Prevalence of Chronic Obstructive Pulmonary Disease Among Those With Serious Mental Illness
Abstract
OBJECTIVE: Individuals with serious mental illness have elevated smoking rates, and smoking is a significant risk factor for chronic obstructive pulmonary disease (COPD). The goal was to determine the prevalence of COPD among those with serious mental illness. METHOD: The authors surveyed a random sample of 200 adults with serious mental illness with questions from the National Health and Nutrition Examination Study III that were previously used to estimate the national prevalence of COPD. They compared the prevalence of COPD in the sample to a randomly selected matched subset of national comparison subjects. RESULTS: The prevalence of COPD was 22.6%. Those with serious mental illness were significantly more likely to have chronic bronchitis (19.5% versus 6.1%) and emphysema (7.9% versus 1.5%) than the comparison subjects. CONCLUSIONS: The prevalence of COPD is significantly higher among those with serious mental illness than comparison subjects. Improved primary and secondary prevention is warranted.
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The prevalence of chronic obstructive pulmonary disease (chronic bronchitis and emphysema) is significantly higher among those with SMI than comparison subjects.
“The prevalence of chronic obstructive pulmonary disease, i.e. chronic bronchitis and emphysema, is significantly higher among those with SMI than comparison subjects (429-433).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [429]
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- Authors
- Himelhoch, S., Lehman, A., Kreyenbuhl, J., Daumit, G., Brown, C., & Dixon, L.
- Affiliations
- University of Maryland, Baltimore (US)
- Venue
- American Journal of Psychiatry
- Published
- 2004-12-01
- Volume
- 161
- Issue
- 12
- Pages
- 2317-2319
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2154054744
- Cited by
- 128
- References
- 10
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 2 · 2017: 10 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 10 · 2012: 6
- FWCI
- 4.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k08mh001787-03)
- National Institute of Mental Health (K01-MH-066009-02, K08MH01787, K01MH066009)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- chronic obstructive pulmonary disease, severe mental illness, prevalence, smoking, chronic bronchitis, emphysema, lung disease risk, primary prevention, secondary prevention
- MeSH terms
- Adult, Mental Disorders, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Pulmonary Emphysema, Surveys and Questionnaires, Sampling Studies, United States, Baltimore, Comorbidity, Prevalence, Pulmonary Disease, Chronic Obstructive, Bronchitis, Chronic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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