ArticleBMC public health2025
Associations of socioeconomic status and health lifestyles with chronic obstructive pulmonary disease: two nationwide population-based studies.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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.
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.
Who cites it
8 citing papers in PubMed.
- The mediating role of healthy lifestyle in the association between higher socioeconomic status and an increased risk of allergic rhinitis: an analysis of NHANES.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- The association between physical activity and metabolic dysfunction-associated steatotic liver disease: Evidence from the National Health and Nutrition Examination Survey and UK Biobank.The Journal of international medical research · 2026Article
- Assessing the causal effect of tobacco retail density on cardiovascular and pulmonary disease hospitalizations in the United States.Preventive medicine reports · 2026Article
- The effect of clinical and psychosocial factors on quality of life in COPD: a cross-sectional assessment using a mediation analysis approach.Frontiers in psychiatry · 2026Article
- Explainable Machine Learning Model Based on Routine Admission Laboratory Tests for Predicting New-Onset Hypoalbuminemia in Hospitalized Older Patients with Acute Exacerbation of COPD.Clinical interventions in aging · 2026Article
- The C-reactive protein-albumin-lymphocyte index: a novel biomarker for metabolic dysfunction-associated fatty liver disease across three ethnic cohorts.Frontiers in public health · 2026Article
- Correlation between questionnaire on air pollution-related factors and chronic respiratory diseases: a case study of Minhang District, Shanghai.BMC public health · 2025Article
- Association of social frailty with prognosis among individuals with chronic obstructive pulmonary disease.Chronic respiratory diseaseArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundLow socioeconomic status (SES) is associated with increased chronic obstructive pulmonary disease (COPD) risk, with smoking and poor diet as major contributing factors. However, the impact of a comprehensive healthy lifestyle as a potential mediator between SES and COPD risk remains understudied.
methodsThis study analyzed data from 32,836 US adults in the NHANES (1999-2020) and 131,872 UK adults in the UK Biobank. SES was assessed via latent class analysis based on income, education, employment, and health insurance (NHANES). SES was categorized into high, middle, and low levels. Healthy lifestyle scores included nonsmoking, no heavy drinking, regular physical activity, and a high-quality diet. Weighted multivariable logistic regression (NHANES) and Cox proportional hazards models (UK Biobank) were used to assess the associations between SES and the prevalence (NHANES) or incidence (UK Biobank) of COPD.
resultsIn the UK Biobank, the incidences of newly diagnosed COPD in the high-, medium-, and low-SES groups were 1.27%, 2.92%, and 6.57%, respectively. In the U.S. NHANES, the prevalence rates of COPD were 2.55%, 2.53%, and 4.50%, respectively. Compared with the highest SES group, a low SES was a risk factor for both the incidence and prevalence of COPD (UK Biobank: HR = 3.27, 95% CI = 2.98 to 3.58; NHANES: OR = 1.61, 95% CI = 1.23 to 2.10). The percentages of the mediation effect of a healthy lifestyle in the UK Biobank and US NHANES were 2.81% and 37.27%, respectively. Additionally, compared with those in the group with the highest SES and the healthiest lifestyle, the risk of COPD incidence and prevalence increased by 950% (HR = 10.50, 95% CI = 9.04 to 12.20) and 641% (OR = 7.41, 95% CI = 5.10 to 10.78), respectively, in the group with the lowest SES and the unhealthiest lifestyle. Risk factor analysis for COPD revealed that, in addition to a low SES (HR = 2.55, 95% CI = 2.39 to 2.72; OR = 2.08, 95% CI = 1.76 to 2.46) and unhealthy lifestyle (HR = 2.92, 95% CI = 2.73 to 3.12; OR = 3.78, 95% CI = 3.13 to 4.57), smoking (HR = 5.23, 95% CI = 4.87 to 5.61; OR = 3.85, 95% CI = 3.23 to 4.59) was the most significant risk factor for COPD.
conclusionsLow SES significantly contributes to COPD risk, but a healthy lifestyle mediating this association. Promoting healthy lifestyle choices and addressing socioeconomic disparities are essential public health strategies for COPD prevention. Additionally, smoking cessation and increased early screening in smokers are strongly recommended.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.