Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study
Prashant Jarhyan,1 Anastasia Hutchinson,2 Rajesh Khatkar,1 Dorairaj Prabhakaran,1,3,4 Sailesh Mohan1– 3 1Centre for Chronic Conditions and Injuries (CCCI), Public Health Foundation of India, Gurugram, India; 2Institute of Health Transformation, Faculty of Health, Deakin University, Burwood, Melbourn...
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Dove Medical Press
2025-06-01
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| author | Jarhyan P Hutchinson A Khatkar R Prabhakaran D Mohan S |
| author_facet | Jarhyan P Hutchinson A Khatkar R Prabhakaran D Mohan S |
| author_sort | Jarhyan P |
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| description | Prashant Jarhyan,1 Anastasia Hutchinson,2 Rajesh Khatkar,1 Dorairaj Prabhakaran,1,3,4 Sailesh Mohan1– 3 1Centre for Chronic Conditions and Injuries (CCCI), Public Health Foundation of India, Gurugram, India; 2Institute of Health Transformation, Faculty of Health, Deakin University, Burwood, Melbourne, Australia; 3Centre for Chronic Disease Control (CCDC), Delhi, India; 4London School of Hygiene and Tropical Medicine, London, UKCorrespondence: Sailesh Mohan, Public Health Foundation of India, 431A, 4th Floor Rectangle No. 1, Behind Saket Sheraton Hotel, Commercial Complex D4, Saket New Delhi, New Delhi, 110017, India, Email smohan@phfi.orgBackground and Objective: Despite the second most common cause of disease burden, there are few studies reporting the prevalence, awareness, and treatment rates of COPD in India.Methods: A community-based cross-sectional study was conducted among people aged ≥ 40 years residing in rural and urban areas of Sonipat district in North India using a multistage random sampling technique. COPD was defined as self-reported physician diagnosed COPD, emphysema, chronic bronchitis or being on treatment for COPD. Additional cases were detected using a validated sequential screening strategy, ie, administering the Lung Function Questionnaire (LFQ) followed by the pocket spirometry and confirmation by post-bronchodilation spirometry. Awareness was defined as self-reported diagnosed cases of COPD or self-reported treatment. Treatment was defined as self-reported intake of oral or inhalational corticosteroids and/or bronchodilators. Trained Community Health Workers interviewed the study participants using a paper-based validated questionnaire, screened for COPD with the LFQ and conducted the pocket spirometry. Confirmation of COPD using post-bronchodilation gold standard spirometry was conducted by trained physician researchers. Age-standardized estimates were calculated for the prevalence, awareness, and treatment of COPD.Results: The overall age-standardised prevalence of COPD in our study was 8.6% (95% CI: 7.5– 9.8) with higher prevalence in men and rural population. The overall awareness of COPD was 75.1% (95% CI: 68.5– 80.7) with lower awareness among people who ever-smoked [33.9% (32.0– 35.8)], currently smoked [29.6% (27.8– 31.5)] and among those with post-bronchodilator confirmed diagnosis of mild COPD (4.8%). Less than half (45.7%) of participants with COPD reported taking bronchodilators and/or corticosteroids.Conclusion: The awareness-treatment gap in COPD was high in the study population. There is a need to strengthen the public health system along with systematic training of health care providers to provide appropriate treatment to people with COPD.Keywords: chronic obstructive pulmonary disease, COPD, public health, COPD management, lung health |
| format | Article |
| id | doaj-art-a2e548ee68294f4c84300e26df2aaec4 |
| institution | DOAJ |
| issn | 1178-2005 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Dove Medical Press |
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| series | International Journal of COPD |
