Public Health最新文献

Factors affecting detection and estimation of SARS-CoV-2 RNA concentration of COVID-19 positive cases in wastewater influent: A systematic review 影响污水中 COVID-19 阳性病例的 SARS-CoV-2 RNA 检测和浓度估算的因素：系统综述

IF 3.9 3区医学

Public Health Pub Date : 2024-10-17 DOI: 10.1016/j.puhe.2024.10.004

{"title":"Factors affecting detection and estimation of SARS-CoV-2 RNA concentration of COVID-19 positive cases in wastewater influent: A systematic review","authors":"","doi":"10.1016/j.puhe.2024.10.004","DOIUrl":"10.1016/j.puhe.2024.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>Wastewater Based Surveillance (WBS) has emerged as a novel monitoring tool for tracking and estimating the dissemination of the Novel Coronavirus Disease 2019 (COVID-19) within communities.</div></div><div><h3>Study design</h3><div>The goal of this review is to assess the factors that influence estimations of SARS-CoV-2 RNA concentration estimations in wastewater.</div></div><div><h3>Systematic review</h3><div>The goal of this review is to assess the factors that influence estimations of SARS-CoV-2 RNA concentration estimations in wastewater.</div></div><div><h3>Methods</h3><div>A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews (PRISMA-ScR) criteria in the electronic databases Scopus, PubMed, Google Scholar, and Medline. The overall quality, sample methodologies, quantification methods, and estimating approaches of selected papers were assessed.</div></div><div><h3>Results</h3><div>Our findings reveal that 16 out of 24 articles (67 %) focused on physiochemical analyses. This review showed that sampling strategies and laboratory methodologies play a crucial role in the detection of SARS-CoV-2 RNA in wastewater samples. Moreover, we found that WBS-based estimation of COVID-19 is influenced by several factors such as wastewater temperature, shedding rate, and population size.</div></div><div><h3>Conclusion</h3><div>This review reveals that the identified parameters require adjustments to achieve optimum conditions that accurately predict community infections. Including these factors that influence the estimation of SARS-CoV-2 RNA concentration in wastewater is essential for developing effective public health strategies to combat the spread of COVID-19.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A nomogram to predict long COVID risk based on pre- and post-infection factors: Results from a cross-sectional study in South China 基于感染前后因素预测长COVID风险的提名图：华南地区横断面研究的结果

IF 3.9 3区医学

Public Health Pub Date : 2024-10-17 DOI: 10.1016/j.puhe.2024.09.023

{"title":"A nomogram to predict long COVID risk based on pre- and post-infection factors: Results from a cross-sectional study in South China","authors":"","doi":"10.1016/j.puhe.2024.09.023","DOIUrl":"10.1016/j.puhe.2024.09.023","url":null,"abstract":"<div><h3>Objectives</h3><div>Long COVID has received much attention as a complex multi-system disease due to its serious impact on quality of life. However, there remains inconsistent results in terms of risk factors, and a prediction model for the accurate prediction of long COVID is still lacking.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>In this retrospective study, a community population from the Futian District of Shenzhen, Guangdong Province, China, were included. Data were collected from September to December 2023 using an electronic questionnaire. Logistic regression analyses were used to identify predictors of long COVID. Pre-infection and post-infection prediction models (with/without post-infection characteristics) were developed, and the C-index was used to evaluate accuracy.</div></div><div><h3>Results</h3><div>In total, 420 patients infected COVID-19 were included. The prevalence of long COVID was 32.9 %. The most common symptoms of long COVID were weakness/fatigue, persistent cough and cognitive dysfunction. Independent predictors of long COVID included in the pre-infection model were age, long-term medication, and psychological problems such as stress and doing things without enthusiasm/interest before COVID-19 infection (C-index: 0.721). Independent predictors included in the post-infection model were age, inability to concentrate before COVID-19 infection, and symptoms of weakness/fatigue, abnormal smell/taste, diarrhoea, eye conjunctivitis and headache/dizziness during the acute-phase (C-index: 0.857).</div></div><div><h3>Conclusions</h3><div>Age, psychological problems before COVID-19 infection and acute-phase symptoms were important risk factors of long COVID. Results from the pre-infection model provide guidance for non-infected individuals on how to prevent long COVID. Results from the post-infection model can be used to accurately predict individuals who are at high risk of long COVID and help design treatment plans for patients in the acute phase.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socio-spatial inequalities in presence of primary care physicians and patients' ability to register: A simulated-patient survey in the Paris Region 初级保健医生的存在和患者登记能力的社会空间不平等：巴黎大区模拟患者调查

