Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey

Objectives The study aimed to understand the composition, epidemiological characteristics and disease burden of chronic non-communicable diseases and to evaluate the association between sociodemographic factors and chronic non-communicable diseases.Design A cross-sectional study.Setting and particip...

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Main Authors: Lan Chen, Chunmei Zhang, Chunyan Zhao, Liang Zheng, Xingyi Chen, Meixuan Song
Format: Article
Language:English
Published: BMJ Publishing Group 2024-05-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/5/e081710.full
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author Lan Chen
Chunmei Zhang
Chunyan Zhao
Liang Zheng
Xingyi Chen
Meixuan Song
author_facet Lan Chen
Chunmei Zhang
Chunyan Zhao
Liang Zheng
Xingyi Chen
Meixuan Song
author_sort Lan Chen
collection DOAJ
description Objectives The study aimed to understand the composition, epidemiological characteristics and disease burden of chronic non-communicable diseases and to evaluate the association between sociodemographic factors and chronic non-communicable diseases.Design A cross-sectional study.Setting and participants Medical records of 196 761 residents were collected from Dongfang disease surveillance system from January to December 2021.Primary outcome Prevalence and disability burden were recorded. Logistic regression was used to investigate the relationship between sociodemography factors and diseases.Results Cardiovascular diseases, chronic lower respiratory diseases and other upper respiratory tract diseases were the main chronic non-communicable diseases. In multivariable analysis, men were associated with increased risk of cardiovascular diseases (OR=1.210, 95% CI 1.162 to 1.261) and chronic lower respiratory diseases (OR=1.128, 95% CI 1.079 to 1.180). Older age was associated with increased risk of cardiovascular diseases (OR=83.952, 95% CI 58.954 to 119.550), whereas was associated with decreased risk of chronic lower respiratory diseases (OR=0.442, 95% CI 0.415 to 0.471) and other upper respiratory tract diseases (OR=0.450, 95% CI 0.411 to 0.493). The unemployed and poor household were associated with decreased risk of cardiovascular diseases (OR=0.463, 95% CI 0.412 to 0.521 and OR=0.390, 95% CI 0.342 to 0.444, respectively), whereas were associated with increased risk of chronic lower respiratory diseases (OR=12.219, 95% CI 6.343 to 23.539 and OR=10.954, 95% CI 5.666 to 21.177, respectively) and other upper respiratory tract diseases (OR=2.246, 95% CI 1.719 to 2.936 and OR=3.035, 95% CI 2.308 to 3.991, respectively). Gender and age moderated the association between personnel category and major diseases.Conclusions The spectrum and epidemiological characteristics of chronic diseases observed in Dongfang is good evidence for developing prevention guides and health policies for region.
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spelling doaj-art-b0bbb792c4094228ac3ee3f7597d2e4a2025-08-20T03:40:17ZengBMJ Publishing GroupBMJ Open2044-60552024-05-0114510.1136/bmjopen-2023-081710Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional surveyLan Chen0Chunmei Zhang1Chunyan Zhao2Liang Zheng3Xingyi Chen4Meixuan Song53 Department of Internal Medicine, Dongfang People`s Hospital, Dongfang, Hainan, China1 Tianjin University of Traditional Chinese Medicine, Tianjin, China6 Department of Nursing, Tongji University Affilliated East Hospital, Shanghai, ChinaDepartment of Thyroid Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China5 Department of Medical, Tongji University Affilliated East Hospital, Shanghai, China1 Department of Nursing, Tongji University School of Medicine, Shanghai, ChinaObjectives The study aimed to understand the composition, epidemiological characteristics and disease burden of chronic non-communicable diseases and to evaluate the association between sociodemographic factors and chronic non-communicable diseases.Design A cross-sectional study.Setting and participants Medical records of 196 761 residents were collected from Dongfang disease surveillance system from January to December 2021.Primary outcome Prevalence and disability burden were recorded. Logistic regression was used to investigate the relationship between sociodemography factors and diseases.Results Cardiovascular diseases, chronic lower respiratory diseases and other upper respiratory tract diseases were the main chronic non-communicable diseases. In multivariable analysis, men were associated with increased risk of cardiovascular diseases (OR=1.210, 95% CI 1.162 to 1.261) and chronic lower respiratory diseases (OR=1.128, 95% CI 1.079 to 1.180). Older age was associated with increased risk of cardiovascular diseases (OR=83.952, 95% CI 58.954 to 119.550), whereas was associated with decreased risk of chronic lower respiratory diseases (OR=0.442, 95% CI 0.415 to 0.471) and other upper respiratory tract diseases (OR=0.450, 95% CI 0.411 to 0.493). The unemployed and poor household were associated with decreased risk of cardiovascular diseases (OR=0.463, 95% CI 0.412 to 0.521 and OR=0.390, 95% CI 0.342 to 0.444, respectively), whereas were associated with increased risk of chronic lower respiratory diseases (OR=12.219, 95% CI 6.343 to 23.539 and OR=10.954, 95% CI 5.666 to 21.177, respectively) and other upper respiratory tract diseases (OR=2.246, 95% CI 1.719 to 2.936 and OR=3.035, 95% CI 2.308 to 3.991, respectively). Gender and age moderated the association between personnel category and major diseases.Conclusions The spectrum and epidemiological characteristics of chronic diseases observed in Dongfang is good evidence for developing prevention guides and health policies for region.https://bmjopen.bmj.com/content/14/5/e081710.full
spellingShingle Lan Chen
Chunmei Zhang
Chunyan Zhao
Liang Zheng
Xingyi Chen
Meixuan Song
Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey
BMJ Open
title Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey
title_full Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey
title_fullStr Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey
title_full_unstemmed Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey
title_short Epidemiological characteristics of chronic non-communicable diseases in Dongfang, China, 2021: a cross-sectional survey
title_sort epidemiological characteristics of chronic non communicable diseases in dongfang china 2021 a cross sectional survey
url https://bmjopen.bmj.com/content/14/5/e081710.full
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