Geographic Variations in the Prevalence,Awareness,Treatment,and Control of Dyslipidemia among Chinese Adults in 2018–2019:A Cross-sectional Study

作     者：ZHANG Mei PENG Ke ZHANG Xiao LIU Yi Shu LIU Xiao Ying HAN Gui Yuan SHI Yu HUANG Zheng Jing LI Chun ZHAO Zhen Ping WANG Li Min LI Yi Chong 

作者机构：National Center for Chronic and Non-communicable Disease Control and PreventionChinese Center for Disease Control and PreventionBeijing 100050China National Clinical Research Center for Cardiovascular DiseasesShenzhenFuwai Hospital Chinese Academy of Medical SciencesShenzhen 518057GuangdongChina The George Institute for Global Health2042New South WalesAustralia School of Medical ScienceFaculty of Medicine and HealthUniversity of Sydney2006New South WalesAustralia 

出 版 物：《Biomedical and Environmental Sciences》 (生物医学与环境科学（英文版）)

年 卷 期：2023年第36卷第4期

页      面：313-323页

核心收录：

学科分类：0830[工学-环境科学与工程（可授工学、理学、农学学位）] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 10[医学] 

基　　金：supported by National Key R&D Program of China[2018YFC1311702,2018YFC1311706] the Chinese central government[key project of public health program] the Fund of"Sanming"Project of Medicine in Shenzhen[SZSM201811096] Young Talent Program of the Academician Fund Fuwai Hospital Chinese Academy of Medical Sciences,Shenzhen[YS-2020-006]。 

主　　题：Lipids management Dyslipidemia Public health Chinese 

摘      要：Objective To investigate the spatial patterns of the prevalence,awareness,treatment,and control rates of dyslipidemia at the provincial level in China.Methods A national and provincial representative cross-sectional survey was conducted among 178,558 Chinese adults in 31 provinces in China s Mainland in 2018–2019,using a multi-stage,stratified,cluster-randomized sampling design.Subjects,as households,were selected,followed by a home visit to collect information.Both descriptive and linear regression procedures were applied in the analyses.Results The overall prevalence of dyslipidemia was 35.6%,and wide geographic variations of prevalence,treatment,and control rates of dyslipidemia were identified among 178,558 eligible participants with a mean age of 55.1±13.8 years.The highest-lowest difference regarding the provincial level prevalence rates were 19.7%vs.2.1%for high low-density lipoprotein cholesterol,16.7%vs.2.5%for high total cholesterol,35.9%vs.5.4%for high triglycerides,and 31.4%vs.10.5%for low high-density lipoprotein cholesterol.The treatment rate of dyslipidemia was correlated with the socio-demographic index(P0.001),urbanization rate(P=0.01),and affordable basic technologies and essential medicines(P0.001).Conclusion Prevailing dyslipidemia among the Chinese population and its wide geographic variations in prevalence,treatment,and control suggest that China needs both integrated and localized public health strategies across provinces to improve lipid management.