| 贵州省40岁及以上人群慢性阻塞性肺疾病流行及影响因素 |
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| 引用本文： | 黄露,王艺颖,刘涛,李凌,杨敬源.贵州省40岁及以上人群慢性阻塞性肺疾病流行及影响因素[J].中华疾病控制杂志,2022,26(5):529-534. |
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| 作者姓名： | 黄露 王艺颖 刘涛 李凌 杨敬源 |
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| 作者单位： | 1.550025 贵阳，贵州医科大学公共卫生与健康学院流行病与卫生统计学系，环境污染与疾病监控教育部重点实验室 |
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| 摘 要： | 目的 分析研究贵州省40岁及以上不同性别人群慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)流行状况及其影响因素，为COPD预防提供依据。 方法 采用多阶段分层整群抽样方法，抽取贵州省COPD监测地区2 599名40岁及以上常住居民，进行问卷调查、体格及肺功能检查。 结果 贵州省监测地区COPD患病率为10.7%，男性患病率(13.0%)高于女性(7.6%)(χ2=16.951, P＜0.001)。Logistic回归分析模型分析结果显示，在男性人群中，年龄、吸烟、肺结核、慢性支气管炎病史与COPD患病密切相关；而女性人群中，年龄、脑血管、肺气肿病史、慢性支气管炎病史、鼻炎与COPD患病密切相关。 结论 贵州省监测地区COPD患病率及影响因素存在性别差异，为降低COPD患病率，男性以控烟和采取呼吸系统疾病筛查为主要措施，女性重点加强呼吸系统疾病筛查。
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| 关 键 词： | 慢性阻塞性肺疾病 性别差异 患病率 影响因素 |
| 收稿时间： | 2021-09-09 |
An analysis in the prevalence and influencing factors of COPD among people aged 40 years and a-bove in Guizhou Province |
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| HUANG Lu,WANG Yi-ying,LIU Tao,LI Ling,YANG Jing-yuan.An analysis in the prevalence and influencing factors of COPD among people aged 40 years and a-bove in Guizhou Province[J].Chinese Journal of Disease Control & Prevention,2022,26(5):529-534. |
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| Authors: | HUANG Lu WANG Yi-ying LIU Tao LI Ling YANG Jing-yuan |
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| Affiliation: | 1.School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang 550025, China2.Department of Noncommunicable Chronic Disease Control and Prevention, Guizhou Center for Chronic Disease Control and Prevention; Institute of Chronic Disease Prevention and Treatment, Guiyang 550004, China |
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| Abstract: | Objective To explore the gender comparison in prevalence and influencing factors of chronic obstructive pulmonary disease (COPD) among people aged 40 years and above in Guizhou Province, to provide basis for risk stratification and prevention of COPD. Methods A total of 2 599 residents aged 40 years and over in the COPD monitored area of Guizhou Province was selected according to a multi-stage stratified cluster sampling method. And all participants were underwent a questionnaire survey, physical examination, and lung function test. Results The total prevalence of COPD in the monitored area of Guizhou Province was 10.7%. The prevalence of male (13.0%) was higher than that of female (7.6%) (χ2=16.951, P < 0.001). Unconditional multivariate Logistic regression analysis suggested that age, smokers, tuberculosis, and history of chronic bronchitis were significantly associated with COPD in male population; While age, cerebrovascular diseases, history of emphysema, history of chronic bronchitis, and rhinitis were significantly associated with COPD in the female. Conclusions The prevalence and influencing factors of COPD were different between male and female. In order to reduce the incidence of COPD, smoking control and respiratory disease screening are main measures for men, and respiratory disease screening is the main measure for women. |
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