Assessment of Self-Stigma, Self-Esteem, and Asthma Control

A Preliminary Cross-Sectional Study Among Adult Asthmatic Patients in Selangor, Malaysia

Bibliographic Data

ID22084190
AuthorsSohail Ahmad (0000-0002-2816-8484, Mahsa University, corresponding author), Ahmad Izuanuddin Ismail (0000-0003-4099-3142, Universiti Teknologi MARA), Mohd Arif Mohd Zim (0000-0002-2720-8544, Universiti Teknologi MARA), Nahlah Elkudssiah Ismail (0000-0002-4274-8581, Mahsa University)
Year2020
Volume7
Pages420-420
Publication date2020-01-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2019.00420
PMID32039131
OpenAlexW3001826601
LanguageEN
Citations received2
References cited20

Purpose: The elusive goal of asthma management guidelines is to achieve and maintain good asthma control in asthmatic patients. Against a background of long-term respiratory limitations when living with asthma, stigma and low self-esteem have also been identified as the social phenomenon among adult asthmatics. This study aimed to assess the levels of self-stigma, self-esteem and asthma control, and to investigate the impact of self-stigma and self-esteem as psychosocial factors on asthma control in Malaysian adults living with asthma. Materials and Methods: In this multicenter cross-sectional study, post-ethics approval and patients’ consents, 152 stable asthmatic patients (aged > 18 years old; nil cognitive disability; not diagnosed with other respiratory diseases) were recruited from four respiratory clinics in Selangor, Malaysia. The patients’ socio-demographic, medical, and psychosocial (self-stigma and self-esteem) data were recorded in a pre-validated, self-designed questionnaire. All data were analyzed descriptively and inferentially (independent t-test/one-way ANOVA, and multiple linear regression) using the Statistical Package for Social Sciences (SPSS®). Results: The enrolled patients showed moderate levels of self-stigma (62.12, ± 6.44) and self-esteem (29.31, ± 3.29), and not well-controlled asthma (17.58, ± 3.99). The number of patients’ visits to emergency rooms because of asthma [CI (-1.199, - 0.317), p < 0.001] was the significant predictor to asthma control among all selected study variables from socio-demographic and medical data. Moreover, from psychosocial factors both self-stigma [CI (-0.367, - 0.190), p < 0.001], and self-esteem [CI (-0.007, 0.033), p = 0.041] found to be the significant predictors of asthma control. Conclusion: The preliminary evidences presented in this study found that frequent emergency room visits, high self-stigma and low self-esteem in asthma patients becomes more apparent with poor asthma control. Educational interventions to reduce patients’ self-stigma and improve self-esteem are needed to achieve optimal control of asthma

Asthma · Cross-sectional study · Family medicine · Physical therapy · Psychiatry · Psychosocial · Social stigma · Asthma and respiratory diseases · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Health, psychology, and well-being · Medicine · Immunology

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