Prevalence and risk factors of chronic obstructive pulmonary diseases in a Hlai community in Hainan Island of China

Objectives We investigated prevalence and risk factors of chronic obstructive pulmonary disease (COPD) in a population of Hlai (the Li) ethnicity, a major minority, in Qicha Town, Changjiang County, Hainan Province, PRC, during 2014. Methods All residents at the age of 40 years or older were intervi...

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Veröffentlicht in:The clinical respiratory journal 2018-01, Vol.12 (1), p.126-133
Hauptverfasser: Ding, Yipeng, Yang, Danlei, He, Ping, Yao, Jinjian, Sun, Pei, Li, Quanni, Xie, Pingdong, Lin, Daobo, Sun, Dingwei, Niu, Huan, Tian, Zhongjie
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container_end_page 133
container_issue 1
container_start_page 126
container_title The clinical respiratory journal
container_volume 12
creator Ding, Yipeng
Yang, Danlei
He, Ping
Yao, Jinjian
Sun, Pei
Li, Quanni
Xie, Pingdong
Lin, Daobo
Sun, Dingwei
Niu, Huan
Tian, Zhongjie
description Objectives We investigated prevalence and risk factors of chronic obstructive pulmonary disease (COPD) in a population of Hlai (the Li) ethnicity, a major minority, in Qicha Town, Changjiang County, Hainan Province, PRC, during 2014. Methods All residents at the age of 40 years or older were interviewed with standardized questionnaires. Spirometry was performed to measure the possible airflow limitation. According to the GOLD criteria, post bronchodilator FEV1/FVC  0.05, suggesting that the sex did not affect the COPD prevalence in the investigated samples, but age (OR = 1.096), expectoration (OR = 87.917), locomotor activity limitation (OR = 3.908) and frequency of respiration (OR = 2.512) were risk factors and associated with the development of COPD. Notably, although the tobacco smoker in male and female COPD patients were 48.6% (54/111) and 4.0% (4/101), respectively, passive smokers in female with COPD were 45.6% (46/101). Conclusion In the Hlai population aged ≥40 years, the COPD prevalence was 5.07%. Smoking, age, expectoration, locomotor activity limitation and frequency of respiration were risk factors of COPD in Hlai ethnicity.
doi_str_mv 10.1111/crj.12497
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Methods All residents at the age of 40 years or older were interviewed with standardized questionnaires. Spirometry was performed to measure the possible airflow limitation. According to the GOLD criteria, post bronchodilator FEV1/FVC &lt; 70% was defined as COPD. Case‐control study was used to screen the risk factors by analyzing COPD group (212 cases) and non‐COPD control group (236 cases). Single factor analysis and multiple factor logistic regression analysis were used as statistical methods. Results The prevalence of COPD in the residents at the age of 40 years or older of Hlai community was 5.07% (286/5637) (95% CI = 0.045–0.057). In the logistic regression analysis, the COPD prevalence was 5.07% (147/2901) in men and 5.08% (139/2736) in women, respectively, with odds ratio (OR) 1.003, 95% CI 0.790–1.272 and P &gt; 0.05, suggesting that the sex did not affect the COPD prevalence in the investigated samples, but age (OR = 1.096), expectoration (OR = 87.917), locomotor activity limitation (OR = 3.908) and frequency of respiration (OR = 2.512) were risk factors and associated with the development of COPD. Notably, although the tobacco smoker in male and female COPD patients were 48.6% (54/111) and 4.0% (4/101), respectively, passive smokers in female with COPD were 45.6% (46/101). Conclusion In the Hlai population aged ≥40 years, the COPD prevalence was 5.07%. Smoking, age, expectoration, locomotor activity limitation and frequency of respiration were risk factors of COPD in Hlai ethnicity.</description><identifier>ISSN: 1752-6981</identifier><identifier>EISSN: 1752-699X</identifier><identifier>DOI: 10.1111/crj.12497</identifier><identifier>PMID: 27216214</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Bronchodilators ; China - epidemiology ; Chronic obstructive pulmonary disease ; chronic obstructive pulmonary diseases (COPD) ; Ethnic Groups ; Ethnicity ; Female ; Hlai (the Li) ethnicity ; Humans ; Male ; Middle Aged ; Odds Ratio ; Prevalence ; Pulmonary Disease, Chronic Obstructive - ethnology ; Regression analysis ; Respiration ; Risk Assessment - methods ; Risk Factors ; Surveys and Questionnaires</subject><ispartof>The clinical respiratory journal, 2018-01, Vol.12 (1), p.126-133</ispartof><rights>2016 The Authors. The Clinical Respiratory Journal Published by John Wiley &amp; Sons Ltd</rights><rights>2016 The Authors. 