High-Risk People Identification and Key Risk Factor Comparison of Cardiovascular Diseases in Northern China Rural and Urban Areas

Wenjia Chen, Jinlin Li, He Wang, Yingjian Gao, S. Xin, Jinchuan Cao, Hao Li
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Abstract

Data mining techniques were utilized to improve the regional cardiovascular diseases (CVDs) prevention and in addition to find why rural residents are in worse statues of CVDs. Decision tree (DT) was chosen to build a high-risk CVDs people identification model, and the steps of identifying are reduced, with 99.4% precision in the classification. In comparison with the top 18 key features assessed by Random Forest, rural people were at higher risk due to the factors such as higher total cholesterol, blood glucose, blood pressure, body mass index(BMI) and waistline. Urban people had higher hypertensive historical prevalence but lower hypertensive comorbidity prevalence than rural people because of better control of high blood pressure. Smoking, drinking and medicine taking affected current blood pressure and lipid. More tobacco use of rural female and more alcohol intake of rural male can take part of responsibilities for worse CVDs prevalence and control in rural area. In the intervention and prevention of CVDs in a region, high-risk people should be more focused on. And rural and urban residents should be separately implemented with intervenable methods because of different disease history statues, control effect and current statue. Gender also should be considered when lifestyles are significantly different.
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中国北方城乡心血管疾病高危人群识别及关键危险因素比较
利用数据挖掘技术改善了区域心血管疾病的预防,并找出了农村居民心血管疾病状况较差的原因。采用决策树(DT)方法建立cvd高危人群识别模型,减少了识别步骤,分类准确率达到99.4%。与随机森林评估的前18个关键特征相比,农村人口由于总胆固醇、血糖、血压、体重指数(BMI)和腰围等因素而面临更高的风险。城市居民高血压历史患病率高于农村居民,但高血压合并症患病率较农村居民低,这是由于城市居民对高血压控制较好。吸烟、饮酒和服药会影响当前的血压和血脂。农村女性吸烟较多和农村男性饮酒较多是造成农村心血管疾病流行和控制恶化的部分原因。在一个区域的心血管疾病干预和预防中,应更多地关注高危人群。城乡居民因疾病历史状况、控制效果和现状不同,应分别实施可干预措施。当生活方式明显不同时,也应该考虑性别。
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