TY - JOUR
T1 - Chronic Obstructive Pulmonary Disease and Health-Related Quality of Life in the 2009 Texas Behavioral Risk Factor Survey
AU - Jackson, Bradford E.
AU - Suzuki, Sumihiro
AU - Coultas, David
AU - Singh, Karan P.
AU - Bae, Sejong
N1 - Funding Information:
This research was funded in part by a student fellowship from the Centers for Disease Control and Prevention and the Society for Public Health Education, and a grant from the National Institutes of Health-National Heart, Lung, and Blood Institute R18 HL092955. The authors would like to thank William Thompson, Rosemarie Kobau, Cecily Luncheon, John P. Barile, Nicollete Warren, Mayra Rodriguez, and Dr. Matthew M. Zack for their contributions in the development and writing process.
Funding Information:
Bradford Jackson received fellowship support from the Centers for Disease Control and Prevention and the Society for Public Health Education. David Coultas receives grant support as principal investigator for National Institutes of Health, National Heart, Lung, and Blood Institute–funded research.
PY - 2013/8
Y1 - 2013/8
N2 - Introduction. Individuals with chronic obstructive pulmonary disease (COPD) experience irreversible airflow obstruction, dyspnea, coughing, and fatigue. One of the goals of treating individuals with COPD is to improve their quality of life. The aim of this research was to evaluate the 2009 Texas Behavioral Risk Factor Surveillance System (BRFSS) as a method for surveillance of COPD by identifying factors associated with impaired health-related quality of life (HRQoL) among respondents with COPD as well as comment on differences between the COPD and non-COPD population in a state representative sample. Method. Data from 348 COPD respondents were obtained from the 2009 Texas BRFSS. The Andersen behavior model was used to categorize variables as predisposing characteristics, health behaviors, and health service utilization. Self-rated health (SRH) was the HRQoL indicator used in this analysis. Chi-square tests were used to examine differences between COPD and non-COPD respondents. The relation between SRH and risk factors were modeled using domain analysis and logistic regressions. All analyses incorporated the sample weights to be representative of the state population. Results. Adults with COPD reported significantly worse SRH than adults who did not have COPD (p <.001). Among respondents with COPD, the predisposing characteristics associated with impaired HRQoL were obesity, education, and asthma; the health practices and service utilization factors associated with HRQoL included smoking, physical inactivity, having a health plan, and the inability to see a doctor because of costs. Conclusions. The Texas COPD population experienced increased risk of impaired SRH compared with the non-COPD population. The findings from our population-level survey study are similar to results observed at the clinical level.
AB - Introduction. Individuals with chronic obstructive pulmonary disease (COPD) experience irreversible airflow obstruction, dyspnea, coughing, and fatigue. One of the goals of treating individuals with COPD is to improve their quality of life. The aim of this research was to evaluate the 2009 Texas Behavioral Risk Factor Surveillance System (BRFSS) as a method for surveillance of COPD by identifying factors associated with impaired health-related quality of life (HRQoL) among respondents with COPD as well as comment on differences between the COPD and non-COPD population in a state representative sample. Method. Data from 348 COPD respondents were obtained from the 2009 Texas BRFSS. The Andersen behavior model was used to categorize variables as predisposing characteristics, health behaviors, and health service utilization. Self-rated health (SRH) was the HRQoL indicator used in this analysis. Chi-square tests were used to examine differences between COPD and non-COPD respondents. The relation between SRH and risk factors were modeled using domain analysis and logistic regressions. All analyses incorporated the sample weights to be representative of the state population. Results. Adults with COPD reported significantly worse SRH than adults who did not have COPD (p <.001). Among respondents with COPD, the predisposing characteristics associated with impaired HRQoL were obesity, education, and asthma; the health practices and service utilization factors associated with HRQoL included smoking, physical inactivity, having a health plan, and the inability to see a doctor because of costs. Conclusions. The Texas COPD population experienced increased risk of impaired SRH compared with the non-COPD population. The findings from our population-level survey study are similar to results observed at the clinical level.
KW - BRFSS
KW - COPD
KW - HRQoL
KW - Texas
UR - http://www.scopus.com/inward/record.url?scp=84880397977&partnerID=8YFLogxK
U2 - 10.1177/1090198112460053
DO - 10.1177/1090198112460053
M3 - Article
C2 - 23041707
AN - SCOPUS:84880397977
VL - 40
SP - 469
EP - 479
JO - Health Education and Behavior
JF - Health Education and Behavior
SN - 1090-1981
IS - 4
ER -