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Portable spirometer-based pulmonary function test willingness in China: A nationwide cross-sectional study from the "Happy Breathing Program"

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中华医学杂志(英文版) 2024年第14期137卷 1695-1704页

作者： Qi Weiran Huang Ke Chen Qiushi Jiao Lirui Yu Fengyun Yu Yiwen Niu Hongtao Li Wei Fang Fang Lei Jieping Chu Xu Li Zilin Geldsetzer Pascal B?rnighausen Till Chen Simiao Yang Ting Wang Chen Department of Health Economics and Health Policy School of Population Medicine and Public Health Chinese Academy of Medical Sciences and Peking Union Medical College Beijing China Department of Pulmonary and Critical Care medicine National Center for Respiratory Medicine State Key Laboratory of Respiratory Health and Multimorbidity National Clinical Research Center for Respiratory Diseases Institute of Respiratory medicine Chinese Academy of Medical Sciences Center of Respiratory Medicine China-Japan Friendship Hospital Beijing China The Harold and Inge Marcus Department of Industrial and Manufacturing Engineering The Pennsylvania State University University Park PA USA Department of Health Policy and Management Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill NC USA Heidelberg Institute of Global Health (HIGH) Faculty of Medicine and University Hospital Heidelberg University Heidelberg Germany Administration Office of Medical Reform and Development China-Japan Friendship Hospital Beijing China Data and Project Management Unit Institute of Clinical Medical Sciences China-Japan Friendship Hospital Beijing China Department of Statistics School of Mathematics and Statistics Northeast Normal University Changchun Jilin China Chan Zuckerberg Biohub Stanford University School of Medicine San Francisco CA USA Division of Primary Care and population Health Department of Medicine Stanford University School of Medicine Stanford CA USA Harvard Center for population and Development Studies Harvard T.H. Chan School of Public Health Harvard University Cambridge MA USA

Background: Understanding willingness to undergo pulmonary function tests (PFTs) and the factors associated with poor uptake of PFTs is crucial for improving early detection and treatment of chronic obstructive pulmonary disease (COPD). This study aimed to understand willingness to undergo PFTs among high-risk populations and identify any barriers that may contribute to low uptake of ***: We collected data from participants in the "Happy Breathing Program" in China. Participants who did not follow physicians’ recommendations to undergo PFTs were invited to complete a survey regarding their willingness to undergo PFTs and their reasons for not undergoing PFTs. We estimated the proportion of participants who were willing to undergo PFTs and examined the various reasons for participants to not undergo PFTs. We conducted univariable and multivariable logistic regressions to analyze the impact of individual-level factors on willingness to undergo ***: A total of 8475 participants who had completed the survey on willingness to undergo PFTs were included in this study. Out of these participants, 7660 (90.4%) were willing to undergo PFTs. Among those who were willing to undergo PFTs but actually did not, the main reasons for not doing so were geographical inaccessibility (n = 3304, 43.1%) and a lack of trust in primary healthcare institutions (n = 2809, 36.7%). Among the 815 participants who were unwilling to undergo PFTs, over half (n = 447, 54.8%) believed that they did not have health problems and would only consider PFTs when they felt unwell. In the multivariable regression, individuals who were ≤54 years old, residing in rural townships, with a secondary educational level, with medical reimbursement, still working, with occupational exposure to dust, and aware of the abbreviation "COPD" were more willing to undergo ***: Willingness to undergo PFTs was high among high-risk populations. Policymakers may consider implementing strategies suc

关键词： Chronic obstructive pulmonary disease Pulmonary function tests Willingness to undergo pulmonary function tests population medicine

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