Europe: The Impact Of Asthma

Parents of asthmatic children across Europe say their child is experiencing increasingly negative feelings, like fear and unhappiness, due to asthma. In a survey conducted by MORI in France, Germany, Great Britain, Italy and Spain, many parents of asthmatic children say their child's quality of life has declined over the past three years.

Parents of asthmatic children across Europe say their child is experiencing increasingly negative feelings, like fear and unhappiness, due to asthma. In a survey conducted by MORI in France, Germany, Great Britain, Italy and Spain, many parents of asthmatic children say their child's quality of life has declined over the past three years.

The survey, commissioned by EFA, shows more than two in five (44%) parents in the five countries feel their child is fed up or depressed because of their asthma, compared with one in five (19%) three years ago.

Most parents (90%) worry about issues such as the unpredictable nature of when an attack might occur or the long-term harmful effects from treatment. One in seven parents (15%) say their child sometimes forgets to take the asthma medication or takes it at the wrong time, and one in 20 (six per cent) say their child sometimes has trouble taking the correct dosage.

Topline Results

MORI interviewed 591 parents of children with asthma in France, Germany, Great Britain, Italy and Spain between 13 June and 26 July 2002. Each country's survey included between 85 and 161 parents. Parents were interviewed face-to-face and in their own language. The data have been weighted where necessary to the known national profiles for each country by key demographic characteristics.

Q1 Could I just check, does anyone in your household have asthma?

 FranceGermanyGreat BritainItalySpain
 1999200219992002*199920021999200219992002
Unweighted Base: All3,0343,0147,2431001,9961,9826,0845,976c3000c2,780
Weighted Base: All3,0003,0007,2431001,9961,9826,0845,976c3000c2,780
 %%%%%%%%%%
Yes, me personally564n/a101144--
Yes, my partner / spouse222n/a5511--
Yes, my child or children431n/a8822  
Yes, Other child / children that I am a guardian of*-0n/a*0**  
Yes, someone else in household221n/a4432--
No, no-one858790n/a76758889  
Don't know222n/a*021  

* In 1999 the questions in Germany were placed on an omnibus and in 2002 an ad hoc methodology was used, therefore ineligible contacts and refusals were not systematically recorded. This year, interviewers only recorded answers at Q1 if respondents confirmed that a child or children in their household had asthma, and if they themselves had asthma.

Q2 Which, if any, would you say closely describes your understanding of the phrase 'controller or preventer therapy' ?

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Short-term, fast acting medications that help stop asthma symptoms after they have begun or when one experiences an asthma attack*2633263526352323233027402938
Preventative medications that help keep asthma symptoms from occurring in the first place and are prescribed for daily use even if you don't have symptoms on a regular basis between attacks6060586064555470586055537162
Other*101*510010100
Neither of these41208360232000
Don't know1141753117717517610

* In 1999, the wording of Statement 'A' differed slightly, as follows: 'Short-term, fast-acting medications that stop asthma symptoms after they have begun or when you experience an asthma attack'.

Q3 As far as you know, which, if any of the following most closely describes what your child receives, if anything, to prevent asthma symptoms from occurring in the first place? By this, we mean a controller or preventer therapy. If you have more than one child with asthma, please think only about the oldest one.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 2002200220022002200220022002
Unweighted Base: Parents of children with asthma59159185100161125120
Weighted Base: Parents of children with asthma60360388100155140120
 %%%%%%%
INHALER / PUFFER84877690937387
Bronchodilator e.g. Ventolin / Bricanyl / Atrovent / Salbutamol53546033535466
Inhaled steroid e.g. Becotide / Becloforte / Pulmicort27261944371026
Other sort of inhaler e.g. Intal / Tilade15141019141221
Don't know name of inhaler / puffer5428842
TABLET2323373851423
Steroid e.g. prednisolone52714202
Other tablet e.g. Philocontin / Volmax / Uniphyllin / Slophyllin1072711137
Once daily tablet e.g. Singulair899121612
Don't know name of tablet4434165
Acupuncture2226120
Herbal or homeopathic medicine98826193
Other6759477
Don't know42702120

Before we continue, I would just like to explain the terms 'reliever' and 'controller' therapy to you. 'Reliever therapy' is short-term, fast acting medications that stop asthma symptoms after they have begun or when someone experiences an asthma attack. GB ONLY: Reliever therapy is sometimes called rescue medication.