IF 3.9 3区医学

Public Health Pub Date : 2024-10-15 DOI: 10.1016/j.puhe.2024.09.018

{"title":"Socio-spatial inequalities in presence of primary care physicians and patients' ability to register: A simulated-patient survey in the Paris Region","authors":"","doi":"10.1016/j.puhe.2024.09.018","DOIUrl":"10.1016/j.puhe.2024.09.018","url":null,"abstract":"<div><h3>Objectives</h3><div>We studied the socio-spatial inequalities of three types of general practitioner (GP) density in the Paris metropolitan area: the density of GPs present (that is, practising) in the census block and of those registering new patients for office visits and, separately, for house calls.</div></div><div><h3>Study design</h3><div>An exhaustive simulated patient survey enabled us to determine the number of GPs practising in the Paris metropolitan region accepting new patient registration for continuing care at their office and/or for house calls.</div></div><div><h3>Methods</h3><div>We measured at the level of a census block three types of GP densities: density of GPs present, density of GPs registering new patients at their office and density of GP registering new patients for house calls. We compared the association between the social deprivation level and each density measurement overall, then by stratifying for the population density of the census block.</div></div><div><h3>Results</h3><div>In 2017–2018, we contacted 8171 physicians (87.6 % of the GPs in the region). Although more than 55 % of Ile-de-France census blocks had (at least) one practising GP, fewer than 40 % had one willing to register a new patient for ongoing office care, and fewer than 20 % for home care. Regardless of the GP density considered, it decreased as the census block's deprivation index rose. However, these inequalities were more marked for registration than for presence and in the most densely populated blocks.</div></div><div><h3>Conclusions</h3><div>In conclusion, the indicators of GPs' mere presence appear to minimise the socio-spatial disparities associated with access to registration.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of water and sanitation, PM pollution and climate change of COPD and LRIs under different sociodemographic transitions 不同社会人口转变下水和卫生设施、可吸入颗粒物污染以及气候变化对慢性阻塞性肺病和轻度呼吸道感染的影响

IF 3.9 3区医学

Public Health Pub Date : 2024-10-14 DOI: 10.1016/j.puhe.2024.10.012

{"title":"Effect of water and sanitation, PM pollution and climate change of COPD and LRIs under different sociodemographic transitions","authors":"","doi":"10.1016/j.puhe.2024.10.012","DOIUrl":"10.1016/j.puhe.2024.10.012","url":null,"abstract":"<div><h3>Objectives</h3><div>To estimate the burden of chronic obstructive pulmonary disease (COPD) and lower respiratory tract infections (LRIs) stratified by geographic location, and social-demographic status for 21 regions across the world from 1990 to 2019.</div></div><div><h3>Study design</h3><div>The analysis utilized data from the Global Burden of Disease (GBD) Study, focusing on mortality and disability-adjusted life years (DALYs) as measures of COPD and LRI burden. Trend analyses using the Joinpoint model were conducted across five socio-demographic index (SDI) quintiles.</div></div><div><h3>Methods</h3><div>We investigated the burden of COPD and LRIs employing restricted cubic splines to flexibly identify relationships between DALY rates and SDI. This method allowed for detailed examination of trends over time across different regions and socio-demographic contexts.</div></div><div><h3>Results</h3><div>From 1990 to 2019, the ASMR of COPD attributed to PM for global and five SDI quintiles decreased 61.80 %, 53.41 %, 63.04 %, 63.00 %, 40.98 %, 12.14 % respectively. In terms of PM Pollution, there was an inverted U-shaped association between the DALY and SDI for COPD, the DALY rate associated with LRIs due to PM pollution exhibited a progressive decline as SDI increased.</div></div><div><h3>Conclusion</h3><div>Even though the trend in mortality and DALY of COPD and LRIs decreased globally, the COPD and LRI burden attributed to PM pollution remains high, particularly in lower SDI quintiles.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimated number and incidence of influenza-associated acute respiratory infection cases in winter 2021/22 in Wanzhou District, China 中国万州区 2021/22 年冬季流感相关急性呼吸道感染病例的估计数量和发病率。

