final report - philippines asthma insights and realities in asia pacific (airiap) study
Post on 11-Jan-2016
219 Views
Preview:
TRANSCRIPT
Final Report - Philippines Final Report - Philippines
ASTHMA INSIGHTS AND REALITIES IN ASIA PACIFIC
(AIRIAP) STUDY
ASTHMA INSIGHTS AND REALITIES IN ASIA PACIFIC
(AIRIAP) STUDY
22
(Total Household Monthly Income)
Base: All respondents
Philippines (Ph/Month) Philippines 400
AB 50,001 or above 12%
Up C 30,001-50,000 38%
Brd C 8,001-30,000 28%
D 3,001-8,000 23%
Social Economic Class
33
Base: All respondents
Year AIRIAP Total 3207 Philippines 400
16-19 yo. 9% 7%
20 - 29 yo 20% 23%
30 - 39 yo 29% 37%
40 - 49 yo 19% 19%
50 - 59 yo 8% 8%
60 or above 14% 7%
Respondent Age Group
44
Gender of RespondentsGender of Respondents
6476
36
24
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Female Male
6476
36
24
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Female Male
Base: All respondents
55
Household Facilities Household Facilities 97
9391
83
75
5654
31
22
14
0
10
20
30
40
50
60
70
80
90
100
Elec
tricity
Tele
vision
set
Plum
bing
Refrig
erat
or
Ster
eo
Tele
phon
e
Radio
Autom
obile
Air co
nditi
oner
Pers
onal
com
pute
r
% o
f R
esp
on
de
nts
9793
91
83
75
5654
31
22
14
0
10
20
30
40
50
60
70
80
90
100
Elec
tricity
Tele
vision
set
Plum
bing
Refrig
erat
or
Ster
eo
Tele
phon
e
Radio
Autom
obile
Air co
nditi
oner
Pers
onal
com
pute
r
% o
f R
esp
on
de
nts
Base: All Filipino Respondents (400)
66
Home OwnershipHome Ownership
65
20
14
0
10
20
30
40
50
60
70
80
90
100
Philippines (400)
% o
f R
esp
on
de
nts
Own House RentingNeither own or rent Distributed by employerLeasing house on a deposit basis NA
65
20
14
0
10
20
30
40
50
60
70
80
90
100
Philippines (400)
% o
f R
esp
on
de
nts
Own House RentingNeither own or rent Distributed by employerLeasing house on a deposit basis NA
Base: All Filipino respondents (400)
77
2 2
7
17
35 36
0
10
20
30
40
No schooling Someelementary
Completedelementary
Some highschool
Completed highschool
Some college Has a degree
% o
f R
esp
on
de
nts
Education Attainment
Base: All Filipino respondents (400)
88
Q1.1 What do you understand asthma to be?
Base: All respondents
Difficulty in breathing
Coughing/severe
coughing
Trigger - allergens
Sputum production
Airway obstruction
Trigger - environment
al factors
Inflammation of airways
ExhaustionRespiratory problems
Hereditary
AIRIAP Total 3207
69% 24% 10% 8% 2% 7% 13% 3% 8% 4%
Philippines 400 61% 16% 43% 5% * 12% 2% 8% 8% 15%
Understanding of Asthma - Top 10
99
Q1.1 What do you understand asthma to be?
Base: All respondents
Difficulty in breathing
Coughing/severe
coughing
Trigger - allergens
Sputum production
Airway obstruction
Trigger - environment
al factors
Inflammation of airways
ExhaustionRespiratory problems
Hereditary
AIRIAP Total 3207
69% 24% 10% 8% 2% 7% 13% 3% 8% 4%
Philippines 400 61% 16% 43% 5% * 12% 2% 8% 8% 15%
Understanding of Asthma - Top 10
1010
EXECUTIVE SUMMARY - FIGURE 11 Symptom Severity Index by Current Usage of
Medication
EXECUTIVE SUMMARY - FIGURE 11 Symptom Severity Index by Current Usage of
Medication
100 100 100 100
0
10
20
30
40
50
60
70
80
90
100
Severe Persistent (49)Moderate Persistent(36)
Mild Persistent (61)Mild Intermittent (254)
% o
f R
espon
dents
Takes medication Not taking medication
100 100 100 100
0
10
20
30
40
50
60
70
80
90
100
Severe Persistent (49)Moderate Persistent(36)
Mild Persistent (61)Mild Intermittent (254)
% o
f R
espon
dents
Takes medication Not taking medication
QD4 Whether the chosen respondent takes medication?
Base: All Filipino respondents (400)
1111
EXECUTIVE SUMMARY - FIGURE 28Current Usage of Medication
EXECUTIVE SUMMARY - FIGURE 28Current Usage of Medication
100%
84%
16%
0%
20%
40%
60%
80%
100%
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Takes medication Not taking medication
100%
84%
16%
0%
20%
40%
60%
80%
100%
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Takes medication Not taking medication
QD4 Whether the chosen respondent takes medication?
