Hegewald Matthew J, Crapo Robert O
Pulmonary Division, LDS Hospital and the University of Utah, Eighth Ave and C St, Salt Lake City, UT 84143, USA.
Chest. 2007 Nov;132(5):1608-14. doi: 10.1378/chest.07-1405.
Poverty is a major social problem in the United States and throughout much of the world. Poverty and the broader term socioeconomic status (SES) are important determinants of overall health status and many pulmonary diseases. The purpose of this study was to review the medical literature from the past 20 years addressing the relationship between SES and lung function in both children and adults. There is a significant negative correlation between lung function (primarily FEV1 and FVC) and SES. This relationship exists even after adjusting for smoking status, occupational exposures, and race. The magnitude of the effect of low SES on lung function is variable, but FEV1 reductions of >300 mL in men and >200 mL in women have been reported. SES is an important determinant of lung function and an underrecognized contributor to pulmonary disease.
贫困是美国乃至世界许多地方的一个主要社会问题。贫困以及更广泛的社会经济地位（SES）术语是整体健康状况和许多肺部疾病的重要决定因素。本研究的目的是回顾过去20年的医学文献，探讨儿童和成人中SES与肺功能之间的关系。肺功能（主要是第一秒用力呼气容积[FEV1]和用力肺活量[FVC]）与SES之间存在显著的负相关。即使在调整了吸烟状况、职业暴露和种族之后，这种关系依然存在。低SES对肺功能影响的程度各不相同，但有报告称男性FEV1降低超过300 mL，女性超过200 mL。SES是肺功能的重要决定因素，也是肺部疾病中一个未得到充分认识的因素。
