An Epidemiological Survey and Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Jiaxing City of Zhejiang Province_Chinese Journal of Evidence-Based Medicine

Authors：

 LVXiao-dong ¹ ^# ,  CHENWen-yu ¹ ^# ,  LIUJia-liang ¹ ^# , YANGQi ¹ , FANGZhi-xian ¹ , ZHUANGYan-bing ¹ , ZHANGYing-qing ¹ , JINHao-ling ¹ , SUNJun-hao ²

Department of Pneumology, the First Affiliated Hospital of Jiaxing College, Jiaxing 314001, China;
2. Department of Pneumology, the First Hospital of Pinghu, Pinghu 314200, China;

Corresponding author：

Keywords：

Chronic obstructive pulmonary disease; Prevalence; Risk factor; Epidemiological survey

DOI：

10.7507/1672-2531.20150105

Video：

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Objective To investigate the prevalence of chronic obstructive pulmonary disease (COPD) and related risk factors in two districts and five counties in Jiaxing city of Zhejiang province. Methods We randomly selected people over the age of 40 in 10 communities of two districts and five counties in Jiaxing city by cluster sampling and random sampling to investigate the prevalence of COPD from January 2013 to December 2013. All included patients received pulmonary function test at the same time. Results A total of 1 256 cases of adults over the age of 40 were included, among which, 1 056 cases with complete data and qualified for pulmonary function test. There were 410 males with mean age of 58.74±11.62, and 646 females with mean age of 59.45±11.72. The overall prevalence of COPD was 13.60%. Male and female prevalence rates were 13.90% and 13.41%, respectively. Divided by age, the prevalence of the age of 40 to 50 was 3.38%, the age of 51 to 60 was 9.57%, the age of 61 to 70 was 19.15%, and the age of above 70 was 29.35%. The results of multivariate logistic regression analysis showed that the main risk factors of COPD were smoking, passive smoking, history of dust exposure, chronic respiratory disease history and age. Conclusion The total prevalence of COPD in Jiaxing area is high, and the female prevalence rate is especially higher than the national average level, which is the epidemiological characteristic of this area. Because the risk factors of COPD are complex, an integrated control strategy should be adopted.

Citation： LVXiao-dong, CHENWen-yu, LIUJia-liang, YANGQi, FANGZhi-xian, ZHUANGYan-bing, ZHANGYing-qing, JINHao-ling, SUNJun-hao. An Epidemiological Survey and Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Jiaxing City of Zhejiang Province. Chinese Journal of Evidence-Based Medicine, 2015, 15(6): 628-632. doi: 10.7507/1672-2531.20150105 Copy

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1. 陈亚红,王辰.2015年更新版GOLD慢性阻塞性肺疾病诊断、治疗和预防的全球策略简介.中国医学前沿杂志(电子版),2015,7(2):34-39.
2. 钟南山.慢性阻塞性肺疾病在中国.中国实用内科杂志,2011,31(5):321-322.
3. 周新,白春学.慢性阻塞性肺疾病的预防与治疗.北京:人民卫生出版社,2009:1-50.
4. 李国勤.慢性阻塞性肺疾病防治.北京:金盾出版社,2012:29-31.
5. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013年修订版).中华结核和呼吸杂志,2013,36(4):255-264.
6. World Health Organization.The top 10 causes of death.[2014-05-20].Available at:http://www.who.int.
7. 曾雪峰,王晓霞,包勇,等.成都市社区慢性阻塞性肺疾病流行病学调查.中国呼吸与危重监护杂志,2011,10(1):30-32.
8. 嘉兴市疾病预防控制中心.2013年嘉兴市慢性非传染性疾病报告(摘要).[2014-07-11].Available at:http://www.jxcdc.gov.cn.
9. 徐越,吴青青,徐水洋,等.浙江省被动吸烟暴露流行现况研究.疾病监测,2012,27(11):887-897.
10. Hu G,Zhou Y,Tian J,et al.Risk of COPD from exposure to biomass smoke:a metaanalysis.Chest,2010,138(1):20-31.
11. 周玉民,王辰,姚婉贞,等.职业接触粉尘和烟雾对慢性阻塞性肺疾病及呼吸道症状的影响.中国呼吸与危重监护杂志,2009,8(1):6-11.
12. 蔡映云.慢性阻塞性肺疾病.北京:科学出版社,2010:17-18.
13. Hersh CP,Hokanson JE,Lynch DA,et al.Family history is a risk factor for COPD.Chest,2011,140(2):343:350.
14. 周玉民,王辰,姚婉贞,等.我国七省市慢性阻塞性肺疾病家族聚集性的横断面调查.中华内科杂志,2014,53(5):354-358.

Chinese Journal of Evidence-Based Medicine

An Epidemiological Survey and Risk Factors Analysis of Chronic Obstructive Pulmonary Disease in Jiaxing City of Zhejiang Province

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