Socioeconomic status has direct impact on asthma control: Turkish adult asthma registry

Bahar Arslan^{1

2}, Murat Türk¹, Serhat Hayme³, Ömür Aydin⁴, Derya Gokmen⁵, Gozde Koycu Buhari⁶, Zeynep Celebi Sozener^{4

7}, Bilun Gemicioglu⁸, Ismet Bulut⁹, Sengul Beyaz^{7

10}, Cihan Orcen¹¹, Secil Kepil Ozdemir¹², Metin Keren⁹, Ebru Damadoglu¹³, Tugce Yakut¹⁴, Ayse Fusun Kalpaklioglu¹⁵, Ayse Baccioglu¹⁵, Sumeyra Alan Yalim¹⁵, Insu Yilmaz¹, Ilkay Koca Kalkan⁶, Elif Yelda Ozgun Niksarlioglu¹⁶, Ali Fuat Kalyoncu¹³, Gul Karakaya¹³, Muge Erbay¹⁷, Sibel Nayci¹⁸, Fatma Merve Tepetam⁹, Asli Akkor Gelincik¹⁰, Hulya Dirol¹⁹, Ozlem Goksel²⁰, Selen Karaoglanoglu²¹, Ferda Oner Erkekol^{22

23}, Sacide Rana Isik²⁴, Fusun Yildiz^{25

26}, Yasemin Yavuz⁵, Dilek Karadogan²⁷, Nurgul Bozkurt¹⁹, Ummuhan Seker²⁸, Ipek Kivilcim Oguzulgen²⁹, Ilknur Basyigit²⁵, Serap Argun Baris²⁵, Elif Yilmazel Ucar³⁰, Tuba Erdogan³¹, Mehmet Polatli³², Dane Ediger³³, Fatma Esra Gunaydin³³, Leyla Pur³⁴, Zeynep Yegin Katran⁹, Yonca Sekibag⁸, Enes Furkan Aykac⁸, Dilsad Mungan⁴, Ozcan Gul⁴, Ali Cengiz⁴, Bulent Akkurt¹², Seyma Ozden⁹, Semra Demir¹⁰, Derya Unal¹⁰, Ayse Feyza Aslan¹⁰, Ali Can¹⁰, Reyhan Gumusburun²⁰, Gulhan Bogatekin²⁰, Hatice Serpil Akten²⁰, Sinem Inan²⁰, Munevver Erdinc³⁵, Aliye Candan Ogus¹⁹, Murat Kavas⁹, Demet Polat Yulug³⁶, Mehmet Erdem Cakmak¹³, Saltuk Bugra Kaya¹³, Gulistan Alpagat¹⁵, Eylem Sercan Ozgur¹⁹, Oguz Uzun³⁷, Sule Tas Gulen³², Gulseren Pekbak³³, Deniz Kizilirmak³⁸, Yavuz Havlucu³⁸, Halil Donmez³⁹, Gulden Pacaci Cetin^{1

11}, Sadan Soyyigit²², Bilge Yilmaz Kara²⁷, Gulden Pasaoglu Karakis⁴⁰, Adile Berna Dursun^{39

41}, Resat Kendirlinan⁴², Ayse Bilge Ozturk⁴³, Can Sevinc⁴⁴, Gokcen Omeroglu Simsek⁴⁴, Oznur Abadoglu⁴⁵, Pamir Cerci⁴⁶, Taskin Yucel⁴⁷, Irfan Yorulmaz⁴⁸, Zahide Ciler Tezcaner⁴⁸, Emel Cadalli Tatar⁴⁹, Ahmet Emre Suslu^{48

50}, Serdar Ozer⁴⁷, Engin Dursun⁵¹, Arzu Yorgancioglu³⁸, Gulfem Elif Celik⁴, Mehmet Atilla Uysal¹⁶

