中华预防医学杂志最新文献

{"title":"[Study on the association between different feeding methods during the first six months after birth and physical growth of children aged 3 to 5 years based on the Taicang and Wuqiang mother-child cohort study in China].","authors":"Y F Duan, Z Y Yang, Y Bi, C Q Liu, Y L Zhao, X Y Gu, J T Duan, H Zhao, J Q Lai","doi":"10.3760/cma.j.cn112150-20240626-00509","DOIUrl":"https://doi.org/10.3760/cma.j.cn112150-20240626-00509","url":null,"abstract":"<p><p><b>Objective:</b> To explore the association between different feeding methods during the first six months after birth and the physical growth of children aged 3 to 5 years. <b>Methods:</b> Data were from the \"Taicang and Wuqiang mother-child cohort study\"(TAWS) in China. Children were enrolled at birth between November 2016 and September 2020 and followed up at 1, 2, 3, 6, 8, 12, 18, and 24 months, as well as at ages 3 to 5 years. Based on feeding methods within six months of age, children were categorized into an \"exclusive breastfeeding group\" and a \"formula-feeding group\". Birth-related information and feeding practices between 8 and 24 months were collected, alongside dietary habits, physical activity, and illness during preschool years. Height and weight of preschool children were measured to calculate height-for-age Z-score (HAZ), weight-for-age Z-score (WAZ), body mass index-for-age Z-score (BAZ), and the rates of stunting, underweight, wasting, overweight, and obesity. After adjusting for demographic factors, birth-related information, feeding practices between 8 to 24 months, preschool dietary habits, physical activity, and health status, multiple linear regression and logistic regression were adopted to analyze the influence of feeding methods within six months of age on the physical growth of children aged 3 to 5 years. <b>Results:</b> A total of 1 233 children were included, comprising 629 boys and 604 girls. The number of children aged 3, 4, and 5 years was 436, 406, and 391, respectively. About 754 children were categorized into the exclusive breastfeeding group and 479 into the formula-feeding group. Children who were introduced to formula milk within six months of age had higher HAZ (0.09±0.99), WAZ (0.24±1.07) and BAZ (0.26±1.11) scores at ages 3 to 5 compared to the exclusive breastfeeding group [HAZ, WAZ, and BAZ were (-0.04±0.92), (0.06±1.02) and (0.11±1.08), respectively]. After adjusting for confounding factors, multiple linear regression analysis showed that the <i>β</i> (95%<i>CI</i>) values for HAZ, WAZ and BAZ in the formula-feeding group were 0.16 (0.06-0.25), 0.17 (0.06-0.29) and 0.15 (0.02-0.27), respectively, compared to the exclusive breastfeeding group. After adjusting for confounding factors, the results of the multivariate logistic regression model indicated that there were no statistically significant differences in the risks of stunting, underweight, wasting, overweight, and obesity during the preschool years between the exclusive breastfeeding group and the formula-feeding group, with <i>OR</i> (95%<i>CI</i>) values of 1.04 (0.41-2.62), 0.99 (0.27-3.57), 1.63 (0.53-4.95), 1.08 (0.66-1.74), and 1.58 (0.70-3.60), respectively. <b>Conclusion:</b> Exclusive breastfeeding within six months of age does not increase the risk of undernutrition (including stunting, underweight or wasting) during preschool years. However, the introduction of formula feeding within six months of age significantly increases the phy","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 1","pages":"30-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Relationship between serum ferritin levels and red blood cell parameters with the risk of type 2 diabetes mellitus in medical examination individuals from Qingdao City].","authors":"Y Ma, Y Y Fang, J Y Wang, J F Lyu, R Jia, A G Ma, K Xiong","doi":"10.3760/cma.j.cn112150-20240130-00101","DOIUrl":"https://doi.org/10.3760/cma.j.cn112150-20240130-00101","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the association between serum ferritin