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Status and determinants of chronic obstructive pulmonary disease awareness, treatment, and control among residents aged 40 years and older in Nanjing city: a cross-sectional study
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Huiqing XU1, 2, Zhenzhen QIN1, Qing YE1, Tianrui DENG1, 2, Guofeng AO1, 2, Fei XU1, 2
Chinese Journal of Public Health | 2025, 41(5) : 562 - 567
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Chinese Journal of Public Health | 2025, 41(5): 562-567
• Special Report–Healthy Living for Chronic Disease Prevention •
Status and determinants of chronic obstructive pulmonary disease awareness, treatment, and control among residents aged 40 years and older in Nanjing city: a cross-sectional study
Full
Huiqing XU1, 2, Zhenzhen QIN1, Qing YE1, Tianrui DENG1, 2, Guofeng AO1, 2, Fei XU1, 2
Affiliations
  • 1Nanjing Municipal Center for Disease Control and Prevention Affiliated to Nanjing Medical University, Nanjing, Jiangsu Province 210003, China
  • 2School of Public Health, Nanjing Medical University, Nanjing, Jiangsu Province 211166, China
Published: 2025-05-10 doi: 10.11847/zgggws1146022
Outline
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Objective

To investigate the awareness, treatment, and control rates of chronic obstructive pulmonary disease (COPD) and their influencing factors among residents aged 40 years and older in Nanjing city to provide a reference for the development of COPD prevention and control strategies in the population.

Methods

A total of 2 442 permanent residents aged 40 years and older were recruited from urban communities and rural villages in four districts of Nanjing city, Jiangsu province, using a multistage cluster random sampling method. Face-to-face interviews were conducted using the China Chronic Disease and Nutrition Surveillance Questionnaire, and pulmonary function tests were performed from May 2023 to January 2024. The chi-squared test was used to compare differences in COPD awareness, treatment, and control rates, standardized by the 2020 Jiangsu Provincial Census data, across participant characteristics. Factors influencing these rates were analyzed using multivariable logistic regression models.

Results

Of all participants, 262 (10.73%) were diagnosed with COPD, with a standardized prevalence rate of 11.39%. Of the 262 identified COPD patients, 6.87%, 4.20%, and 3.05% reported awareness, treatment, and control of the disease, with standardized rates of 7.24%, 4.41%, and 2.60%, respectively. Multivariable logistic regression revealed that chronic respiratory symptoms (odds ratio [OR] = 4.91, 95% confidence interval [95%CI]: 1.59 - 15.15), family history of COPD (OR = 18.51, 95%CI: 1.68 - 203.89), and smoking cessation (OR = 9.14, 95%CI: 2.52 - 33.15) were associated with increased odds of COPD awareness. In addition, chronic respiratory symptoms were associated with increased odds of treatment (OR = 11.59, 95%CI: 2.76 - 48.72) and COPD control (OR = 8.66, 95%CI: 1.99 - 37.65).

Conclusions

The prevalence of COPD among residents aged 40 and older in Nanjing is relatively high. However, the awareness, treatment, and control rates of COPD among affected residents remain low. Chronic respiratory symptoms, family history of COPD, and smoking status are the main factors influencing COPD awareness, treatment, and control in this population. Comprehensive measures should be implemented to improve the diagnosis, intervention and management of COPD.

chronic obstructive pulmonary disease  /  awareness rate  /  treatment rate  /  control rate  /  residents aged ≥ 40 years  /  Nanjing city
许慧清, 秦真真, 叶青, 邓天瑞, 敖国凤, 徐斐. 南京市≥40岁居民慢性阻塞性肺疾病的知晓、治疗和控制情况及影响因素分析. 中国公共卫生, 2025 , 41 (5) : 562 -567 . DOI: 10.11847/zgggws1146022
Huiqing XU, Zhenzhen QIN, Qing YE, Tianrui DENG, Guofeng AO, Fei XU. Status and determinants of chronic obstructive pulmonary disease awareness, treatment, and control among residents aged 40 years and older in Nanjing city: a cross-sectional study[J]. Chinese Journal of Public Health, 2025 , 41 (5) : 562 -567 . DOI: 10.11847/zgggws1146022
Year 2025 volume 41 Issue 5
73
30
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Article Info
doi: 10.11847/zgggws1146022
  • Receive Date:2024-09-25
  • Online Date:2026-10-25
  • Published:2025-05-10
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History
  • Received:2024-09-25
  • Revised:2024-12-05
  • Accepted:2025-04-02
Affiliations
    1Nanjing Municipal Center for Disease Control and Prevention Affiliated to Nanjing Medical University, Nanjing, Jiangsu Province 210003, China
    2School of Public Health, Nanjing Medical University, Nanjing, Jiangsu Province 211166, China

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XU Fei, E-mail:
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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