Socioeconomic status has direct impact on asthma control: Turkish adult asthma registry
Authors: 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 
Published: January 2025

Background

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.

Objective

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.

Methods

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.

Results

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.

Conclusion

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.