Racial disparities in chronic obstructive pulmonary disease (COPD)
Tuesday, November 5, 2013
: 2:50 p.m. - 3:10 p.m.
National reports on COPD have been limited to non-Hispanic white, non-Hispanic black, and Hispanic adults because of insufficient numbers of American Indians and Asians in national surveillance systems. We analyzed self-reported COPD prevalence for adults aged >=25 years from BRFSS, Medicare hospital claims for first-listed COPD diagnosis for ages >=65 years, and COPD as underlying cause for ages >=25 years from death certificates. Age-standardized estimates and 95% confidence intervals were compared among racial/ethnic groups. Age-adjusted prevalence in 2011 was significantly higher among American Indian/Alaska Natives (11.0% [9.5-12.6]) and lower among Asian/Pacific Islanders (2.5% [1.9-3.2]) and Hispanics (4.1% [3.8-4.5]) than among non-Hispanic blacks (6.5% [6.1-7.0]) or non-Hispanic whites (6.9% [6.7-7.1]). Medicare hospitalizations (per 1000 Medicare enrollees) in 2010 were significantly higher among American Indians (13.2 [12.6-13.9]) and blacks (12.4 [12.2-12.5]) and lower among Asians (4.8 [4.6-5.0]) and Hispanics (9.7 [9.5-10.0]) than among whites (11.3 [11.2-11.4]). Death rates (per 100,000 population) in 2010 were significantly higher among non-Hispanic whites (70.2 [69.8-70.6]) compared to other groups but American Indian/Alaska Natives also had higher death rates (62.9 [57.7-68.0] than non-Hispanic blacks (41.8 [40.9-42.8]), Hispanics (28.5 [27.5-29.4]), and Asian/Pacific Islanders (19.0 [17.9-20.0]). COPD is an under-recognized but considerable public health problem among American Indian populations. Explanations for this disparity and identification and demonstration of focused prevention and intervention efforts are needed.
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Identify the racial/ethnic group with the highest burden of chronic obstructive pulmonary disease in the US.
Keyword(s): American Indians, Chronic Diseases
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have improved a national surveillance system for the collection of COPD information, have analyzed multiple national surveillance systems, and have published the results of COPD data analyses in multiple scientific journals.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.