Role of Socioeconomic Factors on Physical and Mental Distress Reported by Alabama Adults with COPD.

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From: Southern Medical Journal(Vol. 115, Issue 6)
Publisher: Southern Medical Association
Document Type: Brief article
Length: 355 words

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Abstract :

Byline: Michael Stellefson, From the Department of Health Science, the Capstone College of Nursing, the College of Arts and Sciences, and the College of Education, The University of Alabama, Tuscaloosa, and the Department of Behavioral and Community Health, University of Maryland, College Park.; Cassandra D. Ford; Min Qi Wang; Isabella Cline; Caitlin Kinder Abstract OBJECTIVES: Educational attainment, income, and race play significant roles in managing and treating patients with chronic obstructive pulmonary disease (COPD). The purpose of this study was to evaluate the impact of these socioeconomic factors and others on the physical and mental distress reported by patients with COPD living in Alabama. METHODS: A cross-sectional analysis was completed of Alabama Behavioral Risk Factor Surveillance System 2015-2019 data collected from 4123 respondents who reported that a health professional told them they had COPD, chronic bronchitis, or emphysema. Univariate analyses examined descriptive differences in physical and mental distress among racial groups. Multivariable logistic regression models were used to assess physical and mental distress as a function of race and demographic variables (age, sex, employment status, household income, education level), controlling for dichotomous healthcare access variables (enrollment in a health insurance plan, having a usual source of care, routine check-up in the past 2 years). RESULTS: Most Alabama adults with COPD from 2015 to 2019 were female (64%) and older than 45 years (88%). Annual incomes were low, with 40% of respondents (43.84%) earning CONCLUSIONS: Public health and healthcare practitioners across Alabama should use these analyses to direct more targeted, high-yield interventions that will address existing health disparities among state residents living with COPD.

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Gale Document Number: GALE|A704173198