Variation and disparity in awareness of atrial fibrillation in China: A national cross-sectional study
作者全名：Shi, Shaobo; Zhao, Qingyan; Wu, Gang; Yan, Hong; Yu, Bin; Zheng, Qiangsun; Li, Yigang; Zheng, Liangrong; Yuan, Yiqiang; Zhong, Jingquan; Xu, Jian; Wu, Yanqing; Xu, Jing; Chen, Lin; Li, Shufeng; Jiang, Jian; Wang, Jingfeng; Fan, Jie; Chen, Minglong; Tang, Baopeng; Li, Wei; Wu, Qiang; Shi, Bei; Zhou, Shenghua; Zhao, Xingsheng; Yin, Yuehui; Zhang, Zheng; Zhong, Guoqiang; Han, Xuebin; Liu, Fan; Wu, Ming; Gao, Lianjun; Yang, Bo; Tang, Yanhong; Huang, He; Huang, Congxin
作者地址：[Shi, Shaobo; Zhao, Qingyan; Wu, Gang; Yang, Bo; Tang, Yanhong; Huang, He; Huang, Congxin] Wuhan Univ, Dept Cardiol, Renmin Hosp, 238 Jiefang Rd, Wuhan 430060, Hubei, Peoples R China; [Shi, Shaobo; Zhao, Qingyan; Wu, Gang; Yang, Bo; Tang, Yanhong; Huang, He; Huang, Congxin] Wuhan Univ, Cardiovasc Res Inst, Wuhan 430060, Peoples R China; [Shi, Shaobo; Zhao, Qingyan; Wu, Gang; Yang, Bo; Tang, Yanhong; Huang, He; Huang, Congxin] Hubei Key Lab Cardiol, Wuhan 430060, Peoples R China; [Yan, Hong; Yu, Bin] Wuhan Univ, Sch Publ Hlth, Wuhan 430060, Peoples R China; [Zheng, Qiangsun] Xi An Jiao Tong Univ, Affiliated Hosp 2, Xian 710004, Peoples R China; [Li, Yigang] Shanghai Jiao Tong Univ, Xinhua Hosp, Sch Med, Shanghai 200092, Peoples R China; [Zheng, Liangrong] Zhejiang Univ, Affiliated Hosp 1, Sch Med, Hangzhou 310003, Peoples R China; [Yuan, Yiqiang] Henan Prov Chest Hosp, Zhengzhou 450008, Peoples R China; [Zhong, Jingquan] Shandong Univ, Qilu Hosp, Jinan 250063, Peoples R China; [Xu, Jian] Anhui Prov Hosp, Hefei 230001, Peoples R China; [Wu, Yanqing] Nanchang Univ, Affiliated Hosp 2, Nanchang 330006, Peoples R China; [Xu, Jing] Tianjin Chest Hosp, Tianjin 300222, Peoples R China; [Chen, Lin] Fujian Prov Hosp, Fuzhou 350013, Peoples R China; [Li, Shufeng] Harbin Med Univ, Affiliated Hosp 2, Harbin 150086, Peoples R China; [Jiang, Jian] Sichuan Univ, West China Hosp, Chengdu 610044, Peoples R China; [Wang, Jingfeng] Sun Yat Sen Mem Hosp, Guangzhou 510120, Peoples R China; [Fan, Jie] First Peoples Hosp Yunnan Prov, Kunming 650034, Peoples R China; [Chen, Minglong] Jiangsu Prov Hosp, Nanjing 210029, Peoples R China; [Tang, Baopeng] Xinjiang Med Univ, Affiliated Hosp 1, Urumqi 830011, Peoples R China; [Li, Wei] Guizhou Med Univ, Affiliated Hosp, Guiyang 550004, Guizhou, Peoples R China; [Wu, Qiang] Guizhou Prov Peoples Hosp, Guiyang 550002, Guizhou, Peoples R China; [Shi, Bei] Zunyi Med Univ, Affiliated Hosp, Zunyi 563099, Peoples R China; [Zhou, Shenghua; Zhao, Xingsheng] Cent South Univ, Xiangya Hosp 2, Changsha 430062, Peoples R China; [Zhao, Xingsheng] Inner Mongolia Autonomous Reg Peoples Hosp, Hohhot 010020, Peoples R China; [Yin, Yuehui] Chongqing Med Univ, Affiliated Hosp 2, Chongqing 400010, Peoples R China; [Zhang, Zheng] Lanzhou Univ, Hosp 1, Lanzhou 730013, Peoples R China; [Zhong, Guoqiang] Guangxi Med Univ, Affiliated Hosp 1, Nanning 530021, Peoples R China; [Han, Xuebin] Shanxi Cardiovasc Hosp, Taiyuan 030024, Peoples R China; [Liu, Fan] Hebei Med Univ, Hosp 2, Shijiazhuang 050004, Peoples R China; [Wu, Ming] Hainan Gen Hosp, Haikou 570311, Peoples R China; [Gao, Lianjun] Dalian Med Univ, Affiliated Hosp 1, Dalian 116051, Peoples R China
通信作者：Tang, YH; Huang, H; Huang, CX (通讯作者)，Wuhan Univ, Dept Cardiol, Renmin Hosp, 238 Jiefang Rd, Wuhan 430060, Hubei, Peoples R China.; Tang, YH; Huang, H; Huang, CX (通讯作者)，Wuhan Univ, Renmin Hosp, Cardiovasc Res Inst, 238 Jiefang Rd, Wuchang 430060, Hubei, Peoples R China.
来源：INTERNATIONAL JOURNAL OF CARDIOLOGY
ESI学科分类：CLINICAL MEDICINE
WOS号：WOS:001222786100001
JCR分区：Q2
影响因子：3.2
年份：2024
卷号：404
期号：
开始页：
结束页：
文献类型：Article
关键词：Atrial fibrillation; Awareness; Epidemiology; Adult; China
摘要：Background: The latest information regarding the awareness of atrial fibrillation (AF) remains limited in China. Objectives: The present study aimed to understand the variation and disparity in awareness of AF in China. Methods: 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. Results: 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. Conclusions: 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.
基金机构：Interdisciplinary Innovative Talents Foundation from Renmin Hospital of Wuhan University [JCRCZN-2022-003]
基金资助正文：The study was supported by The Interdisciplinary Innovative Talents Foundation from Renmin Hospital of Wuhan University (JCRCZN-2022-003) .
