Health Risk Disparities among Employed Adults with COPD Living in Central Appalachian U.S. States

Autor/inn/en	Stellefson, Michael; Wang, Min Qi; Balanay, Jo Anne G.; Wu, Rui
Titel	Health Risk Disparities among Employed Adults with COPD Living in Central Appalachian U.S. States
Quelle	In: American Journal of Health Education, 51 (2020) 5, S.265-277 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Stellefson, Michael)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1932-5037
DOI	10.1080/19325037.2020.1802373
Schlagwörter	Risk; Adults; Chronic Illness; Employment; Comorbidity; Substance Abuse; Smoking; Access to Health Care; Costs; Physical Health; Mental Health; Income; Occupational Diseases; Behavior Problems; Race; Geographic Regions; Kentucky; North Carolina; Tennessee; West Virginia; Behavioral Risk Factor Surveillance System + Suchen Sie Ihr Suchwort? Risiko; Chronic disease; Chronische Krankheit; Dienstverhältnis; Drug use; Drug consomption; Drogenkonsum; Rauchen; Cost; Kosten; Gesundheitszustand; Psychohygiene; Einkommen; Occupational disease; Berufskrankheit; Rasse; Abstammung
Abstract	Background Little is known about risk factors associated with poor health among employees with COPD [chronic obstructive pulmonary disease] living in Central Appalachia. Purpose: Determine variability in health distress based on risk factors, including race and income, among employees with COPD from Central Appalachian U.S. States. Methods: 2016-2017 BRFSS data were analyzed from employed adults with COPD living in KY, NC, TN, and WV (N = 1,326). Health risks included (1) comorbidities; (2) substance use/abuse; and (3) limited healthcare access as predictors of mental and physical distress, with race and income entered as covariates. Results: Respondents reporting several comorbidities were more likely to report physical and mental distress compared to those without comorbidities. Workers who used e-cigarettes on some versus no days were more likely to report physical distress. Those reporting cost preventing access to medical care versus no cost barriers were more likely to report physical and mental distress. Low-income workers were more likely than higher-income workers to report distress. Discussion: Comorbidities, e-cigarettes, and high medical costs are potential causes of occupation-related disability among employees with COPD working in Central Appalachian U.S. States. Translation to Health Education Practice: Worksite interventions should address risks negatively associated with health outcomes among workers with COPD from Central Appalachia. (As Provided).
Anmerkungen	Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01