摘要
目的了解湖南省40岁及以上居民慢性阻塞性肺疾病(简称慢阻肺)相关知识及患病知晓情况,为湖南省慢阻肺防控策略的制定提供科学依据。方法于2019年,采用多阶段分层整群随机抽样方法在湖南省5个县(区)抽取3000名40岁及以上常住居民进行问卷调查、体格检查和肺功能检查。采用SAS 9.4软件进行Rao-Scottχ^(2)检验、趋势χ^(2)检验、Survey logistic多因素回归分析,采用复杂抽样加权估计湖南省40岁及以上居民慢阻肺相关知识及患病知晓水平。结果复杂抽样加权后,湖南省40岁及以上居民慢阻肺疾病名称知晓率为11.74%,肺功能检查知晓率为7.09%,慢阻肺相关知识知晓率为7.94%。共检出慢阻肺患者341例,复杂抽样加权后慢阻肺患者患病知晓率为0.95%。慢阻肺疾病名称知晓途径比例最高的是社区医院或医生(49.49%)。Survey logistic多因素回归分析结果显示,60~69岁(与40~49岁相比,OR=1.46,95%CI:1.32~1.61),汉族(OR=2.07,95%CI:1.50~2.86),文化程度高(与小学及以下相比,OR_(初中)=1.65,95%CI:1.18~2.30,OR_(高中及以上)=2.75,95%CI:1.78~4.24),职业为国家企业办事人员或专业技术人员(OR=2.69,95%CI:1.58~4.61)、生产运输或商业服务人员(OR=1.85,95%CI:1.19~2.89)及离退休人员(OR=2.12,95%CI:1.19~3.77),已婚或同居(OR=1.20,95%CI:1.03~1.41)与慢阻肺疾病名称知晓率呈正相关;女性(OR=1.35,95%CI:1.06~1.73),汉族(OR=2.08,95%CI:1.63~2.66),文化程度高(与小学及以下相比,OR_(高中及以上)=3.02,95%CI:1.55~5.88),职业为国家企业办事人员或专业技术人员(OR=4.65,95%CI:3.40~6.36)、生产运输或商业服务人员(OR=2.44,95%CI:1.52~3.91)及离退休人员(OR=3.57,95%CI:2.88~4.42),已婚或同居(OR=2.03,95%CI:1.35~3.04)与肺功能检查知晓率呈正相关;女性(OR=1.32,95%CI:1.19~1.46),汉族(OR=2.40,95%CI:1.62~3.55),文化程度高(与小学及以下相比,OR_(初中)=1.92,95%CI:1.13~3.25,OR_(高中及以上)=2.58,95%CI:1.59~4.21),职业为国家企�
Objective To understand the awareness and knowledge about chronic obstructive pulmonary disease(COPD)in residents(≥40 years old)of Hunan Province,and provide the scientific basis for prevention and control strategy of COPD.Methods In2019,the multiple-stage stratified cluster sampling was used to select 3000 residents(≥40 years old)from 5 counties in Hunan Province as the subjects,the investigation was performed with the questionnaire,physical examination and pulmonary function test.The Rao-Scottχ^(2),trendχ^(2)and survey logistic multivariate regression model were used to analyze the data.The awareness rate of knowledge about COPD and its 95%confidence interval among the residents(≥40 years old)were estimated with complicated sampling weights.The used software was SAS 9.4.Results After complicated sampling weights,the awareness rate of COPD in residents(≥40 years old)was 11.74%,the awareness rate of pulmonary function test was 7.09%and the awareness rate of COPD-related knowledge was 7.94%;341 COPD cases were detected,after complicated sampling weights,the awareness rate of COPD patients was 0.95%.The COPD awareness road with the highest proportion(49.49%)was community hospitals or doctors.The survey logistic multivariate regression model showed that the residents with 60-69 years old(compared with 40-49 years old,OR=1.46,95%CI:1.32-1.61),Han nationality(OR=2.07,95%CI:1.50-2.86),high education level(compared with≤primary school level,OR_(junior middle school)=1.65,95%CI:1.18-2.30,OR_(high school and above)=2.75,95%CI:1.78-4.24),national enterprise staff or professional technicians(OR=2.69,95%CI:1.58~4.61),production personnel,transportation personnel or commercial services personnel(OR=1.85,95%CI:1.19~2.89),retired people(OR=2.12,95%CI:1.19-3.77)and married or cohabitation(OR=1.20,95%CI:1.03-1.41)had the higher awareness rate of COPD;females(OR=1.35,95%CI:1.06-1.73),Han nationality(OR=2.08,95%CI:1.63-2.66),high education level(compared with≤primary school level,OR_(high school and above)=3.02,95%CI:
作者
殷蕾
胡李平
席钊
金东辉
YIN Lei;HU Li-ping;XI Zhao;JIN Dong-hui(Department of Chronic Non-Communicable Disease Control and Prevention,Hunan Provincial Center for Disease Control and Prevention,Clumgsha,Hiinan Province 410005,China;不详)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2022年第3期196-200,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
关键词
慢性阻塞性肺疾病
知晓
健康教育
Chronic obstructive pulmonary disease
Awareness
Health education
