Factors Associated with Underutilization of Inhalation Corticosteroids among Asthmatic Patients Attending Tikur Anbessa Specialized Hospital

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Addis Ababa University


Inhalation Corticosteroids (ICS) is a cornerstone medicine for preventive therapy of persistence asthma. However, underutilization of ICS is common and little is known about factors contributing to this underutilization. The objective of this study was to assess factors associated with underutilization of ICS in asthmatic patients. A cross-sectional study involving interview was conducted among asthmatic patients attending chest clinic of Tikur Anbessa Specilized Hospital (TASH) from 1 May to 31 July, 2014. A total of 131 patients were included in the study. In addition, physicians working at the chest clinic of TASH were also requested to fill out a selfadministered questionnaire. A multivariate logistic regression was employed to examine the association between variables. Overall, underutilization of ICS from patients’ perspective was found to be 64.7%. Monthly income, comorbidity and manners of ICS use were found to be significantly associated with underutilization of ICS. Patients’ reported reasons for underutilization of ICS include; unaffordability, using only when symptoms appear, inaccessibility, side effects and recommendation by physicians. Similarly, physicians reported unaffordability, fear of side effects and dependency, and inaccessibility as reasons for underutilization of ICS. In this setting, prevalence of underutilization of ICS was high, and is associated with unaffordability and inaccessibility of ICS, patients’ poor knowledge of asthma and ICS, negative attitude toward ICS, and absence of local guideline for asthma management. Thus, concerned authorities need to take measures that ensure availability of ICS at an affordable price and increase awareness of patients on ICS and asthma. Key words: - Inhalation corticosteroids, Underutilization, Asthma



Inhalation corticosteroids, Underutilization, Asthma