Base: All respondents
1212
Perceived Asthma Status of Population Compared to Ten Years Ago
Perceived Asthma Status of Population Compared to Ten Years Ago
2112
1
8066
12
8
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Increased Decreased Stayed about the sameNa
2112
1
8066
12
8
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Increased Decreased Stayed about the sameNa
Q1. First, based on what you know or have heard, would you say that the percent of (country) residents with asthma has increased, decreased or remained about the same over the past 10 years?
Base: All respondents
1313
Perceived General Health of Asthmatics Compared to Ten Years Ago
Perceived General Health of Asthmatics Compared to Ten Years Ago
31
23
26
35
34 52
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
More healthy now Less healthy now About the same
31
23
26
35
34 52
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
More healthy now Less healthy now About the same
Q2a.Compared to ten years ago, would you say that people with asthma are generally more healthy now, less healthy now or about the same?
Base: All respondents
1414
Q2b. Why do you think people with asthma are more healthy now than ten years ago?
Base: All respondents who say that people with asthma are generally more healthy now
Unaided Reasons
Given
Better understanding of the disease
Better educated
about how to control it
Earlier diagnosis
Better treatment
(not medication)
Better Medicines
/drugs
Better compliance
with instructions
Less smoking
Less pollution
More/Better control of
environmental allergens/trigg
ers
Easier devices
(Inhalers, etc)
Better nutrition
AIRIAP Total 1130
40% 33% 30% 32% 68% 18% 6% 6% 11% 14% 2%
Philippines 102 36% 36% 21% 45% 80% 28% 4% 4% 7% 13% 3%
Reasons For Asthmatics Being More Healthy Today
1515
Q2b. Why do you think people with asthma are more healthy now than ten years ago?
Base: All respondents who say that people with asthma are generally more healthy now
Unaided Reasons
Given
Better understanding of the disease
Better educated
about how to control it
Earlier diagnosis
Better treatment
(not medication)
Better Medicines
/drugs
Better compliance
with instructions
Less smoking
Less pollution
More/Better control of
environmental allergens/trigg
ers
Easier devices
(Inhalers, etc)
Better nutrition
AIRIAP Total 1130
40% 33% 30% 32% 68% 18% 6% 6% 11% 14% 2%
Philippines 102 36% 36% 21% 45% 80% 28% 4% 4% 7% 13% 3%
Reasons For Asthmatics Being More Healthy Today
1616
Q2c. Why do you think people with asthma are less healthy now than ten years ago?
Base: All respondents who say that people with asthma are generally less healthy now
Unaided Reasons Given
Less understanding of the disease
Less educated
about how to control it
Late diagnosis
Worse treatment
(not medication)
Worse medicines /
drugs
Less compliance
with medication instructions
More smoking
More pollution
Less/fewer controls of
environmental allergens /
triggers
Nutrition and diet related factors
AIRIAP Total 1078 12% 11% 10% 4% 5% 8% 31% 82% 25% 4%
Philippines 206 18% 20% 11% 8% 6% 15% 41% 86% 32% 5%
Reasons For Asthmatics Being Less Healthy Today
1717
Q2c. Why do you think people with asthma are less healthy now than ten years ago?
Base: All respondents who say that people with asthma are generally less healthy now
Unaided Reasons Given
Less understanding of the disease
Less educated
about how to control it
Late diagnosis
Worse treatment
(not medication)
Worse medicines /
drugs
Less compliance
with medication instructions
More smoking
More pollution
Less/fewer controls of
environmental allergens /
triggers
Nutrition and diet related factors
AIRIAP Total 1078 12% 11% 10% 4% 5% 8% 31% 82% 25% 4%
Philippines 206 18% 20% 11% 8% 6% 15% 41% 86% 32% 5%
Reasons For Asthmatics Being Less Healthy Today
1818
Perceived Self General HealthPerceived Self General Health
37
58
34
10
3
4 1
2816
8
1
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Excellent Very good Good Only fair Poor Very poor
37
58
34
10
3
4 1
2816
8
1
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Excellent Very good Good Only fair Poor Very poor
Q4. Would you say that (your/your child’s) health, in general, is excellent, very good, good, only fair, poor or very poor?
Base: All respondents
1919
Mean Age When Asthma First Diagnosed
Mean Age When Asthma First Diagnosed
18.1
10.5
0
10
20
AIRIAP Total (3207) Philippines (400)
Me
an
Ag
e (
Ye
ar)
18.1
10.5
0
10
20
AIRIAP Total (3207) Philippines (400)
Me
an
Ag
e (
Ye
ar)
Q5. At what age were (you/ your child) first diagnosed with asthma?
Base: All respondents
2020
Level of Bother Caused by AsthmaLevel of Bother Caused by Asthma
31
43
4334
2020
63
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Very bothersome Somewhat bothersome Not bothersome
Not at all bothersome DK
31
43
4334
2020
63
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Very bothersome Somewhat bothersome Not bothersome
Not at all bothersome DK
Q6a.How bothersome do you find (your / your child’s) asthma/ condition?
