Abstract:
Objective To describe the characteristics of risk factors and the usage of prevention drugs for cardiovascular diseases (CVD) among adult residents in Northeastern China and to provide evidence data for developing strategies on precise prevention and control of cardiovascular diseases.
Methods From the dataset of Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) conducted across China from 2014 to 2019, we extracted the data on 414 346 permanent residents aged 35 – 75 years in 26 county-level regions in 3 northeastern provinces of China. The overall and age-, sex-, geographic region-, and socioeconomic status-specific ratio of people at high of CVD risk were calculated for the participants. Multivariate mixed model was adopted to assess associations of individual characteristics with CVD risk factors. The usage of statins and aspirin recommended in China′s national guidelines for CVD prevention was also analyzed to evaluate CVD preventive medication among the participants at high CVD risk.
Results Of all the participants, 8.9% were identified as individuals at high risk of CVD, and the ratio was relatively higher among the male and rural participants. Mixed model analysis revealed that the participants with higher education, being married and with medical insurance were less likely to be at high risk of CVD but those with an annual household income of 50 000 Yuan RMB were more likely to be at high risk of CVD. Of the participants with high CVD risk, only 0.4% reported taking both statins and aspirin currently.
Conclusion Among the 35 – 75 years old permanent residents in Northern China, nearly 9% are individuals at high risk of cardiovascular diseases; whereas, less than 1% of the high risk individuals have current medication of statins and aspirin recommended by national guidelines for cardiovascular disease prevention, suggesting that relevant interventions should be promoted among the high risk population for the prevention of the diseases.
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