China CDC Weekly最新文献

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Evaluation of the Effectiveness of “5E” Comprehensive Injury Prevention Strategy for Fall Prevention Among the Rural Elderly — Six Pilot Villages, Yunnan Province and Chongqing Municipality, China, 2018–2023 2018-2023年农村老年人跌倒预防 "5E "综合伤害预防策略的效果评估--中国云南省和重庆市的六个试点村

China CDC Weekly

Pub Date : 2024-04-05 DOI: 10.46234/ccdcw2024.054

Fujin Sun, Rong Luo, Hui Han

What is already known about this topic? The mortality rate and disease burden associated with falls among the elderly in China are on the rise. Interventions can play a crucial role in preventing and managing falls. What is added by this report? The application of the “5E” injury prevention strategy led to a decrease in both the occurrence of falls and the likelihood of subsequent falls. Regular physical activity and maintaining a positive outlook were identified as protective measures against falls, while sleep issues and hearing impairment were found to increase the risk of falling. What are the implications for public health practice? The group-based comprehensive intervention strategy is crucial as it offers an innovative intervention model and empirical evidence for decreasing fall rates among elderly individuals living in rural areas.

对这一主题已有哪些了解？在中国，与老年人跌倒相关的死亡率和疾病负担呈上升趋势。干预措施可在预防和控制跌倒方面发挥重要作用。本报告增加了哪些内容？5E "伤害预防策略的应用降低了跌倒的发生率和后续跌倒的可能性。定期进行体育锻炼和保持积极乐观的心态被认为是防止跌倒的保护措施，而睡眠问题和听力障碍则会增加跌倒的风险。对公共卫生实践有什么影响？以小组为基础的综合干预策略至关重要，因为它提供了一种创新的干预模式和降低农村地区老年人跌倒率的经验证据。

引用次数: 0

Injury Mortality of Children and Adolescents Aged 0–19 Years — China, 2010–2021 2010-2021 年中国 0-19 岁儿童和青少年的伤害死亡率

China CDC Weekly

Pub Date : 2024-04-05 DOI: 10.46234/ccdcw2024.057

Jingtao Zhou, Min Zhao, Hao Huang, D. Schwebel, P. Ning, Z. Rao, Peixia Cheng, Li Li, Guoqing Hu

Introduction To examine the recent trends in child injury mortality in China. Methods Injury mortality data of 2010–2021 for children and adolescents aged 0–19 years were from the China Health Statistics Yearbook. Injury mortality disparities across urban vs. rural locations, gender, and age groups were scrutinized. Annual percent change (APC), average annual percent change (AAPC), and their 95% confidence intervals (95% CI) were estiamted usimg Joinpoint regression models. Results The age-standardized injury mortality significantly dropped from 21.87 to 9.41 per 100,000 population among children and youth aged 0–19 years during 2010–2021, with an AAPC of −6.7% (95% CI: −8.2%, −5.2%). The urban-rural disparity and gender gap in injury mortality reduced gradually. In 2021, drowning and road traffic crashes were the top two causes of child injury deaths, explaing 31.1% and 27.9% of total injury deaths, respectively. Suffocation accounted for 62.3% of injury deaths among infants younger than a year. Alarmingly, the suicide mortality rate rose from 2.16 to 3.42 per 100,000 population between 2010 and 2021 among teenagers aged 15–19 years. Subgroup analyses yielded similar results. Conclusions During 2010–2021, the injury mortality decreased significantly among Chinese children and adolescents, and the responding urban-rural disparities narrowed.

引言研究中国儿童伤害死亡率的最新趋势。方法 2010-2021 年 0-19 岁儿童和青少年伤害死亡率数据来自《中国卫生统计年鉴》。仔细研究了城市与农村、性别和年龄组之间的伤害死亡率差异。采用加入点回归模型估算了年百分比变化（APC）、年平均百分比变化（AAPC）及其 95% 置信区间（95% CI）。结果 2010-2021 年间，0-19 岁儿童和青少年的年龄标准化伤害死亡率从每 10 万人 21.87 例大幅降至 9.41 例，AAPC 为-6.7%（95% CI：-8.2%, -5.2%）。受伤死亡率的城乡差异和性别差距逐步缩小。2021 年，溺水和道路交通事故是儿童伤害死亡的前两大原因，分别占伤害死亡总数的 31.1%和 27.9%。窒息占一岁以下婴儿伤害死亡的 62.3%。令人担忧的是，2010 年至 2021 年期间，15 至 19 岁青少年的自杀死亡率从每 10 万人 2.16 例上升至 3.42 例。分组分析得出了类似的结果。结论 2010-2021 年间，中国儿童和青少年伤害死亡率显著下降，城乡差异缩小。

