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The Future Challenges of Population Health in China:A Projection of the Major Health Problems and Life Expectancy——China,2015-2050

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China CDC weekly 2022年第13期4卷 276-279页

作者： Jiangmei Liu Bo Jiang Yanhong Fu Zhuo Wang Min Liu Peng Yin Maigeng Zhou National Center for chronic and non-communicable disease control and prevention Chinese Center for Disease Control and PreventionBeijingChina department of Epidemiology and Health Statistics Xiangya School of Public HealthCentral South UniversityChangshaChina department of chronic and non-communicable disease control and prevention Sichuan Center of Disease Control and PreventionChengduChina

According to the Seventh National Population Census in 2020,the life expectancy of the Chinese population has been gradually rising in the past 10 years(1).With China’s industrialization,urbanization,and rapidly aging population,behavioral changes,and environmental factors have a growing impact on health.The strategy based on“curing disease”cannot meet the public’s health needs.

关键词： Population Challenges Health

Association between physical activity energy expenditure and cardiometabolic risk factor clustering among Chinese adults in 2015

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Sports Medicine and Health Science 2022年第2期4卷 105-111页

作者： Xiaorong Chen Mei Zhang Limin Wang Zhengjing Huang Wenrong Zhang Jing Wu National Center for chronic and non-communicable disease control and prevention Chinese Center for Disease Control and PreventionBeijingChina

To understand the association between cardiometabolic risk factor(CMRF)clustering and physical activity(PA)levels,we included 86520 Chinese adults aged 18–64 years having at least one CMRF(hypertension,diabetes,dyslipidemia,or obesity)from the China chronic disease and Nutrition Surveillance survey in 2015,a nationally and provincially representative investigation with a multistage clustering sampling design.Self-reported PA information was collected with the Global Physical Activity Questionnaire through face-to-face interviews.In view of the obesity epidemic in CMRF patients,PA energy expenditure(PAEE)per kilogram body weight was used,and was defined into four categories:(i)inactivity:0 kJ/kg/day;(ii)low activity:0–5 kJ/kg/day;(iii)moderate activity:6–11 kJ/kg/day;and(iv)vigorous activity:≥12 kJ/kg/day.The estimated weighted prevalence(95%confidence interval[CI])of having 1,2,3,and 4 CMRFs was 60.57%(59.48%–61.67%),28.10%(27.40%–28.79%),9.82%(9.22%–15.42%)and 1.50%(1.37%–1.63%),respectively.The rate(95%CI)of inactivity,low activity,moderate activity,and vigorous activity was 34.52%(32.69%–36.35%),22.22%(21.37%–23.37%),15.98%(15.38%–16.58%)and 27.28%(26.02%–28.53%),respectively.For those having 2,3 and 4 CMRFs(compared to those having 1 CMRF),the adjusted odds ratio(95%CI)for moderate activity and vigorous activity were 0.91(0.85–0.98)and 0.92(0.85–0.99),0.87(0.80–0.95)and 0.84(0.77–0.92),and 0.77(0.67–0.89)and 0.85(0.72–1.00),respectively.In conclusion,CMRF clustering was a pandemic among Chinese adults in 2015 and was inversely associated with PA level.PAEE(in kJ/kg/day)may be introduced into PA management practice,especially for populations with high body weight.

关键词： Physical activity Energy expenditure Cardiometabolic risk factors

The Incidence,Mortality,and DALYs Trends Associated with Esophageal Cancer-China,1990-2019

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China CDC weekly 2022年第43期4卷 956-961页

作者： Li Ma Xudong Li Miaomiao Wang Yingying Zhang Jing Wu Yuan He Xueqi Fan Bin Zhang Xiaolong Zhou Office of Epidemiology Chinese Center for Disease Control and PreventionBeijingChina National Center for chronic and non-communicable disease control and prevention Chinese Center for Disease Control and PreventionBeijingChina

What is already known about this topic?Esophageal cancer(EC)is one of the most common malignant tumors in China.The new cases and deaths in China account for more than half of the world,and the disease burden of esophageal cancer is serious.What is added by this report?From 1990 to 2019,the disease burden of EC in China showed a decrease overall;it first increased between 1990 and 2004,but then decreased between 2004 and 2019.The burden of EC in men was much higher than that in women.Age was an important factor affecting the burden of EC,with disease burden rising rapidly after 40 years old.What are the implications for public health practices?The screening,early diagnosis,and treatment for EC should continue to be strengthened in China.Middleaged and elderly men are high-risk groups of EC and should be a key population for EC prevention and control.

