Background:Understanding willingness to undergo pulmonary function tests(PFTs)and the factors associated with poor uptake of PFTs is crucial for improving early detection and treatment of chronic obstructive pulmonary disease(COPD).This study aimed to understand willingness to undergo PFTs among high-risk populations and identify any barriers that may contribute to low uptake of PFTs. Methods:We collected data from participants in the"Happy Breathing Program"in China.Participants who did not follow physicians'recommendations to undergo PFTs were invited to complete a survey regarding their willingness to undergo PFTs and their reasons for not undergoing PFTs.We estimated the proportion of participants who were willing to undergo PFTs and exam-ined the various reasons for participants to not undergo PFTs.We conducted univariable and multivariable logistic regressions to analyze the impact of individual-level factors on willingness to undergo PFTs. Results:A total of 8475 participants who had completed the survey on willingness to undergo PFTs were included in this study.Out of these participants,7660(90.4％)were willing to undergo PFTs.Among those who were willing to undergo PFTs but actually did not,the main reasons for not doing so were geographical inaccessibility(n=3304,43.1％)and a lack of trust in primary healthcare institutions(n=2809,36.7％).Among the 815 participants who were unwilling to undergo PFTs,over half(n=447,54.8％)believed that they did not have health problems and would only consider PFTs when they felt unwell.In the multivariable regression,individuals who were ≤54 years old,residing in rural townships,with a secondary educational level,with medical reimbursement,still working,with occupational exposure to dust,and aware of the abbreviation"COPD"were more willing to undergo PFTs. Conclusions:Willingness to undergo PFTs was high among high-risk populations.Policymakers may consider implementing strategies such as providing financial incentives,promoting education,and establishing community-based programs to enhance the utilization of PFTs.
Weiran Qi;Jieping Lei;Xu Chu;Zilin Li;Pascal Geldsetzer;Till Bärnighausen;Simiao Chen;Ting Yang;Chen Wang;Ke Huang;Qiushi Chen;Lirui Jiao;Fengyun Yu;Yiwen Yu;Hongtao Niu;Wei Li;Fang Fang
Department of Health Economics and Health Policy,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,ChinaData and Project Management Unit,Institute of Clinical Medical Sciences,China-Japan Friendship Hospital,Beijing 100029,ChinaDepartment of Pulmonary and Critical Care Medicine,National Center for Respiratory Medicine,State Key Laboratory of Respiratory Health and Multimorbidity,National Clinical Research Center for Respiratory Diseases||Institute of Respiratory Medicine,Chinese Academy of Medical Sciences,Center of Respiratory Medicine,China-Japan Friendship Hospital,Beijing 100029,ChinaDepartment of Statistics,School of Mathematics and Statistics,Northeast Normal University,Changchun,Jilin 130024,ChinaChan Zuckerberg Biohub,Stanford University School of Medicine,San Francisco,CA 94158,USA||Division of Primary Care and Population Health,Department of Medicine,Stanford University School of Medicine,Stanford,CA 94305,USADepartment of Health Economics and Health Policy,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China||Heidelberg Institute of Global Health(HIGH),Faculty of Medicine and University Hospital,Heidelberg University,Heidelberg 69120,Germany||Harvard Center for Population and Development Studies,Harvard T.H.Chan School of Public Health,Harvard University,Cambridge,MA 02138,USADepartment of Health Economics and Health Policy,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China||Heidelberg Institute of Global Health(HIGH),Faculty of Medicine and University Hospital,Heidelberg University,Heidelberg 69120,GermanyDepartment of Health Economics and Health Policy,School of Population Medicine and Public Health,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China||Department of Pulmonary and Critical Care Medicine,National Center for Respiratory Medicine,State Key Laboratory of Respiratory Health and Multimorbidity,National Clinical Research Center for Respiratory Diseases||Institute of Respiratory Medicine,Chinese Academy of Medical Sciences,Center of Respiratory Medicine,China-Japan Friendship Hospital,Beijing 100029,ChinaThe Harold and Inge Marcus Department of Industrial and Manufacturing Engineering,The Pennsylvania State University,University Park,PA 16802,USADepartment of Health Policy and Management,Gillings School of Global Public Health,University of North Carolina at Chapel Hill,Chapel Hill,NC 27516,USAHeidelberg Institute of Global Health(HIGH),Faculty of Medicine and University Hospital,Heidelberg University,Heidelberg 69120,GermanyAdministration Office of Medical Reform and Development,China-Japan Friendship Hospital,Beijing 100029,China
Chronic obstructive pulmonary disease;Pulmonary function tests;Willingness to undergo pulmonary function tests;Population medicine
《中华医学杂志（英文版）》 2024 (014)
1695-1704 / 10
This research received funding from the Strategic Research and Consulting Project of the Chinese Academy of Engi-neering(No.2022-XBZD-14)and funding from the CAMS Innovation Fund for Medical Sciences(CIFMS)(No.2021-I2M-1-049).
10.1097/CM9.0000000000003121
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