Estimating the prevalence of COPD in an African country: evidence from southern Nigeria

# Background Though several environmental and demographic factors would suggest a high burden of chronic obstructive pulmonary disease (COPD) in many African countries, there is insufficient country-level synthesis to guide public health policy. # Methods A systematic search of MEDLINE, EMBASE, G...

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Main Authors: Boni M. Ale, Obianuju B. Ozoh, Muktar A. Gadanya, Yiyang Li, Michael O. Harhay, Akindele O. Adebiyi, Davies Adeloye
Format: Article
Language:English
Published: Inishmore Laser Scientific Publishing Ltd 2022-09-01
Series:Journal of Global Health Reports
Online Access:https://doi.org/10.29392/001c.38200
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author Boni M. Ale
Obianuju B. Ozoh
Muktar A. Gadanya
Yiyang Li
Michael O. Harhay
Akindele O. Adebiyi
Davies Adeloye
author_facet Boni M. Ale
Obianuju B. Ozoh
Muktar A. Gadanya
Yiyang Li
Michael O. Harhay
Akindele O. Adebiyi
Davies Adeloye
author_sort Boni M. Ale
collection DOAJ
description # Background Though several environmental and demographic factors would suggest a high burden of chronic obstructive pulmonary disease (COPD) in many African countries, there is insufficient country-level synthesis to guide public health policy. # Methods A systematic search of MEDLINE, EMBASE, Global Health and African Journals Online identified studies reporting the prevalence of COPD in Nigeria. We provided a detailed synthesis of study characteristics, and overall median and interquartile range (IQR) of COPD prevalence in Nigeria by case definitions (spirometry or non-spirometry). # Results Of 187 potential studies, eight studies (6 spirometry and 2 non-spirometry) including 4,234 Nigerians met the criteria. From spirometry assessment, which is relatively internally consistent, the median prevalence of COPD in Nigeria was 9.2% (interquartile range, IQR: 7.6-10.0), compared to a lower prevalence (5.1%, IQR: 2.2-15.4) from studies based on British Medical Research Council (BMRC) criteria or doctor’s diagnosis. The median prevalence of COPD was almost the same among rural (9.5%, IQR: 7.6-10.3) and urban dwellers (9.0%, IQR: 5.3-9.3) from spirometry studies. # Conclusions A limited number of studies on COPD introduces imprecision in prevalence estimates and presents concerns on the level of response available across different parts of Nigeria, and indeed across many countries in sub-Saharan Africa.
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spelling doaj-art-151c28f48d8c48cd8b15cc2c73255b382025-08-20T02:07:23ZengInishmore Laser Scientific Publishing LtdJournal of Global Health Reports2399-16232022-09-01610.29392/001c.38200Estimating the prevalence of COPD in an African country: evidence from southern NigeriaBoni M. AleObianuju B. OzohMuktar A. GadanyaYiyang LiMichael O. HarhayAkindele O. AdebiyiDavies Adeloye# Background Though several environmental and demographic factors would suggest a high burden of chronic obstructive pulmonary disease (COPD) in many African countries, there is insufficient country-level synthesis to guide public health policy. # Methods A systematic search of MEDLINE, EMBASE, Global Health and African Journals Online identified studies reporting the prevalence of COPD in Nigeria. We provided a detailed synthesis of study characteristics, and overall median and interquartile range (IQR) of COPD prevalence in Nigeria by case definitions (spirometry or non-spirometry). # Results Of 187 potential studies, eight studies (6 spirometry and 2 non-spirometry) including 4,234 Nigerians met the criteria. From spirometry assessment, which is relatively internally consistent, the median prevalence of COPD in Nigeria was 9.2% (interquartile range, IQR: 7.6-10.0), compared to a lower prevalence (5.1%, IQR: 2.2-15.4) from studies based on British Medical Research Council (BMRC) criteria or doctor’s diagnosis. The median prevalence of COPD was almost the same among rural (9.5%, IQR: 7.6-10.3) and urban dwellers (9.0%, IQR: 5.3-9.3) from spirometry studies. # Conclusions A limited number of studies on COPD introduces imprecision in prevalence estimates and presents concerns on the level of response available across different parts of Nigeria, and indeed across many countries in sub-Saharan Africa.https://doi.org/10.29392/001c.38200
spellingShingle Boni M. Ale
Obianuju B. Ozoh
Muktar A. Gadanya
Yiyang Li
Michael O. Harhay
Akindele O. Adebiyi
Davies Adeloye
Estimating the prevalence of COPD in an African country: evidence from southern Nigeria
Journal of Global Health Reports
title Estimating the prevalence of COPD in an African country: evidence from southern Nigeria
title_full Estimating the prevalence of COPD in an African country: evidence from southern Nigeria
title_fullStr Estimating the prevalence of COPD in an African country: evidence from southern Nigeria
title_full_unstemmed Estimating the prevalence of COPD in an African country: evidence from southern Nigeria
title_short Estimating the prevalence of COPD in an African country: evidence from southern Nigeria
title_sort estimating the prevalence of copd in an african country evidence from southern nigeria
url https://doi.org/10.29392/001c.38200
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