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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

Authors :
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
Source :
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Publication Year :
2017
Publisher :
John Wiley and Sons Inc., 2017.

Abstract

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 P trend =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.

Details

Language :
English
ISSN :
20479980
Volume :
6
Issue :
2
Database :
OpenAIRE
Journal :
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Accession number :
edsair.doi.dedup.....bb9de3158a91f63158b7eccf88c975a6