Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh.

Autor: Haque MA; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Salwa M; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Islam MT; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Sultana S; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Rahman F; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Ahmed S; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Haque Khan MM; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Mosharraf Hossain AK; Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh., Al Mamun MA; National Heart Foundation and Research Institute, Dhaka, Bangladesh., Bhuiyan MR; National Heart Foundation and Research Institute, Dhaka, Bangladesh., Choudhury SR; National Heart Foundation and Research Institute, Dhaka, Bangladesh.
Jazyk: angličtina
Zdroj: Lung India : official organ of Indian Chest Society [Lung India] 2022 Nov-Dec; Vol. 39 (6), pp. 537-544.
DOI: 10.4103/lungindia.lungindia_300_22
Abstrakt: Background: In Bangladesh, there is a scarcity of nationally representative data on the burden of chronic obstructive pulmonary disease (COPD).
Methods: To estimate the COPD prevalence in rural settings, this cross-sectional, population-based study was conducted in all eight administrative divisions of Bangladesh, and involved adults aged 40 years and above. By using multi-stage random sampling, 2,458 individuals were enrolled. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines were used to diagnose COPD based on post-bronchodilator lung function, while additional participant data was gathered through computer-assisted personal interviews.
Results: A 2% COPD prevalence (95% CI: 1.45, 2.55) was found in the study sample with a statistically significant difference between males (2.7%; 95% CI: 1.8, 3.6) and females (1.2%; 95% CI: 0.59, 1.81). Increasing age significantly inflated the odds of having COPD irrespective of sex (OR: 1.03; 95% CI: 1.00, 1.05; P value < 0.05). Furthermore, prevalence of COPD was higher among manual workers, cigarette smokers, and those that used the indoor kitchen and did not have a primary education. Sex-based analysis showed that smokeless tobacco consumption was significantly associated with COPD occurrence among males (OR: 2.14; 95% CI: 1.05, 4.37; P value < 0.05), but not females. Further, using an indoor kitchen increased the odds of developing COPD by 400% among female participants (OR: 4.39; 95% CI: 1.37, 14.10; P value < 0.05).
Conclusion: This study provides a comprehensive sex-based estimation of COPD prevalence among rural population and imparts significant contribution to the growing database on COPD prevalence in Bangladesh.
Competing Interests: None
Databáze: MEDLINE
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