Affiliations

¹ Erciyes University, School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Kayseri, Turkey.
² University of Health Sciences, Kayseri City Training and Research Hospital, Clinic of Allergy and Immunology, Kayseri, Turkey.
³ Erzincan Binali Yıldırım University School of Medicine, Department of Biostatistics and Health Informatics, Erzincan, Turkey.
⁴ Ankara University School of Medicine, Department of Chest Disease, Division of Immunology and Allergy, Ankara, Turkey.
⁵ Ankara University Faculty of Medicine, Department of Biostatistics, Ankara, Turkey.
⁶ University of Health Sciences, Ankara Ataturk Sanatoryum Training and Research Hospital, Department of Immunology and Allergy, Ankara, Turkey.
⁷ Ankara City Hospital Clinic of Immunology and Allergic Diseases, Ankara, Turkey.
⁸ Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Pulmonary Diseases, Istanbul, Turkey.
⁹ University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Immunology and Allergy, Istanbul, Turkey.
¹⁰ Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul, Turkey.
¹¹ University of Health Sciences, Kocaeli Derince Training and Research Hospital, Clinic of Allergy and Immunology, Kocaeli, Turkey.
¹² University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Department of Chest Diseases, Division of Allergy and Immunology, Izmir, Turkey.
¹³ Hacettepe University, Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Ankara, Turkey.
¹⁴ Diyarbakir Gazi Yasargil Training and Research Hospital, Clinic of Immunology and Allergic Diseases, Diyarbakır, Turkey.
¹⁵ Kirikkale University, Faculty of Medicine, Department of Allergy and Immunology, Kirikkale, Turkey.
¹⁶ University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Istanbul, Turkey.
¹⁷ Mehmet Akif Inan Training and Research Hospital, Clinic of Immunology and Allergy Diseases, Sanliurfa, Turkey.
¹⁸ Mersin University, Faculty of Medicine, Department of Chest Diseases, Mersin, Turkey.
¹⁹ Akdeniz University, Faculty of Medicine, Department of Chest Diseases, Antalya, Turkey.
²⁰ Ege University, Faculty of Medicine, Pulmonary, Immunology and Allergy, Izmir, Turkey.
²¹ Ordu University, Training and Research Hospital, Department of Pulmonology, Ordu, Turkey.
²² Ankara Yildirim Beyazit University, Faculty of Medicine, Ankara City Hospital, Clinic of Immunology and Allergic Diseases, Ankara, Turkey.
²³ Medicana International Ankara Hospital, Division of Allergy and Immunology, Ankara, Turkey.
²⁴ American Hospital, Adult Allergy, and Immunology Department, Istanbul, Turkey.
²⁵ Kocaeli University, Faculty of Medicine, Department of Pulmonary Diseases, Kocaeli, Turkey.
²⁶ Cyprus Internatıonal Unıversıty, School of Medicine, Department of Pulmonary Diseases, Haspolat, Cyprus.
²⁷ Recep Tayyip Erdoğan University, School of Medicine, Department of Chest Diseases, Rize, Turkey.
²⁸ Bursa City Hospital, Clinic of Immunology and Allergic Diseases, Bursa, Turkey.
²⁹ Gazi University, School of Medicine, Department of Pulmonary Diseases, Ankara, Turkey.
³⁰ Ataturk University, Faculty of Medicine, Department of Pulmonary Disease, Erzurum, Turkey.
³¹ Baskent University, Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergy, Ankara, Turkey.
³² Aydin Adnan Menderes University, School of Medicine, Department of Pulmonology, Aydin, Turkey.
³³ Bursa Uludag University, Faculty of Medicine, Department of Chest Diseases, Division of Immunology and Allergy, Bursa, Turkey.
³⁴ Adult Allergy Service, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK.
³⁵ Ege University, Faculty of Medicine, Department of Pulmonology, Izmir, Turkey.
³⁶ Mersin City Training and Research Hospital, Clinic of Chest Diseases, Mersin, Turkey.
³⁷ Ondokuz Mayis University, Department of Pulmonary Medicine, Samsun, Turkey.
³⁸ Manisa Celal Bayar University, Faculty of Medicine, Department of Pulmonology, Manisa, Turkey.
³⁹ Recep Tayyip Erdogan University, School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Rize, Turkey.
⁴⁰ Biruni University, School of Medicine, Department of Chest Diseases, Istanbul, Turkey.
⁴¹ Lokman Hekim University, Medical School, Department of Respiratory Medicine, Ankara, Turkey.
⁴² Izmir Katip Celebi University, Ataturk Training and Research Hospital, Clinic of Immunology and Allergic Diseases, Izmir, Turkey.
⁴³ Medeniyet University, Faculty of Medicine, Department of Allergy and Immunology, Istanbul, Turkey.
⁴⁴ Dokuz Eylul University, School of Medicine, Department of Respiratory Diseases, Izmir, Turkey.
⁴⁵ Private Immunology and Allergy Clinic, Istanbul, Turkey.
⁴⁶ Van Regional Training and Research Hospital, Clinic of Immunology and Allergic Diseases, Van, Turkey.
⁴⁷ Hacettepe University, School of Medicine Department of Ear Nose and Throat, Ankara, Turkey.
⁴⁸ Ankara University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Ankara, Turkey.
⁴⁹ University of Health Sciences, Etlik City Hospital, Department of Otolaryngology, Ankara, Turkey.
⁵⁰ Ahmet Emre Suslu Private Ear Nose and Throat Clinic, Ankara, Turkey.
⁵¹ Lokman Hekim University, Faculty of Medicine, Department of Otorhinolaryngology, Ankara, Turkey.

