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KMID : 1141720170050010002
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폐쇄성폐질환
2017 Volume.5 No. 1 p.2 ~ p.2
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Cho Kyoung-Hee
Park Eun-Cheol
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Abstract
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Previous studies have shown that individual socioeconomic status (SES) is associated with incidence, prevalence and mortality in patients with chronic obstructive pulmonary disease (COPD). The aim of this study was to describe the association between SES and COPD. The risk factors such as smoking, occupational exposures, and respiratory infection in childhood may be different according to SES. The difference of risk factors may lead COPD health disparity. SES is one of the most powerful determinants of health across a range of chronic diseases. Lower SES was found to be associated with greater COPD morbidity and mortality. The reasons of disparity can be explained by dividing three aspects. The first explanation is disparity in access to available healthcare resources such as ICS with LABA, home oxygen therapy and visiting pneumonologist according to SES. The second explanation is the difference in the healthiness of the life styles according to SES. The final is psychosocial factors. So, we need to make an approach focus on prevention such as changing to healthy lifestyles. And policymakers should recognize this disparity in access to medications or treatment and implement policies to reduce the financial barriers for low-income patients. In addition, international cooperation will be necessary for reducing smoking and air pollution throughout Framework Convention on Tobacco Control or International Convention on Environment.
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KEYWORD
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Socioeconomic status, Chronic obstructive pulmonary disease, Medical access, Healthy lifestyles, Psychosocial factors
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FullTexts / Linksout information
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Listed journal information
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