WorldWideScience

Sample records for china measurements health

  1. Household air pollution from coal and biomass fuels in China: Measurements, health impacts, and interventions

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, J.J.; Smith, K.R. [University of Medicine & Dentistry New Jersey, Piscataway, NJ (United States). School of Public Health

    2007-06-15

    Nearly all China's rural residents and a shrinking fraction of urban residents use solid fuels (biomass and coal) for household cooking and/or heating. Consequently, global meta-analyses of epidemiologic studies indicate that indoor air pollution from solid fuel use in China is responsible for approximately 420,000 premature deaths annually, more than the approximately 300,000 attributed to urban outdoor air pollution in the country. Our objective in this review was to help elucidate the extent of this indoor air pollution health hazard. We reviewed approximately 200 publications in both Chinese- and English language journals that reported health effects, exposure characteristics, and fuel/stove intervention options. Observed health effects include respiratory illnesses, lung cancer, chronic obstructive pulmonary disease, weakening of the immune system, and reduction in lung function. Arsenic poisoning and fluorosis resulting from the use of 'Poisonous' coal have been observed in certain regions of China. Although attempts have been made in a few studies to identify specific coal smoke constituents responsible for specific adverse health effects, the majority of indoor air measurements include those of only particulate matter, carbon monoxide, sulfur dioxide, and/or nitrogen dioxide. These measurements indicate that pollution levels in households using solid fuel generally exceed China's indoor air quality standards. Intervention technologies ranging from simply adding a chimney to the more complex modernized bioenergy program are available, but they can be viable only with coordinated support from the government and the commercial sector.

  2. One Health in China

    Directory of Open Access Journals (Sweden)

    Jianyong Wu

    2016-11-01

    Full Text Available As a result of rapid economic growth over the previous three decades, China has become the second largest economy worldwide since 2010. However, as a developing country with the largest population, this rapid economic growth primarily based on excessive consumption and waste of resources. Thus, China has been facing particularly severe ecological and environmental problems in speeding up industrialization and urbanization. The impact of the health risk factors is complex and difficult to accurately predict. Therefore, it is critical to investigate potential threats in the context of the human-animal-environment interface to protect human and animal health. The “One Health” concept recognizes that human health is connected to animal and environmental health. This review primarily discusses specific health problems in China, particularly zoonoses, and explains the origin and development of the One Health approach, as well as the importance of a holistic approach in China.

  3. One Health in China

    Science.gov (United States)

    Wu, Jianyong; Liu, Lanlan; Wang, Guoling; Lu, Jiahai

    2016-01-01

    As a result of rapid economic growth over the previous three decades, China has become the second largest economy worldwide since 2010. However, as a developing country with the largest population, this rapid economic growth primarily based on excessive consumption and waste of resources. Thus, China has been facing particularly severe ecological and environmental problems in speeding up industrialization and urbanization. The impact of the health risk factors is complex and difficult to accurately predict. Therefore, it is critical to investigate potential threats in the context of the human-animal-environment interface to protect human and animal health. The “One Health” concept recognizes that human health is connected to animal and environmental health. This review primarily discusses specific health problems in China, particularly zoonoses, and explains the origin and development of the One Health approach, as well as the importance of a holistic approach in China. PMID:27906124

  4. Measuring financial protection for health in families with chronic conditions in Rural China

    Directory of Open Access Journals (Sweden)

    Jiang Chunhong

    2012-11-01

    Full Text Available Abstract Background As the world’s largest developing country, China has entered into the epidemiological phase characterized by high life expectancy and high morbidity and mortality from chronic diseases. Cardiovascular diseases, chronic obstructive pulmonary diseases, and malignant tumors have become the leading causes of death since the 1990s. Constant payments for maintaining the health status of a family member who has chronic diseases could exhaust household resources, undermining fiscal support for other necessities and eventually resulting in poverty. The purpose of this study is to probe to what degree health expenditure for chronic diseases can impoverish rural families and whether the New Cooperative Medical Scheme can effectively protect families with chronic patients against catastrophic health expenditures. Methods We used data from the 4th National Health Services Survey conducted in July 2008 in China. The rural sample we included in the analysis comprised 39,054 households. We used both households suffering from medical impoverishment and households with catastrophic health expenditures to compare the financial protection for families having a chronic patient with different insurance coverage statuses. We used a logistic regression model to estimate the impact of different benefit packages on health financial protection for families having a chronic patient. Results An additional 10.53% of the families with a chronic patient were impoverished because of healthcare expenditure, which is more than twice the proportion in families without a chronic patient. There is a higher catastrophic health expenditure incidence in the families with a chronic patient. The results of logistic regression show that simply adding extra benefits did not reduce the financial risks. Conclusions There is a lack of effective financial protection for healthcare expenditures for families with a chronic patient in rural China, even though there is a high

  5. Haze, public health and mitigation measures in China: A review of the current evidence for further policy response.

    Science.gov (United States)

    Gao, Jinghong; Woodward, Alistair; Vardoulakis, Sotiris; Kovats, Sari; Wilkinson, Paul; Li, Liping; Xu, Lei; Li, Jing; Yang, Jun; Li, Jing; Cao, Lina; Liu, Xiaobo; Wu, Haixia; Liu, Qiyong

    2017-02-01

    With rapid economic development, China has been plagued by choking air pollution in recent years, and the frequent occurrence of haze episodes has caused widespread public concern. The purpose of this study is to describe the sources and formation of haze, summarize the mitigation measures in force, review the relationship between haze pollution and public health, and to discuss the challenges, potential research directions and policy options. Haze pollution has both natural and man-made causes, though it is anthropogenic sources that are the major contributors. Accumulation of air pollutants, secondary formation of aerosols, stagnant meteorological conditions, and trans-boundary transportation of pollutants are the principal causes driving the formation and evolution of haze. In China, haze includes gaseous pollutants and fine particles, of which PM2.5 is the dominant component. Short and long-term exposure to haze pollution are associated with a range of negative health outcomes, including respiratory diseases, cardiovascular and cerebrovascular diseases, mental health problems, lung cancer and premature death. China has paid increasing attention to the improvement of air quality, and has introduced action plans and policies to tackle pollution, but many interventions have only temporary effects. There may be fierce resistance from industry groups and some government agencies, and often it is challenging to enforce relevant control measures and laws. We discuss the potential policy options for prevention, the need for wider public dialogue and the implications for scientific research.

  6. One Health in China

    OpenAIRE

    2016-01-01

    As a result of rapid economic growth over the previous three decades, China has become the second largest economy worldwide since 2010. However, as a developing country with the largest population, this rapid economic growth primarily based on excessive consumption and waste of resources. Thus, China has been facing particularly severe ecological and environmental problems in speeding up industrialization and urbanization. The impact of the health risk factors is complex and difficult to accu...

  7. Measuring and valuing health-related quality of life among children and adolescents in mainland China--a pilot study.

    Directory of Open Access Journals (Sweden)

    Fei Xu

    Full Text Available BACKGROUND: The Child Health Utility 9D (CHU9D, a new generic preference-based health-related quality of life (HRQoL instrument, has been validated for use in young people in both the UK and Australia. The main objectives of this study were to examine the feasibility of using a Chinese version of the CHU9D (CHU9D-CHN to assess HRQoL and to investigate the association of physical activity, homework hours and sleep duration with HRQoL in children and adolescents in Mainland China. METHODS: Data were collected using a multi-stage sampling method from grades 4-12 students in May 2013 in Nanjing, China. Consenting participants (N = 815 completed a self-administered questionnaire including the CHU9D-CHN instrument and information on physical activity, homework and sleep duration, self-reported health status, and socio-demographic characteristics. Descriptive and multivariate linear regression analyses were undertaken. CHU9D-CHN utility scores were generated by employing two scoring algorithms currently available for the instrument, the first derived from UK adults utilising the standard gamble (SG valuation method and the second derived from Australian adolescents utilising the best-worst scaling (BWS method. RESULTS: It was found that CHU9D utility scores discriminated well in relation to self-reported health status and that better health status was significantly associated with higher utility scores regardless of which scoring algorithm was employed (both p<0.001. The adjusted mean utilities were significantly higher for physically active than inactive students (0.023 by SG, 0.029 by BWS scoring methods, p<0.05. An additional hour of doing homework and sleep duration were, separately, associated with mean utilities of -0.019 and 0.032 based on SG, and -0.021 and 0.040 according to BWS scoring algorithms (p<0.01. CONCLUSION: The CHU9D-CHN shows promise for measuring and valuing the HRQoL of children and adolescents in China. Levels of self

  8. Health System Measurement Project

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Health System Measurement Project tracks government data on critical U.S. health system indicators. The website presents national trend data as well as detailed...

  9. MEASUREMENT OF HEALTH INEQUALITY

    Directory of Open Access Journals (Sweden)

    NICOLETA CARAGEA

    2011-04-01

    Full Text Available Health inequality is met everywhere in the world, including in countries with a high level of economic development, or those with strong social protection systems. In this paper I analyzed certain methods to measure health inequalities between population groups and also I presented some empirical results regarding health disparities between European Union countries. My research is focussed on three health areas: health status of population, access to health care services and resource allocation and population spending on health care.

  10. Application of DALYs in Measuring Health Effect of Ambient Air Pollution: A Case Study in Shanghai, China

    Institute of Scientific and Technical Information of China (English)

    YUN-HUI ZHANG; CHANG-HONG CHEN; GUO-HAI CHEN; GUI-XIANG SONG; BING-HENG CHEN; QING-YAN FU; HAI-DONG KAN

    2006-01-01

    To investigate the effect of ambient air pollution on human health and the subsequent disability-adjusted life years (DALYs) lost in Shanghai. Methods We used epidemiology-based exposure-response functions to calculate the attributable number of cases due to air pollution in Shanghai in 2000, and then we estimated the corresponding DALYs lost in Shanghai based on unit DALYs values of the health consequences. Results Ambient air pollution caused 103 064 DALYs lost in Shanghai in 2000. Among all the health endpoints, premature deaths and chronic bronchitis predominated in the value of total DALYs lost. Conclusion The air pollution levels have an adverse effect on the general population health and strengthen the rationale for limiting the levels of air pollution in outdoor air in Shanghai.

  11. International institutions and China's health policy.

    Science.gov (United States)

    Huang, Yanzhong

    2015-02-01

    This article examines the role of international institutional actors in China's health policy process. Particular attention is paid to three major international institutional actors: the World Bank, the World Health Organization, and the Global Fund to Fight AIDS, Tuberculosis and Malaria. Through process tracing and comparative case studies, the article looks at how international institutions contribute to policy change in China and seeks to explain different outcomes in the relationship between international institutions and China's health policies. It finds that despite the opaque and exclusive authoritarian structure in China, international institutions play a significant role in the country's domestic health governance. By investing their resources and capabilities selectively and strategically, international institutions can change the preferences of government policy makers, move latent public health issues to the government's agenda, and affect the timing of government action and the content of policy design. Furthermore, the study suggests that different outcomes in the relationship between China's health policies and global health governance can be explained through the seriousness of the externalities China faces.

  12. Transformation of China's rural health care financing.

    Science.gov (United States)

    Liu, Y; Hsiao, W C; Li, Q; Liu, X; Ren, M

    1995-10-01

    In the late 1970s China launched its agricultural reforms which initiated a decade of continued economic growth and significant transformation of the Chinese society. The agricultural reforms altered the peasants' incentives, weakened community organization and lessened the central government's control over local communities. These changes largely caused the collapse of the widely acclaimed rural cooperative medical system in China. Consequently China experienced a decreased supply of rural health workers, increased burden of illnesses, disintegration of the three tier medical system, reduced primary health care, and an increased demand for hospital medical services. More than ten years have elapsed since China changed its agricultural economic system and China is still struggling to find an equitable, efficient and sustainable way of financing and organizing its rural health services. The Chinese experiences provided several important lessons for other nations: there is a need to understand the limits of the market forces and to redefine the role of the government in rural health care under a market economy; community participation in and control of local health financing schemes is essential in developing a sustainable rural health system; the rural health system needs to be dynamic, rather than static, to keep pace with changing demand and needs of the population.

  13. The intergenerational Inequality of Health in China

    DEFF Research Database (Denmark)

    Eriksson, Tor; Pan, Jay; Qin, Xuezheng

    2014-01-01

    . The Blinder–Oaxaca decomposition further indicates that 15% to 27% of the rural–urban inequality of child health is attributable to the endowed inequality from their parents' health. An important policy implication of our study is that the increasing inequality of income and opportunity in China can...

  14. Existing public health surveillance systems for mental health in China.

    Science.gov (United States)

    Zhou, Wei; Xiao, Shuiyuan

    2015-01-01

    Mental health is a challenging public health issue worldwide and surveillance is crucial for it. However, mental health surveillance has not been developed until recently in certain developed countries; many other countries, especially developing countries, have poor or even no health information systems. This paper presents surveillance related to mental health in China, a developing country with a large population of patients with mental disorders. Detailed information of seven relevant surveillance systems is introduced respectively. From the perspective of utilization, problems including accessibility, comprehensiveness and data quality are discussed. Suggestions for future development are proposed.

  15. Health Disparity and Cancer Health Disparity in China

    Science.gov (United States)

    Wang, Qi; Jiao, Jie

    2016-01-01

    China is one of the largest and most populated countries in the world. It has undergone rapid economic growth in recent years. However, the development is not equitable, and the distribution of wealth significantly varies among the regions in China. Geographical and socioeconomic inequalities, together with the lack of an equitable national social support system, cause the high variance of health outcomes among the regions. Furthermore, the fast growth of the economy has evoked many environmental challenges and puts much pressure on the population. The severe environmental deterioration, especially of the atmosphere and water bodies, has affected the health of the people living in China. As a result, cancer has become a major public health issue, and an alarming increase in incidence and mortality has been reported. However, cancer incidence and mortality vary in different areas in China. Cancer and cancer treatment disparities have existed for years. This article will discuss the existing health and cancer disparities associated with the risk factors and how these disparities are managed in China. PMID:28083550

  16. Health disparity and cancer health disparity in China

    Directory of Open Access Journals (Sweden)

    Qi Wang

    2016-01-01

    Full Text Available China is one of the largest and most populated countries in the world. It has undergone rapid economic growth in recent years. However, the development is not equitable, and the distribution of wealth significantly varies among the regions in China. Geographical and socioeconomic inequalities, together with the lack of an equitable national social support system, cause the high variance of health outcomes among the regions. Furthermore, the fast growth of the economy has evoked many environmental challenges and puts much pressure on the population. The severe environmental deterioration, especially of the atmosphere and water bodies, has affected the health of the people living in China. As a result, cancer has become a major public health issue, and an alarming increase in incidence and mortality has been reported. However, cancer incidence and mortality vary in different areas in China. Cancer and cancer treatment disparities have existed for years. This article will discuss the existing health and cancer disparities associated with the risk factors and how these disparities are managed in China.

