Abstract:
BACKGROUND:To externally validate the Prediction for ASCVD Risk in China (PAR) risk equation for predicting the 5-year atherosclerotic cardiovascular disease (ASCVD) risk in the Uyghur and Kazakh populations from rural areas in northwestern China and compare its performance with those of the pooled cohort equations (PCE) and Framingham risk score (FRS). METHODS:The final analysis included 3347 subjects aged 40-74 years without CVD at baseline. The 5-year ASCVD risk was calculated using the PAR, PCE, and FRS. Discrimination, calibration, and clinical usefulness of the three equations in predicting the 5-year ASCVD risk were assessed before and after recalibration. RESULTS:Of 3347 included subjects, 1839 were female. We observed 286 ASCVD events in within 5-year follow-up. All three risk equations had moderate discrimination in both men and women. C-indices of PAR, PCE, and FRS were 0.727 (95% CI, 0.725-0.729), 0.727 (95% CI, 0.725-0.729), and 0.740 (95% CI, 0.738-0.742), respectively, in men; the corresponding C-indices were 0.738 (95% CI, 0.737-0.739), 0.731 (95% CI, 0.730-0.732), and 0.761 (95% CI, 0.760-0.762), respectively, in women. PCE, PAR and FRS substantially underestimated the 5-year ASCVD risk in women by 70, 23 and 51%, respectively. However, PAR and FRS fairly predicted the risk in men and PAR was well calibrated. The calibrations of the three risk equations could be changed by recalibration. The decision curve analyses demonstrated that at the threshold risk of 5%, PCE was the most clinically useful in both men and women after recalibration. CONCLUSIONS:All three risk equations underestimated the 5-year ASCVD risk in women, while PAR and FRS fairly predicted that in men. However, the results of predictive performances for three risk equations are inconsistent, more accurate risk equations are required in the primary prevention of ASCVD aiming to this Uyghur and Kazakh populations.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Jiang Y,Ma R,Guo H,Zhang X,Wang X,Wang K,Hu Y,Keerman M,Yan Y,Ma J,Song Y,Zhang J,He J,Guo Sdoi
10.1186/s12889-020-09579-4subject
Has Abstractpub_date
2020-09-29 00:00:00pages
1471issue
1issn
1471-2458pii
10.1186/s12889-020-09579-4journal_volume
20pub_type
杂志文章abstract:BACKGROUND:Previous research has shown that Common Mental Disorders (CMD) are unequally distributed between population subgroups, but we know less about how labour outcomes following such disorders are distributed. Our aim is to investigate how the labour outcomes following a CMD diagnosis differ over sex, age, schooli...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09348-3
更新日期:2020-08-26 00:00:00
abstract:BACKGROUND:Even though the WHO currently recommends zinc for diarrhea management, no consensus has been reached with respect to routine distribution of zinc for preventive reasons. We reviewed the health impact of preventive zinc interventions, and evaluated the relative cost effectiveness of currently feasible interve...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-852
更新日期:2014-08-15 00:00:00
abstract:BACKGROUND:The natural history of occupational asthma (OA) is influenced by many determinants. This study aims to assess the combined roles of personal characteristics, including occupational exposure and nutritional habits, on the incidence of OA during the first years at work. METHODS:A nested case-control study was...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-387
更新日期:2012-05-29 00:00:00
abstract:BACKGROUND:Statistical data on burden of kidney cancer and the relavant risk factors are valuable for policy-making. This study aims to estimate kidney cancer deaths and high body-mass index (BMI) attributable to the deaths by gender and age group in China adults, compared with U.S. METHODS:We extracted kidney cancer ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09007-7
更新日期:2020-06-08 00:00:00
abstract:BACKGROUND:Social Health Insurance (SHI) is widely used by countries attempting to move toward Universal Health Coverage (UHC). While evidence suggests that SHI is a promising strategy for achieving UHC, low-income countries often struggle to implement and sustain SHI systems. It is therefore important to understand ho...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08742-1
更新日期:2020-05-04 00:00:00
abstract:BACKGROUND:Although there is abundant evidence to recommend a physically active lifestyle, adult physical activity (PA) levels have declined over the past two decades. In order to understand why this happens, numerous studies have been conducted to uncover the reasons for people's participation in PA. Often, the measur...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-909
更新日期:2014-09-03 00:00:00
