[Epidemiological characteristics and influencing factors for high risk cardiovascular disease population in Jiangsu...

Area of Science:

• Public Health
• Epidemiology
• Cardiovascular Medicine

Background:

• Cardiovascular disease (CVD) poses a significant public health challenge globally.
• Identifying high-risk populations and their aggregation patterns is crucial for effective prevention.

Purpose of the Study:

• To investigate the prevalence and types of cardiovascular disease (CVD) risk factors in Jiangsu province.
• To analyze the aggregation of multiple CVD risk factors within the population.
• To identify factors influencing CVD risk and its aggregation for targeted interventions.

Main Methods:

• A large-scale investigation involving 120,211 participants in Jiangsu province.
• Data collection through questionnaires, physical examinations, and biochemical tests.
• Statistical analysis using chi-squared tests and multivariate logistic regression.

Main Results:

• The overall detection rate of high-risk cardiovascular disease (CVD) was 25.03%.
• Prevalence rates for hypertension, dyslipidemia, cardiovascular history, and WHO assessed risk ≥20% were 19.01%, 4.85%, 3.18%, and 5.31%, respectively.
• Male sex, rural residence, older age, lower education and income, drinking, central obesity, overweight, and obesity were significant risk factors (P<0.01).
• 74.01% had one risk factor, 22.91% had two, and 3.08% had three or more.
• The association between aggregated risk factors and age, rurality, education, and income strengthened with increased aggregation.

Conclusions:

• A significant portion of the Jiangsu population exhibits high cardiovascular disease (CVD) risk.
• Multiple risk factors aggregate, with prevalence increasing alongside age, rurality, education, and income.
• Targeted, cost-effective prevention and control strategies tailored to specific influencing factors are recommended for maximum impact.