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Methods All residents at the age of 40 years or older were interviewed with standardized questionnaires. Spirometry was performed to measure the possible airflow limitation. According to the GOLD criteria, post bronchodilator FEV1/FVC &lt; 70% was defined as COPD. Case‐control study was used to screen the risk factors by analyzing COPD group (212 cases) and non‐COPD control group (236 cases). Single factor analysis and multiple factor logistic regression analysis were used as statistical methods. Results The prevalence of COPD in the residents at the age of 40 years or older of Hlai community was 5.07% (286/5637) (95% CI = 0.045–0.057). In the logistic regression analysis, the COPD prevalence was 5.07% (147/2901) in men and 5.08% (139/2736) in women, respectively, with odds ratio (OR) 1.003, 95% CI 0.790–1.272 and P &gt; 0.05, suggesting that the sex did not affect the COPD prevalence in the investigated samples, but age (OR = 1.096), expectoration (OR = 87.917), locomotor activity limitation (OR = 3.908) and frequency of respiration (OR = 2.512) were risk factors and associated with the development of COPD. Notably, although the tobacco smoker in male and female COPD patients were 48.6% (54/111) and 4.0% (4/101), respectively, passive smokers in female with COPD were 45.6% (46/101). Conclusion In the Hlai population aged ≥40 years, the COPD prevalence was 5.07%. 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The clinical respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ding, Yipeng</au><au>Yang, Danlei</au><au>He, Ping</au><au>Yao, Jinjian</au><au>Sun, Pei</au><au>Li, Quanni</au><au>Xie, Pingdong</au><au>Lin, Daobo</au><au>Sun, Dingwei</au><au>Niu, Huan</au><au>Tian, Zhongjie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and risk factors of chronic obstructive pulmonary diseases in a Hlai community in Hainan Island of China</atitle><jtitle>The clinical respiratory journal</jtitle><addtitle>Clin Respir J</addtitle><date>2018-01</date><risdate>2018</risdate><volume>12</volume><issue>1</issue><spage>126</spage><epage>133</epage><pages>126-133</pages><issn>1752-6981</issn><eissn>1752-699X</eissn><abstract>Objectives We investigated prevalence and risk factors of chronic obstructive pulmonary disease (COPD) in a population of Hlai (the Li) ethnicity, a major minority, in Qicha Town, Changjiang County, Hainan Province, PRC, during 2014. Methods All residents at the age of 40 years or older were interviewed with standardized questionnaires. Spirometry was performed to measure the possible airflow limitation. According to the GOLD criteria, post bronchodilator FEV1/FVC &lt; 70% was defined as COPD. Case‐control study was used to screen the risk factors by analyzing COPD group (212 cases) and non‐COPD control group (236 cases). Single factor analysis and multiple factor logistic regression analysis were used as statistical methods. Results The prevalence of COPD in the residents at the age of 40 years or older of Hlai community was 5.07% (286/5637) (95% CI = 0.045–0.057). In the logistic regression analysis, the COPD prevalence was 5.07% (147/2901) in men and 5.08% (139/2736) in women, respectively, with odds ratio (OR) 1.003, 95% CI 0.790–1.272 and P &gt; 0.05, suggesting that the sex did not affect the COPD prevalence in the investigated samples, but age (OR = 1.096), expectoration (OR = 87.917), locomotor activity limitation (OR = 3.908) and frequency of respiration (OR = 2.512) were risk factors and associated with the development of COPD. Notably, although the tobacco smoker in male and female COPD patients were 48.6% (54/111) and 4.0% (4/101), respectively, passive smokers in female with COPD were 45.6% (46/101). Conclusion In the Hlai population aged ≥40 years, the COPD prevalence was 5.07%. Smoking, age, expectoration, locomotor activity limitation and frequency of respiration were risk factors of COPD in Hlai ethnicity.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>27216214</pmid><doi>10.1111/crj.12497</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Open Access; Wiley Online Library Journals Frontfile Complete
subjects Adult
Age
Aged
Aged, 80 and over
Bronchodilators
China - epidemiology
Chronic obstructive pulmonary disease
chronic obstructive pulmonary diseases (COPD)
Ethnic Groups
Ethnicity
Female
Hlai (the Li) ethnicity
Humans
Male
Middle Aged
Odds Ratio
Prevalence
Pulmonary Disease, Chronic Obstructive - ethnology
Regression analysis
Respiration
Risk Assessment - methods
Risk Factors
Surveys and Questionnaires
title Prevalence and risk factors of chronic obstructive pulmonary diseases in a Hlai community in Hainan Island of China
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