Base: All respondents
2121
Experience of Sudden Severe Episodes of Symptoms in the Past 12 Months
Experience of Sudden Severe Episodes of Symptoms in the Past 12 Months
62 61
0
10
20
30
40
50
60
70
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
an
sw
ere
d 'y
es'
62 61
0
10
20
30
40
50
60
70
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
an
sw
ere
d 'y
es'
Q10a. Have (you / your child) had any sudden severe episodes of coughing, or wheezing, or chest tightness or shortness of breath in the past 12 months?
Base: All respondents
2222
Hospitalization for Asthma in Past YearHospitalization for Asthma in Past Year
13.2
4.0
2.1 2.2
0
5
10
15
AIRIAP Total (490) Philippines (81)
Me
an
Sco
re
No. of Times No. of Nights
13.2
4.0
2.1 2.2
0
5
10
15
AIRIAP Total (490) Philippines (81)
Me
an
Sco
re
No. of Times No. of Nights
Q11b. How many times have (you/your child) been hospitalized for asthma in the past year?
Q11c. How many nights in total have (you/ your child) been hospitalized for asthma in the past year?
Base: Respondents who have been hospitalized overnight for asthma in the past 12 months
2424
EXECUTIVE SUMMARY - FIGURE 12Summary of Hospital and Emergency Visits for Asthma in Past Year
EXECUTIVE SUMMARY - FIGURE 12Summary of Hospital and Emergency Visits for Asthma in Past Year
30%
15%
29%
27%
20%
19%
0% 5% 10% 15% 20% 25% 30% 35%
UnscheduledEmergency Visits
Hospital EmergencyRoom
Hospitalized in PastYear
% of Respondents
PhilippinesAIRIAP Total
30%
15%
29%
27%
20%
19%
0% 5% 10% 15% 20% 25% 30% 35%
UnscheduledEmergency Visits
Hospital EmergencyRoom
Hospitalized in PastYear
% of Respondents
PhilippinesAIRIAP Total
2525
Base: All respondents
Hospital, Emerge
ncy Room & Urgent Care
Hospital &
Emergency Room
Hospital & Urgent
Care Visits
Hospitalization Only
Emergency Room &
Urgent Care Visits
Emergency Room
Only
Urgent Care Visits
OnlyNET
AIRIAP Total 3,207 5% 5% 2% 3% 4% 5% 19% 44%
Philippines 400 8% 7% 2% 5% 7% 6% 13% 46%
EXECUTIVE SUMMARY - FIGURE 13Acute Health Care Demand for Asthma Patients: Past Year
Q11a. Have (you/your child) been hospitalized overnight for asthma in the past 12 months?
56%
55%
Q12a. Have (you/your child) gone to an accident & emergency department/hospital accident & emergency department
Q13a. Has (your/your child's) asthma caused any other unscheduled emergency visits to another hospital department, clinic or /hospital emergency room for asthma symptoms in the past 12 months?
somewhere else in the past 12 months?
Use of Hospital/ Doctor Service for Asthma in Past
YearNONE OF THESE
2626
Restriction to Sport or Other Vigorous Activities by Asthma Symptoms
Restriction to Sport or Other Vigorous Activities by Asthma Symptoms
31 32
43 46
2122
51
0
20
40
60
80
100
AIRIAP Total (1062) Philippines (156)
% o
f R
esp
on
de
nts
A lot Some Only a little None
31 32
43 46
2122
51
0
20
40
60
80
100
AIRIAP Total (1062) Philippines (156)
% o
f R
esp
on
de
nts
A lot Some Only a little None
Q14c. How much, if any, do these exercise or exertion related asthma symptoms limit (your/ your child’s) participation in sports or other vigorous activities?
Base: All respondents who have asthma symptoms brought on by exercise or exertion in the past 12 months
2727
EXECUTIVE SUMMARY - FIGURE 14Have Lost Work/School Days in the Past Year Due to Asthma
EXECUTIVE SUMMARY - FIGURE 14Have Lost Work/School Days in the Past Year Due to Asthma
4745
27
37
0
10
20
30
40
50
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Adults Children
4745
27
37
0
10
20
30
40
50
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Adults Children
Q16a. Has (your/your child’s) asthma caused (you/your child) to miss work or school in the past year?
Base: All adult respondents or all children respondents
2828
Average Number of Work or School Days Lost in Past YearAverage Number of Work or School Days Lost in Past Year
8
6
0
5
10
AIRIAP Total (939) Philippines (184)
Av
era
ge
No
. o
f D
ay
s
8
6
0
5
10
AIRIAP Total (939) Philippines (184)
Av
era
ge
No
. o
f D
ay
s
Q16b. How many work or school days have (you/your child) lost as a result of asthma in the past year?
