An Epidemiological Survey and Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Jiaxing City of Zhejiang Province_Chinese Journal of Evidence-Based Medicine

Authors：

 LVXiao-dong ¹ ^# ,  CHENWen-yu ¹ ^# ,  LIUJia-liang ¹ ^# , YANGQi ¹ , FANGZhi-xian ¹ , ZHUANGYan-bing ¹ , ZHANGYing-qing ¹ , JINHao-ling ¹ , SUNJun-hao ²

Department of Pneumology, the First Affiliated Hospital of Jiaxing College, Jiaxing 314001, China;
2. Department of Pneumology, the First Hospital of Pinghu, Pinghu 314200, China;

Corresponding?author：

Keywords：

Chronic obstructive pulmonary disease; Prevalence; Risk factor; Epidemiological survey

DOI：

10.7507/1672-2531.20150105

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Objective To investigate the prevalence of chronic obstructive pulmonary disease (COPD) and related risk factors in two districts and five counties in Jiaxing city of Zhejiang province. Methods We randomly selected people over the age of 40 in 10 communities of two districts and five counties in Jiaxing city by cluster sampling and random sampling to investigate the prevalence of COPD from January 2013 to December 2013. All included patients received pulmonary function test at the same time. Results A total of 1 256 cases of adults over the age of 40 were included, among which, 1 056 cases with complete data and qualified for pulmonary function test. There were 410 males with mean age of 58.74±11.62, and 646 females with mean age of 59.45±11.72. The overall prevalence of COPD was 13.60%. Male and female prevalence rates were 13.90% and 13.41%, respectively. Divided by age, the prevalence of the age of 40 to 50 was 3.38%, the age of 51 to 60 was 9.57%, the age of 61 to 70 was 19.15%, and the age of above 70 was 29.35%. The results of multivariate logistic regression analysis showed that the main risk factors of COPD were smoking, passive smoking, history of dust exposure, chronic respiratory disease history and age. Conclusion The total prevalence of COPD in Jiaxing area is high, and the female prevalence rate is especially higher than the national average level, which is the epidemiological characteristic of this area. Because the risk factors of COPD are complex, an integrated control strategy should be adopted.

Citation： LVXiao-dong, CHENWen-yu, LIUJia-liang, YANGQi, FANGZhi-xian, ZHUANGYan-bing, ZHANGYing-qing, JINHao-ling, SUNJun-hao. An Epidemiological Survey and Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Jiaxing City of Zhejiang Province. Chinese Journal of Evidence-Based Medicine, 2015, 15(6): 628-632. doi: 10.7507/1672-2531.20150105 Copy

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1. 陳亞紅,王辰.2015年更新版GOLD慢性阻塞性肺疾病診斷、治療和預防的全球策略簡介.中國醫學前沿雜志(電子版),2015,7(2):34-39.
2. 鐘南山.慢性阻塞性肺疾病在中國.中國實用內科雜志,2011,31(5):321-322.
3. 周新,白春學.慢性阻塞性肺疾病的預防與治療.北京:人民衛生出版社,2009:1-50.
4. 李國勤.慢性阻塞性肺疾病防治.北京:金盾出版社,2012:29-31.
5. 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(2013年修訂版).中華結核和呼吸雜志,2013,36(4):255-264.
6. World Health Organization.The top 10 causes of death.[2014-05-20].Available at:http://www.who.int.
7. 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.
8. 嘉興市疾病預防控制中心.2013年嘉興市慢性非傳染性疾病報告(摘要).[2014-07-11].Available at:http://www.jxcdc.gov.cn.
9. 徐越,吳青青,徐水洋,等.浙江省被動吸煙暴露流行現況研究.疾病監測,2012,27(11):887-897.
10. Hu G,Zhou Y,Tian J,et al.Risk of COPD from exposure to biomass smoke:a metaanalysis.Chest,2010,138(1):20-31.
11. 周玉民,王辰,姚婉貞,等.職業接觸粉塵和煙霧對慢性阻塞性肺疾病及呼吸道癥狀的影響.中國呼吸與危重監護雜志,2009,8(1):6-11.
12. 蔡映云.慢性阻塞性肺疾病.北京:科學出版社,2010:17-18.
13. Hersh CP,Hokanson JE,Lynch DA,et al.Family history is a risk factor for COPD.Chest,2011,140(2):343:350.
14. 周玉民,王辰,姚婉貞,等.我國七省市慢性阻塞性肺疾病家族聚集性的橫斷面調查.中華內科雜志,2014,53(5):354-358.

Chinese Journal of Evidence-Based Medicine

An Epidemiological Survey and Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Jiaxing City of Zhejiang Province

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