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Temporal trends in associations between social drivers and life-years lost in newly diagnosed atrial fibrillation in Denmark, 2000–22: a nationwide cohort study 2000-22年丹麦新诊断房颤患者社会驱动因素与生命年损失的时间趋势:一项全国性队列研究
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-09 DOI: 10.1016/s2468-2667(25)00260-9
Nicklas Vinter, Søren Paaske Johnsen, Gregory Y H Lip, Ludovic Trinquart, Lars Frost, Emelia J Benjamin
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引用次数: 0
Correction to Lancet Public Health 2024; 9: e871–85 《柳叶刀公共卫生2024》更正;9: e871 - 85
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-03 DOI: 10.1016/s2468-2667(25)00299-3
Fletcher RA, Rockenschaub P, Neuen BL, et al. Contemporary epidemiology of hospitalised heart failure with reduced versus preserved ejection fraction in England: a retrospective, cohort study of whole-population electronic health records. Lancet Public Health 2024; 9: e871–85—In figure 1D of this Article, the annual change in incidence should have read “Reduced ejection fraction –2·6% (95% CI –9·5 to 4·8)” and “Preserved ejection fraction 2·5% (95% CI –3·7 to 9·2)”. This correction has been made as of Dec 3, 2025.
Fletcher RA, Rockenschaub P, Neuen BL,等。当代英格兰住院心力衰竭患者射血分数降低与保留的流行病学:一项对全人群电子健康记录的回顾性队列研究。柳叶刀公共卫生2024;[11:8 71 - 85]在本文的图1D中,发病率的年变化应该是“减少射血分数-2·6% (95% CI - 9.5 ~ 4·8)”和“保留射血分数2·5% (95% CI -3·7 ~ 9·2)”。此更正已于2025年12月3日进行。
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引用次数: 0
Correction to Lancet Public Health 2017; 2: e522–28 《柳叶刀公共卫生》2017年更正;2: e522-28
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-25 DOI: 10.1016/s2468-2667(25)00282-8
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引用次数: 0
Hepatitis C: a continuing public health challenge in China 丙型肝炎:中国持续的公共卫生挑战
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-25 DOI: 10.1016/s2468-2667(25)00259-2
Rui Huang, Chao Wu
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引用次数: 0
How lifestyle, social determinants of health, and sex shape life expectancy in China 生活方式、健康的社会决定因素和性别如何影响中国人的预期寿命
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-25 DOI: 10.1016/s2468-2667(25)00257-9
Yonghua Yu, Jieli Lu
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引用次数: 0
China's strategy for AI in public health 中国公共卫生领域人工智能战略
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-25 DOI: 10.1016/s2468-2667(25)00275-0
Siyan Zhan
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引用次数: 0
Leveraging health taxation for public health gains in China 利用卫生税促进中国公共卫生收益
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-25 DOI: 10.1016/s2468-2667(25)00276-2
Shiwei Liu, Jing Wu
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引用次数: 0
Opportunities to improve public health in China 改善中国公共卫生的机遇
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-24 DOI: 10.1016/s2468-2667(25)00280-4
On Oct 23, 2025, at the Central Committee of the Communist Party of China, the country's 15th 5-year plan, 2026–30, was announced. The final plan is to be unveiled in March 2026, but the recommendations clearly outline key goals for public health, including increasing life expectancy to 80 years, supporting reproductive health and health promotion, and ensuring equitable access to quality health care. Achieving these goals will require sustained effort, innovative strategies, and a strong commitment to addressing both existing and emerging public health challenges. This issue of The Lancet Public Health, our annual issue dedicated to health in China, highlights the progress made, the challenges ahead, and the opportunities to improve public health in the country.
2025年10月23日,中国共产党中央委员会宣布了中国第15个五年计划(2026 - 2030年)。最终计划将于2026年3月公布,但建议明确概述了公共卫生的关键目标,包括将预期寿命提高到80岁,支持生殖健康和促进健康,以及确保公平获得优质卫生保健。实现这些目标需要持续的努力、创新的战略以及对应对现有和新出现的公共卫生挑战的坚定承诺。这一期《柳叶刀公共卫生》是我们专门讨论中国卫生问题的年度刊物,重点介绍了中国在改善公共卫生方面取得的进展、面临的挑战和机遇。
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引用次数: 0
Sleep health in China: status, challenges, and promotion strategies 中国的睡眠健康:现状、挑战与促进策略
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-09 DOI: 10.1016/s2468-2667(25)00250-6
Xiao-Xing Liu, Zhe Wang, Si-Jing Chen, Michael V Vitiello, Yun Kwok Wing, Charles M Morin, Jie Shi, Lin Lu
This Review synthesises the epidemiological patterns of sleep and sleep disturbance in China, discusses national strategies and challenges, and proposes future directions. To promote sleep health, the Chinese Government has implemented multifaceted strategies structured across three domains: national policies, health-care systems, and research systems. Despite these efforts, challenges persist in two areas: deep-seated factors that influence sleep disturbance, and systemic limitations in health care and surveillance that constrain an effective response. Progress will depend on a concerted strategy to transform socioeconomic and cultural norms, enhance public awareness, strengthen health-care systems, and build national research and technological infrastructure.
