Prevalence, Awareness, and Associated Factors of Airflow Obstruction in Russia: The Ural Eye and Medical Study

被引：6

作者：

Bikbov, Mukharram M. ^{[1
]}

Kazakbaeva, Gyulli M. ^{[1
]}

Zainullin, Rinat M. ^{[1
]}

Salavatova, Venera F. ^{[1
]}

Arslangareeva, Inga I. ^{[1
]}

Panda-Jonas, Songhomitra ^{[2
]}

Gilmanshin, Timur R. ^{[1
]}

Nikitin, Nikolai A. ^{[1
]}

Mukhamadieva, Svetlana R. ^{[1
]}

Yakupova, Dilya F. ^{[1
]}

Khikmatullin, Renat I. ^{[1
]}

Aminev, Said K. ^{[1
]}

Nuriev, Ildar F. ^{[1
]}

Zaynetdinov, Artur F. ^{[1
]}

Uzianbaeva, Yulia V. ^{[1
]}

Jonas, Jost B. ^{[2
]}

机构：

[1] Ufa Eye Res Inst, Ufa, Russia

[2] Heidelberg Univ, Med Fac Mannheim, Dept Ophthalmol, Heidelberg, Germany

来源：

FRONTIERS IN PUBLIC HEALTH | 2019年 / 7卷

关键词：

airflow obstruction; chronic obstructive pulmonary disease; asthma; forced expiratory volume; household air pollution; occupational particulates; population-based study; ural eye and medical study; ADJUSTED LIFE-YEARS; PULMONARY-DISEASE; SYSTEMATIC ANALYSIS; GLOBAL BURDEN; 195; COUNTRIES; BRONCHIAL HYPERRESPONSIVENESS; ASTHMA; DIAGNOSIS; TERRITORIES; DISABILITY;

D O I：

10.3389/fpubh.2019.00350

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Although chronic obstructive pulmonary disease and asthma belong to the most important causes of disability and death in all world regions, data about the prevalence of airflow obstruction and asthma in Russia and the associated parameters have been scarce so far. We therefore assessed the prevalence of airflow obstruction and asthma in a Russian population. Methods: The population-based Ural Eye and Medical Study, conducted in a rural and urban region of Bashkortostan/Russia, included 5,392 participants (mean age: 58.6 +/- 10.6 years; range: 40-94 years) out of 7,328 eligible individuals. Airflow obstruction was defined spirometrically and asthma by self-reported diagnosis. Results: Airflow obstruction was present in 369 individuals (6.8%; 95% confidence interval (CI): 6.2, 7.5) with an awareness rate of 63.4% (95%CI: 58.5, 68.4) and known duration of 19.5 +/- 15.8 years (median: 16 years). Prevalence of undiagnosed airflow obstruction was 2.6% (95%CI: 2.2, 3.1). Higher prevalence of airflow obstruction was associated (multivariable analysis) with higher prevalence of current smoking [P < 0.001; odds ratio (OR): 2.91; 95%CI: 1.76, 4.83] and number of cigarette package years (P < 0.001; OR: 1.03; 95%CI: 1.02, 1.08), female gender (P = 0.03; OR: 1.42; 95%CI: 1.04, 1.93), urban region (P = 0.003; OR: 1.43; 95% CI: 1.12, 1.79), higher prevalence of cardiovascular diseases/stroke (P < 0.001; OR: 1.86; 95%CI: 1.45, 2.39), higher depression score (P = 0.002; OR: 1.05; 95%CI: 1.02, 1.08), and lower physical activity (P = 0.01; OR: 0.71; 95%CI: 0.54, 0.93). Asthma prevalence (2.6%; 95%CI: 2.0, 3.1; known duration: 17.2 +/- 15.0 years) was associated with less alcohol consumption (OR: 0.53; 95%CI: 0.33, 0.87; P = 0.01), higher depression score (OR: 1.08; 95%CI: 1.03, 1.12; P < 0.001), and urban region (OR: 0.68; 95CI: 0.49, 0.95; P = 0.0.03). Conclusions: In this Russian population aged 40+ years, the prevalence of airflow obstruction was 6.8% with an awareness rate of 63.4% and smoking as main risk factor. Asthma prevalence was 2.6%.

引用

页数：11

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