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. 2023 May 10:18:827-835.
doi: 10.2147/COPD.S399279. eCollection 2023.

Investigation and Analysis of Risk Factors and Psychological Status of Chronic Obstructive Pulmonary Disease in Permanent Residents Aged 40 or Older in Hongyuan County, Aba Prefecture, Sichuan Province

Jun-Jie Xia  1 , Xing-Xiong Zou  2 , Yu Qiu  1 , Wen-Jun Li  1 , Ling Huang  1 , Wen-Ying Xie  1 , Hui-Hong Xue  1 , Ming Yang  1
Affiliations

Investigation and Analysis of Risk Factors and Psychological Status of Chronic Obstructive Pulmonary Disease in Permanent Residents Aged 40 or Older in Hongyuan County, Aba Prefecture, Sichuan Province

Jun-Jie Xia et al. Int J Chron Obstruct Pulmon Dis. .

Abstract

Background: COPD is an important public health problem worldwide, and there is a lack of epidemiological data on COPD in high-altitude areas in Sichuan province. Thus, we aimed to investigate the prevalence, risk factors and psychological status of COPD in Hongyuan County, Aba Prefecture, Sichuan Province, which is located at an average altitude of 3507 meters.

Methods: The 40 years old or greater permanent residents of Hongyuan County were selected by random sampling method, and the lung function test and questionnaires were conducted to determine the disease situation of COPD. The prevalence of COPD was compared among different factors of investigation, and multivariate logistic regression analysis was used for different factors to determine the independent influencing factors of COPD disease.

Results: A total of 456 permanent residents aged 40 years or older in Hongyuan County, 436 qualified for quality control, among which 53 cases confirmed COPD, the total prevalence was 12.16%, among which the prevalence was 14.55% for men and it was 8.07% for women. There were significant differences in different gender, ethnicity, age, smoking status, smoking years, educational level, heating style, history of tuberculosis, and prevalence of BMI (P <0.05). Binary logistic regression analysis showed that age ≥60 years (OR = 2.810, 95% CI: 1.0457.557), Han Nationality (OR: 3.238, 95% CI: 1.290-8.127), the heating method including biofuels (OR: 18.119, 95% CI: 4.140-79.303) and coals (OR: 6.973, 95% CI: 1.856-26.200), medical history of pulmonary tuberculosis (OR: 2.670, 95% CI: 1.278-5.578), the education level including junior high school (OR: 3.336, 95% CI: 1.2259.075), high school and above (OR: 5.910, 95% CI: 1.796-19.450), and smoking (OR: 10.774, 95% CI: 3.622-32.051) were independent risk factors for COPD disease. The prevalence of anxiety was 16.98%, and the prevalence of depression was 13.2%.

Conclusion: The prevalence of COPD in Hongyuan County was higher than the national level; age, ethnic group, education, smoking, heating method, and history of tuberculosis are the independent influencing factors of COPD in Hongyuan County. The prevalence of anxiety and depression is low.

Keywords: chronic obstructive pulmonary disease; prevalence; psychological status; risk factors.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Flow chart of study.
See this image and copyright information in PMC

References

    1. Dong T, Xinyin X, Deng Y, et al. Analysis of chronic obstructive pulmonary disease disease and its influencing factors of 40-year-old permanent residents in Sichuan Province. Public Health in China. 2021;37(12):1762–1765. Chinese.
    1. Expert consensus compilation of COPD screening in China, grassroots working Committee of Respiratory Physician Branch of Chinese Medical Doctor Association. Chinese county chronic obstru ctive pulmonary disease screening expert consensus (2020). Chin Med J. 2021;101(14):989–994. Chinese.
    1. Zhong N, Wang C, Yao W, et al. Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey. Am J Res Pir Crit Care Med. 2007;176(8):753–760. doi: 10.1164/rccm.200612-1749OC - DOI - PubMed
    1. Regional COPD working group. COPD prevalence in 12 Asia-Pacific countries and region: projections based on the COPD prevalence estimation model. Respirology. 2003;8(2):192–198. doi: 10.1046/j.1440-1843.2003.00460.x - DOI - PubMed
    1. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. Report. 2019;53:5. - PubMed