Spatial Patterns of Ischemic Heart Disease in Shenzhen, China: A Bayesian Multi-Disease Modelling Approach to Inform Health Planning Policies.
Incorporating the information of hypertension, this paper applies Bayesian multi-disease analysis to model the spatial patterns of Ischemic Heart Disease (IHD) risks. Patterns of harmful alcohol intake (HAI) and overweight/obesity are also modelled as they are common risk factors contributing to both IHD and hypertension. The hospitalization data of IHD and hypertension in 2012 were analyzed with three Bayesian multi-disease models at the sub-district level of Shenzhen. Results revealed that the IHD high-risk cluster shifted slightly north-eastward compared with the IHD Standardized Hospitalization Ratio (SHR). Spatial variations of overweight/obesity and HAI were found to contribute most to the IHD patterns. Identified patterns of IHD risk would benefit IHD integrated prevention. Spatial patterns of overweight/obesity and HAI could supplement the current disease surveillance system by providing information about small-area level risk factors, and thus benefit integrated prevention of related chronic diseases. Middle southern Shenzhen, where high risk of IHD, overweight/obesity, and HAI are present, should be prioritized for interventions, including alcohol control, innovative healthy diet toolkit distribution, insurance system revision, and community-based chronic disease intervention. Related health resource planning is also suggested to focus on these areas first.
School of Resources and Environmental Science, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. qydu@whu.edu.cn.|Key Laboratory of GIS, Ministry of Education, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. qydu@whu.edu.cn.|Key Laboratory of Digital Mapping and Land Information Application Engineering, National Administration of Surveying, Mapping and Geoinformation, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. qydu@whu.edu.cn.|Collaborative Innovation Center of Geospatial Technology, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. qydu@whu.edu.cn.
Qingyun
Q
Du
School of Resources and Environmental Science, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. mxz@whu.edu.cn.
Mingxiao
M
Zhang
School of Resources and Environmental Science, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. li-yayan@whu.edu.cn.
Yayan
Y
Li
School of Planning, Faculty of Environment, University of Waterloo, 200 University Avenue West, Waterloo, ON N2L 3G1, Canada. h3luan@uwaterloo.ca.
Hui
H
Luan
Shenzhen Prevention and Treatment Center for Occupational Diseases, Guiyuan Street North 70, Luohu District, Shenzhen 518001, China. carlsl@126.com.
Shi
S
Liang
School of Resources and Environmental Science, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. renfu@whu.edu.cn.|Key Laboratory of GIS, Ministry of Education, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. renfu@whu.edu.cn.|Key Laboratory of Digital Mapping and Land Information Application Engineering, National Administration of Surveying, Mapping and Geoinformation, Wuhan University, 129 Luoyu Road, Wuhan 430079, China. renfu@whu.edu.cn.
Fu
F
Ren
D001499:Bayes Theorem; D002681:China / Q000453:epidemiology; D003324:Coronary Artery Disease; D006285:Health Planning; D006291:Health Policy; D006760:Hospitalization; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D008297:Male; D017202:Myocardial Ischemia / Q000453:epidemiology*; D009765:Obesity / Q000453:epidemiology; D050177:Overweight; D012307:Risk Factors; D014481:United States
Bayesian hierarchical model; Shenzhen; hypertension; ischemic heart disease (IHD); multi-disease analysis