Source / Disclosures
Carlson does not report any relevant financial disclosures. Please see the study for all relevant financial disclosures by other authors.
From 1999 to 2019, the overall COPD mortality rate did not change significantly among women in the United States, but rates increased among women living in the Midwest and in small urban or non-urban areas.
Among men, age-adjusted overall COPD mortality rates decreased over the same period (-1.3%), but rates remained higher than for women. Rates for men are down in all urban and rural areas and in all regions of the United States, according to a new report published in Weekly report of morbidity and mortality.
“Although the rates in men are still higher than in women, there have been declines among men but not among women,” Susan A. Carlson, Ph.D., from Division of Population Health at the CDC’s National Center for Chronic Disease Prevention and Health Promotion, colleagues wrote.
Researchers assessed geographic variation in sex-specific trends in age-adjusted COPD mortality rates among adults in the United States. Are aged 25 years or older. Each year by gender and geographic characteristics.
In 2019, the differences between men and women in annual COPD-adjusted deaths per 100,000 population were lower (62.8 vs 53, respectively) than in 1999 (88.2 vs 54.6, respectively). Researchers reported an inverse relationship between COPD mortality rates and urbanization in men in 1999 and 2019 and women in 2019.
In 2019, age-adjusted COPD mortality rates for women were lowest in the Northeast (42.1 deaths per 100,000 population) and highest in the South (59.3 deaths per 100,000 population) and the Midwest (58.9 deaths per 100,000 population). population). In 1999, the death rates were highest in the West (61.6 deaths per 100,000 population).
From 1999 to 2019, COPD mortality rates among women increased significantly in the Midwest (0.6%) and decreased significantly in the Northeast (-0.5%) and in the West (-1.2%). Among men, from 1999-2019, COPD mortality rates decreased significantly in all regions, ranging from -2% in the West to -0.9% in the Midwest.
When the researchers assessed the urban and rural setting, COPD mortality rates among women decreased significantly by -0.9% in large central areas and by -0.4% in urban areas from 1999 to 2019. Female mortality rates increased significantly in areas Small urban (0.6%), small urban areas (1.2%) and nonessential areas (1.9%). Among men, COPD mortality rates decreased in all urban and rural groups, ranging from -1.9% in large central areas to -0.4% in non-central areas.
“To reduce COPD mortality, strategies are needed to improve the prevention, treatment, and management of COPD, especially strategies that address geographic differences and improve attitude among women,” the researchers wrote.