Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007–2012

Details

• Alternative Title:
  EC Pulmonol Respir Med
• Personal Author:
  Tilert, Timothy ; Paulose-Ram, Ryne ; Howard, Donna ; Butler, James ; Lee, Sunmin ; Wang, Min Qi
• Description:
  Introduction:
  
  Chronic obstructive pulmonary disease (COPD) is a respiratory disease that often goes undiagnosed, particularly in its early stages.
  
  Objective:
  
  To examine sociodemographic, general health, and COPD specific factors, including severity of lung obstruction, that are associated with healthcare provider-diagnosed COPD among U.S. adults.
  
  Methods:
  
  NHANES cross-sectional data collected from 2007–2012 on adults aged 40–79 years (n=10,219) were analyzed. The primary outcome was self-reported COPD diagnosis with predictive factors analyzed via chi-square and logistic regression analyses.
  
  Results:
  
  During 2007–2012, 5.2% of US adults aged 40–79 reported being diagnosed with COPD. Among those diagnosed, 50.8% reported fair or poor health, 47.1% were currently smoking cigarettes, 49.1% were taking prescription respiratory medication, 36.4% had moderate or worse lung obstruction, and nearly 90% had one or more respiratory symptoms. Logistic regression revealed positive associations between receiving a COPD diagnosis and the following: being white (AOR: 3.08, 95% CI: 1.82–5.20); being aged 60–79 years (AOR: 1.65, 95% CI: 1.07–2.53); reporting fair/poor health (AOR: 2.91, CI: 1.55–5.46); having 4–9 (AOR: 3.5, CI: 1.3–9.4) or 10 or more healthcare visits in prior year (AOR: 5.06, CI: 1.62–15.77); being a former (AOR: 1.75, CI: 1.2–2.5) or current smoker (AOR: 1.70, CI: 1.17–2.48); having more severe lung obstruction (AOR: 4.90, CI: 3.28–7.32); having 3 or more respiratory symptoms (AOR: 22.07, CI: 12.03–40.49).
  
  Conclusions:
  
  Multiple factors are associated with self-reported COPD diagnosis with number of reported respiratory symptoms having the strongest association. After controlling for other factors, having mild lung obstruction was not associated with being diagnosed.
  
  
• Keywords:
  COPD Diagnosis NHANES Prevalence Smoking Spirometry
• Source:
  EC Pulmonol Respir Med. 7(9):650-662
• Pubmed ID:
  30294723
• Pubmed Central ID:
  PMC6169793
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  7
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7fd17a55f70f1ea70b786a3555637a39ed235bf9e6afa5518941c53444708ab6
• Download URL:
  https://stacks.cdc.gov/view/cdc/59711/cdc_59711_DS1.pdf
• File Type:
  [PDF - 106.21 KB ]