Abstract:

Asthma is a serious global health problem that affects people of all backgrounds and ages with morbidity and mortality higher among older school-age children and early adolescents which causes have been attributed to inadequate knowledge and the wrong perceptions about asthma. The study assessed the level of knowledge and perceptions of asthma; investigated the association of certain demographic characteristics with the level of asthma knowledge and perceptions and determined the correlation between the asthma knowledge and perceptions among secondary school students of Ambassadors College, Ile-Ife, Nigeria. It is a cross- sectional study which used a pre-tested 71- item, purpose designed, self- administered questionnaires to collect information on knowledge and perceptions of the respondents on asthma. Data were collated and analyzed based on descriptive and inferential study design. The result showed that the majority of the respondents had intermediate level of asthma knowledge (68.5%, 285). It also showed that majority of the respondents 63.7% (265) have intermediate level of asthma perceptions. In addition, the result showed significant association between asthma knowledge score and age; and class of the respondents (p <0.05). It also showed a significant association between asthma perceptions scores and age; and class of the students (p <0.05). The results also showed significant correlation between asthma knowledge and perceptions scores of the students (p <0.05). It was, therefore, concluded that the secondary school students of Ambassadors College, Ile- Ife, Nigeria have intermediate asthma knowledge and perceptions levels.

Keywords: Asthma, knowledge, perceptions.

References:

[1]. Accordini, S., Corsico, A.G., Braggion, M., Gerbase, M.W., Gislason, D., Gulsvik, A., et al (2013). The cost of persistent asthma in Europe: an international population-based study in adults. Int Arch Allergy Immunol. 160 (1). 93-101.

[2]. Addo-Yobo, E.O., Woodcock, A., Allotey, A., Baffoe-Bonnie, B., Strachan, D., Custovic, a (2007). Exercise-induced bronchospasm and atopy in Ghana: two surveys ten years apart. PLoS Med. 4:e70.

[3]. Adeloye, D., Chan, Y.K., Rudan, I., Campbell, H (2013). An estimate of asthma prevalence in Africa: a systematic analysis. Croat Med J. 54:519–31.

[4]. Ait-Khaled, N., Odhiambo, J., Pearce, N., Adjoh, K.S., Maesano, I.A., Benhabyles, B., et al (2007). Prevalence of symptoms of asthma, rhinitis and eczema in 13- to 14-year-old children in Africa: the International Study of Asthma and Allergies in Childhood Phase III. Allergy. 62:247-58. Medline: 17298341 doi:10.1111/j.1398-9995.2007.01325.x.

[5]. Akinbami, L. (2006). Asthma Prevalence, Health Care Use and Mortality: United States 2003-2005). CDC National Center for Health Statistics.

[6]. Al Ghobain, M.O., Al-Hajjaj, M.S., Al Moamary, M.S (2012). Asthma prevalence among 16- to 18-year-old adolescents in Saudi Arabia using the ISAAC Questionnaire. BMC Public Health. 12:239

[7]. Anwar, H., Hassan, N., Jaffer, N., Al Sadri, E (2008). Asthma knowledge among asthmatic school students. Oman Medical Journal. Volume 23. Issue 2. Pp 90-95.

[8]. Asher, I., Pearce, N (2014). Global burden of asthma among children. Int J Tuberc Lung Dis. 18 (11): 1269- 78.

[9]. Asher, M.I., Montefort, S., Björkstén, B., Lai, C.K., Strachan, D.P., Weiland, S.K., et al (2006). Worldwide time trends in the prevalence of symptoms of asthma, allergic rhino conjunctivitis, and eczema in childhood: ISAAC phases one and three repeat multicountry cross-sectional surveys. Lancet. 368:733e43.

[10].  Awotedu, A.A., Irusen, E.M (2012). Asthma in Africa. Ist Edition. University of Ibadan.

[11].  Bousquet, J., Mantzouranis, E., Cruz, A.A., Ait-Khaled, N., Baena-Cagnani, C.E., Bleecker, ER, et al (2010). Uniform definition of asthma severity, control, and exacerbations: document presented for the World Health Organization Consultation on Severe Asthma. J Allergy.

[12].  Braman, S.S (2006). The global burden of asthma. Chest. 130:4S-12S.Medline:16840363 doi:10.1378/chest.130.1_suppl.4S.

[13].  British Thoracic Society (2016). The BTS/SIGN Guideline for the management of Asthma.

[14].  Burns, J.J., Sadof, M., Kamat, D (2006). The adolescent with a chronic illness or condition. Ann Pediatr. 35:207–213.

[15].  Center for Disease Control and Prevention (CDC) (2012). National Surveillance of Asthma: United States, 2001-2010 (DHHS Publication No. (PHS) 2013-1419). Retrieved from http://www.cdc.gov/nchs/data/series/sr_03/sr03_035.pdf.