  17. Transformation of health care in China.

    Science.gov (United States)

    Hsiao, W C

    1984-04-05

    The evolving Chinese cooperative medical system is examined in an effort to gain some valuable knowledge for both the 3rd world and developed countries. The changes occurring in the Chinese health system are the unintended consequences of economic reforms that have exerted direct and indirect effects on the organization, financing, and delivery of health care. As China does not publish complete or current information on its health care system, the discussion draws on limited published information. China, an agrarian nation, has a population of 1 billion with 80% of the people living in rural areas. A gross national product of US$300/person in 1981 places China in the bottom 1/3 of the developing countries. In 1981 China had 2 hospital beds/1000 people. There are 516,000 senior doctors trained in Western medicine and 290,000 senior doctors trained in traditional Chinese medicine, yielding a ratio of 0.8 senior doctors/1000 people. China also has 436,000 assistant doctors in Western medicine, but most of the primary health care is provided by "barefoot doctors." Hospital beds and health personnel are unevenly distributed between the urban and rural areas. Health personnel, health stations, and hospitals are organized on a 3-tier system. In 1980 China inaugurated major economic reforms in agricultural production and public financing. Alterations in the rural economic structure brought about major changes in the Chinese cooperative medical system. The most influential reform provided financial incentives to peasants, who now receive direct rewards for individual output. Because of economic reform, collective financing and public support for the cooperative medical system diminished. The proportion of the rural population protected by the system has been reduced by 50%. The rapid, continuing decline in the cooperative medical system has affected several important elements of health care: the number of barefoot doctors per capita has diminished; most barefoot doctors

  18. HEALTH: Women and Children in China

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    IN terms of both time period and implementation, China has accomplished nearly 50 percent of her goal for decreasing the 1989 mortality rate of infants and children below the age of five by as much as one-third by the year 2000. According to the Ministry of Public Health (MPH) statistics released in August, 1996, China’s maternal mortality rate decreased from 94.7 per 100,000 in 1989 to only 39.2 in 1995. Figures for rural

  19. A brief, standardized tool for measuring HIV-related stigma among health facility staff: results of field testing in China, Dominica, Egypt, Kenya, Puerto Rico and St. Christopher & Nevis

    Directory of Open Access Journals (Sweden)

    Laura Nyblade

    2013-11-01

    Full Text Available Introduction: Within healthcare settings, HIV-related stigma is a recognized barrier to access of HIV prevention and treatment services and yet, few efforts have been made to scale-up stigma reduction programs in service delivery. This is in part due to the lack of a brief, simple, standardized tool for measuring stigma among all levels of health facility staff that works across diverse HIV prevalence, language and healthcare settings. In response, an international consortium led by the Health Policy Project, has developed and field tested a stigma measurement tool for use with health facility staff. Methods: Experts participated in a content-development workshop to review an item pool of existing measures, identify gaps and prioritize questions. The resulting questionnaire was field tested in six diverse sites (China, Dominica, Egypt, Kenya, Puerto Rico and St. Christopher & Nevis. Respondents included clinical and non-clinical staff. Questionnaires were self- or interviewer-administered. Analysis of item performance across sites examined both psychometric properties and contextual issues. Results: The key outcome of the process was a substantially reduced questionnaire. Eighteen core questions measure three programmatically actionable drivers of stigma within health facilities (worry about HIV transmission, attitudes towards people living with HIV (PLHIV, and health facility environment, including policies, and enacted stigma. The questionnaire also includes one short scale for attitudes towards PLHIV (5-item scale, α = 0.78. Conclusions: Stigma-reduction programmes in healthcare facilities are urgently needed to improve the quality of care provided, uphold the human right to healthcare, increase access to health services, and maximize investments in HIV prevention and treatment. This brief, standardized tool will facilitate inclusion of stigma measurement in research studies and in routine facility data collection, allowing for the

  20. Air pollution and health studies in China--policy implications.

    Science.gov (United States)

    Chen, Bingheng; Kan, Haidong; Chen, Renjie; Jiang, Songhui; Hong, Chuanjie

    2011-11-01

    During the rapid economic development in China, ambient air pollutants in major cities, including PM10 (particulate matter with aerodynamic diameter air pollution levels in China are still at the higher end of the world level. Less information is available regarding changes in national levels of other pollutants such as PM2.5 and ozone. The Chinese Ministry of Environmental Protection (MOEP) set an index for "controlling/reducing total SO2 emissions" to evaluate the efficacy of air pollution control strategy in the country. Total SO2 emissions declined for the first time in 2007. Chinese epidemiologic studies evidenced adverse health effects of ambient air pollution similar to those reported from developed countries, though risk estimates on mortality/morbidity per unit increase of air pollutant are somewhat smaller than those reported in developed countries. Disease burden on health attributable to air pollution is relatively greater in China because of higher pollution levels. Improving ambient air quality has substantial and measurable public health benefits in China. It is recommended that the current Chinese air quality standards be updated/revised and the target for "controlling/reducing total SO2 emissions" be maintained and another target for "reducing total NO2 emissions" be added in view of rapid increase in motor vehicles. Continuous and persistent efforts should be taken to improve ambient air quality.

  1. Health-promoting lifestyles of university students in Mainland China

    Directory of Open Access Journals (Sweden)

    Chen Mei-Yen

    2009-10-01

    Full Text Available Abstract Background Health-promoting lifestyles of adolescents are closely related to their current and subsequent health status. However, few studies in mainland China have examined health-promoting behaviors among university students, notwithstanding the dramatic development of higher education over the past two decades. Moreover, no study has applied a standardized scale to such an investigation. The adolescent health promotion (AHP scale has been developed and is commonly used for measuring adolescent health-promoting lifestyles in Taiwan. The aim of this study is to determine the appropriateness of the AHP for use in mainland China. Methods A cross-sectional study was performed on a total of 420 undergraduates, who were randomly selected using a two-stage stratified sampling method in a university in Guangzhou city, mainland China. The simplified Chinese version of the AHP scale, comprising six dimensions (Nutrition behavior, Social support, Life-appreciation, Exercise behavior, Health-responsibility and Stress-management, was used to measure health-promoting lifestyles among undergraduates. The reliability of the AHP scale was assessed using split-half reliability coefficients, intraclass correlation coefficients and Cronbach's α coefficient. Validity was assessed by factor analysis and correlation analysis. Factors associated with health-promoting lifestyles were identified using multiple linear regression. Results Cronbach's coefficients were greater than 0.7 in all dimensions of the AHP scale except for Nutrition behavior (0.684. Intraclass correlation coefficients ranged from 0.689 to 0.921. Split-half reliability coefficients were higher than 0.7 in three AHP dimensions (Social support, Life-appreciation and Exercise behavior. Our results were generally in accordance with the theoretical construction of the AHP scale. The mean score for each of the six dimensions was lower than 70. Gender and grade were the factors primarily

  2. Measuring coverage in MNCH: a validation study linking population survey derived coverage to maternal, newborn, and child health care records in rural China.

    Directory of Open Access Journals (Sweden)

    Li Liu

    Full Text Available BACKGROUND: Accurate data on coverage of key maternal, newborn, and child health (MNCH interventions are crucial for monitoring progress toward the Millennium Development Goals 4 and 5. Coverage estimates are primarily obtained from routine population surveys through self-reporting, the validity of which is not well understood. We aimed to examine the validity of the coverage of selected MNCH interventions in Gongcheng County, China. METHOD AND FINDINGS: We conducted a validation study by comparing women's self-reported coverage of MNCH interventions relating to antenatal and postnatal care, mode of delivery, and child vaccinations in a community survey with their paper- and electronic-based health care records, treating the health care records as the reference standard. Of 936 women recruited, 914 (97.6% completed the survey. Results show that self-reported coverage of these interventions had moderate to high sensitivity (0.57 [95% confidence interval (CI: 0.50-0.63] to 0.99 [95% CI: 0.98-1.00] and low to high specificity (0 to 0.83 [95% CI: 0.80-0.86]. Despite varying overall validity, with the area under the receiver operating characteristic curve (AUC ranging between 0.49 [95% CI: 0.39-0.57] and 0.90 [95% CI: 0.88-0.92], bias in the coverage estimates at the population level was small to moderate, with the test to actual positive (TAP ratio ranging between 0.8 and 1.5 for 24 of the 28 indicators examined. Our ability to accurately estimate validity was affected by several caveats associated with the reference standard. Caution should be exercised when generalizing the results to other settings. CONCLUSIONS: The overall validity of self-reported coverage was moderate across selected MNCH indicators. However, at the population level, self-reported coverage appears to have small to moderate degree of bias. Accuracy of the coverage was particularly high for indicators with high recorded coverage or low recorded coverage but high specificity. The

  3. Measuring urban sprawl in China by night time light images

    Science.gov (United States)

    Liu, Lu; Tang, Lin

    2017-01-01

    In the process of urbanization, a phenomenon called “urban sprawl” usually occurs. This phenomenon may exaggerated the negative effects of urbanization on environment, public and social health, energy efficiency, and maintenance of farmland. Therefore, the understanding of this phenomenon is urgently required for us to achieve sustainable development. This study proposed a group of night time lights (NTL) indicators of urban sprawl, which intend to use the distribution of lightness to quantify urban sprawl. These measures are proved to be efficient in describing urban sprawl. In addition, they are consistent and easy calculating, making comparison analysis easy to be done. These indicators are used to study urban sprawl in China during the year 2000 to 2010, the results show that in the last ten years, metropolitan areas in the northern part of China have undergone a more sprawl-like urban growth compared with other parts of China.

  4. China engages global health governance: processes and dilemmas.

    Science.gov (United States)

    Chan, L H; Lee, P K; Chan, G

    2009-01-01

    Using HIV/AIDS, Severe Acute Respiratory Syndrome (SARS), and avian influenza as case studies, this paper discusses the processes and dilemmas of China's participation in health governance, both at the domestic level and the global level. Globalization has eroded the boundary between public and private health and between domestic and global health governance. In addition, the SARS outbreak of 2002-2003 focused global attention on China's public health. As a rising power with the largest population on earth, China is expected by the international community to play a better and more active role in health management. Since the turn of this century, China has increasingly embraced multilateralism in health governance. This paper argues that China's multilateral cooperation is driven by both necessity and conscious design. International concerns about good governance and its aspiration to become a 'responsible' state have exerted a normative effect on China to change tack. Its interactions with United Nations agencies have triggered a learning process for China to securitize the spread of infectious diseases as a security threat. Conversely, China has utilized multilateralism to gain access to international resources and technical assistance. It is still a matter of debate whether China's cooperative engagement with global health governance can endure, because of the persistent problems of withholding information on disease outbreaks and because of its insistence on the Westphalian notion of sovereignty.

  5. Pet Dogs Benefit Owners' Health: A "Natural Experiment" in China

    Science.gov (United States)

    Headey, Bruce; Na, Fu; Zheng, Richard

    2008-01-01

    This paper reports results from a "natural experiment" taking place in China on the impact of dogs on owners' health. Previous Western research has reported modest health benefits, but results have remained controversial. In China pets were banned in urban areas until 1992. Since then dog ownership has grown quite rapidly in the major cities,…

  6. Measurement Research on Industrial Workers in China

    OpenAIRE

    Wang Weixin; Wang Xu; Deng Lei; Gao Jia

    2013-01-01

    The paper studied the factors that made the new generation of migrant workers transform in to the industrial workers by the questionnaire for them in china. On the basis of analyzing the characteristics of the new generation of migrant worker groups, the implementation approaches of their industrialization has been researched from the following four aspects: their on quality, psychological identity, economic base and social environment with the help of structural equation modle. Measures that...

  7. Regional comprehensive assessment on environment-health of China

    Institute of Scientific and Technical Information of China (English)

    WANGWuyi; LIRibang; LIAOYongfeng; LIHairong; YANGLinsheng; TANJianan

    2004-01-01

    The aim of the study was to assess the environment-health development in different regions of China. 175 indicators, such as average life expectancy at birth, emission intensity of waste gas, GDP etc. were chosen to describe various aspects of the environment, health and development of China. Of all the indicators, life expectancy can sufficiently reflect health situation of population. Consequently,life expectancy was identified as key indicator, and 42 out of 175 indicators were selected for establishing the environment-health indicator framework with three grades of integrative indices to assess the development of environment-health of China. Based on the hierarchical relation between various grades of indices, the comprehensive environment-health index was calculated and contributed to classify the environment-health situation of 30 provinces, municipalities and autonomous regions in China which were divided into five grades by four predefined limits. Comprehensive assessment indicates that the environment-health situation of the eastern and coastal areas is superior to that of inland which is the western regions with underdeveloped economy and rigorous natural condition.Especially, the Qinghai-Tibet and Yunnan-Guizhou plateaus in southwestern China are most vulnerable in the environment and population health. These fit in with the pattern of national socio-economic development, which fully shows that socio-economic context plays a dominant role in the improvement of envirnment-health in China

  8. Controlling cost escalation of healthcare: making universal health coverage sustainable in China.

    Science.gov (United States)

    Tang, Shenglan; Tao, Jingjing; Bekedam, Henk

    2012-01-01

    An increasingly number of low- and middle-income countries have developed and implemented a national policy towards universal coverage of healthcare for their citizens over the past decade. Among them is China which has expanded its population coverage by health insurance from around 29.7% in 2003 to over 90% at the end of 2010. While both central and local governments in China have significantly increased financial inputs into the two newly established health insurance schemes: new cooperative medical scheme (NCMS) for the rural population, and urban resident basic health insurance (URBMI), the cost of healthcare in China has also been rising rapidly at the annual rate of 17.0%% over the period of the past two decades years. The total health expenditure increased from 74.7 billion Chinese yuan in 1990 to 1998 billion Chinese yuan in 2010, while average health expenditure per capital reached the level of 1490.1 Chinese yuan per person in 2010, rising from 65.4 Chinese yuan per person in 1990. The repaid increased population coverage by government supported health insurance schemes has stimulated a rising use of healthcare, and thus given rise to more pressure on cost control in China.There are many effective measures of supply-side and demand-side cost control in healthcare available. Over the past three decades China had introduced many measures to control demand for health care, via a series of co-payment mechanisms. The paper introduces and discusses new initiatives and measures employed to control cost escalation of healthcare in China, including alternative provider payment methods, reforming drug procurement systems, and strengthening the application of standard clinical paths in treating patients at hospitals, and analyses the impacts of these initiatives and measures. The paper finally proposes ways forward to make universal health coverage in China more sustainable.

  9. Air Pollution Exposure and Physical Activity in China: Current Knowledge, Public Health Implications, and Future Research Needs

    OpenAIRE

    Jiaojiao Lü; Leichao Liang; Yi Feng; Rena Li; Yu Liu

    2015-01-01

    Deteriorating air quality in China has created global public health concerns in regard to health and health-related behaviors. Although emerging environmental regulations address ambient air pollution in China, the level of enforcement and long-term impact of these measures remain unknown. Exposure to air pollution has been shown to lead to multiple adverse health outcomes, including increased rates of heart disease and mortality. However, a lesser-known but increasingly significant concern i...

  10. THE PREVALENCE OF ANEMIA IN CENTRAL AND EASTERN CHINA: EVIDENCE FROM THE CHINA HEALTH AND NUTRITION SURVEY.

    Science.gov (United States)

    Li, Liying; Luo, Renfu; Medina, Alexis; Rozelle, Scott

    2015-03-01

    Although China has experienced rapid economic growth over the past few decades, significant health and nutritional problems remain. Little work has been done to track basic diseases, such as iron-deficiency anemia, so the exact prevalence of these health problems is unknown. The goals of this study were to assess the prevalence of anemia in China and identify individual, household and community-based factors associated with anemia. We used data from the 2009 China Health and Nutrition Survey (CHNS), including the measurement of hemoglobin levels among 7,261 individuals from 170 communities and 7 provinces in central and eastern China. The overall prevalence of anemia was 13.4% using the WHO's blood hemoglobin thresholds (1968). This means in China's more developed central and eastern regions up to 180 million people may be anemic. Some vulnerable subgroups were disproportionately affected by anemia. Seniors (aged 60 years and above) were more likely to be anemic than younger age cohorts, and females had higher anemia prevalence among all age groups except among children aged 7 to 14 years. We found a negative correlation between household wealth and the presence of anemia, suggesting anemia prevalence may decline as China's economy grows. However, the prevalence of anemia was greater in migrant households, which should be experiencing an improved economic status.

