PDF(Pubmed)
Abstract：
Asthma, influenced by genetic, environmental, and social factors is leading to poor outcomes and preventable mortality due to inadequate care and limited access to effective treatments. This study aimed to analyze self-reported asthma prevalence in Turkey, focusing on its determinants, such as individual factors, lifestyle, socioeconomic status, and healthcare access.This study conducts a secondary analysis of the 2019 Turkiye Health Survey (THS), employing a nationally representative cross-sectional design by the Turkish Statistical Institute. The sampling utilized a stratified, two-stage cluster sampling method, with data from 16,976 adults (aged 15 years and older) analyzed for asthma determinants. The independent variables are categorized into four domains: individual factors, lifestyle assessment, socioeconomic factors, and access to the healthcare services.The prevalence of asthma is 9.8%, varying significantly across demographics. Higher asthma rates are observed among older, divorced/widowed individuals, those with communication difficulties, and obese individuals. Cost-related unmet healthcare needs and appointment scheduling delays increase asthma risk. Logistic regression models identified age, marital status, obesity, education level, and healthcare access as significant predictors of asthma.This study underscores the multifaceted determinants of asthma in Turkey, highlighting the necessity for targeted interventions addressing individual, lifestyle, socioeconomic, and healthcare access factors.
摘要：
哮喘,受遗传影响，环境,由于护理不足和获得有效治疗的机会有限，社会因素导致不良结果和可预防的死亡率。这项研究旨在分析土耳其自我报告的哮喘患病率，专注于其决定因素，例如个人因素，生活方式,社会经济地位,和医疗保健。本研究对2019年土耳其健康调查(THS)进行了二次分析，由土耳其统计研究所采用具有全国代表性的横截面设计。抽样利用了分层的，两阶段整群抽样方法，分析了16,976名成人（15岁及以上）的哮喘决定因素。自变量分为四个领域：个体因素，生活方式评估，社会经济因素,和获得医疗保健服务。哮喘的患病率为9.8%,不同的人口统计学差异很大。老年人哮喘发病率较高，离婚/丧偶个人，那些有沟通困难的人，和肥胖的人。与成本相关的未满足的医疗保健需求和预约时间安排延迟会增加哮喘风险。Logistic回归模型确定年龄，婚姻状况,肥胖，教育水平,和医疗服务是哮喘的重要预测因素。这项研究强调了土耳其哮喘的多方面决定因素，强调有针对性的干预措施针对个人的必要性，生活方式,社会经济,和医疗保健准入因素。
