COPD awareness in the urban slums and rural areas around Pune city in India

COPD is the second leading cause of death and disability adjusted life years (DALYs) in India, yet, it remains poorly recognized. We aimed to study the level of awareness of COPD in urban slums of Pune city in India and its neighboring rural areas. All male and female subjects above the age of 30 ye...

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Published in:	NPJ primary care respiratory medicine Vol. 31; no. 1; p. 6
Main Authors:	Ghorpade, Deesha Deepak, Raghupathy, Anchala, Londhe, Jyoti Deepak, Madas, Sapna Jitendra, Kale, Nisha Vijay, Singh, Narula Arvinder Pal, Patil, Reshma Sudhir, Barne, Monica Sumit, Doke, Prakash Prabhakar Rao, Salvi, Sundeep Santosh
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 11-02-2021 Nature Publishing Group Nature Portfolio
Subjects:	692/699 692/699/1785/4037 Acquired immune deficiency syndrome AIDS Air pollution Asthma Chronic obstructive pulmonary disease Disease prevention Ghettos HIV Human immunodeficiency virus Internal Medicine Males Medicine Medicine & Public Health Pneumology/Respiratory System Population Primary care Primary Care Medicine Risk factors Rural areas Smoking Thoracic Surgery Tobacco Tuberculosis India
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Summary:	COPD is the second leading cause of death and disability adjusted life years (DALYs) in India, yet, it remains poorly recognized. We aimed to study the level of awareness of COPD in urban slums of Pune city in India and its neighboring rural areas. All male and female subjects above the age of 30 years residing in 13 randomly selected slums of Pune city (total population of 3000) and 7 randomly selected neighboring rural villages (total population of 3000) were invited to participate in this cross-sectional community survey. After obtaining written informed consent, 13 trained community health workers (CHWs) administered a questionnaire that captured their level of awareness of COPD. Of the 6000 subjects approached, 5420 residents (mean age ± SD = 48.0 ± 13.5 years; 38% males) consented and answered all questions. The number of people who had ever heard the word COPD was 49/5420 [0.9% (0.6–1.1%); 0.7% (0.5–1.3%) of the urban slum dwellers and 1.15% (0.5–1.3%) of rural residents]. Among those who had never heard the word COPD ( n = 5371), when asked what was the name of the disease caused by long-term tobacco smoking, 38% said cancer, 16.7% said asthma, and 4.4% said TB. Among those who had heard the word COPD (n = 49), 6.1% said it was a disease of the heart, and 61% attributed COPD to smoke and dust pollution and 20% to tobacco smoking. The level of awareness of COPD in the Indian community is extremely low, highlighting the need to have nationwide mass awareness programs in India.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2055-1010 2055-1010
DOI:	10.1038/s41533-021-00220-4