Cardiovascular Diseases and Risk‐Factor Burden in Urban and Rural Communities in High‐, Middle‐, and Low‐Income Regions of China: A Large Community‐Based Epidemiological Study

نویسندگان

  • Ruohua Yan
  • Wei Li
  • Lu Yin
  • Yang Wang
  • Jian Bo
  • Lisheng Liu
  • Bing Liu
  • Bo Hu
  • Chunming Chen
  • Jin Guo
  • Hongye Zhang
  • Hui Chen
  • Jian Li
  • Juan Li
  • Jun Yang
  • Kean Wang
  • Li Zhang
  • Qing Deng
  • Bing Ren
  • Tao Chen
  • Tao Xu
  • Wei Wang
  • Wenhua Zhao
  • Xiaohong Chang
  • Xiaoru Cheng
  • Xinye He
  • Xixin Hou
  • Xingyu Wang
  • Xiulin Bai
  • Xiuwen Zhao
  • Xu Liu
  • Xuan Jia
  • Yi Sun
  • Yi Zhai
  • Dong Li
  • Di Chen
  • Hui Jin
  • Jiwen Tian
  • Yumin Ma
  • Yindong Li
  • Chao He
  • Kai You
  • Songjian Zhang
  • Xiuzhen Tian
  • Xu Xu
  • Jinling Di
  • Jianquan Wu
  • Mei Wang
  • Qiang Zhou
  • Shiying Zhang
  • Aiying Han
  • Minzhi Cao
  • Jianfang Wu
  • Weiping Jiang
  • Deren Qiang
  • Jing Qin
  • Shan Qian
  • Suyi Shi
  • Yihong Zhou
  • Zhenzhen Qian
  • Zhengrong Liu
  • Changlin Dong
  • Ming Wan
  • Jun Li
  • Jinhua Tang
  • Yongzhen Mo
  • Rongwen Bian
  • Qinglin Lou
  • Rensheng Lei
  • Lihua Hu
  • Shuwei Xiong
  • Yan Zhong
  • Ning Li
  • Xincheng Tang
  • Shuli Ye
  • Yu Liu
  • Chunyi Li
  • Yujin Li
  • Minfan Fu
  • Qiuyuan Wang
  • Xiaoli Fu
  • Xiaojie Xing
  • Baoxia Guo
  • Huilian Feng
  • Lihui Xu
  • Yuqing Yang
  • Haibin Ma
  • Ruiqi Wu
  • Yali Wang
  • Xiaolan Ma
  • Hongze Liu
  • Yurong Ma
  • Xiaoyang Liao
  • Bo Yuan
  • Qian Zhao
  • Guofan Xu
  • Hui He
  • Jiankang Liu
  • Xin Wang
  • Ming Chen
  • Wenqing Deng
  • Fanghong Lu
  • Zhendong Liu
  • Hua Zhang
  • Shangwen Sun
  • Shujian Wang
  • Yingxin Zhao
  • Yutao Diao
  • Xuezheng Shi
  • Debin Ren
  • Chuanrui Wei
  • Liangqing Zhang
  • Jufang Wang
  • Lianghou Fan
  • Guoqin Liu
  • Yan Hou
  • Cuiying Wu
  • Guilan Ma
  • Hua Wei
  • Junying Wang
  • Xiongfei Bao
  • Yue Tang
  • Tianlu Liu
  • Yahong Zhi
  • Peng Zhang
  • Ailing Wang
  • Huijuan Wang
  • Jianna Liu
  • Qinzhou Liu
  • Rong Wang
  • Jianguo Wu
  • Aideer Aili
  • Ayoufumiti Wula
  • Aibi Bula
  • Dongmei Yang
  • Qian Wen
  • Yize Xiao
  • Qingping Shi
  • Ying Shao
  • Jing He
  • Kehua Li
  • Wuba Bai
  • Jinkui Yang
  • Yunchun Jiang
  • Huaxing Liu
  • Shunyun Yang
چکیده

BACKGROUND Most cardiovascular diseases occur in low- and middle-income regions of the world, but the socioeconomic distribution within China remains unclear. Our study aims to investigate whether the prevalence of cardiovascular diseases differs among high-, middle-, and low-income regions of China and to explore the reasons for the disparities. METHODS AND RESULTS We enrolled 46 285 individuals from 115 urban and rural communities in 12 provinces across China between 2005 and 2009. We recorded their medical histories of cardiovascular diseases and calculated the INTERHEART Risk Score for the assessment of cardiovascular risk-factor burden, with higher scores indicating greater burden. The mean INTERHEART Risk Score was higher in high- and middle-income regions than in low-income regions (9.47, 9.48, and 8.58, respectively, P<0.0001). By contrast, the prevalence of total cardiovascular disease (stroke, ischemic heart disease, and other heart diseases that led to hospitalization) was lower in high- and middle-income regions than in low-income regions (7.46%, 7.42%, and 8.36%, respectively, Ptrend=0.0064). In high- and middle-income regions, urban communities have higher INTERHEART Risk Score and higher prevalent rate than rural communities. In low-income regions, however, the prevalence of total cardiovascular disease was similar between urban and rural areas despite the significantly higher INTERHEART Risk Score for urban settings. CONCLUSIONS We detected an inverse trend between risk-factor burden and cardiovascular disease prevalence in urban and rural communities in high-, middle-, and low-income regions of China. Such asymmetry may be attributed to the interregional differences in residents' awareness, quality of healthcare, and availability and affordability of medical services.

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عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2017