Abstract:OBJECTIVE To analyze the detection rate of hyperuricemia and its related risk factors among people aged 45 and above who underwent health check-ups in Sijing Community of Songjiang district of Shanghai in 2024,so as to provide a basis for the prevention and treatment of hyperuricemia in the region.METHODS The health check-up data of residents aged 45 and above in Sijing Community of Shanghai in 2024 were collected.The prevalence of hyperuricemia and the correlations between hyperuricemia and factors such as gender,age,blood lipids,and liver function were analyzed.RESULTS Among 13 162 residents who underwent health checkups,1 948 had hyperuricemia,with a detection rate of 14.80％.The detection rate in men was 23.77％,and in women,it was 7.52％.The detection rate of hyperuricemia in men was significantly higher than that in women.The detection rate of hyperuricemia and the average value of blood uric acid in women increased with age.The average value of blood uric acid and the detection rate of hyperuricemia in men were the highest in the 45～55 age group.The levels of triglycerides,low-density lipoprotein,creatinine,total bilirubin,urea nitrogen,hemoglobin,and alanine aminotransferase in the hyperuricemia group were significantly higher than those in the normal blood uric acid group,while the level of high-density lipoprotein was lower than that in the normal blood uric acid group.CONCLUSION The detection rate of hyperuricemia is higher in men than in women.In women,the detection rate of hyperuricemia and the average value of blood uric acid increase continuously with age.Hyperuricemia is closely related to many factors such as blood lipids and liver function.Communities should attach importance to the prevention and treatment of hyperuricemia and advocate a healthy lifestyle,which is conducive to reducing the blood uric acid level.

Abstract:OBJECTIVE To understand the prevalence of pulmonary tuberculosis and its influencing factors among the elderly in the community,and to assess the awareness rate of core tuberculosis knowledge,so as to provide a basis for optimizing prevention and control strategies.METHODS A cross-sectional survey design was adopted.From May to July in 2024,total of 1 041 communi-ty-dwelling elderly people aged 60 and above of Shanghai were subjected to chest X-ray examination,questionnaire survey and laboratory tests(IGRA,tongue swab).The questionnaire used the standardized tool of the three-year action plan for the construc-tion of the public health system in Shanghai.RESULTS One case of active pulmonary tuberculosis was detected(detection rate 96.15/105),and the abnormal rate of chest X-ray was 34.77％(362/1 041),among which 9 cases were suspected of tuberculosis(0.86％).The total awareness rate of core tuberculosis prevention knowledge was 87.90％,and the lowest awareness item was"pul-monary tuberculosis is a serious chronic infectious disease"(84.53％).There were statistically significant differences in patients whose chest X-ray abnormalities with male gender,advanced age,low BMI,and history of diabetes was higher(x2=19.069,28.560,23.527,115.071,P＜0.05).CONCLUSION It is recommended to apply tongue swab testing and AI film reading technolo-gy in the screening process,strengthen the key monitoring of high-risk group,and innovate health education forms.

Abstract:OBJECTIVE To investigate the iodine nutrition status of pregnant women in Weifang and provide a basis for scientific iodine supplementation and prevention of iodine deficiency disorders(IDD).METHODS Monitoring data from IDD surveys in Weifang(2017-2024)were collected,and the iodine content in household salt and urinary iodine levels of pregnant women were analyzed.A database was established using Excel,and statistical analysis was performed using SPSS 13.0.RESULTS A total of 9 099 urine samples from pregnant women were collected from 2017 to 2024,with a median urinary iodine level of 156.3 μg/L.Comparisons of median urinary iodine levels among different years and regions showed statistically significant differences(x2=225.196,267.384;P＜0.05).Additionally,it collected salt samples from households with pregnant women totaling 9 600;among these,there were 8 568 qualified iodized salts,while there were also 427 unqualified iodized salts and 605 non-iodized saltsresulting in a non-iodized salt rate of 6.3％,an iodized salt coverage rate of 93.70％,an iodized salt qualification rateof 89.25％,and a qualified iodized salt consumption rateof 95.25％.The comparison of iodized salt qualification rates across different years revealed statistically significant differences(x2=216.62,P＜0.05).The median urinary iodine levels for pregnant women consuming qualified versus unqualified iodized salts were 157.18 μg/L and 146.00 μg/L respectively,and the difference was statistically signi ficant(x2=12.607,P＜0.05).Pregnant women's median urinary iodine level was highest in northern coastal areas at 176.45 μg/L and lowestin southern hilly areas at 148.04 μg/L with statistical significance observed when comparing different topographical regions(x2=170.598,P＜0.05).Urinary iodine levels during late pregnancy were found to be lowest at 152.40 μg/L,and comparisons among various stages showed statistically significant differences(x2=12.514,P＜0.05).CONCLUSION The iodine nutrition status of pregnant women in Weifang is generally adequate.However,some years and regions still fail to meet the IDD elimination criteria.Public health efforts should strengthen awareness campaigns on the importance of iodized salt and guide pregnant women in proper iodine supplementation.

