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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Public Health | doi: 10.3389/fpubh.2019.00350

Prevalence, Awareness and Associated Factors of Airflow Obstruction in Russia: The Ural Eye and Medical Study

Mukharram M. Bilbov1,  Gyulli M. Kazakbaeva1, Rinat M. Zainullin1, Venera F. Salavatova1, Inga I. Arslangareeva1, Songhomitra Panda-Jonas2, Timur R. Gilmanshin1, Nikolai A. Nikitin1, Svetlana R. Mukhamadieva1, Dilya F. Yakupova1, Renat I. Khikmatullin1, Said K. Aminev1, Ildar F. Nuriev1, Artur F. Zaynetdinov1, Yulia V. Uzianbaeva1 and  Jost B. Jonas3*
  • 1Ufa Eye Research Institute, Russia
  • 2Department of Ophthalmology, Medical Faculty Mannheim, University of Heidelberg, Germany
  • 3Medical Faculty Mannheim, University of Heidelberg, Germany

Background: Although chronic obstructive pulmonary disease and asthma belong to the most important causes of disability and death in all world regions, data about the prevalence of airflow obstruction and asthma in Russia and the associated parameters have been scarce so far. We therefore assessed the prevalence of airflow obstruction and asthma in a Russian population.
Methods: The population-based Ural Eye and Medical Study, conducted in a rural and urban region of Bashkortostan/Russia, included 5392 participants (mean age:58.6±10.6 years;range:40-94 years) out of 7328 eligible individuals. Airflow obstruction was defined spirometrically and asthma by self-reported diagnosis.
Results: Airflow obstruction was present in 369 individuals (6.8%;95% confidence interval (CI):6.2,7.5) with an awareness rate of 63.4% (95%CI:58.5,68.4) and known duration of 19.5±15.8 years (median:16 years). Prevalence of undiagnosed airflow obstruction was 2.6% (95%CI:2.2,3.1). Higher prevalence of airflow obstruction was associated (multivariable analysis) with higher prevalence of current smoking (P<0.001;odds ratio (OR):2.91;95%CI:1.76,4.83) and number of cigarette package years (P<0.001;OR:1.03;95%CI:1.02,1.08), female gender (P=0.03;OR:1.42;95%CI:1.04,1.93), urban region (P=0.003;OR:1.43;95%CI:1.12,1.79), higher prevalence cardiovascular diseases/stroke (P<0.001;OR:1.86;95%CI:1.45,2.39), higher depression score (P=0.002;OR:1.05;95%CI:1.02,1.08), and lower physical activity (P=0.01;OR:0.71;95%VI:0.54,0.93). Asthma prevalence (2.6%;95%CI:2.0,3.1;known duration:17.2±15.0 years) was associated with less alcohol consumption (OR:0.53;95%CI:0.33,0.87;P=0.01), higher depression score (OR:1.08;95%CI:1.03,1.12;P<0.001), and urban region (OR:0.68;95CI:0.49,0.95;P=0.0.03).
Conclusions: In this Russian population aged 40+ years, the prevalence of airflow obstruction was 6.8% with an awareness rate of 63.4% and smoking as main risk factor. Asthma prevalence was 2.6%.

Keywords: Chronic Obstructive Pulmonary Disease (COPD), Asthma, Forced Expiratory Volume, Household air pollution, Occupational particulates, Population-based Study, Ural eye and medical study

Received: 05 Aug 2019; Accepted: 04 Nov 2019.

Copyright: © 2019 Bilbov, Kazakbaeva, Zainullin, Salavatova, Arslangareeva, Panda-Jonas, Gilmanshin, Nikitin, Mukhamadieva, Yakupova, Khikmatullin, Aminev, Nuriev, Zaynetdinov, Uzianbaeva and Jonas. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Jost B. Jonas, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany, Jost.Jonas@medma.uni-heidelberg.de