Introduction:Female breast nodules represent the most frequently detected lesions during breast ultrasound screening.Notably,nodules classified as BIRADS 4 or 5 indicate an elevated risk of breast cancer.Nevertheless,...Introduction:Female breast nodules represent the most frequently detected lesions during breast ultrasound screening.Notably,nodules classified as BIRADS 4 or 5 indicate an elevated risk of breast cancer.Nevertheless,the detection rate and BI-RADS classification of female breast nodules across China remain largely undocumented.Methods:This study analyzed health examination data from 6,412,893 urban women across 31 provincial-level administrative divisions(PLADs).We calculated detection rates of breast nodules and their various BI-RADS classifications.Chi-square(χ2)tests were performed to compare differences between groups.Multivariable logistic regression models were constructed to explore associations between breast nodules and BI-RADS 4-5 with demographic,socioeconomic,and metabolic indicators.Results:The overall detection rate of breast nodules in Chinese urban women was 27.9%,with provincial rates ranging from 11.6%to 37.0%.Among women with breast nodules marked with BI-RADS classification information,95.9%were categorized as BI-RADS 2-3,while 4.0%were classified as BI-RADS 4-5.Further analyses revealed that age,geographic region,per capita gross domestic product(GDP),body mass index(BMI),high triglyceride(TG),high lowdensity lipoprotein cholesterol(LDL-C),and diabetes were significant risk factors for BI-RADS 4-5 classification.Conclusions:This study highlights the importance of managing high-risk women with breast nodules through BI-RADS classification,underscoring the need for targeted health interventions while considering regional and socioeconomic disparities.展开更多
Summary What is already known about this topic?The Sustainable Development Goals target a 50%reduction in anemia among women of reproductive age by 2025 and the elimination of all forms of malnutrition by 2030.However...Summary What is already known about this topic?The Sustainable Development Goals target a 50%reduction in anemia among women of reproductive age by 2025 and the elimination of all forms of malnutrition by 2030.However,robust evidence documenting temporal changes in anemia prevalence remains scarce.What is added by this report?Drawing on large-scale national health examination data,this report demonstrates overall progress in reducing anemia among urban women in China between 2019 and 2024.However,it also reveals increasing prevalence in several provinces and a growing burden of moderate-to-severe anemia specifically among women aged 40–49 years.展开更多
基金Strategic Research and Consultancy Project of the Chinese Academy of Engineering(2023-JB-11).
文摘Introduction:Female breast nodules represent the most frequently detected lesions during breast ultrasound screening.Notably,nodules classified as BIRADS 4 or 5 indicate an elevated risk of breast cancer.Nevertheless,the detection rate and BI-RADS classification of female breast nodules across China remain largely undocumented.Methods:This study analyzed health examination data from 6,412,893 urban women across 31 provincial-level administrative divisions(PLADs).We calculated detection rates of breast nodules and their various BI-RADS classifications.Chi-square(χ2)tests were performed to compare differences between groups.Multivariable logistic regression models were constructed to explore associations between breast nodules and BI-RADS 4-5 with demographic,socioeconomic,and metabolic indicators.Results:The overall detection rate of breast nodules in Chinese urban women was 27.9%,with provincial rates ranging from 11.6%to 37.0%.Among women with breast nodules marked with BI-RADS classification information,95.9%were categorized as BI-RADS 2-3,while 4.0%were classified as BI-RADS 4-5.Further analyses revealed that age,geographic region,per capita gross domestic product(GDP),body mass index(BMI),high triglyceride(TG),high lowdensity lipoprotein cholesterol(LDL-C),and diabetes were significant risk factors for BI-RADS 4-5 classification.Conclusions:This study highlights the importance of managing high-risk women with breast nodules through BI-RADS classification,underscoring the need for targeted health interventions while considering regional and socioeconomic disparities.
基金Supported by the National Health Commission of the People’s Republic of China(The Evaluation of the Development Process and Policy Adaptation for the Vision of Building a Healthy China by 2035)the Chinese Academy of Engineering(Project 2023-JB-11).
文摘Summary What is already known about this topic?The Sustainable Development Goals target a 50%reduction in anemia among women of reproductive age by 2025 and the elimination of all forms of malnutrition by 2030.However,robust evidence documenting temporal changes in anemia prevalence remains scarce.What is added by this report?Drawing on large-scale national health examination data,this report demonstrates overall progress in reducing anemia among urban women in China between 2019 and 2024.However,it also reveals increasing prevalence in several provinces and a growing burden of moderate-to-severe anemia specifically among women aged 40–49 years.
