摘要
目的 研究安徽省农村居民居住环境的不同及室内空气污染与慢阻肺 (COPD)患病率的关系。方法 采用整群随机抽样方法 ,抽取安徽省安庆市 3个地区 2 16 4 8例≥ 15岁的常住农村居民为调查对象 ,进行生活暴露的流行病学调查。结果 安徽省农村居民 COPD患病率为 2 .13% ,男性为 3.16 % ,女性为 1.37% ;居住土坯平房、土坯地、土坯壁的居民 COPD患病率明显高于其他居住环境的居民 (P<0 .0 1) ;冬日取暖时间较长、且取暖时无烟囱者 ,COPD的患病率明显高于不取暖者 (P<0 .0 1) ;饮用塘沟渠水和暴露井水的居民 COPD患病率较高 ,患 COPD的危险性是饮自来水用户的 7.2 7倍和 7.12倍。结论 安徽省农村居民的 COPD患病率较国内其它城市患病率低 ,居住情况对COPD患病率的影响主要与取暖造成的污染有关 ,尤其是取暖月份长短存在剂量反应关系 ;同时居住条件差 ,居室小环境的灰尘污染也可引起 COPD的发生 ,提示今后应提倡改造炉灶和取暖条件 ,加强
Objective To study rural inhabitants' living condition and room air pollution in Anhui province, and its relationship with prevalence rate of COPD.Methods An epidemiological study of rural in habitants with COPD was carried out in three country, Anhui province using a cluster random sampling method. A total of 21648 inhabitants of super 15 years old were included in this study. Results The prevalence rate of rural inhabitants with COPD in Anhui province was 2.13%,male3.16% and female 1.37%; The prevalence rate of COPD in the people who were living shabby house/shabby ground/shabby wall was higher than that of other people, there was significant difference in living condition(P<0.01); The prevalence rate of COPD in the people who were warming in winter for long time and without growingoil machine in kitchen was higher than that of people who were warming in winter for short time, there was significant difference in warming(P<0.01); In ~aterpollution degress, drinking polluted water frequently was a good factor to COPD.Conclusions The prevalence rate of COPD in rural areas of Anhui province was lower than that of other province. In living condition, the main influential factor was warming in winter,especially time of warming. The environmental factors of pollution of house and condition of living house were related to COPD. The result suggested advocating kitchen range reforming and warming condition, paying attention to preventing measures of COPD.
出处
《中国农村卫生事业管理》
2002年第4期46-48,共3页
Chinese Rural Health Service Administration
