Feasibility evaluation of a panvascular health promotion and risk stratification tool: a cross-sectional survey among community residents in a first-tier city in China
- 1Fenglin Community Health Service Center, Shanghai, China
- 2Healthy Yangtze River Delta Research Institute, Shanghai Jiaotong University, Shanghai, China
- 3Panvascular Health Management Project Team, Fenglin Community Health Service Center, Shanghai, China
Abstract
Objectives: Aimed to evaluate the feasibility of a panvascular health promotion and risk stratification tool among community residents.
Design: A single-centre cross-sectional study.
Setting: A central urban region of a first-tier city in China.
Participants: Overall, 586 residents from 307 households were enrolled; 580 (98.98%) had complete risk-stratification data and were analysed. The sample size was powered only to estimate a single overall proportion with a pre-specified precision. It was not powered for subgroup comparison. All subgroup analyses across sex, age band and body mass index (BMI) category were consequently exploratory.
Interventions: Nine trained family physicians conducted door-to-door surveys from January to March 2025, applying the screening tool to stratify residents into four prevention levels using a ‘stop when positive’ algorithm.
Outcome measure: Panvascular health risk stratification.
Results: Residents were classified into primordial, primary, secondary and tertiary prevention groups: 75 (12.93%, 95% CI 10.44% to 15.91%), 177 (30.52%, 95% CI 26.91% to 34.38%), 293 (50.52%, 95% CI 46.46% to 54.57%) and 35 (6.03%, 95% CI 4.37% to 8.28%), respectively. Risk level differed across age bands (χ²=315.75, df=6, p<0.001) but not between sexes (χ²=1.97, df=3, p=0.578). Among adults, risk level differed across BMI categories (χ²=93.60, df=9, p<0.001). Among minors reclassified with WHO BMI-for-age z-scores, the association was significant only on exact testing (Fisher–Freeman–Halton p=0.016) and was therefore considered exploratory. A final stratification was generated for all 580 residents (100% of valid questionnaires). All four core physical measurements were completed in 559/580 (96.38%), with the mean screening duration of 3.97 (range 3.00–5.01) min. All nine physicians considered the tool feasible and convenient to use.
Conclusion: The panvascular health promotion and risk stratification tool could provide a feasible method to effectively identify different levels of panvascular health risks in community settings. A high proportion of community residents had a high risk of panvascular disease.
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BibTeX
@article{ding2026feasibility,
title = {{Feasibility evaluation of a panvascular health promotion and risk stratification tool: a cross-sectional survey among community residents in a first-tier city in China}},
author = {Hongjuan Ding and Fulan Wang and Bihua Chen and Qiyi Lin and Weiwei Han and Guohua Zhai and Wen Xie and Jie Feng and Fulai Shen and Yi Shen and Jiani Wang},
journal = {BMJ Open},
year = {2026},
month = oct,
doi = {10.1136/bmjopen-2026-121864},
url = {https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2026-121864},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Feasibility evaluation of a panvascular health promotion and risk stratification tool: a cross-sectional survey among community residents in a first-tier city in China
AU - Hongjuan Ding
AU - Fulan Wang
AU - Bihua Chen
AU - Qiyi Lin
AU - Weiwei Han
AU - Guohua Zhai
AU - Wen Xie
AU - Jie Feng
AU - Fulai Shen
AU - Yi Shen
AU - Jiani Wang
PY - 2026
DA - 2026/10/27
JO - BMJ Open
DO - 10.1136/bmjopen-2026-121864
UR - https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2026-121864
AB - Objectives: Aimed to evaluate the feasibility of a panvascular health promotion and risk stratification tool among community residents. Design: A single-centre cross-sectional study. Setting: A central urban region of a first-tier city in China. Participants: Overall, 586 residents from 307 households were enrolled; 580 (98.98%) had complete risk-stratification data and were analysed. The sample size was powered only to estimate a single overall proportion with a pre-specified precision. It was not powered for subgroup comparison. All subgroup analyses across sex, age band and body mass index (BMI) category were consequently exploratory. Interventions: Nine trained family physicians conducted door-to-door surveys from January to March 2025, applying the screening tool to stratify residents into four prevention levels using a ‘stop when positive’ algorithm. Outcome measure: Panvascular health risk stratification. Results: Residents were classified into primordial, primary, secondary and tertiary prevention groups: 75 (12.93%, 95% CI 10.44% to 15.91%), 177 (30.52%, 95% CI 26.91% to 34.38%), 293 (50.52%, 95% CI 46.46% to 54.57%) and 35 (6.03%, 95% CI 4.37% to 8.28%), respectively. Risk level differed across age bands (χ²=315.75, df=6, p<0.001) but not between sexes (χ²=1.97, df=3, p=0.578). Among adults, risk level differed across BMI categories (χ²=93.60, df=9, p<0.001). Among minors reclassified with WHO BMI-for-age z-scores, the association was significant only on exact testing (Fisher–Freeman–Halton p=0.016) and was therefore considered exploratory. A final stratification was generated for all 580 residents (100% of valid questionnaires). All four core physical measurements were completed in 559/580 (96.38%), with the mean screening duration of 3.97 (range 3.00–5.01) min. All nine physicians considered the tool feasible and convenient to use. Conclusion: The panvascular health promotion and risk stratification tool could provide a feasible method to effectively identify different levels of panvascular health risks in community settings. A high proportion of community residents had a high risk of panvascular disease.
SN - 2044-6055
SN - 2044-6055
ER -