成都市城乡男性居民COPD患病情况及危险因素调查

Investigation on Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease between Urban and Rural Male Residents in Chengdu City

目的 调查成都市中心城区和农村地区男性居民慢性阻塞性肺疾病（COPD）的患病情况及危险因素。方法 采取多阶段整群随机抽样的方法于2010年2-12月选取成都市中心城区和农村地区共4个社区的40-70岁居民进行横断面调查。调查采用问卷调查、体格检查和肺功能检查等方式。统计分析采用SPSS 18.0软件,用logistic回归模型对主要危险因素进行多因素分析。结果 共调查631人,其中城区301人,农村330人。调查结果显示,成都地区40-70岁男性COPD人口标化患病率为7.95%,其中农村为12.07%,城市为7.05%,其差异有统计学意义（P〈0.001）。多因素分析结果显示,地区、年龄、BMI、吸烟量是男性患COPD的主要危险因素。结论成都地区男性COPD患病率较高,农村高于城市,其危险因素是多方面的,应重视综合防治。

Objective To investigate the prevalence and risk factors of chronic obstructive pulmonary disease （COPD） in urban and rural male residents of Chengdu city. Methods A cross-sectional survey about the incidence of COPD using cluster random sampling methods was carried out from February to December 2010 among male residents aged 40 to70 years in four communities in Chengdu city, which was conducted by applying questionnaire survey, physical examination, portable spirometry, etc. Data was analyzed by using SPSS 18.0 software, and the risk factors were also analyzed by using the multivariate logistic methods. Results A total of 631 male residents were included, 301 urban and 330 rural. The results showed that： after population standardization, among male residents aged 40 toT0 years in four communities in Chengdu city, the overall prevalence of COPD was 7.95%, and the prevalence was 12.07% in rural area and 7.05% in urban area （P〈0.001）. The results of multivariate logistic regression analysis showed that area, age, BMI and smoking volume were the main risk factors of COPD among male. Conclusion The prevalence of COPD in Chengdu city is relatively higher, which is much higher in rural area than that in urban area. The risk factors are various, and thus comprehensive prevention and treatment of COPD should be emphasized.