Abstract
Chronic obstructive pulmonary disease (COPD) is a significant cause of morbidity and mortality in blacks. The prevalence of COPD among blacks was estimated from the spirometry data obtained from the first National Health and Nutrition Examination Survey (NHANES), 1971-1975. Of 873 subjects, 585 (67%) had acceptable spirometry trials. Chronic obstructive pulmonary disease was defined as a forced expiratory volume in one second (FEV1) less than 65% of the predicted value. The mean FEV1 percentage predicted was 96.7%. The overall prevalence of COPD was 5.4%; 3.7% for males and 6.7% for females. The prevalence was significantly higher with age for both males and females. The multiple logistic regression analyses showed that age and sex were associated with COPD but respiratory symptoms did not attain statistical significance.
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Selected References
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- Barbee R. A., Halonen M., Kaltenborn W. T., Burrows B. A longitudinal study of respiratory symptoms in a community population sample. Correlations with smoking, allergen skin-test reactivity, and serum IgE. Chest. 1991 Jan;99(1):20–26. doi: 10.1378/chest.99.1.20. [DOI] [PubMed] [Google Scholar]
- Burrows B., Lebowitz M. D., Barbee R. A. Respiratory disorders and allergy skin-test reactions. Ann Intern Med. 1976 Feb;84(2):134–139. doi: 10.7326/0003-4819-84-2-134. [DOI] [PubMed] [Google Scholar]
- Cohen B. H., Ball W. C., Jr, Bias W. B., Brashears S., Chase G. A., Diamond E. L., Hsu S. H., Kreiss P., Levy D. A., Menkes H. A. A genetic-epidemiologic study of chronic obstructive pulmonary disease. I. Study design and preliminary observations. Johns Hopkins Med J. 1975 Sep;137(3):95–104. [PubMed] [Google Scholar]
- Cole T. J., Gilson J. C., Olsen H. C. Bronchitis, smoking and obesity in an English and a Danish town. Male deaths after a 10-year follow-up. Bull Physiopathol Respir (Nancy) 1974 Sep-Oct;10(5):657–679. [PubMed] [Google Scholar]
- Densen P. M., Jones E. W., Bass H. E., Breuer J. A survey of respiratory disease among New York City postal and transit workers. I. Prevalence of symptoms. Environ Res. 1967 Nov;1(3):265–286. doi: 10.1016/0013-9351(67)90018-7. [DOI] [PubMed] [Google Scholar]
- Ebi-Kryston K. L. Respiratory symptoms and pulmonary function as predictors of 10-year mortality from respiratory disease, cardiovascular disease, and all causes in the Whitehall Study. J Clin Epidemiol. 1988;41(3):251–260. doi: 10.1016/0895-4356(88)90129-1. [DOI] [PubMed] [Google Scholar]
- Ebi-Kryston K. L. Respiratory symptoms and pulmonary function as predictors of 10-year mortality from respiratory disease, cardiovascular disease, and all causes in the Whitehall Study. J Clin Epidemiol. 1988;41(3):251–260. doi: 10.1016/0895-4356(88)90129-1. [DOI] [PubMed] [Google Scholar]
- Evans R., 3rd, Mullally D. I., Wilson R. W., Gergen P. J., Rosenberg H. M., Grauman J. S., Chevarley F. M., Feinleib M. National trends in the morbidity and mortality of asthma in the US. Prevalence, hospitalization and death from asthma over two decades: 1965-1984. Chest. 1987 Jun;91(6 Suppl):65S–74S. [PubMed] [Google Scholar]
- Feinleib M., Rosenberg H. M., Collins J. G., Delozier J. E., Pokras R., Chevarley F. M. Trends in COPD morbidity and mortality in the United States. Am Rev Respir Dis. 1989 Sep;140(3 Pt 2):S9–18. doi: 10.1164/ajrccm/140.3_Pt_2.S9. [DOI] [PubMed] [Google Scholar]
- Friedman G. D., Petitti D. B., Bawol R. D., Siegelaub A. B. Mortality in cigarette smokers and quitters. Effect of base-line differences. N Engl J Med. 1981 Jun 4;304(23):1407–1410. doi: 10.1056/NEJM198106043042308. [DOI] [PubMed] [Google Scholar]
- Gergen P. J., Mullally D. I., Evans R., 3rd National survey of prevalence of asthma among children in the United States, 1976 to 1980. Pediatrics. 1988 Jan;81(1):1–7. [PubMed] [Google Scholar]
- Gillum R. F. Chronic obstructive pulmonary disease in blacks and whites: mortality and morbidity. J Natl Med Assoc. 1990 Jun;82(6):417–428. [PMC free article] [PubMed] [Google Scholar]
- Higgins M. W., Keller J. B., Becker M., Howatt W., Landis J. R., Rotman H., Weg J. G., Higgins I. An index of risk for obstructive airways disease. Am Rev Respir Dis. 1982 Feb;125(2):144–151. doi: 10.1164/arrd.1982.125.2.144. [DOI] [PubMed] [Google Scholar]
- Kauffmann F., Dockery D. W., Speizer F. E., Ferris B. G., Jr Respiratory symptoms and lung function in relation to passive smoking: a comparative study of American and French women. Int J Epidemiol. 1989 Jun;18(2):334–344. doi: 10.1093/ije/18.2.334. [DOI] [PubMed] [Google Scholar]
- Knudson R. J., Slatin R. C., Lebowitz M. D., Burrows B. The maximal expiratory flow-volume curve. Normal standards, variability, and effects of age. Am Rev Respir Dis. 1976 May;113(5):587–600. doi: 10.1164/arrd.1976.113.5.587. [DOI] [PubMed] [Google Scholar]
- McWhorter W. P., Polis M. A., Kaslow R. A. Occurrence, predictors, and consequences of adult asthma in NHANESI and follow-up survey. Am Rev Respir Dis. 1989 Mar;139(3):721–724. doi: 10.1164/ajrccm/139.3.721. [DOI] [PubMed] [Google Scholar]
- O'Connor G. T., Sparrow D., Weiss S. T. The role of allergy and nonspecific airway hyperresponsiveness in the pathogenesis of chronic obstructive pulmonary disease. Am Rev Respir Dis. 1989 Jul;140(1):225–252. doi: 10.1164/ajrccm/140.1.225. [DOI] [PubMed] [Google Scholar]
- Vollmer W. M., McCamant L. E., Johnson L. R., Buist A. S. Respiratory symptoms, lung function, and mortality in a screening center cohort. Am J Epidemiol. 1989 Jun;129(6):1157–1169. doi: 10.1093/oxfordjournals.aje.a115237. [DOI] [PubMed] [Google Scholar]
- Welty C., Weiss S. T., Tager I. B., Muñoz A., Becker C., Speizer F. E., Ingram R. H., Jr The relationship of airways responsiveness to cold air, cigarette smoking, and atopy to respiratory symptoms and pulmonary function in adults. Am Rev Respir Dis. 1984 Aug;130(2):198–203. doi: 10.1164/arrd.1984.130.2.198. [DOI] [PubMed] [Google Scholar]
