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Factors associated with asthma control: MOSAR study (Multicenter Observational Study of Asthma in Rabat-Morocco)
Imane Ghanname1,2, Ahmed Chaker3, Abha Cherkani Hassani4
1Research team of Pharmacoepidemiology & Pharmacoeconomics, Laboratory of Pharmacology and Toxicology, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco. gh.imane@hotmail.fr.
BMC Pulmonary Medicine
|April 28, 2018
Summary
Asthma control is linked to respiratory infections, allergies, and adherence to treatment. Factors like health insurance and having more children improve asthma management in Moroccan patients.
Area of Science:
- Epidemiology
- Pulmonology
- Public Health
Background:
- Asthma prevalence and control vary significantly across populations.
- Understanding risk and protective factors is crucial for effective asthma management.
- A comprehensive profile of asthmatic patients is needed for targeted interventions.
Purpose of the Study:
- To describe the clinical-epidemiological profile of asthma patients in Rabat, Morocco.
- To identify significant risk factors associated with poor asthma control.
- To identify protective factors associated with good asthma control.
Main Methods:
- A prospective epidemiological study involving 396 asthma patients in Rabat, Morocco.
- Statistical analysis included ANOVA, chi-square tests, and ordinal logistic regression (Proportional Odds Model).
- Risk and protective factors were determined using Odds Ratios (OR) and 95% Confidence Intervals (95% CI).
Main Results:
- 53% of patients had controlled asthma, 18% partly controlled, and 29% uncontrolled.
- Risk factors for poor asthma control included respiratory infections (AOR=5.71), concomitant diseases (AOR=3.36), and animal allergies (AOR=2.76).
- Protective factors for good asthma control included treatment adherence (AOR=0.07), health insurance (AOR=0.41), and having >2 children (AOR=0.47).
Conclusions:
- Established a clinical-epidemiological profile of asthmatic patients in the Rabat region.
- Identified six key factors associated with asthma control: respiratory infections, comorbidities, animal allergies, treatment adherence, health insurance, and family size.
- Findings highlight the importance of addressing socioeconomic and health-related factors for improved asthma management.
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