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September 2002, Vol 92, No. 9 | American Journal of Public Health 1506-1513
© 2002 American Public Health Association

RESEARCH AND PRACTICE

The Influence of Chronic Respiratory Conditions on Health Status and Work Disability

Mark D. Eisner, MD, MPH, Edward H. Yelin, PhD, Laura Trupin, MPH and Paul D. Blanc, MD, MSPH

Mark D. Eisner and Paul D. Blanc are with the Division of Occupational and Environmental Medicine, Department of Medicine, and the Cardiovascular Research Institute, and Edward H. Yelin and Laura Trupin are with the Institute for Health Policy Studies, University of California, San Francisco. Mark D. Eisner is also with the Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Mark D. Eisner, MD, MPH, University of California San Francisco, 350 Parnassus Ave, Ste 609, San Francisco, CA 94117 (e-mail: eisner{at}itsa.ucsf.edu).

Objectives. This study examined the impact of asthma and chronic obstructive pulmonary disease (COPD) on health status and work disability.

Methods. We used data from a population-based sample of 3805 California adults.

Results. Compared with adults with no chronic health conditions, adults with COPD or asthma had a greater risk of self-reported diminished general health (odds ratio [OR] = 10.95; 95% confidence interval [CI] = 6.31, 19.0 and OR = 3.92; 95% CI = 2.31, 6.65, respectively). Respondents with COPD or asthma also had worse mental health status, as indicated by a greater risk of depressive symptoms (OR = 10.05; 95% CI = 5.29, 19.08 and OR = 2.59; 95% CI = 1.33, 5.04). COPD was associated with reduced current employment (OR = 0.41; 95% CI = 0.24, 0.71).

Conclusions. Asthma and COPD are associated with poor health status and greater work disability.




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