The Impact of Cultural Factors, The Level of Health Education Received by the Caregivers, and Stigma on Asthma Treatment among Children in Southern Jordan
DOI:
https://doi.org/10.1590/s2175-97902023e21115Keywords:
Asthma; Stigma; Medication adherence; Health education; CultureAbstract
For asthma treatment in children, caregivers need good knowledge and attitudes regarding the disease and its treatment. This study aimed to determine the impact of cultural factors, the level of health education provided to patients and their families, as well as the impact of stigmatization on the treatment awareness of children with asthma in southern Jordan. A validated questionnaire was used to collect data from a sample of ninety-seven caregivers selected from three hospitals in southern Jordan. Open ended questions were answered after demonstrating the inhaler technique in and evaluated according to the instructions of the National Asthma Education and Prevention Program (NAEPP, 2013). The result revealed moderate knowledge of asthma with a mean score of (22.36/32), as well as moderate knowledge of asthma treatment (24.26/40). A high mean was found for the impact of cultural and environmental factors (22.93/28), whereas low impact was found for stigma with a mean value of (4.73/12). Therefore, to improve future asthma management, additional efforts are required to educate caregivers and improve their asthma awareness and rectify any falsehoods regarding asthma medications by health care providers.
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Abu-Ekteish F, Otoom S, Shehabi I. Prevalence of asthma in Jordan: comparison between Bedouins and urban schoolchildren using the International Study of Asthma and Allergies in Childhood phase III protocol. Allergy Asthma Proc. 2009;30(2):181-185. doi: 10.2500/aap.2009.30.3208
» https://doi.org/10.2500/aap.2009.30.3208
Abu-Rish EY, Elayeh ER, Mousa LA, Butanji YK, Albsoul-Younes AM. Knowledge, awareness and practices towards seasonal influenza and its vaccine: implications for future vaccination campaigns in Jordan. Fam Pract. 2016;33(6):690-697. doi: 10.1093/fampra/cmw086. Epub 2016 Aug 27. doi: 10.1093/fampra/cmw086 .
» https://doi.org/10.1093/fampra/cmw086
Abu-Shaheen AK, Nofal A, Heena H. Parental perceptions and practices toward childhood asthma. Biomed Res Int. 2016: 6364194doi: 10.1155/2016/6364194
» https://doi.org/10.1155/2016/6364194
Al-Anazi A, Al Moamary M, Ismaeli T, Alanazi AN, Olayan L, Alanazi AM, et al. Asthma in the pediatric population: Level of perception among the parents and guardians. Int J Med Public Health. 2015;5(1):14-18. doi:10.4103/2230-8598.151240
» https://doi.org/10.4103/2230-8598.151240
Al Hroob AM, Nawafleh H, Altaif KI, Elfaqir S. Population Prevalence of Asthma in Ma’an Governorate, Jordan. Health Sci J. 2016;10(2):1-4.
ALOtaibi E, ALAteeq M. Knowledge and practice of parents and guardians about childhood asthma at King Abdulaziz Medical City for National Guard, Riyadh, Saudi Arabia. Risk Manage Healthcare Policy. 2018;11: 67-75. doi: 10.2147/ RMHP.S143829
» https://doi.org/10.2147/ RMHP.S143829
Alshahwan S, Obeidat H, Alnajar M, Alduhni A. Jordanian Caregivers General Knowledge about Asthma among Children. J Med J. 2108;52(3):147-157.
Al-sheyab N, Gallagher R, Crisp J, Shah S. Peer-led education for adolescents with asthma in Jordan: a cluster-randomized controlled trial. . 2012;129(1):e106-e112. doi: 10.1542/peds.2011-0346.
