Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study
Abstract Objective: To estimate the lifetime risk of developing hospital‐diagnosed chronic obstructive pulmonary disease (COPD) in Aboriginal people living in remote areas. Methods: A total of 1,374 participants in a remote community were followed up to 20 years. Individuals with hospital‐diagnosed...
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| Format: | Article |
| Language: | English |
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Elsevier
2014-08-01
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| Series: | Australian and New Zealand Journal of Public Health |
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| Online Access: | https://doi.org/10.1111/1753-6405.12233 |
| _version_ | 1827834066346442752 |
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| author | Zhiqiang Wang Wendy E. Hoy |
| author_facet | Zhiqiang Wang Wendy E. Hoy |
| author_sort | Zhiqiang Wang |
| collection | DOAJ |
| description | Abstract Objective: To estimate the lifetime risk of developing hospital‐diagnosed chronic obstructive pulmonary disease (COPD) in Aboriginal people living in remote areas. Methods: A total of 1,374 participants in a remote community were followed up to 20 years. Individuals with hospital‐diagnosed COPD were identified through hospital records. The lifetime risk of hospital‐diagnosed COPD was estimated using a modified technique of survival analysis. Results: Of the 1,374 participants, 164 were identified as having incident hospital‐diagnosed COPD during 21,614 person years of follow‐up. After adjusting for the presence of competing risk of death from non‐COPD causes, the lifetime risk of COPD was 53% for the overall population, higher in women (61%) than in men (45%). Adjusting for baseline age and smoking status, women had a significantly higher risk of COPD than men with a hazard ratio (HR) = 1.55 (95%CI 1.13–2.14), while men were more likely to die from non‐COPD causes than women before being diagnosed as having COPD, HR = 2.30 (95%CI 1.64–3.23). Conclusions: These Aboriginal people have a high lifetime risk of COPD, and one in two have hospital‐diagnosed COPD during their lifetime. Our findings warrant further efforts and resources to combat this condition in remote Aboriginal communities. |
| first_indexed | 2024-03-12T05:43:32Z |
| format | Article |
| id | doaj.art-7a0435f382604e1a8301161c3c225396 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T05:43:32Z |
| publishDate | 2014-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-7a0435f382604e1a8301161c3c2253962023-09-03T05:47:39ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052014-08-0138434034310.1111/1753-6405.12233Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort studyZhiqiang Wang0Wendy E. Hoy1Centre for Chronic Disease, School of Medicine, University of QueenslandCentre for Chronic Disease, School of Medicine, University of QueenslandAbstract Objective: To estimate the lifetime risk of developing hospital‐diagnosed chronic obstructive pulmonary disease (COPD) in Aboriginal people living in remote areas. Methods: A total of 1,374 participants in a remote community were followed up to 20 years. Individuals with hospital‐diagnosed COPD were identified through hospital records. The lifetime risk of hospital‐diagnosed COPD was estimated using a modified technique of survival analysis. Results: Of the 1,374 participants, 164 were identified as having incident hospital‐diagnosed COPD during 21,614 person years of follow‐up. After adjusting for the presence of competing risk of death from non‐COPD causes, the lifetime risk of COPD was 53% for the overall population, higher in women (61%) than in men (45%). Adjusting for baseline age and smoking status, women had a significantly higher risk of COPD than men with a hazard ratio (HR) = 1.55 (95%CI 1.13–2.14), while men were more likely to die from non‐COPD causes than women before being diagnosed as having COPD, HR = 2.30 (95%CI 1.64–3.23). Conclusions: These Aboriginal people have a high lifetime risk of COPD, and one in two have hospital‐diagnosed COPD during their lifetime. Our findings warrant further efforts and resources to combat this condition in remote Aboriginal communities.https://doi.org/10.1111/1753-6405.12233chronic obstructive pulmonary diseaselifetime riskAboriginal healthcohort study |
| spellingShingle | Zhiqiang Wang Wendy E. Hoy Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study Australian and New Zealand Journal of Public Health chronic obstructive pulmonary disease lifetime risk Aboriginal health cohort study |
| title | Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study |
| title_full | Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study |
| title_fullStr | Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study |
| title_full_unstemmed | Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study |
| title_short | Lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote Aboriginal people: a cohort study |
| title_sort | lifetime risk of hospital diagnosed chronic obstructive pulmonary disease in remote aboriginal people a cohort study |
| topic | chronic obstructive pulmonary disease lifetime risk Aboriginal health cohort study |
| url | https://doi.org/10.1111/1753-6405.12233 |
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