Zhonghua Yu Fang Yi Xue Za Zhi. 2021 Nov 6;55(11):1280-1286. doi: 10.3760/cma.j.cn112150-20210822-00817.
To analyze the current situation of cardiovascular diseases and the exposure as well as control level of their risk factors in the Chinese residents. Based on the 2017 China Cardiovascular Health Index (hereafter referred to as CHI) study, data on the 29 indicators from three dimensions named as prevalence of cardiovascular disease, exposure to relevant risk factors, and prevention and control of risk factors of the 31 provinces in China (excluding Hong Kong, Macao and Taiwan) were obtained. To make a higher CHI score indicate better cardiovascular health levels, all the reverse metrics were firstly converted into positive metrics. Thenstandard normal conversion were adopted and a percentage score was assigned to each value according to its area proportion under the standard normal conversion distribution curve. Finally the scores of the three dimensions and the total CHI were calculated by weighted sum of these scores. Scores and ranks in each dimension were used to compare the performance in different provinces. Heilongjiang, Tibet, Jilin, Henan, Xinjiang had the lowest scores in the prevalence of cardiovascular disease. Tianjin, Hebei, Liaoning, Shanxi and Beijing had the lowest scores in the exposure to relevant risk factors. Hainan, Guizhou, Yunnan, Shaanxi and Guangxi had the lowest in the prevention and control of risk factors. In terms of behavioral risk factors, smoking rates, rate of insufficient physical activity, obesity rate of adults aged 18 in the 31 provinces in China excluding Hong Kong, Macao, Taiwan were 26.80% (25.15%, 29.25%), 17.80% (11.60%, 19.45%) and 12.00% (8.90%, 17.95%), respectively. The daily per capital salt intake level was 8.6 (8.2, 9.3) g. As for metabolic risk factors, the prevalence of dyslipidemia (33.7%) exceeded hypertension (26.0%) and diabetes (9.7%), while its awareness rate (14.5%), treatment rate (7.9%) and control rate (5.4%) were all below the corresponding levels of hypertension and diabetes. Risk factors of cardiovascular disease in China is relatively severe and the prevention and control of dyslipidemia needs to be further strengthened.
分析中国居民心血管疾病现状及其危险因素的暴露与控制水平。基于2017年中国心血管健康指数（以下简称CHI）研究，获取了中国31个省（不包括香港、澳门和台湾）在心血管疾病患病率、相关危险因素暴露情况以及危险因素防控三个维度的29项指标数据。为使CHI得分越高表明心血管健康水平越好，首先将所有逆向指标转换为正向指标。然后采用标准正态转换，并根据其在标准正态转换分布曲线下的面积比例为每个值赋予一个百分比得分。最后通过这些得分的加权求和计算三个维度的得分及总CHI得分。各维度的得分和排名用于比较不同省份的表现。黑龙江、西藏、吉林、河南、新疆在心血管疾病患病率方面得分最低。天津、河北、辽宁、山西和北京在相关危险因素暴露方面得分最低。海南、贵州、云南、陕西和广西在危险因素防控方面得分最低。在行为危险因素方面，中国31个省（不包括香港、澳门、台湾）18岁及以上成年人的吸烟率、身体活动不足率、肥胖率分别为26.80%（25.15%，29.25%）、17.80%（11.60%，19.45%）和12.00%（8.90%，17.95%）。人均每日盐摄入量为8.6（8.2，9.3）克。在代谢危险因素方面，血脂异常患病率（33.7%）超过高血压（26.0%）和糖尿病（9.7%），但其知晓率（14.5%）、治疗率（7.9%）和控制率（5.4%）均低于高血压和糖尿病的相应水平。中国心血管疾病危险因素较为严峻，血脂异常的防控需要进一步加强。
