TY - JOUR T1 - Functional health status and satisfaction with health in a population reporting a participation or activity limitation: Focus on COPD JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p4113 AU - Donna Goodridge AU - Joshua A. Lawson AU - Darcy Marciniuk AU - Donna C. Rennie AU - Koroush Madani Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p4113.abstract N2 - Background: Symptoms associated with COPD can result in participation and activity limitations as well as reduced quality of life.Objective: To examine the impact of COPD on functional health status (FHS) and satisfaction with health (SWH) in persons with a participation or activity limitation among a national sample of Canadians.Methods: This survey used data from the 2006 Participation and Activity Limitation Survey (PALS), a complex population survey of Canadians reporting a disability on the census. COPD was present if there was a self-report of COPD, emphysema, or bronchitis as the cause of disability. FHS was assessed using the Health Utility Index (HUI-3) and categorized as high, moderate, or severe. SWH was categorized as high, moderate, or low. Analyses were weighted to the population and bootstrapping used to estimate variances.Results: The sample represents 5,185,980 adults with participation or activity limitation. Subjects without missing data (55%) for the variables of interest were included. COPD was reported as the reason for disability in 1.4% of the population. Among those reporting COPD, 44% reported moderate and 49% reported low SWH. FHS was moderately impaired for 31% and severely impaired for 46%. After adjustment, COPD was significantly associated with a lower SWH (p<0.05), but not with FHS (p=0.12).Conclusions: While FHS was similar to the overall population with a disability, persons with COPD had a markedly lower SWH, suggesting the need to focus on quality of life enhancement strategies. ER -