中国贵州省COPD和COPD前期的患病率和相关因素:一个横截面研究
Songjun Shao1,2, Silu Hu1, Cheng Zhang2
1Department of Respiratory and Critical Care Medicine, Clinical Research Center for Respiratory Disease, West China Hospital, Sichuan University, Chengdu, China.
慢性阻塞性肺病 (COPD) 和COPD前期在中国贵州非常普遍. 吸烟,家庭烟雾和低教育是这些呼吸道疾病的关键危险因素.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 中国面临着慢性阻塞性肺病 (COPD) 的快速增长负担,2018年有近1亿例病例.
- 在贵州省,仍有大量人口在COPD前阶段未被诊断,患病率和导致因素不明.
研究的目的:
- 为了确定COPD和COPD前期在中国贵州省的流行率.
- 确定该地区与COPD和COPD前期相关的关键因素.
主要方法:
- 2012年的一项横截面调查使用了贵州省20岁及以上的成年人的多阶段随机抽样.
- 对所有参与者进行了支气管扩展后的肺功能测试 (PFT).
- 诊断遵循2012年全球COPD倡议的指导方针.
主要成果:
- 分析包括5395名参与者,显示COPD患病率为9.60%,COPD前患病率为8.92%.
- 重要相关因素包括吸烟史 (31.96%),家庭烟雾污染 (3.24%来自生物质) 和较低的教育程度.
- 怀孕期间母亲吸烟和厨房的烟雾也被确定为促成因素.
结论:
- 贵州的COPD和COPD前期的患病率超过了中国的全国平均水平.
- 吸烟,接触厨房烟雾和低教育水平是需要公共卫生干预的主要危险因素.
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