[西班牙瓜达拉哈拉农村地区慢性阻塞性肺疾病的患病率]

[Prevalence of Chronic Obstructive Pulmonary Disease in a Rural Area of Guadalajara, Spain].

作者信息

Martínez-Pérez José Antonio, Vasquez-Marín Carlos Eduardo, Rodríguez-Zapata Manuel

机构信息

Centro de Salud Guadalajara-Sur.

Centro de Rehabilitación de Adicciones Sin cadenas ni fronteras. Perú.

出版信息

Rev Esp Salud Publica. 2016 Feb 5;90:E13.

PMID:26847950

Abstract

OBJECTIVE

The aim of this study was to establish the prevalence of Chronic obstructive pulmonary disease [COPD] in a rural health area and its stratification according different risk factors.

METHODS

A cross-sectional, observational study was performed in Yunquera de Henares (Guadalajara, Spain) in the year 2014. A questionnaire on sociodemographic factors, tobacco consumption, age, education level and occupation was used in a randomized, stratified sample in different stages. The sample was proportional in age, sex and population centers. A total of 749 persons were included. Data were analyzed using descriptive, analytical, and multivariant statistical procedures and logistical regression.

RESULTS

The prevalence of COPD was 15.8% (CI95%: 13.2-18.4) and was statistically significantly higher in elderly (64.6±11 years vs 58.9±11,7 years); males (83.2%;CI95%:85.9-80.5),smokers (40.3%;CI95%:43.8-36.8) and people with primary education (66.4%;CI95%:69.7-63). People with COPD had higher BMI (28.2%;IC95%:29.5-26.9). People working in the field was 28.6% (IC95%:20,5-36,7%).

CONCLUSIONS

A high prevalence of Chronic Obstructive Pulmonary Disease was found. Occupational exposure may be an important factor in rural areas.

摘要

目的

本研究旨在确定某农村卫生区域慢性阻塞性肺疾病（COPD）的患病率及其按不同风险因素的分层情况。

方法

2014年在西班牙瓜达拉哈拉省的尤克拉德埃纳雷斯开展了一项横断面观察性研究。在不同阶段的随机分层样本中，使用了一份关于社会人口学因素、烟草消费、年龄、教育水平和职业的问卷。样本在年龄、性别和人口中心方面成比例。共纳入749人。使用描述性、分析性和多变量统计程序以及逻辑回归对数据进行分析。

结果

COPD的患病率为15.8%（95%置信区间：13.2 - 18.4），在老年人（64.6±11岁 vs 58.9±11.7岁）、男性（83.2%；95%置信区间：85.9 - 80.5）、吸烟者（40.3%；95%置信区间：43.8 - 36.8）和小学文化程度者（66.4%；95%置信区间：69.7 - 63）中，患病率在统计学上显著更高。COPD患者的体重指数更高（28.2%；95%置信区间：29.5 - 26.9）。从事农业工作的人群占28.6%（95%置信区间：20.5 - 36.7%）。