levels, erythrocyte parameters, and the risk of developing type 2 diabetes mellitus. <b>Methods:</b> A total of 11 408 subjects aged 40 to 70 years who underwent physical examinations at a hospital in Qingdao from 2014 to 2015 were enrolled in the study. Data were collected through questionnaires, physical examinations, and assessments of blood biochemical indices, serum ferritin, and related erythrocyte parameters. A multivariate logistic regression model was employed to analyze the relationship of serum ferritin and red cell parameters with type 2 diabetes mellitus, while a linear regression model was utilized to examine the association between serum ferritin, red cell parameters and fasting blood glucose levels. <b>Results:</b> The median (<i>Q</i>₁, <i>Q</i>₃) age of the subjects was 51 (45, 58) years, with 55.3% (6 305) being male. The prevalence of type 2 diabetes in women was 5.9% (300/5 103), which was lower than that in men [13.0% (817/6 305)] (<i>P</i><0.001).After adjusting for age, sex, body mass index (BMI), smoking status, alcohol consumption, and family history of diabetes, serum ferritin levels were found to be positively associated with both type 2 diabetes and fasting blood glucose levels, with <i>OR</i> (95%<i>CI</i>) and <i>β</i>(95%<i>CI</i>) values of 1.70 (1.37, 2.11) and 0.002 (0.002, 0.003), respectively. Additionally, hemoglobin, red blood cell count, and hematocrit were positively correlated with type 2 diabetes and fasting blood glucose, with <i>OR</i> (95%<i>CI</i>) values of 1.72 (1.32, 2.24), 1.91 (1.51, 2.41), and 1.52 (1.17, 1.97), and <i>β</i> (95%<i>CI</i>) values of 0.008 (0.006, 0.011), 0.365 (0.286, 0.445), and 2.543 (1.564, 3.521), respectively. Conversely, mean erythrocyte volume was negatively associated with type 2 diabetes and fasting blood glucose, with <i>OR</i> (95%<i>CI</i>) and <i>β</i> (95%<i>CI</i>) values of 0.54 (0.45, 0.66) and -0.017 (-0.023, -0.011), respectively (all <i>P</i> values<0.001). <b>Conclusion:</b> The findings indicate that serum ferritin and related erythrocyte parameters are significantly correlated with the risk of type 2 diabetes mellitus and fasting blood glucose levels.</p>","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 1","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of ambient air pollution on hospital visits for mental and behavioral disorders among residents in an industrial area in Henan Province from 2016 to 2021].","authors":"Y H Chen, W W Zhang, J W Liu, J R Zhang, Z Y Liu, W J Zhang, Q X Zhang, J C Liu, M Li","doi":"10.3760/cma.j.cn112150-20241022-00833","DOIUrl":"10.3760/cma.j.cn112150-20241022-00833","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To explore the impact of air pollution on hospital visits for mental and behavioral disorders among residents in an industrial area in Henan Province from 2016 to 2021. &lt;b&gt;Methods:&lt;/b&gt; Daily outpatient visits data for mental and behavioral disorders were collected from Angang General Hospital in Angang Industrial Area at Anyang City between January 2016 and December 2021. And air pollutants and meteorological data during the same period were also collected. A generalized additive model was used for time-series analysis to examine the relationship between daily average concentrations of nitrogen dioxide (NO&lt;sub&gt;2&lt;/sub&gt;), sulfur dioxide (SO&lt;sub&gt;2&lt;/sub&gt;), fine particulate matter (PM&lt;sub&gt;2.5&lt;/sub&gt;), inhalable particulate matter (PM&lt;sub&gt;10&lt;/sub&gt;), carbon monoxide (CO), and ozone (O&lt;sub&gt;3&lt;/sub&gt;) with a lag of 0 to 7 days on the number of visits for mental and behavioral disorders among residents. The single-day lag effect (lag0-lag7 d) and cumulative lag effect (lag01-lag07 d) were analyzed. The smooth cubic spline function was used to fit the exposure-response relationship, and subgroup analysis was performed according to different genders, seasons and ages. &lt;b&gt;Results:&lt;/b&gt; A total of 26 268 hospital visits for mental and behavioral disorders were