Bania Eleni G, Daniil Zoe, Hatzoglou Chrysa, Alexopoulos Evangelos C, Mitsiki Eirini, Gourgoulianis Konstantinos I
Respiratory Medicine Department, University of Thessaly Medical School, University Hospital of Larissa, Larissa, Greece.
Faculty of Social Sciences, Hellenic Open University, Patras, Greece.
Int J Chron Obstruct Pulmon Dis. 2016 Feb 12;11:341-9. doi: 10.2147/COPD.S89027. eCollection 2016.
The high prevalence of smoking (80%) in Greek correctional institutions is anticipated to result in high prevalence of COPD in such settings.
The aim of the Greek obstructive luNg disease epidemiOlogy and health economics Study In corrective institutionS (GNOSIS) is to determine the prevalence of smoking and COPD among inmates and to assess the health-related quality of life.
GNOSIS, a cross-sectional epidemiological study, was conducted between March 2011 and December 2011 in seven correctional institutions in Greece.
A total of 552 participants, 91.3% male, median age of 43.0 years (interquartile range: 35-53), were enrolled. COPD prevalence was 6.0% and was found to increase with age (18.6% among those ≥60 years), length of prison stay, and length of sentence. Of the participants diagnosed with COPD, 36.4% were diagnosed with Global initiative for chronic Obstructive Lung Disease (GOLD) stage I and 51.5% were diagnosed with stage II. Dyspnea severity was assessed as grades 0-1 on the medical research council dyspnea scale for 88.3%, while 31% reported ≥2 COPD exacerbations in the past year. Seventy-nine percent of the total number of the participants were smokers, with a median smoking of 20.0 cigarettes per day, while 42.9% were assessed as having a strong addiction to nicotine. The median EuroQol visual analog scale score was 70.0 (interquartile range: 60.0-90.0). Problems in the dimension of anxiety/depression were reported by 82.8%.
The results of the study support the notion that the prevalence of COPD among inmates of Greek correctional institutions may increase in the following years. The findings underscore the importance of taking actions to limit COPD prevalence and its risk factors in the Greek correctional system.
希腊惩教机构中吸烟率很高（80%），预计这会导致此类环境中慢性阻塞性肺疾病（COPD）的高患病率。
希腊惩教机构阻塞性肺病流行病学与健康经济学研究（GNOSIS）的目的是确定囚犯中吸烟和COPD的患病率，并评估与健康相关的生活质量。
GNOSIS是一项横断面流行病学研究，于2011年3月至2011年12月在希腊的七所惩教机构中进行。
共招募了552名参与者，其中91.3%为男性，中位年龄为43.0岁（四分位间距：35 - 53岁）。COPD患病率为6.0%，且发现其随年龄（60岁及以上者中为18.6%）、监禁时间和刑期的延长而增加。在被诊断为COPD的参与者中，36.4%被诊断为慢性阻塞性肺疾病全球倡议（GOLD）I期，51.5%被诊断为II期。在医学研究委员会呼吸困难量表上，88.3%的参与者呼吸困难严重程度被评估为0 - 1级，而31%的人报告在过去一年中发生过≥2次COPD急性加重。参与者总数的79%为吸烟者，中位吸烟量为每天20.0支香烟，而42.9%的人被评估为对尼古丁有强烈成瘾。欧洲五维度健康量表视觉模拟量表的中位得分为70.0（四分位间距：60.0 - 90.0）。82.8%的人报告存在焦虑/抑郁方面的问题。
该研究结果支持以下观点，即希腊惩教机构囚犯中COPD的患病率在未来几年可能会上升。这些发现强调了在希腊惩教系统中采取行动限制COPD患病率及其危险因素的重要性。
