Chronic Obstructive Pulmonary Disease in Eastern Black Sea Region: Characteristics of the Disease and the Frequency of Influenza-Pneumococcal Vaccination

Bülbül, Yılmaz; Öztuna, Funda; Gülsoy, Ayhan; Özlü, Tevfik

doi:10.5336/medsci.2008-8763

Cited by 7 publications

(8 citation statements)

References 20 publications

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“…Similarly, in this study we found COPD patients’ current smoking rate to be 49% (50% among males and 33.3% among females), while the general recent smoking prevalence among individuals older than 40 years in Turkey is approximately 40% among men and 13% among women 21 . While there has been a decrease in the population’s current smoking prevalence compared to previous years 21 , according to our findings there was no decrease among COPD patients’ current smoking prevalence compared with previous national studies 22,23 . Turkish COPD patients’ smoking prevalence is estimated to be approximately 60%.…”

Section: Discussioncontrasting

confidence: 67%

Factors associated with current smoking in COPD patients: A cross-sectional study from the Eastern Black Sea region of Turkey

Karadoğan¹,

Önal²,

Şahin³

et al. 2018

Tob. Induc. Dis.

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INTRODUCTION Even though smoking is a major reason for the development and progression of chronic obstructive pulmonary disease (COPD)-and quitting smoking is the only way to stop its progression-a significant number of smokers still continue to smoke after being diagnosed with COPD. The aim of this study is to compare the clinical and demographic characteristics of COPD patients who are current and former smokers and to find factors associated with their current smoking status. METHODS For this study, data were collected between June 2015 and August 2016; COPD patients who had been regularly visiting Hopa State Hospital’s outpatient clinic over the last year or longer were included. Their demographic, clinical and functional data were recorded. Patients completed a pulmonary function test, six-minute walk test (6-MWT), COPD assessment test (CAT), and modified Medical Research Council (mMRC) dyspnea scale. Comparisons were then made according to their smoking status. RESULTS In total 100 patients were included in the study; with a mean age of 63.4±10.7 years and mostly males (94%). Regarding smoking status, 49% were current smokers and 51% were former smokers. Multivariate logistic regression analysis revealed that current smoking was negatively associated with age (odds ratio, OR=0.93, 95% confidence interval, CI=0.88–0.96) and Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage (OR=0.32, 95% CI=0.13– 0.79), and was positively associated with six-minute walk distance (OR =1.005, 95% CI=1.001–1.009) and CAT score (OR=1.07, 95% CI=1.009–1.13). CONCLUSIONS Nearly half of the COPD patients in the study continued smoking even after having been diagnosed with COPD. The younger patients, with better lung function, better exercise capacity and poor quality of life were associated with current smoking.

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Section: Discussioncontrasting

confidence: 67%

Factors associated with current smoking in COPD patients: A cross-sectional study from the Eastern Black Sea region of Turkey

Karadoğan¹,

Önal²,

Şahin³

et al. 2018

Tob. Induc. Dis.

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“…Similar to the results of this study, Ͻ 50% of subjects were previously found to be vaccinated (33% and 34%, respectively). 21,22 The Centers for Disease Control and Prevention announced that the influenza immunization rate was below 70% and less than that for some subgroups, although the targeted rate was 90% in 2006. 23 In a previous study of subjects with COPD, 44% of subjects had no knowledge regarding the importance of vaccination.…”

Section: Discussionmentioning

confidence: 99%

Should Patients With COPD Be Vaccinated?

