摘要
目的了解重庆市居民慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患病率及影响因素,为开展COPD防治工作提供建议。方法采用分层整群随机抽样方法在渝中区、江津区和丰都县各抽取40岁及以上常住居民600人进行问卷调查、体格检查和肺功能检测,COPD患病率的比较采用卡方检验,COPD患病率的影响因素采用多因素Logistic回归分析进行鉴别(α=0.05)。结果共计调查1 771人,男性与女性分别调查了709人与1 062人,平均年龄(58.86±10.28)岁,吸烟率为34.05%,超重、肥胖检出率分别为40.43%与14.51%,高血压检出率为43.48%,COPD患病率为16.15%.多因素回归分析结果提示:性别(OR=4.62,95%CI:3.06-6.98)、年龄(OR=0.55,95%CI:0.45-0.68)、从事采煤炭、采矿、采石、采气等接触粉尘和/或有害气体(OR=4.88,95%CI:3.18-7.47)、从事农田生产作业如扬脱谷麦等接触粉尘和/或有害气体(OR=1.93,95%CI:1.09-3.41)是COPD患病率的独立影响因素。结论重庆市COPD患病率高,应针对COPD的相关危险因素进行干预,COPD防治工作应当作为重庆市重点工作之一。
Objective To understand the prevalence of chronic obstructive pulmonary disease（ COPD） and its influence factors,and provide suggestions for COPD prevention and control in Chongqing. Methods 600 local residents aged above 40 years old from Yuzhong District,Jiangjing District and Fengdu County were sampled with stratified cluster random sampling. All participants were interviewed with structured questionnaire,physical examination and pulmonary function were detected. The prevalence of COPD was compared by Chi-square test. Influence factors of COPD prevalence were identified by multi-variant Logistic regression model（ α =0. 05）. Results A total of 1 771 residents were interviewed. male and female residents were 709 and 1 062 respectively. Their average age was（ 58. 86 ± 10. 28） years old. The smoking rate was 34. 05%. The proportion of overweight and obesity was 40. 43%and 14. 51% respectively. The prevalence of hypertension was 43. 48%. The prevalence of COPD was 16. 15%. The results of multivariants logistic regression indicated that factors such as gender（ OR = 4. 62,95% CI： 3. 06-6. 98）,age（ OR = 0. 55,95% CI：0. 45-0. 68）,the history of exposed to dust or harmful gas engaged in coal mining,mining,quarrying,gas mining（ OR = 4. 88,95%CI： 3. 18-7. 47）,and the history of exposed to dust or harmful gas engaged in farm land such as threshing（ OR = 1. 93,95% CI：1. 09-3. 41） were independent risk factors. Conclusion The prevalence of COPD in Chongqing is high,interventions should be made on the relevant risk factors for COPD. COPD control should be one of the key tasks in Chongqing.
作者
丁贤彬
毛德强
唐文革
陈婷
沈卓之
邱建平
DING Xianbin;MAO Deqiang;TANG Wenge;CHEN Ting;SHEN Zhuozhi;QIU Jianping(Institute of Non-communicable Disease Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China)
出处
《公共卫生与预防医学》
2018年第3期57-61,共5页
Journal of Public Health and Preventive Medicine
关键词
慢性阻塞性肺疾病
患病率
危险因素
Chronic obstructive pulmonary disease
Prevalence
Risk factors