collected from the industrial area between 2016 and 2021. The daily average concentrations of SO&lt;sub&gt;2&lt;/sub&gt;, NO&lt;sub&gt;2&lt;/sub&gt;, PM&lt;sub&gt;2.5&lt;/sub&gt;, PM&lt;sub&gt;10&lt;/sub&gt;, and CO were (27.50±27.33), (43.11±18.33), (73.87±60.30), (134.01±83.81) μg/m&lt;sup&gt;3&lt;/sup&gt;, and (1.72±1.03) mg/m&lt;sup&gt;3&lt;/sup&gt;, respectively. The daily maximum 8-hour average concentration of O&lt;sub&gt;3&lt;/sub&gt; was (82.18±53.70) μg/m&lt;sup&gt;3&lt;/sup&gt;. After controlling for long-term trends, temperature, relative humidity, day of the week effects, and holiday effects, the generalized additive model analysis showed that NO&lt;sub&gt;2&lt;/sub&gt; had a statistically significant impact on the hospital visits for mental and behavioral disorders at lag0 d, lag2 d and lag01-lag05 d and CO had a statistically significant impact at lag0-lag3 d and lag01-lag06 d (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). NO&lt;sub&gt;2&lt;/sub&gt; at lag02-lag04 d and CO at lag0-lag2 d and lag01-lag04 d had statistically significant effects on the visits for neurasthenia (both &lt;i&gt;P&lt;/i&gt;&lt;0.05). The impacts of NO&lt;sub&gt;2&lt;/sub&gt; at lag03-lag04 d, PM&lt;sub&gt;2.5&lt;/sub&gt; at lag3 d and lag03-lag04 d, PM&lt;sub&gt;10&lt;/sub&gt; at lag3 d and lag03 d, and CO at lag3 d and lag01-lag05 d on visits for generalized anxiety disorder were also statistically significant (all &lt;i&gt;P&lt;/i&gt;&lt;0.05). After false discovery rate (FDR) correction, it was shown that for every 10 μg/m&lt;sup&gt;3&lt;/sup&gt; increase in NO&lt;sub&gt;2&lt;/sub&gt; and every 0.1 mg/m&lt;sup&gt;3&lt;/sup&gt; increase in CO, the percentage increase in visits for mental and behavioral disorders and its 95% confidence interval (95%&lt;i&gt;CI&lt;/i&gt;) were 3.38% (0.95%-5.87%) and 0.78% (0.38%-1.17%), respectively. For every 0.1 mg/m&lt;sup&gt;3&lt;/sup&gt; increase in CO, the visits for neurasthenia increased by 0.78% (0.27%-1.29%). For eve","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"58 ","pages":"39-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Analysis of the impact of salt reduction interventions on primary school students' parents based on the home-school interaction model].","authors":"J L Wang, Y M Zhao, Y B Yang, J Q Song, S L Chang, W H Shi","doi":"10.3760/cma.j.cn112150-20240624-00497","DOIUrl":"https://doi.org/10.3760/cma.j.cn112150-20240624-00497","url":null,"abstract":"<p><p>To analyze the impact of salt reduction interventions on the knowledge, attitude and behavior regarding the salt reduction of students' parents based on the home-school interaction model. In April 2021, parents of students in grades 3-5 from three primary schools in Yichang City were selected as the target population using a cluster sampling method, and the parent population was divided into an intervention group and a control group. In the intervention group, a comprehensive home-school interaction salt reduction intervention was implemented, and in the control group, no intervention measures were taken for students' parents. Baseline and final surveys were conducted before and after the intervention period, which included general information, previous salt reduction interventions received, and salt reduction knowledge, attitude and behavior. Difference-in-difference (DID) method was used to compare the knowledge, attitude and behavior status of two groups before and after the intervention, and stratified analysis of parents with different literacy levels was conducted to assess the net effect of intervention implementation. The results showed that 740 parents completed the baseline and final surveys, with 231 in the intervention group and 509 in the control group. After propensity score matching, there were 231 (33.33%) in the intervention group and 462 (66.67%) in the control group. After the intervention, the proportion of the intervention group who obtained salt control spoons and pots, as well as salt reduction knowledge and advice through