'Controller therapy' is preventative medication that helps keep asthma symptoms from occurring in the first place and is prescribed for daily use even if a person with asthma doesn't have symptoms on a regular basis between attacks. GB ONLY: Controller therapy is sometimes called preventer medication

Q4 Now thinking about your child's asthma, which, if any, of the following most closely describes your view? If you have more than one child with asthma, please think only about the oldest one.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
My child takes his / her controller asthma medication on a regular basis whether he / she has symptoms or not4138413046274153343036234856
My child takes his / her reliever asthma medication to treat symptoms when they occur5450535252585029596153525848
My child sometimes forgets to take his / her asthma medication or sometimes forgets to take it at the right time15151611161826251611581111
When my child takes his / her medication, he / she sometimes experiences difficulty in taking the correct dosage6647410148932227
My child sometimes / refuses to take his / her asthma medication686737616853189
I think my child may be pretending to take their asthma medication when he / she is not22120053330212
I do not want my child to take medication because I am concerned about the side-effects54543423735596
Other3311475611*101
None of these44425469324201
Don't know*4030300*311300

Q5 Now thinking about the impact of your child's asthma, which, if any, of the following most closely describes your view? If you have more than one child with asthma, please think only about the oldest one.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 2002200220022002200220022002
Unweighted Base: Parents of children with asthma59159185100161125120
Weighted Base: Parents of children with asthma60360388100155140120
 %%%%%%%
My child wakes up at night at least once a week because of his / her symptoms26272235152731
My child's asthma has caused him / her to miss school within the past three months21182018131241
My child's asthma has caused him / her to miss a party or social function in the past three months996135913
My child's asthma has caused him / her to limit his / her involvement in sports and other physical activities36252052212564
My child experiences daytime asthma symptoms at least three times a week999151147
I have missed a social engagement in the past three months because of my child's asthma67715217
I have missed work in the past three months because of my child's asthma65475113
Other4355332
None of these2722402252517
Don't know81501320

Q6 On this card is a list of phrases that might describe how a child with asthma may feel. Which, if any, would you say describes how your child feels about asthma? Again, if you have more than one child with asthma, please think only about the oldest one.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002*199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Angry111711161015141611911171127
Awkward / out of place14199169162222753152935
Embarrassed887510141545551274
Fed up**1933203017382242152820262030
Depressed111071971011
Frightened162217168162129171515131838
Frustratedn/a17n/a16n/a10n/a28n/a28n/a4n/a16
Happy176205201055214145235
Imprisoned / trapped686811121111126528
Not 'cool'683912141513360009
Unhappy616715710725121507621
Unable to have control over their asthma14151016151625171098111020
Worried2023192619273326131719181826
Other24131469320003
None of these21112110211017112922213199
Don't know141323101311400

* The categories 'Ashamed', 'Isolated', 'Lacking in confidence' and 'Victim of bullying' have been omitted this year, while 'Frustrated' has been added.

** The categories 'Fed up' and 'Depressed' were combined in the 1999 survey.

Q7 Which, if any, of the following things on this list to do with your child's asthma do you worry about? If you have more than one child with asthma, please think only about the oldest one.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Being in a situation e.g. at school, camping, at a friend's house, at a cinema with people who don't know what to do when he / she has an asthma attack3432302330214645282320234548
Being more stressed at exam time due to asthma131411131122122141210131120
Family events or school outings being limited or stopped short because of asthma symptoms13141211121118161066101927
Emotional demands on the family79785131216977832
Friends / Relatives who do not take asthma seriously and who, therefore, are reluctant to help or make concessions (e.g. stop smoking, remove pets, stop using aerosols)222021222124322221128152628
Not being able to have access to new treatments99874414887261818
Not understanding the full range of asthma treatments available*n/a9n/a10n/a4n/a10n/a11n/a2n/a17
Not being able to join in games lessons or play sport because of asthma242022141811434223141342231
* This year, 3 new statements (Statements 'G', 'L' and 'N') have been added, therefore these are not proper trends and the findings should be interpreted with caution.

Q7 cont.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Outside the home environment, coming into contact with allergens and irritants that cause asthma (e.g. tobacco smoke, perfumes, dust and animal hair)3736374238425853262626123745
Possible long-term harmful effects from treatment232627241024273228201493543
Taking time off school because of asthma and 'missing out' on a 'proper education'161418188625211918961821
Not knowing what will trigger an asthma attackn/a24n/a23n/a31n/a22n/a23n/a6n/a36
The unpredictable nature of when an attack may occur (e.g. during the night)3234303426344350302220103953
Forgetting medication when leaving homen/a18n/a20n/a16n/a23n/a23n/a7n/a20
Other111*1115200*00
None of these155183183122191420353
Don't know140333000531100

Q8 And which, if any, would you say your child worries about? Again, if you have more than one child with asthma, please think only about the oldest