IF 3.9 3区医学

Public Health Pub Date : 2024-10-10 DOI: 10.1016/j.puhe.2024.09.012

{"title":"Estimated number and incidence of influenza-associated acute respiratory infection cases in winter 2021/22 in Wanzhou District, China","authors":"","doi":"10.1016/j.puhe.2024.09.012","DOIUrl":"10.1016/j.puhe.2024.09.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Understanding the burden of influenza-associated acute respiratory infection (ARI) and severe ARI (SARI) is crucial for public health decision-making. A population-based study with multiple data sources was conducted to estimate the burden of influenza-associated ARI in Wanzhou District, Chongqing, southern China.</div></div><div><h3>Study design</h3><div>Population-based surveillance study.</div></div><div><h3>Methods</h3><div>Active surveillance of ARI was conducted in different levels of health facilities in the Wanzhou District between October 2021 and March 2022. Nasal or throat swabs were collected and tested for influenza viruses in hospital-based surveillance. A health utilisation survey was used to estimate health-seeking behaviour, and all electronic medical records were collected. An epidemiological model was used to estimate the disease burden.</div></div><div><h3>Results</h3><div>There were an estimated 52,960 influenza-associated ARI (95 % confidence interval [CI]: 39,213–84,891), including 2,529 SARI cases (95 % CI: 1,385–21,712) during winter 2021/22 in the Wanzhou District. The incidence rate for all influenza-associated ARI and SARI was 3,385/100,000 and 162/100,000, respectively. A higher incidence rate of influenza-associated ARI was observed among individuals aged <50 years, while a higher influenza-associated SARI rate was observed in those aged ≥50 years.</div></div><div><h3>Conclusions</h3><div>Using an epidemiological model with data from multiple sources, this study documented a substantial burden of influenza-associated ARI in the Wanzhou District, highlighting the need for influenza vaccination and providing a possible foundation for public health decision-making.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Landscapes, cultures and technologies of loneliness: A call for participatory research with young adults 孤独的景观、文化和技术：呼吁对年轻人进行参与式研究。

IF 3.9 3区医学

Public Health Pub Date : 2024-10-10 DOI: 10.1016/j.puhe.2024.09.027

引用次数: 0

Effectiveness of health literacy education on health literacy in early adolescence: A randomized controlled trial 健康素养教育对青少年健康素养的影响：随机对照试验

