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

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4 Gender of Respondents Base: All respondents

5 Household Facilities Base: All Filipino Respondents (400)

6 Home Ownership Base: All Filipino respondents (400)

7 Education Attainment Base: All Filipino respondents (400)

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10 EXECUTIVE SUMMARY - FIGURE 11 Symptom Severity Index by Current Usage of Medication QD4 Whether the chosen respondent takes medication? Base: All Filipino respondents (400)

11 EXECUTIVE SUMMARY - FIGURE 28 Current Usage of Medication QD4 Whether the chosen respondent takes medication? Base: All respondents

12 Perceived Asthma Status of Population Compared to Ten Years Ago 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

13 Perceived General Health of Asthmatics Compared to Ten Years Ago 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

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18 Perceived Self General Health 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

19 Mean Age When Asthma First Diagnosed Q5.At what age were (you/ your child) first diagnosed with asthma? Base: All respondents

20 Level of Bother Caused by Asthma Q6a.How bothersome do you find (your / your child’s) asthma/ condition? Base: All respondents

21 Experience of Sudden Severe Episodes of Symptoms in the Past 12 Months 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

22 Hospitalization for Asthma in Past Year 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

23 History of Hospitalization for Asthma Q11d. Have (you/your child) ever been hospitalized overnight or longer for asthma? Base: Respondents who have not been hospitalized overnight for asthma in the past 12 months

24 EXECUTIVE SUMMARY - FIGURE 12 Summary of Hospital and Emergency Visits for Asthma in Past Year Q11a. Have (you/your child) been hospitalized overnight for asthma in the past 12 months? Q12a. Have (you/your child) gone to an accident & emergency department/ hospital accident & emergency department/ hospital emergency room for asthma symptoms in the past 12 months? Q13a. Has (your/your child’s) asthma caused any other unscheduled emergency visits to another hospital department, clinic or somewhere else in the past 12 months? Base: All Filipino respondents

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26 Restriction to Sport or Other Vigorous Activities by Asthma Symptoms 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

27 EXECUTIVE SUMMARY - FIGURE 14 Have Lost Work/School Days in the Past Year Due to Asthma 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

28 Average Number of Work or School Days Lost in Past Year 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

29 Asthma Status During Past Four Weeks Q17.Now, I would like you to think about just the last four weeks. Overall, how has (your/your child’s) asthma been during the past four weeks? Has it been…. Base: All respondents

30 EXECUTIVE SUMMARY - FIGURE 7 When Asthma Symptoms Occurred Q21a. In the past four weeks, have (you/your child) had a cough, or wheezing, or shortness of breath or chest tightness during the day? Q22a. In the past four weeks, (you/your child) been awakened by a cough, wheezing, shortness of breath or chest tightness during the night? Q14a. Have (you/your child) had asthma symptoms brought on by exercise or exertion in the past 12 months? Base: All respondents

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32 EXECUTIVE SUMMARY - FIGURE 20 Patient Use of Peak Flow Meter Q25a. Have you ever heard of a peak flow meter (a device used by asthma patients to measure airway function)? Q25b. Do (you/your child) have a peak flow meter? Q25e. How often do (you/your child) use a peak flow meter to measure (your/your child’s) airway function? Base: All respondents

33 EXECUTIVE SUMMARY - FIGURE 21 Patient Use of Peak Flow Meter by Symptom Severity Index Q25a. Have you ever heard of a peak flow meter (a device used by asthma patients to measure airway function)? Q25b. Do (you/your child) have a peak flow meter? Q25e. How often do (you/your child) use a peak flow meter to measure (your/your child’s) airway function? Base: All respondents

34 Been Taught How to Use a Peak Flow Meter Q25c.Did anyone ever teach (you/your child) how to use a peak flow meter? Q25d.Who taught (you/ your child) to use a peak flow meter? Base: All respondents who own a peak flow meter

