Epidemic Situation and Risk Factors of Chronic Obstructive Pulmonary Disease among Rural Residents in Dayi County of Chengdu_West China Medical Journal

Authors：

 PENGDa-qing ,  LIAOXiao-yang , LEIYi , LUOFeng-ming , SUQiao-li , ZOUChuan , WANGDuo-ning

Department of General Practice, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIAOXiao-yang, Email: 625880796@qq.com

Keywords：

Chronic obstructive pulmonary disease; Rural resident; Prevalence; Risk factors

DOI：

10.7507/1002-0179.20140442

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the prevalence and risk factors for chronic obstructive pulmonary disease (COPD) in Dayi County of Chengdu. Methods Randomly cluster sampled residents between 40 and 70 years of age from two natural villages in the rural communities from February to December, 2010 were included in our study. We used questionnaire survey, physical examination and portable spirometry to collect data. Post-bronchodilator forced expiratory volume in 1 second/forced vital capacity of less than 70% was defined as the diagnostic criterion of COPD. Univariate analysis and logistic regression mode were used to define the risk factors. Results A total of 1 017 residents were enrolled in this survey, and 782 participants were valid for analysis, with a valid response rate of 76.89%. There were 330 males and 452 females, with an average age of (51.97±8.17) years old. The overall prevalence of COPD was 10.61%. After population standardization, the prevalence rate was 12.37%, and the overall prevalence increased with increment of age. The prevalence in male (13.33%) was higher than that in female (8.62%) with significant difference (P<0.01) and the prevalence increased with age. Univariate analysis showed that sex, age, education level, smoking and amount of smoking (pack-years) were the risk factors for COPD with significant difference. Logistic regression analysis showed that age, amount of smoking (pack-years) were the main risk factors for COPD. Conclusion COPD is highly prevalent in Dayi County of Chengdu and it is important to prevent COPD by controlling smoking and improving education level.

Citation： PENGDa-qing, LIAOXiao-yang, LEIYi, LUOFeng-ming, SUQiao-li, ZOUChuan, WANGDuo-ning. Epidemic Situation and Risk Factors of Chronic Obstructive Pulmonary Disease among Rural Residents in Dayi County of Chengdu. West China Medical Journal, 2014, 29(8): 1435-1438. doi: 10.7507/1002-0179.20140442 Copy

1.	Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China:a large population-based survey[J]. Am J Respir Crit Care Med, 2007, 176(8):753-760.
2.	方晓聪, 王向东, 白春学. 慢性阻塞性肺疾病在中国的诊治现状[J]. 国际呼吸杂志, 2011, 31(7):493-497.
3.	成都市统计局. 成都统计年鉴[M]. 北京:中国统计出版社, 2010:329-330.
4.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2007年修订版)[J]. 中华结核和呼吸杂志, 2007, 30(1):8-17.
5.	国际生命科学学会中国办事处中国肥胖问题工作组联合数据汇总分析协作组. 中国成人体质指数分类的推荐意见简介[J]. 中华预防医学杂志, 2001, 35(5):349-350.
6.	World Health Organization. Package of essential noncommunicable (PEN) disease interventions for primary health care in low-resource settings[M]. Geneva:World Health Organization, 2010:65.
7.	姚婉贞, 朱红, 沈宁, 等. 北京市延庆县慢性阻塞性肺疾病流行病学调查结果[J]. 北京大学学报·医学版, 2005, 37(2):121-125.
8.	苏伟强, 周玉民, 陈虹, 等. 湛江地区40岁以上人群COPD患病率的城乡差异[J]. 实用医学杂志, 2007, 23(3):310-313.
9.	Taylor JD. COPD and the response of the lung to tobacco smoke exposure[J]. Pulm Pharmacol Ther, 2010, 23(5):376-383.
10.	赵燕妮, 王广发. 吸烟与慢性阻塞性肺疾病[J]. 中国医学前沿杂志·电子版, 2012, 4(1):15-19.
11.	Lin HH, Murray M, Cohen T, et al. Effects of smoking and solid-fuel use on COPD, lung cancer, and tuberculosis in China:a time-based, multiple risk factor, modelling study[J]. Lancet, 2008, 372(9648):1473-1483.
12.	洪秀琴, 戴爱国, 尹培生, 等. 农村居民慢性阻塞性肺疾病及影响因素分析[J]. 中国公共卫生, 2012, 28(4):442-445.
13.	Halbert RJ, Isonaka S, George D, et al. Interpreting COPD prevalence estimates:what is the true burden of disease?[J]. Chest, 2003, 123(5):1684-1692.
14.	龚益, 时国朝, 万欢英, 等. 上海城区60岁以上人群5年内COPD患病率变化及因为分析[J]. 上海交通大学学报·医学版, 2011, 31(2):216-220.
15.	Reilly KH, Gu DF, Duan XF, et al. Risk factors for chronic obstructive pulmonary disease mortality in Chinese adults[J]. Am J Epidemiol, 2008, 167(8):998-1004.
16.	周玉民, 王辰, 姚婉贞, 等. 中国农村慢性阻塞性肺疾病患病及防治现状[J]. 中华内科杂志, 2009, 48(5):358-361.

1. Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China:a large population-based survey[J]. Am J Respir Crit Care Med, 2007, 176(8):753-760.
2. 方晓聪, 王向东, 白春学. 慢性阻塞性肺疾病在中国的诊治现状[J]. 国际呼吸杂志, 2011, 31(7):493-497.
3. 成都市统计局. 成都统计年鉴[M]. 北京:中国统计出版社, 2010:329-330.
4. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2007年修订版)[J]. 中华结核和呼吸杂志, 2007, 30(1):8-17.
5. 国际生命科学学会中国办事处中国肥胖问题工作组联合数据汇总分析协作组. 中国成人体质指数分类的推荐意见简介[J]. 中华预防医学杂志, 2001, 35(5):349-350.
6. World Health Organization. Package of essential noncommunicable (PEN) disease interventions for primary health care in low-resource settings[M]. Geneva:World Health Organization, 2010:65.
7. 姚婉贞, 朱红, 沈宁, 等. 北京市延庆县慢性阻塞性肺疾病流行病学调查结果[J]. 北京大学学报·医学版, 2005, 37(2):121-125.
8. 苏伟强, 周玉民, 陈虹, 等. 湛江地区40岁以上人群COPD患病率的城乡差异[J]. 实用医学杂志, 2007, 23(3):310-313.
9. Taylor JD. COPD and the response of the lung to tobacco smoke exposure[J]. Pulm Pharmacol Ther, 2010, 23(5):376-383.
10. 赵燕妮, 王广发. 吸烟与慢性阻塞性肺疾病[J]. 中国医学前沿杂志·电子版, 2012, 4(1):15-19.
11. Lin HH, Murray M, Cohen T, et al. Effects of smoking and solid-fuel use on COPD, lung cancer, and tuberculosis in China:a time-based, multiple risk factor, modelling study[J]. Lancet, 2008, 372(9648):1473-1483.
12. 洪秀琴, 戴爱国, 尹培生, 等. 农村居民慢性阻塞性肺疾病及影响因素分析[J]. 中国公共卫生, 2012, 28(4):442-445.
13. Halbert RJ, Isonaka S, George D, et al. Interpreting COPD prevalence estimates:what is the true burden of disease?[J]. Chest, 2003, 123(5):1684-1692.
14. 龚益, 时国朝, 万欢英, 等. 上海城区60岁以上人群5年内COPD患病率变化及因为分析[J]. 上海交通大学学报·医学版, 2011, 31(2):216-220.
15. Reilly KH, Gu DF, Duan XF, et al. Risk factors for chronic obstructive pulmonary disease mortality in Chinese adults[J]. Am J Epidemiol, 2008, 167(8):998-1004.
16. 周玉民, 王辰, 姚婉贞, 等. 中国农村慢性阻塞性肺疾病患病及防治现状[J]. 中华内科杂志, 2009, 48(5):358-361.

West China Medical Journal

Epidemic Situation and Risk Factors of Chronic Obstructive Pulmonary Disease among Rural Residents in Dayi County of Chengdu

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content