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Asthma morbidity in Australia: an epidemiological study.

A Bauman1, C A Mitchell, R L Henry

  • 1Department of Public Health, University of Sydney, NSW.

The Medical Journal of Australia
|June 15, 1992
PubMed
Summary

Asthma undertreatment is common in Australian children and adults, with many lacking essential management tools like action plans. This highlights a significant gap between current practices and recommended asthma care standards.

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Area of Science:

  • Respiratory Medicine
  • Public Health
  • Epidemiology

Background:

  • Asthma is a prevalent chronic respiratory condition affecting both children and adults.
  • Effective asthma management is crucial for improving quality of life and reducing healthcare burden.

Purpose of the Study:

  • To determine the prevalence of asthma in a population sample of Australian children and adults.
  • To assess current asthma management practices and identify areas of undertreatment.

Main Methods:

  • A cross-sectional survey was conducted on 8753 primary school children (aged 5-12) and 13,945 adults in eastern Australia.
  • Parental questionnaires assessed asthma prevalence and management; spirometry was used for children with probable asthma.

Main Results:

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  • Asthma prevalence was 17.1% in children and 7% in adults.
  • Significant undertreatment was observed, with low rates of preventive medication use, lung function measurement, and asthma action plan possession in both age groups.
  • Children with diagnosed asthma showed better management rates than those with frequent symptoms but no diagnosis.

Conclusions:

  • A considerable gap exists between community asthma management and established clinical guidelines in Australia.
  • Undertreatment and suboptimal asthma management are significant public health issues requiring attention.