Objective:To reveal the distribution characteristics and demographic factors of traditional Chinese medicine(TCM)constitution among elderly individuals in China.Methods: Elderly individuals from seven regions in China...Objective:To reveal the distribution characteristics and demographic factors of traditional Chinese medicine(TCM)constitution among elderly individuals in China.Methods: Elderly individuals from seven regions in China were selected as samples in this study using a multistage cluster random sampling method.The basic information questionnaire and Constitution in Chinese Medicine Questionnaire(Elderly Edition)were used.Descriptive statistical analysis,chi-squared tests,and binary logistic regression analysis were used.Results: The single balanced constitution(BC)accounted for 23.9%.The results of the major TCM constitution types showed that BC(43.2%)accounted for the largest proportion and unbalanced constitutions ranged from 0.9%to 15.7%.East China region(odds ratio[OR]=2.097;95%confidence interval[CI],1.912 to 2.301),married status(OR=1.341;95%CI,1.235 to 1.457),and managers(OR=1.254;95%CI,1.044 to 1.505)were significantly associated with BC.Age>70 years was associated with qi-deficiency constitution and blood stasis constitution(BSC).Female sex was significantly associated with yang-deficiency constitution(OR=1.646;95%CI,1.52 to 1.782).Southwest region was significantly associated with phlegm-dampness constitution(OR=1.809;95%CI,1.569 to 2.086).North China region was significantly associated with inherited special constitution(OR=2.521;95%CI,1.569 to 4.05).South China region(OR=2.741;95%CI,1.997 to 1.3.763),Central China region(OR=8.889;95%CI,6.676 to 11.835),senior middle school education(OR=2.442;95%CI,1.932 to 3.088),and managers(OR=1.804;95%CI,1.21 to 2.69)were significantly associated with BSC.Conclusions: This study defined the distribution characteristics and demographic factors of TCM constitution in the elderly population.Adjusting and improving unbalanced constitutions,which are correlated with diseases,can help promote healthy aging through the scientific management of these demographic factors.展开更多
Background Obsessive-compulsive disorder(OCD)is classified by the World Health Organization as 1 of the 10 most disabling conditions.However,nationally representative epidemiological data on OCD are not yet available ...Background Obsessive-compulsive disorder(OCD)is classified by the World Health Organization as 1 of the 10 most disabling conditions.However,nationally representative epidemiological data on OCD are not yet available in China.Aims To investigate the prevalence,comorbidity,role impairment and healthcare utilisation of OCD in China.Methods The present study used a multistage clustered area probability sample to obtain representative populationbased data of adults from 157 nationwide disease surveillance points across 31 provinces in China.Trained interviewers conducted face-to-face interviews with respondents to collect information based on the Composite International Diagnostic Interview 3.0.Data weighting was performed to account for differential selection probabilities and response rates,and to post-stratify the sample to ensure its representativeness of the population in China.Results A total of 28140 respondents(12537(44.55%)males and 15603(55.45%)females)completed the diagnostic interview.Two-thirds of the respondents with liftime OCD had comorbid mental disorders,with OCD typically emerging later than the comorbidities.The most common comorbidities were mood disorders(39.67%,odds ratio(OR):9.60,95%confidence interval(CI)7.35 to 12.53)and anxiety disorders(32.75%,OR:13.33,95%CI 10.14 to 17.52).Overall,588(weighted 58.19%)respondents with obsessions or compulsions experienced role impairment,which was most severe in those reporting unspecified symptoms.Only 46(6.74%)respondents with lifetime OCD and 28(6.48%)with 12-month OCD received any healthcare services for their conditions.Conclusions The weighted lifetime and 12-month prevalence of OCD were 2.43%and 1.63%,respectively.Most patients with OCD reported comorbid mental disorders and role impairment,but very few sought healthcare services.National programmes to expand service coverage and increase awareness of OCD are essential to meet healthcare needs in China.展开更多
Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agricult...Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agriculture sector and also 42%of the labor force involved in agriculture.They are directly and indirectly affected by climate change due to an increase in the frequency and intensity of climatic extreme events such as floods,droughts and extreme weather events.In this paper,we have focused on the impact of climate change on farm households and their adaptation strategies to cope up the climatic extremes.For this purpose,we have selected farm households by using multistage stratified random sampling from four districts of the Potohar region i.e.Attock,Rawalpindi,Jhelum and Chakwal.These districts were selected by dividing the Potohar region into rain-fed areas.We have employed logistic regression to assess the determinants of adaptation to climate change and its impact.We have also calculated the marginal effect of each independent variable of the logistic regression to measure the immediate rate of change in the model.In order to check the significance of our suggested model,we have used hypothesis testing.展开更多
Background To investigate the relationship of age at first separation from parents(AFSP)with suicidal ideation(SI),suicide planning(SP)and suicide attempts(SA)among left-behind children(LBC)in China and the mediating ...Background To investigate the relationship of age at first separation from parents(AFSP)with suicidal ideation(SI),suicide planning(SP)and suicide attempts(SA)among left-behind children(LBC)in China and the mediating effect of traumatic events(TEs).Methods This cross-sectional study employed a multistage sampling method to conduct questionnaire surveys in six high-concentrated LBC provinces.Logistic regression and restricted cubic splines were performed to investigate the association of AFSP with SI,SP and SA,and meta-analysis(I2)was used to assess the heterogeneity.Causal mediation analysis(structural equation modelling)was used to evaluate the mediating effect of TEs,and bootstrap resampling was employed to assess the robustness of the causal mediation analysis.Results A total of 12162(6269 LBC)participants were included in this study;the prevalence rates of SI,SP and SA among LBC were 30.7%,18.6%and 11.9%;and LBC had a higher risk of SI(OR:1.32),SP(OR:1.40)and SA(OR:1.25)than non-LBC,all p<0.001.AFSP was negatively associated with SI,SP and SA,particularly peaking before 2 years old.LBC with AFSP<2 years old had a higher risk of SI(OR 2.65;95%CI 2.17 to 3.24;p<0.001),SP(OR 2.63;95%CI 3.36 to 4.29;p<0.001)and SA(OR 2.04;95%CI 2.73 to 3.63;p<0.001).TEs mediated the increased risk of SI(average causal mediation effect(ACME)0.03–0.07;proportion(Prop)40–54%;all p<0.001),SP(ACME 0.03–0.06;Prop 39–61%;all p<0.001)and SA(ACME 0.02–0.04;Prop 53–80%;all p<0.01).Conclusions We found that AFSP was associated with SI,SP and SA,mediated by TEs.Our findings supported the necessity of reducing SI,SP and SA risks among LBC and highlighted the need to consider AFSPs and TEs in intervention strategies.展开更多
Introduction:Nutrition knowledge(NK)is a key modifiable factor influencing the dietary behavior and nutritional status of children.Currently,nationally representative data assessing NK among Chinese junior high school...Introduction:Nutrition knowledge(NK)is a key modifiable factor influencing the dietary behavior and nutritional status of children.Currently,nationally representative data assessing NK among Chinese junior high school students are unavailable.This study aimed to assess NK levels using recent,nationally representative data from China.Methods:A multistage stratified random cluster sampling method was used to select 28,629 junior high school students from 195 survey sites across 31 provincial-level administrative divisions in China.Data were collected using a standardized questionnaire developed using rigorous scientific procedures.NK awareness rates were described as weighted prevalence rates with 95%confidence intervals(CIs).Subgroup comparisons were performed using the Rao–Scott chisquare test.Results:The overall NK awareness rate among Chinese junior high school students was 40.0%(95%CI:36.5%–43.5%).The rates for the five dimensions,dietary recommendations,nutrient content of foods,food and health,food choices,and food safety,were 20.1%,46.2%,65.3%,65.2%,and 65.2%,respectively.The analysis revealed significant variations in overall and dimension-specific awareness rates across groups.Boys,students from rural and western regions,and students from families with lower socioeconomic status had poorer NK levels than their counterparts.Among the 10 knowledge points with the lowest correct rates,seven belonged to dietary recommendations,two to food safety,and one to food and health.Conclusion:NK awareness rates among junior high school students require improvement,especially regarding dietary recommendations,which remain a key component of students’nutrition education.Boys,students from rural and western regions,and students from families with lower socioeconomic status should be the key populations for NK dissemination in the future.展开更多
