1. Risk Factors of Premature Atherosclerotic Cardiovascular Disease in China: A Longitudinal Analysis of the China Health and Nutrition Survey Cohort.
- Author
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Ding, Yihong, Zhou, Yifan, Han, Hui, Chen, Chen, and Tarasenko, Yelena
- Subjects
FAMILIES & psychology ,OBESITY complications ,ATHEROSCLEROSIS risk factors ,RISK assessment ,INCOME ,FOOD consumption ,PROBABILITY theory ,HYPERTENSION ,HEALTH insurance ,QUESTIONNAIRES ,INTERVIEWING ,KRUSKAL-Wallis Test ,RESIDENTIAL patterns ,SEX distribution ,CHI-squared test ,MULTIVARIATE analysis ,DIETARY fats ,AGE factors in disease ,RESEARCH bias ,LONGITUDINAL method ,WAIST circumference ,STATISTICS ,DIETARY carbohydrates ,DATA analysis software ,SOCIODEMOGRAPHIC factors ,CONFIDENCE intervals ,ALCOHOL drinking ,URBANIZATION ,PATIENT aftercare ,PROPORTIONAL hazards models ,REGRESSION analysis ,EDUCATIONAL attainment ,PHYSICAL activity ,DISEASE complications - Abstract
The burden of premature atherosclerotic cardiovascular disease (ASCVD) has increased rapidly in China. Using the China Health and Nutrition Survey (CHNS) data, we assessed the risk factors of premature ASCVD (age of diagnosis: <55 years for men and <65 years for women). Propensity score matching was used to reduce selection bias. Multivariable Cox proportional-hazards analyses indicated that factors associated with increased risk of premature ASCVD included hypertension (adjusted hazard ratio [HR
adj. ] = 1.68), obesity (HRadj. = 1.64), and high carbohydrate intake (HRadj. = 1.46). Conversely, participants with medical insurance (HRadj. = 0.42), high urbanization index (HRadj. = 0.53), and high household income (HRadj. = 0.48) had lower risk of premature ASCVD. When comparing premature vs non-premature ASCVD participants, those who were obese (HRadj. = 2.08) or living in more urbanized areas had higher hazards of early onset (HRadj. = 2.29). [ABSTRACT FROM AUTHOR]- Published
- 2024
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