Abstract:OBJECTIVE To analyze the current status of hyperuricemia(HUA)among individuals aged 18 to 60 undergoing health check-ups and its correlation with kidney function in a certain hospital.METHODS A total of 33 112 individuals aged 18 to 60 who had health check-ups at Zhengzhou Central Hospital from 2021 to 2023 were selected.General information and laboratory data were collected.The distribution status of HUA was analyzed to identify factors affecting HUA and its correlation.RESULTS The prevalence of HUA among the health check-up population aged 18 to 60 was 21.93％,with a trend of younger men(x2=367.40,P＜0.01);the prevalence across all age groups was higher in men than in women(P＜0.01).Logistic regression indicated that eGFR,body mass index(BMI),diastolic blood pressure(DBP),blood urea nitrogen(BUN),triglycerides(TG),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),fasting blood glucose(FBG),and glycated hemoglobin(HbA1c)were influencing factors for HUA(P＜0.05).Grouping by eGFR＜90 ml·min-1·(1.73 m2)-1 and eGFR≥90 mL·min-1·(1.73 m2)-1 showed that there was a difference in HUA prevalence between the two groups(x2=422.847,P＜0.01);after adjusting for confounding factors,the risk of eGFR＜90 mL·min-1·(1.73 m2)-1 in the HUA group was 2.11 times that of the normal uric acid group(95％CI:1.936～2.299,P＜0.01).CONCLUSION Among individuals aged 18 to 60 undergoing health check-ups in a certain hospital of Zhengzhou,there is a trend of younger males experiencing HUA,with a prevalence higher than that of females;abnormalities in eGFR,BMI,DBP,BUN,TG,HDL-C,LDL-C,FBG,and HbA1c all increase the risk of HUA;HUA is an independent risk factor for abnormal kidney function.

Abstract:OBJECTIVE To quantify the strength of association between sleep duration and stroke risk,and to elucidate the moderating effects of gender,urban-rural setting,and chronic diseases,thereby informing the formulation and refinement of public health policies.METHODS Utilising data from the China Health and Retirement Longitudinal Study,it included 19 350 middle-aged and older adults aged 45 years and above.A multi-model stratified analysis was employed to examine the association between sleep duration and stroke risk,along with its potential mechanisms.RESULTS Abnormal sleep duration(either insufficient or excessive)constitutes a significant modifiable risk factor for cardiovascular and cerebrovascular diseases.Both insufficient sleep time(＜6 hours)and excessive sleep time(＞8 hours)substantially elevate stroke risk,with the association exhibiting marked heterogeneity across gender,residential location,and chronic disease subgroups.CONCLUSION Both insufficient sleep time(＜6 hours)and excessive sleep time(＞8 hours)substantially elevate stroke risk among middle-aged and elderly Chinese individuals.Risk heterogeneity is pronounced,with males,rural residents,and those with chronic diseases constituting stroke high-risk groups.Potential biological mechanisms include metabolic dysregulation,inflammatory activation,and blood pressure fluctuations.Tailored interventions addressing population-specific characteristics are warranted to mitigate stroke risk in this demographic.