Base: All respondents who have missed work/school due to asthma
3030
EXECUTIVE SUMMARY - FIGURE 7When Asthma Symptoms Occurred
EXECUTIVE SUMMARY - FIGURE 7When Asthma Symptoms Occurred
33
51
52
39
42
44
0 10 20 30 40 50 60
AIRIAP Total (3207)
Philippines (400)
During Exercise/Exertion During Sleep During Day
33
51
52
39
42
44
0 10 20 30 40 50 60
AIRIAP Total (3207)
Philippines (400)
During Exercise/Exertion During Sleep During Day
3131
SYMPTOM SEVERITY LEVEL AIRIAP Total Philippines
Base: 3,207 400
Severe Persistent 11% 12%
Moderate Persistent 16% 9%
Mild Persistent 20% 15%
Mild Intermittent 53% 64%
EXECUTIVE SUMMARY - FIGURE 10Combined Current Symptom Severity Index Based on
Frequency of Symptoms for All Measures
3232
EXECUTIVE SUMMARY - FIGURE 20Patient Use of Peak Flow Meter
EXECUTIVE SUMMARY - FIGURE 20Patient Use of Peak Flow Meter
29
1
13
4
7
2 2
3
0
10
20
30
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Heard of Peak Flow Meter Have Peak Flow Meter
Used every day Used symptomatically
29
1
13
4
7
2 2
3
0
10
20
30
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Heard of Peak Flow Meter Have Peak Flow Meter
Used every day Used symptomatically
3333
EXECUTIVE SUMMARY - FIGURE 21Patient Use of Peak Flow Meter by Symptom Severity Index
EXECUTIVE SUMMARY - FIGURE 21Patient Use of Peak Flow Meter by Symptom Severity Index
22
28
10
2 2
912
65
22 23
2
0
10
20
30
Severe Persistent (49) Moderate Persistent(36)
Mild Persistent (61) Mild Intermittent (254)
% o
f R
espon
dents
Heard of Peak Flow Meter Have Peak Flow Meter
Used every day Used symptomatically
22
28
10
2 2
912
65
22 23
2
0
10
20
30
Severe Persistent (49) Moderate Persistent(36)
Mild Persistent (61) Mild Intermittent (254)
% o
f R
espon
dents
Heard of Peak Flow Meter Have Peak Flow Meter
Used every day Used symptomatically
3434
Been Taught How to Use a Peak Flow MeterBeen Taught How to Use a Peak Flow Meter
96100
12
7876
18
0
20
40
60
80
100
AIRIAP Total (227) Philippines (17)
% o
f R
espon
dents
Been taught By Doctor By Nurse
96100
12
7876
18
0
20
40
60
80
100
AIRIAP Total (227) Philippines (17)
% o
f R
espon
dents
Been taught By Doctor By Nurse
3535
Place Most Often Going for Overall Health Care
Place Most Often Going for Overall Health Care
0.8
0.8
0.8
1.3
8.5
12.5
17.8
55.5
0 10 20 30 40 50 60
Private hospital emergencydept
Public hospital emergencydept
Company or union medicalclinic
Paediatric department(unspec public or private)
Public GP/ Family Physician
Govt / Public hospitaloutpatient dept
Private hospital outpatientdept
Private GP/ Family Physician
% of Respondents
0.8
0.8
0.8
1.3
8.5
12.5
17.8
55.5
0 10 20 30 40 50 60
Private hospital emergencydept
Public hospital emergencydept
Company or union medicalclinic
Paediatric department(unspec public or private)
Public GP/ Family Physician
Govt / Public hospitaloutpatient dept
Private hospital outpatientdept
Private GP/ Family Physician
% of Respondents
3636
Person Whom Patients Usually Consult for General Healthcare
Person Whom Patients Usually Consult for General Healthcare
1 1
96 99
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Doctor Nurse
1 1
96 99
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Doctor Nurse
Q29. Is the person who usually treats (you/ your child) there - a medical doctor, a nurse or someone else?
Base: All respondents
3737
Person Who Usually Treats AsthmaPerson Who Usually Treats Asthma
5 3
9293
2
3
0
20
40
60
80
100
AIRIAP Total (473) Philippines (39)
% o
f R
esp
on
de
nts
Doctor Nurse Other healthcare professionals
5 3
9293
2
3
0
20
40
60
80
100
AIRIAP Total (473) Philippines (39)
% o
f R
esp
on
de
nts
Doctor Nurse Other healthcare professionals
Q31. Is the person who usually treats (you/your child) there - a medical doctor, a nurse or someone else?
Base: All respondents who see a different doctor rather than the one they consult for their overall healthcare for asthma
3838
Frequency of Consulting Doctors for Asthma
Frequency of Consulting Doctors for Asthma
4
21
105
31
4
24
40
43
18
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
At least once a weekAt least once a month6-11 times a year 1-5 times a year <1 yearly
4
21
105
31
4
24
40
43
18
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
At least once a weekAt least once a month6-11 times a year 1-5 times a year <1 yearly
Q32a. How often do (you/your child) see a doctor or physician about ( your/your child’s) asthma?
Base: All respondents
3939
Q32b. Why do (you/your child) not visit (your / your child's) doctor more frequently?
