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Variation and disparity in awareness of atrial fibrillation in China: A national cross-sectional study

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机构: [1]Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China [2] Cardiovascular Research Institute, Wuhan University, Wuhan 430060, China [3] Hubei Key Laboratory of Cardiology, Wuhan 430060, China [4] School of Public Health, Wuhan University, Wuhan 430060, China [5] The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, China [6] Xinhua Hospital Affiliated To Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China [7] The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China [8] Henan Provincial Chest Hospital, Zhengzhou 450008, China [9] Qilu Hospital of Shandong University, Jinan 250063, China [10] Anhui Provincial Hospital, Hefei 230001, China [11] The Second Affiliated Hospital of Nanchang University, Nanchang 330006, China [12] Tianjin Chest Hospital, Tianjin 300222, China [13] Fujian Provincial Hospital, Fuzhou 350013, China [14] The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China [15] West China Hospital of Sichuan University, Chengdu 610044, China [16] Sun Yat-sen Memorial Hospital, Guangzhou 510120, China [17] The First People’s Hospital of Yunnan Province, Kunming 650034, China [18] Jiangsu Province Hospital, Nanjin 210029, China [19] The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, China [20] The Affiliated Hospital of Guizhou Medical University, Guizhou 550004, China [21] Guizhou Provincial People’s Hospital, Guizhou 550002, China [22] Affiliated Hospital of Zunyi Medical University, Zunyi 563099, China [23] The Second Xiangya Hospital of Central South University, Changsha 430062, China [24] Inner Mongolia Autonomous Region People’s Hospital, Huhehot 010020, China [25] The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China [26] The First Hospital of Lanzhou University, Lanzhou 730013, China [27] The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China [28] Shanxi Cardiovascular Hospital, Taiyuan 030024, China [29] The Second Hospital of Hebei Medical University, Shijiazhuang 050004, China [30] Hainan General Hospital, Haikou 570311, China [31] The First Affiliated Hospital of Dalian Medical University, Dalian 116051, China
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关键词: Atrial fibrillation Awareness Epidemiology Adult China

摘要:
The latest information regarding the awareness of atrial fibrillation (AF) remains limited in China.The present study aimed to understand the variation and disparity in awareness of AF in China.The cross-sectional study used data from the 2020 nationwide epidemiology survey on AF among adults aged 18 years or older in mainland China to assess the prevalence of AF awareness. The awareness of AF diagnostic methods and outcomes was also assessed using an interviewer-administered questionnaire.Of the 114,039 adults responding to the survey, 1463 (age-standardized prevalence, 55.3% (95% confidence interval [CI], 47.7-62.9%) and 10,202 (8.2%, 95%CI 5.4-10.9%) were aware of AF in participants with and without AF, respectively. Of these, 36.4% (95%CI 30.0-42.9%) and 6.3% (95%CI 3.6-9.1%) considered electrocardiogram as a method of diagnosing AF, and 30.0% (95% CI 3.2-8.2%) and 5.2% (95%CI 2.7-7.6%) considered stroke as an outcome of AF. The proportion of participants who being aware of AF varied significantly across sociodemographic and cardiovascular disease subgroups, and was almost consistently lower in rural areas than those in urban areas. Overall, lack of AF awareness was associated with rural areas, geographical region, lower education levels, and without history and had no risk factors of cardiovascular disease.Nearly half of adults with AF, and >90% non-AF population are unaware of AF in China, with significant variation and disparity. Focused public health initiatives are needed to improve awareness and knowledge of AF among high-risk populations.Copyright © 2024 Elsevier B.V. All rights reserved.

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大类 | 2 区 医学
小类 | 3 区 心脏和心血管系统
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Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
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Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China [2] Cardiovascular Research Institute, Wuhan University, Wuhan 430060, China [3] Hubei Key Laboratory of Cardiology, Wuhan 430060, China
通讯作者:
通讯机构: [1]Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, China [2] Cardiovascular Research Institute, Wuhan University, Wuhan 430060, China [3] Hubei Key Laboratory of Cardiology, Wuhan 430060, China
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