Objective: Our goal is to analyze the trend of colorectal cancer(CRC) regarding the death, incidence and prevalence rates over time, and to provide epidemiological knowledge basis for health policy revision by compari...Objective: Our goal is to analyze the trend of colorectal cancer(CRC) regarding the death, incidence and prevalence rates over time, and to provide epidemiological knowledge basis for health policy revision by comparing data about fatal outcomes of CRC in 2017 to those data in 1990, which was extracted from the Global Burden of Disease(GBD).Methods: The time trend and changes of CRC burden from 1990 to 2017 were measured by using the methods and results from the Institute for Health Metrics and Evaluation(IHME) GBD 2017, based on the rates of death,incidence and prevalence.Results: The death rate of CRC is 13.24/100,000, accounting for 1.79% of total deaths in China in 2017. In1990, CRC ranked 21 st in all causes of death in China compared to its 11 th ranking in 2017. The death, incidence and prevalence rate of CRC were standardized by the age scale of the global population in 2010, the change of standardized death rate of CRC was not significant, from 9.33/100,000 in 1990 to 10.10/100,000 in 2017. The standardized incidence rate of CRC significantly increased from 12.18/100,000 in 1990 to 22.42/100,000 in 2017.The standardized prevalence rate of CRC significantly increased from 44.55/100,000 in 1990 to 118.40/100,000 in2017. The trend of the prevalence rate in both genders grow higher in 2017 compared to the 1990, resulting in141.6%, 209.8% and 189.0% for the studied three age groups(15-49, 50-69 and 70+ years old), respectively. The death rate increased in the age groups of 50-69 and 70+ years in both genders(8.6% and 31.0% respectively), in contrast to a decrease of death rate in the age group of 15-49 years old(-10.8%).Conclusions: China experienced a stunning increase in terms of incidence and prevalence rate of CRC from1990 to 2017. To decrease the burden of CRC, prevention and management of known risk factors should be promoted through national polices.展开更多
As an important component of worldwide injury prevention,China has made great contribution to the development.China is serving as a model for other countries in the world,especially developing countries,and China’s e...As an important component of worldwide injury prevention,China has made great contribution to the development.China is serving as a model for other countries in the world,especially developing countries,and China’s experience has great implications for them.Besides the description of the present situation and trends of China’s injury prevention work and review for its development history,this paper has also introduced the existing issues and the current challenges,and informed the e orts of the sta in related eld to nd solutions from di erent aspects.All of them jointly boosted the development of global injury prevention.展开更多
What is already known about this topic?Unintentional injuries among children aged under five years is still a serious public health problem in China.Epidemiological characteristics of under-five unintentional injury a...What is already known about this topic?Unintentional injuries among children aged under five years is still a serious public health problem in China.Epidemiological characteristics of under-five unintentional injury are reported in single provinces and cities for China but not nationally based on the Disease Surveillance Points(DSPs)dataset.What is added by this report?Unintentional injury mortality rates for under-five decreased substantially between 2006 and 2017 in China,with the decrease occurring primarily for males and rural children.Children living in rural areas and males had higher unintentional injury mortality rates than children in urban areas and females.The major fatal types of under-five unintentional injury were drowning and road injury.What are the implications for public health practice?Further interventions need to be taken in accordance with the main types of unintentional injuries,especially effective prevention strategies used in other countries or recommended by the World Health Organization(WHO).Even with equal access to injury prevention and control services for different sexes,policy efforts should focus on higher-risk populations,especially children aged under five years who are males or reside in rural areas.展开更多
To the Editor:Psoriasis is a chronic inflammatory disease associated with high morbidity and poor quality of life,especially in China.[1,2]However,the full picture of spatial variability and temporal trends in the dis...To the Editor:Psoriasis is a chronic inflammatory disease associated with high morbidity and poor quality of life,especially in China.[1,2]However,the full picture of spatial variability and temporal trends in the disease burden of psoriasis in China remains unclear.This lack is detrimental to the prevention and control of the disease and medical equity and poses a public health challenge.The Global Burden of Diseases,Injuries,and Risk Factors Study(GBD)2021 is a systematic analysis of health loss due to 371 diseases,injuries,risk factors,impairments,and causes of death.Its measurement framework and estimates,covering 204 countries and territories from 1990 to 2021,are described in the GBD 2021 capstone publication.[3–5]展开更多