Introduction:To evaluate the effectiveness of tobacco control efforts,we conducted a comprehensive analysis of trends in smoking cessation willingness and behavior among Chinese smokers from 2010 to 2024.Methods:Data ...Introduction:To evaluate the effectiveness of tobacco control efforts,we conducted a comprehensive analysis of trends in smoking cessation willingness and behavior among Chinese smokers from 2010 to 2024.Methods:Data were obtained from the 2010 Global Adult Tobacco Survey(GATS)-China Project and the National Adult Tobacco Survey(NATS)conducted in 2018,2022,and 2024.All surveys employed multistage stratified cluster random sampling of the Chinese population aged 15 years and above.Complex sampling analysis was performed for calculations,and trend analysis was conducted using the Cochran-Armitage trend test.Results:From 2010 to 2024,cessation behavior among Chinese smokers increased significantly.Cessation rates rose from 16.88%to 22.65%,and the proportion of smokers who attempted to quit in the past 12 months increased from 14.37%to 24.75%.The proportion of smokers planning to quit within 12 months increased from 16.10%to 21.61%from 2010 to 2022,but dropped to 16.07%in 2024.Over the 14-year period,cessation rates and quit attempts increased significantly across almost all demographic groups.However,from 2022 to 2024,cessation rates among daily smokers declined while the proportion of those willing to quit decreased.Occasional smokers consistently demonstrated higher cessation rates,quit attempts,and willingness to quit compared to daily smokers.Conclusions:The observed increases in cessation behavior may be attributed to expanded smoking cessation services and extensive cessation campaigns implemented over the years.Enhanced cessation interventions should be targeted toward daily smokers.Pricing policies,graphic health warnings on packaging,and community-based comprehensive smoking cessation interventions can further enhance smokers’willingness to quit and encourage more cessation attempts.展开更多
Introduction:Myopia prevalence is rising globally,with particularly high rates observed in East Asia.This study evaluated the prevalence and associated factors of myopia among primary and secondary school students in ...Introduction:Myopia prevalence is rising globally,with particularly high rates observed in East Asia.This study evaluated the prevalence and associated factors of myopia among primary and secondary school students in Zhejiang Province,China.Methods:A total of 192,704 students from 521 primary and secondary schools in Zhejiang Province were enrolled through multistage stratified cluster sampling as participants in the School-Based Chinese Adolescents’Health Survey(SCAHS)in 2023.All participants underwent comprehensive ophthalmic examinations.Demographic characteristics,parental myopia status,visual and lifestyle behaviors,and dietary habits were collected through structured questionnaires.Results:The overall myopia prevalence among primary and secondary school students in Zhejiang Province was 68.87%,with a high myopia prevalence of 5.82%.Multilevel logistic regression analysis demonstrated that female sex,parental myopia,higher body mass index(BMI),an advanced school stage,homework duration≥3 hours per day,and prolonged sedentary behavior were significantly associated with increased myopia risk.Conversely,residence in suburban counties,outdoor rest after class,outdoor exercise≥3 hours per day,and vegetable intake≥twice per day were associated with reduced myopia risk.Notably,consuming a meat and egg-based breakfast[odds ratio(OR)=0.96,95%confidence interval(CI):0.92,0.99]emerged as a protective factor against myopia.Conclusions:Myopia prevalence remains high among primary and secondary school students in Zhejiang Province,China.Future prevention efforts should prioritize early screening and targeted interventions for high-risk children and adolescents.展开更多
基金supported by the National Key R&D Program of China(2020YFC2003102).