35 Place Most Often Going for Overall Health Care Q28.Is the place (you/ your child) usually go MOST OFTEN for (your / your child’s) overall health care, medical advice or treatment a … Base: All Filipino respondents (400)

36 Person Whom Patients Usually Consult for General Healthcare Q29.Is the person who usually treats (you/ your child) there - a medical doctor, a nurse or someone else? Base: All respondents

37 Person Who Usually Treats Asthma 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

38 Frequency of Consulting Doctors for Asthma Q32a.How often do (you/your child) see a doctor or physician about ( your/your child’s) asthma? Base: All respondents

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40 Specialty of Doctors Seen Most Often for Asthma Q32j.What is the medical specialty of the doctor that (you/your child) see most often for (your/your child’s) asthma? Base: All Filipino respondents (400)

41 Frequency of Consulting Specialists for Asthma Q33. How often do (you/your child) see a specialist about (your/your child’s) asthma? Base: Respondents who do not most often visit allergy specialist or chest/ respiratory medicine for asthma

42 Perceived Importance of the Follow-up Visits Q34e.How important do you consider these follow-up visits? Are they … Base: All respondents who have scheduled follow-up visits to their doctors

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44 EXECUTIVE SUMMARY - FIGURE 18 Frequency of Lung Function Test 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

45 EXECUTIVE SUMMARY - FIGURE 19 Frequency of Lung Function Test by Symptom Severity Index 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)

46 EXECUTIVE SUMMARY - FIGURE 22 Doctor Developed Written Action Plan for Asthma Treatment Q41a. Has (your/your child’s) doctor developed a written action plan for (your/your child’s) asthma treatment? Base: All respondents

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48 Awareness of Published Guidelines for Doctors on Asthma Treatment Q43a.Are you aware that there are published guidelines for doctors on how best to treat asthma? Base: All respondents

49 EXECUTIVE SUMMARY - FIGURE 24 Underlying 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

50 EXECUTIVE SUMMARY - FIGURE 25 Awareness of Inflammation as Underlying Condition of Asthma 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

51 EXECUTIVE SUMMARY - FIGURE 27 Asthma Medication 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

52 EXECUTIVE SUMMARY - FIGURE 29 Reported Current Use of Inhaled Corticosteroids for Asthma 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

53 EXECTUVE SUMMARY - FIGURE 30 All 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)

54 The Most Effective Medication in Preventing Asthma Symptoms (Top 10) Q52g.Which of these is most effective preventing asthma symptoms? Base: All respondents who are currently taking medication (399)

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59 Usage of ICS Vs. ICS Familiarity Q54. How familiar are you with these types of asthma medication? Q58a.Has a doctor ever prescribed ICSs for (your/your child’s) asthma treatment? (Respondents who are very, somewhat, not too familiar with ICS). Q58c.Have these ICSs been taken (for asthma)? Q58e.Are the ICSs still being taken (for asthma)? Base: All respondents

60 Length of Period ICS Being Suggested to Use 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

61 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

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63 EXECUTIVE SUMMARY - FIGURE 31 Need for Better Education of Asthma Patients 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

64 Usage of Internet 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

65 Usual Websites Visited Q61b. What Website do you or any member of your household usually visit? Base: All respondents who have internet access (75)

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67 Q61e. 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)

68 Easy Availability of Asthma Information in Local Language Q61g. Is it easy to obtain asthma information from the Internet in your local language? Base: Respondents who browse asthma information in the Internet

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70 Smoking or Passive Smoking Q62.Does anyone in your household smoke? Base: All respondents

71 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)

72 Perceived Usefulness of Instructions on the Correct Use of Inhalers Q69.How useful do you think instructions on the correct use of inhalers will be? Base: All respondents

73 Willingness to be Contacted in the Future About Asthma 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, FPCCP Internist-Pulmonologist - Asian Hospital / Makati Medical Center / Medical Center Muntinlupa / Mandaluyong City Medical Center Head, Medical Records Committee, Asian Hospital,2004 Head, 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-present Past Chairman, 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 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