Trends and regional variations in chronic diseases and their risk factors in China: an observational study based on National Health Service Surveys

被引:20
作者
Xue, Long [1 ]
Cai, Min [2 ]
Liu, Qinqin [2 ]
Ying, Xiaohua [3 ]
Wu, Shiyong [2 ]
机构
[1] Fudan Univ, Huashan Hosp, Shanghai, Peoples R China
[2] Natl Hlth Commiss, Ctr Hlth Stat & Informat, 1 Xizhimen Wai Nan Lu, Beijing, Peoples R China
[3] Fudan Univ, Sch Publ Hlth, 138 Med Coll Rd, Shanghai, Peoples R China
关键词
NCDs; Hypertension; Diabetes; Prevalence; Variation; HYPERTENSION PREVALENCE; AWARENESS; BURDEN;
D O I
10.1186/s12939-023-01910-w
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundOver the past 25 years, the spectrum of diseases in China has rapidly changed from infectious to non-communicable diseases (NCDs). This study aimed to identify the prevalence of chronic diseases over the past 25 years in China and estimate the trends and changes in risk factors related to NCDs.MethodsWe conducted a descriptive analysis based on the National Health Service Survey (NHSS) from 1993 to 2018. The survey year (in parentheses) and its respective number of respondents were (1993) 215,163; (1998) 216,101; (2003) 193,689; (2008) 177,501; (2013) 273,688; and (2018) 256,304. In each survey, approximately half the participants were male. In addition, we estimated the trends in the prevalence and risk factors of NCDs from 1993 to 2018 and described their coefficient of variation in the provisions.ResultsThe prevalence of NCDs has risen rapidly, from 17.0% in 1993 to 34.3% 2018. Hypertension and diabetes were the two main NCDs accounting for 53.3% in 2018. Similarly, the prevalence of hypertension and diabetes have also increased rapidly, increasing 15.1 and 27.0 times respectively from 1993 to 2018. Moreover, from 1993 to 2018, the proportion of smoking decreased from 32.0% to 24.7%, and the proportion of drinking and physical activity increased from 18.4% and 8.0% to 27.6% and 49.9%, respectively. The proportion of obesity increased from 5.4% in 2013 to 9.5% in 2018. The prevalence of NCDs in rural areas (35.2%) in 2018 was slightly higher than that in urban areas (33.5%). Changes in the prevalence of NCDs in rural were larger than those in urban. However, from 2013 to 2018, the provincial gaps for these metrics narrowed, except for that of smoking (Coefficient of Variation from 0.14 to 0.16).ConclusionsThe prevalence of NCDs increased rapidly in China and was similar in urban and rural areas in 2018. Two key risk factors (drinking and obesity) increased in prevalence, while the other two (smoking and physical inactivity) decreased. These results indicate that China is facing considerable challenges in curbing chronic diseases to achieve the United Nations Sustainable Development Goals or the Healthy China 2030 goals. The government should take more active measures to change unhealthy lifestyles, improve efficiency in risk factor management, and pay more attention and allocate more health resources to rural areas.
引用
收藏
页数:10
相关论文
共 50 条
[41]   Common risk factors for chronic non-communicable diseases among older adults in China, Ghana, Mexico, India, Russia and South Africa: the study on global AGEing and adult health (SAGE) wave 1 [J].
Wu, Fan ;
Guo, Yanfei ;
Chatterji, Somnath ;
Zheng, Yang ;
Naidoo, Nirmala ;
Jiang, Yong ;
Biritwum, Richard ;
Yawson, Alfred ;
Minicuci, Nadia ;
Salinas-Rodriguez, Aaron ;
Manrique-Espinoza, Betty ;
Maximova, Tamara ;
Peltzer, Karl ;
Phaswanamafuya, Nancy ;
Snodgrass, James J. ;
Thiele, Elizabeth ;
Ng, Nawi ;
Kowal, Paul .