文摘Objective:To reveal the distribution characteristics and demographic factors of traditional Chinese medicine(TCM)constitution among elderly individuals in China.Methods: Elderly individuals from seven regions in China were selected as samples in this study using a multistage cluster random sampling method.The basic information questionnaire and Constitution in Chinese Medicine Questionnaire(Elderly Edition)were used.Descriptive statistical analysis,chi-squared tests,and binary logistic regression analysis were used.Results: The single balanced constitution(BC)accounted for 23.9%.The results of the major TCM constitution types showed that BC(43.2%)accounted for the largest proportion and unbalanced constitutions ranged from 0.9%to 15.7%.East China region(odds ratio[OR]=2.097;95%confidence interval[CI],1.912 to 2.301),married status(OR=1.341;95%CI,1.235 to 1.457),and managers(OR=1.254;95%CI,1.044 to 1.505)were significantly associated with BC.Age>70 years was associated with qi-deficiency constitution and blood stasis constitution(BSC).Female sex was significantly associated with yang-deficiency constitution(OR=1.646;95%CI,1.52 to 1.782).Southwest region was significantly associated with phlegm-dampness constitution(OR=1.809;95%CI,1.569 to 2.086).North China region was significantly associated with inherited special constitution(OR=2.521;95%CI,1.569 to 4.05).South China region(OR=2.741;95%CI,1.997 to 1.3.763),Central China region(OR=8.889;95%CI,6.676 to 11.835),senior middle school education(OR=2.442;95%CI,1.932 to 3.088),and managers(OR=1.804;95%CI,1.21 to 2.69)were significantly associated with BSC.Conclusions: This study defined the distribution characteristics and demographic factors of TCM constitution in the elderly population.Adjusting and improving unbalanced constitutions,which are correlated with diseases,can help promote healthy aging through the scientific management of these demographic factors.
基金funded by the special research project for non-profit public service of the Chinese Ministry of Health(grant number:201202022 to YH)the national twelfth five-year plan for science and technology support of the Chinese Ministry of Science and Technology(grant numbers:2012BAI01B01 to YH)+1 种基金the National Key R&D Program of China(grant numbers:2017YFC0907800 to YH and 2017YFC0907801 to GX)the Major Projects of the Health Commission of Hunan Province(grant number:W20241001 to YZ)。
文摘Background Obsessive-compulsive disorder(OCD)is classified by the World Health Organization as 1 of the 10 most disabling conditions.However,nationally representative epidemiological data on OCD are not yet available in China.Aims To investigate the prevalence,comorbidity,role impairment and healthcare utilisation of OCD in China.Methods The present study used a multistage clustered area probability sample to obtain representative populationbased data of adults from 157 nationwide disease surveillance points across 31 provinces in China.Trained interviewers conducted face-to-face interviews with respondents to collect information based on the Composite International Diagnostic Interview 3.0.Data weighting was performed to account for differential selection probabilities and response rates,and to post-stratify the sample to ensure its representativeness of the population in China.Results A total of 28140 respondents(12537(44.55%)males and 15603(55.45%)females)completed the diagnostic interview.Two-thirds of the respondents with liftime OCD had comorbid mental disorders,with OCD typically emerging later than the comorbidities.The most common comorbidities were mood disorders(39.67%,odds ratio(OR):9.60,95%confidence interval(CI)7.35 to 12.53)and anxiety disorders(32.75%,OR:13.33,95%CI 10.14 to 17.52).Overall,588(weighted 58.19%)respondents with obsessions or compulsions experienced role impairment,which was most severe in those reporting unspecified symptoms.Only 46(6.74%)respondents with lifetime OCD and 28(6.48%)with 12-month OCD received any healthcare services for their conditions.Conclusions The weighted lifetime and 12-month prevalence of OCD were 2.43%and 1.63%,respectively.Most patients with OCD reported comorbid mental disorders and role impairment,but very few sought healthcare services.National programmes to expand service coverage and increase awareness of OCD are essential to meet healthcare needs in China.