Base: All respondents who visit doctors about asthma less than once a month
AIRIAP Total 2286 Philippines 302
Symptom controlled/manageable 75% 84%
Not necessary 16% 7%
Financial constraints 4% 5%
Inconvenient consultation 4% 2%
Medication issue 2% 1%
Others 6% 4%
Reasons For Not Visiting Doctors More Often
4040
Specialty of Doctors Seen Most Often for Asthma
Specialty of Doctors Seen Most Often for Asthma
1
2
4
4
8
18
30
35
0 10 20 30 40
Allergy Specialist
Asthma Specialist
Family Practice
Chest or RespiratoryMedicine
General Medicine
Internal Medicine
Paediatrics
General Practitioner
% of Respondents
1
2
4
4
8
18
30
35
0 10 20 30 40
Allergy Specialist
Asthma Specialist
Family Practice
Chest or RespiratoryMedicine
General Medicine
Internal Medicine
Paediatrics
General Practitioner
% of Respondents
4141
Frequency of Consulting Specialists for Asthma
Frequency of Consulting Specialists for Asthma
1118
14
6
14
5
8
54
48
21
1
0
20
40
60
80
100
AIRIAP Total (2432) Philippines (375)
% o
f R
esp
on
de
nts
Monthly or more often Several times a yearOnce a year Only if problems developNever Na
1118
14
6
14
5
8
54
48
21
1
0
20
40
60
80
100
AIRIAP Total (2432) Philippines (375)
% o
f R
esp
on
de
nts
Monthly or more often Several times a yearOnce a year Only if problems developNever Na
4242
Perceived Importance of the Follow-up Visits
Perceived Importance of the Follow-up Visits
61
87
124
33
22
0
20
40
60
80
100
AIRIAP Total (932) Philippines (120)
% o
f R
esp
on
de
nts
Very important Somewhat important Not too important
Not at all important Na
61
87
124
33
22
0
20
40
60
80
100
AIRIAP Total (932) Philippines (120)
% o
f R
esp
on
de
nts
Very important Somewhat important Not too important
Not at all important Na
Q34e. How important do you consider these follow-up visits? Are they …
Base: All respondents who have scheduled follow-up visits to their doctors
4444
EXECUTIVE SUMMARY - FIGURE 18Frequency of Lung Function Test
EXECUTIVE SUMMARY - FIGURE 18Frequency of Lung Function Test
60
87
28
11
6
25
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Never Not in past year In past year Every visit Na
60
87
28
11
6
25
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Never Not in past year In past year Every visit Na
Q38a. Has (your/your child’s) doctor ever given (you/your child) a lung function test?
Q38b. How often has (your/your child’s) lung function been tested in the past year?
Base: All respondents
4545
EXECUTIVE SUMMARY - FIGURE 19Frequency of Lung Function Test by Symptom Severity Index
EXECUTIVE SUMMARY - FIGURE 19Frequency of Lung Function Test by Symptom Severity Index
65
81 8493
12
3 2
1517
6
22
0
20
40
60
80
100
Severe Persistent (49)Moderate Persistent (36) Mild Persistent (61) Mild Intermittent (254)
% o
f R
esp
on
de
nts
Never In past year Every visit
65
81 8493
12
3 2
1517
6
22
0
20
40
60
80
100
Severe Persistent (49)Moderate Persistent (36) Mild Persistent (61) Mild Intermittent (254)
% o
f R
esp
on
de
nts
Never In past year Every visit
Q38a. Has (your/your child’s) doctor ever given (you/your child) a lung function test?
Q38b. How often has (your/your child’s) lung function been tested in the past year?
Base: All Filipino respondents (400)
4646
EXECUTIVE SUMMARY - FIGURE 22Doctor Developed Written Action Plan for Asthma Treatment
EXECUTIVE SUMMARY - FIGURE 22Doctor Developed Written Action Plan for Asthma Treatment
24
18
0
10
20
30
AIRAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
24
18
0
10
20
30
AIRAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Q41a. Has (your/your child’s) doctor developed a written action plan for (your/your child’s) asthma treatment?
Base: All respondents
4747
Base: All respondents who have been developed a written action plan by doctor
AIRIAP Total 585 Philippines 94
All of the time 48% 55%
Most of the time 39% 28%
Some of the time 10% 15%
Rarely 2% 2%
Never 1% _
Patient Compliance with Doctor's Advice on Asthma Management
Q41c. Would you say that (you/your child) follow the doctor's advice on the management and treatment of asthma …
4949
EXECUTIVE SUMMARY - FIGURE 24Underlying Condition Causing Asthma
Symptoms
EXECUTIVE SUMMARY - FIGURE 24Underlying Condition Causing Asthma
Symptoms
Q48. Based on what you know or have heard, what is the underlying condition that causes asthma symptoms?
