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Biomedical and Environmental Sciences 2020年第1期33卷 1-10页

作者： LI Man WANG Zhuo Qun ZHANG Lu ZHENG Hao LIU Dian Wu zhou mai geng Hebei Key Laboratory of Environment and Human Health Department of Epidemiology and StatisticHebei Medical UniversityShijiazhuang 050017HebeiChina National Center for Chronic and Non-communicable Disease Control and Prevention China CDCBeijing 100050China Hebei Chest Hospital Shijiazhuang 050042HebeiChina

Objective To estimate the burden of cirrhosis and other chronic liver diseases caused by specific etiologies in *** Data from the Global Burden of Disease Study 2016(GBD 2016)were *** evaluated the burden by analyzing age-sex-province-specific prevalence,mortality,and disability-adjusted lifeyears(DALYs)of 33 provinces in *** From 1990 to 2016,prevalence cases in thousands increased by 73.7%from 6833.3(95%UI:6498.0–7180.6)to 11869.6(95%UI:11274.6–12504.7).Age-standardized mortality and DALY rates per100,000 decreased by 51.2%and 53.3%,*** and elderly people(aged≥60 years)preponderance were found for prevalence,mortality,and *** number of prevalence cases,deaths,and DALYs due to hepatitis C virus(HCV)increased by 86.6%,8.7%,and 0.9%,***,age-standardized prevalence rates decreased in 31 provinces,but increased in Yunnan and *** Socio-demographic Index(SDI)values were negatively correlated with age-standardized mortality and DALY rates by provinces in 2016;the correlation coefficients were-0.817 and-0.828,*** Cirrhosis and other chronic liver diseases remain a huge health burden in China,with the increase of population and the aging of *** B virus(HBV)remains the leading cause of the health burden in China.

关键词： Cirrhosis Chronic liver disease China Epidemiology Global burden of disease study

Defining region-specific heatwave in China based on a novel concept of “avoidable mortality for each temperature unit decrease”

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Advances in Climate Change Research 2021年第5期12卷 611-618页

作者： LIU Jiang-Mei AI Si-Qi QI Jin-Lei WANG Li-Jun zhou mai-geng WANG Chong-Jian YIN Peng LIN Hua-Liang National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijing100050China Department of Epidemiology School of Public HealthSun Yat-sen UniversityGuangzhou510080China Department of Epidemiology School of Public HealthZhengzhou UniversityZhengzhou450000China

The distribution of temperature and temperature-health association varied largely across different regions in China,a region-specific definition for heatwave was therefore *** collected the data on daily mortality,meteorological factors and air pollution in 84 Chinese cities during 2013–2016,which was divided into seven *** on the association between daily maximum temperature and mortality in each city in a threshold distributed lag non-linear model,where the threshold was defined as the temperature corresponding to the lowest mortality risk,we calculated the number of deaths that could be avoided for 1℃ decrease in maximum temperature under different thresholds,then a random-effect meta-analysis was used to generate regional results,in which the temperature with the highest avoidable mortality number for 1℃ decrease was considered as the most appropriate heatwave *** observed an immediate detrimental effect of high temperature within three lag *** analysis suggested to use 29.5℃,31.5℃,29.0℃,31.5℃,30.0℃,and 28.5℃ as the heatwave standard for east,north,northeast,central,south,and southwest region,with the avoidable mortality number of 1.54(95%Confidence interval(CI):0.88,2.19),0.55(95%CI:0.16,0.94),0.59(95%CI:0.32,0.86),1.14(95%CI:0.68,1.59),1.22(95%CI:0.54,1.90),and 0.78(95%CI:0.01,1.55),respectively,while the estimated number 0.19(95%CI:−0.02,0.40)in northwest region was not statistically *** concept of‘avoidable mortality for 1℃ decrease’was proposed to define the heatwave event,and varied maximum temperature between 28.5 and 31.5℃ was suggested for region-specific heatwave definition in China.

关键词： Heatwave Mortality burden Distributed lag non-linear model

Vegetable and Fruit Consumption among Chinese Adults and Associated Factors： A Nationally Representative Study of 170,847 Adults

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Biomedical and Environmental Sciences 2017年第12期30卷 863-874页

作者： LI Yi Chong JIANG Bo ZHANG Mei HUANG Zheng Jing DENG Qian zhou mai geng ZHAO Zhen Ping WANG You Fa WANG Li Min National Center for Chronic Non-communicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Beijing 100050 China Peking University Clinical Research Institute Beijing 100191 China Beijing Center for Disease Prevention and Control Beijing 100191 China Global Health Institute Health Science Center Xi 'an Jiaotong University Xi'an 710049 Shanxi China Fisher Institute of Health and Well-being Systems-Oriented Global Childhood Obesity Intervention Program Department of Nutrition and Health Sciences College of Health Ball State University Muncie IN 47306 USA

