Young-Mi Jung; Heeyoung Lee

doi:10.4040/jkan.2011.41.2.149

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Original Article
Chronic Obstructive Pulmonary Disease in Korea: Prevalence, Risk Factors, and Quality of Life: Young-Mi Jung, Heeyoung Lee; Journal of Korean Academy of Nursing 2011;41(2):149-156.
DOI: https://doi.org/10.4040/jkan.2011.41.2.149
Published online: April 30, 2011

¹Associate Professor, Department of Nursing, Daegu Haany University, Daegu, Korea.

²Assistant Professor, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Address reprint requests to: Lee, Heeyoung. School of Nursing, University of Pittsburgh, 415 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261, USA. Tel: +1-412-624-5073, +1-206-369-6719, Fax: +1-412-383-7293, leehee@pitt.edu

• Received: February 20, 2010 • Accepted: April 15, 2011

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Abstract
REFERENCES

Abstract

Purpose
This study seeks to examine prevalence, risk factors, and quality of life of Korean adults with Chronic Obstructive Pulmonary Disease (COPD).
Methods
From the database of the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV-1, 2008), the researchers selected 1,458 adults over the age of 45. The original study was a population-based epidemiological survey of health and nutrition with a stratified multistage clustered probability design. Prevalence of COPD was computed on the basis of the sampling weight. Data were analyzed using descriptive statistics, χ² test, t-test and multiple logistic regression with the SPSS WIN 18.0 and SAS Ver. 9.1 program.
Results
The prevalence of COPD was 18.0% among people older than 45 yr. The prevalence of current smokers was 19.7% in this population and 26.3% in individuals with COPD. Age, gender, education, and smoking levels were found to be risk factors for COPD. Significant difference in quality of life was founded between adults with COPD and the healthy controls.
Conclusion
The results of this study indicate that COPD is a highly prevalent disease in Korea. To reduce the prevalence of COPD and improve health-related quality of life in patients with COPD, nursing interventions must focus on prevention of risk factors.
Keywords: Pulmonary disease; Chronic obstructive; Prevalence; Risk factors; Quality of life

REFERENCES

1. Anzueto A. Clinical course of chronic obstructive pulmonary disease: Review of therapeutic interventions. The American Journal of Medicine. 2006;119:10 Suppl 1. 46–53.Article PubMed
2. Chan-Yeung M, Ait-Khaled N, White N, Ip MS, Tan WC. The burden and impact of COPD in Asia and Africa. The International Journal of Tuberculosis and Lung Disease. 2004;8(1):2–14.PubMed
3. Chung HG, Song JS. 2008 National health insurance statistical year book. 2009;Seoul, National Health Insurance Statistical Corporation, Health Insurance Review & Assessment Service.
4. Creutzberg EC. Factors associated with prognosis in COPD: Influencing of body composition and systemic corticosteroid use on morbidity and mortality. Chronic Respiratory Disease. 2004;1:79–81.PubMed
5. Danielsson T, Rossner S, Westin A. Open randomised trial of intermittent very low energy diet together with nicotine gum for stopping smoking in women who gained weight in previous attempts to quit. British Medical Journal. 1999;319:490–493.PMC
6. Eisner MD, Balmes J, Katz BP, Trupin L, Yelin E, Blanc P. Lifetime environmental tobacco smoke exposure and the risk of chronic obstructive pulmonary disease. Environmental Health. 2005;4(1):7. PubMed PMC
7. EuroQol Group. EuroQol: A new facility for the measurement of health-related quality of life. Health Policy. 1990;16:199–208.Article PubMed
8. Global Chronic Obstructive Lung Disease [GOLD] data. Global Initiative for Chronic Obstructive Lung Disease. 2009;01 01 Retrieved , November 1, 2009. from http://www.goldcopd.com/download.asp?in-tId=552.
9. Hegewald MJ, Crapo RO. Socioeconomic status and lung function. Chest. 2007;132:1608–1614.Article PubMed
10. Hnizdo E, Sullivan PA, Bang KM, Wagner G. Airflow obstruction attributable to work in industry and occupation among U.S. race/ethnic groups: A study of NHANES III data. American Journal of Industrial Medicine. 2004;46:126–135.Article PubMed
11. Kang GJ. Symptom experiences, self-care, and quality of life in COPD patients. 2007;Pusan, Pusan National University. Unpublished master's thesis.
12. Kim DS, Kim YS, Jung JS, Chang JH, Lim CM, Lew WJ, et al. Prevalence of chronic obstructive pulmonary disease in Korea: A population-based spirometry survey. American Journal of Respiratory and Critical Care Medicine. 2005;172:842–847.PubMed
13. Korea National Statistical Office. Census of elderly population in Korean 2009 year. 2009;10;Seoul, Author.
14. Lamprecht B, Schirnhofer L, Kaiser B, Studnicka M, Buist AS. Farming and the prevalence of non-reversible airways obstruction: Results from a population-based study. American Journal of Industrial Medicine. 2007;50:421–426.Article PubMed
15. Langhammer A, Johnsen R, Holmen J, Gulsvik A, Bjermer L. Cigarette smoking gives more respiratory symptoms among women than among men. The Nord-Trondelag Health Study (HUNT). Journal of Epidemiology and Community Health. 2000;54:917–922.Article PubMed PMC
16. Leidy NK, Haase JE. Functional performance in people with chronic obstructive pulmonary disease: A qualitative analysis. Advances in Nursing Science. 1996;18(3):77–89.Article PubMed
17. Mannino DM, Homa DM, Akinbami LJ, Ford ES, Redd SC. Chronic obstructive pulmonary disease surveillance: United States, 1971-2000. Morbidity and Mortality Weekly Report. Surveillance Summaries. 2002;51(SS06):1–16.
18. Nam HS, Kwon SS, Ko KO, Paul K. EQ-5D Korean valuation study using time trade off method. 2007;Seoul, Korea Centers for Disease Control and Prevention.
19. National Cardiovascular, Lung, and Blood Diseases data. National Heart, Lung, and Blood Institute. 2009;01 01 Retrieved , June 22, 2010. from http://www.nhlbi.nih.gov/resources/docs/2009_ChartBook.pdf.
20. Nazir SA, Erbland ML. Chronic obstructive pulmonary disease: An update on diagnosis and management issues in older adults. Drugs & Aging. 2009;26:813–831.Article
21. Oh EG, Kim SH, Kim BH, Park MS, Kim SK, Kim YS. Health behavior and quality of life in Korean adults with respiratory disease: National Health Survey, 2005. The International Journal of Tuberculosis and Lung Disease. 2010;14:772–778.PubMed
22. Oh YM. Clinical year in review of COPD for pulmonary physicians. Tuberculosis and Respiratory Diseases. 2008;64:409–413.Article
23. Schane RE, Woodruff PG, Dinno A. Prevalence and risk factors for depressive symptoms in persons with chronic obstructive pulmonary disease. Journal of General Internal Medicine. 2008;23:1757–1762.Article PubMed PMC PDF
24. Seong SS, Choi CB, Sung YK, Park YW, Lee HS, Uhm WS, et al. Health-related quality of life using EQ-5D in Koreans. The Journal of the Korean Rheumatism Association. 2004;11:254–262.
25. Song TM, Choi JH. The effect of on-line smoking cessation program. Health and Social Welfare Review. 2006;26(2):37–67.
26. Stavem K, Lossius MI, Kvien TK, Guldvog B. The health-related quality of life of patients with epilepsy compared with angina pectoris, rheumatoid arthritis, asthma, and chronic obstructive pulmonary disease. Quality of Life Research. 2000;9:865–871.PubMed
27. The Fourth Korea National Health and Nutrition Examination Survey [KNHANES IV-1] data. Korea Centers for Disease Control and Prevention. 2008;12 01 Retrieved October 26, 2009. from http://knhanes.cdc.go.kr/.
28. The Fourth Korea National Health and Nutrition Examination Survey [KNHANES IV-2] data. Korea Centers for Disease Control and Prevention. 2010;01 01 Retrieved February 15, 2010. from http://knhanes.cdc.go.kr/.
29. Viegi G, Pedreschi M, Pistelli F, Di Pede F, Baldacci S, Carrozzi L, et al. Prevalence of airways obstruction in a general population: European Respiratory Society versus American Thoracic Society definition. Chest. 2000;117:339S–345S.Article PubMed
30. Wang Q, Bourbeau J. Outcomes and health-related quality of life following hospitalization for an acute exacerbation of COPD. Respirology. 2005;10:334–340.Article PubMed