Base: All respondents
1
1
2
2
18
23
35
2
4
1
2
17
3
3
65
9
0 10 20 30 40 50 60 70
Weather
Overexertion
Environment/Pollution
Inherited
Irritants
Bronchospasms
Inflammation of Airways
Allergies
PhilippinesAIRIAP Total
1
1
2
2
18
23
35
2
4
1
2
17
3
3
65
9
0 10 20 30 40 50 60 70
Weather
Overexertion
Environment/Pollution
Inherited
Irritants
Bronchospasms
Inflammation of Airways
Allergies
PhilippinesAIRIAP Total
5050
EXECUTIVE SUMMARY - FIGURE 25Awareness of Inflammation as
Underlying Condition of Asthma
EXECUTIVE SUMMARY - FIGURE 25Awareness of Inflammation as
Underlying Condition of Asthma
23%
3%
0%
10%
20%
30%
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Yes, Unaided
23%
3%
0%
10%
20%
30%
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Yes, Unaided
Q48. Based on what you know or have heard, what is the underlying condition that causes asthma symptoms? Answered: Inflammation [Unaided recall]
Base: All respondents
5151
EXECUTIVE SUMMARY - FIGURE 27Asthma Medication
EXECUTIVE SUMMARY - FIGURE 27Asthma Medication
65
53
7
7
56
21
36
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Medicines obtained from a doctor (Prescription only) Medicines obtained from pharmacy according to old prescriptionMedicines obtained from a pharmacy (Non-prescription)Combination
65
53
7
7
56
21
36
0
20
40
60
80
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Medicines obtained from a doctor (Prescription only) Medicines obtained from pharmacy according to old prescriptionMedicines obtained from a pharmacy (Non-prescription)Combination
Q51. For the management and treatment of asthma, do (you/your child) use medicines obtained from a doctor (prescription medications) only, medicines obtained from a pharmacy according to the old prescription, medicines obtained from a pharmacy (non-prescription) only, or any combination?
Base: All respondents
5252
EXECUTIVE SUMMARY - FIGURE 29Reported Current Use of Inhaled
Corticosteroids for Asthma
EXECUTIVE SUMMARY - FIGURE 29Reported Current Use of Inhaled
Corticosteroids for Asthma14%
6%
0%
2%
4%
6%
8%
10%
12%
14%
16%
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Current user
14%
6%
0%
2%
4%
6%
8%
10%
12%
14%
16%
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Current user
Q52a. What medications currently taken have been prescribed by a doctor (Prescription only)?
Q52b. What medications currently taken by (you/your) child were obtained from elsewhere (I.e. not personally prescribed) to (you/your child) by your doctor)?
Base: All respondents
5353
EXECTUVE SUMMARY - FIGURE 30All Medicines Used to Treat Asthma by
Symptom Severity Index: Preventative Treatment Vs. Quick
Relief Bronchodilators
EXECTUVE SUMMARY - FIGURE 30All Medicines Used to Treat Asthma by
Symptom Severity Index: Preventative Treatment Vs. Quick
Relief Bronchodilators
Q52a. What medications currently taken have been prescribed by a doctor (Prescription only)?
Q52b. What medications currently taken by (you/your) child were obtained from elsewhere (I.e. not personally prescribed) to (you/your child) by your doctor)?
Base: All Filipino respondents (400)
94% 92%97%
4%
7%6% 10% 11%
92% 94%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
PHILIPPINES TotalSevere Persistent(49)
ModeratePersistent (36)
Mild Persistent (61)Mild Intermittent(254)
% o
f R
esp
on
de
nts
Preventative Treatment Quick Relief Bronchodilators
94% 92%97%
4%
7%6% 10% 11%
92% 94%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
PHILIPPINES TotalSevere Persistent(49)
ModeratePersistent (36)
Mild Persistent (61)Mild Intermittent(254)
% o
f R
esp
on
de
nts
Preventative Treatment Quick Relief Bronchodilators
5454
The Most Effective Medication in Preventing Asthma Symptoms (Top
10)
The Most Effective Medication in Preventing Asthma Symptoms (Top
10)
2.3
25.8
35.6
1.0
1.3
14.3
0.5
0.5
1.3
1.0
0.8
4.3
0 10 20 30 40
Na
Serevent
Budecort
Salbutamol
Combivent inhaled
Bambec
Asmasolon (Theophylline)
Prednisolone (generic)
Bricanyl inhaled
Bricanyl
Ventolin inhaled
Ventolin (unspec) - oral
% of Respondents
2.3
25.8
35.6
1.0
1.3
14.3
0.5
0.5
1.3
1.0
0.8
4.3
0 10 20 30 40
Na
Serevent
Budecort
Salbutamol
Combivent inhaled
Bambec
Asmasolon (Theophylline)
Prednisolone (generic)
Bricanyl inhaled
Bricanyl
Ventolin inhaled
Ventolin (unspec) - oral
% of Respondents
Q52g. Which of these is most effective preventing asthma symptoms?
Base: All respondents who are currently taking medication (399)
5555
Base: All respondents
Major and Minor factor
combined, %
Patients don't understand the
importance of the treatment
The cost of drugs
Lack of symptoms
Patient concern about long term drug
use
Worry about the side effects
Loss of effectivene
ss over time
Patients can't feel
immediate effects
AIRIAP Total 3207
86% 67% 80% 87% 89% 85% 85%
Philippines 400
91% 90% 93% 86% 91% 86% 91%
Reasons For Failing to Follow Physician's Instructions Q53. People with asthma sometimes fail to following their physician's instructions about their medicines for treating airway
5656
Base: All respondents
AIRIAP Total 3207 Philippines 400
Very familiar 4% 5%
Somewhat familiar 9% 12%
Not too familiar 7% 11%
Not at all familiar 80% 72%
Perceived Familiarity with Inhaled Corticosteroids
Q54. Now I want to ask you about a class of asthma drugs called inhaled corticosteroids. How familiar are you with these types of asthma medication?