Abstract:OBJECTIVE To investigate the health service demand,utilization,and expenditure of urban and rural residents in Gongshan County,and to provide reference for formulating health policies and allocating local medical resources reasonably.METHODS Referring to the Family Health Survey Form of National Health Service Survey made by National Health Commission,1 851 urban and rural residents in Gongshan County were selected by probability proportionate to size sampling method to conduct a questionnaire survey from July to August in 2023.RESULTS The two-week visiting rate for Gongshan County residents was 8.43％,with 5.96％in urban areas and 9.04％in rural areas.The annual hospitalization rate for Gongshan County residents was 16.05％,with 10.57％in urban areas and 17.41％in rural areas.The proportion of Gongshan County residents seeking medical care at count hospital was 55.13％,and the proportion of inpatients at county hospital was 59.26％.The main reasons for not seeking medical care were self-perceived mild illness(66.67％),and the main reason for not being hospitalized was a lack of time for hospitalization(40.00％).The average per capita outpatient self-payment for medical expenses for Gongshan County residents was 931.34 yuan,473.57 yuan in urban areas,and 984.16 yuan in rural areas.The average per capita inpatient self-payment for medical expenses was 4 907.68 yuan,5 393.61 yuan in urban areas,and 4 835.40 yuan in rural areas.CONCLUSION The utilization of health services by Gongshan County residents is relatively low compared to the national average.The proportion of primary care visits is low,primary healthcare institutions exhibit notable deficiencies in service capacity,and the burden of health service costs on residents is heavy.The Gongshan County government should continue to strengthen investment in the medical and health sector,especially in promoting the capacity building of health services in rural and remote areas,and systematically improve the accessibility and affordability of health services for Gongshan County residents.

Abstract:OBJECTIVE To understand the knowledge of contraindications among the staff of the immunization planning outpatient clinic in Changping District of Beijing,to provide a basis for improving the capacity building of vaccination services.METHODS A questionnaire was designed to survey all immunization planning outpatient staff in Changping District of Beijing from March to June in 2024.The data was analyzed through univariate analysis and multivariate logistic regression.RESULTS 368 people were investigated and an average awareness rate of vaccine contraindication 51.36％～100％.The awareness rate of 5 knowledge points were below 80％.Through univariate analysis,it can be concluded that the level,professional title,major,age,and duration of immunization work in the vaccination clinic have an impact on the awareness rate.Through logistic regression analysis,it was found that professional title and age are factors that affect awareness rate.The staff of the immunization planning clinic are willing to receive training on contraindication assessment.CONCLUSION The overall knowledge of contraindications among the staff of the immunization planning clinic in Changping District of Beijing is good,but some staff members have shown weak grasp of national documents and relevant expert consensus.Small scale special training will be carried out for weak links to improve the service level and ability of the immunization planning clinic staff in Changping District.

Abstract:OBJECTIVE To investigate the epidemiological trends and high-risk population distribution of hepatitis C in Weifang from 2005 to 2024,and provide evidence-based data support for optimizing regional prevention and control strategies.METHODS It systematically collected annual reported cases of hepatitis C and related demographic data from the China Disease Control and Prevention Information System.Descriptive epidemiological methods were employed to analyze the epidemiological profile of hepatitis C,including its temporal,spatial,and population distributions.RESULTS From 2005 to 2024,a total of 2 309 cases of hepatitis C were cumulatively diagnosed in Weifang,with 150 all-cause deaths(among which 27 cases were related to hepatitis C).The incidence rate increased from 0.27/105 population in 2005 to 1.47/105 population in 2024,with an average annual growth rate of 5.00%.There was no significant seasonal fluctuation pattern.Gaomi(3.84/105),Hanting District(3.77/105),and Qingzhou(3.24/105)had the top three incidence rates in the whole city.The male-to-female ratio of the cases was 1.22∶1,and the cases were mainly concentrated in the population aged 35 to 74 years(1 824 cases,80.00%).In the age groups of 0 to 19 years,40 to 59 years,and 60 years and above,the number of male cases was higher than that of female cases,while in the age group of 20 to 39 years,the number of female cases was higher than that of male cases from 2005 to 2024.The number of male cases in the age group of 0 to 19 years showed a downward trend,the number of male cases in the age group of 40 to 59 years showed an upward trend,and the number of female cases in the age group of 60 years and above showed an upward trend.Farmers(1 394 cases,60.37%),retired personnel(238 cases,10.31%),and housewives and unemployed people(218 cases,9.44%)constituted the main sources of the cases.CONCLUSION Despite maintaining an overall low-prevalence status of hepatitis C in Weifang from 2005 to 2024,the persistent upward trend in reported cases highlights a growing risk of potential transmission.Middle-aged and elderly populations,agricultural workers,homemakers,and unemployed individuals constitute the core populations bearing the disease burden.It is recommended to establish a hierarchical prevention and control framework,implementing precision interventions targeting high-risk geographic regions,high-risk settings,and key population groups to effectively curb the spread of the epidemic.

