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Open Access Research article

Lifestyle and perceived health in subjects with chronic bronchitis or emphysema: a cross-sectional study

Dejana S Vukovic1*, Ljudmila M Nagorni-Obradovic2 and Goran M Vukovic3

Author Affiliations

1 Institute of Social Medicine, School of Medicine Belgrade (Dr Subotica 8), Belgrade (11 000), Serbia

2 Institute for Lung Disease and Tuberculosis Clinical Centre of Serbia (Pasterova 2) and School of Medicine Belgrade (Dr Subotica 8), Belgrade (11 000), Serbia

3 Centre for Emergency Surgery Clinical Centre of Serbia (Pasterova 2), Belgrade (11 000), Serbia

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BMC Public Health 2010, 10:546  doi:10.1186/1471-2458-10-546

Published: 9 September 2010

Abstract

Background

The study aim was to compare lifestyle behaviors, body mass index (BMI) and perceived health in subjects with and without chronic bronchitis or emphysema, and to explore if these comparisons differed between demographic subgroups.

Methods

A stratified two-stage sample of the population of Serbia was used; 14.522 adults aged ≥20 years were interviewed.

Results

Compared with controls, respondents with chronic bronchitis or emphysema reported a 23% increased likelihood of eating fresh vegetables every day (CI 1.02-1.48), 58% increased likelihood of currently smoking (CI 1.32-1.88) and more likely to perceive their health as very bad or bad (OR 4.67, CI 3.64-5.98). After stratification for sex, education, and type of settlement, smoking was significantly associated with chronic bronchitis or emphysema in all subgroups except males. The increased likelihood of very bad or bad perceived health in respondents with chronic bronchitis or emphysema was significant in all subgroups, and was highest for respondents ≤65 years of age (adjusted OR 6.51; CI 4.87-8.72) and lowest for respondents >65 years of age (adjusted OR 3.25; CI 2.12-4.97).

Conclusion

Efforts to enhance perceived health and healthy lifestyle behaviors in subjects with chronic bronchitis or emphysema are necessary. Special attention should be paid to smoking cessation in almost all demographic subgroups.