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Being in a situation e.g. at school, camping, at a friend's house, at a cinema with people who don't know what to do when he / she has an asthma attack14171311131025261311628129
Being more stressed at exam time due to asthma711599513175859516
Family events or school outings being limited or stopped short because of asthma symptoms917513562125482131331
Emotional demands on the family372731287232922
Friends / Relatives who do not take asthma seriously and who, therefore, are reluctant to help or make concessions (e.g. stop smoking, remove pets, stop using aerosols)78786814167323710
Not being able to have access to new treatments22214020210932
Not understanding the full range of asthma treatments available*n/a3n/a2n/a2n/a7n/a3n/a2n/a2
Not being able to join in games lessons or play sport because of asthma24282115171543542114853254

* This year, 3 new statements (Statements 'G', 'L' and 'N') have been added, therefore these are not proper trends and the findings should be interpreted with caution.

Q8 cont.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Outside the home environment, coming into contact with allergens and irritants that cause asthma (e.g. tobacco smoke, perfumes, dust and animal hair)18151714261527291211841714
Possible long-term harmful effects from treatment747556108755281
Taking time off school because of asthma and 'missing out' on a 'proper education'9610870169108011210
Not knowing what will trigger an asthma attackn/a16n/a15n/a32n/a18n/a13n/a4n/a15
The unpredictable nature of when an attack may occur (e.g. during the night)16201921192122291216592024
Forgetting medication when leaving homen/a10n/a10n/a10n/a13n/a13n/a5n/a8
Other12112135130101
None of these291726132619221244353242313
Don't know8735392035321623

Q9 If you were planning to leave your home (e.g. for a day trip, afternoon out or a holiday / camping etc.) with your child who has asthma, which, if any, of the following factors would you give special consideration to, to take account of your child's asthma? If you have more than one child with asthma, please think only about the oldest one.

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 19992002199920021999200219992002199920021999200219992002
Unweighted Base: Parents of children with asthma63159163159111085102100188161111125120120
Weighted Base: Parents of children with asthma60060360060311088102100162155106140120120
 %%%%%%%%%%%%%%
Avoiding places with excessive levels of pollution**3246353635483936203118364877
Avoiding direct contact with animals2424222122143432152118193032
Avoiding unsuitable environments when travelling e.g. smoky train carriages and airport lounges4244364435446067363432214856
Clean hotel rooms free of dust, tobacco smoke3438293328273651272829334850
Climate2927232323234343101111105946
Smoke-free restaurants / environments2836343915264555343914133445
Taking medication with you7064726058588683726059417477
Other22132314107300
None of these / my child's asthma isn't a problem64421243210122140
Don't know*3011600010600

** The wording of category 'A' differed slightly in the 1999 survey and read 'A not excessive level of pollution in the area.'

Q10 If your child's asthma could be equally well controlled through any of the following forms of medication, which, if any, of the following types of controller therapy would you prefer? Please note we are referring here to preventing asthma symptoms from occurring in the first place, rather than short-term, fast-acting medications that stop asthma symptoms after they have begun. If you have more than one child with asthma, please think only about the oldest

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 2002200220022002200220022002
Unweighted Base: Parents of children with asthma59159185100161125120
Weighted Base: Parents of children with asthma60360388100155140120
 %%%%%%%
I would prefer my child to use an inhaler daily43393956383647
I would prefer my child to take a once-a-day non-steroidal tablet28263525371726
Neither86386186
Other431161*3
My child's asthma isn't a problem999414413
Don't know73313255

Q11 Which, if any, of the following reasons explains your feelings about why you said you would prefer your child to use an inhaler?

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 2002200220022002200220022002
Unweighted Base: All who prefer their child to use an inhaler2412413556585156
Weighted Base: All who prefer their child to use an inhaler2562563456595156
 %NNNNNN
It's the best therapy available45241432182724
Side effects of inhaler7424463
Side effects of tablets171056101310
Easier to control dosage with tablet5241232
My child is more likely to take the tablet regularly2101120
My child is used to using an inhaler67403044401741
Other2111201
None of these0000000
Don't know2101031

Q11 Which, if any, of the following reasons explains your feelings about why you said you would prefer your child to use a once-a-day non-steroidal tablet?

 Five Country AverageFive Country MedianFranceGermanyGreat BritainItalySpain
 2002200220022002200220022002
Unweighted Base: All who prefer their child to use a once-a-day non-steroidal tablet1761763025662332
Weighted Base: All who prefer their child to use a once-a-day non-steroidal tablet1691693125582332
 %NNNNNN
It's the best therapy available18774497
Side effects of inhaler155511425
Side effects of tablets3110441
Easier to control dosage with tablet5316161431424
My child is more likely to take the tablet regularly431492025414
My child is used to using an inhaler5151011
Other3041000
None of these0000000
Don't know2110011

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