Investigation of the chronic respiratory symptoms and pulmonary function of adult residents in Hongtong County, Shanxi Province.
10.3760/cma.j.cn112150-20221107-01075
- Author:
Yan Yan WANG
1
;
Zhi Ming SHI
2
;
Guang Yao LI
3
;
Zhi Xia ZHANG
4
;
Jian Feng JIN
1
;
Mei Feng CHEN
1
;
Cai Fang HAN
1
;
Yu XU
5
;
Zhan Cheng GAO
6
;
Shu Ming GUO
4
Author Information
1. Department of Respiratory Medicine, Linfen Central Hospital, Linfen 041000, China.
2. Medical Department, Linfen Central Hospital, Linfen 041000, China.
3. Science and Education Department, Linfen Central Hospital, Linfen 041000, China.
4. Nursing Department, Linfen Central Hospital, Linfen 041000, China.
5. Department of Respiratory and Critical Care Medicine, Beijing Jishuitan Hospital, Capital Medical University,Beijing 100035, China.
6. Department of Respiratory and Critical Care Medicine, Peking University People's Hospital, Beijing 100044, China.
- Publication Type:Journal Article
- MeSH:
Aged;
Adult;
Humans;
Male;
Middle Aged;
Female;
Cough/epidemiology*;
Lung;
Pulmonary Disease, Chronic Obstructive/epidemiology*;
Chronic Disease;
Lung Diseases;
Vital Capacity;
Dyspnea;
Dust/analysis*;
Forced Expiratory Volume
- From:
Chinese Journal of Preventive Medicine
2023;57(10):1571-1580
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the chronic respiratory symptoms and pulmonary function of adult residents in 3 towns of Hongtong County, Shanxi Province, and to explore their risk factors. Methods: The investigation of chronic respiratory symptoms and lung function status of adult residents in Hongdong County is based on the regional population of the entire county in Hongdong County. The project was initiated by the Science and Technology Department of Linfen City and coordinated by the Hongdong County Government. The investigation will be conducted in 3 townships in Hongdong County, Linfen City, Shanxi Province from April to November 2021: Demographic characteristics, respiratory symptoms, smoking dust exposure and other personal history were collected through questionnaires. Physical examination, routine blood tests and lung function tests were also performed on each individual. SPSS 22.0 software was used to conduct t test, χ2 test, ANOVA or Kruskal-Wallis test for statistical analysis of the collected information. Results: 10 945 subjects aged 18-102 years were included in the analysis, of whom 3 754 (34.3%) were male, 1 222 (11.2%) had a history of dust exposure, 7 164 (65.5%) had used straw and firewood as cooking fuel, and 3 296 (30.1%) had a history of smoking. Among the participants, 394 (3.6%), 339 (3.1%), and 1 543 (14.1%) had respiratory symptoms such as chronic cough, sputum, and dyspnea. Statistics showed that the population with chronic respiratory symptoms was more elderly and had a smoking history, and the incidence of chronic respiratory symptoms was higher in those who smoked more than 40 packs a year (all P<0.05). Men with a history of dust exposure were more likely to suffer from chronic cough and expectoration, while emaciation and biofuel use for more than 40 years were more likely to suffer from chronic expectoration and dyspnea (all P<0.05). The median values of forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC) and FEV1/FVC in 1 second were 2.19 L/s, 3.24 L and 69.16%, respectively. Among them, the lung function of 5 801 (53.0%) respondents was lower than the expected value. The median FEV1/FVC decreased with the increase of age. The FEV1/FVC of people over 40 years old with smoking history was lower, the dust exposure history of people with decreased lung function was more than that of people with normal lung function, and the incidence of chronic expectoration and dyspnea was higher in people with decreased lung function (all P<0.05). The absolute value and ratio of eosinophils in patients with decreased ventilation function over 60 years old were significantly higher than those with normal ventilation function, but the level of body mass index (BMI) was lower (all P<0.05). Conclusion: In Hongdong County, Shanxi Province, grassroots residents have poor medical awareness, low lung function examination rate, chronic respiratory symptoms and lung function decline are associated with more risk factors. Primary medical institutions need to formulate prevention strategies and carry out lung function detection according to the actual situation, focusing on monitoring and follow-up of high-risk groups to achieve early and timely prevention, diagnosis and treatment of chronic obstructive pulmonary disease.
