Prediction of 10-vear risk for ischemic cardiovascular disease in adults aged ≥ 35 years in China
10.3760/cma.j.issn.0254-6450.2016.05.021
- VernacularTitle:中国35岁及以上人群缺血性心血管病10年发病风险预测
- Author:
Mei ZHANG
1
;
Zhengjing HUANG
;
Yichong LI
;
Limin WANG
;
Yong JIANG
;
Wenhua ZHAO
Author Information
1. 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室
- Keywords:
Ischemic cardiovascular disease;
Risk evaluation
- From:
Chinese Journal of Epidemiology
2016;37(5):689-693
- CountryChina
- Language:Chinese
-
Abstract:
Objective To estimate the 10-year risk for ischemic cardiovascular disease (ICVD) in adults aged ≥35 years.Methods In 2010,we conducted a cross sectional survey among 98 712 adults aged ≥ 18 years selected through using multi-stage stratified cluster random sampling,and 67 214 adults without ICVD history and aged ≥35 years were recruited as study subjects.Their information on cardiovascular disease history and related behavior risk factors,including smoking,hypertension and diabetes diagnosis history were collected through face-to-face questionnaire interview,health examination and laboratory detection.The 10-year risk for ICVD in this group was evaluated according to the China 10-year risk for ICVD score tables.Results The average score and 10-year risk for ICVD in the adults aged ≥35 years were 5.1 (95%CI:4.9-5.2) and 4.2% (95%CI:4.0%-4.4%),respectively.A total of 8.5% of the adults aged ≥35 years had high 10-year risk for ICVD (95%CI:7.8%-9.2%).This proportion was 12.1% for males (95%CI:11.1%-13.0%) and 4.9% for females (95%CI:4.4%-5.5%) (P<0.05),8.8% for those living in rural areas (95%CI:7.8%-9.7%) and 8.1% for those living in urban areas (95%CI:7.2%-8.9%)(P<0.05).About 19.1% and 72.4% of adults had middle and low 10-year risk for ICVD,respectively (95% CI:18.2%-20.0%,95% CI:70.9%-73.9%).The proportion of the adults with high and middle risk for ICVD in 10 years was higher among those with lower educational level or with lower income level (P<0.05).Conclusion About 8.5% of the adults aged ≥35 years in China have high 10-year risk for ICVD.Being male,living in rural area,with lower education or lower income levels were related with the higher 10-year risk for ICVD.