薛文, 李小燕, 曹广文. 上海市浦东新区祝桥镇烟民COPD发病的影响因素分析[J]. 上海预防医学, 2019, 31(11): 932-935. DOI: 10.19428/j.cnki.sjpm.2019.18939
引用本文: 薛文, 李小燕, 曹广文. 上海市浦东新区祝桥镇烟民COPD发病的影响因素分析[J]. 上海预防医学, 2019, 31(11): 932-935. DOI: 10.19428/j.cnki.sjpm.2019.18939
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XUE Wen, LI Xiao-yan, CAO Guang-wen. Influence factor analysis on incidence of COPD in Zhuqiao Town, Pudong New Area, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2019, 31(11): 932-935. DOI: 10.19428/j.cnki.sjpm.2019.18939
Citation: XUE Wen, LI Xiao-yan, CAO Guang-wen. Influence factor analysis on incidence of COPD in Zhuqiao Town, Pudong New Area, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2019, 31(11): 932-935. DOI: 10.19428/j.cnki.sjpm.2019.18939
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上海市浦东新区祝桥镇烟民COPD发病的影响因素分析

Influence factor analysis on incidence of COPD in Zhuqiao Town, Pudong New Area, Shanghai

    摘要
  • 摘要:
    目的为了加强对COPD病人的健康管理，分析上海市浦东新区祝桥镇烟民COPD发病的影响因素, 为今后制定针对性的防控措施提供科学依据。
    方法2017年从浦东新区祝桥镇居民健康档案中随机抽样患有COPD的100例的烟民，采用1 : 2配对病例对照研究选择200例未患有COPD的烟民。配对的条件为同性别、年龄±3岁的浦东新区祝桥镇户籍烟民。对所有的研究对象做调查问卷，用单因素和多因素条件Logistic回归分析研究烟民COPD发病的相关影响因素。
    结果病例组和对照组在吸烟年限、开始吸烟的年龄、每天抽烟的数量三方面比较有差异(P＜0.05)。浦东新区祝桥镇烟民COPD发病影响因素进行分析，筛选出4个相关因素：吸烟年限(≥20年)(OR=1.742, P=0.018)、每天抽烟的数量(≥20支)(OR=1.544, P =0.021)、烟草价格(≤ 20元/包)(OR=1.645, P=0.024)、曾经患有肺炎(OR=1.452, P=0.037)。
    结论浦东新区祝桥镇烟民COPD发病主要与烟民吸烟年限、每天抽烟的数量、烟草价格、曾经患有肺炎有关。今后要针对这些COPD发病的相关因素在烟民中开展健康教育干预，对于预防烟民COPD的发病能够起到一定的科学指导作用。

     

    Abstract:
    ObjectiveIn order to strengthen health management of COPD patients, we analyzed the influencing factors for COPD incidence in smokers in Pudong New Area, Shanghai, so as to provide scientific basis for developing targeted prevention and control measures in the future.
    MethodsIn 2017, 100 smokers with COPD were randomly sampled from the health records of Zhuqiao Town, Pudong New Area.For 1 : 2 matched case-control study was selected 200 smokers without COPD.The matching conditions were the same sex and the age of ±3 years old in Zhuqiao Town of Pudong New Area.Questionnaires were designed on all the subjects, and the factors related to the incidence of COPD in smokers analyzed by single factor and multiple factor Logistic regression analysis.
    ResultsBetween the case group and the control group, there were three differences found in the years of smoking, the age of starting smoking, and the number of cigarettes smoked per day (P < 0.05).Pudong New Area analysed influence factors of the incidence of COPD of smokers, and selected 4 factors:smoking age (over 20 years) (OR=1.742, P=0.018), the number of cigarettes smoked per day (more than 20) (OR=1.544, P=0.021), the price of tobacco (less than 20 yuan / bag) (OR=1.645, P=0.024), and once having pneumonia (OR=1.452, P=0.037).
    ConclusionThe incidence of COPD in Zhuqiao town of Pudong New Area proves to be mainly related to the smoking years, number of cigarettes smoked a day, price of tobacco, and once suffering from pneumonia.In future, it is imperative to carry out health education intervention among smokers in relation to these COPD related factors, which can play a role in guiding prevention of COPD in smokers.

     

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