Impact of co-morbidities on self-rated health in self-reported COPD: An analysis of NHANES 2001–2008
Year: 2013
Type: article
Abstract: Chronic Obstructive Pulmonary Disease (COPD) coexists with co-morbidities. While co-morbidity has been associated with poorer health status, it is unclear which conditions have the greatest impact on self-rated health. We sought to determine which, and how much, specific co-morbid conditions impact on self-rated health in current and former smokers with self-reported COPD. Using the 2001-2008 National Health and Nutrition Examination Survey we characterized the association between thirteen co-morbidities and health status among individuals self-reporting COPD. Adjusted odds ratios (ORs) were generated using ordinal logistic regression. Additionally we evaluated the impact of increasing number of co-morbidities with self-rated health. Eight illnesses had significant associations with worse self-rated health, however after mutually adjusting for these conditions, congestive heart failure (OR 3.07, 95% CI 1.69-5.58), arthritis (OR 1.69, 95% CI 1.13-2.52), diabetes (OR 1.63, 95% CI 1.01-2.64), and incontinence/prostate disease (OR 1.63, 95% CI 1.01-2.62) remained independent predictors of self-rated health. Each increase in co-morbidities was associated with a 43% higher chance of worse self-rated health (95% CI 1.27-1.62). Individuals with COPD have a substantial burden of co-morbidity, which is associated with worse self-rated health. CHF, arthritis, diabetes and incontinence/prostate disease have the most impact on self-rated health. Targeting these co-morbidities in COPD may result in improved self-rated health.
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
Funders: Hartford Foundation for Public Giving, Johns Hopkins University, European Commission, National Institutes of Health, Agency for Healthcare Research and Quality, Johns Hopkins Bloomberg School of Public Health, Center for Innovative Medicine, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Environmental Health Sciences, National Center for Research Resources
Awards: Center for Childhood Asthma in the Urban Environment, G2411866185, Institute for Clinical and Translational Research (UL1), IMPROVING CLINICAL PRACTICE GUIDELINES FOR COMPLEX PATIENTS, Treatment Burden in Older Adults with Diabetes and Multimorbidity, Mechanisms of COPD Subphenotype Development, G5064472852, G64801414, Mechanisms of Asthma-Dietary Interventions against Environmental Triggers, MECHANISMS AND TREATMENT OF COPD PROGRESSION, G9000137437, Multidisciplinary Training Program in Lung Disease
OpenAlex ID: W1972391167