Table 1

Comparison between Performers and Non-performers of Spirometry among Participants

^*Weighted frequencies.

Dx=physician diagnosis; COPD=chronic obstructive pulmonary disease.

Table 2

Prevalence of Chronic Obstruction Pulmonary Disease by GOLD Criteria

^*Weighted frequencies; ^†Included former and current smokers.

GOLD criteria; FEV₁/FVC ratio <70%; GOLD=global initiative for chronic obstructive lung disease.

Table 3

Unadjusted Odds Ratios and Adjusted Odds Ratio for Chronic Obstructive Pulmonary Disease as Dependent Variable and Risk Factors as Independent Variables among Korean Adults over 45

^*Region (Urban=large city+small city; rural).

OR=odds ratio; CI=confidence interval.

Figure & Data

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Chronic Obstructive Pulmonary Disease in Korea: Prevalence, Risk Factors, and Quality of Life

J Korean Acad Nurs. 2011;41(2):149-156. Published online April 30, 2011

DOI: https://doi.org/10.4040/jkan.2011.41.2.149

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Chronic Obstructive Pulmonary Disease in Korea: Prevalence, Risk Factors, and Quality of Life

Table 1

Comparison between Performers and Non-performers of Spirometry among Participants

^*Weighted frequencies.

Dx=physician diagnosis; COPD=chronic obstructive pulmonary disease.

Table 2

Prevalence of Chronic Obstruction Pulmonary Disease by GOLD Criteria

^*Weighted frequencies; ^†Included former and current smokers.

GOLD criteria; FEV₁/FVC ratio <70%; GOLD=global initiative for chronic obstructive lung disease.

Table 3

Unadjusted Odds Ratios and Adjusted Odds Ratio for Chronic Obstructive Pulmonary Disease as Dependent Variable and Risk Factors as Independent Variables among Korean Adults over 45

^*Region (Urban=large city+small city; rural).

OR=odds ratio; CI=confidence interval.

Table 1 Comparison between Performers and Non-performers of Spirometry among Participants

^*Weighted frequencies.

Dx=physician diagnosis; COPD=chronic obstructive pulmonary disease.

Table 2 Prevalence of Chronic Obstruction Pulmonary Disease by GOLD Criteria

^*Weighted frequencies; ^†Included former and current smokers.

GOLD criteria; FEV₁/FVC ratio <70%; GOLD=global initiative for chronic obstructive lung disease.

Table 3 Unadjusted Odds Ratios and Adjusted Odds Ratio for Chronic Obstructive Pulmonary Disease as Dependent Variable and Risk Factors as Independent Variables among Korean Adults over 45