{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:58:39Z","timestamp":1790776719474,"version":"4.1.0"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigated the prevalence of adverse social determinants of health (SDOH) and health-related social needs (HRSN) and their associations with physical and mental distress among U.S. adults with Chronic Obstructive Pulmonary disease (COPD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the 2022 Behavioral Risk Factor Surveillance System (BRFSS) was analyzed for respondents across 37 U.S. states who self-reported COPD and completed the Social Determinants and Health Equity module. Weighted prevalence estimates and logistic regression models evaluated associations between SDOH, HRSN, and self-reported physical\/mental health, controlling for demographics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 32,962 respondents with COPD, social isolation (23.08%) and mental stress (24.80%) were common. Females experienced high rates of food insecurity (65.59%) and housing insecurity (65.90%). Social isolation (OR = 1.84, 95% CI: 1.83\u20131.85) and life dissatisfaction (OR = 2.10, 95% CI: 2.09\u20132.11) were associated with increased odds of frequent physical distress. For mental distress, life dissatisfaction (OR = 5.07, 95% CI: 5.04\u20135.10), stress (OR = 7.11, 95% CI: 7.07\u20137.14), and transportation barriers (OR = 2.15, 95% CI: 2.14\u20132.16) were associated with increased odds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Social isolation, life dissatisfaction, stress, and transportation barriers were associated with increased physical and mental distress in COPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17423953261491393","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:03:22Z","timestamp":1790607802000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Social determinants and health-related social needs associated with physical and mental distress among U.S. adults with COPD"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1717-4114","authenticated-orcid":false,"given":"Michael","family":"Stellefson","sequence":"first","affiliation":[{"name":"The University of Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Qi","family":"Wang","sequence":"additional","affiliation":[{"name":"University of Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Campbell","sequence":"additional","affiliation":[{"name":"The University of Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8512-4739","authenticated-orcid":false,"given":"Sabrina","family":"Mousum","sequence":"additional","affiliation":[{"name":"The University of Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis management and prevention of COPD [Internet]. 2024 [cited 2024 Sep] https:\/\/goldcopd.org\/wp-content\/uploads\/2024\/02\/GOLD-2024_v1.2-11Jan24_WMV.pdf."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7309a3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-022-01863-w"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.9274"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","unstructured":"Whitman A De Lew N Chappel A et al. Addressing social determinants of health: examples of successful evidence-based strategies and current federal efforts [Internet]. 2022 [cited 2024 Sep].","DOI":"10.1001\/jamahealthforum.2022.1064"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.17244.1"},{"key":"e_1_3_2_8_2","first-page":"1018","article-title":"Using a social determinants of health summary measure to predict general health status in the BRFSS","volume":"35","author":"Nelson CC.","year":"2021","unstructured":"Nelson CC. Using a social determinants of health summary measure to predict general health status in the BRFSS. Am J Health Promot 2021; 35: 1018\u20131026.","journal-title":"Am J Health Promot"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S406899"},{"key":"e_1_3_2_10_2","article-title":"Association between county-level social vulnerability and incident chronic obstructive pulmonary disease among US veterans","volume":"207","author":"Hayes S","year":"2023","unstructured":"Hayes S, Duan K, Hee Wai T, et al. Association between county-level social vulnerability and incident chronic obstructive pulmonary disease among US veterans. Am J Respir Crit Care Med 2023; 207: A5917.","journal-title":"Am J Respir Crit Care Med"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/19491247.2021.1940686"},{"key":"e_1_3_2_12_2","first-page":"189","article-title":"Associations of self-reported chronic obstructive pulmonary disease with indicators of economic instability and stress - 16 states, 2017","volume":"17","author":"Carlson SA","year":"2021","unstructured":"Carlson SA, Wheaton AG, Liu Y, et al. Associations of self-reported chronic obstructive pulmonary disease with indicators of economic instability and stress - 16 states, 2017. Chronic Illn 2021; 17: 189\u2013198.","journal-title":"Chronic Illn"},{"key":"e_1_3_2_13_2","unstructured":"National Institute of Health (NIH) Centers for Disease Control and Prevention (CDC) The National Heart Lung and Blood Institute (NHLBI). COPD national action plan [Internet]. 2018 [cited 2024 Sep] https:\/\/www.nhlbi.nih.gov\/resources\/copd-national-action-plan."},{"key":"e_1_3_2_14_2","unstructured":"Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System (BRFSS) survey data [Internet]. 2022 [cited 2024 Sep] https:\/\/www.cdc.gov\/brfss\/annual_data\/2022\/files\/LLCP2022XPT.zip."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.180313"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.1874"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.30228"},{"key":"e_1_3_2_18_2","volume-title":"Complex sampling weights and preparing module data for analysis: 2023 BRFSS data","author":"Centers for Disease Control and Prevention","year":"2023","unstructured":"Centers for Disease Control and Prevention. Complex sampling weights and preparing module data for analysis: 2023 BRFSS data. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2023, CDC BRFSS Complex Sampling Weights Document (cdc.gov)."},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S157594"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-12-53"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2022.2105394"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.14423\/SMJ.0000000000001407"},{"key":"e_1_3_2_23_2","first-page":"355","article-title":"A systematic review of interventions to minimize transportation barriers among people with chronic diseases","volume":"43","author":"Starbird LE","year":"2018","unstructured":"Starbird LE, Dimaina C, Sun C, et al. A systematic review of interventions to minimize transportation barriers among people with chronic diseases. 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Mayo Clin Proc Innov Qual Outcomes 2019; 3: 276\u2013283.","journal-title":"Mayo Clin Proc Innov Qual Outcomes"},{"key":"e_1_3_2_28_2","first-page":"85","article-title":"Social support is a strong determinant of life satisfaction among older adults with chronic obstructive pulmonary disease","volume":"13","author":"Lee SH","year":"2019","unstructured":"Lee SH, Lee H, Kim YS, et al. Social support is a strong determinant of life satisfaction among older adults with chronic obstructive pulmonary disease. Clin Respir J 2019; 13: 85\u201392.","journal-title":"Clin Respir J"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S106207"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010458"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S194018"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleh.2018.02.002"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.11656"},{"key":"e_1_3_2_34_2","first-page":"32408","article-title":"Psychological distress and its associated factors among patients with chronic obstructive pulmonary disease in Hunan, China: a cross-sectional study","volume":"13","author":"Wang C","year":"2023","unstructured":"Wang C, Yan J, Ma C. Psychological distress and its associated factors among patients with chronic obstructive pulmonary disease in Hunan, China: a cross-sectional study. 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