» https://doi.org/10.1542/peds.2011-0346
Al-Zayadneh EM, Alnawaiseh NA, Altarawneh AH, Aldmour IH, Albataineh EM, Al-Shagahin H, et al. Sensitization to inhaled allergens in asthmatic children in southern Jordan: a cross-sectional study. Multidiscip Respir Med. 2019;14(1):1-8.doi:10.1016/j.rmed.2015.07.016
» https://doi.org/10.1016/j.rmed.2015.07.016
Basheti IA, Obeidat N, Reddel H. Inhaler technique education and asthma control among patients hospitalized for asthma in Jordan. Saudi Pharm J. 2018;26(8):1127-1136. doi:10.1016/j.jsps.2018.06.002
» https://doi.org/10.1016/j.jsps.2018.06.002
Bhagavayheeswaran K, Kasav YB, Singh AK, Mohan S, Joshi A. Asthma-related knowledge, attitudes, parectices (KAP) of parents of children with bronchial asthma: A hospital-based study. Ann Trop Med Public Health. 2016;9:23-30. doi: 10.4103/1755-6783.168704
» https://doi.org/10.4103/1755-6783.168704
Boutopoulou B, Koumpagioti D, Matziou V, Priftis KN, Douros K. Interventions on adherence to treatment in children with severe asthma: a systematic review. Front Pediatr. 2018;6:232.
De Simoni A, Horne R, Fleming L, Bush A, Griffiths C. What do adolescents with asthma really think about adherence to inhalers? Insights from a qualitative analysis of a UK online forum. BMJ Open. 2017;7(6):e015245. doi:10.1136/ bmjopen-2016-015245. doi: 10.1136/bmjopen-2016-015245
» https://doi.org/10.1136/ bmjopen-2016-015245
Denholm R, van der Werf ET, Hay AD. Use of antibiotics and asthma medication for acute lower respiratory tract infections in people with and without asthma: retrospective cohort study. Respir Res. 2020;21(1):4. doi:10.1186/s12931-019-1233-5
» https://doi.org/10.1186/s12931-019-1233-5
Douglas JG, Elward KS. Asthma. London: Manson Pub. 2010. pp. 27- 29.
Gajanan G, Padbidri V, Chandhury A. Assessment of Knowledge and Attitude of parents Towards the Allergy and Bronchial Asthma in Their Children. Int J Med Public Health . 2016;6(3):121-125. doi:10.5530/ijmedph.2016.3.5
» https://doi.org/10.5530/ijmedph.2016.3.5
Gandhi PK, Kenzik KM, Thompson LA, DeWalt DA, Revicki DA, Shenkman EA, et al. Exploring factors influencing asthma control and asthma-specific health-related quality of life among children. Respir Res . 2013;14(2):1-10. doi: 10.1186/1465-9921-14-26
» https://doi.org/10.1186/1465-9921-14-26
George M, Bender B. New insights to improve treatment adherence in asthma and COPD. Patient Prefer Adherence. 2019; 13: 1325-1334. doi: 10.2147/PPA.S209532 .
» https://doi.org/10.2147/PPA.S209532
Hazir T, Das C, Piracha F, Waheed B, Azam M. Carers’ Perception of childhood asthma and its management in a selected Pakistani community. Arch Dis Child. 2002;87(4):287-290. doi: 10.1136/adc.87.4.287
» https://doi.org/10.1136/adc.87.4.287
Jordan DM, Bush JS, Ownby DR, Waller JL, Tingen MS. The impact of traditional literacy and education on health literacy in adolescents with asthma. J Asthma. 2019;56(8):882-890. doi:10.1080/02770903.2018.1494191
» https://doi.org/10.1080/02770903.2018.1494191
Klok T, Kaptein AA, Duiverman EJ, Brand PL. Long-term adherence to inhaled corticosteroids in children with ashma: observational study. Respir Med. 2015;109(9):1114-9. 10.1016/j.rmed.2015.07.016. DOI: 10.1016/j.rmed.2015.07.016
» https://doi.org/10.1016/j.rmed.2015.07.016
Martinez FD. CD14, endotoxin, and asthma risk: actions and interactions. Proc Am Thorac Soc. 2007;4(3):221-225. doi: 10.1513/pats.200702-035AW.
