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Variations in the Prevalence of Anemia of Varying Severity Among Urban Non-Pregnant Women—China,2021

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China CDC weekly 2024年第10期6卷 175-180页

作者： Xiaoxi Liu Bo Wang Sailimai Man heling bao Yuanyuan Huang Canqing Yu Jun Lyu Linhong Wang Liming Li Hui Liu Institute of Medical Information Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina Peking University Health Science Center Meinian Public Health Institute BeijingChina Meinian Institute of Health BeijingChina Peking University Center for Public Health and Epidemic Preparedness&Response BeijingChina Department of Epidemiology and Biostatistics School of Public HealthPeking UniversityBeijingChina Key Laboratory of Epidemiology of Major Diseases(Peking University) Ministry of EducationBeijingChina National Center for Chronic and Non-communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina

Summary What is already known about this topic?Anemia is a significant public health issue affecting women globally.Prior studies in China predominantly concentrated on anemia in pregnant or reproductiveage women,leav... 详细信息

关键词： Anemia anemia China.

Prevalence of High-Risk Human Papillomavirus in Cervical Intraepithelial Neoplasia in the Pre-Vaccine Era—China,2017–2018

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China CDC weekly 2022年第48期4卷 1083-1087页

作者： heling bao Weihong Chen Xiaosong Zhang Hui Bi Yun Zhao Liwen Fang Shu Cong Feng Tan Linhong Wang Institute of Medical Information Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina National Center for Chronic and Non-communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina Chinese Center for Disease Control and Prevention BeijingChina Department of Obstetrics and Gynecology Peking University First HospitalBeijingChina Department of Obstetrics and gynecology Peking University People’s HospitalBeijingChina.&Joint first authors.

What is already known about this topic?Human papillomavirus(HPV)type-specific strategies play a key role in the prevention of cervical intraepithelial neoplasia(CIN),but evidence on the HPV type-specific prevalence in CIN is limited.What is added by this report?This multicentric study estimates the prevalence of high-risk HPV types in CIN cases and the associations of HPV infection patterns with high-grade CIN in China in 2017–2018.What are the implications for public health practice?Population-based prevention strategies should give preference to HPV-16 and 18,and strategies for non-16/18 high-risk HPV are essential for the elimination of cervical cancer.

关键词： prevention prevalence cervical

Breast Cancer Screening Coverage—China,2018-2019

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China CDC weekly 2023年第15期5卷 321-326页

作者： Mei Zhang heling bao Xiao Zhang Zhengjing Huang Zhenping Zhao Chun Li Maigeng Zhou Jing Wu Limin Wang Linhong Wang Division of NCD and Risk Factor Surveillance National Center for Chronic and Noncommunicable Disease Control and PreventionChinese Center for Disease Control and PreventionBeijingChina Institute of Medical Information Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina National Center for Chronic and Noncommunicable Disease Control and Prevention China CDCBeijingChina

Summary What is already known about this topic?In 2015,only 18.9%of adult women underwent breast cancer screening in China.What is added by this report?Breast cancer screening coverage for women aged 20 years and above in China reached 22.3%during 2018-2019.Women with lower socioeconomic status had lower screening coverage.There were significant variations across the provincial-level administrative divisions.

关键词： Breast Cancer cancer

Breast Cancer Awareness and Association with Frequency of Screening Among Women—China,2020

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China CDC weekly 2023年第15期5卷 327-332页

作者： heling bao Liyuan Liu Shu Cong Fei Wang Lixiang Yu Liwen Fang Xuening Duan Feng Tan Zhigang Yu Linhong Wang Institute of Medical Information Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina National Center for Chronic and Non-communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina The Second Hospital of Shandong University Jinan CityShandong ProvinceChina Peking University First Hospital BeijingChina Chinese Center for Disease Control and Prevention BeijingChina

Summary What is already known about this topic?Breast cancer awareness plays a crucial role in promoting screening attendance,enabling early detection,and improving survival rates associated with breast cancer.Neverth... 详细信息

关键词： Breast Cancer awareness

Cervical Cancer Screening Coverage — China, 2018–2019

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China CDC weekly 2022年第48期4卷 1077-1082页

