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. 2023 May 9:11:1073121.
doi: 10.3389/fpubh.2023.1073121. eCollection 2023.

Cardiovascular disease risk perception among community adults in South China: a latent profile analysis

Zhiting Guo  1   2 , Yong Yuan  3 , Yujia Fu  2 , Nianqi Cui  1   2 , Qunfei Yu  1 , Erling Guo  4 , Chuanqi Ding  5 , Yuping Zhang  1 , Jingfen Jin  1   6
Affiliations

Cardiovascular disease risk perception among community adults in South China: a latent profile analysis

Zhiting Guo et al. Front Public Health. .

Abstract

Objective: Risk perception, a critical psychological construct, influences health behavior modification and maintenance of individuals with cardiovascular disease (CVD) risk. Little is known about CVD risk perception among Chinese adults. This research examined the profiles of CVD risk perception of community adults in South China, and explored the characteristics and factors that influence their perception of CVD risk.

Method: This cross-sectional study was conducted in Hangzhou, Zhejiang Province, in South China from March to July 2022 and included 692 participants. Risk perception was assessed using the Chinese version of the Attitude and Beliefs about Cardiovascular Disease Risk Questionnaire. Latent profile analysis (LPA) was performed to extract latent classes of CVD risk perception. These classes of CVD risk perception were compared with 10-year CVD risk categories to define correctness of estimation. Chi-square tests and multinomial regression analyses were used to identify differences between these categories.

Results: Three CVD risk perception classes were identified by LPA: low risk perception (14.2% of participants), moderate risk perception (46.8%), high risk perception (39.0%). Individuals who were aged with 40-60 year (OR = 6.94, 95% CI = 1.86-25.84), diabetes (OR = 6.26, 95% CI = 1.34-29.17), married (OR = 4.52, 95% CI = 2.30-8.90), better subjective health status (OR = 3.23, 95% CI = 1.15-9.10) and perceived benefits and intention to change physical activity (OR = 1.16, 95% CI = 1.05-1.27) were more likely to be in the high-risk perception class. Compared to absolute 10-year CVD risk based on China-PAR, a third of participants (30.1%) correctly estimated their CVD risk, 63.3% overestimated it and 6.6% underestimated it. CVD risk underestimation was associated with hypertension (OR = 3.91, 95% CI = 1.79-8.54), drinking (OR = 3.05, 95% CI = 1.22-7.64), better subjective health status (OR = 2.67, 95% CI = 1.18-6.03).

Conclusions: Most adults in South China possess a moderate level of CVD risk perception. Advanced age, higher monthly income, diabetes and better health status were significantly related to higher perceived CVD risk. Individuals with hypertension, drinking and better subjective health status were associated with CVD risk underestimation. Healthcare professionals should pay attention to the indicators for different classes and identify underestimation group as early as possible.

Keywords: cardiovascular disease; knowledge; latent profile analysis; public education and awareness; risk perception.

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Conflict of interest statement

YY was employed by China Mobile (Hangzhou) Information Technology Co., Ltd. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Distribution of three potential classes of CVD risk perception.
Figure 2
Figure 2
Determinants of CVD risk underestimation. Education level 1 refers to middle/high school/specialty degree; education level 2 refers to bachelor degree or above; SHS, subjective health status.
See this image and copyright information in PMC

References

    1. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. . Global burden of cardiovascular diseases and risk factors, 1990-2019: update from the GBD 2019 study. J Am Coll Cardiol. (2020) 76:2982–3021. 10.1016/j.jacc.2020.11.010 - DOI - PMC - PubMed
    1. china Wcotrochadi. Report on cardiovascular health and diseases in China 2021: an updated summary. Biomed Environ Sci. (2022) 35:573-603. 10.3967/bes2022.079 - DOI - PubMed
    1. Xia S, Du X, Guo L, Du J, Arnott C, Lam CSP, et al. . Sex differences in primary and secondary prevention of cardiovascular disease in China. Circulation. (2020) 141:530–9. 10.1161/CIRCULATIONAHA.119.043731 - DOI - PubMed
    1. Chen Y, Li L, Zhang Q, Clarke R, Chen J, Guo Y, et al. . Use of drug treatment for secondary prevention of cardiovascular disease in urban and rural communities of China: China Kadoorie Biobank Study of 0.5 million people. Int J Cardiol. (2014) 172:88–95. 10.1016/j.ijcard.2013.12.065 - DOI - PMC - PubMed
    1. NCD Risk Factor Collaboration (NCD-RisC) . Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019: a pooled analysis of 1201 population-representative studies with 104 million participants. Lancet. (2021) 398:957–80. 10.1016/S0140-6736(21)01330-1 - DOI - PMC - PubMed

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