Abstract:In recent years,the occurrence and development of chronic diseases have had a serious impact on the health of the people and the social and economic burden.In the process of coping with the challenges of chronic diseases,healthy lifestyles represented by exercise intervention play a crucial role.In 2023,the elderly aged 65 and above accounted for 30.99%.Among them,Yinhang Subdistrict has the highest degree of aging and is a typical super-large-scale aging community.In order to focus on the high-risk population of cardiovascular and cerebrovascular diseases such as hypertension,diabetes and dyslipidemia,through previous exploration,the Yinhang Community Health Service Center has gradually improved the new mechanism of integrating sports and medicine and multidepartment collaboration to promote health.By establishing and training a team of general practitioners with the qualification of sports health teachers,it integrates the"exercise prescription"into the chronic disease management of family doctors,opens the"Sports Intervention Clinic for the Co-management of Hypertension,Hyperglycemia and Hyperlipidemia",and constructs a new integrated chronic disease management model of"prevention,diagnosis,treatment,management and health-promotion"that combines offline and online,in-hospital and out-of-hospital,and general practice and specialty,so as to achieve the good effects of delaying the disease process,reducing disease complications,reducing medical expenses,and optimizing the use of medical insurance funds.

Abstract:OBJECTIVE To comprehensively assess the current status of health self-management ability among Chinese residents by meta-analysis,providing a scientific basis for enhancing residents'health self-management capabilities.METHODS A systematic search was conducted across databases including CNKI,VIP,Wanfang,SinoMed,PubMed,Web of Science,and Ovid,collecting relevant Chinese and English literature published from January 1,2011,to January 1,2025.meta-analysis was performed using Stata 18.0 software.RESULTS A total of 11 articles were included,with a total sample size of 8 441 cases.The meta-analysis results showed that the overall score of health self-management ability among Chinese residents was 139.95(95%CI:128.74～151.16),indicating a moderate level overall.The scores of each subgroup were different.The residents in coastal areas scored 142.39 points,which was higher than those in inland areas(132.89 points);females scored 141.52 points,which was higher than males(138.02 points);residents aged 60 and above scored 142.74 points,which was higher than those under 60(141.46 points);residents with a high school education or above scored 143.23 points,which was higher than those with a junior high school education or below(140.82 points);married residents scored 141.72 points,which was higher than those with other marital statuses(136.48 points);residents with a monthly income of 1 000 yuan or more scored 145.87 points,which was higher than those with a monthly income of less than 1 000 yuan(125.77 points);residents after 2020 scored 153.06 points,which was higher than those before 2020(137.09 points).CONCLUSION The health self-management ability of Chinese residents is generally at a moderate level and is influenced by factors such as region,gender,age,education level,marital status,monthly income,and survey time.

Abstract:OBJECTIVE To investigate the knowledge and behavior among parents of nursery institutions,primary and secondary schools in Jing'an District of Shanghai on acute respiratory infectious diseases,and to provide evidence for carrying out targeted health education in the future to improve the prevention and control ability of acute respiratory infectious diseases in schools.METHODS Multi-stage sampling method was used to collect data through self-made questionnaires,and t-test or one-way ANOVA were used to compare the scores of parents'knowledge and behavior with different basic characteristics.RESULTS A total of 1 393 questionnaires were included in the analysis.The awareness rate of parents was normal(69.55%),and the implementation rate of behavior was good(82.68%).The average score of parents'knowledge was(13.61±2.62),the score of female knowledge was higher than that of male knowledge,and the score of parents with high school education or below was lower;parents of high school students also scored lower on knowledge;parents who were health care workers,had respiratory symptoms in the last two months,and received related publicity and education in the last three months had higher knowledge scores.The average score of parents'behavior was(12.40±2.43),the behavioral score of parents whose occupation was full-time housewife/husband was higher than those who were administrative staff and self-employed/freelancers;parents who had respiratory symptoms in the past two months and received relevant publicity and education in the past three months had higher behavioral scores.CONCLUSION Parents in Jing'an District has a low awareness rate of acute respiratory infectious diseases,and their prevention and control behavior is relatively good.Publicity and education can improve the level of parents'knowledge and behavior.Health education work should focus on the role of father in the family,low education and high school parents,and the content focuses on key respiratory infectious diseases and vaccines.

