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Asia Pac J Public Health. 2015 May;27(4):394-406. doi: 10.1177/1010539514551200. Epub 2014 Sep 22.

Rural-urban differences in the prevalence of chronic disease in northeast China.

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Jilin University, Changchun, China.
University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Jilin Provincial Center for Disease Control and Prevention, Changchun, China.
Jilin University, Changchun, China


Rural-urban differences in the prevalence of chronic diseases in the adult population of northeast China are examined. The Jilin Provincial Chronic Disease Survey used personal interviews and physical measures to research the presence of a range of chronic diseases among a large sample of rural and urban provincial residents aged 18 to 79 years (N = 21 435). Logistic regression analyses were used. After adjusting for age and gender, rural residents had higher prevalence of hypertension, chronic ischemic heart disease, cerebrovascular disease, chronic low back pain, arthritis, chronic gastroenteritis/peptic ulcer, chronic cholecystitis/gallstones, and chronic lower respiratory disease. Low education, low income, and smoking increased the risk of chronic diseases in rural areas. Reducing rural-urban differences in chronic disease presents a formidable public health challenge for China. The solution requires focusing attention on issues endemic to rural areas such as poverty, lack of chronic disease knowledge, and the inequality in access to primary care.


China; Jilin; chronic disease; health disparity; risk factor; rural; socioeconomic status

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