Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance

Chronic Obstructive Pulmonary Disease (COPD) is a complex and heterogeneous condition. Exposure to tobacco smoke and air pollutants are key risk factors for COPD development; however, other risk factors include race/ethnicity, sex of adults, a history of asthma, occupational exposures, and chronic r...

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Main Authors: Brandon Workman, Laura Nabors
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:COPD
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Online Access:https://www.tandfonline.com/doi/10.1080/15412555.2024.2413712
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author Brandon Workman
Laura Nabors
author_facet Brandon Workman
Laura Nabors
author_sort Brandon Workman
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description Chronic Obstructive Pulmonary Disease (COPD) is a complex and heterogeneous condition. Exposure to tobacco smoke and air pollutants are key risk factors for COPD development; however, other risk factors include race/ethnicity, sex of adults, a history of asthma, occupational exposures, and chronic respiratory infections. Data for the current study were from the 2022 Behavioral Risk Factor Surveillance Survey. Chi-squares and multinomial logistic regression analyses, adjusted with the survey’s sampling weight, were used to examine how critical health indicators impacted a COPD diagnosis. Participants (N = 311,175) were adults aged 45 years and older. Adjusted multinomial regression analyses showed adults who reported asthma, current and former smoking, poor physical health, depression, less physical activity, and fatigue were more likely to report COPD. Those with COPD were more likely to be male than female. Moreover, those with COPD reported higher rates of health insurance coverage, and yet had lower income and more financial difficulty affording a doctor for health services. In a follow up regression analysis, examining racial differences in COPD for participants, American Indian adults had a higher odds of reporting COPD than the “other” race groups. Because COPD remains a leading cause of death and disability in the U.S., and racial disparities persist in respiratory outcomes, continuing to identify risk factors for vulnerable groups could assist health program planners with development of successful health messaging.
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spelling doaj-art-df2511bbe2454d2a8968641f08e84cc52024-12-26T08:50:44ZengTaylor & Francis GroupCOPD1541-25551541-25632024-12-0121110.1080/15412555.2024.2413712Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based SurveillanceBrandon Workman0Laura Nabors1Department of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Cincinnati, OH, USADepartment of Health Promotion and Education, School of Human Services, University of Cincinnati, Cincinnati, OH, USAChronic Obstructive Pulmonary Disease (COPD) is a complex and heterogeneous condition. Exposure to tobacco smoke and air pollutants are key risk factors for COPD development; however, other risk factors include race/ethnicity, sex of adults, a history of asthma, occupational exposures, and chronic respiratory infections. Data for the current study were from the 2022 Behavioral Risk Factor Surveillance Survey. Chi-squares and multinomial logistic regression analyses, adjusted with the survey’s sampling weight, were used to examine how critical health indicators impacted a COPD diagnosis. Participants (N = 311,175) were adults aged 45 years and older. Adjusted multinomial regression analyses showed adults who reported asthma, current and former smoking, poor physical health, depression, less physical activity, and fatigue were more likely to report COPD. Those with COPD were more likely to be male than female. Moreover, those with COPD reported higher rates of health insurance coverage, and yet had lower income and more financial difficulty affording a doctor for health services. In a follow up regression analysis, examining racial differences in COPD for participants, American Indian adults had a higher odds of reporting COPD than the “other” race groups. Because COPD remains a leading cause of death and disability in the U.S., and racial disparities persist in respiratory outcomes, continuing to identify risk factors for vulnerable groups could assist health program planners with development of successful health messaging.https://www.tandfonline.com/doi/10.1080/15412555.2024.2413712Chronic Obstructive Pulmonary Diseasecomorbiditiespopulation-based studypatient-reported outcomesracial and ethnic differencestobacco use
spellingShingle Brandon Workman
Laura Nabors
Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance
COPD
Chronic Obstructive Pulmonary Disease
comorbidities
population-based study
patient-reported outcomes
racial and ethnic differences
tobacco use
title Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance
title_full Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance
title_fullStr Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance
title_full_unstemmed Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance
title_short Risk Factors for Adults with Chronic Obstructive Pulmonary Disease in the United States, Utilizing State-Based Surveillance
title_sort risk factors for adults with chronic obstructive pulmonary disease in the united states utilizing state based surveillance
topic Chronic Obstructive Pulmonary Disease
comorbidities
population-based study
patient-reported outcomes
racial and ethnic differences
tobacco use
url https://www.tandfonline.com/doi/10.1080/15412555.2024.2413712
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