ArticleThe European respiratory journal2014
Prevalence and correlates of airflow obstruction in ∼317,000 never-smokers in China.
Article in The European respiratory journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Association between history of pulmonary tuberculosis and chronic obstructive pulmonary disease: a systematic review and meta-analysis.Frontiers in medicine · 2026Pooled it
- Prevalence of non-smoking chronic obstructive pulmonary disease and its risk factors in China: a systematic review and meta-analysis.BMC public health · 2024Pooled it
- Fibrotic interstitial lung diseases and air pollution: a systematic literature review.European respiratory review : an official journal of the European Respiratory Society · 2020Pooled it
- Global and regional estimates of COPD prevalence: Systematic review and meta-analysis.Journal of global health · 2015Pooled it
- Associations of household air pollution from solid cooking fuel use with risk of chronic respiratory diseases: evidence from the CHARLS study.Respiratory research · 2026Article
- Prevalence, awareness, treatment and control of chronic obstructive pulmonary disease (COPD) among community-dwelling adults aged 40 years and older in regional China.NPJ primary care respiratory medicine · 2026Article
- Post-tuberculosis lung disease: a guide for clinicians.Infection · 2026Review
- Platelet count has a U-shaped association with all-cause mortality in COPD patients.Scientific reports · 2026Article
- Effect modification of long-term air pollution exposure on the association of physical activity with COPD hospitalization: a prospective cohort study of 0.5 million Chinese adults.The Lancet regional health. Western Pacific · 2025Article
- Spirometric pattern and cardiovascular risk: a prospective study of 0.3 million Chinese never-smokers.The Lancet regional health. Western Pacific · 2025Article
- Advances in the awareness of tuberculosis-associated chronic obstructive pulmonary disease.Chinese medical journal pulmonary and critical care medicine · 2024Review
- The Role of Active and Passive Smoking in Chronic Obstructive Pulmonary Disease and Systemic Inflammation: A 12-year Prospective Study in China.Journal of epidemiology and global health · 2024Article
- COPD after "Tabouna" Exposure: A Distinct Phenotype in Tunisian Women?Journal of clinical medicine · 2023Article
- Chronic Obstructive Pulmonary Disease Prevalence and Associated Risk Factors in Adults Aged 40 Years and Older in Southeast China: A Cross-Sectional Study During 2019-2020.International journal of chronic obstructive pulmonary disease · 2022Article
- Article
- Prevalence and characteristics of chronic obstructive pulmonary disease in China with a diagnostic criterion of FEVJournal of thoracic disease · 2021Article
- Chronic respiratory disease surveys in adults in low- and middle-income countries: A systematic scoping review of methodological approaches and outcomes.Journal of global health · 2021Article
- Pulmonary tuberculosis as a risk factor for chronic obstructive pulmonary disease: a systematic review and meta-analysis.Annals of translational medicine · 2021Article
- Solid Fuel Exposure and Chronic Obstructive Pulmonary Disease in Never-Smokers.Frontiers in medicine · 2021Article
- Association between adiposity measures and COPD risk in Chinese adults.The European respiratory journal · 2020Article
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Authors and funding
16 authors at 8 institutions in 3 countries.
Funding
Abstract
In China, the burden of chronic obstructive disease (COPD) is high in never-smokers but little is known about its causes in this group. We analysed data on 287 000 female and 30 000 male never-smokers aged 30-79 years from 10 regions in China, who participated in the China Kadoorie Biobank baseline survey (2004-2008). Prevalence of airflow obstruction (AFO) (pre-bronchodilator forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) <0.7 and below the lower limit of normal (LLN)) was estimated, by age and region. Cross-sectional associations of AFO (FEV1/FVC <0.7), adjusted for confounding, were examined. AFO prevalence defined as FEV1/FVC <0.7 was 4.0% in females and 5.1% in males (mean ages 51 and 54 years, respectively). AFO prevalence defined as FEV1/FVC <LLN was 5.9% and 5.2%, respectively. In females, odds ratios of AFO were positively associated with lower household income (1.63, 95% CI 1.55-1.72 for lowest versus highest income groups), prior tuberculosis (2.36, 95% CI 2.06-2.71), less education (1.17, 95% CI 1.12-1.23 for no schooling versus college education), rural region and lower body mass index. AFO was positively associated with cooking with coal but not with other sources of household air pollution. Associations were similar for males. AFO is prevalent in Chinese never-smokers, particularly among those with low socioeconomic status or prior tuberculosis, and in rural males.
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