Psychological, social and health behaviour risk factors for deaths certified as asthma: a national case-control study

Sturdy, P. M.; Victor, C. R.; Anderson, H. R.; Bland, J. M.; Butland, B. K.; Harrison, B. D. W.; Peckitt, C.; Taylor, J. C.; Mortality and Severe Morbidity Working Group of the National Asthma Task Force
December 2002
Thorax;Dec2002, Vol. 57 Issue 12, p1034
Academic Journal
journal article
Background: Uncontrolled studies suggest that psychosocial factors and health behaviour may be important in asthma death. Methods: A community based case-control study of 533 cases, comprising 78% of all asthma deaths under age 65 years and 533 hospital controls individually matched for age, district and asthma admission date corresponding to date of death was undertaken in seven regions of Britain (1994-98). Data were extracted blind from anonymised copies of primary care records for the previous 5 years and non-blind for the earlier period. Results: 60% of cases and 63% of controls were female. The median age in both groups was 53. Cases had an earlier age of asthma onset, more chronic obstructive lung disease, and were more obese. 48% of cases and 42% of controls had a health behaviour problem; repeated non-attendance/poor inhaler technique was related to increased risk of death. Overall, 85% and 86%, respectively, had a psychosocial problem. Four psychosocial factors were associated with increased risk of death (psychosis, alcohol/drug abuse, financial/employment problems, learning difficulties) and two with reduced risk (anxiety/prescription of antidepressant drugs and sexual problems). While alcohol/drug abuse lost significance after adjustment for psychosis, other associations appeared independent of each other and of indicators of severity and co-morbidity. None of the remaining 13 factors including family problems, domestic abuse, bereavement, and social isolation were significantly related to risk of asthma death. Conclusion: There was an apparently high burden of psychosocial problems in both cases and controls. The associations between health behaviour, psychosocial factors, and asthma death are varied and complex with a limited number of factors showing positive relationships.


Related Articles

  • Asthma in an Urban Population in Portugal: A prevalence study. Sousa, Jaime Correia de; Santo, Maria Espírito; Colaço, Tânia; Almada-Lobo, Filipa; Yaphe, John // BMC Public Health;2011 Supplement 4, Vol. 11 Issue Suppl 4, p347 

    Background: The prevalence and incidence of asthma are believed to be increasing but research on the true incidence, prevalence and mortality from asthma has met methodological obstacles since it has been difficult to define and diagnose asthma in epidemiological terms. New and widely accepted...

  • Ten-year longitudinal study of factors influencing nocturnal asthma symptoms among Asian patients in primary care. Ngiap Chuan Tan; Nadkarni, Nivedita V.; Weng Kit Lye; Sankari, Usha; van Hai Nguyen // Primary Care Respiratory Society UK;10/29/2015, p1 

    BACKGROUND: Nocturnal asthma symptoms result in poor quality of life and morbidity. AIMS: This study primarily examines key factors predicting and mitigating nocturnal symptom risks among asthma patients, who were enrolled into a Singapore publicly funded asthma care programme. It also studies...

  • Sudden death in asthma: discussion paper. Cushley, M. J.; Tattersfield, A. E. // Journal of the Royal Society of Medicine;Aug1983, Vol. 76 Issue 8, p662 

    The article discusses severe asthma as the cause of sudden death of a number of people in Great Britain annually. According to a survey, the fatality rate of the disease remained to be constant for the period of 30 years despite the use of oral and inhaled corticosteroids, selective beta-2...

  • THE ASTHMA TRAP. Corbett, Sara // Mother Jones;Mar/Apr2005, Vol. 30 Issue 2, p58 

    Presents information on the prevalence of asthma in Chicago, Illinois. Pathogenesis of asthma; Causes of asthma attack; Role of environmental changes in the increasing number of people with asthma.

  • More Than Half of US Asthma Cases May Be Linked to Atopy.  // Pulmonary Reviews;Nov2007, Vol. 12 Issue 11, p16 

    The article discusses research being done on asthma cases in the U.S. attributed to atopy. It references a study by Darryl C. Zeldin and colleagues published in the September 21, 2007 issue of the "Journal of Allergy and Clinical Immunology." NIH researchers found that more than half of current...

  • Independent Nurse: Opinion - NSF should target all respiratory disease. Bower, Emma // GP: General Practitioner;7/29/2005, p16 

    The article focuses on the recommendation of chief medical officer Liam Donaldson's report that the government should formulate a new NSF for COPD. An NSF for COPD would force trusts to address many of the issues. In particular it would encourage improved working between primary and secondary...

  • Authors' reply to 'Explaining differential effects of tiotropium on mortality in COPD'. Jenkins, Christine; Beasley, Richard // Thorax;Jun2013, Vol. 68 Issue 6, p590 

    A response from the author of an article related to effects of tiotropium on mortality in chronic obstructive pulmonary disease (COPD) is presented.

  • A question of quality? A single questionnaire for measuring asthma control, structuring asthma reviews, and monitoring health service standards. Pinnock, Hilary; Lester, Helen // Primary Care Respiratory Journal;Jun2012, Vol. 21 Issue 2, p122 

    The author reflects on a study regarding the questions that need to be addressed in describing the Active Life with Asthma (ALMA). The questions include the structure of a primary care consultation, the proper clinical practice and the impact of template on an asthma review. It also adds the...

  • How do dyspnoea scales compare with measurement of functional capacity in patients with COPD and at risk of COPD? Boer, Lonneke M.; Asijee, Guus M.; Van Schayck, Onno C. P.; Schermer, Tjard R. J. // Primary Care Respiratory Journal;Jun2012, Vol. 21 Issue 2, p202 

    Background: In primary care, formal functional capacity testing is not always feasible. Guidelines for family practitioners suggest the use of dyspnoea scales to assess exercise tolerance in patients with chronic obstructive pulmonary disease (COPD). Aims: To examine whether the use of...


Read the Article


Sign out of this library

Other Topics