Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Department of Biomedical Sciences, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Int J Chron Obstruct Pulmon Dis. 2021 Oct 28;16:2953-2962. doi: 10.2147/COPD.S319721. eCollection 2021.
Chronic obstructive pulmonary disease (COPD) is a worldwide public health problem. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) defines COPD as a common, preventable and treatable disease characterized by progressive airflow limitation. Nowadays, COPD has become the third leading cause of death and fourth cause of mortality in the world.
To assess chronic obstructive pulmonary disease and associated factors in Arba Minch - Health and Demographic Surveillance Site (AMU-HDSS) of Arba Minch University.
A community-based cross-sectional study was conducted in AMU-HDSS among 615 individuals who were >15 years of age. Study participants were selected randomly by the lottery method. Spirometer device was used to measure lung function. Binary logistic regression analysis was computed to assess the crude association between dependent and independent variables. Finally, variables which showed association in binary logistic regression analysis and have a -value less than 0.3 were entered into multivariable logistic regression model to identify significant factors.
The prevalence of spirometry diagnosed COPD was 10.6%. Highland residence showed higher proportion of COPD case which accounts 63.8% compared to 36.2% in lowland residence. Study participants who were in advanced age >41 years adjusted odd ratio (AOR) 3.65 (1.83, 7.28), living in highland area AOR 1.71 (1, 2.92), those who are elementary education level 2.45 (1.13, 5.28), who had no separate house for domestic animals AOR 2.84 (1.38, 5.85), having house which had no windows AOR 3.05 (5.79, 1.12) and living in traditional hut (tukulu), AOR 5.92 (1.19, 29.42) were significantly associated with chronic obstructive pulmonary disease in the study area.
Chronic obstructive pulmonary disease was one of respiratory illnesses in people who live in highland and traditional house lacking windows for air circulation. Improving housing condition of traditional hut by constructing window, separating domestic animals house from humans and minimizing animal dung smoke exposure is necessary to reduce the respiratory illness.
慢性阻塞性肺疾病（COPD）是一个全球性的公共卫生问题。全球慢性阻塞性肺疾病倡议（GOLD）将 COPD 定义为一种常见的、可预防和可治疗的疾病，其特征是进行性气流受限。如今，COPD 已成为全球第三大死亡原因和第四大死亡原因。
评估阿尔巴明奇-阿尔巴明奇大学健康和人口监测点（AMU-HDSS）的慢性阻塞性肺疾病及相关因素。
在 AMU-HDSS 中进行了一项基于社区的横断面研究，共有 615 名年龄在 15 岁以上的个体参与。研究参与者通过抽签法随机选择。使用肺量计设备测量肺功能。使用二元逻辑回归分析评估依赖变量和独立变量之间的粗关联。最后，将二元逻辑回归分析中显示关联且 P 值小于 0.3 的变量纳入多变量逻辑回归模型，以确定显著因素。
经肺量计诊断的 COPD 患病率为 10.6%。高海拔地区的 COPD 病例比例较高，占 63.8%，而低海拔地区的比例为 36.2%。年龄在 41 岁以上的研究参与者调整后的优势比（AOR）为 3.65（1.83，7.28），居住在高海拔地区的 AOR 为 1.71（1.00，2.92），接受过小学教育的 AOR 为 2.45（1.13，5.28），没有为家畜单独建造房屋的 AOR 为 2.84（1.38，5.85），房屋没有窗户的 AOR 为 3.05（5.79，1.12），居住在传统房屋（tukulu）的 AOR 为 5.92（1.19，29.42），这些因素与研究地区的慢性阻塞性肺疾病显著相关。
慢性阻塞性肺疾病是生活在高海拔和缺乏空气流通窗户的传统房屋中的人们的呼吸系统疾病之一。改善传统房屋的居住条件，建造窗户，将家畜房与人类隔开，减少动物粪便烟雾暴露，对于减少呼吸系统疾病是必要的。
