Antwi Samuel, Steck Susan E, Heidari Khosrow
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina. 800 Sumter Street, Columbia SC, 29208. E-Mail:
Arnold School of Public Health, University of South Carolina, Columbia South Carolina.
Prev Chronic Dis. 2013 Dec 26;10:E215. doi: 10.5888/pcd10.130192.
We investigated the prevalence of chronic obstructive pulmonary disease (COPD) in various population subgroups in South Carolina and examined associations between COPD and 4 core measures of health-related quality of life (HRQOL).
Data from 12,851 participants of the 2011 South Carolina Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. COPD prevalence rates were age-adjusted to the 2000 standard US population. Logistic regression models were used to estimate adjusted odds ratios (AOR's) and 95% confidence intervals (CIs).
The overall age-adjusted prevalence of self-reported diagnosis of COPD among community-dwelling adults in South Carolina in 2011 was 7.1% (standard error [SE] ±0.3). Prevalence of self-reported diagnosis of COPD was highest among women (8.9%; SE, ±0.5), those aged 65 years or older (12.9%; SE, ±0.5), current smokers (15.9%; SE, ±0.7), and those with low levels of education and income. Compared with community-dwelling adults without COPD, those with COPD were more likely to report fair or poor general health status (AOR, 3.97; 95% CI, 3.13-5.03), 14 or more physically unhealthy days (AOR, 2.10, 95% CI, 1.57-2.81), 14 or more mentally unhealthy days (AOR, 1.72; 95% CI, 1.21-2.43), and 14 or more days of activity limitation (AOR, 2.22; 95% CI, 1.53-3.22) within the previous 30 days.
COPD is a highly prevalent disease in South Carolina, especially among older people and smokers, and it is associated with poor HRQOL. Future work aimed at reducing risk factors may decrease the disease prevalence, and increasing early detection and improving access to appropriate medical treatments can improve HRQOL for those living with COPD.
我们调查了南卡罗来纳州不同人群亚组中慢性阻塞性肺疾病（COPD）的患病率，并研究了COPD与健康相关生活质量（HRQOL）的4项核心指标之间的关联。
对2011年南卡罗来纳州行为危险因素监测系统（BRFSS）的12851名参与者的数据进行了分析。COPD患病率按年龄调整至2000年美国标准人口。使用逻辑回归模型估计调整后的优势比（AOR）和95%置信区间（CI）。
2011年南卡罗来纳州社区居住成年人中自我报告诊断为COPD的总体年龄调整患病率为7.1%（标准误[SE]±0.3）。自我报告诊断为COPD的患病率在女性（8.9%；SE，±0.5）、65岁及以上人群（12.9%；SE，±0.5）、当前吸烟者（15.9%；SE，±0.7）以及教育和收入水平较低者中最高。与无COPD的社区居住成年人相比，患有COPD的人更有可能报告一般健康状况为“一般”或“差”（AOR，3.97；95%CI，3.13 - 5.03）、过去30天内有14天或更多身体不健康天数（AOR，2.10；95%CI，1.57 - 2.81）、14天或更多精神不健康天数（AOR，1.72；95%CI，1.21 - 2.43）以及14天或更多活动受限天数（AOR，2.22；95%CI，1.53 - 3.22）。
COPD在南卡罗来纳州是一种高度流行的疾病，尤其是在老年人和吸烟者中，并且它与较差的HRQOL相关。未来旨在降低危险因素的工作可能会降低疾病患病率，而增加早期检测并改善获得适当医疗治疗的机会可以改善COPD患者的HRQOL。
