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Prevalence and associated risk factors of chronic bronchitis in First Nations people
BACKGROUND: Inadequate housing, low family income, household smoking, personal smoking status, and poor schooling are some of the conditions that have been significantly associated with the prevalence and incidence of chronic bronchitis. The aim of the current study was to determine the prevalence o...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5492442/ https://www.ncbi.nlm.nih.gov/pubmed/28662706 http://dx.doi.org/10.1186/s12890-017-0432-4 |
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author | Pahwa, Punam Karunanayake, Chandima P. Rennie, Donna C. Lawson, Joshua A. Ramsden, Vivian R. McMullin, Kathleen Gardipy, P. Jenny MacDonald, Judy Abonyi, Sylvia Episkenew, Jo-Ann Dosman, James A. |
author_facet | Pahwa, Punam Karunanayake, Chandima P. Rennie, Donna C. Lawson, Joshua A. Ramsden, Vivian R. McMullin, Kathleen Gardipy, P. Jenny MacDonald, Judy Abonyi, Sylvia Episkenew, Jo-Ann Dosman, James A. |
author_sort | Pahwa, Punam |
collection | PubMed |
description | BACKGROUND: Inadequate housing, low family income, household smoking, personal smoking status, and poor schooling are some of the conditions that have been significantly associated with the prevalence and incidence of chronic bronchitis. The aim of the current study was to determine the prevalence of chronic bronchitis (CB) and associated risk factors among First Nations people. METHODS: An interviewer-administered survey was conducted as part of the First Nations Lung Health Project in 2012 and 2013 with 874 individuals from 406 households in two First Nations communities located in the province of Saskatchewan, Canada. The questionnaire collected information on individual and contextual determinants of health and a history of ever diagnosed with CB (outcome variable) from the two communities participating in the First Nations Lung Health Project. Clustering effect within households was adjusted using Generalized Estimating Equations. RESULTS: The prevalence of CB was 8.9% and 6.8% among residents (18 years and older) of community A and community B respectively and was not significantly different. CB prevalence was positively associated with odour or musty smell of mildew/mould in the house [OR(adj) (95% CI) = 2.33 (1.21, 4.50)], allergy to house dust [3.49 (1.75, 6.97)], an air conditioner in home [2.33 (1.18, 4.24)], and increasing age [0.99 (0.33, 2.95), 4.26 (1.74, 10.41), 6.08 (2.58, 14.33)]. An interaction exposure to environmental tobacco smoke in the house*body mass index showed that exposure to household smoke increased the risk of CB for overweight and obese participants (borderline). Some of the variables of interest were not significantly associated with the prevalence of CB in multivariable analysis, possibly due to small numbers. CONCLUSIONS: Our results suggest that significant determinants of CB were: increasing age; odour or musty smell of mildew/mould in the house; allergy to house dust; and, body mass index. Modifiable risk factors identified were: (i) community level-housing conditions (such as mould or mildew in home, exposure to environmental tobacco smoke in house); and, (ii) policy level-remediation of mould, and obesity. TRIAL REGISTRATION: Not applicable. |
format | Online Article Text |
id | pubmed-5492442 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-54924422017-06-30 Prevalence and associated risk factors of chronic bronchitis in First Nations people Pahwa, Punam Karunanayake, Chandima P. Rennie, Donna C. Lawson, Joshua A. Ramsden, Vivian R. McMullin, Kathleen Gardipy, P. Jenny MacDonald, Judy Abonyi, Sylvia Episkenew, Jo-Ann Dosman, James A. BMC Pulm Med Research Article BACKGROUND: Inadequate housing, low family income, household smoking, personal smoking status, and poor schooling are some of the conditions that have been significantly associated with the prevalence and incidence of chronic bronchitis. The aim of the current study was to determine the prevalence of chronic bronchitis (CB) and associated risk factors among First Nations people. METHODS: An interviewer-administered survey was conducted as part of the First Nations Lung Health Project in 2012 and 2013 with 874 individuals from 406 households in two First Nations communities located in the province of Saskatchewan, Canada. The questionnaire collected information on individual and contextual determinants of health and a history of ever diagnosed with CB (outcome variable) from the two communities participating in the First Nations Lung Health Project. Clustering effect within households was adjusted using Generalized Estimating Equations. RESULTS: The prevalence of CB was 8.9% and 6.8% among residents (18 years and older) of community A and community B respectively and was not significantly different. CB prevalence was positively associated with odour or musty smell of mildew/mould in the house [OR(adj) (95% CI) = 2.33 (1.21, 4.50)], allergy to house dust [3.49 (1.75, 6.97)], an air conditioner in home [2.33 (1.18, 4.24)], and increasing age [0.99 (0.33, 2.95), 4.26 (1.74, 10.41), 6.08 (2.58, 14.33)]. An interaction exposure to environmental tobacco smoke in the house*body mass index showed that exposure to household smoke increased the risk of CB for overweight and obese participants (borderline). Some of the variables of interest were not significantly associated with the prevalence of CB in multivariable analysis, possibly due to small numbers. CONCLUSIONS: Our results suggest that significant determinants of CB were: increasing age; odour or musty smell of mildew/mould in the house; allergy to house dust; and, body mass index. Modifiable risk factors identified were: (i) community level-housing conditions (such as mould or mildew in home, exposure to environmental tobacco smoke in house); and, (ii) policy level-remediation of mould, and obesity. TRIAL REGISTRATION: Not applicable. BioMed Central 2017-06-29 /pmc/articles/PMC5492442/ /pubmed/28662706 http://dx.doi.org/10.1186/s12890-017-0432-4 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Pahwa, Punam Karunanayake, Chandima P. Rennie, Donna C. Lawson, Joshua A. Ramsden, Vivian R. McMullin, Kathleen Gardipy, P. Jenny MacDonald, Judy Abonyi, Sylvia Episkenew, Jo-Ann Dosman, James A. Prevalence and associated risk factors of chronic bronchitis in First Nations people |
title | Prevalence and associated risk factors of chronic bronchitis in First Nations people |
title_full | Prevalence and associated risk factors of chronic bronchitis in First Nations people |
title_fullStr | Prevalence and associated risk factors of chronic bronchitis in First Nations people |
title_full_unstemmed | Prevalence and associated risk factors of chronic bronchitis in First Nations people |
title_short | Prevalence and associated risk factors of chronic bronchitis in First Nations people |
title_sort | prevalence and associated risk factors of chronic bronchitis in first nations people |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5492442/ https://www.ncbi.nlm.nih.gov/pubmed/28662706 http://dx.doi.org/10.1186/s12890-017-0432-4 |
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