Objective This study examined vegetable and fruit （VF） consumption rate and its associated factors among Chinese adults. Methods Nationally representative data from the 2013 China Chronic Disease Surveillance survey were used. Dietary intake data, including VF consumption during the last 12 months, were collected. All analyses were weighted to obtain nationally representative estimates. Associations between VF consumption and other factors （e.g., meal frequency and physical activity） were examined through logistic regression analysis. Results The average fruit consumption was 102.3 g/day （95% CI： 97.0-107.6） and the average vegetable consumption was 350.6 g/day （95% CI： 339.3-361.8）. Over half （53.2%, 95% CI： 50.9-55.4） of Chinese adults met the VF consumption of 400 g/day recommended by the World Health Organization （WHO）. Rural residents had a higher prevalence of low VF consumption rate than urban residents [49.20% （95% CI： 46.2%-52.2%） vs. 44.0% （95% CI： 41.7%-46.3%） P 〈 0.01]. Old age （OR = 1.01, 95% CI： 1.00-1.01）, low educational level, low income, minority ethnicity （OR = 1.41, 95% CI： 1.15-1.74）, underweight （OR = 1.17, 95% CI： 1.03-1.33）, single marital status （OR = 1.20, 95% CI： 1.08-1.33）, low health literacy, irregular breakfast （OR = 1.20, 95% CI： 1.04-1.38） or lunch （OR = 1.58, 95% CI： 1.26-1.99） habits, and no leisure-time physical activity were associated with low VF consumption. Conclusion Only half of Chinese adults met the VF consumption recommended by the WHO. Low socio-economic status, irregular diet, and poor health literacy were likely associated with low VF consumption. National efforts and programs are needed to promote VF consumption.

关键词： Fruit Vegetables China Noncommunicable and Chronic Disease Surveillance survey China

Prevalence and Years of Life Lost due to Disability from Dental Caries among Children and Adolescents in Western China,1990-2015

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Biomedical and Environmental Sciences 2017年第10期30卷 701-707页

作者： WANG Zhuo DENG Ying LIU Shi Wei HE Jun JI Kui ZENG Xin Ying YANG Shu Juan XU Xin Yin LUO Yu zhou mai geng ZHANG Jian Xin West China School of Public Health Sichuan University Sichuan Provincial Center for Disease Control and Prevention Center for Chronic and Noncommunicable Disease Control and Prevention National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and Prevention Department of Obstetrics and Gynecology West China Second University HospitalSichuan University

Objective To analyze the prevalence and years lived with disability （YLD） from dental caries among children and adolescents and the time trends over the past two decades in Sichuan province, the largest province in west China. Methods Based on the Global Burden of Disease Study 2015 （GBD2015）, which systematically assessed the epidemiological characteristics of major diseases and their transitions by country and region from 1990 to 2015, we extracted the estimated results for China. We then used the Bayesian meta-regression method to estimate the sex- and age-specific prevalences and YLDs from dental caries among children and adolescents under 15 years old in Sichuan province and compared them with global and national indicators for the same period. Results In 2015, there were almost 6 million cases of dental caries in children and adolescents （aged 〈 15 years） in Sichuan province, accounting for 6% of the total cases in China. For children under 5 years, the prevalence of deciduous caries was 55.9%, and the YLDs value was 10.8 per 100,000, while it was 24.3% and 5.1 per 100,000 respectively among 5- to 14-year-olds; for those aged 5 to 14 years, the prevalence of permanent caries was 21.5%, and the YLDs value was 11.5 per 100,000. From 1990 to 2015, the prevalence of dental caries for children under 5 years increased substantially, by 16.2%, and the YLDs increased by 8.7%. Among those aged 5 to 14 years, the prevalence increased and the YLDs decreased. Conclusion Dental caries remains a huge health burden in Western China. In contrast to the global and national data, the trend has increased rapidly over the past 25 years in this region. This work provides suggestions for the prevention and control for oral health in China with the policy of two-child.

