Geographic distribution of chronic obstructive pulmonary disease prevalence in Africa, Asia and Australasia

Int J Tuberc Lung Dis. 2019 Oct 1;23(10):1100-1106. doi: 10.5588/ijtld.19.0015.

Abstract

OBJECTIVE: To visualise spatial data on chronic obstructive pulmonary disease (COPD) prevalence in Africa, Asia and Australasia using a Geographic Information System (GIS) inverse distance weighted (IDW) interpolation technique.DESIGN: Prevalence rates from population surveys on individuals aged ≥40, with spirometry-confirmed COPD, were searched systematically. The prevalence observed in 59 selected surveys and the geographic coordinates of the places where they were conducted informed a GIS computer programme. The prevalence was represented by an ascending chromatic scale (blue-green-yellow-orange-brown-red) in the GIS maps.RESULTS: IDW-interpolation GIS maps were obtained of all the geographic areas investigated, and even from regions lacking data. Areas of high/very high prevalence were found in: Southern Africa and in most of the Central and Eastern Africa regions; in practically all of Central Asia; in the western regions of Southern Asia; in the southern regions of the East European Plain and the West Siberian Plain of Northern Asia; and in the Malay Archipelago. Intermediate prevalence predominated in Oceania and in most of the other regions of Africa and Asia.CONCLUSION: Despite some biases inherent to the interpolation method used in the present study, our approach provided an understandable visual perspective of the COPD prevalence distribution in these geographic regions.

MeSH terms

  • Adult
  • Africa / epidemiology
  • Asia / epidemiology
  • Australasia / epidemiology
  • Geographic Information Systems
  • Humans
  • Middle Aged
  • Prevalence
  • Pulmonary Disease, Chronic Obstructive / epidemiology*
  • Spatial Analysis
  • Spirometry