Object  To estimate ischemic cardiovascular disease (ICVD) risk in 10 years among residents aged 35 − 75 years in Fujian province for providing evidences to ICVD prevention and control.

  Methods  The study data were from a high ICVD risk screening and comprehensive intervention program conducted during 2017 − 2018 among 35 − 75 years residents (n = 69 880) recruited with convenient sampling at 6 districts/counties in Fujian province. Questionnaire interview, physical examination and laboratory detection were performed among the participants to collect ICVD risk-related information, including smoking, height, weight, waist circumference, blood pressure, blood sugar, and blood fat. The ICVD risk of the participants were evaluated based on their age, smoking, systolic blood pressure (SBP), body mass index (BMI), total cholesterol (TC), and diabetes using national approaches for 10-year ICVD risk assessment.

  Results  The average score for 10-year ICVD risk of the participants was 4.98 ± 3.61, and the median of absolute risk was 2.1 (25% quartile: 0.5, 75% quartile: 3.9). The proportion of the participants assessed as with high ICVD risk (absolute risk > 10%) was 11.4% (12.6% and 10.7% for male and female participants) and the proportions of those with moderate and low risk were 41.6% (45.2% and 39.2% for the males and the females) and 47.0% (42.2% and 50.2% for the males and the females), respectively. The 10-year ICVD risk increased with the increment of age among the participants. The proportion of the participants with high ICVD risk was higher for the subgroups with lower income, education and living in rural regions.

  Conclusion  For the 35 − 75 years old residents in Fujian province, 11.4% are assessed with a risk of greater than 10% for the incidence of ischemic cardiovascular disease during next 10 years, suggesting that targeted interventions should be conducted in the population, especially among male residents and those at elder age, with low income or education.