title: [Is the asthmatic patient competent to manage his disease? A study of 280 patients in Seine-Saint-Denis, France].
abstract: BACKGROUND
  The correct use of medication and the ability to assess the severity of the disease and to react appropriately in the case of exacerbation are essential objectives in the management of asthma patients. This study, conducted in a school of asthma in Seine-Saint-Denis, aims to measure the influence of socio-demographic and clinical factors, before any educational process, on these four security skills.
  
  
  METHODS
  A prospective observational study concerning 280 consecutive patients managed between 2008 and 2011 (70 % women, mean age: 44 years [14-85 years]; deprivation: 48 %; born abroad: 39 %, low level of education: 23 %). The initial educational diagnosis was compared with the clinical and socio-demographic characteristics.
  
  
  RESULTS
  In relation to asthma control, social characteristics (unemployment, deprivation), geographic or ethnic origin and educational level significantly influence the command of all or some of the security skills. In medical terms, a period of evolution of the disease of less than 10 years, outpatient follow-up without specialized monitoring and the absence of recent exacerbations also appear as predictors of inappropriate conduct in the management of the disease.
  
  
  CONCLUSIONS
  This study suggests new priority targets for therapeutic education in asthma.
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France. Electronic address: cmaurer@ch-montfermeil.fr.
authors.forename: C
authors.initials: C
authors.lastname: Maurer
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: M
authors.initials: M
authors.lastname: Nozick
authors.affiliation: Centre de traitement des addictions, hôpital Émile-Roux, groupe hospitalier Henri-Mondor, 1, avenue de Verdun, 94450 Limeil-Brévannes, France.
authors.forename: P
authors.initials: P
authors.lastname: Lahmek
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: G
authors.initials: G
authors.lastname: Bonhour
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: J
authors.initials: J
authors.lastname: Kabbani
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: P
authors.initials: P
authors.lastname: Kangue
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: F
authors.initials: F
authors.lastname: Smahi
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: L
authors.initials: L
authors.lastname: Tecucianu
authors.affiliation: Service de pneumologie, groupe hospitalier intercommunal Le Raincy-Montfermeil, 10, rue du Général-Leclerc, 93370 Montfermeil, France.
authors.forename: J
authors.initials: J
authors.lastname: Piquet
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa / Q000208:ethnology; D000368:Aged; D000369:Aged, 80 and over; D018927:Anti-Asthmatic Agents / Q000627:therapeutic use; D001208:Asia / Q000208:ethnology; D001249:Asthma / Q000188:drug therapy / Q000453:epidemiology / Q000523:psychology*; D059026:Diagnostic Self Evaluation; D004522:Educational Status; D054242:Emigrants and Immigrants / Q000523:psychology; D004651:Employment; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D055118:Medication Adherence; D016743:Mental Competency; D008875:Middle Aged; D010353:Patient Education as Topic; D010361:Patients / Q000523:psychology*; D011446:Prospective Studies; D012648:Self Care; D012923:Social Class; D013224:Status Asthmaticus / Q000175:diagnosis / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D018927:Anti-Asthmatic Agents
keywords: Asthma; Asthme; Diagnostic éducatif; Educational diagnosis; Educational level; Niveau d’étude