作者： Mei Zhang Yijing Zhong Limin Wang heling bao Zhengjing Huang Zhenping Zhao Xiao Zhang Chun Li Kelly Liang Sun Jing Wu Xiaoying Zheng Linhong Wang Division of NCD and Risk Factor Surveillance National Center for Chronic and Noncommunicable Disease Control and PreventionChinese Center for Disease Control and PreventionBeijingChina Institute of Population Research/APEC Health Science Academy(HeSAY) Peking UniversityBeijingChina National Center for Chronic and Noncommunicable Disease Control and Prevention China CDCBeijingChina Institute of Medical Information Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina Yenching Academy Peking UniversityBeijingChina Chinese Center for Disease Control and Prevention BeijingChina.

What is already known about this topic?The World Health Organization set a 2030 target of 70%cervical cancer screening coverage for women aged 35–45 years.Coverage stood at 37%in China in 2015.What is added by this report?In 2018–2019,China’s cervical cancer screening coverage reached 43.4%in women aged 35–44 years and 36.8%in women aged 35–64 years.Screening coverage was still lower in rural areas as well as central and western regions;large variations existed across provincial-level administrative divisions.What are the implications for public health practice?National and local policy and financial support should be maintained for cervical cancer screening,along with more targeted health education and outreach efforts and strengthened accessibility of health services in the rural areas and central and western regions.

关键词： Cervical maintained strengthened

Depressive Symptoms and Sleep Duration as Risk Factors for Breast Cancer—China,2020

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China CDC weekly 2023年第15期5卷 333-339页

作者： Liyuan Liu heling bao Fei Wang Lixiang Yu Shu Cong Fei Zhou Yujuan Xiang Shuya Huang Chao Zheng Liwen Fang Linhong Wang Zhigang Yu Department of Breast Surgery The Second Hospital of Shandong UniversityJinan CityShandong ProvinceChina Institute of Translational Medicine of Breast Disease Prevention and Treatment Shandong UniversityJinan CityShandong ProvinceChina Institute of Medical Information Chinese Academy of Medical Sciences&Peking Union Medical CollegeBeijingChina National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina

Summary What is already known about this topic?Psychological and lifestyle factors are known to potentially play a significant role in the development of breast cancer.However,current evidence-based studies present co... 详细信息

关键词： breast Breast Cancer

Age-specific effectiveness of primary human papillomavirus screening versus cytology in a cervical cancer screening program: a nationwide cross-sectional study

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Cancer Communications 2022年第3期42卷 191-204页

作者： heling bao Lan Ma Yanxia Zhao Bo Song Jiangli Di Linhong Wang Yanqiu Gao Wenhui Ren Shi Wang Jiuling Wu Hai-Jun Wang Department of Maternal and Child Health School of Public HealthPeking UniversityBeijing 100191P.R.China National Center for Women and Children’s Health Chinese Center for Disease Control and PreventionBeijing 100081P.R.China National Center for Chronic and Non-communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijing 100050P.R.China

Background:Primary human papillomavirus(HPV)screening is recommended for the detection of cervical intraepithelial neoplasia(CIN)in the general pop-ulation;however,the triage for HPV-positive women remains a challenge.This study aimed to evaluate the age-specific effectiveness of primary HPV screening versus primary cytology screening for identifying optimal strategies for women of different ages.Methods:The dataset of the prevalence round screening was derived from the National Cervical Cancer Screening Program in China.Primary cervical screen-ing protocols included cytology only,HPV testing with cytology triage,and HPV testing with HPV-16/18 genotyping plus cytology triage.The primary outcomes were age-specific detection rate,colposcopy referral rate and positive predictive value(PPV)for CIN2+.Multivariate Poisson regression was used to evaluate the relativeeffectivenessofHPVtestingandcytologyaccordingtoagegroups.TheI 2 statisticwitharandom-effectmodelwasusedtotesttheheterogeneityinrelative effectiveness of HPV testing versus cytology between age groups.Results:This study included 1,160,981 women.HPV testing with HPV-16/18 genotyping plus cytology triage significantly increased the CIN2+detection by 36%(rate ratio[RR]:1.36,95%confidential interval[CI]1.21–1.54)for women aged 35-44 years and by 34%(RR:1.34,95%CI 1.20-1.51)for women aged 45-54 years compared with cytology only.HPV testing with cytology triage had simi-lar CIN2+detection rate compared with cytology only.The PPVs were substan-tially increased for both HPV testing groups.Among women aged 55-64 years old,HPV testing with HPV-16/18 genotyping plus cytology triage increased the colposcopyreferralrateby19%(RR1.19,95%CI1.10-1.29)comparedwithcytology only,butdidnotincreasetheCIN2+detection(1.09,0.91–1.30).Theeffectiveness ofHPVtestingwithcytologytriagedidnotchangeinolderwomen.Thebetween-age-group heterogeneity in the effectiveness was statistically significant for HPV testing with HPV-16/18 genotyping plus cytology triage versus cytology only.Conclusions:

