Department of Environmental and Public Health, University of Cincinnati, Cincinnati, Ohio, USA.
Department of Health Education and Promotion, School of Human Services, University of Cincinnati, Cincinnati, Ohio, USA.
Hisp Health Care Int. 2024 Jun;22(2):67-73. doi: 10.1177/15404153231210863. Epub 2023 Oct 29.
Appropriate diagnosis and regular primary care appointments are markers of quality chronic obstructive pulmonary disease (COPD) care. Underdiagnosis of COPD has been associated with an absence of health insurance, lower socioeconomic status, and race and ethnicity. This study examined predictors of COPD using data from the Behavioral Risk Factor Surveillance System (BRFSS, 2021) to provide information for prevention messaging and interventions. Participants included Hispanic adults ( = 17,782) aged 45 years and older. Chi-square tests and a multinomial logistic regression analysis (adjusted with the BRFSS weighting variable) were used to understand how sex, income, health status, smoking behaviors, asthma morbidity, and health insurance coverage were related to having COPD. Patients with poor health, lower income level, current smokers, former smokers, or asthma were more likely to report COPD. Females were more likely to report COPD than males. Patients with COPD were more likely to be without health insurance when compared to those who did not have COPD, indicating unmet medical needs. Studies such as this one, aiming to evaluate the relationship between COPD prevalence and predictors of health and outcomes among Hispanic patients in the United States will remain important for developing health messaging to attenuate disease progression.
适当的诊断和定期的初级保健预约是慢性阻塞性肺疾病（COPD）优质护理的标志。COPD 的诊断不足与缺乏健康保险、较低的社会经济地位以及种族和民族有关。本研究使用来自行为风险因素监测系统（BRFSS，2021 年）的数据来检查 COPD 的预测因素，为预防信息传递和干预提供信息。参与者包括年龄在 45 岁及以上的西班牙裔成年人（n=17782）。卡方检验和多项逻辑回归分析（用 BRFSS 加权变量调整）用于了解性别、收入、健康状况、吸烟行为、哮喘发病率和健康保险覆盖范围与 COPD 的关系。健康状况差、收入水平低、当前吸烟者、前吸烟者或哮喘患者更有可能报告 COPD。与男性相比，女性更有可能报告 COPD。与没有 COPD 的患者相比，患有 COPD 的患者更有可能没有健康保险，这表明存在未满足的医疗需求。此类研究旨在评估 COPD 在美国西班牙裔患者中的流行率以及健康和结局预测因素之间的关系，对于制定减轻疾病进展的健康信息传递仍然很重要。
