Prevalence and Associated Factors of COPD Awareness and Screening Intention among Community-Dwelling Older Adults in China.
- 1School of Public Health, Capital Medical University, Beijing, People's Republic of China.
- 2School of Public Health, Peking University, Beijing, People's Republic of China.
Abstract
Background
Chronic obstructive pulmonary disease (COPD) has recently been incorporated into the National Basic Public Health Service Program because of its high prevalence and substantial mortality burden among elderly Chinese individuals. However, little is known about COPD awareness, screening intention, and their associated factors.Methods
Between September 2024 and February 2025, a structured questionnaire survey was conducted among community-dwelling older adults in Jiangsu and Shandong provinces, China, to collect data on potential influencing factors, COPD awareness, and screening intention. We identified factors associated with COPD awareness and screening intention using univariable binary logistic regression analyses.Results
Among the 574 participants, 116 (20.21%) had heard of COPD and 412 (71.78%) expressed willingness to undergo screening. Higher education (OR = 4.522, 95% CI: 2.198-9.947), rural residence (OR = 0.428, 95% CI: 0.274-0.658), being employed (OR = 0.246, 95% CI: 0.094-0.535), higher income (OR = 2.941, 95% CI: 1.727-4.966), and vaccination history (OR = 2.221, 95% CI: 1.426-3.437) were associated with COPD awareness. Older age (OR = 1.498, 95% CI: 1.025-2.201), rural residence (OR = 1.512, 95% CI: 1.046-2.196), higher income (OR = 0.586, 95% CI: 0.355-0.980), having a chronic condition (OR = 1.467, 95% CI: 1.019-2.117), participation in community-based chronic disease management (OR = 1.547, 95% CI: 1.073-2.241), and vaccination history (OR = 1.583, 95% CI: 1.017-2.523) were associated with screening intention.Conclusion
This study provides up-to-date evidence that Chinese elderly have low COPD awareness but a relatively high screening intention, and identifies socio-demographic characteristics, physical health, and healthcare utilization as important associated factors, with public health implications for guiding community-based health education and improving early detection strategies.
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BibTeX
@article{du2026prevalence,
title = {{Prevalence and Associated Factors of COPD Awareness and Screening Intention among Community-Dwelling Older Adults in China.}},
author = {Yifei Du and Refukaitijiang Abuduwayiti and Feng Sun and Hao Lin and Chun Chang and Shengzhi Sun and Wangnan Cao},
journal = {International journal of chronic obstructive pulmonary disease},
year = {2026},
month = oct,
doi = {10.2147/copd.s601417},
url = {https://europepmc.org/article/MED/42904136},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Prevalence and Associated Factors of COPD Awareness and Screening Intention among Community-Dwelling Older Adults in China.
AU - Yifei Du
AU - Refukaitijiang Abuduwayiti
AU - Feng Sun
AU - Hao Lin
AU - Chun Chang
AU - Shengzhi Sun
AU - Wangnan Cao
PY - 2026
DA - 2026/10/16
JO - International journal of chronic obstructive pulmonary disease
DO - 10.2147/copd.s601417
UR - https://europepmc.org/article/MED/42904136
AB - Background Chronic obstructive pulmonary disease (COPD) has recently been incorporated into the National Basic Public Health Service Program because of its high prevalence and substantial mortality burden among elderly Chinese individuals. However, little is known about COPD awareness, screening intention, and their associated factors.Methods Between September 2024 and February 2025, a structured questionnaire survey was conducted among community-dwelling older adults in Jiangsu and Shandong provinces, China, to collect data on potential influencing factors, COPD awareness, and screening intention. We identified factors associated with COPD awareness and screening intention using univariable binary logistic regression analyses.Results Among the 574 participants, 116 (20.21%) had heard of COPD and 412 (71.78%) expressed willingness to undergo screening. Higher education (OR = 4.522, 95% CI: 2.198-9.947), rural residence (OR = 0.428, 95% CI: 0.274-0.658), being employed (OR = 0.246, 95% CI: 0.094-0.535), higher income (OR = 2.941, 95% CI: 1.727-4.966), and vaccination history (OR = 2.221, 95% CI: 1.426-3.437) were associated with COPD awareness. Older age (OR = 1.498, 95% CI: 1.025-2.201), rural residence (OR = 1.512, 95% CI: 1.046-2.196), higher income (OR = 0.586, 95% CI: 0.355-0.980), having a chronic condition (OR = 1.467, 95% CI: 1.019-2.117), participation in community-based chronic disease management (OR = 1.547, 95% CI: 1.073-2.241), and vaccination history (OR = 1.583, 95% CI: 1.017-2.523) were associated with screening intention.Conclusion This study provides up-to-date evidence that Chinese elderly have low COPD awareness but a relatively high screening intention, and identifies socio-demographic characteristics, physical health, and healthcare utilization as important associated factors, with public health implications for guiding community-based health education and improving early detection strategies.
SN - 1176-9106
SN - 1178-2005
ER -