Falls represent a significant public health issue worldwide.Previous studies have demonstrated associations of temperature with fall risk,but the effect and burden of hourly relative humidity and fall morbidity have b...Falls represent a significant public health issue worldwide.Previous studies have demonstrated associations of temperature with fall risk,but the effect and burden of hourly relative humidity and fall morbidity have been rarely investigated.Fall data and meteorological data were collected from the National Injury Surveillance System during 2006−2021 in China.Associations between hourly relative humidity and fall onset were analyzed using conditional logistic regression combined with a distributed lag nonlinear model.Stratified analysis was used to identify potential association modifiers.Several sensitivity analyses were applied to examine the robustness of the results.The study involved 4197495 fall-related cases.Relative humidity exhibited monotonic relationships with the fall onset risk.The excess risk(ER)of falls appeared immediately at lag 0 h and persisted for 8 h.A 10%decrease in relative humidity was associated with a 1.35%(95%confidence interval[CI]:0.83−1.87%)increase in excess risk of falls and much higher risk for males(ER=1.89%,95%CI:1.29−2.48%)than that for females(ER=0.52%,95%CI:0.14−0.90%).The excess risk of fall injury was the highest among individuals aged 5−14 years(ER=3.45%,95%CI:2.57−4.32%)compared to other age groups.Moreover,compared to the highest relative humidity,the attributable fraction(AF)due to low relative humidity exposure was 4.94%(95%CI:4.88−4.98%).Subgroup analyses revealed that males,individuals aged 5−14 years,students,cases occurring in public places,and cases engaged in sports activities were more susceptible to relative humidity than their correspondents.Regional disparities were observed,with individuals in southern China or warm regions showing greater sensitivity to changes in relative humidity.Results of this study suggest that hourly low relative humidity exposure is associated with an increased risk of fall onset.These findings underscore the necessity of time-specific interventions to mitigate the relative humidity risk.展开更多
Summary What is already known about this topic?Poisoning constitutes a significant cause of mortality among individuals aged 1 to 44 in China.Nonetheless,the epidemiological understanding of poisoning incidents within...Summary What is already known about this topic?Poisoning constitutes a significant cause of mortality among individuals aged 1 to 44 in China.Nonetheless,the epidemiological understanding of poisoning incidents within emergency departments remains fragmented across the region.展开更多
What is already known about this topic?Child injury is a serious public health problem in China.The epidemiological characteristics injuries related to primary and secondary school students were usually reported from ...What is already known about this topic?Child injury is a serious public health problem in China.The epidemiological characteristics injuries related to primary and secondary school students were usually reported from school-based population surveys conducted in developed regions of China.Medical and health institution-based data were rarely adopted to explore the typical patterns of injury occurrence among primary and secondary school students in China.What is added by this report?This study found that among primary and secondary school students with injury diagnosis in the National Injury Surveillance System(NISS),the high-risk group of primary and secondary school students with injury diagnosis was male students.The frequent incidence season was spring and early summer.Noon was the peak incidence time.Falling was the most common cause of injury among students,but other frequent causes of injury differs in students with different education levels.Home and school were the most common places where injury occurs.Students were more likely to suffer injury when they were engaged in leisure and sport activities.Limbs and the head were easily injured with contusions/bruises.What are the implications for public health practice?Medical and health institution-based data could be an additional data source for student-related injury research.Typical patterns could be summarized to provide data-driven basis for the improved formulation of injury prevention and control strategies and measures towards students.The characteristics of injury events differs in students with different education levels and requires more specific attentions towards students when conducting relevant programs in school and school-related places.展开更多
ABSTRACT Introduction:This study seeks to elucidate the evolving trend and identify disparities among subgroups in the mortality rate due to unintentional drowning in individuals under the age of 20 from the timeframe...ABSTRACT Introduction:This study seeks to elucidate the evolving trend and identify disparities among subgroups in the mortality rate due to unintentional drowning in individuals under the age of 20 from the timeframe of 2013 to 2021 in China.展开更多
