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The sociodemographic characteristics included age at baseline, sex, ethnicity (self-reported and defined as Caucasian, Asian which included Mandarin, Japanese, Korean, Arabic and Persian or other ethnicities), education (self-reported and categorised as less than postsecondary education vs postsecondary education) and annual household income (self-reported and categorised as low vs high at a cut-off value of $C60 000).The usage of CAMs in the past 12 months was assessed with the question “In the past 12 months, have you received any alternative therapy for your asthma?Check all that apply.” followed by a list including nine options: (1) massage, osteopathy or other manipulative techniques; (2) herbal treatment; (3) acupuncture; (4) homeopathy; (5) breathing exercises; (6) vitamins or other supplements; (7) chiropractic; (8) dieting programs and (9) naturopathy.The interviewer provided verbal explanation and examples to clarify the options.

Individuals were not eligible if they were unable to provide informed consent due to language difficulties or cognitive impairment, reported a 10 pack-year smoking history or greater, or had plans to leave the study area during the follow-up period.Specifically, we hypothesised that lack of asthma control will be associated with higher usage of CAMs, and that individuals use CAMs to complement their conventional therapies.Data were collected from the baseline visit of a prospective, longitudinal cohort study with the ultimate goal of estimating the economic burden of asthma.Two of the important determining factors that make patients consume CAMs are the association between CAM usage and the level of asthma control as well as the usage of conventional controller therapies.There is evidence indicating the association between CAM usage and poor control in work-related asthma.11 Nonetheless, few studies have attempted to determine the association between the usage of CAMs and controller medications as a function of asthma control.




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