Changes in Six-Month Prevalence of Circulatory System Diseases among People Aged 20 Years and Older between 2013 and 2018 in Hunan, China

Zhenzhen Rao, Junjie Hua, Ruotong Li, Yanhong Fu, Jie Li, Wangxin Xiao, Jieyi He and Guoqing Hu
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Zhenzhen Rao: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Junjie Hua: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Ruotong Li: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Yanhong Fu: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Jie Li: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Wangxin Xiao: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Jieyi He: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China
Guoqing Hu: Hunan Provincial Key Laboratory of Clinical Epidemiology, Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha 410078, China

IJERPH, 2021, vol. 18, issue 5, 1-11

Abstract: Recent changes in population-based prevalence for circulatory system diseases (CSDs) remain unreported either nationally or locally for China. Data were from the two-round health service household interview survey of Hunan Province, China, in 2013 and 2018. A Rao–Scott chi-square test was performed to examine prevalence differences across socio-demographic variables. The overall age-standardized prevalence of CSDs increased substantially between 2013 and 2018 for inhabitants aged 20 years and older (14.25% vs. 21.25%; adjusted odds ratio (OR) = 1.59, 95% CI: 1.24–2.04). Hypertensive disease was the most prevalent type of CSD, accounting for 87.24% and 83.83% of all CSDs in 2013 and in 2018, respectively. After controlling for other socio-demographic factors, the prevalence of CSDs was significantly higher in 2018 (adjusted OR = 1.40), urban residents (adjusted OR = 1.43), females (adjusted OR = 1.12) and older age groups (adjusted OR = 5.36 for 50–59 years, 9.51 for 60–69 years, 15.19 for 70–79 years, and 12.90 for 80 years and older) than in 2013, rural residents, males and the youngest age group (20–49 years). The recent increase in the overall age-standardized CSD prevalence and the large prevalence disparities across urban/rural residents, sex and age groups merit the attention of policymakers and researchers. Further prevention efforts are needed to curb the increasing tendency and to reduce the prevalence of disparities across socio-demographic groups.

Keywords: prevalence; circulatory system disease; household interview survey; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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