Health
Studies find that poor Americans are more likely to have respiratory problems
But that has changed dramatically. By the 2017-18 survey period, current and previous smoking prevalence among the richest people had fallen by almost half to 34%, while smoking prevalence among the poorest had reached up to 57.9%.
Smoking is an acquired habit, but low-income people are more likely to use tobacco to cope with the stress of poverty, Dr. Gaffney said. Tobacco advertising is often targeted at low-income communities, and tobacco stores are more densely populated in poorer areas, according to the authors of the commentary that accompanies the survey. Poor people may also have more restricted access to smoking cessation programs and alternative therapies, they said.
Dr. Saraslaju, an assistant professor of lung and emergency medicine at Johns Hopkins University and one of the authors of the commentary, said: “Individual responsibility is important, but without access to proper treatment and treatments that help quit smoking, it is a challenge.”
Asthma rates in children have increased in all income groups since 1980, but have risen more rapidly among children in poor families. Before 1980, there was little difference in asthma rates in infants aged 6 to 11 years, ranging from 3% to 4%. However, by 2017-18, the proportion of the poor had risen to 14.8%, while the proportion of children in the highest-income households was 6.8%. (A similar pattern appeared among adults; statistical adjustments to smoking reduced the difference slightly.)
In low-income adults, the incidence of chronic obstructive pulmonary disease, an inflammatory lung disease, is much higher than in wealthy individuals. However, rates have risen, widening the gap, and prevalence among the poorest Americans has increased from 10.4% to 16.3%, even if it remains stable at 4.4% among the richest. did.
Between 1959 and 2019, poor and poorly educated adults consistently reported more annoying respiratory symptoms, such as dyspnea, than wealthy and well-educated people. With some symptoms, such as coughing problems, the gap between the rich and the poor widened over time.
The study found that wheezing rates declined in the highest-income and most educated groups, but remained stable in the poor, least educated groups.
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