【Objective】 To evaluate the population-based prevalence and risk factors of noncardiac chest pain (NCCP) in Guangzhou
China. 【Methods】 In September 2009
a multi-stage sampling survey (face-to-face interview) was carried out in Nonglin Community
Guangzhou
using the Rose Angina Questionnaire and a validated Chinese version of Reflux Disease Questionnaire. Chi-square test or Fisher’s exact test were performed to analyze the categorical variables. Risk factors for NCCP were identified using multiple logistic regression analysis. 【Results】 A total of 1 707 residents (male 814
female 893) were investigated with the response rate of 100%. Mean age of the subjects was 51 (S = 18) years. Chest pain over the past year was present in 92 subjects (5.4%
95%CI 4.3%-6.5%)
while NCCP was present in 61 subjects (3.6%
95%CI 2.7%-4.5%). The prevalence of NCCP was higher in women than in men(4.8% vs 2.2%
χ2 = 8.379
P = 0.004). Among those with NCCP
8.2% had experienced heartburn and/or acid regurgitation
and 47.5% had history of hypertension. By multiple logistic regression analysis with gender and age adjustment
presence of heartburn and/or acid regurgitation(OR=3.8
95% CI 1.1-12.9
P = 0.034)
non-steroidal anti-inflammatory drug (NSAID) usage (OR = 10.5
95%CI 5.1-21.7
P < 0.001)
and hypertension (OR = 2.7
95%CI 1.4-5.2
P = 0.003) were risk factors associated with NCCP. 【Conclusions】 NCCP is common in the general population in Nonglin Community
Guangzhou. Heartburn and/or acid regurgitation
NSAID usage and hypertension may be risk factors associated with NCCP.