PDF(Pubmed)
Abstract：
Objective: While there is a growing body of evidence indicating a relationship between COPD and cognitive impairment, there is a gap in evidence regarding discussions of cognitive symptoms in healthcare settings. This study investigated the extent to which individuals with Chronic Obstructive Pulmonary Disease (COPD) and Subjective Cognitive Decline (SCD) self-reported confusion or memory loss with healthcare professionals. Methods: A secondary analysis of 2019 BRFSS data of US adults aged 45+ with COPD (N = 107,204), using logistic regression to explore associations between socio-demographic and health-related indicators with discussion of cognitive symptoms with healthcare professionals. Results: Less than half (45.88%) of individuals reporting SCD discussed their cognitive symptoms with their healthcare provider. In the adjusted model, unemployed (AOR = 2.92, 95% CI: 1.70-5.02, p < .005), retired (AOR = 3.16, 95% CI: 1.37-7.30, p < .01), and current smokers (AOR = 1.73, 95% CI: 1.02-2.93, p < .05) were more likely to discuss cognitive decline with a healthcare professional than their counterparts. In contrast, males (AOR = 0.53, 95% CI: 0.32-0.86, p < .05) and binge drinkers (AOR = 0.49, 95% CI: 0.30-0.79, p < .01) were significantly less likely to do so when compared to their counterparts. Discussion: The study highlighted significant disparities in the likelihood of individuals with COPD discussing cognitive symptoms based on socio-demographic and health risk behaviors. Conclusion: Addressing gender disparities, occupational status, and personal health risks is crucial for improving patient-provider communication about SCD among adults with COPD.
摘要：
目标：虽然有越来越多的证据表明COPD和认知障碍之间的关系，关于医疗保健环境中认知症状的讨论存在证据空白.这项研究调查了慢性阻塞性肺疾病（COPD）和主观认知下降（SCD）患者自我报告与医疗保健专业人员混淆或记忆丧失的程度。方法：对2019年美国45岁以上COPD患者BRFSS数据进行二次分析(N=107,204)，使用逻辑回归来探索社会人口统计学指标和健康相关指标之间的关联，并与医疗保健专业人员讨论认知症状。结果：不到一半（45.88%）的报告SCD的个体与他们的医疗保健提供者讨论了他们的认知症状。在调整后的模型中，失业(AOR=2.92，95%CI：1.70-5.02，p<0.005)，退役(AOR=3.16，95%CI：1.37-7.30，p<0.01)，和当前吸烟者(AOR=1.73,95%CI:1.02-2.93,p<.05)更有可能与医疗保健专业人员讨论认知能力下降。相比之下,男性（AOR=0.53，95％CI：0.32-0.86，p<.05）和暴饮暴食者（AOR=0.49，95％CI：0.30-0.79，p<.01）的可能性明显较低。讨论：该研究强调了COPD患者基于社会人口统计学和健康风险行为讨论认知症状的可能性存在显着差异。结论：解决性别差异，职业状况,和个人健康风险对于改善COPD成人患者-提供者之间关于SCD的沟通至关重要.
