2023-09-28 14:46:10 +00:00
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abstract: 'Objectives Educational attainment, income, and race play significant
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roles in managing and treating patients with chronic obstructive
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pulmonary disease (COPD). The purpose of this study was to evaluate the
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impact of these socioeconomic factors and others on the physical and
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mental distress reported by patients with COPD living in Alabama.
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Methods A cross-sectional analysis was completed of Alabama Behavioral
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Risk Factor Surveillance System 2015-2019 data collected from 4123
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respondents who reported that a health professional told them they had
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COPD, chronic bronchitis, or emphysema. Univariate analyses examined
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descriptive differences in physical and mental distress among racial
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groups. Multivariable logistic regression models were used to assess
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physical and mental distress as a function of race and demographic
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variables (age, sex, employment status, household income, education
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level), controlling for dichotomous healthcare access variables
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(enrollment in a health insurance plan, having a usual source of care,
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routine check-up in the past 2 years). Results Most Alabama adults with
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COPD from 2015 to 2019 were female (64\%) and older than 45 years
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(88\%). Annual incomes were low, with >40\% of respondents (43.84\%)
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earning <\$20,000/year; adults making between \$35,000 and \$49,999 were
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less likely (odds ratio 0.60, 95\% confidence interval 0.38-0.96) to
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experience mental distress. Younger Alabama adults with COPD (25-64
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years) were approximately two times more likely than respondents ages 65
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and older to report mental distress. African Americans were less likely
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to report physical distress as compared with Whites (odds ratio 0.61,
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95\% confidence interval 0.44-0.83). Alabama adults who could not work
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were more likely than those with COPD who were employed/self-employed,
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out of work, retired, or identified as homemakers to report physical
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distress. Conclusions Public health and healthcare practitioners across
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Alabama should use these analyses to direct more targeted, high-yield
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interventions that will address existing health disparities among state
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residents living with COPD.'
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affiliation: 'Stellefson, M (Corresponding Author), Univ Alabama, Dept Hlth Sci, 103
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Russell Hall,Box 870313, Tuscaloosa, AL 35487 USA.
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Univ Alabama, Dept Hlth Sci, Capstone Coll Nursing, Coll Arts \& Sci, Tuscaloosa,
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AL USA.
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Univ Alabama, Coll Educ, Tuscaloosa, AL USA.
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Univ Maryland, Dept Behav \& Community Hlth, College Pk, MD 20742 USA.'
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author: Stellefson, Michael and Ford, Cassandra D. and Wang, Min Qi and Cline, Isabella
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and Kinder, Caitlin
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author-email: 'stell001@ches.ua.edu
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ford039@ua.edu
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mqw@umd.edu
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ircline@crimson.ua.edu
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cmkinder@crimson.ua.edu'
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author_list:
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- family: Stellefson
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given: Michael
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- family: Ford
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given: Cassandra D.
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- family: Wang
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given: Min Qi
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- family: Cline
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given: Isabella
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- family: Kinder
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given: Caitlin
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da: '2023-09-28'
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doi: 10.14423/SMJ.0000000000001407
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eissn: 1541-8243
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files: []
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issn: 0038-4348
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journal: SOUTHERN MEDICAL JOURNAL
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keywords: COPD; income; mental distress; physical distress; race
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keywords-plus: 'OBSTRUCTIVE PULMONARY-DISEASE; QUALITY-OF-LIFE; RISK-FACTORS;
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DISPARITIES; PEOPLE'
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language: English
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month: JUN
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number: '6'
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number-of-cited-references: '27'
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pages: 374-380
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papis_id: 587efb01ea64d0b2e3f7bcffbe44b4bc
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ref: Stellefson2022rolesocioeconomic
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researcherid-numbers: Stellefson, Michael/ACE-4522-2022
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times-cited: '0'
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title: Role of Socioeconomic Factors on Physical and Mental Distress Reported by Alabama
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Adults with COPD
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000797125300007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '115'
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web-of-science-categories: Medicine, General \& Internal
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year: '2022'
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