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引用次数: 0

The Burden of Hypertension-Related Chronic Kidney Disease — China, 2010–2019 2010-2019 年中国高血压相关慢性肾病的负担

China CDC Weekly

Pub Date : 2024-04-05 DOI: 10.46234/ccdcw2024.055

Youyuan Bu, Yueru Liu, Maigeng Zhou, P. Yin, Kejun Liu, Yamin Bai, Xuancheng Lu

What is already known about this topic? The global burden of chronic kidney disease (CKD) is on the rise. What is added by this report? In 2019, 5.58 million individuals in China were affected by CKD related to hypertension, leading to 70,260 fatalities and 1.69 million disability-adjusted life years (DALYs). The most affected groups were men, older individuals, and residents of western China. Over the period from 2010–2019, the age-standardized prevalence rate (ASPR) remained constant, and the age-standardized mortality rate (ASMR) and age-standardized DALY rate (ASDR) showed a decreasing trend. However, there was an increase in the number of cases, deaths, and DALYs associated with this condition. What are the implications for public health practice? Hypertension significantly contributes to the burden of CKD; therefore, raising awareness and implementing early screening measures are essential.

对这一主题已有哪些了解？全球慢性肾脏病 (CKD) 的负担正在增加。本报告增加了哪些内容？2019年，中国有558万人受到与高血压相关的慢性肾脏病的影响，导致70260人死亡和169万人残疾调整生命年（DALYs）。受影响最大的群体是男性、老年人和中国西部居民。在 2010-2019 年期间，年龄标准化患病率（ASPR）保持不变，年龄标准化死亡率（ASMR）和年龄标准化残疾调整生命年率（ASDR）呈下降趋势。然而，与该疾病相关的病例数、死亡人数和残疾调整寿命年数却有所增加。对公共卫生实践有何影响？高血压是加重慢性肾脏病负担的重要因素；因此，提高人们对高血压的认识并实施早期筛查措施至关重要。

引用次数: 0

The Impact of New Regulations on Prevention and Control of E-Cigarettes on Adolescents in Middle Schools — A City in China, 2022–2023 新法规对中学青少年电子烟防控的影响 - 中国某市，2022-2023 年

China CDC Weekly

Pub Date : 2024-04-05 DOI: 10.46234/ccdcw2024.056

Meng Lyu, Wenlong Lu, Lanhua Zou, Jingfan Xiong, Jie Yang

What is already known about this topic? To protect the health of young people from the harmful impacts of electronic cigarettes (e-cigarettes), China has enacted various policies and regulations since 2018. As of October 1, 2022, the Electronic Cigarette Management Measures were put into action. They prohibited the sale of flavored e-cigarettes, permitting only those of plain tobacco flavor to be sold. What is added by this report? The illegal market for flavored e-cigarettes, often disguised as milk tea cups, cola cans, and violent bear images, continues to flourish. There is an increased need to bolster support for the prohibition of flavored e-cigarettes and enhance public awareness of associated regulations. What are the implications for public health practice? To advance the health of China’s youth, it is crucial to improve the implementation and understanding of e-cigarette policies and guidelines.

