摘要
目的调查济宁市2005年慢性阻塞性肺疾病(COPD)患病率及相关因素。方法采取随机分层整群抽样的方法,选择13个点,抽样人口10450人,实际调查人口9824人,合格问卷9776份。结果共检出COPD患者649人,总患病率为6.64%,男性8.03%,女性5.25%,男性明显高于女性(2=30.375,P<0.001)。60岁以上老年男性患病率达到23.84%,女性为17.50%,各年龄组男性患病率均高于女性。相关因素分析显示,COPD与下列因素有关:吸烟(OR=2.938)、被动吸烟(OR=1.992)、粉刷房屋(OR=1.699)、空气污染(OR=1.135)、遗传(OR=3.357)、呼吸道感染(OR=1.389)、做饭频率(OR=1.382)为危险因素;体质量(OR=0.971)、水暖(OR=0.463)、无烟煤有烟囱取暖(OR=0.604)为保护因素。结论COPD患病与吸烟、粉刷房屋、空气污染、遗传、呼吸道感染等因素密切相关。
Objective To study the prevalence of COPD and its correlated factors in Jining city in 2005. Methods 13 points were selected by stratified-clustered-random sampling with a total of 10450 persons expected, but only 9824 subjects were investigated,9776 were qualitied. Results In this survey, 649 COPD cases were identified with a overall prevalence of 6.64% , The prevalence for male was 8.03% , and the female was 5.25% , the prevalence was higher in male than in female. And it was higher with the increasing age. The prevalence was up to 23.84% in over 60 years old. The prevalence of male was all higher than that of female in every age group. Correlation analysis showed that smoking （ OR = 2.938） , passive smoking （ OR = 1. 992 ）, decoration （ OR = 1. 699 ） , air pollution （ OR = 1. 135 ）, inheritance （ OR = 3. 357 ）, respiratory tract infection （ OR = 1. 389） ,cooking times （ OR = 1. 382 ） were risk factors. Weight （ OR = 0. 971 ）, water warming （ OR = 0.463 ）, anthracite warming with chimney were protecting factors. Conclusion The prevalence and correlation factors of COPD were acquired, and they may provide science basis for establishing intervention measures.
出处
《中国行为医学科学》
CSCD
2005年第9期786-787,共2页
Chinese Journal of Behavioral Medical Science
基金
济宁市卫生局资助课题
