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. 刁节文, 熊巧丽.成都市各城区经济综合实力分析.商业经济, 2012, (15): 32-34.
5. 成都市统计局等.成都统计年鉴.北京:中国统计出版社, 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).中华结核和呼吸杂志, 2007, 30(1): 8-17.
8. 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.中华预防医学杂志, 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. 李丽娜, 李群, 汪洋.四川省自贡市1985～2009年居民全死因分析.中国循证医学杂志, 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. 侯刚, 尹燕, 孙丽丽, 等.社区35岁以上人群慢性阻塞性肺疾病流行病学患病率及危险因素研究.中国全科医学, 2012, 15(16): 1831-1833.
14. 曾雪峰, 王晓霞, 包勇, 等.成都市社区慢性阻塞性肺疾病流行病学调查.中国呼吸与危重监护杂志, 2011, 10(1): 30-32.
15. 翁航爱, 赖富华, 何治军, 等.重庆城市社区慢性阻塞性肺疾病流行病学调查.中国公共卫生, 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学研究．南京:南京医科大学, 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. 马真, 卓宋明, 周路球, 等.体重指数与慢性阻塞性肺疾病的相关性研究.现代预防医学, 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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