Abstract:Regional health informatization serves as a crucial safeguard for enhancing the operational management efficiency of China's medical and healthcare industry.It takes Shenzhen Luohu Hospital Group as an empirical object,exploring the practical path of regional health informatization construction within the framework of a closely integrated medical consortium from four dimensions:basic architecture,data governance,business platform,and application scenarios.It proposes that regional health informatization can achieve heterogeneous system connectivity,data value mining,and sustainable development through deep integration of technical infrastructure,comprehensive data governance,and long-term empowerment through policy mechanisms.The aim is to provide practical references for exploring innovative models of operational management in the medical and healthcare industry that align with China's national conditions,thereby promoting the upgrading of operational management efficiency.

Abstract:OBJECTIVE To analyze the free physical examination reports of the elderly people aged 65 and above in the Community Health Service Center of Jinshan Street,Huli District of Xiamen,to learn the health status of the elderly,and to provide a reference for the judgment of health and the treatment of chronic disease of the elderly in our jurisdiction.METHODS The complete physical examination results data of 15 764 elderly people who underwent free physical examination in our center from 2022 to 2024 were collected,to analyze the abnormal detection rate of different genders,different ages and different years.RESULTS In the study,the top three detection rates of abnormal indicators were abnormal abdominal color ultrasound(80.92%),abnormal electrocardiogram(68.64%),and dyslipidemia(66.52%).The detection rates of overweight/obesity,hypertension,dyslipidemia,electrocardiogram(ECG)abnormality and renal functionin abnormality in different genders were statistically significant(P＜0.05).The detection rates of dyslipidemia gradually declined,while renal function abnormality,liver function abnormality and ECG abnormality gradually increased,The difference was statistically significant(P＜0.05).In the past three years,the the proportion of liver and kidney function abnormality increased year by year,and the remaining indexes improved year by year,and the difference was statistically significant(P＜0.05).CONCLUSION The abnormal detection rate of physical examination results of the elderly in the community is at a high level,and the health status is not good enough,so the standardized and personalized treatment of diseases of the elderly in the community should be strengthened.

Abstract:OBJECTIVE To investigate the association between LXR gene polymorphisms(rs3758673 and rs12221497)and diabetic nephropathy risk through genetic analysis.METHODS A total of 209 patients with type 2 diabetes and 209 diabetic nephropathy patients were enrolled from October 2022 to November 2024 at Shunyi Hospital,Beijing Traditional Chinese Medicine Hospital.TaqMan SNP genotyping was used for genetic polymorphism analysis,and logistic regression models were employed to examine the relationship between LXR rs3758673 and rs12221497 polymorphisms and diabetic nephropathy susceptibility.RESULTS Three genetic models(additive,dominant,and recessive)were applied to evaluate the genotype associations between LXR rs3758673 and rs12221497 polymorphisms and diabetic nephropathy.Logistic regression analysis revealed that in the additive model of LXR rs3758673,patients with CT genotype(OR=0.319,95%CI:0.066～0.294,P＜0.05)and TT genotype(OR=0.283,95%CI:0.136～0.590,P＜0.05)showed significantly elevated risks of diabetic nephropathy when using CC genotype as the reference.In the dominant model,CT+TT genotype(OR=0.363,95%CI:0.228～0.578,P＜0.05)demonstrated increased risk when CC genotype was the reference.The recessive model revealed that TT genotype(OR=0.203,95%CI:0.101～0.406,P＜0.05)significantly increased diabetic nephropathy risk when CC+CT genotype served as the reference.Notably,no association was observed between these genotypes and diabetic nephropathy occurrence in additive,dominant,or recessive models for LXR rs12221497.CONCLUSION While all genotypes at LXR rs3758673 showed associations with diabetic nephropathy occurrence in additive,dominant,and recessive models,none of the genotypes at rs 122214973 exhibited such correlations in these models.

