Health Risk Disparities Among Employed Adults with COPD Living in Central Appalachian U.S. States

Details

• Personal Author:
  Balanay JAG ; Stellefson M ; Wang MQ ; Wu R
• Description:
  Little is known about risk factors associated with poor health among employees with COPD living in Central Appalachia. Purpose: Determine variability in health distress based on risk factors, including race and income, among employees with COPD from Central Appalachian U.S. States. Methods: 2016-2017 BRFSS data were analyzed from employed adults with COPD living in KY, NC, TN, and WV (N = 1,326). Health risks included (1) comorbidities; (2) substance use/abuse; and (3) limited healthcare access as predictors of mental and physical distress, with race and income entered as covariates. Results: Respondents reporting several comorbidities were more likely to report physical and mental distress compared to those without comorbidities. Workers who used e-cigarettes on some versus no days were more likely to report physical distress. Those reporting cost preventing access to medical care versus no cost barriers were more likely to report physical and mental distress. Low-income workers were more likely than higher-income workers to report distress. Discussion: Comorbidities, e-cigarettes, and high medical costs are potential causes of occupation-related disability among employees with COPD working in Central Appalachian U.S. States. Translation to Health Education Practice: Worksite interventions should address risks negatively associated with health outcomes among workers with COPD from Central Appalachia. [Description provided by NIOSH]
• Subjects:
  Healthcare Disparities Mental Health Nervous System Occupational Health Safety Smokers Tobacco Products
• Keywords:
  Chronic Obstructive Pulmonary Disease Cigarette Smoking COPD Employee Health Health Care Health Disparities Mental Health Socioeconomics
• ISSN:
  1932-5037
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Alabama ; Kentucky ; Maryland ; North Carolina ; OSHA Region 3 ; OSHA Region 4 ; Tennessee ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  265-277
• Volume:
  51
• Issue:
  5
• NIOSHTIC Number:
  nn:20068333
• Citation:
  Am J Health Educ 2020 Sep; 51(5):265-277
• Contact Point Address:
  Michael Stellefson, Department of Health Science, University of Alabama, 103 Russell Hall, Box 870313, Tuscaloosa, AL 35487-0313
• Email:
  stell001@ches.ua.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Kentucky, Lexington
• Peer Reviewed:
  True
• Start Date:
  20120701
• Source Full Name:
  American Journal of Health Education
• End Date:
  20240630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3a4df59d4e978c0b91f931be734ce834867c92ceefe22db3461b9867882f6cb7b9a434e9a78cb87e1551188ec20fffd1e933569fe9103b4eee6f35c33546cca5
• Download URL:
  https://stacks.cdc.gov/view/cdc/230500/cdc_230500_DS1.pdf
• File Type:
  [PDF - 610.02 KB ]