title: The prevalence of antinuclear antibodies in the general population of china: a cross-sectional study.
abstract: BACKGROUND
  The incidence of autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, and primary biliary cirrhosis has increased significantly in China. Information about the susceptibility or potential of autoimmune diseases in the general population is lacking.
  
  
  OBJECTIVE
  To explore the prevalence of antinuclear antibody (ANA) and its specificities in the general population in China.
  
  
  METHODS
  Twenty thousand nine hundred seventy sera samples were taken from the physical examination center in Baoding, China. Indirect immunofluorescence and line immunoassays were used to detect ANA and its specificities, respectively.
  
  
  RESULTS
  Samples from females had a higher prevalence of ANA than samples from males (χ(2) = 278.55; P < 0.01). For both sexes, the prevalence of ANA positively correlated with age and there were significant differences among different age groups at 10-year intervals, except the 80 years group (P < 0.05). One thousand two hundred forty-three ANA-positive samples were further analyzed with line immunoassays. There was a significant difference among age groups and between sex groups in terms of the specific autoantibodies (P < 0.01). The autoantibodies with the top-3 positive frequencies were anti-Ro-52, anti-M2, and anti-SSA.
  
  
  CONCLUSIONS
  There was a high prevalence of ANA positivity in the general Chinese population that seemed to be influenced by sex and age and correlated with specific autoantibodies.
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Ya-Ping
authors.initials: YP
authors.lastname: Guo
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Chun-Guang
authors.initials: CG
authors.lastname: Wang
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Liu
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Yi-Qian
authors.initials: YQ
authors.lastname: Huang
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: De-Li
authors.initials: DL
authors.lastname: Guo
authors.affiliation: The Fifth Hospital of Baoding, Baoding, Hebei, China.
authors.forename: Xing-Zhuo
authors.initials: XZ
authors.lastname: Jing
authors.affiliation: School of Environmental Science and Engineering, North China Electric Power University, Baoding, Hebei, China.
authors.forename: Chun-Gang
authors.initials: CG
authors.lastname: Yuan
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Song
authors.initials: S
authors.lastname: Yang
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Jin-Mei
authors.initials: JM
authors.lastname: Liu
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Meng-Si
authors.initials: MS
authors.lastname: Han
authors.affiliation: The First Center Hos pital of Bao Ding, Baoding, Hebei, China.
authors.forename: Hong-Xing
authors.initials: HX
authors.lastname: Li
keywords: Chinese; antinuclear antibody; autoimmune diseases; prevalence