住房条件和发生COPD的风险:丹麦队列研究,2000-2018年
Stine Kloster1, Anne Marie Kirkegaard2,3, Michael Davidsen2
1National Institute of Public Health, University of Southern Denmark, Studiestraede 6, 1455, Copenhagen K, Denmark. stkl@sdu.dk.
BMC public health
|June 27, 2024
概括
生活在双人或租房屋中增加了患慢性阻塞性肺病 (COPD) 的风险. 相反,居住在较小的城市与较低的COPD风险有关,这突显了住房条件对呼吸系统健康的影响.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性阻塞性肺病 (COPD) 的危险因素需要进一步调查,特别是关于住房条件和室内环境.
- 长期的队列研究对于了解生活条件和COPD发展之间的关系至关重要.
研究的目的:
- 调查住房条件,室内环境和患上COPD的风险之间的联系.
- 为旨在减少COPD发病率的公共卫生干预提供基于证据的见解.
主要方法:
- 一项队列研究涉及11,590名30岁及以上的个人,最初没有COPD.
- 利用丹麦国家注册和健康调查,获取关于COPD发病率和住房特征的数据.
- 采用波桑回归来分析COPD风险的发病率和估计发病率比率 (IRR).
主要成果:
- 居住在双层房屋 (IRR 1.29) 和租房屋 (IRR 1.47) 与分别与独立房屋和拥有房屋相比,COPD的风险更高.
- 与大城市 (≥50,000居民) 相比,居住在较小城市 (<50,000居民) 的COPD风险 (IRR 0.77) 较低.
- 对于居住年龄或家庭密度,没有发现统计学意义上的关联,尽管趋势表明风险增加,特别是在吸烟者中.
结论:
- 住房类型 (双联式,租) 和城市化是影响COPD风险的重要因素.
- 公共卫生战略应考虑住房条件和生活环境的修改,以减轻COPD的发展,特别是在城市环境中.
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