  11. The Pattern of Govemment Health Expenditure in China

    Institute of Scientific and Technical Information of China (English)

    Yang Ling; Liu Yuanli

    2012-01-01

    For a while since the inception of economic system re- form programs in 1980s, China's government investment in health was weakened. This resulted in healthcare provider's increasing re- liance on user charges for their income, poorer access to healthcare for the vulnerable population groups, and increasing socioeconomic disparities in health and healthcare. To address these problems, China initiated a series of health sector reforms since late 1990s. Our comprehensive review study has found that indeed Chinese government spending on health has been increasing in recent years, especially since 2009, when the new Healthcare Reform Plan was announced. Still, China needs to both further strengthen government investment in health and address the structural imbal- ances in government health financing, in order to make the overall Chinese health system more equitable and more efficient.

  12. Measurement Research on Industrial Workers in China

    Directory of Open Access Journals (Sweden)

    Wang Weixin

    2013-05-01

    Full Text Available The paper studied the factors that made the new generation of migrant workers transform in to the industrial workers by the questionnaire for them in china. On the basis of analyzing the characteristics of the new generation of migrant worker groups, the implementation approaches of their industrialization has been researched from the following four aspects: their on quality, psychological identity, economic base and social environment with the help of structural equation modle. Measures that transformed the new generation of migrant workers into industrial workers had been proposed according to the result of this study.

  13. Health-related quality of life as measured with EQ-5D among populations with and without specific chronic conditions: a population-based survey in Shaanxi Province, China.

    Directory of Open Access Journals (Sweden)

    Zhijun Tan

    Full Text Available INTRODUCTION: The aim of this study was to examine health-related quality of life (HRQoL as measured by EQ-5D and to investigate the influence of chronic conditions and other risk factors on HRQoL based on a distributed sample located in Shaanxi Province, China. METHODS: A multi-stage stratified cluster sampling method was performed to select subjects. EQ-5D was employed to measure the HRQoL. The likelihood that individuals with selected chronic diseases would report any problem in the EQ-5D dimensions was calculated and tested relative to that of each of the two reference groups. Multivariable linear regression models were used to investigate factors associated with EQ VAS. RESULTS: The most frequently reported problems involved pain/discomfort (8.8% and anxiety/depression (7.6%. Nearly half of the respondents who reported problems in any of the five dimensions were chronic patients. Higher EQ VAS scores were associated with the male gender, higher level of education, employment, younger age, an urban area of residence, access to free medical service and higher levels of physical activity. Except for anemia, all the selected chronic diseases were indicative of a negative EQ VAS score. The three leading risk factors were cerebrovascular disease, cancer and mental disease. Increases in age, number of chronic conditions and frequency of physical activity were found to have a gradient effect. CONCLUSION: The results of the present work add to the volume of knowledge regarding population health status in this area, apart from the known health status using mortality and morbidity data. Medical, policy, social and individual attention should be given to the management of chronic diseases and improvement of HRQoL. Longitudinal studies must be performed to monitor changes in HRQoL and to permit evaluation of the outcomes of chronic disease intervention programs.

  14. Population,Reproductive Health and Poverty Alleviation in China

    Institute of Scientific and Technical Information of China (English)

    BaochangGu

    2003-01-01

    The linkage between population,reproductive health,and poverty reduction is always an essential issue to address in a nation's development strategy.China is no exception.This paper will first provide an updated demographic profile of China,followed by a sketch of reproductive

  15. Forest ecosystem health assessment and analysis in China

    Institute of Scientific and Technical Information of China (English)

    XIAOFengjin; OUYANGHua; ZHANGQiang; FUBojie; ZHANGZhicheng

    2004-01-01

    Based on more than 300 forest sample plots surveying data and forestry statistical data, remote sensing information from the NOAA AVHRR database and the daily meteorological data of 300 stations, we selected vigor, organization and resilience as the indicators to assess large-scale forest ecosystem health in China and analyzed the spatial pattern of forest ecosystem health and influencing factors. The results of assessment indicated that the spatial pattern of forest ecosystem health showed a decreasing trend along latitude gradients and longitude gradients. The healthy forests are mainly distributed in natural forests, tropical rainforests and seasonal rainforests; secondarily orderly in northeast national forest zone, subtropical forest zonation and southwest forest zonation; while the unhealthy forests were mainly located in warm temperate zone and Xinjiang-Mongolia forest zone. The coefficient of correction between Forest Ecosystem Health Index (FEHI) and annual average precipitation was 0.58 (p<0.01), while the coefficient of correlation between FEHI and annual mean temperatures was 0.49 (p<0.01), which identified that the precipitation and temperatures affect the pattern of FEHI, and the precipitation's effect was stronger than the temperature's. We also measured the correlation coefficient between FEHI and NPP, biodiversity and resistance, which were 0.64, 0.76 and 0.81 (p<0.01) respectively. The order of effect on forest ecosystem health was vigor, organization and resistance.

  16. Income productivity in China: on the role of health.

    Science.gov (United States)

    Liu, Gordon G; Dow, William H; Fu, Alex Z; Akin, John; Lance, Peter

    2008-01-01

    This study provides empirical evidence regarding the income productivity of health human capital in China. We appeal to concepts from human capital theory to support a basic model that treats health as a form of human capital in the income production process. Our model examines the economic return at the household level from the health of its individual members. We estimate this with a longitudinal sample drawn from the China Health and Nutrition Survey (CHNS), allowing us to exploit "within" variation in health and income to address possible unobservables biasing estimates of the impact of health on income in the simple cross-sectional setting. Household income is strongly influenced by the health of its members, particularly in rural areas. These findings could have important implications for health and economic policy-making aimed at reducing the long-standing urban-rural economic gap and more comprehensively insuring the rural population against health and economic risk.

  17. The effect of community-based health management on the health of the elderly: a randomized controlled trial from China

    Directory of Open Access Journals (Sweden)

    Chao Jianqian

    2012-12-01

    Full Text Available Abstract Background An aging population poses significant challenges to health care in China. Health management has been implemented to reduce the costs of care, raise health service utilization, increase health knowledge and improve quality of life. Several studies have tried to verify the effectiveness of health management in achieving these goals worldwide. However, there have been insufficient randomized control trials (RCTs to draw reliable conclusions. The few small-scale studies conducted in China include mostly the general population rather than the elderly. Our study is designed to evaluate the impact of community-based health management on the health of the elderly through an RCT in Nanjing, China. Methods Two thousand four hundred participants, aged 60 or older and who gave informed consent, were randomly allocated 1:1 into management and control groups, the randomization schedule was concealed from community health service center staff until allocation. Community-based health management was applied in the former while the latter was only given usual care. After 18 months, three categories of variables (subjective grading health indices, objective health indices and health service utilization were measured based on a questionnaire, clinical monitoring and diagnostic measurements. Differences between the two groups were assessed before and after the intervention and analyzed with t-test, χ2-test, and multiple regression analysis. Results Compared with the control group, the management group demonstrated improvement on the following variables (P Conclusion Community-based health management improved both subjective grading health indices, objective health indices and decreased the number of outpatient clinic visits, demonstrating effectiveness in improving elderly health. Trial registration ChiCTR-OCH-11001716

  18. Health Literacy in Rural Areas of China: Hypertension Knowledge Survey

    Directory of Open Access Journals (Sweden)

    Hude Quan

    2013-03-01

    Full Text Available We conducted this study to determine levels and correlates of hypertension knowledge among rural Chinese adults, and to assess the association between knowledge levels and salty food consumption among hypertensive and non-hypertensive populations. This face-to-face cross sectional survey included 665 hypertensive and 854 non-hypertensive respondents in the rural areas of Heilongjiang province, China. Hypertension knowledge was assessed through a 10-item test; respondents received 10 points for each correct answer. Among respondents, the average hypertension knowledge score was 26 out of a maximum of 100 points for hypertensive and 20 for non-hypertensive respondents. Hypertension knowledge was associated with marital status, education, health status, periodically reading books, newspapers or other materials, history of blood pressure measurement, and attending hypertension educational sessions. Hypertension knowledge is extremely low in rural areas of China. Hypertension education programs should focus on marginal populations, such as individuals who are not married or illiterate to enhance their knowledge levels. Focusing on educational and literacy levels in conjunction with health education is important given illiteracy is still a prominent issue for the Chinese rural population.

  19. Health literacy in rural areas of China: hypertension knowledge survey.

    Science.gov (United States)

    Li, Xia; Ning, Ning; Hao, Yanhua; Sun, Hong; Gao, Lijun; Jiao, Mingli; Wu, Qunhong; Quan, Hude

    2013-03-18

    We conducted this study to determine levels and correlates of hypertension knowledge among rural Chinese adults, and to assess the association between knowledge levels and salty food consumption among hypertensive and non-hypertensive populations. This face-to-face cross sectional survey included 665 hypertensive and 854 non-hypertensive respondents in the rural areas of Heilongjiang province, China. Hypertension knowledge was assessed through a 10-item test; respondents received 10 points for each correct answer. Among respondents, the average hypertension knowledge score was 26 out of a maximum of 100 points for hypertensive and 20 for non-hypertensive respondents. Hypertension knowledge was associated with marital status, education, health status, periodically reading books, newspapers or other materials, history of blood pressure measurement, and attending hypertension educational sessions. Hypertension knowledge is extremely low in rural areas of China. Hypertension education programs should focus on marginal populations, such as individuals who are not married or illiterate to enhance their knowledge levels. Focusing on educational and literacy levels in conjunction with health education is important given illiteracy is still a prominent issue for the Chinese rural population.

  20. Application of the international classification of functioning, disability and health in China

    Institute of Scientific and Technical Information of China (English)

    ZHANG Hong-xia; Pamela Enderby; SANG Lin

    2011-01-01

    Implementation of the International Classification of Functioning,Disability and Health (ICF) started in 2001 with the unanimous endorsement of the classification by the 54th World Health Organization (WHO) as a framework for describing and measuring health and disability.In recent years,the ICF has been increasingly applied to research and development in China,and has influenced the policies of the Chinese Disabled Person Enterprise and Chinese Rehabilitation Career.This paper introduces the translation,training and spread of ICF and its application in the fields of medicine,society and education in China.

  1. Do fertility control policies affect health in old age? Evidence from China's one-child experiment.

    Science.gov (United States)

    Islam, Asadul; Smyth, Russell

    2015-05-01

    How do fertility control policies contribute to the welfare of women, and their husbands, particularly as they get older? We consider whether the reduction in fertility resulting from population control policies has had any effect on the health of elderly parents in China. In particular, we examine the influence of this fertility decline, experienced due to China's one-child policy, on several measures of the health of parents in middle and old age. Overall, our results suggest that having fewer children has a positive effect on self-reported parental health but generally no effect on other measures of health. The results also suggest that upstream financial transfers have a positive effect on several measures of parental health.

  2. mHealth Interventions for Health System Strengthening in China: A Systematic Review

    Science.gov (United States)

    Zhang, Jing; Luo, Rong; Chen, Shi; Petrovic, Djordje; Redfern, Julie; Xu, Dong Roman; Patel, Anushka

    2017-01-01

    Background With rapidly expanding infrastructure in China, mobile technology has been deemed to have the potential to revolutionize health care delivery. There is particular promise for mobile health (mHealth) to positively influence health system reform and confront the new challenges of chronic diseases. Objective The aim of this study was to systematically review existing mHealth initiatives in China, characterize them, and examine the extent to which mHealth contributes toward the health system strengthening in China. Furthermore, we also aimed to identify gaps in mHealth development and evaluation. Methods We systematically reviewed the literature from English and Chinese electronic database and trial registries, including PubMed, EMBASE, Cochrane, China National Knowledge of Infrastructure (CNKI), and World Health Organization (WHO) International Clinical Trials Registry Platform. We used the English keywords of mHealth, eHealth, telemedicine, telehealth, mobile phone, cell phone, text messaging, and China, as well as their corresponding Chinese keywords. All articles using mobile technology for health care management were included in the study. Results A total of 1704 articles were found using the search terms, and eventually 72 were included. Overall, few high quality interventions were identified. Most interventions were found to be insufficient in scope, and their evaluation was of inadequate rigor to generate scalable solutions and provide reliable evidence of effectiveness. Most interventions focused on text messaging for consumer education and behavior change. There were a limited number of interventions that addressed health information management, health workforce issues, use of medicines and technologies, or leadership and governance from a health system perspective. Conclusions We provide four recommendations for future mHealth interventions in China that include the need for the development, evaluation and trials examining integrated mHealth

  3. On residents’ satisfaction with community health services after health care system reform in Shanghai, China, 2011

    Directory of Open Access Journals (Sweden)

    Li Zhijian

    2012-06-01

    Full Text Available Abstract Background Health care system reform is a major issue in many countries and therefore how to evaluate the effects of changes is incredibly important. This study measured residents’ satisfaction with community health care service in Shanghai, China, and aimed to evaluate the effect of recent health care system reform. Methods Face-to-face interviews were performed with a stratified random sample of 2212 residents of the Shanghai residents using structured questionnaires. In addition, 972 valid responses were retrieved from internet contact. Controlling for sex, age, income and education, the study used logistic regression modeling to analyze factors associated with satisfaction and to explain the factors that affect the residents’ satisfaction. Results Comparing current attitudes with those held at the initial implementation of the reform in this investigation, four dimensions of health care were analyzed: 1 the health insurance system; 2 essential drugs; 3 basic clinical services; and 4 public health services. Satisfaction across all dimensions improved since the reform was initiated, but differences of satisfaction level were found among most dimensions and groups. Residents currently expressed greater satisfaction with clinical service (average score=3.79, with 5 being most satisfied and the public health/preventive services (average score=3.62; but less satisfied with the provision of essential drugs (average score=3.20 and health insurance schemes (average score=3.23. The disadvantaged groups (the elderly, the retired, those with only an elementary education, those with lower incomes had overall poorer satisfaction levels on these four aspects of health care (P Conclusion The respondents showed more satisfaction with the clinical services (average score=3.79 and public health services/interventions (average score=3.79; and less satisfaction with the health insurance system (average score=3.23 and the essential drug system

  4. Evaluation of Health Care System Reform in Hubei Province, China

    OpenAIRE

    2014-01-01

    This study established a set of indicators for and evaluated the effects of health care system reform in Hubei Province (China) from 2009 to 2011 with the purpose of providing guidance to policy-makers regarding health care system reform. The resulting indicators are based on the “Result Chain” logic model and include the following four domains: Inputs and Processes, Outputs, Outcomes and Impact. Health care system reform was evaluated using the weighted TOPSIS and weighted Rank Sum Ratio met...

  5. Disadvantaged populations in maternal health in China who and why?

    Directory of Open Access Journals (Sweden)

    Beibei Yuan

    2013-04-01

    Full Text Available Background: China has made impressive progress towards the Millennium Development Goal (MDG for maternal and reproductive health, but ensuring that progress reaches all segments of the population remains a challenge for policy makers. The aim of this review is to map disadvantaged populations in terms of maternal health in China, and to explain the causes of these inequities to promote policy action. Methods: We searched PUBMED, Popline, Proquest and WanFang and included primary studies conducted in mainland China. Experts were also contacted to identify additional studies. Disadvantaged populations in terms of MDG 5 and the reasons for this disadvantage explored by authors were identified and coded based on the conceptual framework developed by the WHO Commission on the Social Determinants of Health. Results: In China, differences in maternal health service utilization and the maternal mortality ratio among different income groups, and among regions with different socio-economic development still exist, although these differences are narrowing. Groups with low levels of education and ethnic minorities utilize maternal health care less frequently and experience higher maternal mortality, although we could not determine whether these differences have changed in the last decade. Rural-to-urban migrants use maternal health care and contraception to a lower extent than permanent residents of cities, and differential maternal mortality shows a widening trend among these groups. Gender inequity also contributes to the disadvantaged position of women. Intermediary factors that explain these inequities include material circumstances such as long distances to health facilities for women living in remote areas, behavioral factors such as traditional beliefs that result in reduced care seeking among ethnic minorities, and health system determinants such as out-of-pocket payments posing financial barriers for the poor. Conclusions: Inequity in maternal

  6. Use of instruments and scales in mental health research in China

    Institute of Scientific and Technical Information of China (English)

    Michael R.Phillips

    2011-01-01

    @@ Almost all mental health research involves the use of instruments or scales.These are employed to make diagnoses;to measure the severity of symptoms;to assess knowledge,attitudes and behaviors;and for a wide range of other purposes.Much of the reported mental health research in China employs Chinese versions of scales from the west,but in many cases the reliability and validity of the scales in China have not been adequately assessed so the validity of the reported results is in question.This paper discusses this issue and other aspects of using instruments and scales in China that have not been given sufficient attention by mental health researchers.

