• Valmar Bião de Lima, Vanessa Serva Vazquez, Ana Clara Paixão Campos, Letícia Marques Dos Santos, and Álvaro Augusto Cruz.
• BSc. Statistician and Researcher, Programa de Controle da Asma na Bahia (ProAR), Salvador (BA), Brazil; and Doctoral Student, Postgraduate Program in Medicine and Health, Universidade Federal da Bahia (UFBA), Salvador (BA), Brazil.
• Sao Paulo Med J. 2023 Jan 1; 141 (6): e2022336e2022336.

BackgroundAsthma is a chronic airway disease that affects 339 million people worldwide. It is a heterogeneous disease with different risks, including in family environments, where intimate partner violence occurs.ObjectiveThis study aimed to investigate the possible association between psychosocial factors and asthma control in adults exposed to intimate partner violence.Design And SettingThis cross-sectional study was conducted at a Brazilian public higher education institution in Salvador, Bahia, Brazil.MethodsThe study population consisted of adults clinically diagnosed with severe asthma and those with mild/moderate asthma identified at an asthma referral outpatient clinic. The sample comprised 492 participants who underwent clinical evaluation and completed questionnaires to assess asthma control, depression, stress, and resilience. The Conflict Tactics Scale, which measures tactics for managing marital conflicts, was used to estimate the level of intimate partner violence.ResultsOf the 492 participants, 76.2% were women and 91% self-referenced color black/brown, 37.8% reported low family income, 87.4% reported low education level, 71.7% reported high stress, 32.5% reported low resilience, 18.5% reported moderate or severe depression, 83.3% reported resolute negotiation, 49.4% reported major psychological aggression, 19.6% reported major physical aggression, 15.5% reported major injury, and 7.3% reported major sexual coercion. Regression analysis revealed that sex was an effect modifier.ConclusionWomen in situations of social vulnerability, with low income and poor education, with depression, severe asthma, and those who used aggression to resolve marital conflicts had a profile associated with a lack of asthma control.

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