Prevalence of chronic respiratory disease in urban and rural Uganda
Bull. W.H.O. (Online)
;
97(5): 318-327, 2019. ilus
Artigo
em Inglês
| AIM
| ID: biblio-1259942
ABSTRACT
Objective To determine the prevalence of chronic respiratory diseases in urban and rural Uganda and to identify risk factors for these diseases. Methods The according to standard guidelines and completed questionnaires on respiratory symptoms, functional status and demographic characteristics.The presence of four chronic respiratory conditions was monitored chronic obstructive pulmonary disease (COPD), asthma, chronic bronchitis and a restrictive spirometry pattern. Findings In total, 1502 participants (average age 46.9 years) had acceptable, reproducible spirometry results:
837 (56%) in rural Nakaseke and 665 (44%) in urban Kampala. Overall, 46.5% (698/1502) were male. The age-adjusted prevalence of any chronic respiratory condition was 20.2%. The age-adjusted prevalence of COPD was significantly greater in rural than urban participants (6.1 versus 1.5%, respectively; P<0.001), whereas asthma was significantly more prevalent in urbanparticipants:
9.7% versus 4.4% in rural participants (P<0.001). The age-adjusted prevalence of chronic bronchitis was similar in rural and urban participants (3.5 versus 2.2%, respectively; P=0.62), as was that of a restrictive spirometry pattern (10.9 versus 9.4%; P=0.82). For COPD, the population attributable risk was 51.5% for rural residence, 19.5% for tobacco smoking, 16.0% for a body mass index <18.5 kg/m2 and 13.0% for a history of treatment for pulmonary tuberculosis.Conclusion The prevalence of chronic respiratory disease was high in both rural and urban Uganda. Place of residence was the most important risk factor for COPD and asthma
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Índice:
AIM (África)
Assunto principal:
Transtornos Respiratórios
/
Asma
/
População Rural
/
Uganda
/
População Urbana
/
Doença Crônica
/
Doença Pulmonar Obstrutiva Crônica
Tipo de estudo:
Guia de Prática Clínica
/
Estudo de prevalência
/
Estudo prognóstico
/
Pesquisa qualitativa
/
Fatores de risco
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Bull. W.H.O. (Online)
Ano de publicação:
2019
Tipo de documento:
Artigo
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