关键词： Children and adolescents Dental caries YLD Disease burden

Pedestrian Mortality between 2006 and 2010 in China: Findings from Non-police Reported Data

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Biomedical and Environmental Sciences 2013年第10期26卷 853-856页

作者： MA Sai HU Guo Qing LI Qing Feng zhou mai geng Johns Hopkins International Injury Research Unit Johns Hopkins Bloomberg School of Public Health Department of Epidemiology and Health Statistics School of Public HealthCentral South University Chinese Center for Disease Control andPrevention

Pedestrian safety in China is an important but largely neglected issue, in part due to the substantial under-reporting within police data. In this study we aimed to examine changes in pedestrian fatality between 2006 and 2010 in China using non-police reported data. A multi-year study was conducted based on the mortality data during 2006-2010 from the Disease Surveillance Points （DSP） data in China. Between 2006 and 2010, the crude pedestrian mortality increased from 7.0 to 10.5 per 100 000 populations. Annual pedestrian mortality from DSP data was 13 times in 2006 and 55 times in 2010 mortality for pedestrians and passengers from police-reported data in the corresponding years. After controlling for sex, age,

关键词： 2010 Findings from Non-police Reported Data Pedestrian Mortality between 2006 and 2010 in China

Hypertension Prevalence,Awareness,Treatment,and Control and Their Associated Socioeconomic Factors in China:A Spatial Analysis of A National Representative Survey

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Biomedical and Environmental Sciences 2021年第12期34卷 937-951页

作者： WANG Wei ZHANG Mei XU Cheng Dong YE Peng Peng LIU Yun Ning HUANG Zheng Jing HU Cai Hong ZHANG Xiao ZHAO Zhen Ping LI Chun CHEN Xiao Rong WANG Li Min zhou mai geng National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijing 100050China Institute of Geographic Sciences and Natural Resources Research Chinese Academy of ScienceBeijing 100101China

Objective We aimed to investigate and interpret the associations between socioeconomic factors and the prevalence, awareness, treatment, and control of hypertension at the provincial level in *** A nationally and provincially representative sample of 179,059 adults from the China Chronic Disease and Nutrition Surveillance study in 2015–2016 was used to estimate hypertension burden. The spatial Durbin error model was fitted to investigate socioeconomic factors associated with hypertension *** Overall, it was estimated that 29.20% of the participants were hypertensive nationwide,among whom, 34.32% were aware of their condition, 27.69% had received antihypertensive treatment,and 7.81% had controlled their condition. Per capita gross domestic product(GDP) was associated with hypertension prevalence(coefficient:-2.95, 95% CI:-5.46,-0.45) and control(coefficient: 6.35, 95% CI:1.36, 11.34) among adjacent provinces and was also associated with awareness(coefficient: 2.93, 95%CI: 1.12, 4.74) and treatment(coefficient: 2.67, 95% CI: 1.21, 4.14) in local province. Beds of internal medicine(coefficient: 2.66, 95% CI: 1.08, 4.23) was associated with control in local province. Old dependency ratio(coefficient:-3.58, 95% CI:-5.35,-1.81) was associated with treatment among adjacent provinces and with control(coefficient:-1.69, 95% CI:-2.42,-0.96) in local *** Hypertension indicators were not only directly influenced by socioeconomic factors of local area but also indirectly affected by characteristics of geographical neighbors. Population-level strategies should involve optimizing supportive socioeconomic environment by integrating clinical care and public health services to decrease hypertension burden.

关键词： Hypertension China Cross-sectional study Socioeconomic factors Spatial regression Population-level strategy

The Nationwide Impact of Injury-related Deaths on Average Life Expectancy in China

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Biomedical and Environmental Sciences 2014年第4期27卷 304-310页

作者： WANG Yuan JI Cui Rong zhou mai geng JI Yi Bing LIU Yun Ning DUAN Lei Lei National Center for Non-communicable Disease Control and Prevention China CDC

To expand the evidence base to inform future public policy aimed at accident prevention, we investigated the impact of different categories of injury on average life expectancy in China. We used data from the National Death Cause Registration Information System and National Maternity and Children Health Surveillance databases, as well as 2010 population data from the National Bureau of Statistics. We then calculated the average life expectancy of the Chinese population, in addition to life expectancy after eliminating injury-related mortality. The average life expectancy of the Chinese population in 2010 was 74.93 years. After eliminating deaths due to injuries, the fourth leading cause of mortality in China, average life expectancy increased by 1.36 years. When this was broken down by population sub-groups, these gains were 1.76 and 0.79 years in men and women, 0.94 and 1.56 years in urban and rural residents, and 1.11, 1.30, and 1.67 years for residents in the Eastern, Central and Western regions respectively. After eliminating all categories of injury, the average life expectancy of the Chinese population was found to increase by 1.36 years. This figure was higher for males and residents of rural areas and Western China.