对这一话题已有哪些了解？为保护青少年健康免受电子烟（e-cigarettes，简称 "电子烟"）的危害，中国自2018年起颁布了多项政策法规。自 2022 年 10 月 1 日起，《电子烟管理办法》开始实施。该办法禁止销售有香精的电子烟，只允许销售纯烟草味的电子烟。本报告增加了哪些内容？通常伪装成奶茶杯、可乐罐和暴力熊形象的非法调味电子烟市场继续蓬勃发展。现在越来越需要加强对禁止调味电子烟的支持，并提高公众对相关法规的认识。对公共卫生实践有何影响？为了促进中国青少年的健康，加强对电子烟政策和指导方针的执行和理解至关重要。

引用次数: 0

State of the Art of Lifecourse Cohort Establishment 建立生命历程队列的技术现状

China CDC Weekly

Pub Date : 2024-04-05 DOI: 10.46234/ccdcw2024.058

Shaoqing Dai, Ge Qiu, Yuchen Li, Shuhan Yang, Shujuan Yang, Peng Jia

non-communicable diseases

非传染性疾病

引用次数: 0

In Memoriam of Professor Ernest Andrew Gould 悼念欧内斯特-安德鲁-古尔德教授

China CDC Weekly

Pub Date : 2023-12-29 DOI: 10.46234/ccdcw2023.220

Jun Liu

引用次数: 0

The 28th United Nations Climate Change Conference (COP28) — November 30 to December 12, 2023 第 28 届联合国气候变化大会（COP28）--2023 年 11 月 30 日至 12 月 12 日

China CDC Weekly

Pub Date : 2023-12-08 DOI: 10.46234/ccdcw2023.204

Qiyong Liu

引用次数: 0

Patterns in the Incidence of Scarlet Fever Among Children Aged 0-9 Years - China, 2010-2019. 2010-2019年中国0-9岁儿童猩红热发病规律

China CDC Weekly

Pub Date : 2023-08-25 DOI: 10.46234/ccdcw2023.143

Jinyu Cui, Yewu Zhang, Hui Ge, Yu Cao, Xuemei Su

Introduction: This study investigates the patterns of scarlet fever among Chinese children aged 0-9 years from 2010 to 2019. The objective is to provide insights that may inform potential adjustments to China's current prevention and control tactics for this illness.

Methods: The present study utilized data on the occurrence of scarlet fever in children from 2010 to 2019, sourced from the National Notifiable Disease Reporting System database, managed by the Chinese Center for Disease Control and Prevention. This research implemented SAS9.4 software to construct trajectory models representing the temporal incidence of scarlet fever, accounting for key variables such as sex, geographic region, urban versus rural dwellings, and various age brackets.

Results: From 2010 to 2019, a total of 554,695 scarlet fever cases were reported among children aged 0-9 years in the 31 mainland Chinese provincial-level administrative divisions, signifying a rate of 35.36 per 100,000 individuals. An inconsistent yet generally rising trend was observed, evidenced by a 3.17-fold increase in reported cases and a 3.02-fold escalation in incidence rate over this period. Examination of these trends revealed three distinctive developmental patterns for both males and females, with the lowest prevalence in the first trajectory and the highest in the third. The incidence was consistently higher among males than females in all trajectories. The urban and northern regions displayed equal or greater trajectory rates than their rural and southern counterparts, respectively. In terms of age groups, the lowest incidence was observed in the 0-1-year age group, while the highest was recorded in the 4-5 and 6-7-year age groups.

Conclusions: Between 2010 and 2019, there was a marked increase in the incidence of scarlet fever among children in China. The disease predominantly impacts urban-dwelling children, ranging from 4 to 7 years old, in the northern regions of the country. The incidence is reported to be higher among boys compared to girls.

前言:本研究调查了2010 - 2019年中国0-9岁儿童猩红热发病情况。目的是为中国目前对这种疾病的预防和控制策略的潜在调整提供见解。方法:本研究利用中国疾病预防控制中心管理的国家法定疾病报告系统数据库中2010 - 2019年儿童猩红热发病数据。本研究采用SAS9.4软件构建了代表猩红热时间发病率的轨迹模型，考虑了性别、地理区域、城市与农村住宅以及不同年龄段等关键变量。结果:2010 - 2019年，中国大陆31个省级行政区共报告0-9岁儿童猩红热病例554,695例，发病率为35.36 / 10万人。观察到一个不一致但普遍上升的趋势，报告病例增加了3.17倍，发病率上升了3.02倍。对这些趋势的研究揭示了男性和女性的三种不同的发展模式，在第一种轨迹中患病率最低，在第三种轨迹中患病率最高。在所有轨迹中，男性的发病率始终高于女性。城市和北部地区分别显示出与农村和南部地区相同或更高的轨迹率。从年龄组来看，0-1岁年龄组发病率最低，4-5岁和6-7岁年龄组发病率最高。结论:2010年至2019年，中国儿童猩红热发病率显著上升。该病主要影响该国北部地区4至7岁的城市居住儿童。据报道，男孩的发病率高于女孩。

