Journal Article

Poverty, Health Care Access Barriers, and Functional Limitations among Individuals with Chronic Obstructive Pulmonary Disease: An 11-Year Cross-sectional Analysis, 2008–2018

Adeyemi, Oluwaseun J, Bouillon-Minois, Jean-Baptiste, Arif, Ahmed A, Arinxe, Gauthier R, Akinsola, Omotola O, Paul, Rajib

2023

Overview

To assess the relationship between poverty, delayed care, unaffordable care, and functional limitations among individuals with chronic obstructive pulmonary disease (COPD). Using the National Health Interview Survey data, we selected respondents with COPD, aged 40 years and older. The predictor variables were poverty and measures of delayed and unaffordable care. The outcome variable was functional limitations. We performed a survey-weighted multivariate logistic regression analysis, adjusting for sociodemographic characteristics. Respondents classified as poor had three times the odds of functional limitations compared with those classified as not poor. Respondents who reported having measures of delayed care or unaffordable care had two to nine times and two to four times the adjusted odds of functional limitations compared with those who did not report such measures of delayed and unaffordable care, respectively. Poverty and delayed and unaffordable care are associated with functional limitations among individuals with COPD.

• Publisher: Johns Hopkins University Press
• Subject: Adults / Bronchitis / Chronic obstructive pulmonary disease / Cross-sectional studies / Delayed / Disease / Family income / Functional impairment / Health care access / Health services / Hospital costs / Human health and pathology / Life Sciences / Limitations / Low income groups / Lung diseases / Obstructive lung disease / Polls & surveys / Poverty / Regression analysis / Respondents / Sociodemographics / Surveys / Variables