school, was 87.45%, 86.58% and 75.45%, respectively, which was significantly higher than that in the control group (<i>P</i><0.05). After the intervention, the proportion of parents with a high school and lower education who obtained salt control pots was higher in the intervention group (89.23%) than in the control group (74.49%), with significant differences (<i>P</i><0.05). The proportion of parents with a college degree or above who obtained salt control spoons and pots, as well as salt reduction knowledge and advice through school, was higher than that of the control group (<i>P</i><0.05). The results of <i>DID</i> method showed that after controlling for monthly income and other factors, the scores of parents' salt reduction-related knowledge and low-salt behavior in the intervention group increased significantly higher than those in the control group, with <i>DID</i> values (95%<i>CI</i>) of 1.18 (0.15-2.21) and 0.62 (0.16-1.09), respectively, indicating a significant net effect of intervention implication. After stratification according to the education level of parents, this difference still existed in the college degree or above group, with <i>DID</i> values (95%<i>CI</i>) of 1.39 (0.13-2.66) and 0.76 (0.16-1.36), respectively. The home-school interaction model for salt reduction measures can improve the salt-related knowledge and low-salt behavioral choices of students' parents.</p>","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 1","pages":"76-81"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Epidemiological characteristics of measles in Zhuhai City from 2005 to 2022].","authors":"Z W Ye, S T Gao, J R Fang, C Ma, X Zeng","doi":"10.3760/cma.j.cn112150-20240203-00112","DOIUrl":"https://doi.org/10.3760/cma.j.cn112150-20240203-00112","url":null,"abstract":"<p><p>A total of 1 159 measles cases were reported in Zhuhai City from 2005 to 2022, with an average annual incidence rate of 4.21/10⁵ (0-30.51/10⁵). The <i>M</i>(<i>Q</i>₁, <i>Q</i>₃) age of the cases was 6.10 years old (10 months,23.20 years old), with the youngest cases being 2 months and the oldest age of 55 years old. The distribution of cases by age group was as follows: individuals aged18 years and older (34.94%), 8-23 months (22.95%), 2-6 years old (16.74%), 7-17 years old(12.86%) and infants under 8 months (12.51%), respectively. The primary groups affected by the disease included scattered children, workers, and students. The regional distribution exhibited distinct clustering characteristics in urban areas or streets with a high concentration of the migrant population. Following the initiation of Measles-containing Vaccine Supplementary Immunization Activities (MCV SIA) in 2009, the incidence of measles in Zhuhai City has significantly decreased, and there is no evident seasonal distribution of cases.</p>","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 1","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The trend and prediction of health literacy level of Chinese residents from 2012 to 2023].","authors":"S J Li, Y Hu, L B Ren, Y L Jiang, Y F Wu, Y Yao","doi":"10.3760/cma.j.cn112150-20240617-00479","DOIUrl":"https://doi.org/10.3760/cma.j.cn112150-20240617-00479","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the trend of the health literacy level of Chinese residents from 2012 to 2023 and predict the health literacy level from 2024 to 2027. <b>Methods:</b> The study collected data on the health literacy surveillance of Chinese residents from 2012 to 2023. The Joinpoint regression model was used to calculate the average annual percent change (AAPC) and analyze the trend. The interrupted time series analysis with Prais-Winsten transformed generalized least squares estimation was employed to investigate the impact of the\"Healthy China 2030\" policy on residents' health literacy levels. Joinpoint regression, autoregressive integrated moving average model and grey forecasting models were established to select the optimal model for forecasting health literacy levels from 2024 