关键词： Esophageal prevention diagnosis

Willingness to pay for colorectal cancer screening in Guangzhou

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World Journal of Gastroenterology 2018年第41期24卷 4708-4715页

作者： Qin Zhou Yan Li Hua-Zhang Liu Ying-Ru Liang Guo-Zhen Lin department of non-communicable chronic disease control and prevention Guangzhou Center for Disease Control and Prevention

AIM To measure the willingness to pay for colorectal cancer screening in Guangzhou, and to identify those factors associated with it. METHODS A face-to-face questionnaire survey for pre-screening population from free and non-free colonoscopy districts was used to collect information on demographic characteristics, health behaviours, the intention of the cancer screenings and willingness to pay for colorectal cancer screening. A total of 1243 participants who took part in the pre-screening for colorectal cancer in Guangzhou were collected in the study. Categorical data were compared using the χ~2 test to analyse significant differences. non-conditional logistic regression and multi-class logistic regression were also performed for multivariate analysis and to estimate the odds ratios.RESULTS The percentage of participants willing to pay for colorectal cancer screening was 91.7%. "Unnecessary" was the dominant reason that participants gave for their unwillingness, accounting for 63.1%. Of those who were willing to pay, 29.2%, 20.7%, 14.8%, 13.0% and 22.4% of participants were willing to pay less than $100, $100-$199, $200-299, $300-$399 and more than $400, respectively. non-logistic regression analysis showed that respondents who were male, had a high level of education, were from the family with more children/older to raise, and accepted colorectal cancer screening were willing to pay for this screening. Multi-class logistic regression analysis showed that respondents with higher annual household income per capita, from government and private enterprises, government agency/institution and peasants, and less family medical expenditure were willing to pay more.CONCLUSION Willingness to pay for colorectal cancer screening in Guangzhou is high, but the amount of willing to pay is not much.

关键词： Colorectal cancer Screening Willingness to pay Guangzhou Factor

Interpretation of the Diabetes prevention and control Action of the Healthy China Initiative 2019−2030

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China CDC weekly 2020年第9期2卷 143-145页

作者： Wenjuan Wang National Center for chronic and non-communicable disease control and prevention Chinese Center for Disease Control and PreventionBeijingChina

In the past 30 years,the prevalence of diabetes in China has been increasing,but the awareness rate,treatment rate and control rate of diabetes are relatively low,and the death rate,disability rate,disease burden of diabetes and its complications are constantly increasing,which brings heavy burden to individuals,families and social economy.The Healthy China Initiative(2019-2030)is a roadmap to a healthy China and an innovative public policy system project.The Diabetes prevention and control Action is one of the four chronic and noncommunicable diseases prevention and control actions in the Healthy China Initiative(2019-2030).Based on the background,basic principles and key contents of diabetes prevention and control,this paper interpreted the diabetes prevention and control action from five aspects,that is,healthy lifestyle is the foundation,which emphasized that individuals are the first responsibility for their health,and advocates reducing the risk of diabetes by practicing healthy diet,increasing physical activity and maintaining a healthy weight;Early detection and early intervention are key links,which emphasized to pay attention to individual blood glucose level,high risk individuals regularly test blood glucose;Standardize health management is the priority,which emphasized to strengthen the implementation of graded diagnosis and treatment standards,and medical institutions provide guidance on self-management of health for patients with diabetes;The improvement of capacity in primary level is the guarantee,where emphasis is placed on improving the ability of medical personnel to screen,intervention and standardize diagnosis and treatment;And innovative health service models are the key measures which emphasized the use of information technology to improve the efficiency of health management.

