摘要
目的了解福建省中老年居民慢性阻塞性肺疾病(慢阻肺)的患病情况及其危险因素,为预防控制慢阻肺提供科学依据。方法于2015年9-12月采用多阶段分层整群随机抽样方法在福建省台江区、建瓯市、宁化县和漳浦县4个县/区抽取2 170名≥40周岁中老年居民进行问卷调查、体格检查和肺功能检查;采用复杂抽样加权估计福建省中老年居民慢阻肺患病率,并应用Survey logistic多因素回归模型分析该地区中老年居民慢阻肺患病的危险因素。结果福建省中老年居民慢阻肺复杂抽样加权估计患病率为17.4%;Survey logistic多因素回归分析结果显示,年龄≥50岁、居住在农村、吸烟、接触职业粉尘和有儿童时期严重呼吸道感染住院史是福建省中老年居民慢阻肺患病的危险因素。结论福建省中老年居民慢阻肺患病情况较为严重,年龄较大、居住在农村、吸烟、接触职业粉尘和有儿童时期严重呼吸道感染住院史的中老年居民是慢阻肺患病的高危人群。
Objective To investigate the prevalence and influencing factors of chronic obstructive pulmonary disease(COPD) among middle-aged and elderly residents in Fujian province and to provide evidences for prevention and control of the disease. Methods We selected 2 170 permanent residents aged ≥ 40 years in two urban districts and two rural counties in Fujian province using stratified multistage random cluster sampling. Then we conducted a face-to-face questionnaire survey, physical examination, and lung function test among the participants from September to December 2015. The prevalence rate of COPD was estimated by complicated sampling weights and its influencing factors were analyzed with multivariate logistic regression model. Results The estimated prevalence rate of COPD was 17.4% for the middle-aged and elderly residents. Multivariate logistic regression analysis indicated that older than 50 years, living in rural regions, smoking,exposure to occupational dust, history of hospitalization for serious respiratory infection during childhood were the risk factors for COPD among the population. Conclusion The prevalence of COPD is relatively high and influenced by age,residential area, smoking, exposure to occupational dust and history of hospitalization for serious respiratory infection during childhood among middle-aged and elderly population in Fujian province.
作者
陈婧瑜
钟文玲
林修全
章叶发
朱瑶
CHEN Jing-yu;ZHONG Wen-ling;LIN Xiu-quan(Department of Non-Communicable Chronic Disease Control and Prevention,Fujian Provincial Center for Disease Control and Prevention,Fuzhou,Fujian Province 350001,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2020年第2期170-173,共4页
Chinese Journal of Public Health
基金
福建省卫生计生委青年课题基金(2017-2-13)。
关键词
慢性阻塞性肺疾病(慢阻肺)
中老年居民
患病情况
危险因素
chronic obstructive pulmonary disease
middle-aged and elderly residents
prevalence
influencing factor
