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. Issue 2 (February 2017)

• Record Type: Journal Article
• Authors: Yan, Ruohua; Li, Wei; Yin, Lu; Wang, Yang; Bo, Jian
• Other Names: Liu Lisheng investigator.; Liu Bing investigator.; Hu Bo investigator.; Chen Chunming investigator.; Guo Jin investigator.; Zhang Hongye investigator.; Chen Hui investigator.; Li Jian investigator.; Li Juan investigator.; Yang Jun investigator.; Wang Kean investigator.; Zhang Li investigator.; Deng Qing investigator.; Ren Bing investigator.; Chen Tao investigator.; Xu Tao investigator.; Wang Wei investigator.; Zhao Wenhua investigator.; Chang Xiaohong investigator.; Cheng Xiaoru investigator.; He Xinye investigator.; Hou Xixin investigator.; Wang Xingyu investigator.; Bai Xiulin investigator.; Zhao Xiuwen investigator.; Liu Xu investigator.; Jia Xuan investigator.; Sun Yi investigator.; Zhai Yi investigator.; Li Dong investigator.; Chen Di investigator.; Jin Hui investigator.; Tian Jiwen investigator.; Ma Yumin investigator.; Li Yindong investigator.; He Chao investigator.; You Kai investigator.; Zhang Songjian investigator.; Tian Xiuzhen investigator.; Xu Xu investigator.; Di Jinling investigator.; Wu Jianquan investigator.; Wang Mei investigator.; Zhou Qiang investigator.; Zhang Shiying investigator.; Han Aiying investigator.; Cao Minzhi investigator.; Wu Jianfang investigator.; Jiang Weiping investigator.; Qiang Deren investigator.; Qin Jing investigator.; Qian Shan investigator.; Shi Suyi investigator.; Zhou Yihong investigator.; Qian Zhenzhen investigator.; Liu Zhengrong investigator.; Dong Changlin investigator.; Wan Ming investigator.; Li Jun investigator.; Tang Jinhua investigator.; Mo Yongzhen investigator.; Bian Rongwen investigator.; Lou Qinglin investigator.; Lei Rensheng investigator.; Hu Lihua investigator.; Xiong Shuwei investigator.; Zhong Yan investigator.; Li Ning investigator.; Tang Xincheng investigator.; Ye Shuli investigator.; Liu Yu investigator.; Li Chunyi investigator.; Li Yujin investigator.; Fu Minfan investigator.; Wang Qiuyuan investigator.; Fu Xiaoli investigator.; Xing Xiaojie investigator.; Guo Baoxia investigator.; Feng Huilian investigator.; Xu Lihui investigator.; Yang Yuqing investigator.; Ma Haibin investigator.; Wu Ruiqi investigator.; Wang Yali investigator.; Ma Xiaolan investigator.; Liu Hongze investigator.; Ma Yurong investigator.; Liao Xiaoyang investigator.; Yuan Bo investigator.; Zhao Qian investigator.; Xu Guofan investigator.; He Hui investigator.; Liu Jiankang investigator.; Wang Xin investigator.; Chen Ming investigator.; Deng Wenqing investigator.; Lu Fanghong investigator.; Liu Zhendong investigator.; Zhang Hua investigator.; Sun Shangwen investigator.; Wang Shujian investigator.; Zhao Yingxin investigator.; Diao Yutao investigator.; Shi Xuezheng investigator.; Ren Debin investigator.; Wei Chuanrui investigator.; Zhang Liangqing investigator.; Wang Jufang investigator.; Fan Lianghou investigator.; Liu Guoqin investigator.; Hou Yan investigator.; Wu Cuiying investigator.; Ma Guilan investigator.; Wei Hua investigator.; Wang Junying investigator.; Bao Xiongfei investigator.; Tang Yue investigator.; Liu Tianlu investigator.; Zhi Yahong investigator.; Zhang Peng investigator.; Wang Ailing investigator.; Wang Huijuan investigator.; Liu Jianna investigator.; Liu Qinzhou investigator.; Wang Rong investigator.; Wu Jianguo investigator.; Aili Aideer investigator.; Wula Ayoufumiti investigator.; Bula Aibi investigator.; Yang Dongmei investigator.; Wen Qian investigator.; Xiao Yize investigator.; Shi Qingping investigator.; Shao Ying investigator.; He Jing investigator.; Li Kehua investigator.; Bai Wuba investigator.; Yang Jinkui investigator.; Jiang Yunchun investigator.; Liu Huaxing investigator.; Yang Shunyun investigator.;
• Is Part Of: Journal of the American Heart Association. Volume 6:Issue 2(2017)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2017-02
• Subjects: cardiovascular disease -- prevalence -- risk‐factor burden -- socioeconomic region -- urban and rural; Heart -- Diseases -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; Cerebrovascular disease -- Periodicals; Cardiology -- Periodicals; 616.1
• DOI: 10.1161/JAHA.116.004445
• Languages: English
• ISSNs: 2047-9980

Abstract

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 <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, 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.