» https://doi.org/10.1513/pats.200702-035AW
National Asthma Education and Prevention Program website. How to use a metered-dose inhaler. http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_tipsheets.pdf Updated March 2013. Accessed February 28, 2018.
» http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_tipsheets.pdf
Noureddin AA, Shaaban KM, Mohamed SOO, Abdulla A, Mahmoud AA, Salman MST. The knowledge attitude and practice (KAP) of mothers of asthmatic children toward asthma in Khartoum asthma clinics. Sci Rep. 2019;9:12120. doi: 10.1038/s41598-019-48622-2.
» https://doi.org/10.1038/s41598-019-48622-2.
Oubeidat H, Shudifat R, Malkawi OY, Alduhni A, Gyshan HA. Family dynamics in parenting asthmatic child. J Med J . 2010;44(2):216-222.
Pearson WS, Goates SA, Harrykissoon SD, Miller SA. State-based Medicaid costs forpediatric asthma emergency department visits. Prev Chronic Dis. 2014; 11: E108. doi: 10.5888/pcd11.140139.
» https://doi.org/10.5888/pcd11.140139
Roy A, Lurslrchacha L, Halam EA, Xiu-Min Li, Levental H, Wisnivesky JP. Use of herbal remedies and adherence to inhaled corticosteroids among inner-city asthmatic patients. Ann Allergy Asthma Immunol. 2010;104(2):132-8. Doi:10.1016/j.anai.2009.11.024.
» https://doi.org/10.1016/j.anai.2009.11.024
Salvador Jr EZ, Leon NA, Bautista MS, Ayuyao FG. Validation of a questionnaire on asthma knowledge, attitudes and practices among parents of children with asthma for the asthma pediatric education program of the Philippine Heart Center. Phil Heart Center J 2012;16:39-49.
Smeeton NC, Rona RJ, Gregory J, Patrick White, Morgan M. Parental attitudes towards the management of asthma in ethnic minorities. Arch Dis Child . 2007;92(12):1082-1087. doi: 10.1136/adc.2006.112037,1082-1087.
» https://doi.org/10.1136/adc.2006.112037,1082-1087
Soones TN, Lin JL, Wolf MS, O’Conor R, Martynenko M, Wisnivesky JP, et al. Pathways linking health literacy, health beliefs, and cognition to medication adherence in older adults with asthma. J Allergy Clin Immunol. 2017;139(3):804-809. doi:10.1016/j.jaci.2016.05.043.
» https://doi.org/10.1016/j.jaci.2016.05.043
Thomsen SF. Genetics of asthma: an introduction for the clinician. Eur Clin Respir J. 2015;2:10.3402/ecrj.v2.24643. doi: 10.3402/ecrj.v2.24643.
» https://doi.org/10.3402/ecrj.v2.24643
Vasileiou E, Sheikh A, Butler Ch, El Ferkh K, von Wissmann B, Jim McMenamin J, et al. Effectiveness of Influenza Vaccines in Asthma: A Systematic Review and Meta-Analysis. Clin Infect Dis. 2017; 65(8):1388-1395. doi: 10.1093/cid/cix524.
» https://doi.org/10.1093/cid/cix524
Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. (Colabs.) Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1211-1259.
Zaraket R, Al-Tannir M A, Abdulhak A B, Shatila A, Lababidi H. Parental perceptions and beliefs about childhood asthma: a crosssectional study. Croat Med J. 2011;52(5):637-643. doi: 10.3325/cmj.2011.52.637.
» https://doi.org/10.3325/cmj.2011.52.637
Zhao J, Shen K, Xiang L, Zhang G, Xie M, Bai J, et al. The knowledge, attitudes and practices of parents of children with asthma in 29 cities of China: a multi-center study. BMC Pediatric. 2013;13(1):20. doi: 10.1186/1471-2431-13-20.
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