ArticleAmerican journal of respiratory and critical care medicine2019
Rural Residence and Poverty Are Independent Risk Factors for Chronic Obstructive Pulmonary Disease in the United States.
Article in American journal of respiratory and critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 2 of them syntheses that pooled it.
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Who cites it
77 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- RuralEuropean respiratory review : an official journal of the European Respiratory Society · 2026Pooled it
- Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies.Annals of family medicinePooled it
- Pulmonary rehabilitation with balance training for fall reduction in chronic obstructive pulmonary disease: a randomized controlled trial.BMC pulmonary medicine · 2024Trial
- The effects of nurse-led family pulmonary rehabilitation intervention on quality of life and exercise capacity in rural patients with COPD.Nursing open · 2023Trial
- Food insecurity is associated with COPD prevalence and mortality: evidence from U.S. county-level data.Annals of the American Thoracic Society · 2026Article
- Roots of chronic obstructive pulmonary disease: a pediatric problem with adult consequences.World journal of pediatrics : WJP · 2026Article
- Unpacking the influence of ICT on respiratory diseases in Sub-Saharan Africa.Scientific reports · 2026Article
- Article
- Effects of a high proportion of cefoperazone/tazobactam on lung function and bacterial clearance rate in patients with chronic obstructive pulmonary disease and lower respiratory tract infection Klebsiella pneumoniae.European journal of medical research · 2026Article
- Article
- Trends in asthma and pneumonia-related mortality in the United States: a CDC wonder database analysis (1999-2023).Frontiers in medicine · 2026Article
- Declining age-adjusted mortality but persistent inequalities in chronic obstructive pulmonary disease in the United States, 1999-2024: a CDC WONDER analysis contextualized by GBD 2023.Frontiers in public health · 2026Article
- Rural-Urban Patterns in Household Rules Limiting Combustible Tobacco, Noncombustible Tobacco, and E-Cigarette Use.Annals of the American Thoracic Society · 2025Article
- Protocol for a randomized trial of self-management support for people with chronic obstructive pulmonary disease using lay health coaches.Contemporary clinical trials · 2025Article
- Four-year community-wide PMAtmospheric environment (Oxford, England : 1994) · 2025Article
- An Examination of Sex Differences and Cigarette Smoking as Predictors of COPD Prevalence and Incidence in Older US Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Exploring Rurality and Racial/Ethnic Disparities in Texas Mortality: A Scoping Review of the Five Leading Causes of Death.Journal of racial and ethnic health disparities · 2025Review
- Health Inequalities at the Intersection of Race and Poverty in Southern Appalachia: A Community Health Needs Assessment Panel Survey 2012-2024.North Carolina medical journal · 2025Article
- Characteristics Associated with Lung Function Trajectories: An Analysis of the SPIROMICS Cohort.Annals of the American Thoracic Society · 2025Article
- Transforming Palliative Care for Rural Patients with COPD Through Nurse-Led Models.Healthcare (Basel, Switzerland) · 2025Review
17 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
rationaleIn developing countries, poor and rural areas have a high burden of chronic obstructive pulmonary disease (COPD), and environmental pollutants and indoor burning of biomass have been implicated as potential causal exposures. Less is known about the prevalence of COPD in the United States with respect to urban-rural distribution, poverty, and factors that uniquely contribute to COPD among never-smokers.
objectivesTo understand the impact of urban-rural status, poverty, and other community factors on COPD prevalence nationwide and among never-smokers.
methodsWe studied a nationally representative sample of adults in the National Health Interview Survey 2012-2015, with data linkage between neighborhood data from the U.S. Census's American Community Survey and the National Center for Health Statistics Urban-Rural Classification Scheme. The main outcome was COPD prevalence. MEASUREMENTS AND MAIN
resultsThe prevalence of COPD in poor, rural areas was almost twice that in the overall population (15.4% vs. 8.4%). In adjusted models, rural residence (odds ratio [OR], 1.23; P < 0.001) and census-level poverty (OR, 1.12; P = 0.012) were both associated with COPD prevalence, as were indicators of household wealth. Among never-smokers, rural residence was also associated with COPD (OR, 1.34; P < 0.001), as was neighborhood use of coal for heating (OR, 1.09; P < 0.001).
conclusionsIn a nationally representative sample, rural residence and poverty were risk factors for COPD, even among never-smokers. The use of coal for heating was also a risk factor for COPD among never-smokers. Future disparities research to elucidate contributors to COPD development in poor and rural areas, including assessments of heating sources and environmental pollutants, is needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.