  7. The Impacts of China's Urban Employee Basic Medical Insurance on Healthcare Expenditures and Health Outcomes.

    Science.gov (United States)

    Huang, Feng; Gan, Li

    2017-02-01

    At the end of 1998, China launched a government-run mandatory insurance program, the urban employee basic medical insurance (UEBMI), to replace the previous medical insurance system. Using the UEBMI reform in China as a natural experiment, this study identifies variations in patient cost sharing that were imposed by the UEBMI reform and examines their effects on the demand for healthcare services. Using data from the 1991-2006 waves of the China Health and Nutrition Survey, we find that increased cost sharing is associated with decreased outpatient medical care utilization and expenditures but not with decreased inpatient care utilization and expenditures. Patients from low-income and middle-income households or with less severe medical conditions are more sensitive to prices. We observe little impact on patient's health, as measured by self-reported health status. Copyright © 2015 John Wiley & Sons, Ltd.

  8. Dietary Pattern Is Associated with Obesity in Older People in China: Data from China Health and Nutrition Survey (CHNS)

    OpenAIRE

    Xiaoyue Xu; John Hall; Julie Byles; Zumin Shi

    2015-01-01

    Background: No studies have been conducted to explore the associations between dietary patterns and obesity among older Chinese people, by considering gender and urbanization level differences. Methods: We analyzed data from the 2009 China Health and Nutrition Survey (2745 individuals, aged ≥ 60 years). Dietary data were obtained using 24 hour-recall over three consecutive days. Height, Body Weight, and Waist Circumference were measured. Exploratory factor analysis was used to identify dieta...

  9. [Research on China railway health campaign in 1930s].

    Science.gov (United States)

    Huang, Huaping

    2015-01-01

    The motivation factors of China's railway health campaign in 1930s included avocation by the government, mass media mobilization, railway authorities' hygiene awareness and the systematization of the construction of organization. During the health campaign, the railway authorities adopted various approaches for its formation, including the rally speeches, distribution of materials, cleaning and vaccination etc. Unfortunately, the actual effect of railway health campaign was not satisfactory, yet, it enhanced theoretically railway employees' health knowledge and contributed to the promotion of modernization of hygienic knowledge. Meanwhile, there still existed many problems in the railway health campaign, for example, lack of funds, formalism and uneven development among the railway bureaus.

  10. Regional Inequalities in Contemporary China Measured by GDP and Consumption

    OpenAIRE

    Z Zhang; Yao, S.

    2001-01-01

    This paper presents a comprehensive picture of China?s regional inequality from 1952 to 1999 using newly released data on consumption and gross domestic product (GDP) at the provincial level. Although there are many studies on regional inequality in China, this paper is the first attempt to evaluate regional inequalities before and after the economic reforms for a time span of almost half a century. Our results show that inter-regional inequality widens over time, either measured by per capit...

  11. Ambient air pollution, climate change, and population health in China.

    Science.gov (United States)

    Kan, Haidong; Chen, Renjie; Tong, Shilu

    2012-07-01

    As the largest developing country, China has been changing rapidly over the last three decades and its economic expansion is largely driven by the use of fossil fuels, which leads to a dramatic increase in emissions of both ambient air pollutants and greenhouse gases (GHGs). China is now facing the worst air pollution problem in the world, and is also the largest emitter of carbon dioxide. A number of epidemiological studies on air pollution and population health have been conducted in China, using time-series, case-crossover, cross-sectional, cohort, panel or intervention designs. The increased health risks observed among Chinese population are somewhat lower in magnitude, per amount of pollution, than the risks found in developed countries. However, the importance of these increased health risks is greater than that in North America or Europe, because the levels of air pollution in China are very high in general and Chinese population accounts for more than one fourth of the world's totals. Meanwhile, evidence is mounting that climate change has already affected human health directly and indirectly in China, including mortality from extreme weather events; changes in air and water quality; and changes in the ecology of infectious diseases. If China acts to reduce the combustion of fossil fuels and the resultant air pollution, it will reap not only the health benefits associated with improvement of air quality but also the reduced GHG emissions. Consideration of the health impact of air pollution and climate change can help the Chinese government move forward towards sustainable development with appropriate urgency.

  12. Statistical Properties of Generalized Gini Coefficient with Application to Health Inequality Measurement

    Science.gov (United States)

    Lai, Dejian; Huang, Jin; Risser, Jan M.; Kapadia, Asha S.

    2008-01-01

    In this article, we report statistical properties of two classes of generalized Gini coefficients (G1 and G2). The theoretical results were assessed via Monte Carlo simulations. Further, we used G1 and G2 on life expectancy to measure health inequalities among the provinces of China and the states of the United States. For China, the results…

  13. Influencing factors of mental health of medical students in China.

    Science.gov (United States)

    Yang, Fan; Meng, Heng; Chen, Hui; Xu, Xin-hao; Liu, Zhuo; Luo, Ai; Feng, Zhan-chun

    2014-06-01

    This study investigated the mental health status of medical students in China, and analyzed the influencing factors in order to provide evidence for mental health education for medical students. A stratified cluster sampling method was used to recruit medical students from Huazhong University of Science and Technology, China. The questionnaire survey on general information and Symptom Checklist 90 (SCL-90) were used for investigation and analysis. The results showed among the 1137 valid questionnaires, 278 (24.45%) participants had SCL-90 score ≥ 160. The top three mental problems of medical students were obsessive-compulsive disorder, interpersonal sensitivity and depression in terms of the factor score ≥ 2.5 and the number of participants who reflected on the diseases. The third-year medical students had the worst mental health status, and fifth-year medical students had the best mental health status. Students from rural area had more psychological problems than those from urban area; furthermore, students with high professional satisfaction, those who were the single child of the family, non-poor students, and those whose parents had high education level had better mental health status. It was concluded that the mental health of medical students is not optimistic in China. Medical students have some mental health problems of different degrees. Factors that influence the mental health of medical students include academic pressure, professional satisfaction level and family environment.

  14. Equality of Medical Health Resource Allocation in China Based on the Gini Coefficient Method.

    Directory of Open Access Journals (Sweden)

    Jian Jin

    2015-04-01

    Full Text Available The Chinese government is trying to achieve the goal of "universal access to basic health care services". However, the inequality of the distribution of health care resources across the country is the biggest obstacle. This paper aims to explore these inequalities and the extent to which the method of analysis influences the perception.The indicators of health care resource distribution studied consisted of the number of health care institutions, the number of beds in health care institutions and the number of medical personnel. Data were obtained from the China Statistical Yearbook 2014. The extent of equality was assessed using the Lorenz Curve and Gini Coefficient Method.Health care resource distribution in China demonstrates inequalities. The demographic Gini Coefficients based on the Lorenz Curves for the distribution of health care institutions, beds in health care institutions and medical personnel are 0.190, 0.070 and 0.070 respectively, while the corresponding Coefficients based on geographical areas are 0.616, 0.639 and 0.650.The equality of China's demographically assessed distribution of health care resources is greater than that of its geographically measured distribution. Coefficients expressed by population imply there is ready access to healthcare in all regions, whilst the Coefficients by geographical area apparently indicate inequality. This is the result of the sparsity of population.

  15. Does Rapid and Sustained Economic Growth Lead to Convergence in Health Resources: The Case of China From 1980 to 2010.

    Science.gov (United States)

    Liang, Di; Zhang, Donglan; Huang, Jiayan; Schweitzer, Stuart

    2016-01-01

    China's rapid and sustained economic growth offers an opportunity to ask whether the advantages of growth diffuse throughout an economy, or remain localized in areas where the growth has been the greatest. A critical policy area in China has been the health system, and health inequality has become an issue that has led the government to broaden national health insurance programs. This study investigates whether health system resources and performance have converged over the past 30 years across China's 31 provinces. To examine geographic variation of health system resources and performance at the provincial level, we measure the degree of sigma convergence and beta convergence in indicators of health system resources (structure), health services utilization (process), and outcome. All data are from officially published sources: the China Health Statistics Year Book and the China Statistics Year Book. Sigma convergence is found for resource indicators, whereas it is not observed for either process or outcome indicators, indicating that disparities only narrowed in health system resources. Beta convergence is found in most indicators, except for 2 procedure indicators, reflecting that provinces with poorer resources were catching up. Convergence found in this study probably reflects the mixed outcome of government input, and market forces. Thus, left alone, the equitable distribution of health care resources may not occur naturally during a period of economic growth. Governmental and societal efforts are needed to reduce geographic health variation and promote health equity.

  16. "Remnants of feudalism"? Women's health and their utilization of health services in rural China.

    Science.gov (United States)

    Anson, O; Haanappel, F W

    1999-01-01

    Almost five decades ago, the Chinese Communist Party wished to abolish all "remnants of feudalism," including the patriarchal social order. Just one year after the revolution, the Marriage Law endorsed women's rights within the family, but no operative measures were taken to enforce it. Some of the economic reforms since independence even strengthened patrilocality and, possibly, patriarchal values. The purpose of this study was to explore the degree to which patrilocality served to maintain the traditional patriarchal stratification among women in the household by exploring women's health patterns and utilization of health services. Data were collected from 3859 women residing in rural Hebei, and variation in health and help seeking of six categories of relation to household head--mothers, wives, daughters, daughters-in-law, family heads, and other relatives--were explored. Utilization of health services is not dependent on women's position in the household, but primarily on per-capita income. Health patterns seem to indicate that mothers of the head of the household still have a considerable power to define their roles and share of household work. Women head of family, most of whom are married, appear to be under strain, which could be a result of their culturally "deviant" position. We conclude that old patriarchal values are intertwined with values of equality in current rural China.

  17. Air Pollution Exposure and Physical Activity in China: Current Knowledge, Public Health Implications, and Future Research Needs.

    Science.gov (United States)

    Lü, Jiaojiao; Liang, Leichao; Feng, Yi; Li, Rena; Liu, Yu

    2015-11-20

    Deteriorating air quality in China has created global public health concerns in regard to health and health-related behaviors. Although emerging environmental regulations address ambient air pollution in China, the level of enforcement and long-term impact of these measures remain unknown. Exposure to air pollution has been shown to lead to multiple adverse health outcomes, including increased rates of heart disease and mortality. However, a lesser-known but increasingly significant concern is the relationship between air pollution and its effects on outdoor exercise. This is especially important in China, which has a culturally rooted lifestyle that encourages participation in outdoor physical activity. This article evaluates the intersection of air pollution and outdoor exercise and provides a discussion of issues related to its public health impact in China, where efforts to promote a healthy lifestyle may be adversely affected by the ambient air pollution that has accompanied rapid economic development and urbanization.

  18. Air Pollution Exposure and Physical Activity in China: Current Knowledge, Public Health Implications, and Future Research Needs

    Directory of Open Access Journals (Sweden)

    Jiaojiao Lü

    2015-11-01

    Full Text Available Deteriorating air quality in China has created global public health concerns in regard to health and health-related behaviors. Although emerging environmental regulations address ambient air pollution in China, the level of enforcement and long-term impact of these measures remain unknown. Exposure to air pollution has been shown to lead to multiple adverse health outcomes, including increased rates of heart disease and mortality. However, a lesser-known but increasingly significant concern is the relationship between air pollution and its effects on outdoor exercise. This is especially important in China, which has a culturally rooted lifestyle that encourages participation in outdoor physical activity. This article evaluates the intersection of air pollution and outdoor exercise and provides a discussion of issues related to its public health impact in China, where efforts to promote a healthy lifestyle may be adversely affected by the ambient air pollution that has accompanied rapid economic development and urbanization.

  19. Medicaid Adult Health Care Quality Measures

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Affordable Care Act (Section 1139B) requires the Secretary of HHS to identify and publish a core set of health care quality measures for adult Medicaid...

  20. Impact of China's Urban Employee Basic Medical Insurance on Health Care Expenditure and Health Outcomes

    OpenAIRE

    Feng Huang; Li Gan

    2015-01-01

    At the end of 1998, China launched a government-run mandatory insurance program, the Urban Employee Basic Medical Insurance (UEBMI), to replace the previous medical insurance system. Using the UEBMI reform in China as a natural experiment, this study identify variations in patient cost sharing that were imposed by the UEBMI reform and examine their effects on the demand for health-care services. Using data from the 1991-2006 waves of the China Health and Nutrition Survey, we find that the inc...

  1. Promoting the menstrual health of adolescent girls in China.

    Science.gov (United States)

    Su, Jing Jing; Lindell, Deborah

    2016-12-01

    In China, nurses have limited presence in schools, thus, adolescent girls often lack accurate information about menstrual health, which may lead to incorrect and unhealthy menstrual-related behavior. This study investigated the effects of a culturally and developmentally tailored nursing intervention on the menstrual health of adolescent girls in China. Following institutional review board approval, adolescent girls aged 12-15 were recruited from two schools. A quasi-experimental, pretest-posttest design examined the effects of five interactive education sessions on menstrual health. The final sample included 116 adolescent girls. Significant improvement was observed in the intervention group regarding menstrual knowledge, confidence in performing menstrual healthcare behavior, and dysmenorrhea related self-care behavior. A nurse-managed education program improved adolescent girls' menstrual knowledge, promoted a more positive attitude, encouraged confidence, and improved pain relief practice. We recommend that professional nurses globally advocate for school nursing and routine menstrual health education for adolescent girls.

  2. Review of AIDS Health Education and Behavioral Interventions in China

    Institute of Scientific and Technical Information of China (English)

    CAI Yumao(蔡于茂); ZENG Xuchun(曾序春); DONG Shifu(董时富)

    2002-01-01

    Acquired Immune Deficiency Syndrome (AIDS) isan infectious disease caused by HIV. It has been epidemic formore than 20 years, but there is no cure of it. Health educationand behavioral interventions are some of the most effectiveapproaches in the control and prevention of AIDS. China isone of the countries with the fastest growing HIVseroprevalence rate, and is facing a widespread epidemic ofAIDS. Currently, high-risk populations such as individualswith multiple sexual partners and intravenous drug users arethe main foci of health education and behavioral interventionsin China. Encouraging results have been observed in manyforms of health education and behavioral intervention. Theapplication of health education and behavioral interventionsmust emerge from scientific evidence, follow a series ofstrategies, be carried out from various perspectives, andrequire the participation of all societal communities.

  3. The air quality and health impacts of domestic trans-boundary pollution in various regions of China.

    Science.gov (United States)

    Gu, Y; Yim, S H L

    2016-12-01

    Air pollution is one of the most pressing environmental problems in China. Literature has reported that outdoor air pollution leads to adverse health problems every year in China. Recent measurement studies found the important regional nature of particulates in China. Trans-boundary air pollution within China has yet to be fully understood. This study aimed to comprehensively understand the processes of domestic trans-boundary air pollution in China and to apportion the impacts of emissions in different regions on air quality and public health. We applied a state-of-the-art air quality model to simulate air quality in China and then adapted a form of integrated concentration-response function for China to estimate the resultant amount of premature mortality due to exposures to PM2.5. Our findings show that domestic trans-boundary impacts (TBI), on average, account for 27% of the total PM2.5 in China. We estimated that outdoor air pollution caused ~870,000 (95% CI: 130,000-1500,000) premature mortalities in China in 2010, of which on average 18% are attributed to TBI. Among all the regions, North China is the largest contributor to TBI due to 41% of the health impacts of its emissions occurring in other regions. Taiwan (TW) is the smallest contributor to TBI occurring in China, contributing 2% of the national TBI, while TBI causes 22% of the premature mortalities due to outdoor air pollution in TW. Our findings pinpoint the significant impacts of TBI on public health in China, indicating the need for cross-region cooperation to mitigate the air quality impacts and the nation's resultant health problems.

