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Decreased COPD prev...
Decreased COPD prevalence in Sweden after decades of decrease in smoking
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- Backman, Helena (författare)
- Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden
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- Vanfleteren, Lowie E G W (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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- Lindberg, Anne (författare)
- Umeå universitet,Avdelningen för medicin,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden
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- Ekerljung, Linda, 1979 (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Stridsman, Caroline (författare)
- Umeå universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden; Dept of Health Sciences, Luleå University of Technology, Luleå, Sweden,Avdelningen för medicin,Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
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- Axelsson, Malin (författare)
- Malmö universitet,Institutionen för vårdvetenskap (VV),Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden
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- Nilsson, Ulf (författare)
- Umeå universitet,Avdelningen för medicin,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden
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- Nwaru, Bright I, 1978 (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre,Wallenberg Centre for Molecular and Translational Medicine
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- Sawalha, Sami (författare)
- Umeå universitet,Avdelningen för medicin,Dept of Public Health and Clinical Medicine, Section of Medicine, Umeå University, Umeå, Sweden
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- Eriksson, Berne (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Hedman, Linnea, 1979- (författare)
- Umeå universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden; Dept of Health Sciences, Luleå University of Technology, Luleå, Sweden,Avdelningen för hållbar hälsa,Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
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- Rådinger, Madeleine, 1967 (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Jansson, Sven-Arne (författare)
- Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden
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- Ullman, Anders (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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- Kankaanranta, Hannu, 1967 (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Lötvall, Jan, 1956 (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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- Rönmark, Eva (författare)
- Umeå universitet,Avdelningen för hållbar hälsa,Department of Public Health and Clinical Medicine, Section of Sustainable Health/the OLIN Unit, Umeå University, Umeå, Sweden
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- Lundbäck, Bo, 1948 (författare)
- Gothenburg University,Göteborgs universitet,Krefting Research Centre
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(creator_code:org_t)
- 2020-10-28
- 2020
- Engelska.
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Ingår i: Respiratory Research. - : Springer Nature. - 1465-9921 .- 1465-993X. ; 21
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BackgroundCOPD has increased in prevalence worldwide over several decades until the first decade after the millennium shift. Evidence from a few recent population studies indicate that the prevalence may be levelling or even decreasing in some areas in Europe. Since the 1970s, a substantial and ongoing decrease in smoking prevalence has been observed in several European countries including Sweden. The aim of the current study was to estimate the prevalence, characteristics and risk factors for COPD in the Swedish general population. A further aim was to estimate the prevalence trend of COPD in Northern Sweden from 1994 to 2009.MethodsTwo large random population samples were invited to spirometry with bronchodilator testing and structured interviews in 2009–2012, one in south-western and one in northern Sweden, n = 1839 participants in total. The results from northern Sweden were compared to a study performed 15 years earlier in the same area and age-span. The diagnosis of COPD required both chronic airway obstruction (CAO) and the presence of respiratory symptoms, in line with the GOLD documents since 2017. CAO was defined as post-bronchodilator FEV1/FVC < 0.70, with sensitivity analyses based on the FEV1/FVC < lower limit of normal (LLN) criterion.ResultsBased on the fixed ratio definition, the prevalence of COPD was 7.0% (men 8.3%; women 5.8%) in 2009–2012. The prevalence of moderate to severe (GOLD ≥ 2) COPD was 3.5%. The LLN based results were about 30% lower. Smoking, occupational exposures, and older age were risk factors for COPD, whereof smoking was the most dominating risk factor. In northern Sweden the prevalence of COPD, particularly moderate to severe COPD, decreased significantly from 1994 to 2009, and the decrease followed a decrease in smoking.ConclusionsThe prevalence of COPD has decreased in Sweden, and the prevalence of moderate to severe COPD was particularly low. The decrease follows a major decrease in smoking prevalence over several decades, but smoking remained the dominating risk factor for COPD.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- COPD
- Prevalence
- Risk
- Population study
- Epidemiology
- Nursing
- Omvårdnad
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Backman, Helena
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Vanfleteren, Low ...
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Lindberg, Anne
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Ekerljung, Linda ...
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Stridsman, Carol ...
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Axelsson, Malin
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visa fler...
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Nilsson, Ulf
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Nwaru, Bright I, ...
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Sawalha, Sami
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Eriksson, Berne
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Hedman, Linnea, ...
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Rådinger, Madele ...
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Jansson, Sven-Ar ...
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Ullman, Anders
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Kankaanranta, Ha ...
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Lötvall, Jan, 19 ...
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Rönmark, Eva
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Lundbäck, Bo, 19 ...
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