Evidence map›Paper›PMID 32324982›Full record

ArticleChronic obstructive pulmonary diseases (Miami, Fla.)2020

The Association of Low Income and High Stress with Acute Care Use in COPD Patients.

Trisha M Parekh, Andrea L Cherrington, Smita Bhatia, Bulent Turan, Siddharth B Patel, Young-Il Kim, Janet M Turan, Mark T Dransfield

Open access · diamondAbstract read
In one paragraph

Article in Chronic obstructive pulmonary diseases (Miami, Fla.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Psychobiologic Correlates of Stress in Individuals With COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Food Insecurity is Associated With COPD Morbidity and Perceived Stress.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2024
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Trisha M ParekhDivision of Pulmonary, Allergy, and Critical Care, Department of Medicine, University of Alabama at Birmingham.
Andrea L CherringtonDivision of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham.
Smita BhatiaInstitute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham.
Bulent TuranDepartment of Psychology, University of Alabama at Birmingham.
Siddharth B PatelLung Health Center, University of Alabama at Birmingham.
Young-Il KimDivision of Pulmonary, Allergy, and Critical Care, Department of Medicine, University of Alabama at Birmingham.
Janet M TuranDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham.
Mark T DransfieldDivision of Pulmonary, Allergy, and Critical Care, Department of Medicine, University of Alabama at Birmingham.
University of Alabama at Birmingham · US

Funding

Training Program in Lung Biology and Translational MedicineT32HL105346 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GAGGAR, AMIT · 2010 to 2025
$5.0M
UAB Mentoring Program in COPD Patient Oriented ResearchK24HL140108 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DRANSFIELD, MARK T · 2018 to 2022
$439k
NHLBI NIH HHS 1K24HL140108NHLBI NIH HHS 5T32HL105346-07NHLBI NIH HHS K24 HL140108NHLBI NIH HHS T32 HL105346
6 · The paper itself

Abstract

introductionLow-income chronic obstructive pulmonary disease (COPD) individuals are known to have higher rates of COPD-related hospitalizations and readmissions. Levels of psychological stress are also higher in low-income populations and may be associated with acute care use. We sought to: (1) determine the association between stress and acute care use in COPD, (2) evaluate the social determinants of health (SDH) in low and high stress individuals, and (3) determine the association between low income and high stress with acute care use. MATERIALS AND

methodsUsing results from a survey-based study of individuals with COPD at the University of Alabama (UAB), we used multivariable regression modeling to evaluate the association of high stress with acute care use (COPD-related emergency department [ED] visits or hospitalizations). We then compared SDH between low and high stress groups and evaluated the association of low income + high stress with acute care use in a secondary model.

resultsWe included 126 individuals in our study. The high stress group was more likely to be < 65 years old and female. No differences in race, smoking, years of smoking, body mass index, dyspnea, or lung function (forced expiratory volume in 1 second [FEV

conclusionsAcute care use and stress are associated in COPD. These associations are more pronounced in the low-income + high stress population who disproportionately contribute to health care utilization and frequently lack the resources needed to cope with stress.

Indexed as

copdhealth care utilizationpsychological stresssocial determinants of health

Identifiers

PMID32324982
PMCPMC7454020
OpenAlexW3017981914

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.