et al. 2014

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BACKGROUND: Exacerbations of COPD are a major component of the socioeconomic burden related to COPD, and frequent exacerbations are associated with greater decline in health status. Tracheobronchial infections are involved in 50 -70% of exacerbations, so influenza and pneumococcal vaccines are recommended for prevention. The aim of this study was to determine the level of knowledge among COPD patients about the vaccines, find the rate of patients inoculated with both influenza and pneumococcal vaccines, and assess the effectiveness of vaccination status. METHODS: Patients with COPD were recruited from the out-patient clinic of our hospital between September and October 2012. Subject demographic data such as age, gender, level of education, and smoking status were recorded. Vaccination status, number of subjects who were informed by a health-care professional about immunization, and COPD-related emergency or hospital admissions triggered by tracheobronchial infections over 1 y after administration of both influenza and pneumococcal vaccines were noted. RESULTS: Eighty-eight subjects were enrolled during the study period. Eighty-two subjects were male (93.2%), 6 subjects were female (6.8%), and the median age was 61.5 y. According to Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2006 classification, 5 subjects were in stage 1 (5.7%), 22 subjects were in stage 2 (25%), 34 subjects were in stage 3 (38.6%), and 27 subjects were in stage 4 (30.7%). Sixty-two subjects had graduated from primary school (70.5%), 21 subjects had graduated from high school (23.9%), one subject had graduated from university (1.1%), and 4 subjects had no education (4.5%). Forty-five subjects (51%) were vaccinated. There was no significant correlation between level of education and vaccination status (P ‫؍‬ .37). Both COPD-related emergency department and hospital visits were significantly decreased in vaccinated patients with COPD (P < .001 and P ‫؍‬ .02, respectively). Of all the subjects, 39.7% (35 of 88 subjects) mentioned that no health-care professional recommended vaccination. CONCLUSIONS: Physicians should be more aware of vaccination and recommend both influenza and pneumococcal vaccines to all patients with COPD to reduce exacerbations.

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“…In our country, there are studies indicating influenza vaccination rates for some groups with chronic diseases, but when the studies were scrutinized, it was observed that most of the research was conducted only with individuals in chronic disease groups (5)(6)(7)(8)(9)(10)(11)(12)(13). The number of studies in the current literature evaluating influenza vaccination in our country for all chronic diseases is very limited.…”

Section: Introductionmentioning

confidence: 99%

Influenza vaccination prevalence among the elderly and individuals with chronic disease, and factors affecting vaccination uptake

Korkmaz¹,

Kilit²,

Onbaşı³

et al. 2019

Cent Eur J Public Health

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Objective: Our aim is to evaluate influenza vaccination rates among the elderly and individuals with underlying chronic disease, and factors that affect vaccination uptake. Methods: The study comprised individuals aged 18-65 years with underlying chronic diseases, and individuals aged over 65 years. Literaturebased questionnaires prepared by the researcher regarding vaccination were completed through face-to-face interviews by the principal investigator. Results: A total of 818 participants were included in the study, 257 (31.4%) were males. The mean age of participants was 57.47 ± 14.11 years; 274 (33.5%) were aged 65 years and over. One hundred and three (12.6%) participants stated that they received vaccinations against influenza annually, and 144 (17.6%) stated that they had vaccination against influenza in the 2015/16 or 2016/17 season. Fifty-two (19%) participants aged more than 65 years stated that they received vaccinations against influenza annually, 75 (27.4%) stated that they had vaccination against influenza in the 2015/16 or 2016/17 season. The most commonly determined reasons for not receiving vaccination were not knowing that it was necessary (34%) and believing that vaccination was not necessary because they were healthy (26%). Statistically significantly more participants who gained their knowledge from a physician were vaccinated than those whose knowledge came from other sources (p < 0.05). Participants who considered that they had sufficient information about influenza were vaccinated more frequently, the results were statistically significant (p < 0.05). Conclusion: Informing target risk groups about influenza vaccination by physicians and increasing awareness about influenza may contribute to increasing vaccination rates.

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Chronic Obstructive Pulmonary Disease in Eastern Black Sea Region: Characteristics of the Disease and the Frequency of Influenza-Pneumococcal Vaccination

Cited by 7 publications

References 20 publications

Factors associated with current smoking in COPD patients: A cross-sectional study from the Eastern Black Sea region of Turkey

Factors associated with current smoking in COPD patients: A cross-sectional study from the Eastern Black Sea region of Turkey

Should Patients With COPD Be Vaccinated?

Influenza vaccination prevalence among the elderly and individuals with chronic disease, and factors affecting vaccination uptake

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