BMC PUBLIC HEALTH, 2015, 15
[42]   Health risk of air pollution on people living with major chronic diseases: a Canadian population-based study [J].
To, Teresa ;
Feldman, Laura ;
Simatovic, Jacqueline ;
Gershon, Andrea S. ;
Dell, Sharon ;
Su, Jiandong ;
Foty, Richard ;
Licskai, Christopher .
BMJ OPEN, 2015, 5 (09)
[43]   Effect Modification of Hyperuricemia, Cardiovascular Risk, and Age on Chronic Kidney Disease in China: A Cross-Sectional Study Based on the China Health and Nutrition Survey Cohort [J].
Li, Yang ;
Zhu, Bowen ;
Xie, Yeqing ;
Jin, Shi ;
Zhou, Weiran ;
Fang, Yi ;
Ding, Xiaoqiang .
FRONTIERS IN CARDIOVASCULAR MEDICINE, 2022, 9
[44]   Global, regional, and national burden of atrial fibrillation/flutter attributable to metabolic, behavioral, and environmental risk factors, 1990-2021: a longitudinal observational study [J].
Wei, Zhen ;
Wang, Qi ;
Jia, Hong-Ling .
FRONTIERS IN NUTRITION, 2025, 12
[45]   Trends in Behavioral and Biological Non-Communicable Diseases Risk Factors among Adults in Mongolia: Results from National Cross-Sectional Surveys in 2005, 2009, 2013 and 2019 [J].
Pengpid, Supa ;
Peltzer, Karl .
IRANIAN JOURNAL OF PUBLIC HEALTH, 2023, 52 (07) :1447-1456
[46]   Prevalence of and risk factors associated with chronic opioid use after traumatic injury: A historical cohort study using the Korean National Health Insurance Service sample cohort data [J].
Kim, Kun Hyung ;
Macleod, David ;
Cho, Hyunmin ;
Kim, Seon Hee .
MEDICINE, 2024, 103 (48) :e40664
[47]   Behavioural and biological risk factors of non-communicable diseases among adults in Cabo Verde: a repeated cross-sectional study of the 2007 and 2020 national community-based surveys [J].
Pengpid, Supa ;
Peltzer, Karl .
BMJ OPEN, 2023, 13 (08)
[48]   Identifying Risk Factors and Health Concerns Associated With Chronic Low Back Pain Among Northern Indians: A Community-based Study [J].
Bansal, Dipika ;
Favas, K. T. Muhammed ;
Bharti, Saroj Kundan ;
Ghai, Babita .
PAIN PHYSICIAN, 2023, 26 (05) :E549-E556
[49]   Factors associated with the uptake of national essential public health service package for hypertension and type-2 diabetes management in China?s primary health care system: a mixed- methods study [J].
Xiong, Shangzhi ;
Jiang, Wei ;
Meng, Ruilin ;
Hu, Chi ;
Liao, Hui ;
Wang, Yongchen ;
Cai, Chang ;
Zhang, Xinyi ;
Ye, Pengpeng ;
Ma, Yanqiuzi ;
Liu, Tingzhuo ;
Peng, Dandan ;
Yang, Jiajuan ;
Gong, Li ;
Wang, Qiujun ;
Peiris, David ;
Mao, Limin ;
Tian, Maoyi .
LANCET REGIONAL HEALTH-WESTERN PACIFIC, 2023, 31
[50]   Risk Factors of Chronic Kidney Disease in Chronic Hepatitis B: A Hospital-based Case-control Study from China [J].
Liu, Yunqi ;
Wang, Ximei ;
Xu, Fuping ;
Li, Dengren ;
Yang, Huimin ;
Sun, Nan ;
Fan, Yu-Chen ;
Yang, Xiangdong .
JOURNAL OF CLINICAL AND TRANSLATIONAL HEPATOLOGY, 2022, 10 (02) :238-246