abstract:BACKGROUND:Syndromic surveillance complements traditional public health surveillance by collecting and analysing health indicators in near real time. The rationale of syndromic surveillance is that it may detect health threats faster than traditional surveillance systems permitting more timely, and hence potentially mo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5422-9
更新日期:2018-04-24 00:00:00
abstract:BACKGROUND:Highly publicized water supply problems highlight the importance of safe drinking water to the public. Boil water advisories (BWAs) are an important precautionary measure meant to protect public health by ensuring drinking water safety. Newfoundland and Labrador, Canada is a prime location for exploring publ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2688-z
更新日期:2016-01-05 00:00:00
abstract:BACKGROUND:Status of premarital sex, unintended pregnancy and associated factors among Chinese graduate students remain unclear. And unmarried graduate students' needs of family planning services seem to be ignored. In the present study, we ascertained the prevalence rate of premarital sex and unintended pregnancy, as ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-198
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:Although China's modern education for public health was developing over the past 60 years, there is a lack of authoritative statistics and analyses on the nation's development of education for public health at higher education institutions (HEIs). Few quantitative studies on this topic have been published in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5605-4
更新日期:2018-05-31 00:00:00
abstract:BACKGROUND:Congenital syphilis is a major public health concern, even after the implementation of intervention protocols in several countries. This study aimed to analyze the prevalence and socio-demographic, behavioral and institutional factors associated with syphilis in parturient women attending public maternity ho...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-206
更新日期:2013-03-07 00:00:00
abstract:BACKGROUND:Physical inactivity is deemed to be the fourth leading cause for premature death. Nevertheless, only a minority of children and adolescents in Germany fulfil the guideline of the World Health Organization of at least 60 min of moderate-to-vigorous physical activity per day. Children and adolescents with a lo...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-6817-y
更新日期:2019-05-06 00:00:00
abstract:BACKGROUND:Children and adolescents are important target groups for prevention of overweight and obesity as overweight is often developed early in life and tracks into adulthood. Research into behaviors related to overweight (energy balance-related behaviors) and the personal and environmental determinants of these beh...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-142
更新日期:2008-04-28 00:00:00
abstract::Since its establishment in February 2008, the Armed Forces Health Surveillance Center (AFHSC) has embarked on a number of initiatives and projects in collaboration with a variety of agencies in the Department of Defense (DoD), other organizations within the federal government, and non-governmental partners. In 2009, t...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-11-S2-S1
更新日期:2011-03-04 00:00:00
abstract:BACKGROUND:Tuberculosis (TB) surveillance systems have some pitfalls outside of a National Tuberculosis Program and lack of efficient surveillance hampers accurate epidemiological quantification of TB burden.In the present study we assessed the quality of surveillance at the University Hospital in Pisa (UHP), Italy, an...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-472
更新日期:2012-06-21 00:00:00
abstract:BACKGROUND:The inadequate management of solid waste impacts populations' health and quality of life, and disproportionately affects developing countries. This study aims to describe a protocol for epidemiological diagnosis, the purpose being to estimate the prevalence of chronic and communicable and non communicable di...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6879-x
更新日期:2019-05-16 00:00:00
abstract:BACKGROUND:Lack of physical activity (PA) is a growing public health concern. There is a growing body of literature that suggests a positive relationship may exist between the amount of local green space near one's home and PA levels. For instance, park proximity has been shown to predict PA levels amongst certain popu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3050-9
更新日期:2016-05-20 00:00:00
abstract:BACKGROUND:Abnormalities in the clinical markers of metabolic syndrome (MS) are associated with the development of cardiovascular disease, type 2 diabetes mellitus, and some cancers. MS prevalence in Korea increased between the mid-1990s and mid-2000s; however, no data on the recent trends of MS prevalence are availabl...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3936-6
更新日期:2017-01-13 00:00:00
