Allergy Asthma Immunol Res.  2016 Mar;8(2):141-145. 10.4168/aair.2016.8.2.141.

The Potential for Poverty to Lower the Self-Efficacy of Adults With Asthma: An Australian Longitudinal Study

Affiliations
  • 1Faculty of Pharmacy, University of Sydney, Sydney, Australia. emily.callander@sydney.edu.au

Abstract

PURPOSE
It is known that strong feelings of self-efficacy are linked with better management of asthma. However, it is not known whether the experience of poverty can detrimentally impact the self-efficacy feelings of asthma patients. This paper aims to determine whether falling into income or multidimensional poverty lowers self-efficacy among people diagnosed with asthma.
METHODS
Longitudinal analysis of Waves 7 to 11 (2007 to 2011) of the nationally representative Household, Income and Labour Dynamics in Australia (HILDA) survey using generalized linear models. The analysis was limited to those who had been diagnosed with asthma. The Freedom Poverty Measure was used to identify those in multidimensional poverty.
RESULTS
People with asthma who fell into income poverty had significantly lower self-efficacy scores-23% lower (95% CI: -35.1 to -9.1), after falling into income poverty for 3 or 4 years between 2007 and 2011 compared to those who were never in income poverty. Those who fell into multidimensional poverty also had significantly lower self-efficacy scores-25% lower (95% CI: -42.8 to -2.0), after being in multidimensional poverty for 3 or 4 years between 2007 and 2011 compared to those who were never in poverty.
CONCLUSIONS
Asthmatics who fall into poverty are likely to experience a decline in their feelings of self-efficacy. The findings of this study show that experiencing poverty should be a flag to identify those who may need extra assistance in managing their condition.

Keyword

Self efficacy; poverty; income; asthma; longitudinal survey

MeSH Terms

Adult*
Asthma*
Australia
Family Characteristics
Freedom
Humans
Linear Models
Longitudinal Studies*
Poverty*
Self Efficacy

Reference

1. Bandura A. Self-efficacy mechanism in human agency. Am Psychol. 1982; 37:122–147.
2. Scherer YK, Bruce S. Knowledge, attitudes, and self-efficacy and compliance with medical regimen, number of emergency department visits, and hospitalizations in adults with asthma. Heart Lung. 2001; 30:250–257.
3. Mancuso CA, Sayles W, Allegrante JP. Knowledge, attitude, and self-efficacy in asthma self-management and quality of life. J Asthma. 2010; 47:883–888.
4. Hesselink AE, Penninx BW, Schlösser MA, Wijnhoven HA, van der Windt DA, Kriegsman DM, et al. The role of coping resources and coping style in quality of life of patients with asthma or COPD. Qual Life Res. 2004; 13:509–518.
5. Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ. 2003; 326:1308–1309.
6. Callander EJ, Schofield DJ. Effect of asthma on falling into poverty: the overlooked costs of illness. Ann Allergy Asthma Immunol. 2015; 114:374–378.
7. Weich S, Lewis G. Material standard of living, social class, and the prevalence of the common mental disorders in Great Britain. J Epidemiol Community Health. 1998; 52:8–14.
8. Summerfield M, Dunn R, Freidin S, Hahn M, Ittak P, Kecmanovic M, et al. HILDA user manual - release 10. Parkville: Melbourne Institute of Applied Economic and Social Research;2011.
9. Watson N. Longitudinal and cross-sectional weighting methodology for the HILDA survey. HILDA project technical paper series no. 2/12. Parkville: Melbourne Institute of Applied Economic and Social Research;2012.
10. Pearlin LI, Schooler C. The structure of coping. J Health Soc Behav. 1978; 19:2–21.
11. National Institute of Health (US). Cogntive and emotional health project: the healthy brain. Bethesda (MD): U.S. Department of Health and Human Services;2014.
12. Community Affairs Reference Committee (AU). A hand up not a hand out: renewing the fight against poverty. Canberra: Commonwealth of Australia;2004.
13. de Vos K, Zaidi MA. Equivalence scale sensitivity of poverty statistics for the member states of the European community. Rev Income Wealth. 1997; 43:319–333.
14. Callander EJ, Schofield DJ, Shrestha RN. Freedom poverty: a new tool to identify the multiple disadvantages affecting those with CVD. Int J Cardiol. 2013; 166:321–326.
15. Callander EJ, Schofield DJ, Shrestha RN. Capacity for freedom-a new way of measuring poverty amongst Australian children. Child Indic Res. 2012; 5:179–198.
16. Callander EJ, Schofield DJ, Shrestha RN. Capacity for freedom-using a new poverty measure to look at regional differences in living standards within Australia. Geogr Res. 2012; 50:411–420.
17. Callander EJ, Schofield DJ, Shrestha RN. Multiple disadvantages among older citizens: what a multidimensional measure of poverty can show. J Aging Soc Policy. 2012; 24:368–383.
18. International Quality Of Life Assessment. The SF questionnaires. [place unknown]: International Quality Of Life Assessment;cited 2015 Jun 30. Available from: http://www.iqola.org/instruments.aspx.
19. Sims EJ, Price D, Haughney J, Ryan D, Thomas M. Current control and future risk in asthma management. Allergy Asthma Immunol Res. 2011; 3:217–225.
20. Butz A, Pham L, Lewis L, Lewis C, Hill K, Walker J, et al. Rural children with asthma: impact of a parent and child asthma education program. J Asthma. 2005; 42:813–821.
21. Access Economics (AU). The economic impact of allergic disease in Australia: not to be sneezed at. Sydney: Australasian Society of Clinical Immunology and Allergy;2007.
22. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84:191–215.
23. Department of Social Services (AU). 2014-15 Budget. Greenway: Department of Social Services;2014.
24. Wannamethee G, Shaper AG. Self-assessment of health status and mortality in middle-aged British men. Int J Epidemiol. 1991; 20:239–245.
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