| 21. |
- Zhao, Yang, et al.
(författare)
-
Provincial heterogeneity in the management of care cascade for hypertension, diabetes, and dyslipidaemia in China: Analysis of nationally representative population-based survey.
- 2022
-
Ingår i: Frontiers in cardiovascular medicine. - : Frontiers Media SA. - 2297-055X. ; 9
-
Tidskriftsartikel (refereegranskat)abstract
- This study aims to examine (1) province-level variations in the levels of cardiovascular disease (CVD) risk and behavioral risk for CVDs, (2) province-level variations in the management of cascade of care for hypertension, diabetes, and dyslipidaemia, and (3) the association of province-level economic development and individual factors with the quality of care for hypertension, diabetes, and dyslipidaemia.We used nationally representative data from the China Health and Retirement Longitudinal Study in 2015, which included 12,597 participants aged 45 years. Using a care cascade framework, we examined the quality of care provided to patients with three prevalent NCDs: hypertension, diabetes, and dyslipidaemia. The proportion of WHO CVD risk based on the World Health Organization CVD risk prediction charts, Cardiovascular Risk Score (CRS) and Behavior Risk Score (BRS) were calculated. We performed multivariable logistic regression models to determine the individual-level drivers of NCD risk variables and outcomes. To examine socio-demographic relationships with CVD risk, linear regression models were applied.In total, the average CRS was 4.98 (95% CI: 4.92, 5.05), while the average BRS was 3.10 (95% confidence interval: 3.04, 3.15). The weighted mean CRS (BRS) in Fujian province ranged from 4.36 to 5.72 (P < 0.05). Most of the provinces had a greater rate of hypertension than diabetes and dyslipidaemia awareness and treatment. Northern provinces had a higher rate of awareness and treatment of all three diseases. Similar patterns of regional disparity were seen in diabetes and dyslipidaemia care cascades. There was no evidence of a better care cascade for CVDs in patients who reside in more economically advanced provinces.Our research found significant provincial heterogeneity in the CVD risk scores and the management of the cascade of care for hypertension, diabetes, and dyslipidaemia for persons aged 45 years or more. To improve the management of cascade of care and to eliminate regional and disparities in CVD care and risk factors in China, local and population-based focused interventions are necessary.
|
|
| 22. |
- Zhou, F. F., et al.
(författare)
-
Teleconnections between large-scale oceanic-atmospheric patterns an interannual surface wind speed variability across China: Regional and seasonal patterns
- 2022
-
Ingår i: Science of the Total Environment. - : Elsevier BV. - 0048-9697. ; 838
-
Tidskriftsartikel (refereegranskat)abstract
- Great attention has been paid to the long-term decline in terrestrial near-surface wind speed (SWS) in China. However, how the SWS varies with regions and seasons and what modulates these changes remain unclear. Based on quality-controlled and homogenized terrestrial SWS data from 596 stations, the covarying SWS patterns during the Asian Summer Monsoon (ASM) and the Asian Winter Monsoon (AWM) seasons are defined for China using empirical orthogonal function (EOF) analysis for 1961-2016. The dominant SWS features represented by EOF1 patterns in both seasons show a clear decline over most regions of China. The interannual variability of the EOF1 patterns is closely related to the Northeast Asia Low Pressure (NFAIP) and the Arctic Oscillation (AO), respectively. The EOF2 and EOF3 patterns during ASM (AWM) season describe a dipole mode of SWS between Fast Tibetan Plateau and Fast China Plain (between Fast Tibetan Plateau and Northeast China), and between Southeast and Northeast China (between Northeast China and the coastal areas of Southeast China), respectively. These dipole structures of SWS changes arc closely linked with the oceanic-atmospheric oscillations on interannual scale.
|
|