文摘Climate change has become a global phenomenon and is adversely affecting agricultural development across the globe.Developing countries like Pakistan where 18.9%of the GDP(gross domestic product)came from the agriculture sector and also 42%of the labor force involved in agriculture.They are directly and indirectly affected by climate change due to an increase in the frequency and intensity of climatic extreme events such as floods,droughts and extreme weather events.In this paper,we have focused on the impact of climate change on farm households and their adaptation strategies to cope up the climatic extremes.For this purpose,we have selected farm households by using multistage stratified random sampling from four districts of the Potohar region i.e.Attock,Rawalpindi,Jhelum and Chakwal.These districts were selected by dividing the Potohar region into rain-fed areas.We have employed logistic regression to assess the determinants of adaptation to climate change and its impact.We have also calculated the marginal effect of each independent variable of the logistic regression to measure the immediate rate of change in the model.In order to check the significance of our suggested model,we have used hypothesis testing.
基金supported by the National Social Science Fund of China(NSSFC)(Grant No 20BSH066,JZ).
文摘Background To investigate the relationship of age at first separation from parents(AFSP)with suicidal ideation(SI),suicide planning(SP)and suicide attempts(SA)among left-behind children(LBC)in China and the mediating effect of traumatic events(TEs).Methods This cross-sectional study employed a multistage sampling method to conduct questionnaire surveys in six high-concentrated LBC provinces.Logistic regression and restricted cubic splines were performed to investigate the association of AFSP with SI,SP and SA,and meta-analysis(I2)was used to assess the heterogeneity.Causal mediation analysis(structural equation modelling)was used to evaluate the mediating effect of TEs,and bootstrap resampling was employed to assess the robustness of the causal mediation analysis.Results A total of 12162(6269 LBC)participants were included in this study;the prevalence rates of SI,SP and SA among LBC were 30.7%,18.6%and 11.9%;and LBC had a higher risk of SI(OR:1.32),SP(OR:1.40)and SA(OR:1.25)than non-LBC,all p<0.001.AFSP was negatively associated with SI,SP and SA,particularly peaking before 2 years old.LBC with AFSP<2 years old had a higher risk of SI(OR 2.65;95%CI 2.17 to 3.24;p<0.001),SP(OR 2.63;95%CI 3.36 to 4.29;p<0.001)and SA(OR 2.04;95%CI 2.73 to 3.63;p<0.001).TEs mediated the increased risk of SI(average causal mediation effect(ACME)0.03–0.07;proportion(Prop)40–54%;all p<0.001),SP(ACME 0.03–0.06;Prop 39–61%;all p<0.001)and SA(ACME 0.02–0.04;Prop 53–80%;all p<0.01).Conclusions We found that AFSP was associated with SI,SP and SA,mediated by TEs.Our findings supported the necessity of reducing SI,SP and SA risks among LBC and highlighted the need to consider AFSPs and TEs in intervention strategies.
基金Approved by the Medical Ethical Review Committee of the National Institute for Nutrition and Health,Chinese Center for Disease Control and Prevention(No.2022-037).
文摘Introduction:Nutrition knowledge(NK)is a key modifiable factor influencing the dietary behavior and nutritional status of children.Currently,nationally representative data assessing NK among Chinese junior high school students are unavailable.This study aimed to assess NK levels using recent,nationally representative data from China.Methods:A multistage stratified random cluster sampling method was used to select 28,629 junior high school students from 195 survey sites across 31 provincial-level administrative divisions in China.Data were collected using a standardized questionnaire developed using rigorous scientific procedures.NK awareness rates were described as weighted prevalence rates with 95%confidence intervals(CIs).Subgroup comparisons were performed using the Rao–Scott chisquare test.Results:The overall NK awareness rate among Chinese junior high school students was 40.0%(95%CI:36.5%–43.5%).The rates for the five dimensions,dietary recommendations,nutrient content of foods,food and health,food choices,and food safety,were 20.1%,46.2%,65.3%,65.2%,and 65.2%,respectively.The analysis revealed significant variations in overall and dimension-specific awareness rates across groups.Boys,students from rural and western regions,and students from families with lower socioeconomic status had poorer NK levels than their counterparts.Among the 10 knowledge points with the lowest correct rates,seven belonged to dietary recommendations,two to food safety,and one to food and health.Conclusion:NK awareness rates among junior high school students require improvement,especially regarding dietary recommendations,which remain a key component of students’nutrition education.Boys,students from rural and western regions,and students from families with lower socioeconomic status should be the key populations for NK dissemination in the future.