[16].  Chen, E., Hermann, C., Rodgers, D., Oliver-Welker, T., Strunk, R.C (2006).Symptom perception in childhood asthma: the role of anxiety and asthma severity. Health Psychol. 25(3):389-395.

[17].  Desalu, O.O., Abdurrahman, A.B., Adeoti, A.O., Oyedepo, O.O (2013). Impact of Short-Term Educational Interventions on Asthma Knowledge and metered-dose Inhaler Techniques among Post Basic Nursing Students in Ilorin, Nigeria- Result of a Pilot study. Sudan JMS. Volume 8. Number 2. Pp 77-84.

[18].  Duksal, F., Becerir, T., Ergin, A., Akcay, A., Guler, N (2014). The prevalence of asthma diagnosis and symptoms is still increasing in early adolescents in Turkey. Allergology International. 63: 189- 197. http:// dx.doi.org/10.2332/ allergolint.13-OA-0612.

[19].  Evers, U., Jones, S.C., Caputi, P., Iverson, D (2013). The asthma knowledge and perceptions of older Australian adults: Implications for social marketing campaigns. Patient Educ Couns. 91:392–9.

[20].  Fadzil, A., Norzila, M.Z (2002). Parental asthma knowledge. Med J Malaysia. Vol 57. No 4. Pp 474-481.

[21].  Figueiras, M. J.,Alves, N. C. (2007). Lay perceptions of serious illnesses: An adapted version of the Revised Illness Perception Questionnaire (IPQ-R) for healthy people. Psychology and Health 22, 143-158.

[22].  Fitzclarence, C., Henry, R (1990). Validation of an asthma knowledge questionnaire. Journal of Paediatrics and Child Health, 26:200-204.

[23].  Gibson, P.G., Henry, R.L., Vimpani, G.V., Halliday, J (1995). Asthma knowledge, attitudes, and quality of life in adolescents. Arch Dis Child. 73(4). 321-326.

[24].  Gibson, P.G., Shah, S., Mamoon, H.A. (1998). Peer-led asthma education for adolescents: Impact evaluation. Journal of Adolescent Health, 22, 66-72.

[25].  GINA (2014). Global Burden of Asthma Report. Global Initiative for Asthma, 2014.

[26].  Glazebrook, C., Mcpherson, A.C., Macdonald, I.A., Swift, J.A., Ramsay, C., Newbould, R., Smyth, A (2006). Asthma as a barrier to children's physical activity: implications for body mass index and mental health Pediatrics. 118(6), 2443-2449.

[27].  Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention - 2010 updated. Geneva: Global Initiative for Asthma. 2010. Available at: http://www.ginasthma.org.

[28].  Health Interview Survey, CHIS; 2001/2003.

[29].  Kaptein, A.A., Hughes, B.M., Scharloo, M., Fischer, M.J., Snoei, L., Weinman, J., Rabe, K.F (2008). Illness Perceptions About Asthma Are Determinants of Outcome. Journal of Asthma. 45.459–464. DOI: 10.1080/02770900802040043.

[30].  Kintner, E., Cook, G., Marti, C.N., Stoddard, D., Gomes, M., Harmon, P., Van Egeren, L.A (2015). Comparative Effectiveness on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counseling Program and a Non-Academic Program. Res Nurs Health. 38(6):423-35. Doi: 10.1002/nur.21678.

[31].  Lai, C.K., Beasley, R., Crane, J., Foliaki, S., Shah, J., Weiland, S (2009). Global variation in the prevalence and severity of asthma symptoms: phase three of the International Study of Asthma and Allergies in Childhood (ISAAC). Thorax. 64(6). 476-83. doi: 10.1136/thx.2008.106609.

[32].  Malo, J.L., Chan-Yeung, M (2009). Agents causing occupational asthma. J Allergy Clin Immunol. 123. 545–50.

[33].  Marsden, E.J., Somwe, W.S., Chabala, C., Soriano, J.B., Valles, C.P., Anchochea, J (2016). Knowledge and perceptions of asthma in Zambia: a cross- sectional survey. BMC Pulmonary Medicine. 16. 33. Doi: 10.1186/s 12890-016-0195-3.

[34].  Masoli, M., Fabian, D., Holt, S., Beasley, R. (2004). The Global Burden of Asthma: Executive Summary of the GINA Dissemination Committee Report. Allergy, 59(5), 469-478.

[35].  Maspero, J.F., Jardim, J.R., Aranda, A., Paolo Tassinari, C., Gonzalez-Diaz, S.N., Sansores, R.H., Moreno-Cantu, J.J., Fish, J.E (2013). Insights, attitudes, and perceptions about asthma and its treatment: findings from a multinational survey of patients from Latin America. World Allergy Organization Journal. 6:19. Pp 1-7.

