Risk factors associated with physical and mental distress in people who report a COPD diagnosis: latent class analysis of 2016 behavioral risk factor surveillance system data.

摘要: Introduction Challenges associated with COPD increase patients' risk of physical immobility and emotional distress, perpetuating a cycle symptomatic living that hinders self-management adherence to treatment regimen. There is limited evidence available on how discrete behavioral health factors contribute the mental distress experienced by people COPD. Purpose This secondary data analysis 2016 Behavioral Risk Factor Surveillance System (BRFSS) sought identify subgroups who were at highest for distress. Methods We selected 16 relevant indicators in four health-related domains - 1) behaviors, 2) lack preventive vaccinations, 3) care access, 4) comorbidities as predictors quality life (HRQoL) population. Latent class modeling (LCM) was applied understand various these influenced reports and/or Results The majority BRFSS respondents reported diagnosis (53.76%) (58.23%) past 14 days. Frequent more common females 45-64 years age group, also identified white lower socioeconomic group. Respondents intermediate- high-risk intermediate multiple comorbidities, access care, low use vaccinations likely report frequent compared low-risk respondents. Similarly, than Discussion updated Americans could benefit from disease management secondary/tertiary promotion interventions may improve HRQoL. Future research should address noted disparities factors, particularly among populations