Pediatric asthma: Prevalence and socio-cultural factors affecting asthma management in a rural area of Northern Karnataka

• Main Authors: B M Rashmi (Author), Shailaja S Patil (Author), B M Sindhu (Author), S V Patil (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2021-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

Context: Asthma prevalence and severity is increasing among Indian children. There is the paucity of data on pediatric asthma in rural India and treatment received by asthmatics is not up-to-standard treatment guidelines. Aim: The aim is to estimate asthma prevalence and factors influencing access to standard asthmatic care among 5-15 years aged children. Settings and Design: Cross-sectional study conducted in rural north-Karnataka for 1 year. Subjects and Methods: The International Study of Asthma and Allergies in Childhood questionnaire was administered to participants followed by clinical examination. A child was considered as asthmatic if there was affirmative response to: (a) History of wheeze in the past 12 months, (b) Physician diagnosed/ever asthma, (c ) history of taking inhaled/oral bronchodilators. Statistical Analysis: All characteristics were summarized descriptively. Results: Prevalence of Current-wheeze, Ever-asthma, and wheeze on exertion were 4%, 2%, and 3.7%, respectively. About 63.9% of asthmatics had severe-asthma and 44.4% reported severe attack of wheezing limiting speech. About 89% of current-wheezers used only oral medications for wheeze/asthma, 50% did not take medicines as per doctors' advice. None availed regular follow-up. Financial constraints and ignorance were major reasons cited. Conclusions: Illiteracy, poverty, lack of proper guidelines, and non-availability of inhalational medications have affected treatment adherence resulting in severe asthma.

Item Description

0970-0218
1998-3581
10.4103/ijcm.IJCM_85_20