  4. Mobile technology for health care in rural China

    Directory of Open Access Journals (Sweden)

    Zhao Ni

    2014-09-01

    Full Text Available With the proliferation of mobile technologies in China, the Chinese mobile medical applications market is growing rapidly. This may be particularly useful for Chinese rural populations who have limited access to quality medical care where mobile technologies can reach across geographic and socioeconomic boundaries and potentially increase access to care and improve health outcomes.

  5. The Health Penalty of China's Rapid Urbanization

    NARCIS (Netherlands)

    E. Van de Poel (Ellen); O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy)

    2009-01-01

    textabstractRapid urbanization could have positive and negative health effects, such that the net impact on population health is not obvious. It is, however, highly pertinent to the human welfare consequences of development. This paper uses community and individual level longitudinal data from the C

  6. The Intergenerational Inequality of Health in China

    DEFF Research Database (Denmark)

    Eriksson, Tor; Pan, Jay; Qin, Xuezheng

    , supporting the “nature-nurture interaction” hypothesis. The Blinder-Oaxaca decomposition further indicates that 15% to 27% of the rural-urban inequality of child health is attributable to the endowed inequality from their parents’ health. An important policy implication of our study is that the increasing...

  7. Climate change, food, water and population health in China.

    Science.gov (United States)

    Tong, Shilu; Berry, Helen L; Ebi, Kristie; Bambrick, Hilary; Hu, Wenbiao; Green, Donna; Hanna, Elizabeth; Wang, Zhiqiang; Butler, Colin D

    2016-10-01

    Anthropogenic climate change appears to be increasing the frequency, duration and intensity of extreme weather events. Such events have already had substantial impacts on socioeconomic development and population health. Climate change's most profound impacts are likely to be on food, health systems and water. This paper explores how climate change will affect food, human health and water in China. Projections indicate that the overall effects of climate change, land conversion and reduced water availability could reduce Chinese food production substantially - although uncertainty is inevitable in such projections. Climate change will probably have substantial impacts on water resources - e.g. changes in rainfall patterns and increases in the frequencies of droughts and floods in some areas of China. Such impacts would undoubtedly threaten population health and well-being in many communities. In the short-term, population health in China is likely to be adversely affected by increases in air temperatures and pollution. In the medium to long term, however, the indirect impacts of climate change - e.g. changes in the availability of food, shelter and water, decreased mental health and well-being and changes in the distribution and seasonality of infectious diseases - are likely to grow in importance. The potentially catastrophic consequences of climate change can only be avoided if all countries work together towards a substantial reduction in the emission of so-called greenhouse gases and a substantial increase in the global population's resilience to the risks of climate variability and change.

  8. Understanding health constraints among rural-to-urban migrants in China.

    Science.gov (United States)

    Li, Yan

    2013-11-01

    The main purpose of this article is to examine the understanding and experience of health and health care among rural-to-urban migrants in China, and to explain the impact of the internal factors of migrants themselves and the external factors of their social environment. Understanding the perceptions and consciousness of health issues among migrants is crucial to prevention, intervention, and other health-related measures for the migrant population in China, but this has rarely been explored in studies. On the basis of a case study of a migrant community in Beijing, I explore the migrants' understandings of health and health care and analyze factors in the social environment, including exclusion from the social system and the possibility of health participation, exclusion from social relation networks, obstructed channels of health maintenance, and exclusion of crowd psychology, which impact heavily on their health understanding and health behavior. I argue that the internal and the external factors are linked together closely and interact as reciprocal causation. However, the migrants should not be seen as primarily responsible, because their poor understanding of health mainly results from the socioeconomic environment in which they live and work.

  9. Structure analysis and performance measurement of Chinese health delivery system

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective: Although evidence has already demonstrated that the performance of Health Delivery System (HDS) varies widely across nations, relatively little is known about the factors that give rise to these variations and the key point to improve the performance besides adjusting system structure. By setup of HDS performance measurement system on the base of association of financial, social, and environmental characteristics, we construct system dynamic model of HDS to simulate the invention policies. Methods:Performance measures were collected from HDS in 31 regions of China and combined with secondary data sources. Multivariate, linear, nonlinear regression and factor analysis models were used to estimate associations between system characteristics and the performance. Results: Performance varied significantly with the size, financial resources and organizational structure of HDS. Performance measurement system of health delivery system was developed to give the rank of all Chinese regions. Conclusion: Performance measurement system of HDS is the basic of HDS modeling by system dynamic.

  10. Mobile health in China: a review of research and programs in medical care, health education, and public health.

    Science.gov (United States)

    Corpman, David W

    2013-01-01

    There are nearly 1 billion mobile phone subscribers in China. Health care providers, telecommunications companies, technology firms, and Chinese governmental organizations use existing mobile technology and social networks to improve patient-provider communication, promote health education and awareness, add efficiency to administrative practices, and enhance public health campaigns. This review of mobile health in China summarizes existing clinical research and public health text messaging campaigns while highlighting potential future areas of research and program implementation. Databases and search engines served as the primary means of gathering relevant resources. Included material largely consists of scientific articles and official reports that met predefined inclusion criteria. This review includes 10 reports of controlled studies that assessed the use of mobile technology in health care settings and 17 official reports of public health awareness campaigns that used text messaging. All source material was published between 2006 and 2011. The controlled studies suggested that mobile technology interventions significantly improved an array of health care outcomes. However, additional efforts are needed to refine mobile health research and better understand the applicability of mobile technology in China's health care settings. A vast potential exists for the expansion of mobile health in China, especially as costs decrease and increasingly sophisticated technology becomes more widespread.

  11. mHealth For Aging China: Opportunities and Challenges.

    Science.gov (United States)

    Sun, Jing; Guo, Yutao; Wang, Xiaoning; Zeng, Qiang

    2016-01-01

    The aging population with chronic and age-related diseases has become a global issue and exerted heavy burdens on the healthcare system and society. Neurological diseases are the leading chronic diseases in the geriatric population, and stroke is the leading cause of death in China. However, the uneven distribution of caregivers and critical healthcare workforce shortages are major obstacles to improving disease outcome. With the advancement of wearable health devices, cloud computing, mobile technologies and Internet of Things, mobile health (mHealth) is rapidly developing and shows a promising future in the management of chronic diseases. Its advantages include its ability to improve the quality of care, reduce the costs of care, and improve treatment outcomes by transferring in-hospital treatment to patient-centered medical treatment at home. mHealth could also enhance the international cooperation of medical providers in different time zones and the sharing of high-quality medical service resources between developed and developing countries. In this review, we focus on trends in mHealth and its clinical applications for the prevention and treatment of diseases, especially aging-related neurological diseases, and on the opportunities and challenges of mHealth in China. Operating models of mHealth in disease management are proposed; these models may benefit those who work within the mHealth system in developing countries and developed countries.

  12. Energy efficiency in China: measurement and policy

    NARCIS (Netherlands)

    Jiang, Lei

    2015-01-01

    China loopt tegen twee belangrijke problemen aan in haar recente economische ontwikkeling, namelijk: energie schaarste en milieuvervuiling. De voornaamste oorzaak hiervan is de ongeëvenaarde energieconsumptie die nodig is voor het behoud van de economische groei, industrialisatie en urbanisatie. Ver

  13. National Public Health Surveillance in China:Implications for Public Health in China and the United States

    Institute of Scientific and Technical Information of China (English)

    YANGGONG-HUAN; DONNAF·STROUP

    1997-01-01

    Study Objective:Throughout the world,political developments have brought new demands to communities to prevent and intervene in the incidence of infectious and noninfectious conditions.Historically,these developments have required new and more effective public health surveillance ac-tivities.This report describes public health surveillance practice in the People's Republic of China,making comparisons with selected aspects of surveillance in the United States with respect to collec-tion,analysis,dissemination,and use of data.Main results:In both the People's Republc of China and the United States.political change has affected health,and multiple surveillance system are used in public health practice.Surveillance of acute infectious diseases based on the reporting of legally notifiable diseases and the use of vital records for surveillance have the longest established history in both countries.In both countries,da-ta from the surveillance systems have been used to affect public health policy.Conclusions:in comparing surveillance practices in these countries,we find similarities in con-ditions reported and in the dissemination of the data.At the same time,legal,social,cultural,and economic differences between the nations have affected the practice of surveillance in analysis and evaluation.We make explicit recommendations for improement and evaluation of systems in both countries,including sentinel surveillance system and data quality measures in China and computer networking and data analysis in the United States.

  14. Local measurement for structural health monitoring

    Institute of Scientific and Technical Information of China (English)

    G.Z.Qi; Guo Xun; Qi Xiaozhai; W. Dong; P.Chang

    2005-01-01

    Localized nature of damage in structures requires local measurements for structural health monitoring. The local measurement means to measure the local, usually higher modes of the vibration in a structure. Three fundamental issues about the local measurement for structural health monitoring including (1) the necessity of making local measurement, (2) the difficulty of making local measurement and (3) how to make local measurement are addressed in this paper. The results from both the analysis and the tests show that the local measurement can successfully monitor the structural health status as long as the local modes are excited. Unfortunately, the results also illustrate that it is difficult to excite local modes in a structure.Therefore, in order to carry structural health monitoring into effect, we must (1) ensure that the local modes are excited, and (2) deploy enough sensors in a structure so that the local modes can be monitored.

  15. Measuring health-related quality of life in children with cancer living in mainland China: feasibility, reliability and validity of the Chinese mandarin version of PedsQL 4.0 Generic Core Scales and 3.0 Cancer Module

    Directory of Open Access Journals (Sweden)

    Ji Yi

    2011-11-01

    Full Text Available Abstract Background The Pediatric Quality of Life Inventory (PedsQL is widely used instrument to measure pediatric health-related quality of life (HRQOL for children aged 2 to 18 years. The purpose of the current study was to investigate the feasibility, reliability and validity of the Chinese mandarin version of the PedsQL 4.0 Generic Core Scales and 3.0 Cancer Module in a group of Chinese children with cancer. Methods The PedsQL 4.0 Genetic Core Scales and the PedsQL 3.0 Cancer Module were administered to children with cancer (aged 5-18 years and parents of such children (aged 2-18 years. For comparison, a survey on a demographically group-matched sample of the general population with children (aged 5-18 and parents of children (aged 2-18 years was conducted with the PedsQL 4.0 Genetic Core Scales. Result The minimal mean percentage of missing item responses (except the School Functioning scale supported the feasibility of the PedsQL 4.0 Generic Core Scales and 3.0 Cancer Module for Chinese children with cancer. Most of the scales showed satisfactory reliability with Cronbach's α of exceeding 0.70, and all scales demonstrated sufficient test-retest reliability. Assessing the clinical validity of the questionnaires, statistically significant difference was found between healthy children and children with cancer, and between children on-treatment versus off-treatment ≥12 months. Positive significant correlations were observed between the scores of the PedsQL 4.0 Generic Core Scale and the PedsQL 3.0 Cancer Module. Exploratory factor analysis demonstrated sufficient factorial validity. Moderate to good agreement was found between child self- and parent proxy-reports. Conclusion The findings support the feasibility, reliability and validity of the Chinese Mandarin version of PedsQL 4.0 Generic Core Scales and 3.0 Cancer Module in children with cancer living in mainland China.

  16. E-health-oriented community health information system in china: our challenges, solution, and experience.

    Science.gov (United States)

    Zhao, Junping; Zhang, Zhenjiang; Guo, Huayuang; Li, Yi; Xue, Wanguo; Ren, Lianzhong; Chen, Yunqi; Chen, Shifu; Liu, Tongze; Jia, Ru; Zhao, Yi; Chai, Chang

    2011-09-01

    China has been implementing regional collaborative medical service (also known as e-health) for >5 years, but is still facing the challenges of bridging different community health information systems (CHISs). The fact that different communities have different systems makes it difficult to share information and data between different CHISs. To explore a solution for addressing this problem, we constructed a demonstration CHIS in Beijing's Dongcheng District. This system is based on the Software-as-a-Service model, in which a central data center is used to store users' health records and to provide different services. This system provides a comprehensive platform combining disease prevention, health protection, medical care, rehabilitation, health education, and family planning. In this article, we first show the challenge of implementing e-health-oriented CHIS in China, then we briefly introduce our solution, and finally we share our experience learned from the modern CHIS implementation practice.

  17. Scientific substantiation of functional food health claims in China.

    Science.gov (United States)

    Yang, Yuexin

    2008-06-01

    This article provides an overview of the procedures involved in scientific substantiation of functional food health claims in China. The definition of a functional food is discussed, in addition to the factors that led to its modification in 2005. The framework of administration includes the regulation of functional foods, steps involved in submission of dossiers, the safety control system for raw materials and products, and technical procedures for testing and evaluation. Scientific evidence required for a claim includes evidence from product tests in addition to evidence resulting from complete scientific literature searches relative to the food material or component in question. Currently, the 4 main rules for functional food assessment in China include 1) functional assessment procedures; 2) standard toxicological assessment; 3) regulations on nutrient supplements; and 4) standard analytical methods for functional components. The current situation for functional foods in China is analyzed, including a discussion of the distribution of the 27 currently allowed functional food health claims. The effectiveness of functional foods and health claims for improving health relies largely on the motivation and education of the public to be able to make good choices.

  18. A Mental Health Survey of Different Ethnic and Occupational Groups in Xinjiang, China

    Science.gov (United States)

    Fu, Ailing; Liu, Bo; Jiang, Yu; Zhao, Junling; Zhang, Guanghui; Liu, Jiwen

    2017-01-01

    Poor mental health has become a serious social and public health-care burden. This cross-sectional study used multistage stratified cluster random sampling to gather mental health information from 11,891 adults (18–60 years) employed in various occupations categorized according to the Chinese Standard Occupational Classification. Mental health was measured by the General Health Questionnaire, and participants exceeding the cut-off score were defined as having poor mental health. The overall prevalence of poor mental health was 23.8%. The prevalence of poor mental health was significantly higher in the Han ethnic group than Kazak ethnic group and in health-care workers, teachers, and civil servants compared to manual workers. Females (odds ratios (OR) = 1.139, 95% confidence intervals (CI): 1.012–3.198) and knowledge workers (1.697, 1.097–2.962) were risk factors for poor mental health, while Kazak ethnicity (0.465, 0.466–0.937), other minority status (non-Han) (0.806, 0.205–0.987), and working ≥15 years in the same occupation (0.832, 0.532–0.932) were protective (p mental health in Xinjiang, China, is higher in the Kazak ethnic group than the Han ethnic group. The prevalence of poor mental health is higher among knowledge workers than in manual workers due to high incidences of poor mental health in civil servants, health-care workers, and teachers.

  19. Improving health services for African migrants in China: A health diplomacy perspective.

    Science.gov (United States)

    McLaughlin, Megan M; Lee, Margaret C; Hall, Brian J; Bulterys, Marc; Ling, Li; Tucker, Joseph D

    2014-01-01

    Global health has become an increasingly prominent component of foreign policy in the last decade. The term health diplomacy has been used to describe this growing interface between foreign policy and global health, and it encompasses both the concept of using health to further foreign policy objectives as well as the idea that diplomatic tools can be helpful for attaining public health goals. The Chinese presence in Africa has grown in the last 15 years, generating increased interest in Sino-African relations. While much has been written in recent years about the Chinese presence in Africa, the growing numbers of Africans in China have attracted considerably less attention. Many are small-scale traders and might be expected to face many of the health challenges common among foreign migrants, but their health needs have been largely unrecognised. In this paper, we consider how a health diplomacy approach could be applied to African migrants in China, and the potential advantages and limitations of this strategy. We identify areas of overlap between public health, trade and foreign policy goals that can be emphasised to generate support for improved services for African migrants in China and to engage partners from a diversity of sectors.