[36].  Meyer, I.H., Sternfels, P., Fagan, J.K., Copeland, L., Ford, J.G (2001). Characteristics and Correlates of Asthma Knowledge among Emergency Department Users in Harlem. Journal of Asthma. Volume 38. Issue 7. Pp 531-539.

[37].  Musa, B.M., M.D.A (2014). Asthma prevalence in Nigerian adolescents and adults: systematic review and meta-analysis. Afr J Respir Med. 10(1): 4-9.

[38].  Ndiaye, M., Ndir, M., Hane, A.A., Michel, F.B., Bousquet, J (2004). Application of the WHO chronic respiratory diseases programme in Sub-Saharian Africa: problems in Senegal [in French]. Rev Mal Respir. 21:479-91. Medline: 15292840 doi: 10.1016/S0761-8425(04)71352-2.

[39].  Obaseki, D.O., Awoniyi, F.O., Awopeju, O.F., Erhabor, G.E (2014). Low prevalence of asthma in sub Saharan Africa: A cross sectional community survey in a suburban Nigerian town. Respir Med. 108 (11). 1581- 1588.

[40].  Ober, C. (2005). Perspectives on the Past Decade of Asthma Genetics. J Allergy Clinical Immunol, 116, 274–278.

[41].  Oluwole, O., Ana, G.R., Arinola, G.O., Wiskel, T., Falusi, A.G., Huo, D et al (2013). Effect of stove intervention on household air pollution and the respiratory health of women and children in rural Nigeria. Air Qual Atmos Health. 6(3): 553-61.

[42].  Oluwole, O., Arinola, G.O., Huo, D., Olopade, O.O (2017). Household biomass fuel use, asthma symptoms severity, and asthma under-diagnosis in rural school children in Nigeria: a cross- sectional observational study. BMC Pulmonary Medicine. 17: 3. Doi:10.1186/s12890-016-0352-8.

[43].  Pearce, N., Aıt-Khaled, N., Beasley, R., Mallol, J., Keil, U., Mitchell, E., Robertson, C (2007). Worldwide trends in the prevalence of asthma symptoms: phase III of the international study of asthma and allergies in childhood (ISAAC). Thorax. 62:758- 766.

[44].  Ponieman, D., Wisnivesky, P.J., Leventhal, H., Musumeci-Szabo, J.T., Halm, A.E (2009). Impact of positive and negative beliefs about inhaled corticosteroids on adherence in inner-city asthmatic patients. Ann Allergy Asthma Immunol. 103:38–42.

[45].  Promtussananon, S (2003). Perceptions on physiopathology and preferred treatment of epilepsy and asthma in the Limpopo Province, South Africa. Health. SA Gesondheid. March, 2003. ISSN: 1025-9848.

[46].  Sharda, A. J., Shetty, S. (2008). A comparative study of oral health knowledge, attitude and behaviour of first and final year dental students of Udaipur city, Rajasthan, India. Int J Dent Hyg. 6(4). 347-353. Doi: 10.1111/j.1601-5037.2008.00308.x.

[47].  Shimwela, M., Mwita, J.C., Mwandri, M., Rwegerera, G.M., Mashalla, Y., Mugusi, F (2014). Asthma prevalence, knowledge, and perceptions among secondary school pupils in rural and urban coastal districts in Tanzania. BMC Public Health.14:387-393.

[48].  Sullivan, P.W., Ghushchyan, V.H., Slejko, J.F., Belozeroff, V., Globe, D.R., Lin, S.L (2011). The burden of adult asthma in the United States: evidence from the Medical Expenditure Panel Survey. J Allergy Clin Immunol. 127:363-369 e1-3.

[49].  Vos, T., Flaxman, A.D., Naghavi, M, et al (2013). Years lived with disability (YLDs) for 1160 sequalae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 380. 2163-2196. Doi: 10.1016/S0140-6736 (12)61729-2.

[50].  Weinberger, M. (2003). Treatment Strategies for viral respiratory infection induced asthma. J Pediatr; 42 (2 Suppl.): S34-8.

[51].  World Health Organization (2007). Global surveillance, prevention and control of chronic respiratory diseases: a comprehensive approach.

[52].  Zaman, M., Ashraf, S., Javaid, M (2006). Reliability of diagnosis and asthma knowledge, attitudes and perception (KAP) in rural population of NWFP, Pakistan. Pak J Chest Med. 12:17–22.

[53].  Zar, H.J., Ehrlich, R.I., Workman, L., Weinberg, E.G (2007). The changing prevalence of asthma, allergic rhinitis and atopic eczema in African adolescents from 1995 to 2002. Pediatr Allergy Immunol. 18:560-5. Medline:18001427 doi:10.1111/j.1399-3038.2007.00554.x

[54].  Zaraket, R., Al-Tannir, A.M., Bin Abdulhak, A.A., Shatila, A., Lababidi, H (2011). Parental perceptions and beliefs about childhood asthma: a cross-sectional study. Croat Med J. 52:637–43.