基金Supported by National Major Scientific and Technological Special Project(2023ZD0506401)Global Health Capacity Building and Tobacco Control Project,Chinese Center for Disease Control and Prevention(2025).
文摘Introduction:To evaluate the effectiveness of tobacco control efforts,we conducted a comprehensive analysis of trends in smoking cessation willingness and behavior among Chinese smokers from 2010 to 2024.Methods:Data were obtained from the 2010 Global Adult Tobacco Survey(GATS)-China Project and the National Adult Tobacco Survey(NATS)conducted in 2018,2022,and 2024.All surveys employed multistage stratified cluster random sampling of the Chinese population aged 15 years and above.Complex sampling analysis was performed for calculations,and trend analysis was conducted using the Cochran-Armitage trend test.Results:From 2010 to 2024,cessation behavior among Chinese smokers increased significantly.Cessation rates rose from 16.88%to 22.65%,and the proportion of smokers who attempted to quit in the past 12 months increased from 14.37%to 24.75%.The proportion of smokers planning to quit within 12 months increased from 16.10%to 21.61%from 2010 to 2022,but dropped to 16.07%in 2024.Over the 14-year period,cessation rates and quit attempts increased significantly across almost all demographic groups.However,from 2022 to 2024,cessation rates among daily smokers declined while the proportion of those willing to quit decreased.Occasional smokers consistently demonstrated higher cessation rates,quit attempts,and willingness to quit compared to daily smokers.Conclusions:The observed increases in cessation behavior may be attributed to expanded smoking cessation services and extensive cessation campaigns implemented over the years.Enhanced cessation interventions should be targeted toward daily smokers.Pricing policies,graphic health warnings on packaging,and community-based comprehensive smoking cessation interventions can further enhance smokers’willingness to quit and encourage more cessation attempts.
基金Supported by the National Natural Science Foundation of China Youth Science Fund Project(No.82404291)the Jiangsu Province Basic Research Program Natural Science Foundation Youth Fund Project(No.BK20241308).
文摘Introduction:Myopia prevalence is rising globally,with particularly high rates observed in East Asia.This study evaluated the prevalence and associated factors of myopia among primary and secondary school students in Zhejiang Province,China.Methods:A total of 192,704 students from 521 primary and secondary schools in Zhejiang Province were enrolled through multistage stratified cluster sampling as participants in the School-Based Chinese Adolescents’Health Survey(SCAHS)in 2023.All participants underwent comprehensive ophthalmic examinations.Demographic characteristics,parental myopia status,visual and lifestyle behaviors,and dietary habits were collected through structured questionnaires.Results:The overall myopia prevalence among primary and secondary school students in Zhejiang Province was 68.87%,with a high myopia prevalence of 5.82%.Multilevel logistic regression analysis demonstrated that female sex,parental myopia,higher body mass index(BMI),an advanced school stage,homework duration≥3 hours per day,and prolonged sedentary behavior were significantly associated with increased myopia risk.Conversely,residence in suburban counties,outdoor rest after class,outdoor exercise≥3 hours per day,and vegetable intake≥twice per day were associated with reduced myopia risk.Notably,consuming a meat and egg-based breakfast[odds ratio(OR)=0.96,95%confidence interval(CI):0.92,0.99]emerged as a protective factor against myopia.Conclusions:Myopia prevalence remains high among primary and secondary school students in Zhejiang Province,China.Future prevention efforts should prioritize early screening and targeted interventions for high-risk children and adolescents.