  20. Challenges of health measurement in studies of health disparities.

    Science.gov (United States)

    Burgard, Sarah A; Chen, Patricia V

    2014-04-01

    Health disparities are increasingly studied in and across a growing array of societies. While novel contexts and comparisons are a promising development, this commentary highlights four challenges to finding appropriate and adequate health measures when making comparisons across groups within a society or across distinctive societies. These challenges affect the accuracy with which we characterize the degree of inequality, limiting possibilities for effectively targeting resources to improve health and reduce disparities. First, comparisons may be challenged by different distributions of disease and second, by variation in the availability and quality of vital events and census data often used to measure health. Third, the comparability of self-reported information about specific health conditions may vary across social groups or societies because of diagnosis bias or diagnosis avoidance. Fourth, self-reported overall health measures or measures of specific symptoms may not be comparable across groups if they use different reference groups or interpret questions or concepts differently. We explain specific issues that make up each type of challenge and show how they may lead to underestimates or inflation of estimated health disparities. We also discuss approaches that have been used to address them in prior research, note where further innovation is needed to solve lingering problems, and make recommendations for improving future research. Many of our examples are drawn from South Africa or the United States, societies characterized by substantial socioeconomic inequality across ethnic groups and wide disparities in many health outcomes, but the issues explored throughout apply to a wide variety of contexts and inquiries.

  1. Community Health Service in Urban China: Rebuilding Health Care Systems in New Ways

    Institute of Scientific and Technical Information of China (English)

    赵志广; 卢祖洵

    2004-01-01

    IN THE 1970s, the World Health Organization(WHO) put forward a community-oriented healthservice model based on the experience of Europeancountries such as Britain. At present, this model hasbeen adopted as the key strategy to make health ser-vices accessible, affordable and socially acceptableand is an important component of health servicesystem in many countries.1,2In the early 1950s, China set out to establish athree-level primary health care network in urban andrural areas in order to provide health care...

  2. mHealth For Aging China: Opportunities and Challenges

    OpenAIRE

    Sun, Jing; Guo, Yutao; Wang, Xiaoning; Zeng, Qiang

    2016-01-01

    The aging population with chronic and age-related diseases has become a global issue and exerted heavy burdens on the healthcare system and society. Neurological diseases are the leading chronic diseases in the geriatric population, and stroke is the leading cause of death in China. However, the uneven distribution of caregivers and critical healthcare workforce shortages are major obstacles to improving disease outcome. With the advancement of wearable health devices, cloud computing, mobile...

  3. Pedogeochemical Environments and People‘s Health in China

    Institute of Scientific and Technical Information of China (English)

    GONGZI-TONG; LUOGUO-BAO

    1992-01-01

    It has long been recognized that pedogeochemistry is closely related with human health.Based on analytical data,the weathering or soil forming processes fall into four stages and China is divided inton four geochemical regions:saline soil region,carbonate soil region,siallitic soil region and ferrallitic soil region.Moreover,some endemic diseases in relation to the deficit or excess of some elements are discussed in the viewpoint of pedogeochemistry.

  4. Air pollution threatens the health of children in China

    Energy Technology Data Exchange (ETDEWEB)

    Millman, A.; Tang, D.L.; Perera, F.P. [Columbia University, New York, NY (United States)

    2008-09-15

    China's rapid economic development has come at the cost of severe environmental degradation, most notably from coal combustion. Outdoor air pollution is associated with >300 000 deaths, 20 million cases of respiratory illness, and a health cost of >500 billion renminbi (>3% of gross domestic product) annually. The young are particularly susceptible to air pollution, yet there has been only limited recognition of its effects on children's health and development. To fill this gap, we reviewed relevant published environmental studies, biomedical and molecular/epidemiologic research, and economic and policy analyses. China relies on coal for about 70% to 75% of its energy needs, consuming 1.9 billion tons of coal each year. In addition to CO{sub 2}, the major greenhouse gas, coal burning in China emits vast quantities of particulate matter, polycyclic aromatic hydrocarbons, sulfur dioxide, arsenic, and mercury. Seventy percent of Chinese households burn coal or biomass for cooking and heating, which contaminates indoor air. Adverse effects of combustion-related air pollution include reduced fetal and child growth, pulmonary disease including asthma, developmental impairment, and increased risk of cancer. A prospective molecular epidemiologic study of newborns in Chongqing has demonstrated direct benefits to children's health and development from the elimination of a coal-burning plant. Recognition of the full health and economic cost of air pollution to Chinese children and the benefits of pollution reduction should spur increased use of renewable energy, energy efficiency, and clean-fuel vehicles. This is a necessary investment for China's future.

  5. The impact of parental migration on health status and health behaviours among left behind adolescent school children in China

    Directory of Open Access Journals (Sweden)

    Congdon Nathan

    2010-02-01

    Full Text Available Abstract Background One out of ten of China's population are migrants, moving from rural to urban areas. Many leave their families behind resulting in millions of school children living in their rural home towns without one or both their parents. Little is known about the health status of these left behind children (LBC. This study compares the health status and health-related behaviours of left behind adolescent school children and their counterparts in a rural area in Southern China. Methods A cross-sectional study was conducted among middle school students in Fuyang Township, Guangdong, China (2007-2008. Information about health behaviours, parental migration and demographic characteristics was collected using a self-administered questionnaire. Overweight/obesity and stunting were defined based on measurements of height and weight. Univariate and multivariate analyses were used to estimate the differences in health outcomes between LBC and non-LBC. Results 18.1% of the schoolchildren had one or both parents working away from home. Multivariate analysis showed that male LBC were at higher risk of skipping breakfast, higher levels of physical inactivity, internet addiction, having ever smoked tobacco, suicide ideation, and being overweight. LBC girls were more likely to drink excessive amounts of sweetened beverage, to watch more TV, to have ever smoked or currently smoke tobacco, to have ever drunk alcohol and to binge drinking. They were also more likely to be unhappy, to think of planning suicide and consider leaving home. Conclusions Our findings suggest that parental migration is a risk factor for unhealthy behaviours amongst adolescent school children in rural China. Further research is required in addition to the consideration of the implications for policies and programmes to protect LBC.

  6. Association between Social Integration and Health among Internal Migrants in ZhongShan, China.

    Directory of Open Access Journals (Sweden)

    Yanwei Lin

    Full Text Available Internal migrants are the individuals who migrate between regions in one country. The number of internal migrants were estimated at 245 million in China in 2013. Results were inconsistent in the literature about the relationship between their health statuses and social integration. The main difference exists on how to measure the social integration and whether health statuses of internal migrants improve with years of residence. To complement the existing literature, this study measured social integration more comprehensively and estimated the internal migrants' health statuses with varying years of residence, and explored the associations between the migrants' social integration and health. We used the data from 2014 Internal Migrant Dynamic Monitoring Survey of Health and Family Planning in ZhongShan, China. Health status was measured from four aspects: self-reported health, subjective well-being, perception of stress, mental health. We measured social integration through four dimensions: economy, social communication, acculturation, and self-identity. The analyses used multiple linear regressions to examine the associations between self-reported health, subjective well-being, and perception of stress, mental health and social integration. The analytical sample included 1,999 households of the internal migrants and 1,997 local registered households, who were permanent residents in ZhongShan. Among the internal migrants, Adults in the labor force, who were aged 25 to 44 years old, accounted for 91.2% of the internal migrant population, while 74.6% of the registered population were in that age group. Median residential time among migrants was 2.8 (1.3-6.2 years, and 20.2% of them were migrating in the same Guangdong province. Except for mental health, other health statuses among migrants had significant differences compared with local registered population, e.g. self-reported health was better, but subjective well-being was worse. However, these

  7. Measurement of costs for health economic evaluation.

    Science.gov (United States)

    Riewpaiboon, Arthorn

    2014-05-01

    The provision of guidelines on cost measurement for health economic evaluations enable research to be more standardized and hence more comparable, which offers clear benefits for policy formulation and health management. The guidelines herein focus on three aspects-the cost of health intervention/health care programs, the cost of illness/health risks, and use of costs in health economic evaluation. For each aspect, the main concepts and methods are outlined, and recommendations for the Thai context are presented. There is particular focus on how to calculate various costs according to different evaluation methods and perspectives, how to evaluate source of cost data, how to make value adjustments and how to present cost measurement findings.

  8. A Study of the Perception of Health Risks among College Students in China

    OpenAIRE

    Chenggang Zhang; Jingbo Fan

    2013-01-01

    The present survey was designed to investigate the perception of health risks among college students in China. The data are the responses of a sample of 3,069 college students at one university to surveys that include measures of several dimensions of public judgments about fifteen specific hazards. Chinese college students conveyed their concerns as falling into three broad categories: Environmental (e.g., global warming, natural catastrophes, the ozone hole, air pollution, chemical pollutio...

  9. On the measurement of inequalities in health

    NARCIS (Netherlands)

    A. Wagstaff (Adam); P. Paci (Paci); E.K.A. van Doorslaer (Eddy)

    1991-01-01

    textabstractThis paper offers a critical appraisal of the various methods employed to date to measure inequalities in health. It suggests that only two of these—the slope index of inequality and the concentration index—are likely to present an accurate picture of socioeconomic inequalities in health

  10. Effect of Air Pollution and Rural-Urban Difference on Mental Health of the Elderly in China

    Directory of Open Access Journals (Sweden)

    Tao TIAN

    2015-10-01

    Full Text Available Background: China has become an aging society, and the mental health problem of the elderly is increasingly becom-ing prominent. This paper aimed to analyze the effect of air pollution and rural-urban difference on mental health of the elderly in China.Methods: Using the data from the China Health and Retirement Longitudinal Survey (CHARLS, 2013, after control-ling the social demography variable via Tobit and Probit, a regression analysis of the effect of air pollution and rural-urban difference on mental health and psychological disorder was conducted on 6,630 old people (≧60 yr old of Chi-na from February to April 2015. Mental health and psychological disorder of the elderly were measured by the CES-D score of respondents. Air pollution degree of counties and cities (n=123 were measured by SO2 emission.Results: 27.8% of old people had psychological disorders. Air pollution significantly influenced the mental health of the elderly, showing a positive “U-shaped” curve (P<0.001. In China, the urban elderly had better psychological sta-tus than the rural elderly had. The female elderly had more serious mental health problems. Marriage, education, and social activities had positive effects on the mental health of the elderly.Conclusion: China’s local governments should consider the influence of air pollution on the mental health of the elderly during economic development. This paper recommends paying attention to the difference in mental health between the urban and rural elderly when making public health policies. Governments could improve the mental health of the elderly by enriching social activities and increasing employment opportunities of the elderly.

  11. A discussion of occupational health and safety management for the catering industry in China.

    Science.gov (United States)

    Qiang, Chen; Chow, Wan Ki

    2007-01-01

    The catering industry is developing rapidly in China. Statistics in 2002 indicated that there were over 3.5 million dining places in China, hiring over 18 million people. However, the accident rate was high. Occupational health and safety (OHS) has to be watched more carefully. It is proposed to develop an OHS management system for the catering industry and to integrate it with an ongoing management system by referring to OHSAS 18001:1999. The first step is risk identification and evaluating the major factors concerned by referring to the codes in China, the list of occupational diseases, operation rules, requirements of the law, and records of past incidents. The technological aspect has to be considered in working out the safety strategies. This includes technical measures in accident prevention at the workplace. The kitchen is the main area to be focused on. Methods for hazard identification and risk assessment of dangerous factors in kitchens are proposed in this paper.

  12. Measuring health care efficiency with a tripartite configuration under the "National" Health Insurance system

    Institute of Scientific and Technical Information of China (English)

    Victor B.Kreng; Yang Shao-wei; Lin Chien-Hsu

    2014-01-01

    Background The "National" Health Insurance (NHI) in Taiwan,China is a single-payer system that was introduced in 1995 to provide universal health care.It is worth noting that three stakeholders are involved in Taiwan's NHI,which can be seen as a triangular governance regime between the Bureau of "National" Health Insurance (BNHI),the insured and providers.Accordingly,this study intended to assess the efficiency of various different production processes that occur among these stakeholders in Taiwan's NHI system.Methods A two-stage relational Data Envelopment Analysis (DEA) model is adopted to investigate the sub-process efficiencies of the health care resources held by 23 cities and counties through stages Ⅰ or Ⅱ,where the outputs of the first stage serve the inputs of the second.The dataset was collected from the annual reports published by the Department of Health,Taiwan,China.Results Under the proposed framework,the efficiency of the whole process can be obtained from the product of productivity and allocative efficiency.Ten DMUs are efficient either in stages Ⅰ or Ⅱ,with only two DMUs being efficient with regard to both sub-processes.Conclusion The relational DEA model not only demonstrates the physical relationship between the whole process and the sub-process components,but also produces reliable outcomes in efficiency measurement among different stakeholders in Taiwan's NHI system.

  13. Preventive health measures in inflammatory bowel disease

    Science.gov (United States)

    Abegunde, Ayokunle T; Muhammad, Bashir H; Ali, Tauseef

    2016-01-01

    We aim to review the literature and provide guidance on preventive health measures in inflammatory bowel disease (IBD). Structured searches were performed in PubMed, MEDLINE, EMBASE, Web of Science and Cochrane Library from January 1976 to June 2016 using the following keywords: (inflammatory bowel disease OR Crohn’s disease OR ulcerative colitis) AND (health maintenance OR preventive health OR health promotion). Abstracts of the articles selected from each of these multiple searches were reviewed, and those meeting the inclusion criteria (that is, providing data regarding preventive health or health maintenance in IBD patients) were recorded. Reference lists from the selected articles were manually reviewed to identify further relevant studies. Patients with IBD are at increased risk of developing adverse events related to the disease course, therapeutic interventions, or non-adherence to medication. Recent studies have suggested that IBD patients do not receive preventive services with the same thoroughness as patients with other chronic diseases. Preventive health measures can avert morbidity and improve the quality of life of patients with IBD. Gastroenterologists and primary care physicians (PCPs) should have an up to date working knowledge of preventive health measures for IBD patients. A holistic approach and better communication between gastroenterologists and PCPs with explicit clarification of roles will prevent duplication of services and streamline care. PMID:27678347

  14. A Critique of Health System Performance Measurement.

    Science.gov (United States)

    Lynch, Thomas

    2015-01-01

    Health system performance measurement is a ubiquitous phenomenon. Many authors have identified multiple methodological and substantive problems with performance measurement practices. Despite the validity of these criticisms and their cross-national character, the practice of health system performance measurement persists. Theodore Marmor suggests that performance measurement invokes an "incantatory response" wrapped within "linguistic muddle." In this article, I expand upon Marmor's insights using Pierre Bourdieu's theoretical framework to suggest that, far from an aberration, the "linguistic muddle" identified by Marmor is an indicator of a broad struggle about the representation and classification of public health services as a public good. I present a case study of performance measurement from Alberta, Canada, examining how this representational struggle occurs and what the stakes are.

  15. [Health education for major parasitic diseases in rural community of China: current status and future development].

    Science.gov (United States)

    Zhang, Jing; Lin, Dan-dan

    2013-08-01

    Owing to human parasitic diseases being related to behavior, the health education as an important measure to prevent parasite infections through human behavior intervention, has played an important role in the process of parasitic disease prevention and control in rural area of China. This paper comments on the development history of the health education for parasitic disease prevention and control, current intervention modes and the effect of the health education for parasitic diseases in rural area. This paper also summarizes the role and impact of different modes of the health education for parasitic disease prevention and control and gives some suggestions to future development of the health education in rural area under current prevalent situation of parasitic diseases.

