An epidemiological study of chronic obstructive pulmonary disease among 35 years and above rural population of Gurugram, Haryana

Navneet Aggarwal, Balbir S. Deswal, Shalini Ray, Ved Pal


Background: COPD is 4th leading cause of death worldwide and predicted to be third by 2030. In India, COPD accounts for 7% of deaths and 3% DALYs loss. Study was conducted to Find the prevalence & determinants of COPD among 35 years & above rural population of Gurugram, Haryana and also determine health seeking behavior & economic burden of COPD cases.

Methods: The study was conducted among field practice area of PHC Garhi Harsaru for one year. A total of 1434 individuals 35 years and above of age found in 700 households among were selected by probability proportion to size (PPS) sampling methods. 115 cases detected as cases were matched with equal number of controls matching and Data analyzed.

Results: Prevalence of COPD was 8.02 % among 35 years & above age group. Smoking, passive smoking, biomass fuel smoke exposure, occupational exposure to dust/smoke/gas /chemical vapors at work, frequent respiratory infections, family history of COPD were found important determinants of COPD (P<0.05). Physical activity and body mass index were not found significant contributor on multivariate logistic regression analysis. Among all COPD patients 87.83% seeks immediate medical help in case of any breathing discomfort. Annual economic burden on COPD case was found to be Rs 14804/-.

Conclusions: Smoking, exposure to smoke/dusty /chemical vapors and family history of COPD are main determinant of COPD. Public health planners should concentrate to mitigate these causes.


COPD, Spirometry, Risk factors, Health seeking behavior, Economic burden

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Halbert RJ, Natoli JL, Gano A, Badamgarav E, Buist AS, Mannino DM. Global burden of COPD: systematic review and meta analysis. Euro Respri J. 2006;28:523-32.

McKay AJ, Mahesh PA, Fordham JZ, Majeed A. Prevalence of COPD in India: a systematic review. Prim Care Respir J. 2012;21:313-21.

Jindal SK. Emergence of chronic obstructive disease as an epidemic in India. Indian J Med Res. 2006;124:619-30.

Global initiative of chronic obstructive lung diseases. Pocket guide to COPD diagnosis, management and prevention. A guide for health care professionals 2017. Report Global Initiative for Chronic Obstructive Lung Diseases; 2017: 2.

Shahab L, Jarvis M, Britton J, West R. Prevalence, diagnosis and relation to tobacco dependence of chronic obstructive pulmonary diseases in a naturally representative population sample. Thorax. 2006;61:1043-7.

Thakkar M, Rohan K, Jain N, Jain N, Sharma M. Chronic obstructive pulmonary diseases. Does sex really matter? Lung India. 2011;28:258-62.

Hagstad S, Bjerg A, Ekerljung L, Backman H, Lindberg A, Ronmark E, et al. Passive smoking exposure is associated with increased risk of COPD in never smokers. Chest. 2014;145:1298-304.

Earnest G, San PM, Balemes JR, Eiser MD, Yelin E, Kartz PP, et al. the occupational burder of chronic obstructive pulmonary disease. Eur Respir J. 2003;22:462-9.

Agrawal A, Garg U, Madan C, Goel S. Association of biomass fuel smoke exposure and COPD in women of rural India- Across sectional hospital based study. NJIRM. 2013;4:11-7.

Johnson P, Balkrishanan K, Ramaswamy P, Ghosh S, Sadhashivamm, Abirami O. Prevalence of chronic obstructive pulmonary disease in rural women of Tamilnadu implication for refining disease burden assessments attributable to household biomass combustion. Global Health Action. 2011;4:7226-7.

Matheson M, Benke G, Raven J, Sim M, Kromhout H, Vermeulen R, et al. Biological dust exposure at work place is a risk factor for COPD. Thorax. 2005;60(12):645-51.

Jaen A, Zock J, Kogevinas M, Ferrer A, Martin A. Occupation, smoking and chronic obstructive pulmonary diseases: a cross sectional study in an industrial area of Catalonia, Spain. Environmental Health. 2006;5:52-7.

Mathew N, Xavier Z. the study of aetiology of chronic obstructive pulmonary disease (COPD in nonsmokers). J Pulmonary Respir Med. 2015;5:7-11.

Garg A, Singh M, Gupta V, Garg S, Daga M. An epidemiological study of chronic obstructive pulmonary diseases and associated factors in a resettlement colony of Delhi. University of Delhi, 2008.

Behrens G, Mathew C, Moore S, Hollenbeck A, Leitzmann M. body size and physical activity in relation to chronic obstructive pulmonary disease. Canadian Medical Association J. 2014;186:E457-69.

Gupta S, Gothi D, Narula G, Sircar J. Correlation of BMI and oxygen saturation in stable COPD in Northern India. Lung India. 2014;31(1):29-32.

Grover A, Kumar R, Jindal SK. Socio-demographic determinants of treatment seeking behavior among chest symptomatic. IJCM. 2006;31:145-8.

Kallaru H, Nagasubramanian V, Balakrishnan H, Gopal K, Palani T. impact of severity of disease on cost of illness and quality of life of patients with COPD. J Young Pharmacists. 2015;7:106-12.

Patel K, Lalwani T, Shah K. Economic burden in direct cost of chronic obstructive pulmonary disease at a tertiary care teaching hospital as prospective cohort study. Indian J Pharmacy Practice. 2014;7:61-8.