Final Report - Philippines ASTHMA INSIGHTS AND REALITIES IN ASIA PACIFIC (AIRIAP) STUDY.

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


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


% o

f R

esp

on

de

nts

Female Male


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


88

Q1.1 What do you understand asthma to be?


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?


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


QD4 Whether the chosen respondent takes medication?


1111

EXECUTIVE SUMMARY - FIGURE 28Current Usage of Medication

EXECUTIVE SUMMARY - FIGURE 28Current Usage of Medication

100%

84%

16%

0%

20%

40%

60%

80%

100%


% o

f R

esp

on

de

nts


100%

84%

16%

0%

20%

40%

60%

80%

100%


% o

f R

esp

on

de

nts


QD4 Whether the chosen respondent takes medication?


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


% 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


% 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?


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


% 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


% 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?


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


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


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


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


% 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


% 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?


1919

Mean Age When Asthma First Diagnosed

Mean Age When Asthma First Diagnosed

18.1

10.5

0

10

20


Me

an

Ag

e (

Ye

ar)

18.1

10.5

0

10

20


Me

an

Ag

e (

Ye

ar)

Q5. At what age were (you/ your child) first diagnosed with asthma?


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


% 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


% 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?


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


% o

f R

esp

on

de

nts

an

sw

ere

d 'y

es'

62 61

0

10

20

30

40

50

60

70


% 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?


2222

Hospitalization for Asthma in Past YearHospitalization for Asthma in Past Year

13.2

4.0

2.1 2.2

0

5

10

15


Me

an

Sco

re

No. of Times No. of Nights

13.2

4.0

2.1 2.2

0

5

10

15


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


2525


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


% 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


% 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


% o

f R

esp

on

de

nts

Adults Children

4745

27

37

0

10

20

30

40

50


% 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


Av

era

ge

No

. o

f D

ay

s

8

6

0

5

10


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


% 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


% o

f R

esp

on

de

nts



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



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



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


% o

f R

espon

dents

Been taught By Doctor By Nurse

96100

12

7876

18

0

20

40

60

80

100


% 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


% o

f R

esp

on

de

nts

Doctor Nurse

1 1

96 99

0

20

40

60

80

100


% 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?


3737

Person Who Usually Treats AsthmaPerson Who Usually Treats Asthma

5 3

9293

2

3

0

20

40

60

80

100


% o

f R

esp

on

de

nts

Doctor Nurse Other healthcare professionals

5 3

9293

2

3

0

20

40

60

80

100


% 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


% 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


% 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?


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


% 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


% 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


% 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


% 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


% 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


% 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?


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?


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?


4747

Base: All respondents who have been developed a written action plan by doctor


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?


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


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


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%


% o

f R

esp

on

de

nts

Yes, Unaided

23%

3%

0%

10%

20%

30%


% 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]


5151

EXECUTIVE SUMMARY - FIGURE 27Asthma Medication

EXECUTIVE SUMMARY - FIGURE 27Asthma Medication

65

53

7

7

56

21

36

0

20

40

60

80

100


% 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


% 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?


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%


% o

f R

esp

on

de

nts

Current user

14%

6%

0%

2%

4%

6%

8%

10%

12%

14%

16%


% 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)?


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)?


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


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



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


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


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


% 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


Mean A

ge

(Yea

r)

3227

0

10

20

30

40


Mean A

ge

(Yea

r)

6262


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?


6464

Usage of InternetUsage of Internet

30

19

13

0

10

20

30

40


% o

f R

esp

on

de

nts

Household has access

Browse for asthma information

30

19

13

0

10

20

30

40


% 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?


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


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


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


% o

f R

esp

on

de

nts

An

sw

ere

d "

Ye

s" 52

54

0

10

20

30

40

50

60


% o

f R

esp

on

de

nts

An

sw

ere

d "

Ye

s"

Q62. Does anyone in your household smoke?


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?


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


% 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


% 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?


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


% o

f R

esp

on

de

nts 63

99

0

10

20

30

40

50

60

70

80

90

100


% o

f R

esp

on

de

nts

Q72. Finally, if we have further questions about asthma in the future, may we contact you?


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

Final Report - Philippines ASTHMA INSIGHTS AND REALITIES IN ASIA PACIFIC (AIRIAP) STUDY.

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