Analysis on screening results for chronic obstructive pulmonary disease among residents over 40 years in Shanghai Jiading town
10.3760/cma.j.cn114798-20240415-00352
- VernacularTitle:上海市嘉定镇40岁及以上居民慢性阻塞性肺疾病筛查结果及其关联因素分析
- Author:
Chunwei LUO
1
;
Juping LU
;
Xuejin XU
Author Information
1. 上海市嘉定区嘉定镇街道社区卫生服务中心全科医疗科，上海201899
- Keywords:
Pulmonary disease,chronic obstructive;
Factor analysis;
Questionnaires;
Community health services
- From:
Chinese Journal of General Practitioners
2024;23(10):1021-1028
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the screening results for chronic obstructive pulmonary disease (COPD) among residents aged 40 years and above in Shanghai Jiading Town, and to explore the influencing factors of COPD.Methods:The study was a cross-sectional study. Four hundred residents aged 40 years and above in Jiading Town were selected to attend COPD screening by multi-stage stratified random sampling method from 10 to 18 July, 2023. Information on demographic characteristics, disease history and family history, disease behavior and risk factors were collected by a questionnaire survey. Physical examination and pulmonary function tests were performed for all participants. Patients showing<70% FEV 1/FVC in pulmonary function and excluded of other cardiorespiratory diseases were diagnosed as the COPD. The SPSS 25.0 software was used for statistical analysis; and logistic regression was used to analyze the related factors of COPD. Results:There were 166 (41.5%) males and 234 (58.5%) females in the participants. The results of screening showed that 181 (45.3%) individuals were identified as high risk of COPD and 32 cases of COPD was diagnosed with a prevalence rate of 8.0%. The prevalence rate of COPD in males were significantly higher than that in females ( P<0.05). There were no significant differences in the age ( P=0.993), education level ( P=0.158), body mass index ( P=0.776), and waist-to-hip ratio ( P=0.833) between COPD patients and non-COPD participants. Logistic regression analysis showed that frequent coughing at 14 years of age and before ( OR=7.763, 95% CI: 2.898-20.791, P<0.05), Hospitalization for pneumonia or bronchitis at or before 17 years of age ( OR=4.359, 95% CI: 1.343-14.1462, P<0.05), asthma ( OR=11.800, 95% CI: 2.001-69.573, P<0.05), chronic bronchitis ( OR=72.748, 95% CI: 20.501-258.144, P<0.05), emphysema ( OR=23.600, 95% CI: 1.407-395.756, P<0.05),and other respiratory diseases, immediate family members with chronic bronchitis ( OR=6.112, 95% CI: 1.960-19.058, P<0.05) and family history of COPD ( OR=100.920, 95% CI: 14.625-696.390, P<0.05), smoking behavior ( OR=7.017, 95% CI: 2.605-18.906, P<0.05), living with daily smokers ( OR=35.481, 95% CI: 1.609-782.310, P<0.05), and second-hand smoking ( OR=3.448, 95% CI: 1.271-9.352, P<0.05) were independent risk factors for the development of COPD. Conclusion:The study shows the prevalence of COPD and related risk factors in residents over the age of 40 in Shanghai Jiading town, indicating that more attention should be paid for high risk population in COPD screening.