to 2027. <b>Results:</b> The results showed that the health literacy level of Chinese residents increased from 8.80% in 2012 to 29.70% in 2023 (AAPC=11.65%, <i>P</i><0.05). The health literacy level of urban and rural residents increased from 11.79% and 7.13% in 2012 to 33.25% and 26.23% in 2023, respectively (AAPC=9.57% and 12.60%, both <i>P</i><0.05). Rural (1.59% per year) saw a lower average annual increase than urban (1.79% per year), widening the urban-rural health literacy gap. All aspects of health literacy, including basic knowledge and concepts, healthy lifestyles and behaviors, and health skills, showed an upward trend. The literacy level of six health issues-safety and first aid, scientific health views, health information, infectious disease prevention, chronic disease prevention, and basic medical care-also exhibited rising trends. Interrupted time series analysis indicated a significant further increase in the health literacy level of Chinese residents after the implementation of the \"Healthy China 2030\" policy, with the growth rate increasing from 0.615% per year before implementation to 2.655% per year afterwards. The Joinpoint regression model showed superior predictive performance compared to autoregressive integrated moving average model and grey forecasting models. The prediction results suggested a continued upward trend in the health literacy level from 2024 to 2027, reaching 32.68%, 35.62%, 38.84%, and 42.34%, respectively. <b>Conclusion:</b> From 2012 to 2023, the overall and various aspects of health literacy among Chinese residents show a continuous upward trend. This study predicts that the level of residents' health literacy will continue to rise by 2027.</p>","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 1","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Epidemiological characteristics and related factors of multimorbidity of wasting and spinal curvature abnormalities among children and adolescents aged 6-18 years in Inner Mongolia Autonomous Region, China].","authors":"Z Z Dong, Z T Lu, X L Song, Z Y Song, J Y Liu, Y Zhang, J N Jiang, R L Wang, W Yuan, Y Qin, Y Song, X H Zhang, T Yang, Y H Dong","doi":"10.3760/cma.j.cn112150-20240807-00636","DOIUrl":"10.3760/cma.j.cn112150-20240807-00636","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To analyze the epidemiological characteristics of wasting, spinal curvature abnormalities and multimorbidity among children and adolescents aged 6-18 in Inner Mongolia and explore the related factors of these two health problems. &lt;b&gt;Methods:&lt;/b&gt; In September 2022, a stratified random cluster sampling method was employed to select 188 635 children and adolescents aged 6-18 in Inner Mongolia for physical examinations and questionnaire surveys. Data on height, weight, as well as dietary behavior, physical activity, classroom environment, academic tasks, writing posture, and screen behavior were collected. The epidemiological characteristics of wasting, spinal curvature abnormalities and multimorbidity were analyzed. Additionally, a multivariate logistic regression model was used to analyze the factors associated with wasting, spinal curvature abnormalities and multimorbidity. &lt;b&gt;Results:&lt;/b&gt; A total of 188 635 children and adolescents aged 6-18 years participated in this study, including 95 393 boys (50.6%) and 93 242 girls (49.4%), with an average age of 11.53±3.32 years. The detection rate of wasting was 3.79%, with a higher detection rate in boys (4.18%) than in girls (3.38%) (&lt;i&gt;P&lt;/i&gt;&lt;0.001). The detection rate of spinal curvature abnormalities was 3.64%, with a higher detection rate in girls (4.04%) than in boys (3.25%) (&lt;i&gt;P&lt;/i&gt;&lt;0.001). The detection rate of multimorbidity between wasting and spinal curvature abnormalities was 0.17%, and there was no statistically significant difference between genders (&lt;i&gt;P&lt;/i&gt;&gt;0.05). The detection rates of wasting, spinal curvature abnormalities, and multimorbidity all increased