关键词： The Nationwide Impact of Injury-related Deaths on Average Life Expectancy in China

Estimates of Tuberculosis Mortality Rates in China Using the Disease Surveillance Point System,2004-2010

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Biomedical and Environmental Sciences 2012年第4期25卷 483-488页

作者： ZHANG Hui HUANG Fei CHEN We DU Xin zhou mai geng HU Jia WANG Li Xia Chinese Center for Disease Control and Prevention Beijing 102206 China Jiang Xi Center for Disease Control and Prevention Nanchang 330029 Jiangxi China

Objective To understand the current status and trends of tuberculosis mortality rates in China. Methods In 2010, 161 National Disease Surveillance Points representing all 31 mainland provinces, municipalities, and autonomous regions of China collected tuberculosis mortality surveillance data, including age, sex, region, and type of tuberculosis （all, pulmonary, and extra-pulmonary）. The mortality rates of the three types of tuberculosis were compared between 2004 and 2010. Results In 2010, the mortality rates due to all tuberculosis, pulmonary tuberculosis, and extra-pulmonary tuberculosis were 4.69 （95% Cl 4.54-4.84）, 4.38 （4.23-4.52）, and 0.31 （0.27-0.35） per 100 000 population, respectively. Mortality rates due to all tuberculosis and pulmonary tuberculosis were higher in males, the elderly, and those living in western and rural areas. From 2004 to 2010, the mortality rates due to all tuberculosis and pulmonary tuberculosis decreased by 36.02% and 37.70%, respectively, with an average annual rate of decline of 7.20% and 7.61%, respectively. Conclusion Mortality rates due to tuberculosis have declined rapidly in China. The target of reducing the 1990 mortality rate by 50% by 2015 has already been achieved. However, the tuberculosis control program should pay more attention to high-risk groups, including the elderly and those living in underdeveloped areas.

关键词： Tuberculosis Mortality Trends

Global Burden of Disease, Injury and Risk Factor Study 2010: Its Policy Implications for China

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Biomedical and Environmental Sciences 2014年第1期27卷 45-48页

作者： YU Shi Cheng TAN Feng zhou mai geng LIU Shi Wei ZHU Xiao Jun ZHU Yu Ling Chinese Center for Disease Control and Prevention (China CDC) National Institute for Occupational Health and Poison Control China CDC National Center for Non-communicable Chronic Disease Control China CDC

Results of the Global Burden of Disease, Injury and Risk Factor Study 2010 （GBD 2010） were released on December 13, 2012 in London, a series of papers concerning the project have been published in the Lancet[1]. Research findings of the project have been reported in the United States, the United Kingdom, Indonesia, China[2] and Australia, and widely applied across the world. In addition, the GBD 2010 will see more countries report their project research findings and implement these findings in the near future. The GBD 2010 provides researchers, administrators and policymakers with new and critical sources for their research, teaching and policymaking.

关键词： 2010 Global Burden of Disease Its Policy Implications for China

Prediction of 10-year Atherosclerotic Cardiovascular Disease Risk among Adults Aged 40-79 Years in China:a Nationally Representative Survey

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Biomedical and Environmental Sciences 2017年第4期30卷 244-254页

作者： ZHANG Mei JIANG Yong WANG Li Min LI Yi Chong HUANG Zheng Jing LI Jian Hong zhou mai geng ZHAO Wen Hua 无 National Center for Chronic and Noncommunicable Disease Control and Prevention Chinese Center for Disease Control and PreventionBeijing 100050China Beijing Tiantan Hospital Capital Medical UniversityBeijing 100050China Institute for Nutrition and Health Chinese Center for Disease Control and PreventionBeijing 100050China the 2010 china noncommunicable disease surveillance group

Objective To establish the distribution of 10-year atherosclerotic cardiovascular disease （ASCVD） risk among Chinese adults. Methods We estimated the 10-year ASCVD risk by applying the 2013 American College of Cardiology/ American Heart Association pooled cohort equations （PCEs） to the data obtained from the 2010 China Chronic Disease and Risk Factor Surveillance that involved 61,541 participants （representing 520,158,652 Chinese adults） aged 40-79 years. We also compared the ASCVD risk with the 10-year ischemic cardiovascular disease （ICVD） risk, which was calculated using the simplified scoring tables recommended by the Chinese Guidelines for Prevention of Cardiovascular Diseases （Chinese model）. Results Based on the PCEs, the average 10-year ASCVD risk among adults without self-reported stroke or myocardial infraction was 12.5%. Approximately 247 million （47.4%） and 107 million （20.6%） adults had 〉 7.5% and 〉 20% 10-year ASCVD risks, respectively. The 10-year ASCVD risk 〉 20% was higher among men, less educated individuals, smokers, drinkers, and physically inactive individuals than among their counterparts. Overall, 29.0% of adults categorized using the Chinese model were overclassified with the PCEs. Conclusion Our results define the distribution of 10-year ASCVD risk among Chinese adults. The 10-year ASCVD risk predicted by the PCEs was higher than the ICVD risk predicted by the Chinese model.

关键词： Atherosclerotic cardiovascular disease Chinese adults Ischemic cardiovascular disease Riskassessment