.chest.2016.08.004
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SESSION TITLE: Allergy - Asthma

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Asthma accounted for 1% of the global burden of disease. The impact of asthma on individuals is often all encompassing, affecting not only physical health, but also social and economic well-being. Social and economic factors are integral to understanding asthma and its care. Objective: To assess the physical, social and economic impact of asthma on the lives of adult patients attending tertiary hospitals in Nigeria.

METHODS: This was a multicenter cross-sectional study involving 172 asthma patients that were attending selected hospital from January to December 2015. Data on physical and socioeconomic impact of asthma on patients lives were obtained using a semi open questionnaire

RESULTS: Physical, Social and Economic impact was perceived by 59.3%, 47.7 and 51.2% of patients, respectively. About 31.8 % suffered from both social and economic impact, while 76.9% patients suffered from any one form of impact. Physical impacts suffered were poor sleep (44.2%), limitation of daily activity (38.4%), and sporting/exercise (39.5%). Physical impact was more perceived by patients not using of inhaled corticosteroid (ICS) as compared to those using ICS (45.7% vs. 25.5%; P = 0.008). Patients with comorbidity, in low occupational class and not on National Health Insurance Scheme perceived more economic impact.

CONCLUSIONS: This study has highlighted the high level physical and economic impact of asthma in our setting. It is imperative to encourage the use of ICS and subscription to national health insurance scheme to reduce the physical impact and economic cost of asthma.

CLINICAL IMPLICATIONS: The high level of physical and economic impact of asthma in our setting has a serious implication on the health related quality of life of the patient. and asthma care. This study will give an insight to physicians on the burden of asthma in Nigeria and assist them in offering a comprehensive and patient centered care.

DISCLOSURE: The following authors have nothing to disclose: Olufemi Desalu, Adeniyi Aladesanmi, Cajetan Onyedum, Adekunle Adeoti, Aliyu Makusidi

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