Ideal cardiovascular health status and its association with socioeconomic factors in Chinese adults in Shandong, China

作者：Ren, J.; Guo, X. L.; Lu, Z. L.; Zhang, J. Y.; Tang, J. L.; Chen, X.; Gao, C. C.; Xu, C. X.; Xu, A. Q.^*

来源：BMC Public Health, 2016, 16(1): 942.

DOI：10.1186/s12889-016-3632-6

• Cardiovascular disease
• Ideal cardiovascular health metrics
• Socioeconomic status

Background: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the world. In 2010, a goal released by the American Heart Association (AHA) Committee focused on the primary reduction in cardiovascular risk.
Methods: Data collected from 7683 men and 7667 women aged 18-69 years were analyzed. The distribution of ideal cardiovascular health metrics based on 7 cardiovascular disease risk factors or health behaviors in according to the definition of AHA was evaluated among the subjects. The association of the socioeconomic factors on the prevalence of meeting 5 or more ideal cardiovascular health metrics was estimated by logistic regression analysis, and a chi-square test for categorical variables and the general linear model (GLM) procedure for continuous variables were used to compare differences in prevalence and in means among genders.
Results: Seven of 15350 participants (0.05 %) met all 7 cardiovascular health metrics. The women had a higher proportion of meeting 5 or more ideal health metrics compared with men (32.67 VS. 14.27 %). The subjects with a higher education and income level had a higher proportion of meeting 5 or more ideal health metrics than the subjects with a lower education and income level. A comparison between subjects with meeting 5 or more ideal cardiovascular health metrics with subjects meeting 4 or fewer ideal cardiovascular health metrics reveals that adjusted odds ratio [OR, 95 % confidence intervals (95 % CI)] was 1.42 (0.95, 2.21) in men and 2.59 (1.74, 3.87) in women for higher education and income, respectively.
Conclusions: The prevalence of meeting all 7 cardiovascular health metrics was low in the adult population. Women, young subjects, and those with higher levels of education or income tend to have a greater number of the ideal cardiovascular health metrics. Higher socioeconomic status was associated with an increasing prevalence of meeting 5 or more cardiovascular health metrics in women but not in men. It's urgent to develop comprehensive population-based interventions to improve the cardiovascular risk factors in Shandong Province in China.

• 出版日期2016-9-7
• 单位山东大学