Department of Chest Diseases, Faculty of Medicine, Firat University, Elazig, Turkey.
Eur J Intern Med. 2011 Apr;22(2):172-6. doi: 10.1016/j.ejim.2010.12.014. Epub 2011 Jan 17.
To investigate the prevalence of Chronic Obstructive Pulmonary Disease (COPD) in the urban and rural areas of the Elazig Region of Turkey.
A questionnaire was conducted and spirometric measurements were made, based on the BOLD protocol. A total of 1270 individuals, over 18 years of age, were included in the study, comprising 610 individuals from the city center and 660 from the rural area. The questionnaire included demographics, symptoms and possible risk factors. The description and staging of COPD were in accordance with GOLD (Global Initiative for Chronic Obstructive Lung Disease).
Of the 1270 cases, 1206 (94.9%) were able to complete the questionnaire and undergo spirometric analysis. Of these 1206 cases, 1188 (98.5%) were used in the final assessment; the remainder were excluded due to errors in the spirometric analysis. Of the cases included in the study, 43.2% (25.9% female; 56.7% male) were current smokers. The prevalence of COPD at ≥ 18 years old was 4.5% (female 2.5%; male 6%); the prevalence at ≥ 45 years old was 11.5% (female 5.9%; male 15.1%). The majority of the COPD cases were at stages I and II (22.6% and 66%, respectively). The prevalence of COPD was higher among current and former smokers (5.8%) than non-smokers (2.8%). In general, the risk factors for COPD were found to be age, male gender, smoking, living in a rural area, and low income.
The prevalence of COPD in Elazig, Turkey was highest among the elderly and smokers, and constituted primarily stages I and II of the disease.
调查土耳其埃尔祖鲁姆地区城乡地区慢性阻塞性肺疾病（COPD）的患病率。
根据 BOLD 方案进行问卷调查和肺量计测量。共有 1270 名 18 岁以上的人参与了这项研究，其中 610 人来自市中心，660 人来自农村。问卷包括人口统计学、症状和可能的危险因素。COPD 的描述和分期符合 GOLD（全球慢性阻塞性肺病倡议）。
在 1270 例中，有 1206 例（94.9%）能够完成问卷并进行肺量计分析。在这 1206 例中，有 1188 例（98.5%）用于最终评估；其余的因肺量计分析错误而被排除在外。在纳入研究的病例中，43.2%（女性 25.9%；男性 56.7%）为当前吸烟者。≥18 岁的 COPD 患病率为 4.5%（女性 2.5%；男性 6%）；≥45 岁的 COPD 患病率为 11.5%（女性 5.9%；男性 15.1%）。大多数 COPD 病例处于 1 期和 2 期（分别为 22.6%和 66%）。与非吸烟者（2.8%）相比，当前吸烟者和曾经吸烟者（5.8%）的 COPD 患病率更高。一般来说，COPD 的危险因素是年龄、男性、吸烟、居住在农村地区和低收入。
在土耳其埃尔祖鲁姆，COPD 的患病率在老年人和吸烟者中最高，主要处于疾病的 1 期和 2 期。
