Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia

Sileshi Tadesse,1 Zinash Beyene2 1Department of Pharmacology, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia; 2Department of Pharmacy, Rift Valley University, Adama Campus, Adama, EthiopiaCorrespondence: Sileshi TadesseDepartment of Pharmacology, Yekatit 12 Hospital Medical College, Addi...

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Main Authors: Tadesse S, Beyene Z
Format: Article
Language:English
Published: Dove Medical Press 2020-09-01
Series:Journal of Asthma and Allergy
Subjects:
Online Access:https://www.dovepress.com/contributing-factors-for-underutilization-of-inhaled-corticosteroids-a-peer-reviewed-article-JAA
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author Tadesse S
Beyene Z
author_facet Tadesse S
Beyene Z
author_sort Tadesse S
collection DOAJ
description Sileshi Tadesse,1 Zinash Beyene2 1Department of Pharmacology, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia; 2Department of Pharmacy, Rift Valley University, Adama Campus, Adama, EthiopiaCorrespondence: Sileshi TadesseDepartment of Pharmacology, Yekatit 12 Hospital Medical College, Addis Ababa, EthiopiaEmail silejetu@gmail.comIntroduction: Inhaled corticosteroids (ICSs) are a cornerstone medicine for preventive therapy of persistent severe asthma. Although ICs are very effective for the treatment of severe persistent asthma, the majority of the prescribers worldwide aren’t aware of ICs use for the treatment of severe persistent asthma.Objective: To evaluate factors contributing to underutilization of ICS by asthmatic patients.Methods: Patient interview was conducted among asthmatic patients using a cross-sectional study design who were attending at the Adama Hospital Medical College from March 1 to July 25, 2017. The total number of patients involved in the study was 94. Semi-structured questionnaire through patient interview was used for data collection and data from physicians who were working at the chest clinic of AHMC were collected by self-administered semi-structured questionnaire focusing their perspectives and experiences on patients’ ICS.Results: Generally 73.5% of underutilization of ICS was reported from the total number of patients involved in the study according to the patient’s perception. Monthly income, comorbid disease, and behaviors of ICS use were the main factors contributing to underutilization of ICS. According to patient’s report, some of the reasons for underutilization of ICS were unaffordability, using the drugs only when symptoms appear, inaccessibility, side effects and recommendation by physicians. There were also similar reports by the physicians working in the AHMC.Conclusion: In our study setting, prevalence of underutilization of ICS was high and the contributing factors were increased cost of ICS, inaccessibility of ICS, poor knowledge of the patients on asthma disease and ICS, bad attitude toward ICS, and lack of recently reviewed local guideline for asthma treatment. Thus, concerned experts need to take actions that guarantee accessibility of ICS at a reasonable price and increase awareness of patients about asthma disease and use of ICS.Keywords: inhalation corticosteroids, underutilization of ICS, asthma, AHMC
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spelling doaj.art-aeddebe11b3c40aa9d3dc280a0bd162b2022-12-21T23:40:10ZengDove Medical PressJournal of Asthma and Allergy1178-69652020-09-01Volume 1333334156932Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, EthiopiaTadesse SBeyene ZSileshi Tadesse,1 Zinash Beyene2 1Department of Pharmacology, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia; 2Department of Pharmacy, Rift Valley University, Adama Campus, Adama, EthiopiaCorrespondence: Sileshi TadesseDepartment of Pharmacology, Yekatit 12 Hospital Medical College, Addis Ababa, EthiopiaEmail silejetu@gmail.comIntroduction: Inhaled corticosteroids (ICSs) are a cornerstone medicine for preventive therapy of persistent severe asthma. Although ICs are very effective for the treatment of severe persistent asthma, the majority of the prescribers worldwide aren’t aware of ICs use for the treatment of severe persistent asthma.Objective: To evaluate factors contributing to underutilization of ICS by asthmatic patients.Methods: Patient interview was conducted among asthmatic patients using a cross-sectional study design who were attending at the Adama Hospital Medical College from March 1 to July 25, 2017. The total number of patients involved in the study was 94. Semi-structured questionnaire through patient interview was used for data collection and data from physicians who were working at the chest clinic of AHMC were collected by self-administered semi-structured questionnaire focusing their perspectives and experiences on patients’ ICS.Results: Generally 73.5% of underutilization of ICS was reported from the total number of patients involved in the study according to the patient’s perception. Monthly income, comorbid disease, and behaviors of ICS use were the main factors contributing to underutilization of ICS. According to patient’s report, some of the reasons for underutilization of ICS were unaffordability, using the drugs only when symptoms appear, inaccessibility, side effects and recommendation by physicians. There were also similar reports by the physicians working in the AHMC.Conclusion: In our study setting, prevalence of underutilization of ICS was high and the contributing factors were increased cost of ICS, inaccessibility of ICS, poor knowledge of the patients on asthma disease and ICS, bad attitude toward ICS, and lack of recently reviewed local guideline for asthma treatment. Thus, concerned experts need to take actions that guarantee accessibility of ICS at a reasonable price and increase awareness of patients about asthma disease and use of ICS.Keywords: inhalation corticosteroids, underutilization of ICS, asthma, AHMChttps://www.dovepress.com/contributing-factors-for-underutilization-of-inhaled-corticosteroids-a-peer-reviewed-article-JAAinhalation corticosteroidsunderutilization of icsasthmaahmc
spellingShingle Tadesse S
Beyene Z
Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia
Journal of Asthma and Allergy
inhalation corticosteroids
underutilization of ics
asthma
ahmc
title Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia
title_full Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia
title_fullStr Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia
title_full_unstemmed Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia
title_short Contributing Factors for Underutilization of Inhaled Corticosteroids Among Asthmatic Patients Attending at Adama Hospital Medical College, Adama, Ethiopia
title_sort contributing factors for underutilization of inhaled corticosteroids among asthmatic patients attending at adama hospital medical college adama ethiopia
topic inhalation corticosteroids
underutilization of ics
asthma
ahmc
url https://www.dovepress.com/contributing-factors-for-underutilization-of-inhaled-corticosteroids-a-peer-reviewed-article-JAA
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