关键词： prevention Action guarantee

Mortality of Common Gastrointestinal Tract Cancers--Huai River Basin, 2008–2018

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China CDC weekly 2020年第16期2卷 259-264页

作者： Jinlei Qi Lijun Wang Maigeng Zhou Baohua Wang Peng Yin Wei Wang Jiangmei Liu Yunning Liu Jing Wu National Center for chronic and non-communicable disease control and prevention Chinese Center for Disease Control and PreventionBeijingChina.

What is already known on this topic?Gastrointestinal(GI)tract cancer is a leading cause of death and produces a heavy disease burden.GI tract cancer in the Huai River Basin was reportedly higher than the national level during 2004–2006,while current mortality rates and variations have not been reported recently.What is added by this report?During 2008 to 2018,significant decreases were observed in the rates of esophageal cancer(from 28.5 to 13.2 per 100,000)and stomach cancer(from 32.1 to 16.5 per 100,000).There was no statistical difference for the mortality rates of colorectal cancer,which actually showed a significant increase among men aged 45 to 54 years and women aged below 55 years.Substantial disparities exist among different sexes,age groups,and geographical regions.What are the implications for public health practice?These results highlight that the mortality of GI tract cancers in the Huai River Basin in 2018 are similar to national levels and still produce a heavy disease burden.More attention is needed to provide important evidence for evaluating the improvement and remaining gaps in cancer prevention and control strategies in the Huai River Basin.

关键词： mortality Gastrointestinal prevention

Sleep Status Among Children and Adolescents Aged 6-17 Years—China,2016-2017

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China CDC weekly 2023年第1期5卷 11-16页

作者： Yushu Zhang Zhengjing Huang Mei Zhang Chun Li Zhenping Zhao Xiao Zhang Yunqi Guan Nyasha Grace Mudoti Limin Wang Division of chronic disease and Risk Factor Surveillance National Center for Chronic and Non-communicable Disease Control and PreventionChinese Center for Disease Control and PreventionBeijingChina department of Health Statistics School of Public HealthChina Medical UniversityShenyang CityLiaoning ProvinceChina department of non-communicable disease control and prevention Zhejiang Provincial Center for Disease Control and PreventionHangzhou CityZhejiang ProvinceChina International Education School China Medical UniversityShenyang CityLiaoning ProvinceChina

Summary What is already known about this topic?There has been little to no description of sleep status among children and adolescents nationwide in recent years.What is added by this report?This report assesses the sleep duration and sleep patterns of children and adolescents in China.Approximately half of the adolescents did not get the recommended amount of sleep on school days,and more than half overslept on weekends.

关键词： sleep China. nationwide

Associations Between Hypertension Status and Increased Heart Rate-China, 2015

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China CDC weekly 2020年第40期2卷 771-775,I0001页

作者： Xiao Zhang Mei Zhang Chun Li Linhong Wang Jing Wu Zhengjing Huang Limin Wang National Center for chronic and non-communicable disease control and prevention China CDCBeijingChina

Summary What is already known on this topic?Hypertension is a major public health concern in China,and hypertensive patients have elevated heart rates(HR),which can synergize with higher blood pressure to promote adverse health outcomes.What is added by this report?The risk of increased HR was statistically significant but relatively lower in subjects with treated and controlled hypertension.This lower impact might be modified by sex,marital status,smoking,and physical activity.

关键词： elevated hypertensive hypertension

Leveraging CDC’s Advantages in Enhancing Cancer prevention and control

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China CDC weekly 2020年第16期2卷 265-267页

作者： Jing Wu National Center for chronic and non-communicable disease control and prevention Chinese Center for Disease Control and PreventionBeijingChina.

The 26th National Cancer Week takes place from April 15–21,2020,and we would like to take this opportunity to raise the awareness for all parts of our society.This year’s theme is“Joint Action for Anti-Cancer”(1).The government will continue to assume a leading role,while private organizations and individuals are encouraged to participate proactively.The goal is to involve all citizens in the building and development of a supportive environment for cancer prevention and control with the benefits jointly shared by all.

关键词： Cancer prevention jointly