Obstructive Lung Diseases |

Burden of Chronic Obstructive Pulmonary Disease (COPD) in Black Women in the United States FREE TO VIEW

Yewande Odeyemi, MBBS; Clarence Glenn; Alem Mehari; Richard Gillum
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Howard University Hospital, Washington, DC

Chest. 2015;148(4_MeetingAbstracts):691A. doi:10.1378/chest.2281124
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SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: The rate of death from most leading causes is higher in black than white women in the United States. However, the mortality rate of chronic obstructive pulmonary disease (COPD) is higher in white than black women. This study details the paradoxical racial differences in measures of COPD in women.

METHODS: We obtained the following data from the National Center for Health Statistics for 1999-2013: (1) COPD prevalence (2) Physician office-visits (3) Emergency department visits; (4) Death.

RESULTS: The ratio of the prevalence of COPD in white versus black women averaged about 1.2 while the ratio of mortality due to COPD in white women versus black women averaged about 1.7. In contrast black women had a higher rate of emergency room visits and higher rate of physician office visits compared to white women. Smoking rates have been similar in black and white women since 1965. More black women died from cardiovascular disease and cancers at earlier ages than white women indicating black women may die from these causes before they can die from COPD.

CONCLUSIONS: Black women have higher mortality and morbidity rates from most leading causes of death. Paradoxically, that is not the case for COPD. Further research is needed to explain racial differences in COPD statistics.

CLINICAL IMPLICATIONS: Although mortality rates due to COPD are higher in white women than in black women, emergency room visits and physician office visits due to COPD are disproportionately higher in black women. This indicates a higher health care utilization of services by black women and therefore efforts are needed to identify contributing factors to this trend in health care utilization and strategies to reduce the burden of COPD in black women.

DISCLOSURE: The following authors have nothing to disclose: Yewande Odeyemi, Clarence Glenn, Alem Mehari, Richard Gillum

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