Investigation on Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease between Urban and Rural Male Residents in Chengdu City_Chinese Journal of Evidence-Based Medicine

Authors：

 PENGDa-qing , YANGZhi-yi ,  LIAOXiao-yang , LEIYi , WUJia

Department of General Medicine, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding?author：

LIAOXiao-yang, Email: liaoxiaoyang@sohu.com

Keywords：

Chronic obstructive pulmonary disease(COPD); Male; Urban and rural; Risk factor; Prevalence

DOI：

10.7507/1672-2531.20140154

Video：

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Objective To investigate the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) in urban and rural male residents of Chengdu city. Methods A cross-sectional survey about the incidence of COPD using cluster random sampling methods was carried out from February to December 2010 among male residents aged 40 to 70 years in four communities in Chengdu city, which was conducted by applying questionnaire survey, physical examination, portable spirometry, etc. Data was analyzed by using SPSS 18.0 software, and the risk factors were also analyzed by using the multivariate logistic methods. Results A total of 631 male residents were included, 301 urban and 330 rural. The results showed that: after population standardization, among male residents aged 40 to 70 years in four communities in Chengdu city, the overall prevalence of COPD was 7.95%, and the prevalence was 12.07% in rural area and 7.05% in urban area (P < 0.001). The results of multivariate logistic regression analysis showed that area, age, BMI and smoking volume were the main risk factors of COPD among male. Conclusion The prevalence of COPD in Chengdu city is relatively higher, which is much higher in rural area than that in urban area. The risk factors are various, and thus comprehensive prevention and treatment of COPD should be emphasized.

Citation： PENGDa-qing, YANGZhi-yi, LIAOXiao-yang, LEIYi, WUJia. Investigation on Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease between Urban and Rural Male Residents in Chengdu City. Chinese Journal of Evidence-Based Medicine, 2014, 14(8): 923-926. doi: 10.7507/1672-2531.20140154 Copy

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1. ?Lopez AD, Murray CC. The global burden of disease, 1990-2020. Nat Med, 1998, 4(11): 1241-1243.
2. Gonzalez AV, Suissa S, Ernst P. Gender differences in survival following hospitalization for COPD. Thorax, 2011, 66(1): 38-42.
3. Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China: a large population-based survey. Am J Respir Crit Care Med, 2007, 176(8): 753-760.
4. 刁節文, 熊巧麗.成都市各城區經濟綜合實力分析.商業經濟, 2012, (15): 32-34.
5. 成都市統計局等.成都統計年鑒.北京:中國統計出版社, 2010: 329-332.
6. Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease GOLD executive summary. Am J Respir Crit Care Med, 2007, (06): 532-555.
7. 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).中華結核和呼吸雜志, 2007, 30(1): 8-17.
8. 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.中華預防醫學雜志, 2001, 35(5): 349-350.
9. World Health Organization. Package of essential noncommunicable (PEN) disease interventions for primary health care in low-resource settings. Geneva: World Health Organization, 2010: 65.
10. Celli B, Vestbo J, Jenkins CR, et al. Sex difference in mortality and clinical expressions of patients with chronic obstructive pulmonary disease: the TORCH experience. Am J Respir Crit Care Med, 2011, 183(3): 317-322.
11. 李麗娜, 李群, 汪洋.四川省自貢市1985～2009年居民全死因分析.中國循證醫學雜志, 2011, 1l(3): 247-253.
12. Reilly KH, Gu D, Duan X, et al. Risk factors for chronic obstructive pulmonary disease mortality in Chinese adults. Am J Epidemiol, 2008, 167(8): 998-1004.
13. 侯剛, 尹燕, 孫麗麗, 等.社區35歲以上人群慢性阻塞性肺疾病流行病學患病率及危險因素研究.中國全科醫學, 2012, 15(16): 1831-1833.
14. 曾雪峰, 王曉霞, 包勇, 等.成都市社區慢性阻塞性肺疾病流行病學調查.中國呼吸與危重監護雜志, 2011, 10(1): 30-32.
15. 翁航愛, 賴富華, 何治軍, 等.重慶城市社區慢性阻塞性肺疾病流行病學調查.中國公共衛生, 2011, 27(11): 1393-1395.
16. Tzanakis N, Anagnostopoulou U, Filaditaki V, et al. Prevalence of COPD in Greece. Chest, 2004, 125(3): 892-900.
17. 徐斐.慢性阻塞性肺病的流行病學研究．南京:南京醫科大學, 2008: 62-78.
18. Liu SM, Zhou YM, Wang XP, et al. Biomass fuels are the probable risk factor for chronic obstructive pulmonary disease in rural South China. Thorax, 2007, 62(10): 889-897．.
19. Zhou Y, Wang D, Liu S, et al. The Association between BMI and COPD: The Results of Two Population-based Studies in Guangzhou, China. COPD, 2013, 10(5): 567-572.
20. 馬真, 卓宋明, 周路球, 等.體重指數與慢性阻塞性肺疾病的相關性研究.現代預防醫學, 2011, 38(12): 2417-2418.
21. Creutzberg EC, Wouters EF, Mostert R, et al. Efficacy of nutritional supplementation therapy in depleted patients with chronic obstructive. Nutrition, 2003, 19(2): 120-127.

Chinese Journal of Evidence-Based Medicine

Investigation on Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease between Urban and Rural Male Residents in Chengdu City

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