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Chronic obstructive pulmonary disease mortality and prevalence: The associations with smoking and poverty - A BOLD analysis

  • the Burden of Obstructive Lung Disease (BOLD) Study
  • Imperial College London
  • University of Cape Town
  • Uppsala University
  • University of Kentucky
  • Jagiellonian University Medical College
  • Paracelsus Private Medical University
  • University of British Columbia
  • Cukurova University
  • Kaiser Permanente
  • Landspitali University Hospital
  • Woolcock Institute of Medical Research
  • Sher-I-Kashmir Institute of Medical Sciences
  • University of Sousse
  • Oregon Health and Science University
  • Guangzhou Medical College
  • Hannover Medical School
  • University of Bergen
  • Philippine College of Chest Physicians
  • Philippine General Hospital
  • Maastricht University
  • Portuguese Society of Pneumology
  • Tartu University Hospital
  • Indian Institute of Environmental Medicine
  • Chest Research Foundation
  • LDS Hospital
  • University of Arizona
  • ndd Medizintechnik AG

Research output: Contribution to journalArticlepeer-review

203 Citations (Scopus)

Abstract

Background Chronic obstructive pulmonary disease (COPD) is a commonly reported cause of death and associated with smoking. However, COPD mortality is high in poor countries with low smoking rates. Spirometric restriction predicts mortality better than airflow obstruction, suggesting that the prevalence of restriction could explain mortality rates attributed to COPD. We have studied associations between mortality from COPD and low lung function, and between both lung function and death rates and cigarette consumption and gross national income per capita (GNI). Methods National COPD mortality rates were regressed against the prevalence of airflow obstruction and spirometric restriction in 22 Burden of Obstructive Lung Disease (BOLD) study sites and against GNI, and national smoking prevalence. The prevalence of airflow obstruction and spirometric restriction in the BOLD sites were regressed against GNI and mean pack years smoked.

Original languageEnglish
Pages (from-to)465-473
Number of pages9
JournalThorax
Volume69
Issue number5
DOIs
Publication statusPublished - 1 May 2014
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 1 - No Poverty
    SDG 1 No Poverty

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