What is already known about this topic?The incidence of falls among older people is 20.7%in China.Falls are the top cause for death from injuries in people aged 65 years and above,and mortality rates increase with age...What is already known about this topic?The incidence of falls among older people is 20.7%in China.Falls are the top cause for death from injuries in people aged 65 years and above,and mortality rates increase with age in China.There are few reports on the epidemiological characteristics of falls in older people nationwide in recent years.What is added by this report?This study found that among older people with falls reported in the National Injury Surveillance System(NISS)in 2018,there were more females than males.The peak time for falls was in the morning.Home was the most common site where falls occurred,and leisure activities and housework were the main activities when falls occurred.After falling,the lower limbs and head were most often injured with bruises and fractures.The degree of injury was mainly mild and moderate.What are the implications for public health practice?Data based on the NISS can be used as an additional data source for research on falls in China.This study identified priorities for the control and prevention of falls.展开更多
Introduction:This study describes and analyzes the distribution of fall cases documented in the National Injury Surveillance System(NISS)from 2019 to 2022.Methods:Fall data from the NISS(2019–2022)were descriptively ...Introduction:This study describes and analyzes the distribution of fall cases documented in the National Injury Surveillance System(NISS)from 2019 to 2022.Methods:Fall data from the NISS(2019–2022)were descriptively analyzed by gender and age.Results:The NISS in China reported 2,324,577 fall cases from 2019 to 2022.Falls mostly happened at home(39.41%).Leisure activities(39.40%)were the most common cause of falls.Among these cases,45.22%caused bruises,31.57%lower limb injuries,while a substantial 73.41%constituted mild injuries.Age-related epidemiological patterns of falls revealed distinct trends.Among 0–9-year-olds,falls predominantly occurred at home(56.71%),with high head injury rates,particularly in infants(72.64%).Adolescents(10–19 years old)were prone to falls in school and school-related areas(37.12%)and during sports activities(27.37%).Elderly individuals(>60 years old)experienced higher fracture rates(36.84%)and an age-dependent increase in head injuries and severe harm.Conclusions:Falls are the most prevalent injury category,exhibiting distinct characteristics across age groups.To address this,tailored public health strategies and interventions are essential,particularly for children,adolescents,and adults aged 60 years and older.Effective early prevention and intervention methods are paramount for these high-risk fall populations.展开更多
Summary What is already known about this topic?Many of the current studies focusing on fall prevention interventions have been conducted in hospital settings within a select few urban areas in China,thus yielding limi...Summary What is already known about this topic?Many of the current studies focusing on fall prevention interventions have been conducted in hospital settings within a select few urban areas in China,thus yielding limited evidence on the effectiveness of large-scale,multicenter,community-based interventions.展开更多
基金supported by the National Natural Science Foundation of China (No. 81541050)National Key Technologies R&D Program (No. 2015BAI13B09)+5 种基金the Beijing Natural Science Foundation of China (No. 7154191, 7184198)the Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (Code: ZYLX201504)the Beijing Municipal Administration of Hospitals’ Youth Program (No. QML20160105)Support Project of High-level Teachers in Beijing Municipal Universities in the Period of 13th Five-year Plan (No. IDHT20170516)National Key Technologies R&D Program of China (No. 2017 YFC0110904)Basic-Clinical Cooperation Program from Capital Medical University (No. 17JL18)
文摘Objective: Our goal is to analyze the trend of colorectal cancer(CRC) regarding the death, incidence and prevalence rates over time, and to provide epidemiological knowledge basis for health policy revision by comparing data about fatal outcomes of CRC in 2017 to those data in 1990, which was extracted from the Global Burden of Disease(GBD).Methods: The time trend and changes of CRC burden from 1990 to 2017 were measured by using the methods and results from the Institute for Health Metrics and Evaluation(IHME) GBD 2017, based on the rates of death,incidence and prevalence.Results: The death rate of CRC is 13.24/100,000, accounting for 1.79% of total deaths in China in 2017. In1990, CRC ranked 21 st in all causes of death in China compared to its 11 th ranking in 2017. The death, incidence and prevalence rate of CRC were standardized by the age scale of the global population in 2010, the change of standardized death rate of CRC was not significant, from 9.33/100,000 in 1990 to 10.10/100,000 in 2017. The standardized incidence rate of CRC significantly increased from 12.18/100,000 in 1990 to 22.42/100,000 in 2017.The standardized prevalence rate of CRC significantly increased from 44.55/100,000 in 1990 to 118.40/100,000 in2017. The trend of the prevalence rate in both genders grow higher in 2017 compared to the 1990, resulting in141.6%, 209.8% and 189.0% for the studied three age groups(15-49, 50-69 and 70+ years old), respectively. The death rate increased in the age groups of 50-69 and 70+ years in both genders(8.6% and 31.0% respectively), in contrast to a decrease of death rate in the age group of 15-49 years old(-10.8%).Conclusions: China experienced a stunning increase in terms of incidence and prevalence rate of CRC from1990 to 2017. To decrease the burden of CRC, prevention and management of known risk factors should be promoted through national polices.