  16. Assessment of human health impact from exposure to multiple air pollutants in China based on satellite observations

    Science.gov (United States)

    Yu, Tao; Wang, Wen; Ciren, Pubu; Zhu, Yan

    2016-10-01

    Assessment of human health impact caused by air pollution is crucial for evaluating environmental hazards. In this paper, concentrations of six air pollutants (PM10, PM2.5, NO2, SO2, O3, and CO) were first derived from satellite observations, and then the overall human health risks in China caused by multiple air pollutants were assessed using an aggregated health risks index. Unlike traditional approach for human health risks assessment, which relied on the in-situ air pollution measurements, the spatial distribution of aggregated human health risks in China were obtained using satellite observations in this research. It was indicated that the remote sensing data have advantages over in-situ data in accessing human health impact caused by air pollution.

  17. Measuring Physical Neighborhood Quality Related to Health

    Directory of Open Access Journals (Sweden)

    Kimberly A. Rollings

    2015-04-01

    Full Text Available Although sociodemographic factors are one aspect of understanding the effects of neighborhood environments on health, equating neighborhood quality with socioeconomic status ignores the important role of physical neighborhood attributes. Prior work on neighborhood environments and health has relied primarily on level of socioeconomic disadvantage as the indicator of neighborhood quality without attention to physical neighborhood quality. A small but increasing number of studies have assessed neighborhood physical characteristics. Findings generally indicate that there is an association between living in deprived neighborhoods and poor health outcomes, but rigorous evidence linking specific physical neighborhood attributes to particular health outcomes is lacking. This paper discusses the methodological challenges and limitations of measuring physical neighborhood environments relevant to health and concludes with proposed directions for future work.

  18. Measuring Physical Neighborhood Quality Related to Health

    Science.gov (United States)

    Rollings, Kimberly A.; Wells, Nancy M.; Evans, Gary W.

    2015-01-01

    Although sociodemographic factors are one aspect of understanding the effects of neighborhood environments on health, equating neighborhood quality with socioeconomic status ignores the important role of physical neighborhood attributes. Prior work on neighborhood environments and health has relied primarily on level of socioeconomic disadvantage as the indicator of neighborhood quality without attention to physical neighborhood quality. A small but increasing number of studies have assessed neighborhood physical characteristics. Findings generally indicate that there is an association between living in deprived neighborhoods and poor health outcomes, but rigorous evidence linking specific physical neighborhood attributes to particular health outcomes is lacking. This paper discusses the methodological challenges and limitations of measuring physical neighborhood environments relevant to health and concludes with proposed directions for future work. PMID:25938692

  19. Measuring Progress towards Universal Health Coverage

    OpenAIRE

    2015-01-01

    The last few years have seen a growing commitment worldwide to universal health coverage (UHC). Yet there is a lack of clarity on how to measure progress towards UHC. This paper proposes a ‘mashup’ index that captures both aspects of UHC: that everyone—irrespective of their ability-to-pay—gets the health services they need; and that nobody suffers undue financial hardship as a result of re...

  20. Obesitas bij kinderen in China: prevalentie, determinanten en gezondheid = Childhood obesity in China: prevalence, determinants and health

    NARCIS (Netherlands)

    Li Yanping,

    2007-01-01

    Over the past two decades, China has been undergoing rapid socio-economic and nutrition transitions. Along with these transitions, childhood obesity and its related metabolic and psychological abnormalities are becoming serious public health problems in China. However, no national figures on the occ

  1. Resources of Kaolinite Rocks in China Coal Measures

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    The proved reserve of kaolinite rocks in China coal measures is about 1. 673 billion tons. The types of kaolinite rocks contain tonstein, flintclay and soft kaolin. Their origin modes include alteration of volcanic ash, terrigenous clay deposit and weathering of coal and adjacent rocks. The organic matter and organic acid play an important role in the formation of kaolinite rocks of coal measures. The difference in properties between kaolinite rock and traditional kaolin requires different processing technologies.

  2. On the Eve of China s Accession to WTO New Measures Adopted to Encourage Foreign Investment in China

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The terrorist attacks in the United States last month have not slowed down the process of China′saccession to WTO.It is expected that China will eventually join WTO this November.Currently China isworking intensively to revise its economic and foreign trade laws and regulations in conformity with the WTOrules.According to sources from the Ministry of Foreign Trade and Economic Cooperation(MOFTEC),China is to adopt the following measures to further encourage foreign investment in China.

  3. Evaluation of ecosystem health for regional development in the southwestern Beijing, China

    Institute of Scientific and Technical Information of China (English)

    Xuehua LIU; Shuang ZHANG; Haoyang XU; Xiaoming SHAO

    2008-01-01

    Ecosystem health assessment is one of the most important issues in regional ecological quality and safety studies. It also has a great significance to ecological conser-vation and regional development. This study focused on assessing the health status of forest, agriculture and urban ecosystems in the southwestern Beijing, China, including the Fangshan and Fengtai Districts. Based on field surveys and data collection, an assessment index system containing the vigor, organization and resilience factors was developed to measure the ecosystem health. Each index was scored from 1 to 5, representing five levels that contribute to the whole ecosystem health. The analytic hierarchy process (AHP) method was used to measure the weights of each index and three factors, and thus an overall score for a certain ecosystem was calculated. The results show that the forest ecosystem in the Fangshan District had higher health value than the Fengtai District, while the urban eco-system had a slightly lower value in the Fangshan District than the Fengtai District. Both districts show lower resili-ence values in forest and urban ecosystems. Maintaining the ecosystem health will definitely benefit the long-term development of two districts. This study suggested that an approach for assessing the regional ecosystem health could be further developed to address spatial and synergy rela-tionships between ecosystems and the three health factors.

  4. Health impacts of domestic coal use in China

    Science.gov (United States)

    Finkelman, R.B.; Belkin, H.E.; Zheng, B.

    1999-01-01

    Domestic coal combustion has had profound adverse effects on the health of millions of people worldwide. In China alone several hundred million people commonly burn raw coal in unvented stoves that permeate their homes with high levels of toxic metals and organic compounds. At least 3,000 people in Guizhou Province in southwest China are suffering from severe arsenic poisoning. The primary source of the arsenic appears to be consumption of chili peppers dried over fires fueled with high-arsenic coal. Coal samples in the region were found to contain up to 35,000 ppm arsenic. Chili peppers dried over high-arsenic coal fires adsorb 500 ppm arsenic on average. More than 10 million people in Guizhou Province and surrounding areas suffer from dental and skeletal fluorosis. The excess fluorine is caused by eating corn dried over burning briquettes made from high-fluorine coals and high-fluorine clay binders. Polycyclic aromatic hydrocarbons formed during coal combustion are believed to cause or contribute to the high incidence of esophageal and lung cancers in parts of China. Domestic coal combustion also has caused selenium poisoning and possibly mercury poisoning. Better knowledge of coal quality parameters may help to reduce some of these health problems. For example, information on concentrations and distributions of potentially toxic elements in coal may help delineate areas of a coal deposit to be avoided. Information on the modes of occurrence of these elements and the textural relations of the minerals and macerals in coal may help predict the behavior of the potentially toxic components during coal combustion.

  5. Health impacts of domestic coal use in China.

    Science.gov (United States)

    Finkelman, R B; Belkin, H E; Zheng, B

    1999-03-30

    Domestic coal combustion has had profound adverse effects on the health of millions of people worldwide. In China alone several hundred million people commonly burn raw coal in unvented stoves that permeate their homes with high levels of toxic metals and organic compounds. At least 3,000 people in Guizhou Province in southwest China are suffering from severe arsenic poisoning. The primary source of the arsenic appears to be consumption of chili peppers dried over fires fueled with high-arsenic coal. Coal samples in the region were found to contain up to 35,000 ppm arsenic. Chili peppers dried over high-arsenic coal fires adsorb 500 ppm arsenic on average. More than 10 million people in Guizhou Province and surrounding areas suffer from dental and skeletal fluorosis. The excess fluorine is caused by eating corn dried over burning briquettes made from high-fluorine coals and high-fluorine clay binders. Polycyclic aromatic hydrocarbons formed during coal combustion are believed to cause or contribute to the high incidence of esophageal and lung cancers in parts of China. Domestic coal combustion also has caused selenium poisoning and possibly mercury poisoning. Better knowledge of coal quality parameters may help to reduce some of these health problems. For example, information on concentrations and distributions of potentially toxic elements in coal may help delineate areas of a coal deposit to be avoided. Information on the modes of occurrence of these elements and the textural relations of the minerals and macerals in coal may help predict the behavior of the potentially toxic components during coal combustion.

  6. Socioeconomic Distribution of Health and Health Care Utilization in a New Town in Hong Kong, China

    Institute of Scientific and Technical Information of China (English)

    TAK SUN IGNATIUS YU; TZE WAI WONG

    2004-01-01

    Objectives To assess the association of socioeconomic indicators with various chronic and acute illnesses and the utilization of public health care in a new town in Hong Kong, China. Methods Illness experience and socioeconomic and demographic data of 7570 residents from 2022 randomly selected households were collected through telephone interviews. The relationships between socioeconomic indicators and illnesses/choice of health care were explored using stepwise logistic regressions after adjusting for sex and age. Results Significant positive associations were noted between low household income and diabetes mellitus, any chronic illnesses among adults and flu among younger subjects; low educational level and accident-related illness among adults; being born in Chinese mainland and flu, any acute illness in adults. For the utilization of public health care, low household income was the most consistent risk factor. Conclusion This study did not demonstrate a unidirectional socioeconomic gradient in health but supported the hypothesis that socioeconomic deprivation was associated with the utilization of public health care.

  7. Rural health care in Vietnam and China: conflict between market reforms and social need.

    Science.gov (United States)

    Huong, Dang Boi; Phuong, Nguyen Khanh; Bales, Sarah; Jiaying, Chen; Lucas, Henry; Segall, Malcolm

    2007-01-01

    China and Vietnam have adopted market reforms in the health sector in the context of market economic reforms. Vietnam has developed a large private health sector, while in China commercialization has occurred mainly in the formal public sector, where user fees are now the main source of facility finance. As a result, the integrity of China's planned health service has been disrupted, especially in poor rural areas. In Vietnam the government has been an important financer of public health facilities and the pre-reform health service is largely intact, although user fees finance an increasing share of facility expenditure. Over-servicing of patients to generate revenue occurs in both countries, but more seriously in China. In both countries government health expenditure has declined as a share of total health expenditure and total government expenditure, while out-of-pocket health spending has become the main form of health finance. This has particularly affected the rural poor, deterring them from accessing health care. Assistance for the poor to meet public-sector user fees is more beneficial and widespread in Vietnam than China. China is now criticizing the degree of commercialization of its health system and considers its health reforms "basically unsuccessful." Market reforms that stimulate growth in the economy are not appropriate to reform of social sectors such as health.

  8. Preschool Children’s Mental Health in China:Status, Measurement and Factors%我国幼儿心理健康状况及其测量和影响因素

    Institute of Scientific and Technical Information of China (English)

    赖运成; 陈丽; 叶一舵

    2015-01-01

    This article reviewed the recent fifteen years’ articles of empirical research on preschool children’s mental health, highlighting the issue concerning minors’ mental health. It found that psychological measurement tools were mainly revised from foreign countries, and that preschool children’s mental health were influenced by their coping styles, family upbringing modes, parents’ mental health and marital quality, parent-child relationships, teachers’ mental health, etc. And there was no enough evidence that factors such as age, gender, temperament, family socio-economic status, etc. had any effects on the mental health of preschool children. It, therefore, suggested that further research were needed in the aspects of measurement tools, physical environment and other social, cultural and physiological factors, influential mechanisms and multiple research methods.%对近十五年来我国幼儿心理健康实证研究文献的分析发现,幼儿的心理健康问题不容忽视;幼儿心理健康方面的测评工具主要修订自国外;幼儿心理健康受幼儿应对方式、家庭教养方式、父母心理健康、父母婚姻质量、亲子关系、教师心理健康等因素的影响,是否受年龄、性别、气质、家庭社会经济地位等因素的影响有待进一步研究。未来对幼儿心理健康及其影响因素的研究,应重视测量工具研发,重视物理环境、其它社会文化因素和生理因素研究,重视相关作用机制研究,重视研究方法的多元化等。

  9. Implementation of the World Health Organization Framework Convention on Tobacco Control in China: An arduous and long-term task.

    Science.gov (United States)

    Xiao, Dan; Bai, Chun-Xue; Chen, Zheng-Ming; Wang, Chen

    2015-09-01

    China is the largest producer and consumer of tobacco in the world. Consequently, the burden of tobacco-related diseases in China is enormous. Implementation of the World Health Organization Framework Convention on Tobacco Control (WHO FCTC) may lead to a significant reduction in tobacco-related morbidity and mortality both in China and globally. In this review, the authors summarize the epidemic of tobacco use and the progress made in implementing the WHO FCTC, including the promotion of legislation for smoke-free public places; smoking-cessation assistance; labeling of tobacco packaging; enforcement of bans on tobacco advertising, promotion, and sponsorship; increased taxes on tobacco products; increased tobacco prices; improvements in public awareness of the dangers of smoking; and identifying the barriers to implementing effective tobacco-control measures in China. Since the WHO FCTC officially took effect in China on January 9, 2006, China has taken some important steps, especially in promoting legislation for smoke-free public places. Because tobacco permeates the fabric of society, business, commerce, and politics in China, commitments and actions from the government are crucial, and implementing the WHO FCTC in China will be an arduous and long-term task.

  10. Investigating the effects of temporal and interpersonal relative deprivation on health in China.

    Science.gov (United States)

    Jin, Lei; Tam, Tony

    2015-10-01

    We argue that in addition to interpersonal relative deprivation, it is important to examine how temporal relative deprivation influences health, especially in rapidly changing societies such as China. We develop four competing hypotheses regarding the possible effects of temporal relative deprivation on health. Moreover, we propose that temporal relative deprivation may confound the health effects of interpersonal relative deprivation, and for the sake of conceptual clarity, temporal relative deprivation needs to be accounted for in the examination of interpersonal relative deprivation. We use data from a nationally representative survey in China; our analytical sample consists of 10,828 respondents. The dependent variables are self-rated health and the frequency of experiencing depressive symptoms. Interpersonal relative deprivation is measured by individuals' evaluation of their current positions on a 10-rung 'ladder'. We also assess individuals' subjective positions at 14 years of age and from 10 years ago. To measure temporal relative deprivation, current subjective status is compared with subjective status at the two time points in the past to construct indicators of perceived upward and downward mobility. Both diagonal mobility models and conventional logistic regression are used and the results from the two types of model are comparable. The majority of Chinese people felt that they moved up the social ladder compared with their parents or themselves 10 years ago. Perceived upward mobility is not associated with health outcomes, whereas perceived downward mobility, especially intra-generational, is a strong predictor of worse mental and physical health. These patterns are consistent with the argument that the effects of bad experiences are stronger and longer lasting than those of good ones. They also focus our attention on those who perceived downward mobility. Furthermore, evidence suggests that the health effects of current subjective status also include

  11. Health care systems in Sweden and China: Legal and formal organisational aspects

    Directory of Open Access Journals (Sweden)

    Hjelm Katarina

    2010-06-01

    Full Text Available Abstract Background Sharing knowledge and experience internationally can provide valuable information, and comparative research can make an important contribution to knowledge about health care and cost-effective use of resources. Descriptions of the organisation of health care in different countries can be found, but no studies have specifically compared the legal and formal organisational systems in Sweden and China. Aim To describe and compare health care in Sweden and China with regard to legislation, organisation, and finance. Methods Literature reviews were carried out in Sweden and China to identify literature published from 1985 to 2008 using the same keywords. References in recent studies were scrutinized, national legislation and regulations and government reports were searched, and textbooks were searched manually. Results The health care systems in Sweden and China show dissimilarities in legislation, organisation, and finance. In Sweden there is one national law concerning health care while in China the law includes the "Hygienic Common Law" and the "Fundamental Health Law" which is under development. There is a tendency towards market-orientated solutions in both countries. Sweden has a well-developed primary health care system while the primary health care system in China is still under development and relies predominantly on hospital-based care concentrated in cities. Conclusion Despite dissimilarities in health care systems, Sweden and China have similar basic assumptions, i.e. to combine managerial-organisational efficiency with the humanitarian-egalitarian goals of health care, and both strive to provide better care for all.

