+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Prospective study of mortality associated with chronic lung disease and smoking in Papua New Guinea

International Journal of Epidemiology 17(1): 56-61

Prospective study of mortality associated with chronic lung disease and smoking in Papua New Guinea

In Papua New Guinea a 15-year mortality follow-up was carried out among 2026 highlanders and 1734 coastal dwellers on whom data on respiratory symptoms and signs, and lung function had been obtained by prevalence surveys in 1970/71. Survival status was established in 99%, of whom 9.8% had died, the rate being higher in the highland (12.2%) than in the coastal population (7.0%). All abnormalities indicative of chronic lung disease were associated with increased mortality though this was statistically significant only for chronic shortness of breath (SMR 195) and wheezing (SMR 183) in coastal females. In those aged 25 years or more there was a strong association between reduced lung function (FEV1, FVC, FEV1/FVC%) and mortality, after controlling for age and height. The associations observed were as strong as those reported from prospective studies in developed countries. The most striking difference was that in Papua New Guinea mortality showed no association whatever with tobacco smoking; this may be because the traditional type of tobacco and method of smoking it resembles pipe/cigar smoking in developed countries.

Accession: 006206214

PMID: 3384550

DOI: 10.1093/ije/17.1.56

Related references

Anderson, H.R., 1974: Smoking habits and their relationship to chronic lung disease in a tropical environment in Papua New Guinea. A community study of respiratory disease on Karkar Island sampled 1734 people. Both sexes showed abnormalities, especially those over 35 years. 33% had a positive loose cough, 29% had adventitious sounds, and 11% had persistent cough. Smoking was...

Anderson, H.R., 1975: A clinical and lung function study of chronic lung disease and asthma in coastal Papua New Guinea. A prevalence survey on the island of Karkar had previously shown that chronic lung disease was common in both sexes after the age of 35 years and that, in part, this was related to the smoking of home-grown air-cured tobacco. To investigate the na...

Woolcock, A.J.; Blackburn, C.R.B., 1967: Chronic lung disease in the territory of Papua and New Guinea; An epidemiological study. Chronic non-tuberculous lung disease is common in Highland natives, particularly in those over 30 years of age. It appears to be restrictive more Shan obstructive in the early stages and leads to cor pulmonale. No definite etiological factors were...

Heederik, D.; Kromhout, H.; Kromhout, D.; Burema, J.; Biersteker, K., 1992: Relations between occupation, smoking, lung function, and incidence and mortality of chronic non-specific lung disease: the Zutphen Study. Information gathered in the "Zutphen study", the Dutch contribution to the Seven Countries Study was used for the present study. Follow up data from 1965 to 1 July 1985 were used. During this follow up, the morbidity state of the partici...

Duke, T.; Michael, A.; Mgone, J.; Frank, D.; Wal, T.; Sehuko, R., 2002: Etiology of child mortality in Goroka, Papua New Guinea: a prospective two-year study. Objective: To collect accurate data on disease- and microbial-specific causes and avoidable factors in child deaths in a developing country. Methods: A systematic prospective audit of deaths children seen at Goroka Hospital in the highlands of Pap...

Anderson, H.R., 1979: Chronic lung disease in the Papua New Guinea Highlands. In the Eastern Highlands of Papua New Guinea 46 men and 24 women with chronic lung disease underwent clinical and lung function investigations. In all cases the sole or predominant abnormality was irreversible airways obstruction, probably from ch...

Anderson H.R., 1979: Nature of chronic lung disease in highland papua new guinea. Thorax 34(3): 419

Turner, M.C.; Chen, Y.; Krewski, D.; Calle, E.E.; Thun, M.J., 2007: Chronic obstructive pulmonary disease is associated with lung cancer mortality in a prospective study of never smokers. Rationale: Several studies have suggested that previous lung disease may increase the risk of lung cancer. It is important to clarify the association between previous lung disease and lung cancer risk in the general population.Objectives: The ass...

Holmgaard, D.Back.; Mygind, L.Hagens.; Titlestad, I.Louise.; Madsen, H.; Fruekilde, P.Bach.Nielsen.; Pedersen, S.Stenvang.; Pedersen, C., 2013: Serum vitamin D in patients with chronic obstructive lung disease does not correlate with mortality--results from a 10-year prospective cohort study. Recent studies have found vitamin D (25-OHD) deficiency and insufficiency to be common among patients with COPD. Serum level of 25-OHD seems to correlate to pulmonary function, COPD disease staging, and increased susceptibility to respiratory infe...

Rogers, S.; Mauludu, M.; Alto, W., 1991: Declining impact of oral rehydration therapy in a Papua New Guinea Highlands Province: a case study with implications for Papua New Guinea's National Diarrheal Disease Control Program. A provincial diarrheal disease control program that was based on the delivery of oral rehydration solution (ORS) from health facilities now places greater emphasis on the management of diarrhea with fluids at home. The change in strategy has been...