Abstract
This study aimed to estimate the prevalence of stroke high-risk population and its associated factors among residents aged ≥ 40 years in Neijiang, Sichuan Province, China. A population-based cross-sectional study was conducted in Neijiang from May 2023 to October 2024. Simple random sampling was employed to recruit 6,072 residents aged ≥ 40 years. Data were collected through face-to-face interviews using a standardized questionnaire. Descriptive, comparative, and multivariate analyses were used for data processing. 95% confidence intervals (CIS) were calculated using the Wilson EB and Newcombe RG methods. Of the 6,072 residents, the prevalence of stroke high-risk population was 24.52% (95% CI: 23.45%-25.62%). The prevalence was significantly higher in men (32.66% vs. 20.47%, P < 0.001), rural residents (28.23% vs. 20.67%, P < 0.001), residents with lower average annual income (26.16% vs. 22.79%, P = 0.002), and those engaged in physical labor (26.76% vs. 23.72% vs. 22.48% vs. 18.25%, P < 0.001). Furthermore, the prevalence increased with age (16.23% vs. 22.91% vs. 27.08%, P < 0.001), but decreased with educational level (27.33% vs. 23.37% vs. 22.05% vs. 17.21%, P < 0.001). Residents with hypertension, dyslipidemia, diabetes mellitus, atrial fibrillation, smoking, overweight, physical inactivity, or family history of stroke had a significantly higher prevalence than those without these factors. The top three prevalent factors for stroke high-risk population were hypertension (82.20%), dyslipidemia (72.26%), and physical inactivity (42.04%). Hypertension (OR = 291.829, 95% CI = 185.207-459.831), physical inactivity (OR = 274.455, 95% CI = 170.791-441.039), and diabetes mellitus (OR = 268.155, 95% CI = 165.782-433.745) were the top three factors associated with stroke high-risk population stratification. The prevalence of stroke high-risk population is high among residents aged ≥ 40 years in Neijiang. Men, elderly, rural residents, residents with lower average annual income and educational level, and those engaged in physical labor had higher prevalence of stroke high risk. Hypertension, dyslipidemia, and physical inactivity were the top three prevalent risk factors. Furthermore, hypertension, physical inactivity, and diabetes mellitus were the top three factors associated with stroke high-risk population stratification.
Data availability
The datasets generated and/or analysed during the current study are not publicly available due to privacy concerns but are available from the corresponding author on reasonable request.
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Acknowledgements
We would like to thank the field investigators from Community Health Services Centers and Township Health Centers in Neijiang, whose diligent efforts in conducting face-to-face interviews and promptly uploading survey data were strong supports to this study. Special thanks to the Neijiang Health Commission and the Neijiang Centers for Disease Prevention and Control for their unwavering support and professional guidance throughout the implementation of this study.
Funding
This study was supported by the National Health Commission Capacity Building and Continuing Education Center (GWJJMB202510021023).
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LXD: Conceptualization, Methodology, Software, Data Curation, Formal Analysis, Writing-Original Draft, Writing-Review & Editing.WY: Investigation, Data Curation, Supervision, Project Administration.LL: Conceptualization, Data Curation, Project Administration.ZL: Supervision, Project Administration.XXF: Supervision, Project Administration.CJ: Supervision, Project Administration.LXH: Project Administration, Funding acquisition.
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This was a population-based cross-sectional study based on the 2023–2024 CNSSS data in Neijiang. This study was endorsed by the Office of the CSPPC and was conducted in accordance with the Declaration of Helsinki. Additionally, ethics approval for this study was confirmed by the Ethics Committee of the First People’s Hospital of Neijiang (2025-Ethical approval-038-01). All participants were required to sign written informed consent prior to their involvement in the study.
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Liu, X., Wu, Y., Li, L. et al. Prevalence of stroke high-risk population and its associated factors in Neijiang. Sci Rep (2026). https://doi.org/10.1038/s41598-026-40275-2
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DOI: https://doi.org/10.1038/s41598-026-40275-2