Exploring the Link Between Social and Economic Instability and COPD
A Cross-Sectional Analysis of the 2022 BRFSS
Bibliographic Data
| ID | 15486206 |
|---|---|
| Authors | Michael Stellefson (0000-0003-1717-4114, University of Alabama, corresponding author), Minqi Wang (0000-0001-8256-9687, University of Maryland, College Park), Min-Qi Wang (School of Public Health, University of Maryland, College Park, MD 20742, USA), Yuhui Yao (0000-0003-0069-7357, University of Alabama), Olivia Campbell (University of Alabama), Rakshan Sivalingam (University of Alabama) |
| Year | 2025 |
| Volume | 22 |
| Issue | 8 |
| Pages | 1207-1207 |
| Publication date | 2025-07-31 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph22081207 |
| PMID | 40869793 |
| OpenAlex | W4412845298 |
| Language | EN |
| References cited | 47 |
Despite growing recognition of the role that social determinants of health (SDOHs) and health-related social needs (HRSNs) play in chronic disease, limited research has examined their associations with Chronic Obstructive Pulmonary Disease (COPD) in population-based studies. This cross-sectional study analyzed 2022 Behavioral Risk Factor Surveillance System (BRFSS) data from 37 U.S. states and territories to determine how financial hardship, food insecurity, employment loss, healthcare access barriers, and psychosocial stressors influence the prevalence of COPD. Weighted logistic regression models were used to assess the associations between COPD and specific SDOHs and HRSNs. Several individual SDOH and HRSN factors were significantly associated with COPD prevalence, with financial strain emerging as a particularly strong predictor. In models examining specific SDOH factors, economic hardships like inability to afford medical care were strongly linked to higher COPD odds. Psychosocial HRSN risks, such as experiencing mental stress, also showed moderate associations with increased COPD prevalence. These findings suggest that addressing both structural and individual-level social risks may be critical for reducing the prevalence of COPD in populations experiencing financial challenges
Behavioral Risk Factor Surveillance System · COPD · Cross-sectional study · Environmental health · Logistic regression · Odds · Odds ratio · Pathology · Population · Psychiatry · Psychosocial · Public health · Social determinants of health · Social support · Socioeconomic status · Stressor · Clinical Psychology · Food Security and Health in Diverse Populations · Global Health Care Issues · Health disparities and outcomes · Medicine · Psychology · Social Psychology · Gerontology · Internal Medicine
| Highly cited | No |
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