Regional disparities in non-communicable disease prevention and control in China and their potential influencing factors
Objective To describe the regional disparities in the prevention and control of chronic non-communicable diseases(NCDs)in the eastern,central,and western parts of China and to explore their potential influencing factors.Methods Representative provinces(autonomous regions,municipalities)in China were selected,including Beijing and Shanghai in the east,Hubei and Henan in the central region,and Qinghai and Tibet Autonomous Region in the west.The Gini index was used to calculate the imbalance between the burden of chronic diseases and the allocation of primary healthcare resources in the eastern,central,and western regions of China.The prevalence,awareness,treatment,and control rates of chronic diseases such as obesity,hypertension,and diabetes,as well as their current risk factors,were described.Results The Gini index of standardized mortality rate(SMR)of chronic diseases and the proportion of primary health care centers within 6 km in the eastern,central,and western regions of China were 0.621 and 0.610,respectively.The SMR of chronic diseases was the lowest in the eastern region,followed by the central region,and the highest in the western region.However,the prevalence of obesity,hypertension,and diabetes in the eastern and central regions was higher than that in the western region.At the same time,the awareness,treatment,and control rates were relatively higher.Conclusions There are significant regional disparities in chronic disease prevention and control in China,with the disparities gradually worsening from east to west.The prevention and control of chronic diseases among residents in rural and pastoral areas in the western region lags far behind that in the eastern and central regions.
Non-communicable diseasesHealth disparitiesPotential influencing factorsPrevention and control
万方数据
维普