文摘As an important component of worldwide injury prevention,China has made great contribution to the development.China is serving as a model for other countries in the world,especially developing countries,and China’s experience has great implications for them.Besides the description of the present situation and trends of China’s injury prevention work and review for its development history,this paper has also introduced the existing issues and the current challenges,and informed the e orts of the sta in related eld to nd solutions from di erent aspects.All of them jointly boosted the development of global injury prevention.
文摘What is already known about this topic?Unintentional injuries among children aged under five years is still a serious public health problem in China.Epidemiological characteristics of under-five unintentional injury are reported in single provinces and cities for China but not nationally based on the Disease Surveillance Points(DSPs)dataset.What is added by this report?Unintentional injury mortality rates for under-five decreased substantially between 2006 and 2017 in China,with the decrease occurring primarily for males and rural children.Children living in rural areas and males had higher unintentional injury mortality rates than children in urban areas and females.The major fatal types of under-five unintentional injury were drowning and road injury.What are the implications for public health practice?Further interventions need to be taken in accordance with the main types of unintentional injuries,especially effective prevention strategies used in other countries or recommended by the World Health Organization(WHO).Even with equal access to injury prevention and control services for different sexes,policy efforts should focus on higher-risk populations,especially children aged under five years who are males or reside in rural areas.
基金supported by a grant from the National Natural Science Foundation of China(No.72304129).
文摘To the Editor:Psoriasis is a chronic inflammatory disease associated with high morbidity and poor quality of life,especially in China.[1,2]However,the full picture of spatial variability and temporal trends in the disease burden of psoriasis in China remains unclear.This lack is detrimental to the prevention and control of the disease and medical equity and poses a public health challenge.The Global Burden of Diseases,Injuries,and Risk Factors Study(GBD)2021 is a systematic analysis of health loss due to 371 diseases,injuries,risk factors,impairments,and causes of death.Its measurement framework and estimates,covering 204 countries and territories from 1990 to 2021,are described in the GBD 2021 capstone publication.[3–5]
基金supported by the National Natural Science Foundation of China(42075173,W.M.,42275187,W.M.)Young Elite Scientists Sponsorship Program by CAST(2022QNRC001,G.H.).
文摘Falls represent a significant public health issue worldwide.Previous studies have demonstrated associations of temperature with fall risk,but the effect and burden of hourly relative humidity and fall morbidity have been rarely investigated.Fall data and meteorological data were collected from the National Injury Surveillance System during 2006−2021 in China.Associations between hourly relative humidity and fall onset were analyzed using conditional logistic regression combined with a distributed lag nonlinear model.Stratified analysis was used to identify potential association modifiers.Several sensitivity analyses were applied to examine the robustness of the results.The study involved 4197495 fall-related cases.Relative humidity exhibited monotonic relationships with the fall onset risk.The excess risk(ER)of falls appeared immediately at lag 0 h and persisted for 8 h.A 10%decrease in relative humidity was associated with a 1.35%(95%confidence interval[CI]:0.83−1.87%)increase in excess risk of falls and much higher risk for males(ER=1.89%,95%CI:1.29−2.48%)than that for females(ER=0.52%,95%CI:0.14−0.90%).The excess risk of fall injury was the highest among individuals aged 5−14 years(ER=3.45%,95%CI:2.57−4.32%)compared to other age groups.Moreover,compared to the highest relative humidity,the attributable fraction(AF)due to low relative humidity exposure was 4.94%(95%CI:4.88−4.98%).Subgroup analyses revealed that males,individuals aged 5−14 years,students,cases occurring in public places,and cases engaged in sports activities were more susceptible to relative humidity than their correspondents.Regional disparities were observed,with individuals in southern China or warm regions showing greater sensitivity to changes in relative humidity.Results of this study suggest that hourly low relative humidity exposure is associated with an increased risk of fall onset.These findings underscore the necessity of time-specific interventions to mitigate the relative humidity risk.
