Factors related to chronic obstruction pulmonary disease in Indonesia: Analysis of Indonesian family life survey-5 data

Chronic obstructive pulmonary disease (COPD) is a major health problem and now ranks 5^th in terms of the global burden of disease. Although COPD is a disease that is characterized by progressive respiratory symptoms and functional decline. This study aims to determine factors associated with COPD in Indonesia. A total of 10,360 subjects which fulfill the questionaire. Data were collected by interview in community. COPD was defined when subject have COPD diagnose by doctor and other paramedic. The data were analyzed by logistic regression. Respondents who live in urban were have a risk 1.7 times less likely to experience COPD than respondents who live in village area (OR 0.59; 95% CI 0.44-0.78). In the TB history variable, respondents who had a history of TB were 3.6 times less likely to develop COPD than respondents who did not have a history of TB (OR 0.28; 95% CI 0.14-0.55). Asthma history tends to be 2.4 times less likely to develop COPD than respondents who have no history of asthma (OR 0.42; 95% CI 0.24-0.74). In the BMI variable, respondents who had a BMI ≤ 18.50 tends to be 2 times less likely to develop COPD (OR 0.49; 95% CI 0.36-0.69). In the smoking status variable, respondents who smoked 2.4 times the risk of having COPD compared to non-smoking respondents (OR 2.42; 95% CI 1.78-3.28). Body mass index, air pollution, history of TB, and history of asthma had a significantly increased risk of developing COPD in Indonesia.