International Journal of Preventive Medicine
Volume 8, 2017

The association between risk factors and chronic obstructive pulmonary disease in Canada: A cross-sectional study using the 2014 canadian community health survey (Article) (Open Access)

Osman S. , Ziegler C. , Gibson R. , Mahmood R. , Moraros J.*
  • a School of Public Health, University of Saskatchewan, 104 Clinic Place, E-Wing Health Sciences, Saskatoon, S7N 2Z4, Canada
  • b School of Public Health, University of Saskatchewan, 104 Clinic Place, E-Wing Health Sciences, Saskatoon, S7N 2Z4, Canada
  • c School of Public Health, University of Saskatchewan, 104 Clinic Place, E-Wing Health Sciences, Saskatoon, S7N 2Z4, Canada
  • d School of Public Health, University of Saskatchewan, 104 Clinic Place, E-Wing Health Sciences, Saskatoon, S7N 2Z4, Canada
  • e School of Public Health, University of Saskatchewan, 104 Clinic Place, E-Wing Health Sciences, Saskatoon, S7N 2Z4, Canada

Abstract

Background: The global prevalence of chronic obstructive pulmonary disease (COPD) is expected to increase and the disease is projected to be the third leading cause of death by the year 2020. The purpose of this study was to measure the prevalence and determine the risk factors for COPD in Canada. Methods: This is a cross-sectional study that uses data from a nationally generalizable survey, the Canadian Community Health Survey, 2014. There were 46,924 respondents aged 35 years or older. Uni- and multi-variate logistic regression analyses were conducted to determine the risk factors associated with COPD. Results: The overall prevalence of COPD in the surveyed population was 5.69%. Results from multivariate logistic regression showed that COPD was significantly higher among individuals who were 65 years or older (odds ratio [OR] =4.43; 95% confidence interval [CI]: 3.69-5.33), current smokers (OR = 5.13; 95% CI: 4.43-5.95), underweight or obese by body mass index ([OR = 1.81; 95% CI: 1.38-2.38] and [OR = 1.58; 95% CI: 1.41-1.77], respectively), with a total personal income of <$20,000 (OR = 3.67; 95% CI: 2.95-4.57,), and some postsecondary education (OR = 1.42; 95% CI: 1.14-1.76). Immigrants were less likely to have COPD compared to Canadian-born respondents (OR = 0.67; 95% CI: 0.57-0.79). Conclusions: COPD is a growing and serious public health issue in Canada. The risk factors identified in this study provide useful targets to health promotion and education initiatives, health-care providers, and public health organizations to decrease the prevalence of COPD. © 2017 Medknow. All rights reserved.

Author Keywords

Education Socioeconomic status chronic obstructive pulmonary disease Body mass index smoking Canada

Index Keywords

immigrant sex ratio human risk assessment personal income controlled study obesity Aged chronic obstructive lung disease cross-sectional study male Canada female risk factor population research prevalence Canadian Article underweight major clinical study adult body mass disease association health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048459513&doi=10.4103%2fijpvm.IJPVM_330_17&partnerID=40&md5=39124ca0b3260b74e32f0e65734e80bc

DOI: 10.4103/ijpvm.IJPVM_330_17
ISSN: 20087802
Cited by: 2
Original Language: English