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Construction of China cardiovascular health index
Yingying Jiang1, Fan Mao1, Yichong Li2
1National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 27 Nanwei Road, Xicheng District, Beijing, 100050, China.
Insights
China developed the China Cardiovascular Health Index (CHI) to monitor cardiovascular disease (CVD) burden and risk factors. This comprehensive index aids in evaluating and improving population cardiovascular health across China.
Area of Science:
- Public Health
- Epidemiology
- Health Systems Research
Background:
- Cardiovascular disease (CVD) is a leading cause of death globally and presents a growing burden in China.
- Effective monitoring and evaluation are crucial for managing the increasing CVD disease burden in China.
Purpose of the Study:
- To construct a population cardiovascular health index for China to monitor and evaluate CVD.
- To provide evidence-based insights for improving cardiovascular health in the Chinese population.
Main Methods:
- Multi-source data collection.
- Development of the China Cardiovascular Health Index (CHI) utilizing literature review, surveys, Delphi method, and Analytical Hierarchy Process (AHP).
Main Results:
- The China CHI system comprises 52 indices across 5 dimensions: CVD prevalence, risk factor exposure, risk factor prevention/control, treatment, and public health capacity.
- The highest weighted dimension was prevention and control of risk factors (0.3656), followed by CVD prevalence status (0.2070).
Conclusions:
- The China CHI serves as a comprehensive system to aid in controlling the prevalence of CVD.
- Future efforts should focus on enhancing CVD monitoring and leveraging big data for improved index accuracy and utility in CVD control.
Background:
Cardiovascular disease (CVD) is not only the primary cause of death in developed western countries, but also its disease burden is increasing in China. The purpose of constructing population cardiovascular health index is to monitor, compare and evaluate disease burden, influencing factors and prevention and control levels of Chinese population cardiovascular disease in order to provide evidence to improve population cardiovascular health.
Methods:
This study collected multi-source data and constructed China Cardiovascular Health Index (CHI) using literature review, questionnaire surveys, Delphi method and Analytical Hierarchy Process (AHP) model.
Results:
China CHI system included 52 indices of 5 dimensions, which were prevalence status of CVD, exposure of risk factors, prevention and control of risk factors, treatment situation and public health policy and service ability. The weights of 5 dimensions from high to low were successively prevention and control of risk factors 0.3656, prevalence status of CVD 0.2070, treatment situation 0.1812, public health policy and service ability 0.1458, and exposure of risk factors 0.1004.
Conclusion:
China CHI is a comprehensive evaluation system raised to effectively control the prevalence of CVD. In the future, we should strengthen and improve CVD monitoring and big data usage, to ensure these indices to reflect the practical situations and to become utility of controlling CVD.
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