Asthma control in primary care in Sweden: a comparison between 2001 and 2005

Prim Care Respir J. 2009 Dec;18(4):279-86. doi: 10.4104/pcrj.2009.00024.


Aim: To compare the degree of asthma control in 2001 and 2005 in a primary care setting in Sweden.

Method: Two similar questionnaire surveys were performed in 2001 and 2005 with 1,012 and 224 asthma patients aged 18-45 randomly selected from 42 and 56 primary health care centres, respectively. A classification of asthma control similar to the GINA guidelines was made using information obtained from the questionnaire.

Results: In 2001, 36.6% had achieved asthma control, 23.8% were partly controlled and 39.6% uncontrolled. In 2005, the corresponding figures were 40.2%, 26.8% and 33.0%, respectively, with no difference between the two surveys (p=0.114). Uncontrolled asthma was more common in women (p<0.001 in the first and p<0.05 in the second survey) and smokers (p<0.01 in the first and p<0.01 in the second survey). The use of combination corticosteroid/long-acting bronchodilator inhalers had increased - 34.2% and 48.2%, respectively (p<0.001) - and many patients used their inhaled corticosteroids periodically.

Conclusion: In spite of treatment guidelines many patients in Swedish primary care still have insufficient asthma control.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Inhalation
  • Adolescent
  • Adrenal Cortex Hormones / administration & dosage
  • Adult
  • Anti-Asthmatic Agents / administration & dosage*
  • Asthma / epidemiology
  • Asthma / prevention & control*
  • Bronchodilator Agents / administration & dosage
  • Female
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care*
  • Risk Factors
  • Surveys and Questionnaires
  • Sweden / epidemiology
  • Treatment Outcome


  • Adrenal Cortex Hormones
  • Anti-Asthmatic Agents
  • Bronchodilator Agents