气候变化领域集成服务门户(CCPortal): Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China

CCPortal

DOI	10.3389/fpubh.2022.1070918
	Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China
	Peng, Wen; Jian, Wenxiu; Li, Tiemei; Malowany, Maureen; Tang, Xiao; Huang, Mingyu; Wang, Youfa; Ren, Yanming
发表日期	2023
EISSN	2296-2565
卷号	10
英文摘要	BackgroundNon-communicable diseases (NCDs) including risk factors, e.g., obesity, are the major causes of preventable deaths in China, yet NCD disparities in China remain under-studied. ObjectiveThis study aimed to compare the determinants and burden of NCDs within four selected provinces in mainland China: the least developed Qinghai-Tibet Plateau group (PG, Tibetan Autonomous Region [TAR] and Qinghai Province) and most developed megacity group (MCG, Shanghai, and Beijing). MethodsStudies, reports, and other official sources with comparable data for NCD burden and related determinants for the four provinces were searched. Geographic, demographic, socioeconomic, and dietary characteristics and selected health indicators (e.g., life expectancy) were extracted from the China Statistical Yearbook and China Health Statistics Yearbook. Data on NCD burdens were extracted from the National Chronic Disease and Risk Factor Surveillance Study and other nationally representative studies. ResultsThe overall NCD mortality rates and prevalence of metabolic risk factors including obesity, hypertension, and diabetes in mainland China have increased in the past 20 years, and this trend is expected to continue. The PG had the highest level of standardized mortality rates (SMRs) on NCDs (711.6-896.1/100,000, 6th/6-level); the MCG had the lowest (290.6-389.6/100,000, 1st/6-level) in mainland China. The gaps in SMRs were particularly high with regard to chronic respiratory diseases (PG 6th(/)6-level, MCG 1st/6-level) and cardiovascular diseases (6th/6 and 4th/6 in TAR and Qinghai; 1st/6-level and 2nd/6-level in Shanghai and Beijing). In contrast, the prevalence rates of obesity, hypertension, and diabetes were generally higher or comparable in MCG compared to PG. Diabetes prevalence was particularly high in MCG (5th/5-level, 13.36-14.35%) and low in PG (1st/5-level, 6.20-10.39%). However, awareness, treatment, and control of hypertension were poor in PG. Additionally, PG had much lower and severely inadequate intakes of vegetables, fruits, and dairy products, with additional indicators of lower socioeconomic status (education, income, etc.,) compared with MCG. ConclusionEvidence showed large disparities in NCD burden in China's provinces. Socioeconomic disparity and dietary determinants are probably the reasons. Integrated policies and actions are needed.
关键词	obesity non-communicable diseases disparities socioeconomic status dietary intakes
英文关键词	HIGH-ALTITUDE; SOCIAL DETERMINANTS; HEALTH-CARE; PREVALENCE; HYPERTENSION; POPULATION; ADULTS
WOS研究方向	Public, Environmental & Occupational Health
WOS记录号	WOS:000950643700001
来源期刊	FRONTIERS IN PUBLIC HEALTH
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/283761
作者单位	Qinghai University; Qinghai University; Hebrew University of Jerusalem; Hadassah University Medical Center; Qinghai University; Xi'an Jiaotong University
推荐引用方式 GB/T 7714	Peng, Wen,Jian, Wenxiu,Li, Tiemei,et al. Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China[J],2023,10.
APA	Peng, Wen.,Jian, Wenxiu.,Li, Tiemei.,Malowany, Maureen.,Tang, Xiao.,...&Ren, Yanming.(2023).Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China.FRONTIERS IN PUBLIC HEALTH,10.
MLA	Peng, Wen,et al."Disparities of obesity and non-communicable disease burden between the Tibetan Plateau and developed megacities in China".FRONTIERS IN PUBLIC HEALTH 10(2023).