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Cardiovascular diseases and risk-factor burden in urban and rural communities in high-,middle-,and low-income regions of China: A large community-based epidemiological study
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نویسنده
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yan r. ,li w. ,yin l. ,wang y. ,bo j. ,liu l. ,liu b. ,hu b. ,chen c. ,guo j. ,zhang h. ,chen h. ,li j. ,li j. ,yang j. ,wang k. ,zhang l. ,deng q. ,ren b. ,chen t. ,xu t. ,wang w. ,zhao w. ,chang x. ,cheng x. ,he x. ,hou x. ,wang x. ,bai x. ,zhao x. ,liu x. ,jia x. ,sun y. ,zhai y. ,li d. ,chen d. ,jin h. ,tian j. ,ma y. ,li y. ,he c. ,you k. ,zhang s. ,tian x. ,xu x. ,di j. ,wu j. ,wang m. ,zhou q. ,zhang s. ,han a. ,cao m. ,wu j. ,jiang w. ,qiang d. ,qin j. ,qian s. ,shi s. ,zhou y. ,qian z. ,liu z. ,dong c. ,wan m. ,li j. ,tang j. ,mo y. ,bian r. ,lou q. ,lei r. ,hu l. ,xiong s. ,zhong y. ,li n. ,tang x. ,ye s. ,liu y. ,li c. ,li y. ,fu m. ,wang q. ,fu x. ,xing x. ,guo b. ,feng h. ,xu l. ,yang y. ,ma h. ,wu r. ,wang y. ,ma x. ,liu h. ,ma y. ,liao x. ,yuan b. ,zhao q. ,xu g. ,he h. ,liu j. ,wang x. ,chen m. ,deng w. ,lu f. ,liu z. ,zhang h. ,sun s. ,wang s. ,zhao y. ,diao y. ,shi x. ,ren d. ,wei c. ,zhang l. ,wang j. ,fan l. ,liu g. ,hou y. ,wu c. ,ma g. ,wei h. ,wang j. ,bao x. ,tang y. ,liu t. ,zhi y. ,zhang p. ,wang a. ,wang h. ,liu j. ,liu q. ,wang r. ,wu j. ,aili a. ,wula a. ,bula a. ,yang d. ,wen q. ,laiti r. ,xiao y. ,shi q. ,shao y. ,he j. ,li k. ,bai w. ,yang j. ,jiang y. ,liu h. ,yang s.
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منبع
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journal of the american heart association - 2017 - دوره : 6 - شماره : 2
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چکیده
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Background-most cardiovascular diseases occur in low- and middle-income regions of the world,but the socioeconomic distribution within china remains unclear. our study aims to investigate whether the prevalence of cardiovascular diseases differs among high-,middle-,and low-income regions of china and to explore the reasons for the disparities. methods and results-we enrolled 46 285 individuals from 115 urban and rural communities in 12 provinces across china between 2005 and 2009. we recorded their medical histories of cardiovascular diseases and calculated the interheart risk score for the assessment of cardiovascular risk-factor burden,with higher scores indicating greater burden. the mean interheart risk score was higher in high- and middle-income regions than in low-income regions (9.47,9.48,and 8.58,respectively,p < 0.0001). by contrast,the prevalence of total cardiovascular disease (stroke,ischemic heart disease,and other heart diseases that led to hospitalization) was lower in high- and middle-income regions than in low-income regions (7.46%,7.42%,and 8.36%,respectively,ptrend=0.0064). in high- and middle-income regions,urban communities have higher interheart risk score and higher prevalent rate than rural communities. in low-income regions,however,the prevalence of total cardiovascular disease was similar between urban and rural areas despite the significantly higher interheart risk score for urban settings. conclusions-we detected an inverse trend between risk-factor burden and cardiovascular disease prevalence in urban and rural communities in high-,middle-,and low-income regions of china. such asymmetry may be attributed to the interregional differences in residents' awareness,quality of healthcare,and availability and affordability of medical services. © 2017 the authors.
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کلیدواژه
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Cardiovascular disease; Prevalence; Risk-factor burden; Socioeconomic region; Urban and rural
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آدرس
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state key laboratory of cardiovascular disease,fuwai hospital,national center for cardiovascular diseases,chinese academy of medical sciences and peking union medical college,beijing, China, state key laboratory of cardiovascular disease,fuwai hospital,national center for cardiovascular diseases,chinese academy of medical sciences and peking union medical college,beijing,china,china coordination center beijing office, China, state key laboratory of cardiovascular disease,fuwai hospital,national center for cardiovascular diseases,chinese academy of medical sciences and peking union medical college,beijing, China, state key laboratory of cardiovascular disease,fuwai hospital,national center for cardiovascular diseases,chinese academy of medical sciences and peking union medical college,beijing,china,china coordination center beijing office, China, state key laboratory of cardiovascular disease,fuwai hospital,national center for cardiovascular diseases,chinese academy of medical sciences and peking union medical college,beijing,china,china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, china coordination center beijing office, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing, China, beijing,china,shandong province, China, beijing, China, inner mongolia autonomous region, China, inner mongolia autonomous region, China, inner mongolia autonomous region, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangsu province, China, jiangxi province, China, jiangxi province, China, jiangxi province, China, jiangxi province, China, jiangxi province, China, jiangxi province, China, jiangxi province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, liaoning province, China, qinghai province, China, qinghai province, China, qinghai province, China, qinghai province, China, qinghai province, China, qinghai province, China, qinghai province, China, sichuan province, China, sichuan province, China, sichuan province, China, sichuan province, China, sichuan province, China, sichuan province, China, sichuan province, China, sichuan province, China, sichuan province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shandong province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shanxi province, China, shaanxi province, China, shaanxi province, China, shaanxi province, China, shaanxi province, China, shaanxi province, China, shaanxi province, China, xinjiang uygur autonomous region, China, xinjiang uygur autonomous region, China, xinjiang uygur autonomous region, China, xinjiang uygur autonomous region, China, xinjiang uygur autonomous region, China, xinjiang uygur autonomous region, China, xinjiang uygur autonomous region, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China, yunnan province, China
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