| spelling | doaj-art-a2e548ee68294f4c84300e26df2aaec42025-08-20T03:15:13ZengDove Medical PressInternational Journal of COPD1178-20052025-06-01Volume 20Issue 121312142104353Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based StudyJarhyan P0Hutchinson A1Khatkar RPrabhakaran D2Mohan S3Centre for Chronic Conditions and Injuries (CCCI)Centre Quality and Patient safety, institute of Health TransformationCentre for Chronic Conditions and Injuries (CCCI)Centre for Chronic Conditions and Injuries (CCCI)Prashant Jarhyan,1 Anastasia Hutchinson,2 Rajesh Khatkar,1 Dorairaj Prabhakaran,1,3,4 Sailesh Mohan1– 3 1Centre for Chronic Conditions and Injuries (CCCI), Public Health Foundation of India, Gurugram, India; 2Institute of Health Transformation, Faculty of Health, Deakin University, Burwood, Melbourne, Australia; 3Centre for Chronic Disease Control (CCDC), Delhi, India; 4London School of Hygiene and Tropical Medicine, London, UKCorrespondence: Sailesh Mohan, Public Health Foundation of India, 431A, 4th Floor Rectangle No. 1, Behind Saket Sheraton Hotel, Commercial Complex D4, Saket New Delhi, New Delhi, 110017, India, Email smohan@phfi.orgBackground and Objective: Despite the second most common cause of disease burden, there are few studies reporting the prevalence, awareness, and treatment rates of COPD in India.Methods: A community-based cross-sectional study was conducted among people aged ≥ 40 years residing in rural and urban areas of Sonipat district in North India using a multistage random sampling technique. COPD was defined as self-reported physician diagnosed COPD, emphysema, chronic bronchitis or being on treatment for COPD. Additional cases were detected using a validated sequential screening strategy, ie, administering the Lung Function Questionnaire (LFQ) followed by the pocket spirometry and confirmation by post-bronchodilation spirometry. Awareness was defined as self-reported diagnosed cases of COPD or self-reported treatment. Treatment was defined as self-reported intake of oral or inhalational corticosteroids and/or bronchodilators. Trained Community Health Workers interviewed the study participants using a paper-based validated questionnaire, screened for COPD with the LFQ and conducted the pocket spirometry. Confirmation of COPD using post-bronchodilation gold standard spirometry was conducted by trained physician researchers. Age-standardized estimates were calculated for the prevalence, awareness, and treatment of COPD.Results: The overall age-standardised prevalence of COPD in our study was 8.6% (95% CI: 7.5– 9.8) with higher prevalence in men and rural population. The overall awareness of COPD was 75.1% (95% CI: 68.5– 80.7) with lower awareness among people who ever-smoked [33.9% (32.0– 35.8)], currently smoked [29.6% (27.8– 31.5)] and among those with post-bronchodilator confirmed diagnosis of mild COPD (4.8%). Less than half (45.7%) of participants with COPD reported taking bronchodilators and/or corticosteroids.Conclusion: The awareness-treatment gap in COPD was high in the study population. There is a need to strengthen the public health system along with systematic training of health care providers to provide appropriate treatment to people with COPD.Keywords: chronic obstructive pulmonary disease, COPD, public health, COPD management, lung healthhttps://www.dovepress.com/sub-optimal-chronic-obstructive-pulmonary-disease-copd-management-in-i-peer-reviewed-fulltext-article-COPDChronic obstructive pulmonary disease (COPD)Public healthCOPD managementLung health |
| spellingShingle | Jarhyan P Hutchinson A Khatkar R Prabhakaran D Mohan S Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study International Journal of COPD Chronic obstructive pulmonary disease (COPD) Public health COPD management Lung health |
| title | Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study |
| title_full | Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study |
| title_fullStr | Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study |
| title_full_unstemmed | Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study |
| title_short | Sub-Optimal Chronic Obstructive Pulmonary Disease (COPD) Management in India: Findings from a Community-Based Study |
| title_sort | sub optimal chronic obstructive pulmonary disease copd management in india findings from a community based study |
| topic | Chronic obstructive pulmonary disease (COPD) Public health COPD management Lung health |
| url | https://www.dovepress.com/sub-optimal-chronic-obstructive-pulmonary-disease-copd-management-in-i-peer-reviewed-fulltext-article-COPD |
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