Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh

Background: In Bangladesh, there is a scarcity of nationally representative data on the burden of chronic obstructive pulmonary disease (COPD). Methods: To estimate the COPD prevalence in rural settings, this cross-sectional, population-based study was conducted in all eight administrative divisions...

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Main Authors: Md Atiqul Haque, Marium Salwa, Mohammad Tanvir Islam, Sarmin Sultana, Farhana Rahman, Shamim Ahmed, Md Maruf Haque Khan, A KM Mosharraf Hossain, Mohammad Abdullah Al Mamun, Mahfuzur Rahman Bhuiyan, Sohel Reza Choudhury
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2022;volume=39;issue=6;spage=537;epage=544;aulast=Haque
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author Md Atiqul Haque
Marium Salwa
Mohammad Tanvir Islam
Sarmin Sultana
Farhana Rahman
Shamim Ahmed
Md Maruf Haque Khan
A KM Mosharraf Hossain
Mohammad Abdullah Al Mamun
Mahfuzur Rahman Bhuiyan
Sohel Reza Choudhury
author_facet Md Atiqul Haque
Marium Salwa
Mohammad Tanvir Islam
Sarmin Sultana
Farhana Rahman
Shamim Ahmed
Md Maruf Haque Khan
A KM Mosharraf Hossain
Mohammad Abdullah Al Mamun
Mahfuzur Rahman Bhuiyan
Sohel Reza Choudhury
author_sort Md Atiqul Haque
collection DOAJ
description Background: In Bangladesh, there is a scarcity of nationally representative data on the burden of chronic obstructive pulmonary disease (COPD). Methods: To estimate the COPD prevalence in rural settings, this cross-sectional, population-based study was conducted in all eight administrative divisions of Bangladesh, and involved adults aged 40 years and above. By using multi-stage random sampling, 2,458 individuals were enrolled. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines were used to diagnose COPD based on post-bronchodilator lung function, while additional participant data was gathered through computer-assisted personal interviews. Results: A 2% COPD prevalence (95% CI: 1.45, 2.55) was found in the study sample with a statistically significant difference between males (2.7%; 95% CI: 1.8, 3.6) and females (1.2%; 95% CI: 0.59, 1.81). Increasing age significantly inflated the odds of having COPD irrespective of sex (OR: 1.03; 95% CI: 1.00, 1.05; P value < 0.05). Furthermore, prevalence of COPD was higher among manual workers, cigarette smokers, and those that used the indoor kitchen and did not have a primary education. Sex-based analysis showed that smokeless tobacco consumption was significantly associated with COPD occurrence among males (OR: 2.14; 95% CI: 1.05, 4.37; P value < 0.05), but not females. Further, using an indoor kitchen increased the odds of developing COPD by 400% among female participants (OR: 4.39; 95% CI: 1.37, 14.10; P value < 0.05). Conclusion: This study provides a comprehensive sex-based estimation of COPD prevalence among rural population and imparts significant contribution to the growing database on COPD prevalence in Bangladesh.
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spelling doaj.art-7ed6c605660c4f928abdabd1669248512022-12-22T04:39:24ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2022-01-0139653754410.4103/lungindia.lungindia_300_22Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in BangladeshMd Atiqul HaqueMarium SalwaMohammad Tanvir IslamSarmin SultanaFarhana RahmanShamim AhmedMd Maruf Haque KhanA KM Mosharraf HossainMohammad Abdullah Al MamunMahfuzur Rahman BhuiyanSohel Reza ChoudhuryBackground: In Bangladesh, there is a scarcity of nationally representative data on the burden of chronic obstructive pulmonary disease (COPD). Methods: To estimate the COPD prevalence in rural settings, this cross-sectional, population-based study was conducted in all eight administrative divisions of Bangladesh, and involved adults aged 40 years and above. By using multi-stage random sampling, 2,458 individuals were enrolled. The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines were used to diagnose COPD based on post-bronchodilator lung function, while additional participant data was gathered through computer-assisted personal interviews. Results: A 2% COPD prevalence (95% CI: 1.45, 2.55) was found in the study sample with a statistically significant difference between males (2.7%; 95% CI: 1.8, 3.6) and females (1.2%; 95% CI: 0.59, 1.81). Increasing age significantly inflated the odds of having COPD irrespective of sex (OR: 1.03; 95% CI: 1.00, 1.05; P value < 0.05). Furthermore, prevalence of COPD was higher among manual workers, cigarette smokers, and those that used the indoor kitchen and did not have a primary education. Sex-based analysis showed that smokeless tobacco consumption was significantly associated with COPD occurrence among males (OR: 2.14; 95% CI: 1.05, 4.37; P value < 0.05), but not females. Further, using an indoor kitchen increased the odds of developing COPD by 400% among female participants (OR: 4.39; 95% CI: 1.37, 14.10; P value < 0.05). Conclusion: This study provides a comprehensive sex-based estimation of COPD prevalence among rural population and imparts significant contribution to the growing database on COPD prevalence in Bangladesh.http://www.lungindia.com/article.asp?issn=0970-2113;year=2022;volume=39;issue=6;spage=537;epage=544;aulast=Haquebangladeshcopdgold criteriaprevalencerural population
spellingShingle Md Atiqul Haque
Marium Salwa
Mohammad Tanvir Islam
Sarmin Sultana
Farhana Rahman
Shamim Ahmed
Md Maruf Haque Khan
A KM Mosharraf Hossain
Mohammad Abdullah Al Mamun
Mahfuzur Rahman Bhuiyan
Sohel Reza Choudhury
Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh
Lung India
bangladesh
copd
gold criteria
prevalence
rural population
title Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh
title_full Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh
title_fullStr Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh
title_full_unstemmed Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh
title_short Prevalence of chronic obstructive pulmonary disease (COPD) among rural population: A national survey in Bangladesh
title_sort prevalence of chronic obstructive pulmonary disease copd among rural population a national survey in bangladesh
topic bangladesh
copd
gold criteria
prevalence
rural population
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2022;volume=39;issue=6;spage=537;epage=544;aulast=Haque
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