abstract:BACKGROUND:Over the past decade, new diagnoses of HIV have increased eightfold among men who have sex with men (MSM) of other or of mixed ethnicity in the UK. Yet there is little intervention research on HIV among black and minority ethnic (BME) MSM. This article aimed to identify effective HIV and sexual health preven...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-016-3418-x
更新日期:2016-08-17 00:00:00
abstract:BACKGROUND:Waist circumference has been identified as a valuable predictor of cardiovascular risk in children. The development of waist circumference percentiles and cut-offs for various ethnic groups are necessary because of differences in body composition. The purpose of this study was to develop waist circumference ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-82
更新日期:2010-02-19 00:00:00
abstract:BACKGROUND:Existing studies reporting on the levels of physical fitness among college students used relatively few fitness tests as a reflection of physical fitness, which could not comprehensively evaluate the levels of physical fitness. Thus, the current study aimed to investigate the cross-sectional relationship bet...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08517-8
更新日期:2020-04-05 00:00:00
abstract::Laboratory is one of the core capacities that countries must develop for the implementation of the International Health Regulations (IHR[2005]) since laboratory services play a major role in all the key processes of detection, assessment, response, notification, and monitoring of events. While developed countries easi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-S1-S8
更新日期:2010-12-03 00:00:00
abstract:BACKGROUND:Go-Golborne was a three-year pilot programme to test an innovative, community-based 'whole system' approach to preventing overweight in children in Golborne ward, London. Whilst there is a growing interest in local whole systems approaches to obesity, understandings of what they look like in practice are new...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09694-2
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:Weight-related stigmatization is a public health problem. It impairs the psychological well-being of obese individuals and hinders them from adopting weight-loss behaviors. We conducted an experimental study to investigate weight stigmatization in work settings using a sample of experienced human resource (H...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-525
更新日期:2012-07-16 00:00:00
abstract:BACKGROUND:The speed of adoption of new drugs and frequencies of substitutions leads to changes in health care expenditures as well as patient outcomes. In this study, we aim to understand the speed of adoption of new drugs and their prescription volume in health care institutions and evaluate the impact of policy opti...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08929-6
更新日期:2020-05-27 00:00:00
abstract:BACKGROUND:Weight gain that commonly accompanies smoking cessation can undermine a person's attempt to quit and increase the risk for metabolic disorders. Research indicates that obese smokers have more weight concerns and gain more weight after quitting than non-obese smokers, yet little is known about possible reason...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1229
更新日期:2014-11-27 00:00:00
abstract:BACKGROUND:This paper is aimed at critically assessing the extent to which Non-Communicable Disease NCD-related policies introduced in Bangladesh align with the World Health Organization's (WHO) 2013-2020 Action Plan for the Global Strategy for the Prevention and Control of NCDs. METHODS:The authors reviewed all relev...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4494-2
更新日期:2017-06-19 00:00:00
abstract:BACKGROUND:African, Caribbean and other Black (ACB) people are a priority group for HIV prevention in Canada, but little is known about the epidemiology of HIV risk in this population. This paper helps fill the knowledge gap by: presenting service providers' and ACB people's perceptions about HIV risk in ACB population...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-184
更新日期:2013-03-02 00:00:00
abstract:BACKGROUND:Activity behaviours (physical activity, sedentary time and screen time) have been linked to health outcomes in childhood. Furthermore, socioeconomic disparities have been observed in both children's activity behaviours and health outcomes. Children's physical home environments may play a role in these relati...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3419-9
更新日期:2016-08-05 00:00:00
abstract:BACKGROUND:The WHO Framework Convention on Tobacco Control was shown to effectively lower smoking prevalence in in high income countries, however knowledge for low and middle income settings is sparse. The objective of this study was to describe WHO MPOWER policy measures in thirteen West-African countries and to inves...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2562-z
更新日期:2015-12-08 00:00:00