Association between chronic airflow obstruction and socio-economic position in Morocco: BOLD results.
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Author(s)
Type
Journal Article
Abstract
Objective. Chronic Obstructive Lung Disease (COPD) is the third most common cause of death in the world. Other factors than smoking could be involved in the development of COPD such as socio-economic status. The aim of this study was to investigate the association between chronic airflow obstruction and socio-economic status in Morocco. Design. In the BOLD (Burden of Obstructive Lung Disease) study carried out in Fez Morocco, questionnaires and spirometry tests were performed. Socio-economic status was evaluated using a wealth score (0-10) based on household assets. The forced expiratory volume in 1s (FEV1)/ forced vital capacity (FVC) ratio was used to measure airflow obstruction. Results. In total, 760 subjects were included in the analysis. The mean age was 55.3 years (SD=10.2); the wealth score was on average 7.54 (SD=1.63). After controlling for other factors and potential confounders, the FEV1/ FVC increased by 0.4% (95% CI: 0.01, 0.78; p<0.04) per unit increase in wealth score. Aging, tobacco-smoking, underweight, history of tuberculosis and asthma were also independently associated with a higher risk of airflow obstruction. Conclusion. Our findings suggest that airflow obstruction is associated with poverty in Morocco. Further investigations are needed to better understand the mechanisms of this association.
Date Acceptance
2019-08-02
Citation
International Journal of Tuberculosis and Lung Disease, 24 (2), pp.202-206
ISSN
1027-3719
Publisher
International Union Against Tuberculosis and Lung Disease
Start Page
202
End Page
206
Journal / Book Title
International Journal of Tuberculosis and Lung Disease
Volume
24
Issue
2
Copyright Statement
© 2020 The Union. This work is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
Sponsor
Wellcome Trust
Identifier
https://www.ingentaconnect.com/content/iuatld/ijtld/2020/00000024/00000002/art00009
Grant Number
085790/Z/08/Z
Subjects
Microbiology
1102 Cardiorespiratory Medicine and Haematology
Publication Status
Published
Date Publish Online
2020-02-01