Mazetas Dimitris, Gouva Mary, Economou Athina, Gerogianni Irini, Mantzoukas Stefanos, Gourgoulianis Konstantinos I
Department of Respiratory Medicine, University General Hospital of Larissa, Larissa, GRC.
Faculty of Medicine, University of Thessaly, Volos, GRC.
Cureus. 2023 Jun 19;15(6):e40624. doi: 10.7759/cureus.40624. eCollection 2023 Jun.
Background Chronic obstructive pulmonary disease (COPD) places a significant economic burden on national healthcare systems, and the economic effects of diseases have long been known. The study aimed to evaluate the association of parental family financial wealth with current economic prosperity and the combined effect of both on health-related quality of life (HRQOL) in a sample of patients with COPD. The moderating effect of birth order is further investigated. Methods The results of the study are based on a purposive sample of 105 COPD patients at the Larisa University Hospital pulmonology clinic (94 males and 11 females), with an average age of 68.9 (SD = 9.2). The data collection was carried out in the spring and summer of 2020. Participants completed the 36-item Short Form Survey (SF-36) and a sociodemographic questionnaire with self-reported parental and current wealth items. A mediation model with the moderation of the indirect effect of parental wealth on current wealth and the direct effect of parental wealth on HRQOL was applied to test the research hypotheses among the variables studied. Results Parental wealth was found to affect current wealth significantly, and both were involved considerably in HRQOL. Birth order had a significant moderating effect on the relationship between parental wealth and HRQOL. Among parental families with lower financial status, patients who grew up as third or later children had significantly lower HRQOL than the first or second children of these families. Neither age nor COPD duration was related to current wealth or HRQOL. Conclusions An intergenerational transmission of poverty was found in our sample. In addition, a birth order effect can provide further insight into the harsher environment that the later children of a low-income family are exposed to and the long-term implications for their HRQOL.
背景 慢性阻塞性肺疾病（COPD）给国家医疗保健系统带来了巨大的经济负担，疾病的经济影响早已为人所知。本研究旨在评估COPD患者样本中父母家庭经济财富与当前经济状况的关联，以及二者对健康相关生活质量（HRQOL）的综合影响。进一步研究出生顺序的调节作用。方法 本研究结果基于拉里萨大学医院肺病科门诊105例COPD患者的目的抽样（94例男性和11例女性），平均年龄为68.9岁（标准差 = 9.2）。数据收集于2020年春夏季进行。参与者完成了36项简短调查问卷（SF - 36）以及一份包含自我报告的父母和当前财富项目的社会人口统计学问卷。应用一个中介模型，其中父母财富对当前财富的间接效应以及父母财富对HRQOL的直接效应受到调节，以检验所研究变量之间的研究假设。结果 发现父母财富对当前财富有显著影响，且二者都对HRQOL有相当大的影响。出生顺序对父母财富与HRQOL之间的关系有显著调节作用。在父母经济状况较低的家庭中，作为第三个或更晚出生的孩子长大的患者的HRQOL显著低于这些家庭的第一个或第二个孩子。年龄和COPD病程均与当前财富或HRQOL无关。结论 在我们的样本中发现了贫困的代际传递。此外，出生顺序效应可以进一步深入了解低收入家庭中较晚出生的孩子所面临的更恶劣环境以及对其HRQOL的长期影响。
