Changes in prevalence of chronic obstructive pulmonary disease and asthma in the US population and associated risk factors

Details

• Personal Author:
  Doney BC ; Halldin, Cara N. ; Hnizdo, Eva
• Description:
  Chronic lower airway diseases, including chronic obstructive pulmonary disease (COPD) and asthma, are currently the third leading cause of death in the United States. We aimed to evaluate changes in prevalence of and risk factors for COPD and asthma among the US adult population. We evaluated changes in prevalence of self-reported doctor-diagnosed COPD (i.e. chronic bronchitis and emphysema) and asthma and self-reported respiratory symptoms comparing data from the 1988-1994 and 2007-2010 National Health and Nutrition Examination Surveys. To investigate changes in the severity of each outcome over the two periods, we calculated changes in the proportions of spirometry-based airflow obstruction for each outcome. Prevalence of doctor-diagnosed chronic bronchitis and emphysema decreased significantly mainly among males, while asthma increased only among females. The self-reported disease and the respiratory symptoms were associated with increased prevalence of airflow obstruction for both periods. However, the prevalence of airflow obstruction decreased significantly in the second period among those with shortness of breath and doctor-diagnosed respiratory conditions (chronic bronchitis, emphysema, and asthma). COPD outcomes and asthma were associated with lower education, smoking, underweight and obesity, and occupational dusts and fumes exposure. Chronic lower airway diseases continue to be major public health problems. However, decreased prevalence of doctor-diagnosed chronic bronchitis and emphysema (in males) and decreased prevalence of airflow obstruction in those with respiratory symptoms and doctor-diagnosed respiratory diseases may indicate a declining trend and decrease in disease severity between the two periods. Continued focus on prevention of these diseases through public health interventions is prudent. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Men Occupational Health Respiratory Tract Diseases Safety Women
• Keywords:
  Asthma Author Keywords: Chronic Bronchitis Bronchial-asthma Emphysema Humans NHANES Occupational Diseases Occupational Exposure Pulmonary-system-disorders Respiratory-system-disorders Statistical-analysis Surveillance

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• ISSN:
  1479-9723
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; OSHA Region 3 ; OSHA Region 4 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  47-60
• Volume:
  12
• Issue:
  1
• NIOSHTIC Number:
  nn:20045516
• Citation:
  Chron Respir Dis 2015 Feb; 12(1):47-60
• Contact Point Address:
  Cara N. Halldin, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, 1095 Willowdale Road MS-HG900.2, Morgantown, WV 26505, USA
• Email:
  challdin@cdc.gov
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Construction ; Mining
• Peer Reviewed:
  True
• Source Full Name:
  Chronic Respiratory Disease
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bc93092cd18376a00af772db13c30a3083a6e4b587c63a1a247d1fac390971db681ea02dab4e69a7493690588549b36008e4cce5ccf0dc0869027646b6e1cb57
• Download URL:
  https://stacks.cdc.gov/view/cdc/200911/cdc_200911_DS1.pdf
• File Type:
  [PDF - 186.73 KB ]