Pub Date : 2025-12-09DOI: 10.1016/s2468-2667(25)00260-9
Nicklas Vinter, Søren Paaske Johnsen, Gregory Y H Lip, Ludovic Trinquart, Lars Frost, Emelia J Benjamin
{"title":"Temporal trends in associations between social drivers and life-years lost in newly diagnosed atrial fibrillation in Denmark, 2000–22: a nationwide cohort study","authors":"Nicklas Vinter, Søren Paaske Johnsen, Gregory Y H Lip, Ludovic Trinquart, Lars Frost, Emelia J Benjamin","doi":"10.1016/s2468-2667(25)00260-9","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00260-9","url":null,"abstract":"","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"227 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-03DOI: 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。
{"title":"Correction to Lancet Public Health 2024; 9: e871–85","authors":"","doi":"10.1016/s2468-2667(25)00299-3","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00299-3","url":null,"abstract":"<em>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.</em> Lancet Public Health <em>2024;</em> 9: <em>e871–85</em>—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.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"20 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145664529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/s2468-2667(25)00282-8
{"title":"Correction to Lancet Public Health 2017; 2: e522–28","authors":"","doi":"10.1016/s2468-2667(25)00282-8","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00282-8","url":null,"abstract":"","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"45 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145592856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/s2468-2667(25)00259-2
Rui Huang, Chao Wu
{"title":"Hepatitis C: a continuing public health challenge in China","authors":"Rui Huang, Chao Wu","doi":"10.1016/s2468-2667(25)00259-2","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00259-2","url":null,"abstract":"","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"30 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145592853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/s2468-2667(25)00257-9
Yonghua Yu, Jieli Lu
{"title":"How lifestyle, social determinants of health, and sex shape life expectancy in China","authors":"Yonghua Yu, Jieli Lu","doi":"10.1016/s2468-2667(25)00257-9","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00257-9","url":null,"abstract":"","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"182 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145592857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/s2468-2667(25)00275-0
Siyan Zhan
{"title":"China's strategy for AI in public health","authors":"Siyan Zhan","doi":"10.1016/s2468-2667(25)00275-0","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00275-0","url":null,"abstract":"","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"20 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145592854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.1016/s2468-2667(25)00276-2
Shiwei Liu, Jing Wu
{"title":"Leveraging health taxation for public health gains in China","authors":"Shiwei Liu, Jing Wu","doi":"10.1016/s2468-2667(25)00276-2","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00276-2","url":null,"abstract":"","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"29 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145592855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-24DOI: 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.
{"title":"Opportunities to improve public health in China","authors":"","doi":"10.1016/s2468-2667(25)00280-4","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00280-4","url":null,"abstract":"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 <em>The Lancet Public Health</em>, 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.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"14 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145594057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-09DOI: 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.
{"title":"Sleep health in China: status, challenges, and promotion strategies","authors":"Xiao-Xing Liu, Zhe Wang, Si-Jing Chen, Michael V Vitiello, Yun Kwok Wing, Charles M Morin, Jie Shi, Lin Lu","doi":"10.1016/s2468-2667(25)00250-6","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00250-6","url":null,"abstract":"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.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"19 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-09DOI: 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
{"title":"The effect of healthy lifestyles and social determinants on independent life expectancy and sex differences in China: evidence from a 13-year cohort study","authors":"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","doi":"10.1016/s2468-2667(25)00253-1","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00253-1","url":null,"abstract":"<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","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"79 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}