5757
AIRIAP Total 645 Philippines 112
Side effects 48% 53%
High price 3% 3%
Poor effectiveness 6% 1%
Others 7% 7%
Base: Respondents who are very, somewhat or not too familiar with ICS
Bad Things About Inhaled Corticosteroids
Q56. What, if anything, bad have you heard about these drugs? What else?
5858
Base: Respondents who are very, somewhat or not too familiar with ICS
AIRIAP Total 645 Philippines 112
Benefits definitely outweigh risks 21% 16%
Benefits probably outweigh risks
47% 38%
Risks probably outweigh benefits 23% 27%
Risks definitely outweigh benefits 7% 13%
ICS: Benefits Vs. Risks
Q57. Based on what you know or have heard, how do the benefits compare to the risks of using inhaled corticosteroids for anti-inflammatory management of asthma?
6060
Length of Period ICS Being Suggested to Use
Length of Period ICS Being Suggested to Use
29
45
21
1712
1411
1068
33137
0
10
20
30
40
50
60
70
80
90
100
AIRIAP (277) Philippines (29)
% o
f R
esp
on
de
nts
1-2 weeks 3-12 weeks 13-52 weeks1 year - 5 years > 5 years When symptomatic
Daily Na
29
45
21
1712
1411
1068
33137
0
10
20
30
40
50
60
70
80
90
100
AIRIAP (277) Philippines (29)
% o
f R
esp
on
de
nts
1-2 weeks 3-12 weeks 13-52 weeks1 year - 5 years > 5 years When symptomatic
Daily Na
Q58b. How long do (your/your child’s) doctor ask (you/your child) to take inhaled corticosteroids?
Base: Respondents who think they have been prescribed ICSs and are also very/somewhat/not too familiar with them
6161
Mean Age When ICSs Started to be Taken
Mean Age When ICSs Started to be Taken
Q58d. At what age were the inhaled corticosteroids started (for asthma)?
Base: Respondents who think they have been prescribed and taken ICSs, and also who are very/somewhat/not too familiar with the drugs
3227
0
10
20
30
40
AIRIAP (249) Philippines (24)
Mean A
ge
(Yea
r)
3227
0
10
20
30
40
AIRIAP (249) Philippines (24)
Mean A
ge
(Yea
r)
6262
AIRIAP Total 114 Philippines 14
Within the past four weeks, % 8% 7%
Within the past six months, % 18% 14%
Within the past year, % 14% 14%
More than a year ago, % 54% 64%
Na, % 6% __
Base: Respondents who think they have been taking ICSs but have since stopped doing so, and also claimed to be very, somewhat or not too familiar with ICS
Time When ICSs Were StoppedQ58f. When did (you/your child) stop taking inhaled corticosteroids for asthma?
6363
EXECUTIVE SUMMARY - FIGURE 31Need for Better Education of Asthma
Patients
EXECUTIVE SUMMARY - FIGURE 31Need for Better Education of Asthma
Patients
33%
8%8%
1%
59%
91%
0%
20%
40%
60%
80%
100%
AIRIAP Total Philippines
% o
f R
esp
on
de
nts
Strong need Moderate need Little/no need
33%
8%8%
1%
59%
91%
0%
20%
40%
60%
80%
100%
AIRIAP Total Philippines
% o
f R
esp
on
de
nts
Strong need Moderate need Little/no need
Q59. How much need do you think there is for better education of people with asthma about their condition and its treatment?
Base: All respondents
6464
Usage of InternetUsage of Internet
30
19
13
0
10
20
30
40
AIRIAP (3207) Philippines (400)
% o
f R
esp
on
de
nts
Household has access
Browse for asthma information
30
19
13
0
10
20
30
40
AIRIAP (3207) Philippines (400)
% o
f R
esp
on
de
nts
Household has access
Browse for asthma information
Q61a. Do you or any member of your household visit the internet?
Q61d. Do you browse the Internet to search for information on asthma?
Base: All respondents
6565
Usual Websites Visited Usual Websites Visited
29
11
1
1
1
1
3
4
11
43
0 5 10 15 20 25 30 35 40 45
Na
Others
Mc Donald
wwf.com
Alta Vista
Biz.com
MTV
NBA/Sports
Hotmail
Yahoo
% of Respondents
29
11
1
1
1
1
3
4
11
43
0 5 10 15 20 25 30 35 40 45
Na
Others
Mc Donald
wwf.com
Alta Vista
Biz.com
MTV
NBA/Sports
Hotmail
Yahoo
% of Respondents
Q61b. What Website do you or any member of your household usually visit?
Base: All respondents who have internet access (75)
6666
Q61c. What information do you or any member of your household access from these websites?
