Prs39 Effect of Biomass Smoke on Chronic Obstructive Pulmonary Disease in Rural Localities of Colombia

Abstract

OBJECTIVES:To determine the effect of enrollment in a prescription drug plan on use of controller medications in patients with persistent asthma. METHODS: The study used a retrospective, cross sectional research design. The data source utilized was the 2008 Medical Expenditure Panel Survey (MEPS), a nationally representative sample of the non-institutionalized, civilian U.S. population. Analysis was restricted to asthma patients who reported use of more than 3 canisters of rescue inhalers in a three-month period. Controller medication use was self-reported by MEPS respondants. Descriptive statistics was used to describe the sample and their controller medication use. A logistic regression model was used to assess the effect of prescription drug coverage based on the type of prescription drug plan on the controller medication use while adjusting for age, gender, race, ethnicity, income and perceived health status. All analyses were carried out using SASv.9.1. RESULTS: Forty-two percent of respondents had prescription drug coverage while 67% reported use of controller medications. In the regression model, controller medication use was found to be similar amongst patients with prescription drug coverage and patients without coverage (68%, 66%, respectively). Patients with prescription drug coverage were less likely to use controller medications than those who did not have coverage, although this effect was not significant (OR ϭ 0.53,CI:0.28-1.01). Patients with Medicare (OR ϭ 4.35, CI:1.61-11.75), Medicaid (OR ϭ 5.44, CI:2.23-13.24) or Veterans Affairs (OR ϭ 12.82, CI:3.21-51.16) prescription coverage were more likely to use controller medications when compared with patients in other types of plans. Both pediatric patients (OR ϭ 5.51, CI:1.27-23.88) and patients with excellent perceived health status (OR ϭ 5.10, CI:2.04-12.76) had a higher likelihood of using controller medications. CONCLUSIONS: Enrollment in a prescription drug plan did not show a significant impact on use of controller medications. However, enrollment in Medicare, Medicaid or Veterans Affairs prescription plans increased likelihood of controller medication use in this patient cohort.

To Study Correlation Between Hemoglobin Levels and the Use of Biomass Fuel (Wood) for Cooking by Females in Rural Areas of Lucknow District

“…Survey was done in the rural areas and families living in low socioeconomical status. Selections of females were done, involving those who were using biomass fuels for cooking since five years or more (7)(8)(9).…”

Intervenciones de enfermería en pacientes con enfermedades respiratorias asociadas al humo de biomasa

“…Los estudios han demostrado que el humo generado por la quema de biomasa presenta una composición diversa de gases y partículas que incluyen monóxido de carbono, óxidos de nitrógeno, compuestos orgánicos volátiles y partículas, estos mismos elementos contaminantes tienen el potencial de causar una variedad de efectos perjudiciales para la salud, como trastornos respiratorios, enfermedades cardiovasculares y la aparición de cáncer. (7).…”