关键词： age groups cervical intraepithelial neoplasia cytology early detection of cancer human papil-lomavirus test mass screening triage uterine cervical neoplasms

Distribution of Chronic Obstructive Pulmonary Disease--China,2014−2015

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China CDC weekly 2020年第15期2卷 245-248页

作者： Ning Wang Shu Cong Jing Fan heling bao baohua Wang Linhong Wang Liwen Fang National Center for Chronic and Non-communicable Diseases Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina.

Introduction:Chronic obstructive pulmonary disease(COPD)has become a major public health problem in China.However,prevalence of COPD by demographics in different regions has not been estimated.This analysis aims to compare the prevalence of COPD by age and sex and the prevalence of disease severity by Global Initiative for Chronic Obstructive Lung Disease(GOLD)stages in the East,Central,and West of China.Methods:Data from a nationwide surveillance in China between 2014 and 2015 were used,which recruited 66,752 adults aged 40 years or over.All participants underwent pre-and post-bronchodilator pulmonary function tests.COPD and the severity of disease were defined based on the 2018 GOLD lung function criteria.Results:The prevalence of COPD was 13.7%,10.9%,and 16.9%in the East,Central,and West,respectively.In all age and gender groups,the prevalence was highest in the West,followed by the East,with the lowest prevalence in Central.The prevalence of mild disease(GOLD stage I),moderate disease(GOLD stage II),severe disease(GOLD stage III),and very severe disease(GOLD stage IV)was also the highest in the West.The prevalence of COPD in each region increased significantly with age and was consistently higher in men than in women.Conclusions and Implications for Public Health Practice:With the support of Healthy China 2030,the government should widely publicize the risk factors and early symptoms of COPD to promote the prevention on COPD and the awareness of early detection among population.The capacity of diagnosis and treatment of COPD among primary healthcare institutions and healthcare workers should be strengthened,particularly in the West,where the prevalence of COPD is comparatively high and health resources are relatively scarce.

关键词： prevalence prevention Chronic

Breast Cancer Screening Rates Among Women Aged 20 Years and Above—China,2015

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China CDC weekly 2021年第13期3卷 267-273页

作者： Mei Zhang Yijing Zhong heling bao Zhenping Zhao Zhengjing Huang Xiao Zhang Chun Li Maigeng Zhou Limin Wang Jing Wu Xiaoying Zheng Linhong Wang National Center for Chronic and Non-Communicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijingChina Institute of Population Research Peking UniversityBeijingChina Department of Maternal and Child Health School of Public HealthPeking UniversityBeijingChina.

What is already known about this topic?Breast cancer is the most common cancer in women in China and around the world.By 2019,121 countries have instituted a national screening program as a secondary prevention measure for breast cancer.What is added by this report?Breast cancer screening rates in China were 18.9%in women aged 20 years and above,and 25.7%in women aged 35-64 years in 2015.The screening rate for women aged 20 years and above was significantly higher in urban areas than in rural areas(24.6%vs.15.0%),and in the eastern region than in the central and western regions(24.0%vs.15.1%and 15.3%).

关键词： Breast prevention cancer