with age (&lt;i&gt;P&lt;sub&gt;t&lt;/sub&gt;&lt;/i&gt;&lt;0.001). The multivariate logistic regression analysis showed that, after adjusting for gender, age, urban/rural status, and school grade, compared to children and adolescents who exercised≥1 hour of moderate-to-vigorous physical activity (MVPA) for at least 5 days per week and had daily screen time&lt;2 hours, those who exercised&lt;5 days per week (&lt;i&gt;O&lt;/i&gt;R=1.28, 95%CI: 1.19-1.37) and had daily screen time≥2 hours (&lt;i&gt;OR&lt;/i&gt;=1.11, 95%CI: 1.03-1.19) had a higher risk of wasting. Compared to children and adolescents who had≥5 physical education (PE) classes per week, adjusted desk and chair height,&lt;1 hour of after-school study/writing time, and whose parents or teachers rarely or never reminded them about posture, those with&lt;5 PE classes per week (&lt;i&gt;OR&lt;/i&gt;=1.11, 95%CI: 1.02-1.21), unadjusted desk and chair height (&lt;i&gt;OR&lt;/i&gt;=1.08, 95%CI: 1.01-1.15),≥1 hour of after-school study/writing time (&lt;i&gt;OR&lt;/i&gt;=1.15, 95%CI: 1.07-1.24), frequent reminders from parents (&lt;i&gt;OR&lt;/i&gt;=1.16, 95%CI: 1.09-1.23), and frequent reminders from teachers (&lt;i&gt;OR&lt;/i&gt;=1.10, 95%CI: 1.04-1.16) had a higher risk of spinal curvature abnormalities. Compared to children and adolescents who did not consume sugary drinks daily, exercised≥1 hour of MVPA for at least 5 days per week, and whose teachers rarely or never remin","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 ","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The association between unhealthy lifestyle and depressive symptoms, anxiety symptoms, and stress among secondary school students in Jiangsu Province, China].","authors":"W Y Yang, Y Wang, X Y Zhang, P X Li, X Wang, Y L Xin, T J Chen, J Yang","doi":"10.3760/cma.j.cn112150-20240805-00623","DOIUrl":"10.3760/cma.j.cn112150-20240805-00623","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To analyze the association between unhealthy lifestyles and depressive symptoms, anxiety symptoms and stress among secondary school students in Jiangsu Province. &lt;b&gt;Methods:&lt;/b&gt; From September to November 2023, a multistage stratified cluster random sampling method was used to select secondary school students from 13 districts and cities in Jiangsu Province. A questionnaire survey was conducted on their unhealthy lifestyles (low physical activity, smoking, drinking, internet addiction, poor sleep quality, and unhealthy diet), as well as their depressive symptoms, anxiety symptoms and stress. The multivariate logistic regression model and mixed graph model were used to construct a network and analyze the association between unhealthy lifestyles and depressive symptoms, anxiety symptoms and stress. &lt;b&gt;Results:&lt;/b&gt; A total of 81 414 secondary school students were finally included in this study, including 39 725 (48.79%) female students and 41 689 (51.21%) male students. The prevalence of depressive symptoms, anxiety symptoms and stress were 18.55%, 32.09% and 12.91%, respectively. The multivariate logistic regression model showed that after adjusting for age, gender, urban-rural status, residential status, and family type, compared with students without unhealthy lifestyles, students with low physical activity, smoking, alcohol consumption, internet addiction, poor sleep quality, and unhealthy diet had a significantly increased risk of depressive symptoms (&lt;i&gt;OR&lt;/i&gt;=1.12, 95%&lt;i&gt;CI&lt;/i&gt;:1.07-1.17; &lt;i&gt;OR&lt;/i&gt;=1.60, 95%&lt;i&gt;CI&lt;/i&gt;: 1.49-1.72; &lt;i&gt;OR&lt;/i&gt;=1.79, 95%&lt;i&gt;CI&lt;/i&gt;: 1.71-1.88; &lt;i&gt;OR&lt;/i&gt;=3.05, 95%&lt;i&gt;CI&lt;/i&gt;: 2.77-3.36; &lt;i&gt;OR&lt;/i&gt;=6.66, 95%&lt;i&gt;CI&lt;/i&gt;: 6.40-6.93; &lt;i&gt;OR&lt;/i&gt;=1.29, 95%&lt;i&gt;CI&lt;/i&gt;: 1.24-1.34) and a significantly increased risk of anxiety symptoms (&lt;i&gt;OR&lt;/i&gt;=1.09, 95%&lt;i&gt;CI&lt;/i&gt;: 1.05-1.13; &lt;i&gt;OR&lt;/i&gt;=1.42, 95%&lt;i&gt;CI&lt;/i&gt;: 1.33-1.52; &lt;i&gt;OR&lt;/i&gt;=1.76, 