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Association between socioeconomic status and chronic obstructive pulmonary disease in Jiangsu province, China: a population-based study

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Chinese Medical Journal 2021年第13期134卷 1552-1560页

作者： Dan-Dan Zhang Jian-Nan Liu Qing Ye Zi Chen Ling Wu Xue-Qing Peng Gan Lu Jin-Yi Zhou Ran Tao Zhen Ding Fei Xu Linfu Zhou Department of Respiratory and Critical Care Medicine The First Affiliated HospitalNanjing Medical UniversityNanjingJiangsu 210029China Chronic Airway Disease Research Office Department of Respiratory MedicineGeriatric Hospital of Nanjing Medical UniversityNanjingJiangsu 210024China Department of Respiratory Medicine Jiangsu Province Geriatric HospitalNanjingJiangsu 210024China Nanjing Municipal Center for Disease Control and Prevention NanjingJiangsu 210037China Department of Pharmacy Geriatric Hospital of Nanjing Medical UniversityNanjingJiangsu 210024China School of Public Health Nanjing Medical UniversityNanjingJiangsu 211166China Jiangsu Provincial Center for Disease Control and Prevention NanjingJiangsu 210009China

Background:Chronic obstructive pulmonary disease(COPD)is a common public health problem *** studies have reported that socioeconomic status(SES)is related to the incidence of *** study aimed to investigate the association between SES and COPD among adults in Jiangsu province,China,and to determine the possible direct and indirect effects of SES on the morbidity of ***:A cross-sectional study was conducted among adults aged 40 years and above between May and December of 2015 in Jiangsu province,*** were selected using a multistage sampling ***,the outcome variable,was diagnosed by physicians based on spirometry,respiratory symptoms,and risk ***,occupation,and monthly family average income(FAI)were used to separately indicate SES as the explanatory ***-effects logistic regression models were introduced to calculate odds ratios(ORs)and 95%confidence intervals(CIs)for examining the SES-COPD relationship.A pathway analysis was conducted to further explore the pulmonary function impairment of patients with different ***:The mean age of the 2421 participants was 56.63±9.62 *** prevalence of COPD was 11.8%(95%CI:10.5%–13.1%)among the overall sample *** adjustment for age,gender,residence,outdoor and indoor air pollution,body weight status,cigarette smoking,and potential study area-level clustering effects,educational attainment was negatively associated with COPD prevalence in men;white collars were at lower risk(OR:0.60,95%CI:0.43–0.83)of experiencing COPD than blue collars;compared with those within the lower FAI subgroup,participants in the upper(OR:0.68,95%CI:0.49–0.97)tertiles were less likely to experience *** negative associations between all these three SES indicators and COPD were significant among men ***,FAI,and occupation had direct or indirect effects on pulmonary function including post-bronchodilator forced expiratory volume in 1 s/forced

关键词： Socioeconomic status family average income Smoking Air pollution Body mass index Chronic obstructive pulmonary disease

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