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Health-related quality of life and chronic obstructive pulmonary disease in North Carolina
BACKGROUND: Comparisons of health-related quality of life (HRQOL) between persons with chronic obstructive pulmonary disease (COPD) and adults in the general population are not well described. AIMS: To examine associations between COPD and four measures of HRQOL in a population-based sample. PATIENT...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354436/ https://www.ncbi.nlm.nih.gov/pubmed/22624116 http://dx.doi.org/10.4297/najms.2010.260 |
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author | Brown, David W. Pleasants, Roy Ohar, Jill A. Kraft, Monica Donohue, James F. Mannino, David M. Liao, Winston Herrick, Harry |
author_facet | Brown, David W. Pleasants, Roy Ohar, Jill A. Kraft, Monica Donohue, James F. Mannino, David M. Liao, Winston Herrick, Harry |
author_sort | Brown, David W. |
collection | PubMed |
description | BACKGROUND: Comparisons of health-related quality of life (HRQOL) between persons with chronic obstructive pulmonary disease (COPD) and adults in the general population are not well described. AIMS: To examine associations between COPD and four measures of HRQOL in a population-based sample. PATIENTS & METHODS: These relationships were examined using data from 13,887 adults aged >18 years who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS) conducted in North Carolina (NC). Logistic regression was used to obtain adjusted relative odds (aOR). RESULTS: The age-adjusted prevalence of COPD among NC adults was 5.4% (standard error 0.27). Nearly half of adults with COPD reported fair/poor health compared with 15% of those without the condition (age-aOR, 5.5; 95% confidence interval [ CI] , 4.4 to 6.8). On average, adults with COPD reported twice as many unhealthy days (physical/mental) as those without the condition. The age-adjusted prevalence of >14 unhealthy days during the prior 30 days was 45% for adults with COPD and 17% for those without. The aOR of >14 unhealthy days was 1.7 (95% CI, 1.4 to 2.2) times greater among adults with COPD compared with those without. CONCLUSIONS: These results suggest COPD is independently associated with lower levels of HRQOL and reinforce the importance of preventing COPD and its complications through health education messages stressing efforts to reduce total personal exposure to tobacco smoke, occupational dusts and chemicals, and other indoor and outdoor air pollutants linked to COPD and early disease recognition. Our findings represent one of the few statewide efforts in the US and provide guidance for disease management and policy decision making. |
format | Online Article Text |
id | pubmed-3354436 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-33544362012-05-23 Health-related quality of life and chronic obstructive pulmonary disease in North Carolina Brown, David W. Pleasants, Roy Ohar, Jill A. Kraft, Monica Donohue, James F. Mannino, David M. Liao, Winston Herrick, Harry N Am J Med Sci Original Article BACKGROUND: Comparisons of health-related quality of life (HRQOL) between persons with chronic obstructive pulmonary disease (COPD) and adults in the general population are not well described. AIMS: To examine associations between COPD and four measures of HRQOL in a population-based sample. PATIENTS & METHODS: These relationships were examined using data from 13,887 adults aged >18 years who participated in the 2007 Behavioral Risk Factor Surveillance System (BRFSS) conducted in North Carolina (NC). Logistic regression was used to obtain adjusted relative odds (aOR). RESULTS: The age-adjusted prevalence of COPD among NC adults was 5.4% (standard error 0.27). Nearly half of adults with COPD reported fair/poor health compared with 15% of those without the condition (age-aOR, 5.5; 95% confidence interval [ CI] , 4.4 to 6.8). On average, adults with COPD reported twice as many unhealthy days (physical/mental) as those without the condition. The age-adjusted prevalence of >14 unhealthy days during the prior 30 days was 45% for adults with COPD and 17% for those without. The aOR of >14 unhealthy days was 1.7 (95% CI, 1.4 to 2.2) times greater among adults with COPD compared with those without. CONCLUSIONS: These results suggest COPD is independently associated with lower levels of HRQOL and reinforce the importance of preventing COPD and its complications through health education messages stressing efforts to reduce total personal exposure to tobacco smoke, occupational dusts and chemicals, and other indoor and outdoor air pollutants linked to COPD and early disease recognition. Our findings represent one of the few statewide efforts in the US and provide guidance for disease management and policy decision making. Medknow Publications & Media Pvt Ltd 2010-02 /pmc/articles/PMC3354436/ /pubmed/22624116 http://dx.doi.org/10.4297/najms.2010.260 Text en Copyright: © North American Journal of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Brown, David W. Pleasants, Roy Ohar, Jill A. Kraft, Monica Donohue, James F. Mannino, David M. Liao, Winston Herrick, Harry Health-related quality of life and chronic obstructive pulmonary disease in North Carolina |
title | Health-related quality of life and chronic obstructive pulmonary disease in North Carolina |
title_full | Health-related quality of life and chronic obstructive pulmonary disease in North Carolina |
title_fullStr | Health-related quality of life and chronic obstructive pulmonary disease in North Carolina |
title_full_unstemmed | Health-related quality of life and chronic obstructive pulmonary disease in North Carolina |
title_short | Health-related quality of life and chronic obstructive pulmonary disease in North Carolina |
title_sort | health-related quality of life and chronic obstructive pulmonary disease in north carolina |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3354436/ https://www.ncbi.nlm.nih.gov/pubmed/22624116 http://dx.doi.org/10.4297/najms.2010.260 |
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