{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:40:28Z","timestamp":1792395628743,"version":"4.4.0"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004572","name":"National Health Commission of the People's Republic of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004572","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jacc.2026.09.012","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T08:38:13Z","timestamp":1792139893000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Occupational Disparities in Cardiovascular Risk and Management in Contemporary China"],"prefix":"10.1016","author":[{"given":"Zixu","family":"Zhao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingxiao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhixian","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5382-6533","authenticated-orcid":false,"given":"Tiannan","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaohui","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ce","family":"Rong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiliang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haichao","family":"Ai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9227-6589","authenticated-orcid":false,"given":"Jue","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingrui","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sitong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qifan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwei","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shijun","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingye","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7184-6260","authenticated-orcid":false,"given":"Zhen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5073-1798","authenticated-orcid":false,"given":"Manlin","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3028-6794","authenticated-orcid":false,"given":"Zejun","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Shen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiqi","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enze","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yize","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiannan","family":"Ying","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Kong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1138-7960","authenticated-orcid":false,"given":"Chao","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5421-4421","authenticated-orcid":false,"given":"Caihua","family":"Sang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7463-8707","authenticated-orcid":false,"given":"Xin","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianzeng","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liu","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changsheng","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jacc.2026.09.012_bib1","doi-asserted-by":"crossref","first-page":"2982","DOI":"10.1016\/j.jacc.2020.11.010","article-title":"Global burden of cardiovascular diseases and risk factors, 1990\u20132019","volume":"76","author":"Roth","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1038\/s41569-018-0119-4","article-title":"Epidemiology of cardiovascular disease in China: current features and implications","volume":"16","author":"Zhao","year":"2019","journal-title":"Nat Rev Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib3","series-title":"Global Burden of Disease Study 2021 (GBD 2021) Results","year":"2024"},{"key":"10.1016\/j.jacc.2026.09.012_bib4","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1038\/nrcardio.2017.154","article-title":"Epidemiology of cardiovascular disease in young individuals","volume":"15","author":"Andersson","year":"2018","journal-title":"Nat Rev Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib5","doi-asserted-by":"crossref","first-page":"e177","DOI":"10.1016\/j.jacc.2019.03.010","article-title":"2019 ACC\/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary: A Report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"74","author":"Arnett","year":"2019","journal-title":"JACC"},{"key":"10.1016\/j.jacc.2026.09.012_bib6","doi-asserted-by":"crossref","first-page":"2945","DOI":"10.1016\/j.jacc.2018.10.018","article-title":"Reprint of: Cardiovascular Health Promotion","volume":"72","author":"Turco","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib7","doi-asserted-by":"crossref","first-page":"1802","DOI":"10.1016\/S0140-6736(20)30122-7","article-title":"Quality of primary health care in China: challenges and recommendations","volume":"395","author":"Li","year":"2020","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.09.012_bib8","year":"2024","journal-title":"total"},{"key":"10.1016\/j.jacc.2026.09.012_bib9","doi-asserted-by":"crossref","first-page":"2388","DOI":"10.1056\/NEJMsa053935","article-title":"Explaining the decrease in U.S. deaths from coronary disease, 1980\u20132000","volume":"356","author":"Ford","year":"2007","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jacc.2026.09.012_bib10","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.amepre.2017.02.022","article-title":"Prevalence of cardiovascular health by occupation: a cross-sectional analysis among U.S. workers aged \u226545 years","volume":"53","author":"MacDonald","year":"2017","journal-title":"Am J Prevent Med"},{"issue":"6","key":"10.1016\/j.jacc.2026.09.012_bib11","doi-asserted-by":"crossref","first-page":"e011350","DOI":"10.1161\/JAHA.118.011350","article-title":"Occupational class and risk of cardiovascular disease incidence in Japan: nationwide, multicenter, hospital-based case-control study","volume":"8","author":"Zaitsu","year":"2019","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.jacc.2026.09.012_bib12","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1016\/S0140-6736(12)60994-5","article-title":"Job strain as a risk factor for coronary heart disease: a collaborative meta-analysis of individual participant data","volume":"380","author":"Kivim\u00e4ki","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.09.012_bib13","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1016\/S0140-6736(15)60295-1","article-title":"Long working hours and risk of coronary heart disease and stroke: a systematic review and meta-analysis of published and unpublished data for 603 838 individuals","volume":"386","author":"Kivim\u00e4ki","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.09.012_bib14","doi-asserted-by":"crossref","first-page":"793","DOI":"10.15585\/mmwr.mm6531a1","article-title":"Cardiovascular health status by occupational group \u2014 21 states, 2013","volume":"65","author":"Shockey","year":"2016","journal-title":"MMWR Morbid Mortal Wkly Rep"},{"key":"10.1016\/j.jacc.2026.09.012_bib15","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1161\/CIR.0000000000000079","article-title":"The role of worksite health screening","volume":"130","author":"Arena","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2026.09.012_bib16","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4103\/sja.SJA_543_18","article-title":"The STROBE guidelines","volume":"13","author":"Cuschieri","year":"2019","journal-title":"Saudi J Anaesth"},{"key":"10.1016\/j.jacc.2026.09.012_bib17","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1161\/CIRCULATIONAHA.116.022367","article-title":"Predicting