The Association Between Stomach Disease and Chronic Obstructive Pulmonary Disease: A Cross–Sectional Analysis of the 2018 China Health and Retirement Longitudinal Study (CHARLS)

Purpose: Chronic obstructive pulmonary disease (COPD) has become a global epidemic and is the third leading cause of death worldwide. However, its diagnostic rate is low. Based on the 2018 wave of China Health and Retirement Longitudinal Study (CHARLS) database, this cross-sectional study aimed to investigate the association between stomach disease and COPD using a nationally representative sample. Patients and Methods: A total of 9119 CHARLS subjects were divided into COPD and non-COPD groups using the DA007_5 questionnaire. Both COPD and stomach disease were identified based on participants' self-reported physician diagnoses from the standardized CHARLS questionnaire. Baseline characteristics were compared between groups, and multivariate logistic regression analysis was used to analyze the association between stomach diseases and COPD. Receiver operating characteristic (ROC) curve assessment of Model 3's predictive capacity for COPD and stratified analysis verified correlation stability. Results: In baseline comparisons, multiple covariates differed significantly between COPD and non-COPD groups (p