Targeting Persons With or At High Risk for Chronic Obstructive Pulmonary Disease by State-based Surveillance
Targeting Persons With or At High Risk for Chronic Obstructive Pulmonary Disease by State-based Surveillance
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DOI：
10.3109/15412555.2015.1043424
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发表时间：
2015-11-02
影响因子：
2.2
通讯作者：
Kraft, Monica
中科院分区：
文献类型：
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作者：
Pleasants, Roy A.;Heidari, Khosrow;Kraft, Monica
行为危险因素监测系统(BRFSS)调查被用来估计慢性阻塞性肺疾病(COPD)的患病率，并可扩大到描述一般人群中的呼吸道症状，并确定该疾病的高危人群的特征。2012年南卡罗来纳州BRFSS增加了烟草持续时间和呼吸道症状问题。收集了9438名35岁成年人的社会人口学、慢性病、健康行为和呼吸道症状的数据。受访者被归类为患有COPD、高风险或低风险。高危被定义为没有自我报告的COPD，吸烟10年，以及1个呼吸道症状(频繁的生产性咳嗽或呼吸急促，或影响活动的呼吸问题)。自我报告的COPD患病率为9.1%，高危COPD患病率为8.0%。总体而言，17.3%、10.6%和5.2%的受访者报告活动受限于呼吸问题、频繁的生产性咳嗽和频繁的SOB。与COPD组相比，高危人群报告有生产性咳嗽和呼吸问题限制活动的可能性更大，而且是目前吸烟者、男性和非裔美国人。COPD高危人群的健康损害比高危人群更严重，两者都比低危人群更严重。结论：COPD高危人群具有许多但不是全部COPD患者的特征。BRFSS中针对吸烟持续时间和呼吸道症状的其他问题确定了患有或发展COPD的高危人群，他们可能受益于戒烟和病例发现干预。
The Behavioral Risk Factor Surveillance System (BRFSS) survey is used to estimate chronic obstructive pulmonary disease (COPD) prevalence and could be expanded to describe respiratory symptoms in the general population and to characterize persons with or at high risk for the disease. Tobacco duration and respiratory symptom questions were added to the 2012 South Carolina BRFSS. Data concerning sociodemographics, chronic illnesses, health behaviors, and respiratory symptoms were collected in 9438 adults 35 years-old. Respondents were categorized as having COPD, high risk, or low risk for the disease. High risk was defined as no self-reported COPD, 10 years' tobacco use, and 1 respiratory symptom (frequent productive cough or shortness of breath (SOB), or breathing problems affecting activities). Prevalence of self-reported and high-risk COPD were 9.1% and 8.0%, respectively. Overall, 17.3%, 10.6%, and 5.2% of all respondents reported activities limited by breathing problems, frequent productive cough, and frequent SOB, respectively. The high-risk group was more likely than the COPD group to report a productive cough and breathing problems limiting activities as well as being current smokers, male, and African-American. Health impairment was more severe in the COPD than the high-risk group, and both were worse than the low-risk group.Conclusions: Persons at high risk for COPD share many, but not all, of the characteristics of persons diagnosed with the disease. Additional questions addressing smoking duration and respiratory symptoms in the BRFSS identifies groups at high risk for having or developing COPD who may benefit from smoking cessation and case-finding interventions.