PMID: 39865387
PMCID: PMC11761715
DOI: 10.1002/clt2.70018

Socioeconomic status has direct impact on asthma control: Turkish adult asthma registry

Bahar Arslan et al. Clin Transl Allergy. 2025 Jan.

. 2025 Jan;15(1):e70018.

doi: 10.1002/clt2.70018.

Authors

Affiliations

¹ Erciyes University, School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Kayseri, Turkey.
² University of Health Sciences, Kayseri City Training and Research Hospital, Clinic of Allergy and Immunology, Kayseri, Turkey.
³ Erzincan Binali Yıldırım University School of Medicine, Department of Biostatistics and Health Informatics, Erzincan, Turkey.
⁴ Ankara University School of Medicine, Department of Chest Disease, Division of Immunology and Allergy, Ankara, Turkey.
⁵ Ankara University Faculty of Medicine, Department of Biostatistics, Ankara, Turkey.
⁶ University of Health Sciences, Ankara Ataturk Sanatoryum Training and Research Hospital, Department of Immunology and Allergy, Ankara, Turkey.
⁷ Ankara City Hospital Clinic of Immunology and Allergic Diseases, Ankara, Turkey.
⁸ Istanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Pulmonary Diseases, Istanbul, Turkey.
⁹ University of Health Sciences Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Immunology and Allergy, Istanbul, Turkey.
¹⁰ Istanbul University, Istanbul Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergic Diseases, Istanbul, Turkey.
¹¹ University of Health Sciences, Kocaeli Derince Training and Research Hospital, Clinic of Allergy and Immunology, Kocaeli, Turkey.
¹² University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, Department of Chest Diseases, Division of Allergy and Immunology, Izmir, Turkey.
¹³ Hacettepe University, Faculty of Medicine, Department of Chest Diseases, Division of Allergy and Clinical Immunology, Ankara, Turkey.
¹⁴ Diyarbakir Gazi Yasargil Training and Research Hospital, Clinic of Immunology and Allergic Diseases, Diyarbakır, Turkey.
¹⁵ Kirikkale University, Faculty of Medicine, Department of Allergy and Immunology, Kirikkale, Turkey.
¹⁶ University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Chest Diseases, Istanbul, Turkey.
¹⁷ Mehmet Akif Inan Training and Research Hospital, Clinic of Immunology and Allergy Diseases, Sanliurfa, Turkey.
¹⁸ Mersin University, Faculty of Medicine, Department of Chest Diseases, Mersin, Turkey.
¹⁹ Akdeniz University, Faculty of Medicine, Department of Chest Diseases, Antalya, Turkey.
²⁰ Ege University, Faculty of Medicine, Pulmonary, Immunology and Allergy, Izmir, Turkey.
²¹ Ordu University, Training and Research Hospital, Department of Pulmonology, Ordu, Turkey.
²² Ankara Yildirim Beyazit University, Faculty of Medicine, Ankara City Hospital, Clinic of Immunology and Allergic Diseases, Ankara, Turkey.
²³ Medicana International Ankara Hospital, Division of Allergy and Immunology, Ankara, Turkey.
²⁴ American Hospital, Adult Allergy, and Immunology Department, Istanbul, Turkey.
²⁵ Kocaeli University, Faculty of Medicine, Department of Pulmonary Diseases, Kocaeli, Turkey.
²⁶ Cyprus Internatıonal Unıversıty, School of Medicine, Department of Pulmonary Diseases, Haspolat, Cyprus.
²⁷ Recep Tayyip Erdoğan University, School of Medicine, Department of Chest Diseases, Rize, Turkey.
²⁸ Bursa City Hospital, Clinic of Immunology and Allergic Diseases, Bursa, Turkey.
²⁹ Gazi University, School of Medicine, Department of Pulmonary Diseases, Ankara, Turkey.
³⁰ Ataturk University, Faculty of Medicine, Department of Pulmonary Disease, Erzurum, Turkey.
³¹ Baskent University, Faculty of Medicine, Department of Internal Medicine, Division of Immunology and Allergy, Ankara, Turkey.
³² Aydin Adnan Menderes University, School of Medicine, Department of Pulmonology, Aydin, Turkey.
³³ Bursa Uludag University, Faculty of Medicine, Department of Chest Diseases, Division of Immunology and Allergy, Bursa, Turkey.
³⁴ Adult Allergy Service, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK.
³⁵ Ege University, Faculty of Medicine, Department of Pulmonology, Izmir, Turkey.
³⁶ Mersin City Training and Research Hospital, Clinic of Chest Diseases, Mersin, Turkey.
³⁷ Ondokuz Mayis University, Department of Pulmonary Medicine, Samsun, Turkey.
³⁸ Manisa Celal Bayar University, Faculty of Medicine, Department of Pulmonology, Manisa, Turkey.
³⁹ Recep Tayyip Erdogan University, School of Medicine, Department of Chest Diseases, Division of Allergy and Immunology, Rize, Turkey.
⁴⁰ Biruni University, School of Medicine, Department of Chest Diseases, Istanbul, Turkey.
⁴¹ Lokman Hekim University, Medical School, Department of Respiratory Medicine, Ankara, Turkey.
⁴² Izmir Katip Celebi University, Ataturk Training and Research Hospital, Clinic of Immunology and Allergic Diseases, Izmir, Turkey.
⁴³ Medeniyet University, Faculty of Medicine, Department of Allergy and Immunology, Istanbul, Turkey.
⁴⁴ Dokuz Eylul University, School of Medicine, Department of Respiratory Diseases, Izmir, Turkey.
⁴⁵ Private Immunology and Allergy Clinic, Istanbul, Turkey.
⁴⁶ Van Regional Training and Research Hospital, Clinic of Immunology and Allergic Diseases, Van, Turkey.
⁴⁷ Hacettepe University, School of Medicine Department of Ear Nose and Throat, Ankara, Turkey.
⁴⁸ Ankara University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Ankara, Turkey.
⁴⁹ University of Health Sciences, Etlik City Hospital, Department of Otolaryngology, Ankara, Turkey.
⁵⁰ Ahmet Emre Suslu Private Ear Nose and Throat Clinic, Ankara, Turkey.
⁵¹ Lokman Hekim University, Faculty of Medicine, Department of Otorhinolaryngology, Ankara, Turkey.