Abstract:OBJECTIVE To understand the health literacy of elderly people in Yantai,explore the influencing factors of differences in health literacy between urban and rural elderly people,and provide ideas for improving the level of health literacy among the elderly and achieving the promotion of health literacy for the whole population.METHODS Using random sampling,two districts and two county-level cities in Yantai were selected as sample areas.A total of 305 elderly people aged 60 and above were surveyed face-to-face from June to December 2024.RESULTS The total score of health literacy among elderly people in Yantai was(44.36±6.02).The scores of the 6 dimensions from high to low were health information literacy(16.84±2.51),scientific literacy(14.30±2.96),chronic disease prevention literacy(4.28±1.38),basic medical literacy(3.44±1.21),infectious disease prevention literacy(2.78±0.99),and safety and first aid literacy(2.72±0.55).The health literacy of rural elderly people was lower than that of urban elderly people,with a significant difference in statistical analysis(P＜0.05).The results of multiple factor unconditional logistic regression analysis showed that average monthly family income and health cognitive level significantly influenced the health literacy qualification of rural elderly people(P＜0.05),while the method of medical expense coverage significantly influenced the health literacy qualification of urban elderly people(P＜0.05).CONCLUSION The health literacy of rural elderly people in Yantai is lower than that of urban elderly people.Average monthly family income and health cognitive level are influencing factors for the health literacy of rural elderly people in Yantai,while the method of medical expense coverage is an influencing factor for the health literacy of urban elderly people in Yantai.Therefore,promoting the improvement and equalization of health literacy among urban and rural elderly people in Yantai requires further implementation of national health policies and strengthening the targeted and effective regional health education.

Abstract:OBJECTIVE To analyze the dynamic changes in rural drinking water quality,explore the main factors affecting rural drinking water quality.METHODS From 2020 to 2024,16 water supply units in Qilin District were selected for water quality monitoring each year.69 water samples were collected in both the dry season and the wet season each year.Water quality testing was conducted in accordance with the Standard Methods for the Examination ofDrinking Water,and water quality evaluation was based on the Hygienic Standard for Drinking Water(GB 5749-2006)/(GB 5749-2022).RESULTS A total of 684 water samples were monitored in Qilin District from 2020 to 2024,with 528 qualified samples,a qualification rate of 81.9%,and the water quality qualification rate showed an upward trend year by year.The water quality non-qualification rate in the wet season was 26.02%(89/342),which was higher than that in the dry season[19.59%(67/342)].The main non-qualified indicators of rural drinking water in Qilin District from 2020 to 2024 were total coliforms,Escherichia coli,turbidity,visible matter,and manganese exceeding the standard.There were 104,49,23,14,and 3 non-qualified samples detected respectively in the five years,and the detection situation was closely related to seasonal factors,water treatment processes,and insufficient facilities.CONCLUSION It is recommended to strengthen continuous monitoring,improve water treatment processes,increase automatic disinfection facilities,and introduce professional technical talents to enhance water quality management.

Abstract:OBJECTIVE To understand the status and characteristics of accidental injuries among children in kindergartens and nurseries in Shijingshan District of Beijing,and to provide a basis for formulating effective policies and intervention measures for accidental injuries among children in kindergartens.METHODS Data from the"Annual Report on Accidental Injuries of Children in Nurseries and Kindergartens in Shijingshan District"from 2013 to 2022 were collated,and the data on accidental injuries among children in kindergartens and nurseries within the jurisdiction of Shijingshan District were summarized and analyzed.RESULTS From 2013 to 2022,a total of 521 children in Shijingshan District suffered accidental injuries in kindergartens and nurseries.The proportion of children with accidental injuries from highest to lowest was 173 children in the 4-year-old group,accounting for 33.21%;138 children in the 3-year-old group,accounting for 24.69%;137 children in the 5-year-old group,accounting for 26.30%;52 children in the 6-year-old group,accounting for 9.98%;and 21 children in the 2-year-old group,accounting for 4.03%.Among the 521 children,372 were boys,accounting for 71.40%,which was significantly higher than that of girls(28.60%).The difference was statistically significant(χ2=34.217,P＜0.05).The number of boys with accidental injuries in each age group was much higher than that of girls.The most common type of accidental injury was falls,accounting for 49.06%of the total number of accidental injuries.CONCLUSION The incidence of accidental injuries among children in kindergartens and nurseries in Shijingshan District has been decreasing year by year from 2013 to 2022.The three-level health care functions of maternal and child health care hospitals,community health service centers,and kindergartens and nurseries should be implemented.Accidental injuries among children in kindergartens should be prevented as the primary approach,and targeted intervention strategies should be implemented to enhance home-school cooperation,improve the self-protection ability of kindergartens,families,and children,and reduce the incidence of accidental injuries among children in kindergartens.

