
Smoke or not, women are still at higher risk of serious lung disease than men
Women are about 50% more likely than men to develop chronic obstructive pulmonary disease (COPD), a serious lung condition, even if they have never smoked or smoked less than men, according to new research published in BMJ Open Respiratory Research.COPD is a group of chronic lung diseases, including emphysema and bronchitis, often caused by long-term smoking, air pollution and lung irritants. The condition makes a person hard to breathe.advertisementHowever, the large US-based study challenges the long-held belief that smoking alone explains why more women now suffer from COPD.
Researchers analysed data from the 2020 National Health Interview Survey, which included over 23,000 adults aged 40 and above. The survey looked at smoking habits, use of tobacco products, and whether participants had been diagnosed with COPD.Interestingly, women reported smoking less than men. They smoked fewer cigarettes per day (18 vs. 22), were less likely to have started smoking before age 15 (19% vs. 28%), and were also less likely to have used other tobacco products like cigars or smokeless tobacco. Yet, COPD was more common among women (nearly 8%) than men (6.5%).Even among those who had never smoked, women were still twice as likely to have COPD compared to men - 3% vs. 1.5%. Among people who had ever smoked, 16% of women had COPD, compared to 11.5% of men.advertisementAfter adjusting for other factors such as age and smoking exposure, researchers found that women had a 47% higher risk of developing COPD. Among non-smokers, women were 62% more likely to be diagnosed with COPD than male non-smokers.The study relied on self-reported information and didn't include possible influences like hormonal changes, environmental pollution, or workplace exposure, which may affect COPD risk. However, the authors argue that the findings suggest smoking alone doesn't fully explain the higher rates of COPD in women.'If women were simply more sensitive to tobacco smoke, we wouldn't see such high COPD rates among those who never smoked,' the researchers noted.They conclude that the burden of COPD in women has been underestimated and call for better efforts to prevent, diagnose, and treat the disease in women, regardless of smoking history.
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