PMID: 39865387
PMCID: PMC11761715
DOI: 10.1002/clt2.70018

Abstract

Background: Asthma is one of the most common causes of chronic respiratory disease, and countries with low socioeconomic status have both a high prevalence of asthma and asthma-related death.

Objective: In this study, we aimed to determine socioeconomic levels of asthmatic patients according to a national database and investigate the effects of social markers on disease control in our region.

Methods: This is an analysis of data from 2053 adult asthma patients from a multicentre chart study in Turkey. Socioeconomic status (SES) data were collected from questionnaires and this form was sent to the patients via e-mail. Parameters related to social status and poor disease control were analyzed.

Results: Illiteracy (OR:2.687 [95% CI: 1.235-5.848]; p = 0.013) and lower household income (OR:1,76 [95% CI: 1.002-3.09]; p = 0.049) were found as independent risk factors for hospitalization in the multivariate logistic regression analysis. Therewithal, being aged between 40 and 60 (OR: 1.435 [95% CI: 1.074-1.917]; p = 0.015), illiteracy (OR: 2.188 [95% CI: 1.262-3.795]; p = 0.005) and being employed (OR: 1.466 [95% CI: 1.085-1.847]; p = 0.011) were considered as independent risk factors for systemic corticosteroid use at least 3 days within last 1 year.

Conclusion: As a result of our national database, education level, household income and working status briefly socioeconomic status have impacts on asthma control. Identification of social markers in asthma and better recognition of risk factors based on the population gives us clues to provide better asthma control in the future.

Keywords: asthma; asthma control; education level; household income; illiteracy; national database; social markers; socioeconomic status.

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Conflict of interest statement

All authors declare that they do not have any potential conflicts of interest in relation to any aspect of this work.

References

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Socioeconomic status has direct impact on asthma control: Turkish adult asthma registry

Affiliations

Socioeconomic status has direct impact on asthma control: Turkish adult asthma registry

Authors

Affiliations

Abstract

Conflict of interest statement

References

Grants and funding

LinkOut - more resources

Full Text Sources

Research Materials