Study on the prevention and control for cardiovascular and cerebrovascular diseases in Suzhou

• 1、School of Public Health, Medical College of Soochow University,Suzhou,215321
• 2、Suzhou Center for Disease of Prevention and Control,Suzhou,215004

Abstract：Objective: To evaluate the effectiveness and existing problems of prevention and control measures for cardiovascular and cerebrovascular diseases in Suzhou, and to analyze the weight of various prevention and control measures on the premise of effective prevention and control. Method:1)The death data of relevant years including the death data of cardiovascular and cerebrovascular diseases in Suzhou were collected and collated between 2010 and 2014. The comparative regions were divided into the demonstration areas and the non-demonstration areas of comprehensive prevention and control of chronic diseases. 2) A special survey was used to obtain the evaluation information of prevention and control measures of cardiovascular and cerebrovascular diseases in Suzhou from 4 groups, including community medical workers, disease control professionals, health administrators and chronic disease experts, and to evaluate the weight of various prevention and control measures by analytic hierarchy process. 3) The database was built and statistically analyzed with SPSS software (21.0), including correlation analysis, parameter test (t test) and non-parameter test (χ2 test). 4) The weight values of various measures were calculated by the analytic hierarchy process. Results: 1) The awareness rate of six risk factors of hypertension and diabetes in demonstration area was 43.04% of high risk object standard, 50.50% of nutrition label, 86.55% of self-waist, 96.67% of self-weight, 86.12% of blood pressure and 57.09% of blood sugar, respectively. All of which were significantly higher than those in non-demonstration area, as 20.22% of high risk object standard, 42.18% of nutrition label, 57.71% of self-waist, 89.21% of self-weight, 55.20% of blood pressure and 18.92% of blood sugar, respectively. 2) The index of the premature mortality of cerebrovascular diseases has reduced 0.51 from initial stage of evaluation to late in the demonstration area. It is significantly higher than those in non-demonstration area (0.26, P=0.037). However, the index of the premature mortality of cardiovascular diseases has risen 0.08 in demonstration and reduced 0.18 in non-demonstration (P=0.157). 3) The premature mortality was significantly associated with the life expectancy in demonstration area (r=-0.830, P=0.003). However, no significant relationship was detected between the premature mortality and the life expectancy in non-demonstration (P=0.365). 4) The weight of prevention measures are 24.94% of health life style, 24.08% of heath education, the 18.27% of screening and management for high-risk groups, 16.77% of control smoke and 15.95% of management diseases, respectively. Conclusion: 1) The premature mortality of cerebrovascular disease in Suzhou demonstration area was significantly higher than that in non-demonstration area. There was no significant difference in the premature mortality of cardiovascular disease between demonstration area and non-demonstration area. 2) Among the five effective comprehensive prevention and control measures, the national health lifestyle action and health education have the greatest weight compared with the screening and management of high-risk groups, tobacco control and disease management.

Keywords： Cardiovascular and cerebrovascular diseases (CCVD) Stroke Coronary heart disease Prevention and control measures