the 10-year risks of atherosclerotic cardiovascular disease in Chinese population","volume":"134","author":"Yang","year":"2016","journal-title":"Circulation"},{"key":"10.1016\/j.jacc.2026.09.012_bib18","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2024-082765","article-title":"A village doctor-led mobile health intervention for cardiovascular risk reduction in rural China: cluster randomised controlled trial","volume":"389","author":"Zhang","year":"2025","journal-title":"BMJ"},{"key":"10.1016\/j.jacc.2026.09.012_bib19","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/1471-2288-12-115","article-title":"Predicting waist circumference from body mass index","volume":"12","author":"Bozeman","year":"2012","journal-title":"BMC Med Res Method"},{"key":"10.1016\/j.jacc.2026.09.012_bib20","series-title":"Xin Bian Zhongguo Ziran Dili [New Physical Geography of China]","author":"Zhao","year":"2024"},{"key":"10.1016\/j.jacc.2026.09.012_bib21","series-title":"Codes for the Administrative Divisions of the People\u2019s Republic of China","year":"2007"},{"key":"10.1016\/j.jacc.2026.09.012_bib22","doi-asserted-by":"crossref","first-page":"e672","DOI":"10.1016\/S2468-2667(20)30191-2","article-title":"Cardiovascular risk factors in China: a nationwide population-based cohort study","volume":"5","author":"Li","year":"2020","journal-title":"Lancet Public Health"},{"key":"10.1016\/j.jacc.2026.09.012_bib23","series-title":"International Standard Industrial Classification of All Economic Activities (ISIC), Revision 4","year":"2008"},{"key":"10.1016\/j.jacc.2026.09.012_bib24","series-title":"Statistical Classification of Modern Service Industry","year":"2023"},{"key":"10.1016\/j.jacc.2026.09.012_bib25","series-title":"Statistical Classification of Living Services Industry","year":"2019"},{"key":"10.1016\/j.jacc.2026.09.012_bib26","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1186\/1471-2458-14-750","article-title":"Work economic sectors and cardiovascular risk factors: cross-sectional analysis based on the RECORD Study","volume":"14","author":"Lewin","year":"2014","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jacc.2026.09.012_bib27","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s40779-025-00639-7","article-title":"Sudden cardiac arrest mortality in China: temporal trends and risk factors","volume":"12","author":"Yu","year":"2025","journal-title":"Military Med Res"},{"key":"10.1016\/j.jacc.2026.09.012_bib28","series-title":"Main Data of the Seventh National Population Census","year":"2021"},{"key":"10.1016\/j.jacc.2026.09.012_bib29","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1016\/j.jacc.2025.09.1588","article-title":"The geography gap","volume":"86","author":"Krumholz","year":"2025","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib30","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1038\/s41569-023-00941-8","article-title":"Socioeconomic inequalities in cardiovascular disease: a causal perspective","volume":"21","author":"Bann","year":"2024","journal-title":"Nat Rev Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib31","doi-asserted-by":"crossref","first-page":"e386","DOI":"10.1016\/S2468-2667(21)00032-3","article-title":"Occupational physical activity and longevity in working men and women in Norway: a prospective cohort study","volume":"6","author":"Dalene","year":"2021","journal-title":"Lancet Public Health"},{"key":"10.1016\/j.jacc.2026.09.012_bib32","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1093\/occmed\/kqaa222","article-title":"Health, lifestyle and occupational risks in information technology workers","volume":"71","author":"Lalloo","year":"2021","journal-title":"Occup Med"},{"key":"10.1016\/j.jacc.2026.09.012_bib33","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1093\/annweh\/wxac061","article-title":"Comparing anxiety and depression in information technology workers with others in employment: a UK Biobank Cohort Study","volume":"66","author":"Lalloo","year":"2022","journal-title":"Ann Work Exposures Health"},{"key":"10.1016\/j.jacc.2026.09.012_bib34","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1016\/j.jacc.2023.01.024","article-title":"Association of incident cardiovascular disease with time course and cumulative exposure to multiple risk factors","volume":"81","author":"Domanski","year":"2023","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib35","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1177\/2047487320915342","article-title":"Long-term cumulative blood pressure in young adults and incident heart failure, coronary heart disease, stroke, and cardiovascular disease: The CARDIA study","volume":"28","author":"Nwabuo","year":"2021","journal-title":"Eur J Prevent Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib36","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1016\/j.jacc.2021.12.016","article-title":"Managing atherosclerotic cardiovascular risk in young adults: JACC State-of-the-Art Review","volume":"79","author":"Stone","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacc.2026.09.012_bib37","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S0140-6736(19)32008-2","article-title":"Modifiable risk factors, cardiovascular disease, and mortality in 155\u2008722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study","volume":"395","author":"Yusuf","year":"2020","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.09.012_bib38","series-title":"China Statistical Yearbook 2023","year":"2023"},{"key":"10.1016\/j.jacc.2026.09.012_bib39","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1016\/S0140-6736(17)30571-8","article-title":"Population health in an era of rising income inequality: USA, 1980\u20132015","volume":"389","author":"Bor","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.jacc.2026.09.012_bib40","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.vhri.2017.04.001","article-title":"Healthy China 2030: A Vision for Health Care","volume":"12","author":"Tan","year":"2017","journal-title":"Value in Health Regional Issues"},{"key":"10.1016\/j.jacc.2026.09.012_bib41","doi-asserted-by":"crossref","first-page":"e989","DOI":"10.1016\/S2468-2667(22)00207-9","article-title":"Challenges in screening and general health checks in China","volume":"7","author":"Gong","year":"2022","journal-title":"Lancet Public Health"}],"container-title":["JACC"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109726077648?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735109726077648?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T06:45:02Z","timestamp":1792392302000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735109726077648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":41,"alternative-id":["S0735109726077648"],"URL":"https:\/\/doi.org\/10.1016\/j.jacc.2026.09.012","relation":{},"ISSN":["0735-1097"],"issn-type":[{"value":"0735-1097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Occupational Disparities in Cardiovascular Risk and Management in Contemporary China","name":"articletitle","label":"Article Title"},{"value":"JACC","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacc.2026.09.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by the American College of Cardiology Foundation. Published by Elsevier.","name":"copyright","label":"Copyright"}]}}