本文综述了中国睡眠和睡眠障碍的流行病学模式,讨论了国家的策略和挑战,并提出了未来的发展方向。为促进睡眠健康,中国政府实施了涉及三个领域的多方面战略:国家政策、卫生保健系统和研究系统。尽管做出了这些努力,但在两个领域仍然存在挑战:影响睡眠障碍的深层次因素,以及制约有效应对的卫生保健和监测方面的系统性限制。进展将取决于一项协调一致的战略,以改变社会经济和文化规范,提高公众意识,加强卫生保健系统,并建立国家研究和技术基础设施。
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引用次数: 0
The effect of healthy lifestyles and social determinants on independent life expectancy and sex differences in China: evidence from a 13-year cohort study 中国健康生活方式和社会决定因素对独立预期寿命和性别差异的影响:来自13年队列研究的证据
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-09 DOI: 10.1016/s2468-2667(25)00253-1
Longbing Ren, Ying Zhou, Keyang Liu, Hao Zhang, Shaojie Li, Yang Hu, Kokoro Shirai, Yuling Jiang, Yifei Wu, Mingzhi Yu, Jiakang Huo, Jie Li, Yan Zhang, Jing Sun, Bo Hu, Tai Hing Lam, David Bishai, Yi Zeng, Erdan Dong, Yao Yao
<h3>Background</h3>Functional independence is the basis for healthy ageing and quality of late life. However, evidence on how healthy lifestyle factors and social determinants of health affect longevity in independence remains limited, particularly regarding sex differences. We aimed to examine the associations of these factors with life expectancy with and without dependency, and to assess whether such effects differ by sex.<h3>Methods</h3>This cohort study used data from the nationally representative Chinese Longitudinal Healthy Longevity Study (CLHLS), which collected data from 2008 to 2021. Participants aged 65–100 years were included if they had at least one follow-up or death record. Healthy lifestyle factors (ie, diet, physical activity, smoking, and alcohol use) and social determinants of health (ie, financial status, education, health-care access, built environment, and social context) were assessed at baseline. Functional independence was determined by self-reported need for assistance with activities of daily living and instrumental activities of daily living at each survey wave. A continuous-time three-state Markov model was applied to estimate hazard ratios and 95% CIs between independence, dependence, and death, yielding total and independent life expectancy by sex, adjusted for covariates.<h3>Findings</h3>11 804 participants were included in the study. At age 65 years, females had longer total life expectancy than males (18·18 years [95% CI 17·74–18·49] <em>vs</em> 15·50 years [15·10–15·89]) but shorter independent life expectancy (10·35 years [10·13–10·55] <em>vs</em> 11·29 years [11·05–11·54]). The gain in independent life expectancy was greater for males with 3–4 healthy lifestyle factors versus males with 0–1 healthy lifestyle factors (2·45 years [2·24–2·67]) compared with females with 3–4 healthy lifestyle factors versus females with 0–1 healthy lifestyle factors (2·09 years [1·90–2·29], p=0·015). However, females had greater gains in independent life expectancy from favourable social determinants of health. Those with 4–5 positive social determinants of health indicators lived 1·95 (1·74–2·16) more years independently compared with those with 0–1, surpassing the 1·67 year (1·49–1·85) gain observed in males (p=0·047). The combination of both favourable lifestyle behaviours and supportive social conditions produced the largest improvement in independent life expectancy, with gains of 3·94 (3·73–4·15) years for males and 3·89 (3·68–4·11) years for females.<h3>Interpretation</h3>Pathways to healthy ageing differ between sexes in China: males benefit more from lifestyle modifications whereas females gain more from improved social conditions. These results underscore the importance of sex-specific public health strategies that focus on reducing unhealthy behaviours among males and improving social support for females.<h3>Funding</h3>National Natural Science Foundation of China and Chinese Academy of Medical Sciences Innovation Fund
功能独立是健康老龄化和高质量晚年生活的基础。然而,关于健康的生活方式因素和健康的社会决定因素如何影响独立寿命的证据仍然有限,特别是在性别差异方面。我们的目的是检查这些因素与预期寿命的关系,无论是否依赖,并评估这种影响是否因性别而异。方法本队列研究使用具有全国代表性的中国纵向健康寿命研究(CLHLS)的数据,该研究收集了2008年至2021年的数据。年龄在65-100岁之间的参与者,如果他们至少有一次随访或死亡记录。在基线时评估健康的生活方式因素(如饮食、体育活动、吸烟和饮酒)和健康的社会决定因素(如经济状况、教育、卫生保健获取、建筑环境和社会背景)。功能独立性是通过自我报告的日常生活活动和日常生活工具活动的帮助需求来确定的。应用连续时间三态马尔可夫模型估计独立、依赖和死亡之间的风险比和95% ci,得出按性别划分的总预期寿命和独立预期寿命,并对协变量进行调整。研究结果共有1804名参与者参与了这项研究。在65岁时,女性的总预期寿命比男性长(18.18岁[95% CI 17.74 - 18.49]比15.50岁[15.10 - 15.89]),但独立预期寿命比男性短(10.35岁[10.13 - 10.55]比11.29岁[11.05 - 11.54])。具有3-4种健康生活方式因素的男性比具有0 - 1种健康生活方式因素的男性(2.45岁[2.24 - 2.67])比具有3-4种健康生活方式因素的女性比具有0 - 1种健康生活方式因素的女性(2.09岁[1.90 - 2.29],p= 0.015)的独立预期寿命增加更大。然而,在健康的有利社会决定因素方面,女性的独立预期寿命获得了更大的增长。与健康指标为0 - 1的人相比,4-5个社会决定因素阳性的人独立多活1.95年(1.74 - 1.16)岁,超过男性的1.67年(1.49 - 1.85)年(p= 0.047)。良好的生活方式行为和支持性的社会条件相结合,对独立预期寿命的改善最大,男性增加了3.94(3.73 - 3.15)岁,女性增加了3.89(3.68 - 4.11)岁。在中国,健康老龄化的途径因性别而异:男性更多地受益于生活方式的改变,而女性则更多地受益于社会条件的改善。这些结果强调了针对不同性别的公共卫生战略的重要性,这些战略注重减少男性的不健康行为并改善对女性的社会支持。国家自然科学基金、中国医学科学院创新基金。摘要的中文译文见补充资料部分。
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