95%&lt;i&gt;CI&lt;/i&gt;: 1.69-1.83; &lt;i&gt;OR&lt;/i&gt;=2.40, 95%&lt;i&gt;CI&lt;/i&gt;: 2.17-2.65; &lt;i&gt;OR&lt;/i&gt;=5.79, 95%&lt;i&gt;CI&lt;/i&gt;: 5.59-6.00; &lt;i&gt;OR&lt;/i&gt;=1.16, 95%&lt;i&gt;CI&lt;/i&gt;: 1.12-1.21). Students who smoked, drank alcohol, had internet addiction, and had poor sleep quality had a significantly increased risk of stress (&lt;i&gt;OR&lt;/i&gt;=1.49, 95%&lt;i&gt;CI&lt;/i&gt;: 1.38-1.61; &lt;i&gt;OR&lt;/i&gt;=1.79, 95%&lt;i&gt;CI&lt;/i&gt;: 1.70-1.89; &lt;i&gt;OR&lt;/i&gt;=2.25, 95%&lt;i&gt;CI&lt;/i&gt;: 2.04-2.48; &lt;i&gt;OR&lt;/i&gt;=6.74, 95%&lt;i&gt;CI&lt;/i&gt;: 6.43-7.06). The node with poor sleep quality (bridge strength=0.48) in the network constructed by the mixed graph model had the strongest centrality of the bridge connecting unhealthy lifestyles with depressive symptoms, anxiety symptoms and stress. &lt;b&gt;Conclusion:&lt;/b&gt; Low physical activity, smoking, alcohol consumption, internet addiction, poor sleep quality, and unhealthy diet increase the risk of depressive symptoms and anxiety symptoms among Jiangsu Province secondary school students. Smoking, alcohol consumption, internet addiction, and poor sleep quality increase the risk of stress among Jiangsu Province secondary school students. Sleep quality is an ","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 ","pages":"38-45"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The cumulative effects of lifestyle on different patterns of multimorbidity among children and adolescents aged 9-18 in Tianjin].","authors":"Z H Liu, X W Zhang, S S Zhao, K Xu, Z Y Sun, X L Song, Y H Dong, Y Song, Y S Cui","doi":"10.3760/cma.j.cn112150-20240808-00637","DOIUrl":"10.3760/cma.j.cn112150-20240808-00637","url":null,"abstract":"<p><p><b>Objective:</b> To understand the occurrence of different patterns of multimorbidity among children and adolescents aged 9-18 in Tianjin and analyze the cumulative effects of lifestyle on these patterns of multimorbidity. <b>Method:</b> From September to November 2022, a stratified cluster random sampling method was used to select students from primary schools, junior high schools, general high schools, and vocational schools in 16 districts of Tianjin to screen for height, weight, blood pressure, distant vision, and diopter. One year later, a follow-up measurement and questionnaire survey were conducted. The log-binomial model was used to analyze the strength of the association between lifestyle factors and different patterns of multimorbidity. <b>Results:</b> The age of 9 488 students was (12.37±2.49) years old, including 4 999 boys and 4 489 girls. The detection rates of three patterns of multimorbidity of overweight obesity and high blood pressure, overweight obesity and myopia, and overweight obesity with high blood pressure and myopia were 6.63%, 9.32%, and 4.21%, respectively. The detection rates of the three types of multimorbidity in boys were higher than those in girls (all <i>P</i><0.001). The detection rate of overweight obesity and high blood pressure in suburban areas was higher than that in urban areas (<i>P</i>=0.002). The detection rate of overweight obesity and myopia in suburban areas was lower than that in urban areas (<i>P=</i>0.034). The detection rate of overweight obesity and myopia among those aged 9-12 years old was higher than other age groups (all <i>P</i><0.001). The <i>ARR</i> (95%<i>CI</i>) for the association between favorable physical activity and the occurrence of overweight obesity and high blood pressure was 0.79 (0.68-0.92). The <i>ARR</i> (95%<i>CI</i>) for the association between favorable physical activity and the occurrence of overweight obesity with high blood pressure and myopia was 0.82 (0.67-0.99). Compared with children and adolescents with 0-2 favorable lifestyle factors, those with 4-5 favorable lifestyle factors had a lower risk of overweight obesity and high blood pressure (<i>ARR</i>=0.84, 95%<i>CI</i>: 0.59-0.92). <b>Conclusion:</b> Boys aged 9-18 in Tianjin are more prone to multimorbidity of overweight obesity and high blood pressure, overweight obesity and myopia, and overweight obesity with high blood pressure and myopia. Children and adolescents with 4-5 favorable lifestyle factors have a reduced risk of occurrence of overweight obesity and high blood pressure. Lifestyle has cumulative effects on multimorbidity of overweight obesity and high blood pressure.