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Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand
PURPOSE: The present study aimed to determine the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) among agriculturists in a remote rural community in central Thailand. METHODS: A cross-sectional study was conducted in January 2020. Face-to-face interviews were conducted u...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501975/ https://www.ncbi.nlm.nih.gov/pubmed/32982211 http://dx.doi.org/10.2147/COPD.S262050 |
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author | Kitjakrancharoensin, Peranut Yasan, Kittipong Hongyantarachai, Kwanjira Ratanachokthorani, Kanoot Thammasarn, Jutinun Kuwuttiwai, Dantham Ekanaprach, Thunpimol Jittakarm, Rawisut Nuntapravechpun, Rungroj Hotarapavanon, Sirasih Kulrattanarak, Spain Tongkaew, Sarisa Deemeechai, Sirivimon Mungthin, Mathirut Rangsin, Ram Wongsrichanalai, Virissorn Sakboonyarat, Boonsub |
author_facet | Kitjakrancharoensin, Peranut Yasan, Kittipong Hongyantarachai, Kwanjira Ratanachokthorani, Kanoot Thammasarn, Jutinun Kuwuttiwai, Dantham Ekanaprach, Thunpimol Jittakarm, Rawisut Nuntapravechpun, Rungroj Hotarapavanon, Sirasih Kulrattanarak, Spain Tongkaew, Sarisa Deemeechai, Sirivimon Mungthin, Mathirut Rangsin, Ram Wongsrichanalai, Virissorn Sakboonyarat, Boonsub |
author_sort | Kitjakrancharoensin, Peranut |
collection | PubMed |
description | PURPOSE: The present study aimed to determine the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) among agriculturists in a remote rural community in central Thailand. METHODS: A cross-sectional study was conducted in January 2020. Face-to-face interviews were conducted using standardized questionnaires to determine demographic characteristics and risk behaviors. COPD was defined by the spirometric criterion for airflow limitation constituting a postbronchodilator fixed ratio of FEV1/FVC <0.70 following the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines 2019. Multivariable logistic regression analysis was used to determine the risk factors for COPD, and the magnitude of association was presented as adjusted odds ratio (AOR) with 95% confidence interval (95% CI). RESULTS: A total of 546 agriculturists were enrolled in the study. The overall prevalence of COPD was 5.5% (95% CI: 3.6–7.4). The prevalence of COPD among males was 8.0% (95% CI: 4.7–11.3), and 3.2% (95% CI: 1.1–5.2) among females. The risk factors of COPD included age ≥60 years old (AOR 2.7, 95% CI: 1.1–7.0), higher intensity of smoking (AOR 1.1, 95% CI: 1.0–1.1), swine farm worker (AOR 4.1, 95% CI: 1.7–10.3), cattle farm worker (AOR 3.3, 95% CI: 1.4–8.2) and home cooking (AOR 2.7, 95% CI: 0.8–9.7). CONCLUSION: Our data emphasized that COPD was one of the significant health problems among agriculturists in a rural community. Agricultural jobs such as animal farmers and behavioral factors such as smoking were associated with COPD. Effective public health interventions, especially, modifying risk behaviors, should be promoted in remote rural areas to prevent the disease and reduce its morbidity and mortality. |
format | Online Article Text |
id | pubmed-7501975 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-75019752020-09-24 Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand Kitjakrancharoensin, Peranut Yasan, Kittipong Hongyantarachai, Kwanjira Ratanachokthorani, Kanoot Thammasarn, Jutinun Kuwuttiwai, Dantham Ekanaprach, Thunpimol Jittakarm, Rawisut Nuntapravechpun, Rungroj Hotarapavanon, Sirasih Kulrattanarak, Spain Tongkaew, Sarisa Deemeechai, Sirivimon Mungthin, Mathirut Rangsin, Ram Wongsrichanalai, Virissorn Sakboonyarat, Boonsub Int J Chron Obstruct Pulmon Dis Original Research PURPOSE: The present study aimed to determine the prevalence and risk factors of chronic obstructive pulmonary disease (COPD) among agriculturists in a remote rural community in central Thailand. METHODS: A cross-sectional study was conducted in January 2020. Face-to-face interviews were conducted using standardized questionnaires to determine demographic characteristics and risk behaviors. COPD was defined by the spirometric criterion for airflow limitation constituting a postbronchodilator fixed ratio of FEV1/FVC <0.70 following the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines 2019. Multivariable logistic regression analysis was used to determine the risk factors for COPD, and the magnitude of association was presented as adjusted odds ratio (AOR) with 95% confidence interval (95% CI). RESULTS: A total of 546 agriculturists were enrolled in the study. The overall prevalence of COPD was 5.5% (95% CI: 3.6–7.4). The prevalence of COPD among males was 8.0% (95% CI: 4.7–11.3), and 3.2% (95% CI: 1.1–5.2) among females. The risk factors of COPD included age ≥60 years old (AOR 2.7, 95% CI: 1.1–7.0), higher intensity of smoking (AOR 1.1, 95% CI: 1.0–1.1), swine farm worker (AOR 4.1, 95% CI: 1.7–10.3), cattle farm worker (AOR 3.3, 95% CI: 1.4–8.2) and home cooking (AOR 2.7, 95% CI: 0.8–9.7). CONCLUSION: Our data emphasized that COPD was one of the significant health problems among agriculturists in a rural community. Agricultural jobs such as animal farmers and behavioral factors such as smoking were associated with COPD. Effective public health interventions, especially, modifying risk behaviors, should be promoted in remote rural areas to prevent the disease and reduce its morbidity and mortality. Dove 2020-09-15 /pmc/articles/PMC7501975/ /pubmed/32982211 http://dx.doi.org/10.2147/COPD.S262050 Text en © 2020 Kitjakrancharoensin et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Kitjakrancharoensin, Peranut Yasan, Kittipong Hongyantarachai, Kwanjira Ratanachokthorani, Kanoot Thammasarn, Jutinun Kuwuttiwai, Dantham Ekanaprach, Thunpimol Jittakarm, Rawisut Nuntapravechpun, Rungroj Hotarapavanon, Sirasih Kulrattanarak, Spain Tongkaew, Sarisa Deemeechai, Sirivimon Mungthin, Mathirut Rangsin, Ram Wongsrichanalai, Virissorn Sakboonyarat, Boonsub Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand |
title | Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand |
title_full | Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand |
title_fullStr | Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand |
title_full_unstemmed | Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand |
title_short | Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease Among Agriculturists in a Rural Community, Central Thailand |
title_sort | prevalence and risk factors of chronic obstructive pulmonary disease among agriculturists in a rural community, central thailand |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7501975/ https://www.ncbi.nlm.nih.gov/pubmed/32982211 http://dx.doi.org/10.2147/COPD.S262050 |
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