文摘Summary What is already known about this topic?Poisoning constitutes a significant cause of mortality among individuals aged 1 to 44 in China.Nonetheless,the epidemiological understanding of poisoning incidents within emergency departments remains fragmented across the region.
文摘What is already known about this topic?Child injury is a serious public health problem in China.The epidemiological characteristics injuries related to primary and secondary school students were usually reported from school-based population surveys conducted in developed regions of China.Medical and health institution-based data were rarely adopted to explore the typical patterns of injury occurrence among primary and secondary school students in China.What is added by this report?This study found that among primary and secondary school students with injury diagnosis in the National Injury Surveillance System(NISS),the high-risk group of primary and secondary school students with injury diagnosis was male students.The frequent incidence season was spring and early summer.Noon was the peak incidence time.Falling was the most common cause of injury among students,but other frequent causes of injury differs in students with different education levels.Home and school were the most common places where injury occurs.Students were more likely to suffer injury when they were engaged in leisure and sport activities.Limbs and the head were easily injured with contusions/bruises.What are the implications for public health practice?Medical and health institution-based data could be an additional data source for student-related injury research.Typical patterns could be summarized to provide data-driven basis for the improved formulation of injury prevention and control strategies and measures towards students.The characteristics of injury events differs in students with different education levels and requires more specific attentions towards students when conducting relevant programs in school and school-related places.
文摘ABSTRACT Introduction:This study seeks to elucidate the evolving trend and identify disparities among subgroups in the mortality rate due to unintentional drowning in individuals under the age of 20 from the timeframe of 2013 to 2021 in China.
文摘What is already known about this topic?The incidence of falls among older people is 20.7%in China.Falls are the top cause for death from injuries in people aged 65 years and above,and mortality rates increase with age in China.There are few reports on the epidemiological characteristics of falls in older people nationwide in recent years.What is added by this report?This study found that among older people with falls reported in the National Injury Surveillance System(NISS)in 2018,there were more females than males.The peak time for falls was in the morning.Home was the most common site where falls occurred,and leisure activities and housework were the main activities when falls occurred.After falling,the lower limbs and head were most often injured with bruises and fractures.The degree of injury was mainly mild and moderate.What are the implications for public health practice?Data based on the NISS can be used as an additional data source for research on falls in China.This study identified priorities for the control and prevention of falls.
文摘Introduction:This study describes and analyzes the distribution of fall cases documented in the National Injury Surveillance System(NISS)from 2019 to 2022.Methods:Fall data from the NISS(2019–2022)were descriptively analyzed by gender and age.Results:The NISS in China reported 2,324,577 fall cases from 2019 to 2022.Falls mostly happened at home(39.41%).Leisure activities(39.40%)were the most common cause of falls.Among these cases,45.22%caused bruises,31.57%lower limb injuries,while a substantial 73.41%constituted mild injuries.Age-related epidemiological patterns of falls revealed distinct trends.Among 0–9-year-olds,falls predominantly occurred at home(56.71%),with high head injury rates,particularly in infants(72.64%).Adolescents(10–19 years old)were prone to falls in school and school-related areas(37.12%)and during sports activities(27.37%).Elderly individuals(>60 years old)experienced higher fracture rates(36.84%)and an age-dependent increase in head injuries and severe harm.Conclusions:Falls are the most prevalent injury category,exhibiting distinct characteristics across age groups.To address this,tailored public health strategies and interventions are essential,particularly for children,adolescents,and adults aged 60 years and older.Effective early prevention and intervention methods are paramount for these high-risk fall populations.
文摘Summary What is already known about this topic?Many of the current studies focusing on fall prevention interventions have been conducted in hospital settings within a select few urban areas in China,thus yielding limited evidence on the effectiveness of large-scale,multicenter,community-based interventions.
