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- Title
Associations of self-reported chronic obstructive pulmonary disease with indicators of economic instability and stress – 16 states, 2017.
- Authors
Carlson, Susan A; Wheaton, Anne G; Liu, Yong; Moore, Latetia V; Eke, Paul I; Croft, Janet B; Greenlund, Kurt J; Thomas, Craig W
- Abstract
Objectives: To examine the association between chronic obstructive pulmonary disease status and indicators of economic instability and stress to better understand the magnitude of these issues in persons with chronic obstructive pulmonary disease. Methods: Analyzed 2017 Behavioral Risk Factor Surveillance System data from 16 states that administered the 'Social Determinants of Health' module, which included economic instability and stress measures (N = 101,461). Associations between self-reported doctor-diagnosed chronic obstructive pulmonary disease status and each measure were examined using multinomial logistic models. Results: Adults with chronic obstructive pulmonary disease were more likely (p < 0.001) than adults without to report not having enough money at month end (21.0% vs. 7.9%) or just enough money (44.9% vs. 37.2%); being unable to pay mortgage, rent, or utility bills (19.2% vs. 8.8%); and that often or sometimes food did not last or could not afford to eat balanced meals (37.9% vs. 20.6%), as well as stress all or most of the time (27.3% vs. 11.6%). Associations were attenuated although remained significant after adjustments for sociodemographic and health characteristics. Discussion: Financial, housing, and food insecurity and frequent stress were more prevalent in adults with chronic obstructive pulmonary disease than without. Findings highlight the importance of including strategies to address challenges related to economic instability and stress in chronic obstructive pulmonary disease management programs.
- Subjects
UNITED States; SOCIAL determinants of health; EVALUATION of human services programs; SELF-evaluation; RECESSIONS; LUNG diseases; FOOD security; HEALTH status indicators; MORTGAGES; SOCIOECONOMIC factors; RISK assessment; FOOD supply; OBSTRUCTIVE lung diseases; DESCRIPTIVE statistics; HOUSING; SOCIODEMOGRAPHIC factors; PSYCHOLOGICAL stress; MEALS; DISEASE management; ECONOMICS; DISEASE risk factors; DISEASE complications
- Publication
Chronic Illness, 2023, Vol 19, Issue 2, p327
- ISSN
1742-3953
- Publication type
Article
- DOI
10.1177/17423953211059144