IF 3.9 3区医学

Public Health Pub Date : 2024-10-09 DOI: 10.1016/j.puhe.2024.09.024

{"title":"Effectiveness of health literacy education on health literacy in early adolescence: A randomized controlled trial","authors":"","doi":"10.1016/j.puhe.2024.09.024","DOIUrl":"10.1016/j.puhe.2024.09.024","url":null,"abstract":"<div><h3>Objectives</h3><div>The present study was conducted to measure the effectiveness of health literacy education on the health literacy level of children in early adolescence.</div></div><div><h3>Study design</h3><div>A parallel group randomized controlled trial was conducted.</div></div><div><h3>Methods</h3><div>The study group consisted of sixth and seventh-grade students (aged 12–13 years) studying in a secondary school in Ankara. The study was completed by 80 students, 40 in the intervention group and 40 in the control group. The Health Literacy Education program, consisting of four sessions, was presented to the intervention group. The instruments were administered to both groups before the intervention (pre-test), one month (post-test), and three months after the intervention (follow-up test). The data was analyzed using the chi-square test, and the two-way mixed-design variance analysis with Bonferroni Multiple Comparison Test.</div></div><div><h3>Results</h3><div>Before the study, the adolescents in the intervention and control groups were similar regarding descriptive characteristics (p > 0.05). There was no statistically significant difference between the pre-test health literacy mean scores of the intervention and control groups (p > 0.05). After the health literacy education, health literacy post-test scores and follow-up test mean scores of the intervention group increased significantly compared to the control group (p < 0.05). The intervention had a large effect size (F = 414.683; η2 = 0.91) at the 95 % confidence interval.</div></div><div><h3>Conclusions</h3><div>The study revealed that health literacy education was effective in increasing the level of health literacy in early adolescence. It is recommended that health literacy education be added to the school education curriculum of adolescents.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Musculoskeletal disorders in emergency medical services personnel: a systematic review and meta-analysis 紧急医疗服务人员的肌肉骨骼疾病：系统回顾和荟萃分析。

IF 3.9 3区医学

Public Health Pub Date : 2024-10-04 DOI: 10.1016/j.puhe.2024.08.020

{"title":"Musculoskeletal disorders in emergency medical services personnel: a systematic review and meta-analysis","authors":"","doi":"10.1016/j.puhe.2024.08.020","DOIUrl":"10.1016/j.puhe.2024.08.020","url":null,"abstract":"<div><h3>Objectives</h3><div>Emergency medical services personnel are frequently subjected to strenuous physical tasks, such as lifting and moving patients, as well as working in awkward postures. These activities can result in a variety of debilitating injuries, including musculoskeletal disorders (MSDs). As a result, this systematic review and meta-analysis study aimed to examine the frequency of MSDs among emergency medical services personnel.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis study was conducted based on the PRISMA guidelines. The protocol of this work is registered in PROSPERO with the code CRD42024506958. Searches were conducted without time limits in several databases including PubMed, Scopus, Web of Science, Science Direct, SID, ISC, and Google Scholar until February 12, 2024. The I<sup>2</sup> index was used to assess heterogeneity, and random effects model was used for meta-analysis. Data were analyzed using STATA version 14.</div></div><div><h3>Results</h3><div>A total of 709 articles were obtained by initial search in the mentioned databases. Following a thorough screening and quality assessment, 27 articles were chosen for meta-analysis. The findings revealed that the overall prevalence of MSDs among emergency medical services personnel is 56.52% (95% CI: 35–78.04, I<sup>2</sup> = 99.8%, <em>P</em> < 0.001) and the prevalence in different areas of the body are as follows: the low back (47.38%), upper back (35.15%), neck (31.19%), shoulder (30%), knee (27.07%), hand (20.70%), hip/thigh (19.48%), feet (19.11%), and elbow (17.36%).</div></div><div><h3>Conclusion</h3><div>The prevalence of MSDs among emergency medical services personnel is very high. Considering the importance of the role of these employees and the specific risk factors of their jobs, it is recommended that periodic screening is prioritized. In addition, attention should be paid to the ergonomic evaluation of the work environment and the design of appropriate ergonomic interventions.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and inequalities of obesity and associated complications in China: A multicentre nationwide survey 中国肥胖症及相关并发症的患病率和不平等现象：全国多中心调查。