Base: All respondents who have internet access at home
AIRIAP Total 970 Philippines 75
Entertainment/ Music 16% 16%
News/ Headlines 14% 3%
Email/ Chatrooms/ Clubs 11% 17%
Education Information 9% 15%
Health/ Medical Product Information 8% 5%
Information Sought in Internet
6767Q61e. What asthma Websites do you usually browse?Base: All respondents who searched for asthma information in the Internet (4)
Internet Websites Usually Visited for Asthma Information
4 respondents in the Philippines searched for asthma information in the
internet
Yahoo (2 respondents)
Alta vista (1 respondent)
Hotmail (1 respondent)
Any/No specific website (1 respondent)
No answer (1 respondent)
6868
Easy Availability of Asthma Information in Local Language
Easy Availability of Asthma Information in Local Language
50
76
0
10
20
30
40
50
60
70
80
90
100
AIRIAP (102) Philippine (4)
% o
f R
esp
on
de
nts
An
sw
ere
d "
Ye
s"
50
76
0
10
20
30
40
50
60
70
80
90
100
AIRIAP (102) Philippine (4)
% o
f R
esp
on
de
nts
An
sw
ere
d "
Ye
s"
Q61g. Is it easy to obtain asthma information from the Internet in your local language?
Base: Respondents who browse asthma information in the Internet
6969
Q61h. If you do not browse the internet, what is/ are the reasons?
Base: All respondents who do not browse the Internet for information on asthma
AIRIAP Total 2237 Philippines 325
Do not have facilities 68% 76%
Not interested in it 27% 21%
Others 6% 7%
Reasons for Not Visiting Internet
7070
Smoking or Passive SmokingSmoking or Passive Smoking
5254
0
10
20
30
40
50
60
AIRIAP (3207) Philippines (400)
% o
f R
esp
on
de
nts
An
sw
ere
d "
Ye
s" 52
54
0
10
20
30
40
50
60
AIRIAP (3207) Philippines (400)
% o
f R
esp
on
de
nts
An
sw
ere
d "
Ye
s"
Q62. Does anyone in your household smoke?
Base: All respondents
7171
EXECUTIVE SUMMARY - FIGURE 32 Smoking Status
EXECUTIVE SUMMARY - FIGURE 32 Smoking Status
Q63.Are you a current smoker, a former smoker or have you never smoked on a regular basis?
Base: All Filipino respondents (400)
15%
7%
16%
6%
5%
2%
0%
5%
10%
15%
20%
25%
CurrentSmoker
FormerSmoker
NeverSmoked
Female Male
15%
7%
16%
6%
5%
2%
0%
5%
10%
15%
20%
25%
CurrentSmoker
FormerSmoker
NeverSmoked
Female Male
5%3%
8%
14%
8%
10%
1%1%
1%
0%
5%
10%
15%
20%
25%
CurrentSmoker
FormerSmoker
NeverSmoked
16-29 30-59 60+
7272
Perceived Usefulness of Instructions on the Correct Use of Inhalers
Perceived Usefulness of Instructions on the Correct Use of Inhalers
45
73
33
6
15 13
1022
2
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Very useful Fairly useful Not very useful
Not at all useful NA
45
73
33
6
15 13
1022
2
0
10
20
30
40
50
60
70
80
90
100
AIRIAP Total (3207) Philippines (400)
% o
f R
esp
on
de
nts
Very useful Fairly useful Not very useful
Not at all useful NA
Q69. How useful do you think instructions on the correct use of inhalers will be?
Base: All respondents
7373
Willingness to be Contacted in the Future About Asthma
Willingness to be Contacted in the Future About Asthma
63
99
0
10
20
30
40
50
60
70
80
90
100
AIRIAP (3207) Philippines (400)
% o
f R
esp
on
de
nts 63
99
0
10
20
30
40
50
60
70
80
90
100
AIRIAP (3207) Philippines (400)
% o
f R
esp
on
de
nts
Q72. Finally, if we have further questions about asthma in the future, may we contact you?
Base: All respondents
NAZARIO A. MACALINTAL JR., MD,FPCP, FPCCPInternist-Pulmonologist - Asian Hospital / Makati Medical Center / Medical Center
Muntinlupa / Mandaluyong City Medical Center
Head, Medical Records Committee, Asian Hospital ,2004Head , Makati Health Program, Medical Department, Makati Medical Center,2004
Head, Intensive Care Unit / Pulmonary Care Unit / Mandaluyong City Medical Center, 1998-present
Medical Director, Fortune Life Insurance Company Inc 1990-presentPast Chairman, 1996-2004 MIB Committee, Philippine Life Insurance Association
Past Assistant Training Officer, Department of Internal Medicine / Training Officer Section of Pulmonary Medicine, Makati Medical Center
Disclosure:
Dr Mac received a Pulmonary Fellowship grant from GSK in 1989-90 at MMC.
He had received invitation to talk on pulmonary issues or to participate in international pulmonary congresses in the recent past principally by GSK and Pfizer. To a lesser extent, he received
invitation to talk on asthma issues by Boehringer and Novartis.
He is not on any form of regular payroll by any of the said companies
top related