Socioeconomic health determinants in Chronic Obstructive Pulmonary Disease (COPD) patients.

05 May 2022
Clinical Research Results Abstract Introduction: Socioeconomic determinants play an important role in the development and severity of Chronic Obstructive Pulmonary Disease (COPD). Aim: to study the influence of socioeconomic determinants and stablish an approximation of their relevance in COPD based on pulmonary function (FEV1%) and clinical features (dyspnea). Method: descriptive study. Sample: 1012 patients from primary healthcare centres. Variables: age, sex, body mass index (BMI),civil status, educational level, social support, emotional support, multimorbidity, smoking habit, mini-mental test score, Duke-UNC test score, FEV1%, dyspnea, spirometry pattern, COPD severity. Descriptive (mean and standard deviation; absolute and relative frequency, 95% confidence interval), bivariate and multivariate analysis. Results: age: 69.87±9.08 years (CI95% 69.31-70.43); men (88.2%), BMI 29±5 (CI95% 28.69-29.31), low educational level (82.5%), predominant civil status married (80.8%), ex-smokers (61.6%), current smokers (30.8%), number of packs/year 56.01±41.49 (CI95% 53.33-58.69), comorbidities: high blood pressure (50.3%), osteoarthritis (29.2%), diabetes (22.1%), ischemic cardiopathy (12.7%). Duke-UNC: good confidential support (91%), good emotional support (90%), good social support (64.2%). Normal Mini-mental test score (84.6%). FEV1% 56.43±17.94 (CI95% 55.27-57.59), dyspnea (37.4%), predominant mixed respiratory pattern (62%), moderate severity (48.6%). Linear Multiple Regression analysis (FEV1%): age (p<0.0001), educational level (p=0.001) and social support (p<0.0001). Logistic Regression analysis (dyspnea): civil status (p=0.006), emotional support (p<0.0001), social support (p=0.001) and multimorbidity (p=0.007). Discussion: social profile of COPD patients: male, elderly, overweight, low educational level, married, ex-smoker, with multimorbidity. Socioeconomic determinants have a moderate impact in pulmonary function and dyspnea. Several interventions can be devised in order to improve these determinants and enhance COPD management as a result. Research Idea Abstract Service Development & Evaluation Abstract Declaration of Interest Authors declare no competing interest.This clinical research is of great relevance as it portrays an answer to one of the most interesting questions to the IPCRG audience. Socioeconomic determinants and its influence on COPD could help researchers devise more efficient and helpful interventions to improve COPD patients’ use of inhalers and enhance COPD management. References and Clinical Trial Registry Information

Resource information

Respiratory conditions
  • COPD
Type of resource
Abstract
Conference
Malaga 2022
Author(s)
Virginia Patricia Aguiar-Leiva, Instituto CUDECA de Estudios e Investigación en Cuidados Paliativos, Fundación CUDECA, Málaga, España. Instituto de Investigación Biomédica de Málaga-IBIMA Grupo CA-15.