IF 3.9 3区医学

Public Health Pub Date : 2024-10-04 DOI: 10.1016/j.puhe.2024.09.021

{"title":"Prevalence and inequalities of obesity and associated complications in China: A multicentre nationwide survey","authors":"","doi":"10.1016/j.puhe.2024.09.021","DOIUrl":"10.1016/j.puhe.2024.09.021","url":null,"abstract":"<div><h3>Objectives</h3><div>Obesity is a risk factor for chronic diseases. The prevalence of obesity is rapidly increase and a significant social inequality exists. This study aimed to analyse obesity prevalence and complications in different regions and occupations in China.</div></div><div><h3>Study design</h3><div>Multicentre cross-sectional study.</div></div><div><h3>Methods</h3><div>Data from 62,893 adults in 10 Chinese provinces were collected in 2022. Measures included body mass index (BMI), metabolic status and complications. Analysis was stratified by gender, age, region and occupation, with results adjusted for age and gender.</div></div><div><h3>Results</h3><div>The average BMI was 23.81 ± 3.42 kg/m<sup>2</sup>, with overweight and obesity prevalence at 34.29 % and 11.24 %, respectively. North China had the highest obesity rate (27.93 %), followed by West (26.64 %), South (25.37 %) and East China (20.06 %). Functionaries (e.g. as civil servants, corporate executives) had higher BMI than employees or intellectual professionals, while workers had higher BMI than farmers. Intellectual professionals had the lowest rates of metabolically healthy obesity (MHO) at 4.90 % and metabolically unhealthy obesity (MUO) at 3.47 %, followed by employees (MHO 6.63 %, MUO 4.45 %) and functionaries (MHO 6.74 %, MUO 4.94 %). Workers had the highest MHO prevalence rate at 8.51 %, while farmers had the highest MUO rate at 6.16 %. Obesity-associated complications were 1.5–3 times more common among obese individuals than those in the normal BMI category, with inequality observed across different occupational groups.</div></div><div><h3>Conclusions</h3><div>In China, a large number of adults with obesity have poor metabolic health, highlighting the importance of considering metabolic status when addressing obesity-related chronic diseases. Addressing the inequality in obesity rates can inform public health strategies to tackle the increasing problem of obesity and its associated complications in China.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The burden of type 2 diabetes attributable to dietary risks in China: Insights from the global burden of disease study 2021 中国可归因于饮食风险的 2 型糖尿病负担：2021年全球疾病负担研究的启示》。

IF 3.9 3区医学

Public Health Pub Date : 2024-10-04 DOI: 10.1016/j.puhe.2024.09.026

{"title":"The burden of type 2 diabetes attributable to dietary risks in China: Insights from the global burden of disease study 2021","authors":"","doi":"10.1016/j.puhe.2024.09.026","DOIUrl":"10.1016/j.puhe.2024.09.026","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to comprehensively assess how dietary risk factors have influenced the prevalence of Type 2 Diabetes Mellitus (T2DM) in China from 1990 to 2021. The study seeks to provide robust data and scientific evidence essential for formulating effective preventive and control strategies to combat T2DM in China.</div></div><div><h3>Study design</h3><div>This cross-sectional study conducted secondary analyses using data from the Global Burden of Disease 2021 (GBD 2021) to assess the burden of T2DM in China attributable to dietary risks.</div></div><div><h3>Methods</h3><div>The study analyzed age-adjusted metrics related to T2DM, including death counts, Disability-Adjusted Life Years (DALYs), and Age-Standardized Rates (ASRs), using GBD 2021 data, stratified by age and sex. Additionally, Estimated Annual Percentage Changes (EAPCs) were employed to track trends over time.</div></div><div><h3>Results</h3><div>In 2021, the results show that 21.43 % of T2DM-related deaths and 23.51 % of DALYs were attributable to dietary risk factors, notably a diet low in whole grains and high in red and processed meats. Over the period from 1990 to 2021, there has been an increasing trend in the EAPCs of death rates and DALYs associated with dietary risks in China, suggesting a substantial impact of dietary factors on the burden of T2DM in the country.</div></div><div><h3>Conclusion</h3><div>This study highlights the urgent need for targeted public health interventions to promote dietary changes and reduce the burden of T2DM in China.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0