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：

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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.	方曉聰, 王向東, 白春學. 慢性阻塞性肺疾病在中國的診治現狀[J]. 國際呼吸雜志, 2011, 31(7):493-497.
3.	成都市統計局. 成都統計年鑒[M]. 北京:中國統計出版社, 2010:329-330.
4.	中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2007年修訂版)[J]. 中華結核和呼吸雜志, 2007, 30(1):8-17.
5.	國際生命科學學會中國辦事處中國肥胖問題工作組聯合數據匯總分析協作組. 中國成人體質指數分類的推薦意見簡介[J]. 中華預防醫學雜志, 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.	姚婉貞, 朱紅, 沈寧, 等. 北京市延慶縣慢性阻塞性肺疾病流行病學調查結果[J]. 北京大學學報·醫學版, 2005, 37(2):121-125.
8.	蘇偉強, 周玉民, 陳虹, 等. 湛江地區40歲以上人群COPD患病率的城鄉差異[J]. 實用醫學雜志, 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.	趙燕妮, 王廣發. 吸煙與慢性阻塞性肺疾病[J]. 中國醫學前沿雜志·電子版, 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, 戴愛國, 尹培生, 等. 農村居民慢性阻塞性肺疾病及影響因素分析[J]. 中國公共衛生, 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.	龔益, 時國朝, 萬歡英, 等. 上海城區60歲以上人群5年內COPD患病率變化及因為分析[J]. 上海交通大學學報·醫學版, 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, 姚婉貞, 等. 中國農村慢性阻塞性肺疾病患病及防治現狀[J]. 中華內科雜志, 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. 方曉聰, 王向東, 白春學. 慢性阻塞性肺疾病在中國的診治現狀[J]. 國際呼吸雜志, 2011, 31(7):493-497.
3. 成都市統計局. 成都統計年鑒[M]. 北京:中國統計出版社, 2010:329-330.
4. 中華醫學會呼吸病學分會慢性阻塞性肺疾病學組. 慢性阻塞性肺疾病診治指南(2007年修訂版)[J]. 中華結核和呼吸雜志, 2007, 30(1):8-17.
5. 國際生命科學學會中國辦事處中國肥胖問題工作組聯合數據匯總分析協作組. 中國成人體質指數分類的推薦意見簡介[J]. 中華預防醫學雜志, 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. 姚婉貞, 朱紅, 沈寧, 等. 北京市延慶縣慢性阻塞性肺疾病流行病學調查結果[J]. 北京大學學報·醫學版, 2005, 37(2):121-125.
8. 蘇偉強, 周玉民, 陳虹, 等. 湛江地區40歲以上人群COPD患病率的城鄉差異[J]. 實用醫學雜志, 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. 趙燕妮, 王廣發. 吸煙與慢性阻塞性肺疾病[J]. 中國醫學前沿雜志·電子版, 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, 戴愛國, 尹培生, 等. 農村居民慢性阻塞性肺疾病及影響因素分析[J]. 中國公共衛生, 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. 龔益, 時國朝, 萬歡英, 等. 上海城區60歲以上人群5年內COPD患病率變化及因為分析[J]. 上海交通大學學報·醫學版, 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, 姚婉貞, 等. 中國農村慢性阻塞性肺疾病患病及防治現狀[J]. 中華內科雜志, 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

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