Chronic Obstructive Pulmonary Diseases among 35 Years and Above Rural Population of Gurugram, Haryana

Chronic obstructive pulmonary disease (COPD) is the 4^th leading cause of death worldwide and predicted to go up to third by 2030. In India, COPD accounts for 7% of deaths and 3% DALYs loss.

This study was conducted to: (1) Find the prevalence of COPD among individuals of >35 years of age in a rural population of Gurugram, Haryana, (2) To delineate the risk factors for COPD and economic burden of COPD cases.

The study was conducted among the rural population under PHC Garhi Harsaru for one year from April 2017 to March 2018. PHC of Garhi Harsaru caters for 7700 household in14 villages. A total of 700 households were selected by probability proportion to size (PPS) sampling methods. All eligible 1434 individuals in these households were examined to detect chronic obstructive pulmonary diseases using Case definition and Spirometry. Total 115 cases were detected to have COPD which were matched with equal number of controls. Data was collected on structured schedule and analyzed using SPSS ver 22. Risk factors which were found to be statistically significantly associated with COPD were further analyzed using multivariate logistic regression analysis.

Of a total 1434 population sampled, 115 were confirmed cases of COPD giving a prevalence of 8.02% in the age group of >35 years. Of various risk factors smoking, including passive smoking, biomass fuel smoke exposure, occupational exposure to dust/smoke/gas/chemical vapours at work; frequent respiratory infections, and family history of COPD were found to have significant association with COPD (P<0.05). Physical activity and body mass index which showed association during univariate analysis were not found significant contributor on multivariate logistic regression analysis. Annual economic burden on individual was found as Rs 14804/-.