THE IMPACT OF SOCIO-DEMOGRAPHIC, DEPRESSIVE SYMPTOMS, AND HEALTHCARE ACCESS ON SELF-MANAGEMENT BEHAVIORS FOR OLDER ADULTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic, irreversible inflammatory respiratory condition characterized by persistent airflow obstruction and progressive lung function decline. Self-Management (SM) behaviors of older adults with COPD have not been sufficiently explored in the U.S., and there is limited knowledge about the associated determinants. Utilizing data from the Behavioral Factor Surveillance Survey (BRFSS) 2022, this cross-sectional study aims to examines the impact of socio-demographic factors, depressive symptoms, and healthcare access on SM behaviors among older adults with COPD, focusing on physical activity and routine check-ups. The study's findings highlight that married individuals and those with higher income levels are more likely to engage in routine medical check-ups, whereas Hispanic ethnicity is associated with lower likelihood of such behaviors. Education level and race/ethnicity significantly influence physical activity, with higher education levels and non-Hispanic ethnicity correlating with greater engagement in exercise. Additionally, the presence of health insurance and a regular healthcare provider are positively associated with routine medical check-ups whereas affordability of healthcare services significantly predicts routine check-ups. Furthermore, depressive symptoms emerge as significant predictors of SM behaviors; poor mental health status and a history of depressive disorders are associated with decreased likelihood of engaging in physical activity. Overall, this study findings provide valuable insights into the multifaceted nature of SM behaviors in older adults with COPD and emphasize the need for targeted interventions that consider socio-demographic factors, healthcare access, and mental health to improve SM and overall health outcomes in this population. These insights can inform healthcare policies and clinical practices aimed at enhancing the quality of life for older adults living with COPD.