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引用次数: 0

Long-Term Patterns of Meningitis Mortality: A Continual Downward Trend and a Vulnerable Infant Population - China, 1987-2021. 脑膜炎死亡率的长期模式:持续下降趋势和脆弱婴儿人群——中国，1987-2021。

China CDC Weekly

Pub Date : 2023-08-25 DOI: 10.46234/ccdcw2023.142

Yu Wu, Huiyun Fan, Binbin Su, Chao Guo, Luzhao Feng

What is already known about this topic?: Meningitis, a life-threatening disease, presents a significant public health challenge. Its rate of progress in burden reduction notably lags behind other diseases that can be prevented through vaccination.

What is added by this report?: This research explored the changes in the mortality rate of meningitis in China over a span of 35 years. The study further identified the effects of age, period, and cohort on the mortality trends.

What are the implications for public health practice?: In the context of minimal disparities between urban and rural settings, it is crucial to focus on and implement targeted prevention programs for meningitis within the infant population.

关于这个话题我们已经知道了什么?脑膜炎是一种危及生命的疾病，对公共卫生构成重大挑战。它在减轻负担方面的进展速度明显落后于可通过疫苗接种预防的其他疾病。这份报告增加了什么内容?本研究探讨了35年来中国脑膜炎死亡率的变化。该研究进一步确定了年龄、时期和队列对死亡率趋势的影响。这对公共卫生实践有什么影响?在城乡差距最小的情况下，重点关注并实施针对婴儿群体的脑膜炎预防规划至关重要。

引用次数: 1

A Cross-Sectional Survey of Iodized Salt Usage in Dining Establishments - 13 PLADs, China, 2021-2022. 餐饮场所碘盐使用的横断面调查- 13 PLADs，中国，2021-2022。

China CDC Weekly

Pub Date : 2023-08-25 DOI: 10.46234/ccdcw2023.141

Ying Zhang, Jichun Wang, Xiuwei Li, Wei Ma, Jianqiang Wang, Haiyan Wang, Jing Xu

What is already known about this topic?: The National Iodine Deficiency Disease Surveillance system is exclusively focused on monitoring cooking salt used within households. Currently, there is a lack of nationally representative data on the use of iodized salt in dining establishments.

What is added by this report?: This study evaluated 7,889 salt samples obtained from dining establishments located in 13 provincial-level administrative divisions across China. The findings indicated that coverage rate of iodized salt (CRIS) and the consumption rate of adequately iodized salt (CRAIS) were found to be 95.2% and 90.2%, respectively. Further, 880 samples were classified as iodized salt and 804 as adequately iodized salt. In coastal areas, the CRIS and CRAIS showed a significant decrease to 77.1% and 70.5%, respectively, when compared to the inland regions (P<0.01).

What are the implications for public health practices?: The data compiled could potentially fill the void in the national data concerning the use of iodized salt in dining establishments throughout China. It is of the utmost importance to increase the awareness of restaurant operators, particularly those located in coastal areas, about the benefits of iodine supplementation. Moreover, they should be encouraged to use adequately iodized salt.

关于这个话题我们已经知道了什么?国家缺碘病监测系统专门监测家庭使用的烹饪盐。目前，缺乏具有全国代表性的关于餐饮场所使用加碘盐的数据。这份报告增加了什么内容?本研究对中国13个省级行政区的餐饮场所的7889份食盐样本进行了评估。调查结果表明，北京市碘盐覆盖率(CRIS)为95.2%，充分碘盐消费率(CRIS)为90.2%。此外，880份样品被归类为加碘盐，804份样品被归类为充分加碘盐。与内陆地区相比，沿海地区的CRIS和CRIS分别显著下降至77.1%和70.5% (p)。这对公共卫生实践有什么影响?收集的数据有可能填补全国餐饮场所加碘盐使用数据的空白。最重要的是提高餐馆经营者，特别是沿海地区餐馆经营者对补充碘的好处的认识。此外，应鼓励他们适量使用碘盐。

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引用次数: 0

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