Lung Disease Mortality in the United States: the National Longitudinal Mortality Study

Overview

Journal Int J Tuberc Lung Dis

Specialty Pulmonary Medicine

Date 2009 Sep 3

PMID 19723382

Citations 16

Authors

D R Lewis

L X Clegg

N J Johnson

Affiliations

Soon will be listed here.

Abstract

Setting: The National Longitudinal Mortality Study (NLMS) offers the advantage of assessing mortality in a representative population of the United States.

Objective: To evaluate health disparities associated with lung cancer and chronic obstructive pulmonary disease (COPD) mortality in the United States and whether these associations are similar between these outcomes.

Design: The NLMS is a prospective study. Data from NLMS cohort years 1985, 1992, 1993, 1995 and 1996 were included, representing nearly 1.5 million person-years. Lung cancer and COPD mortality relative risks (RRs) from Cox regression analysis, including residential characteristics, marital status, education, health insurance and family income, were evaluated.

Results: By 1998, 1273 lung cancer deaths and 772 COPD deaths occurred. Lung cancer mortality rates were approximately two times higher than COPD mortality rates among race and ethnic groups. Cox regression analysis revealed that low education (RR = 1.77, significant, P = 0.01) and low family income (RR = 1.50, significant, P = 0.01) are associated with lung cancer and COPD mortality, controlling for age, race/ethnicity, sex and smoking status.

Conclusions: COPD and lung cancer mortality have similar associations with health disparity indicators in the NLMS data, with some differences in the magnitude of the effect.

Citing Articles

COPD With Lung Cancer Among Older United States Adults: Prevalence, Diagnostic Timeliness, and Association With Earlier Stage Tumors.

Metwally E, Lund J, Drummond M, Peacock Hinton S, Poole C, Thompson C Chronic Obstr Pulm Dis. 2024; 11(4):382-385.

PMID: 38838253 PMC: 11363966. DOI: 10.15326/jcopdf.2024.0489.

Clinical characteristics and risk of all-cause mortality in low education patients with chronic obstructive pulmonary disease in the Chinese population.

Song Q, Liu C, Cheng W, Lin L, Li T, Li X J Glob Health. 2023; 13:04163.

PMID: 38033249 PMC: 10693353. DOI: 10.7189/jogh.13.04163.

Association Between C-Reactive Protein and Albumin Ratios and Risk of Mortality in Patients with Chronic Obstructive Pulmonary Disease.

Shen S, Xiao Y Int J Chron Obstruct Pulmon Dis. 2023; 18:2289-2303.

PMID: 37873518 PMC: 10590598. DOI: 10.2147/COPD.S413912.

Association of Chronic Lower Respiratory Disease With County Health Disparities in New York State.

Lee Y, Chang K, Sethi S JAMA Netw Open. 2021; 4(11):e2134268.

PMID: 34842926 PMC: 8630571. DOI: 10.1001/jamanetworkopen.2021.34268.

Risk of all-cause mortality associated with chronic obstructive pulmonary disease and the role of healthy ageing trajectories: a population-based study of middle-aged and older adults.

Bayes-Marin I, Sanchez-Niubo A, Fernandez D, Haro J, Olaya B BMJ Open. 2021; 11(7):e050947.

PMID: 34321308 PMC: 8320253. DOI: 10.1136/bmjopen-2021-050947.

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