Abstract:OBJECTIVE To understand the status of health examination indicators of residents over 60 years old in mountainous counties,and adopt scientific intervention strategies based on data support to ensure the pertinence and effectiveness of intervention measures according to the changes of chronic disease spectrum of elderly people in mountainous areas.METHODS The health examination results of residents in township health centers in Jingning She Autonomous County in 2024 were derived from the chronic disease monitoring system in Zhejiang Province.The people over 60 years old and the She people were divided into four groups according to the age of 10 years old,namely,60～69 years old(48.41%),70～79 years old(40.31%),80～89 years old(10.19%),and 90 years old and above(1.09%).The physical examination results were compared with gender and nationality according to four age groups.RESULTS The study analyzed health examination data from 16 971 participants,revealing statistically significant differences in abnormal detection rates across various indicators:dyslipidemia(61.81%),hypertension(49.37%),hyperlipidemia(38.12%),dental caries(30.09%),fatty liver disease(28.06%),hyperuricemia(15.82%),renal cysts(15.18%),diabetes(13.44%),anemia(4.35%),and decreased renal function(2.96%).These differences were statistically significant(P＜0.05).Among 1 895 She ethnic individuals aged 60 and above,the corresponding rates were hypertension(56.62%),fatty liver disease(28.18%),and anemia(6.28%).Similar statistical significance was observed for chronic disease prevalence and abnormal health indicators across different age groups(P＜0.05).CONCLUSION The detection rate of chronic diseases and abnormal physical examination indexes in the population aged 60 years and above in Jingning She Autonomous County is high,and the increase of blood lipid,blood pressure and uric acid are the main risk factors of chronic diseases.On the basis of the prevention and control of the original chronic diseases,it is urgent to strengthen the intervention for risk factors such as hyperlipidemia and uric acid,so as to effectively curb the disease progress and reduce the economic pressure caused by chronic diseases.

Abstract:OBJECTIVE To visually analyze the status quo and hot spots of school public health research in China from 2010 to 2024 by using CiteSpace software,draw the knowledge map,and propose the frontier trend of school public health research,so as to provide data support for promoting the improvement of theoretical system and deepening of empirical research in this field.METHODS In databases such as CNKI,Wanfang,and VIP,using the keywords"school health","school health and wellness",and"school public health",a total of 1 135 literatures published from January 1,2010 to October 31,2024 were retrieved.The CiteSpace software was used to visualize the number of published papers,research authors,institutional partnerships,keyword co-occurrence,clustering,timeline,and emergent analysis,and to draw a knowledge graph.RESULTS The annual number of published papers which were about Chinese school public health study from 2010 to 2024 was stable at about 50.The research team led by Ma Jun,Zhong Ya,Liu Zhongming,Lin Yinghe and other scholars was prominent,forming a cooperation model of"universities as the main,and health administration departments as the auxiliary".The research focuses on five areas:students'health status,school health management,health education,infectious disease prevention and control and health personnel.CONCLUSION The research on school public health is still in the development stage,and future research frontiers and development directions should focus on the overall structure of school public health,the effectiveness of school health management,the change of students'physical fitness,and the allocation of health personnel,so as to promote the further development of research and practice in this field.

Abstract:OBJECTIVE To analyze the prevalence rate of Alzheimer's disease and its related influencing factors in the elderly population in Heilongjiang Province,so as to provide early identification and psychological guidance and intervention basis for the risk groups of Alzheimer's disease.METHODS In the survey,stratified multi-stage random sampling method was adopted,Alzheimer's Disease Screening Scale(AD8 and CSIS-D)was used as screening tools,and ICD-10 dementia diagnostic criteria was applied to diagnose Alzheimer's disease.RESULTS A total of 5 362 valid questionnaires were collected.The prevalence rate of dementia in the elderly was 5.04%.Logistic regression analysis showed that being female,having a history of chronic diseases,smoking,drinking,living in suburban or rural areas,advanced age,poor marital status,and working in certain industries were risk factors for dementia in the elderly(P＜0.05),while engaging in physical exercise at least three times a week and living in suburban or rural areas were protective factors(P＜0.05).CONCLUSION Dementia,as a common mental disorder among the elderly,should attract widespread social attention.Regular screening and health promotion regarding mental health knowledge should be conducted for high-risk groups such as women,those with chronic diseases,smokers,drinkers,and urban residents to slow down the rising prevalence rate of dementia in the elderly.