The individual social and financial burden of COPD

Introduction: An increasing number of people with COPD are under 65yrs.The aim of this study was to ascertain the social and financial impact of COPD on this age group.The country level data are presented from a multi-country cross-sectional survey. Method: 2426 respondents from Brazil, China, Germany, Turkey, UK and US were recruited utilising a mixed methods design. Data was collected on the financial impact of COPD on individuals and their families, including effect on household income, ability to maintain lifestyles, planning for the future, and social impact. Results: 49% (1180) males, m 56.4yrs,and 29% employed.Respondents felt unable to plan for the future or maintain lifestyles.Over 1/3 felt household income had decreased,17% a burden to friends and family, and 26% unable to care for children/family as before.Over 50% went out less, and similar numbers felt embarrassed by their cough.Over half felt their condition had stopped them achieving life goals or dreams. Conclusions: Respondents felt they were restricted by their COPD in terms of achieving life goals, socialising with others and providing usual family care. The results confirm the high social impact of COPD and financial concerns are of particular importance for working age patients.