Associations of Self-Reported Chronic Obstructive Pulmonary Disease with Indicators of Economic Instability and Stress — 16 States, 2017

Details

• Alternative Title:
  Chronic Illn
• Personal Author:
  Carlson, Susan A ; Wheaton, Anne G ; Liu, Yong ; Moore, Latetia V ; Eke, Paul I ; Croft, Janet B ; Greenlund, Kurt J ; Thomas, Craig W
• Description:
  Objective:
  
  To examine the association between chronic obstructive pulmonary disease (COPD) status and indicators of economic instability and stress to better understand the magnitude of these issues in persons with COPD.
  
  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 COPD status and each measure were examined using multinomial logistic models.
  
  Results:
  
  Adults with COPD were more likely (p<0.001) than adults without to report not having enough money at month end (21.0% versus 7.9%) or just enough money (44.9% versus 37.2%); being unable to pay mortgage, rent, or utility bills (19.2% versus 8.8%); and that often or sometimes food did not last or could not afford to eat balanced meals (37.9% versus 20.6%), as well as stress all or most of the time (27.3% versus 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 COPD than without. Findings highlight the importance of including strategies to address challenges related to economic instability and stress in COPD management programs.
  
  
• Subjects:
  Adult Behavioral Risk Factor Surveillance System Economic Stability Food Insecurity Housing Humans Pulmonary Disease, Chronic Obstructive Self Report Social Determinants Of Health Stress, Psychological United States

  More +
• Keywords:
  Lung Diseases Socioeconomic Factors Stress And Anxiety
• Source:
  Chronic Illn. 19(2):327-338
• Pubmed ID:
  34812655
• Pubmed Central ID:
  PMC10424003
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  19
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e4a23dcaea5b0d109c74e85ede54907f7e9dde3b6227b0b79de691ab40acefa4
• Download URL:
  https://stacks.cdc.gov/view/cdc/132026/cdc_132026_DS1.pdf
• File Type:
  [PDF - 343.95 KB ]