Vaz Rodney Preetham, Acharya Anita Shankar, Rasania Sanjeev Kumar
Senior Resident, Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India.
Director Professor, Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India.
Indian J Public Health. 2023 Jan-Mar;67(1):8-14. doi: 10.4103/ijph.ijph_2150_21.
Recent industrialisation and urbanisation and introduction of vehicles running on fossil fuels have led to an increase in pollution especially in major cities. This has given rise to various diseases like acute and chronic diseases such as Chronic Obstructive Pulmonary Disease (COPD), Cardiovascular Diseases, Cerebrovascular Diseases and so on leading to significant mortality and morbidity. Auto rickshaw drivers are subjected to the environmental pollutants and their ill effects.
Current study was done with the objective of finding the prevalence of COPD among them.
A community based cross sectional study was conducted in 2019 in Kalyanpuri circle of East Delhi in 409 auto rickshaw drivers in a total of ten Three-Seater Rickshaw (TSR) stands which were chosen by simple random sampling. Consecutive auto rickshaw drivers were chosen from each stand. Data was collected using a questionnaire, and spirometry was conducted using a handheld portable spirometer with adjusted values as per S K Chhabra's formula for Indian Males. Data analysis was done on SPSS by applying chi-square tests.
Mean age of study subjects was 39±7.54 years (Age group 22 to 59 years). The prevalence of COPD was found to be 13.7% based on spirometry as per GOLD criteria. Statistically significant association was found with the age of the study subjects and hour years of driving. No significant association found with the smoking status.
The prevalence of COPD was found to be higher among the study subjects. Since they belong to unorganized sector, relevant policies are required for promoting the health status among them.
近期的工业化、城市化以及以化石燃料为动力的车辆的引入导致了污染加剧,尤其是在大城市。这引发了各种疾病,如急性和慢性疾病,如慢性阻塞性肺疾病(COPD)、心血管疾病、脑血管疾病等,导致了显著的死亡率和发病率。人力三轮车司机暴露于环境污染物及其不良影响之下。
当前研究旨在找出他们中慢性阻塞性肺疾病的患病率。
2019年在东德里的卡利亚普里环形区域进行了一项基于社区的横断面研究,在总共10个三人座人力三轮车(TSR)停车点对409名人力三轮车司机进行了研究,这些停车点通过简单随机抽样选取。从每个停车点连续选取人力三轮车司机。使用问卷收集数据,并使用手持式便携式肺活量计进行肺活量测定,根据S K Chhabra针对印度男性的公式对数值进行调整。在SPSS上应用卡方检验进行数据分析。
研究对象的平均年龄为39±7.54岁(年龄范围为22至59岁)。根据GOLD标准,基于肺活量测定,慢性阻塞性肺疾病的患病率为13.7%。发现研究对象的年龄与驾驶年限之间存在统计学上的显著关联。未发现与吸烟状况有显著关联。
在研究对象中发现慢性阻塞性肺疾病的患病率较高。由于他们属于非正规部门,需要制定相关政策来促进他们的健康状况。