Chronic airflow obstruction attributable to poverty in the multinational Burden of Obstructive Lung Disease (BOLD) study

Thorax. 2023 Sep;78(9):942-945. doi: 10.1136/thorax-2022-218668. Epub 2023 Jul 9.

Abstract

Poverty is strongly associated with all-cause and chronic obstructive pulmonary disease (COPD) mortality. Less is known about the contribution of poverty to spirometrically defined chronic airflow obstruction (CAO)-a key characteristic of COPD. Using cross-sectional data from an asset-based questionnaire to define poverty in 21 sites of the Burden of Obstructive Lung Disease study, we estimated the risk of CAO attributable to poverty. Up to 6% of the population over 40 years had CAO attributable to poverty. Understanding the relationship between poverty and CAO might suggest ways to improve lung health, especially in low-income and middle-income countries.

Keywords: COPD epidemiology.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cross-Sectional Studies
  • Forced Expiratory Volume
  • Humans
  • Lung
  • Poverty
  • Pulmonary Disease, Chronic Obstructive*
  • Risk Factors
  • Spirometry
  • Vital Capacity