Seth Himelhoch, MD, MPH¹, Anthony Lehman, MD, MSPH², Lisa B. Dixon, MD, MPH³, Clayton Brown, PhD⁴, Gail Daumit, MD, MHS⁵, and Julie Kreyenbuhl, PharmD, PhD¹. (1) Psychiatry, University of Maryland School of Medicine, 685 West Baltimore Street, MSTF Building, Suite 300, Baltimore, MD 21201, (410)706-2490, shimelho@psych.umaryland.edu, (2) Psychiatry, University of Maryland, 701 West Pratt Street, Suite 388, Baltimore, MD 21201, (3) Department of Psychiatry, University of Maryland, 701 W. Pratt Street, Baltimore, MD 21201, (4) Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, 685 West Baltimore Street, MSTF Building, Suite 300, Balitmore, MD 21201, (5) General Internal Medicine, Johns Hopkins University, 2024 E. Monument Street; Suite 2-500, Baltimore, MD 21287

Objective: Individuals with serious mental illness (SMI) have elevated smoking rates and smoking is a significant risk factor for developing chronic obstructive pulmonary disease (COPD). Our goal was to determine the prevalence of COPD among those with SMI. Method: We surveyed a random sample of 200 adults with SMI using questions from the NHANES III that were previously used to estimate the prevalence of COPD in the general population. We compared the prevalence of COPD in our sample to a randomly selected matched subset of national controls drawn from NHANES III. Results: The prevalence of current smoking among those with SMI was 60.5%. The prevalence of COPD was 22.6% (chronic bronchitis =19.6%; emphysema=7.5%). Compared to national controls, those with SMI were significantly more likely to have both chronic bronchitis (19.5% vs. 6.1%, p<0.0001) and emphysema (7.9% vs. 1.5%, p<0.0001). Among those with SMI who reported having COPD, 35.6% reported receiving treatment for this condition. Conclusions: The prevalence of COPD is significantly higher among those with SMI compared to national controls. Improved primary and secondary prevention is warranted.

Learning Objectives:

• To describe the prevalence of chronic obstructive pulmonary disease among a those with serious mental illness.

Keywords: Mental Health, Tobacco

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.