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Obstructive Lung Diseases |

Prevalence of Chronic Bronchitis in First Nations People

Punam Pahwa, PhD; Chandima Karunanayake, PhD; Donna Rennie, PhD; Kathleen McMullin, MEd; Josh Lawson, PhD; Jeremy Seeseequasis, BA; Arnold Naytowhow, BA; Akwasi Owusu-Kyem, MPH; Louise Hagel, MS; Sylvia Abonyi, PhD; Jo-Ann Episkenew, PhD; James Dosman, MD
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University of Saskatchewan, Saskatoon, SK, Canada


Chest. 2014;145(3_MeetingAbstracts):364A. doi:10.1378/chest.1825564
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Abstract

SESSION TITLE: COPD Epidemiology & Physiology Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: There is limited knowledge related to the prevalence and determinants of chronic bronchitis (CB) among Canadian First Nations people. The aim of the current study was to determine the prevalence of CB and associated risk factors among First Nations People.

METHODS: We conducted an interviewer-administered survey in 2012 on 743 individuals from 342 households (hhs) in two reserves (138 hhs and 355 individuals from Beardy’s and Okemosis, and 204 hhs and 379 Individuals Montreal Lake) located in the province of Saskatchewan, Canada. The questionnaire collected information on individual and contextual determinants and a history of ever diagnosed with chronic bronchitis from the two reserves participating in the First Nations Lung Health Project. Clustering effect within households was adjusted using Generalized Estimating Equations.

RESULTS: The prevalence of CB 8.2% and 6.3% among residents of Beardy’s and Okemosis and Montreal Lake reserves respectively and was not significantly different. We found that the prevalence of CB is associated with the following factors after adjusting for potential risk factors: increasing age, having a pet bird at home [Odds ratio (95% Confidence Interval)=6.85 (2.39,19.70)], difficulty in getting to the routine or ongoing health care [ 4.50 (2.26, 8.96)], propane as the main fuel source to heat the home [5.03 (1.28, 19.80)], and signs of mould and mildew in your home [3.53 (1.48,8.44)].

CONCLUSIONS: Our results suggest that significant determinants of CB are: increasing age, pet birds, propane to heat homes, and difficulty in accessing routine health care.

CLINICAL IMPLICATIONS: Modifiable risk factors identified were: (i) community level-housing conditions (such as mould or mildew in home), pet bird at home, propane as a fuel source and (ii) policy level-remediation of mould, difficulty in getting to the routine or ongoing health care.

DISCLOSURE: The following authors have nothing to disclose: Punam Pahwa, Chandima Karunanayake, Donna Rennie, Kathleen McMullin, Josh Lawson, Jeremy Seeseequasis, Arnold Naytowhow, Akwasi Owusu-Kyem, Louise Hagel, Sylvia Abonyi, Jo-Ann Episkenew, James Dosman

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