Observational studyInternational journal for equity in health2023
Trends and regional variations in chronic diseases and their risk factors in China: an observational study based on National Health Service Surveys.
Observational study in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 34 citations in OpenAlex.
- Health-related quality of life inequity and influencing factors among urban and rural elderly hypertensive populations: baseline survey of the Northern China Lifestyle Medicine Cohort.Health and quality of life outcomes · 2026Article
- Temporal Trends and Projections of the Burden of Decubitus Ulcers in China: A Cross-Sectional Study Based on the Global Burden of Disease Study 2021.Health science reports · 2026Article
- Comparing disease burden of rare diseases with common medical conditions in china: evidence from a national online health survey in 2022.Archives of public health = Archives belges de sante publique · 2026Article
- China precision nutrition biobank: protocol of a prospective cohort study on diet, human phenotype/genotype, and early-onset chronic diseases.Nutrition journal · 2025Article
- Stratified patterns of healthcare-seeking behavior among older adults in Fujian, China: exploring the behavioral foundations of health inequality.BMC health services research · 2025Article
- Burden of Cardiovascular Diseases Attributable to Hypertension in Population Aged 60 Years or Older from 1990 to 2040 across BRICS-plus Countries (Egypt, Ethiopia, Iran, Saudi Arabia, United Arab Emirates, Brazil, Russia, India, China, and South Africa).High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
- Chronic Diseases and Influenza Vaccines.Vaccines · 2025Review
- Cohort profile: the Guangzhou older longitudinal dynamic health (GOLD-Health) cohort.European journal of epidemiology · 2025Article
- Dynamic cross-lagged effects between healthy lifestyles and multimorbidity among middle-aged and older adults in China.BMC public health · 2025Article
- Reproducibility and relative validity of a quantitative food frequency questionnaire developed for adults in the coastal area of southeast China.European journal of nutrition · 2025Article
- Harnessing exosomes for targeted drug delivery systems to combat brain cancer.Cancer cell international · 2025Review
- Identification of risk factors for diabetes in Chinese middle-aged and elderly adults.Scientific reports · 2025Article
- Health beliefs mediates the association between the number of non-communicable diseases and preventive behaviors in middle-aged and older adults in southern China.Aging clinical and experimental research · 2025Article
- The impact of long-term prescription policy on primary care utilisation and costs among hypertensive patients in China: a six-year longitudinal study.Journal of global health · 2025Article
- Determinants of digital health literacy among older adult patients with chronic diseases: a qualitative study.Frontiers in public health · 2025Article
- Latent profile and determinants of self-management behaviors among older adult patients with chronic diseases: a cross-sectional study.Frontiers in public health · 2025Article
- Association between chronic diseases and lifestyle risk factors among community-dwelling older adults: a retrospective cross-sectional Chinese population-based study.Frontiers in public health · 2025Article
- The impact of health literacy on quality of life in patients with chronic diseases.Frontiers in public health · 2025Article
- Latent profile and determinants of digital health literacy among older adult patients with chronic diseases: a cross-sectional study.Frontiers in public health · 2025Article
- The proactive health behavior and somatic functional status in Chinese rural chronic patients: the mediating effects of social participation.Frontiers in public health · 2025Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the past 25 years, the spectrum of diseases in China has rapidly changed from infectious to non-communicable diseases (NCDs). This study aimed to identify the prevalence of chronic diseases over the past 25 years in China and estimate the trends and changes in risk factors related to NCDs.
methodsWe conducted a descriptive analysis based on the National Health Service Survey (NHSS) from 1993 to 2018. The survey year (in parentheses) and its respective number of respondents were (1993) 215,163; (1998) 216,101; (2003) 193,689; (2008) 177,501; (2013) 273,688; and (2018) 256,304. In each survey, approximately half the participants were male. In addition, we estimated the trends in the prevalence and risk factors of NCDs from 1993 to 2018 and described their coefficient of variation in the provisions.
resultsThe prevalence of NCDs has risen rapidly, from 17.0% in 1993 to 34.3% 2018. Hypertension and diabetes were the two main NCDs accounting for 53.3% in 2018. Similarly, the prevalence of hypertension and diabetes have also increased rapidly, increasing 15.1 and 27.0 times respectively from 1993 to 2018. Moreover, from 1993 to 2018, the proportion of smoking decreased from 32.0% to 24.7%, and the proportion of drinking and physical activity increased from 18.4% and 8.0% to 27.6% and 49.9%, respectively. The proportion of obesity increased from 5.4% in 2013 to 9.5% in 2018. The prevalence of NCDs in rural areas (35.2%) in 2018 was slightly higher than that in urban areas (33.5%). Changes in the prevalence of NCDs in rural were larger than those in urban. However, from 2013 to 2018, the provincial gaps for these metrics narrowed, except for that of smoking (Coefficient of Variation from 0.14 to 0.16).
conclusionsThe prevalence of NCDs increased rapidly in China and was similar in urban and rural areas in 2018. Two key risk factors (drinking and obesity) increased in prevalence, while the other two (smoking and physical inactivity) decreased. These results indicate that China is facing considerable challenges in curbing chronic diseases to achieve the United Nations Sustainable Development Goals or the Healthy China 2030 goals. The government should take more active measures to change unhealthy lifestyles, improve efficiency in risk factor management, and pay more attention and allocate more health resources to rural areas.
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