</p>","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"59 ","pages":"31-37"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Analysis of symptomatic differences in 391 patients with Brucella infections in different age groups].","authors":"L P Zhang, R F He, F Q Ding, T T Sun, W W Pu, T Wu","doi":"10.3760/cma.j.cn112150-20240527-00426","DOIUrl":"https://doi.org/10.3760/cma.j.cn112150-20240527-00426","url":null,"abstract":"&lt;p&gt;&lt;p&gt;In order to investigate the clinical manifestations and laboratory findings associated with brucellosis for the purpose of facilitating prompt clinical diagnosis and effective treatment, as well as to offer a laboratory reference for the prevention of brucellosis outbreaks. In this study, a retrospective cohort design was employed to gather epidemiological characteristics, clinical symptoms, and associated laboratory data from 391 patients diagnosed with bacterial culture-positive brucellosis at the People's Hospital of Ningxia Hui Autonomous Region between 2019 and 2023. The patients were categorized into four age groups, with each group representing a 20 years age interval. Statistical analyses were conducted to examine the differences between these age groups using R version 4.3.2 and SPSS version 24.0 software. The results showed that among the 391 cases of brucellosis patients, fever (241 cases, 61.64%), lumbar and leg joint pain (225 cases, 57.54%), abnormal liver function (124 cases, 31.71%), spleen enlargement (78 cases, 19.95%), and cholecystitis (75 cases, 19.18%) were identified as the most prevalent clinical symptoms. Furthermore, the presence of clinical symptoms such as fever, lumbar and leg joint pain, abdominal pain and distension, headache, dizziness, rash, and complications including abnormal liver function, cholecystitis, spleen enlargement, exhibited statistical significance across four distinct age groups (&lt;i&gt;P&lt;/i&gt;&lt;0.05). The initial presentation of acute fever and rash was more pronounced in the pediatric cohort. In contrast, the youth group exhibited a higher prevalence of acute fever, liver function abnormalities, dizziness, headache, and splenomegaly. Furthermore, the strong-age group and the older age group more frequently experienced lumbar and leg joint pain, and symptoms related to the liver, gallbladder, spleen, and digestive system. In terms of laboratory examination, the rates of decreased white blood cell count (WBC), red blood cell count (RBC) and platelet count (PLT) were 18.91% (73 cases), 28.94% (112 cases) and 22.34% (86 cases), respectively. C-reactive protein (CRP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total biluric acid (TBA), adenosine deaminase (ADA), alkaline phosphatase (ALP), glutamyl transpeptidase (GGT), procalcitonin (PCT), and D-Dimer (D-Dimer). The proportion of patients with elevated quantitative test results was 88.56% (271 cases), 50.90% (197 cases), 52.20% (202 cases), 23.82% (91 cases), 75.72% (290 cases), 23.06% (89 cases), 40.89% (157 cases), 68.34% (218 cases) and 73.33% (209 cases), respectively. Among them, the quantitative detection results of CPR, ALP and D-Dimer had statistical significance among the 4 age groups (&lt;i&gt;χ&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt;=16.366,28.089,7.880,&lt;i&gt;P&lt;&lt;/i&gt;0.05). Abnormally elevated laboratory parameters, including C-reactive protein (CRP), alkaline phosphatase (ALP), and D-dimer, were more pronounced in middle-aged and older cohorts, with a ","PeriodicalId":24033,"journal":{"name":"中华预防医学杂志","volume":"58 12","pages":"2017-2024"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}