Annual household income and chronic pulmonary conditions in long-term survivors of blood or marrow transplantation: a BMTSS report.

IF 2.8 3区 医学 Q2 RESPIRATORY SYSTEM
Trisha M Parekh, Rekha Ramachandran, Young-Il Kim, Nora Balas, Wendy Landier, Lindsey Hageman, Elizabeth Ross, Alysia Bosworth, Hok Sreng Te, F Lennie Wong, Ravi Bhatia, Stephen J Forman, Saro H Armenian, Daniel J Weisdorf, Mark Dransfield, Smita Bhatia
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Abstract

Introduction: Whether socioeconomic status is associated with pulmonary conditions in BMT survivors is unknown. In this study, we used data from the BMT Survivor Study (BMTSS) to determine the association between low annual household income and adverse pulmonary conditions (asthma, chronic cough or dyspnea, dyspnea at rest, recurrent pneumonia, current oxygen use) and health status in a retrospective cohort of BMT survivors.

Methods: BMTSS includes individuals who received BMT between 1974 and 2014 and survived for ≥ 2y after BMT at one of three participating sites. BMT survivors completed the BMTSS survey, providing details on demographics (including annual household income) and chronic health conditions as diagnosed by their healthcare providers. We used logistic regression models to determine the odds of low annual household income (≤$49,999) associated with a post-BMT pulmonary condition in BMT survivors, adjusting for relevant clinical and sociodemographic variables.

Results: Our analysis included 2,814 participants (median age 58y; 44% female; 75% non-Hispanic White). Compared to survivors with annual household income ≥$100,000, those with income ≤$49,999 had higher odds of pulmonary conditions (asthma: OR = 1.80, 95%CI = 1.04-3.12, chronic cough or dyspnea: OR = 1.96, 95%CI = 1.37-2.81, and recurrent pneumonia: OR = 1.90, 95%CI = 1.00-3.60. Low income was also associated with suboptimal health status (poor/fair/good: OR = 2.36, 95%CI = 1.84-3.01; reference: very good/excellent).

Conclusions: The association between low annual household income and post-BMT pulmonary compromise in BMT survivors presents a need to understand the individual and environmental causes for this association. Future research should evaluate interventions to prevent post-transplant pulmonary morbidity in the lower-income survivor population.

家庭年收入与血液或骨髓移植长期幸存者的慢性肺病:BMTSS报告。
社会经济地位是否与BMT幸存者的肺部状况相关尚不清楚。在这项研究中,我们使用来自BMT幸存者研究(BMTSS)的数据来确定低家庭年收入与不良肺部疾病(哮喘、慢性咳嗽或呼吸困难、休息时呼吸困难、复发性肺炎、当前氧气使用)和BMT幸存者回顾性队列健康状况之间的关系。方法:BMTSS包括1974年至2014年间接受BMT且在三个参与部位之一的BMT后存活≥2y的个体。BMT幸存者完成了BMTSS调查,提供了有关人口统计(包括家庭年收入)和由其医疗保健提供者诊断的慢性健康状况的详细信息。我们使用逻辑回归模型来确定低家庭年收入(≤49,999美元)与BMT幸存者BMT后肺部疾病相关的几率,并根据相关的临床和社会人口变量进行调整。结果:我们的分析纳入了2,814名参与者(中位年龄58岁;44%的女性;75%非西班牙裔白人)。与家庭年收入≥100,000美元的幸存者相比,收入≤49,999美元的幸存者患肺部疾病的几率更高(哮喘:OR = 1.80, 95%CI = 1.04-3.12,慢性咳嗽或呼吸困难:OR = 1.96, 95%CI = 1.37-2.81,复发性肺炎:OR = 1.90, 95%CI = 1.00-3.60)。低收入也与亚理想健康状况相关(差/一般/良好:OR = 2.36, 95%CI = 1.84-3.01;(很好/非常好)。结论:家庭年收入低与BMT幸存者术后肺损害之间的联系表明,需要了解这种联系的个人和环境原因。未来的研究应评估干预措施,以防止移植后肺部发病率在低收入幸存者人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Pulmonary Medicine
BMC Pulmonary Medicine RESPIRATORY SYSTEM-
CiteScore
4.40
自引率
3.20%
发文量
423
审稿时长
6-12 weeks
期刊介绍: BMC Pulmonary Medicine is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of pulmonary and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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