  12. PREGNANCY AND PERINATAL HEALTH, INNER MONGOLIA, CHINA, DECEMBER 1996-DECEMBER 1999

    Science.gov (United States)

    Pregnancy and Perinatal Health, Inner Mongolia, China, December 1996- December 1999Subtitle: Pregnancy and Perinatal Health, Inner Mongolia, ChinaAuthors: Z. Liu1, D.T. Lobdell2, L. He1, M. Yang1, R. Kwok2, J. Mumford2Affiliations:1 Ba Men Anti-Epidemic Station, ...

  13. Lead poisoning in China: a health and human rights crisis.

    Science.gov (United States)

    Cohen, Jane E; Amon, Joseph J

    2012-12-15

    Acute and chronic lead poisoning is occurring throughout China and is a major cause of childhood morbidity. The Chinese government's emphasis on industrial development and poverty reduction has, over the past three decades, decreased by 500 million the number of people surviving on less than one dollar per day, but has caused significant environmental degradation that threatens public health. Drawing upon in-depth interviews conducted in 2009 and 2010 with families affected by lead poisoning, environmental activists, journalists, government and civil society organization officials in Shaanxi, Henan, Hunan, and Yunnan provinces, as well as a review of scientific and Chinese media, and health and environmental legal and policy analysis, we examine the intersection of civil, political, economic, and social rights related to access to information, screening, treatment, and remediation related to lead poisoning. In-depth interviews in each province uncovered: censorship and intimidation of journalists, environmental activists, and parents seeking information about sources and prevention of lead poisoning; denial of screening for lead poisoning, often based upon arbitrary eligibility criteria; and inadequate and inappropriate treatment being promoted and provided by health facilities. Over the past decade, the Chinese government has prioritized health care and invested billions of dollars towards universal health coverage, and strengthened environmental to address industrial pollution and guarantee access to information on the environment. Yet, despite these reforms, information remains constrained and citizens seeking information and redress are sometimes arrested, in violation of Chinese and international law. Local government officials and national environmental policies continue to prioritize economic development over environmental protection. To effectively address lead poisoning requires an emphasis on prevention, and to combat industrial pollution requires

  14. The Aging Semantic Differential in Mandarin Chinese: Measuring Attitudes toward Older Adults in China.

    Science.gov (United States)

    Gonzales, Ernest; Marchiondo, Lisa A; Tan, Jing; Wang, Yi; Chen, Huajuan

    2017-02-16

    The Aging Semantic Differential (ASD) is the most widely used instrument to measure young people's attitudes towards older adults. This study translated the ASD to Mandarin and examined its psychometric properties. The Mandarin-ASD contains three latent factors (Personality and Mental Health, Societal Participation, and Physical) that have high internal reliability and reasonable discriminate validity. Social work researchers, practitioners and allied professionals may utilize the ASD-Mandarin instrument to measure young people's attitudes towards older adults in China. We issue a call for a universal-ASD that can be applied across different cultural contexts.

  15. Health benefits from improved outdoor air quality and intervention in China.

    Science.gov (United States)

    Li, Shanshan; Williams, Gail; Guo, Yuming

    2016-07-01

    China is at its most critical stage of outdoor air quality management. In order to prevent further deterioration of air quality and to protect human health, the Chinese government has made a series of attempts to reduce ambient air pollution. Unlike previous literature reviews on the widespread hazards of air pollution on health, this review article firstly summarized the existing evidence of human health benefits from intermittently improved outdoor air quality and intervention in China. Contents of this paper provide concrete and direct clue that improvement in outdoor air quality generates various health benefits in China, and confirm from a new perspective that it is worthwhile for China to shift its development strategy from economic growth to environmental economic sustainability. Greater emphasis on sustainable environment design, consistently strict regulatory enforcement, and specific monitoring actions should be regarded in China to decrease the health risks and to avoid long-term environmental threats.

  16. Characteristics and health impacts of particulate matter pollution in China (2001-2011)

    Science.gov (United States)

    Cheng, Zhen; Jiang, Jingkun; Fajardo, Oscar; Wang, Shuxiao; Hao, Jiming

    2013-02-01

    In this study, a systematic overview of inhalable particulate matter (PM10) pollution in China was conducted based on the dataset from national monitoring network from 2001 to 2011. The long-term trend, spatial and temporal distributions, and health impacts of PM10 pollution were evaluated. It was found that the annual PM10 concentration decreased from 116.0 μg m-3 in 2001 to 85.3 μg m-3 in 2011. The days with PM10 concentration above the new Chinese ambient air quality standard dropped from 66 (18%) in 2001 to 28 (7.8%) in 2011, while the days exceeding the World Health Organization (WHO) guideline decreased from 294 (80.5%) in 2001 to 250 (68.5%) in 2011. PM10 pollution in northern China is much worse than that in southern China. Six of nine most polluted cities (>110 μg m-3) are in the north, while six cleanest cities (premature mortality between 2001 and 2011 as an example, the ratio of deaths due to PM10 pollution to all causes of deaths dropped from 13.5% to 11.6% and 511,000 deaths are avoided due to the concentration reduction, though the absolute damage number due to PM10 pollution increased from 418,000 to 514,000 because of increasing urban population. These results indicate that PM10 pollution in China has been eased significantly over the last decade, mainly due to the application of emission control measures. However, the PM10 concentration remains at a high level comparing with the WHO guideline and its health impacts are still significant.

  17. Fuel for Life: Domestic Cooking Fuels and Women’s Health in Rural China

    Directory of Open Access Journals (Sweden)

    Peng Nie

    2016-08-01

    Full Text Available Background: There is evidence that household air pollution is associated with poor health in China, and that this form of air pollution may even be more of a health concern in China than the much-publicized outdoor air pollution. However, there is little empirical evidence on the relationship between household air pollution and health in China based on nationally representative and longitudinal data. This study examines the association between the type of domestic cooking fuel and the health of women aged ≥16 in rural China. Methods: Using longitudinal and biomarker data from the China Family Panel Studies (n = 12,901 and the China Health and Nutrition Survey (n = 15,539, we investigate the impact of three major domestic cooking fuels (wood/straw, coal, liquefied petroleum gas (LPG on health status using both cross-sectional and panel approaches. Results: Compared to women whose households cook with dirty fuels like wood/straw, women whose households cook with cleaner fuels like LPG have a significantly lower probability of chronic or acute diseases and are more likely to report better health. Cooking with domestic coal instead of wood or straw is also associated with elevated levels of having certain risks (such as systolic blood pressure related to cardiovascular diseases. Conclusions: Our study provides evidence that using cleaner fuels like LPG is associated with better health among women in rural China, suggesting that the shift from dirty fuels to cleaner choices may be associated with improved health outcomes.

  18. Noise monitoring and adverse health effects in residents in different functional areas of Luzhou, China.

    Science.gov (United States)

    Han, Zhi-Xia; Lei, Zhang-Heng; Zhang, Chun-Lian; Xiong, Wei; Gan, Zhong-Lin; Hu, Ping; Zhang, Qing-Bi

    2015-03-01

    The purpose of the study was to investigate the noise pollution situation and the resulting adverse effect on residents' health in Luzhou, China, to provide data for noise pollution prevention policies and interventions. Four different functional areas (commercial, construction, residential, and transportation hub areas) were chosen to monitor noise level for 3 months. The survey was performed by questionnaire on the spot on randomly selected individuals; it collected data on the impact of noise on residents' health (quality of sleep, high blood pressure, subjective feeling of nervous system damage, and attention) as well as the knowledge of noise-induced health damage, the degree of adaptation to noise, and their solutions. The noise levels of residential, commercial, transportation, and construction areas exceeded the national standards (P noise; 64.57% of residents have adapted to the current noise environment. Most of them have to close the doors and windows to reduce noise. The noise pollution situation in Luzhou, China, is serious, especially the traffic noise pollution. Residents pay less attention to it and adopt single measures to reduce the noise. We should work toward the prevention and control of traffic noise and improve the residents' awareness to reduce the adverse health effects of noise.

  19. Childhood Health Status and Adulthood Cardiovascular Disease Morbidity in Rural China: Are They Related?

    Directory of Open Access Journals (Sweden)

    Qing Wang

    2016-06-01

    Full Text Available Cardiovascular diseases (CVDs are among the top health problems of the Chinese population. Although mounting evidence suggests that early childhood health status has an enduring effect on late life chronic morbidity, no study so far has analyzed the issue in China. Using nationally representative data from the 2013 China Health and Retirement Longitudinal Study (CHARLS, a Probit model and Two-Stage Residual Inclusion estimation estimator were applied to analyze the relationship between childhood health status and adulthood cardiovascular disease in rural China. Good childhood health was associated with reduced risk of adult CVDs. Given the long-term effects of childhood health on adulthood health later on, health policy and programs to improve the health status and well-being of Chinese populations over the entire life cycle, especially in persons’ early life, are expected to be effective and successful.

  20. Factors associated with health-seeking behavior among migrant workers in Beijing, China

    Directory of Open Access Journals (Sweden)

    Hu Hongpu

    2010-03-01

    Full Text Available Abstract Background Migrant workers are a unique phenomenon in the process of China's economic transformation. The household registration system classifies them as temporary residents in cities, putting them in a vulnerable state with an unfair share of urban infrastructure and social public welfare. The amount of pressure inflicted by migrant workers in Beijing, as one of the major migration destinations, is currently at a threshold. This study was designed to assess the factors associated with health-seeking behavior and to explore feasible solutions to the obstacles migrant workers in China faced with when accessing health-care. Methods A sample of 2,478 migrant workers in Beijing was chosen by the multi-stage stratified cluster sampling method. A structured questionnaire survey was conducted via face-to-face interviews between investigators and subjects. The multilevel methodology (MLM was used to demonstrate the independent effects of the explanatory variables on health seeking behavior in migrant workers. Results The medical visitation rate of migrant workers within the past two weeks was 4.8%, which only accounted for 36.4% of those who were ill. Nearly one-third of the migrant workers chose self-medication (33.3% or no measures (30.3% while ill within the past two weeks. 19.7% of the sick migrants who should have been hospitalized failed to receive medical treatment within the past year. According to self-reported reasons, the high cost of health service was a significant obstacle to health-care access for 40.5% of the migrant workers who became sick. However, 94.0% of the migrant workers didn't have any insurance coverage in Beijing. The multilevel model analysis indicates that health-seeking behavior among migrants is significantly associated with their insurance coverage. Meanwhile, such factors as household monthly income per capita and working hours per day also affect the medical visitation rate of the migrant workers in Beijing

  1. Dietary Pattern Is Associated with Obesity in Older People in China: Data from China Health and Nutrition Survey (CHNS

    Directory of Open Access Journals (Sweden)

    Xiaoyue Xu

    2015-09-01

    Full Text Available Background: No studies have been conducted to explore the associations between dietary patterns and obesity among older Chinese people, by considering gender and urbanization level differences. Methods: We analyzed data from the 2009 China Health and Nutrition Survey (2745 individuals, aged ≥ 60 years. Dietary data were obtained using 24 hour-recall over three consecutive days. Height, Body Weight, and Waist Circumference were measured. Exploratory factor analysis was used to identify dietary patterns. Multinomial and Poisson regression models were used to examine the association between dietary patterns and Body Mass Index (BMI status/central obesity. Results: The prevalence of general and central obesity was 9.5% and 53.4%. Traditional dietary pattern (high intake of rice, pork and vegetables was inversely associated with general/central obesity; modern dietary pattern (high intake of fruit, fast food, and processed meat was positively associated with general/central obesity. The highest quartile of traditional dietary pattern had a lower risk of general/central obesity compared with the lowest quartile, while an inverse picture was found for the modern dietary pattern. These associations were consistent by gender and urbanization levels. Conclusions: Dietary patterns are associated with general/central obesity in older Chinese. This study reinforces the importance of a healthy diet in promoting healthy ageing in China.

  2. Errors and Correction of Precipitation Measurements in China

    Institute of Scientific and Technical Information of China (English)

    REN Zhihua; LI Mingqin

    2007-01-01

    In order to discover the range of various errors in Chinese precipitation measurements and seek a correction method, 30 precipitation evaluation stations were set up countrywide before 1993. All the stations are reference stations in China. To seek a correction method for wind-induced error, a precipitation correction instrument called the "horizontal precipitation gauge" was devised beforehand. Field intercomparison observations regarding 29,000 precipitation events have been conducted using one pit gauge, two elevated operational gauges and one horizontal gauge at the above 30 stations. The range of precipitation measurement errors in China is obtained by analysis of intercomparison measurement results. The distribution of random errors and systematic errors in precipitation measurements are studied in this paper.A correction method, especially for wind-induced errors, is developed. The results prove that a correlation of power function exists between the precipitation amount caught by the horizontal gauge and the absolute difference of observations implemented by the operational gauge and pit gauge. The correlation coefficient is 0.99. For operational observations, precipitation correction can be carried out only by parallel observation with a horizontal precipitation gauge. The precipitation accuracy after correction approaches that of the pit gauge. The correction method developed is simple and feasible.

  3. Quantitative Analysis on Economic Contribution of Community Health Service in China

    Institute of Scientific and Technical Information of China (English)

    张新平; 王铁军

    2004-01-01

    Summary: In China, the implementation of community health service shows that the prevention is an essential and important part of our national health system and is helpful to decrease the medical expenditure gradually. According to the data from Health Statistic Information Center of Ministry of Health in China, we calculated that the total health expenditure of China would be decreased 8000. 0 million yuan only in 2001, among which, 1188.3 million, 1953.9 million and 4833.0 million yuan were respectively saved for the government budget, the society and resident if implementing the policy of community health service powerfully. And every outpatient can save 15.46 yuan per time. By the quantitative analysis on the economic contribution of community health service, it can be proved that a great economic benefit could be gotten from the implementation of community health service.

  4. Resilience associated with mental health problems among methadone maintenance treatment patients in Guangzhou, China.

    Science.gov (United States)

    Jiao, Mingxu; Gu, Jing; Xu, Huifang; Hao, Chun; Lau, Joseph T F; Mo, Phoenix; Liu, Di; Zhao, Yuteng; Zhang, Xiao; Babbitt, Andrew; Hao, Yuantao

    2016-11-08

    A considerable proportion of methadone maintenance treatment (MMT) clients have experienced mental health problems (e.g., depression and anxiety), and poor mental health status is associated with HIV-related risk behaviors and treatment drop-out. Resilience is known to be a protective factor for mental health problems but is not studied among MMT clients in China. This study aimed to explore the relationship between resilience and mental health problems (depression, anxiety and stress) among clients of community-based MMT clinics in China. A total of 208 MMT clients completed the face-to-face interview conducted at 4 of 11 MMT clinics in Guangzhou. The Chinese short version of Depression Anxiety Stress Scale (DASS-21) was used to assess the presence of depressive, anxiety and stress symptoms, and the Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience. Logistic regression models were fit in data analyses. Of all participants, 12.8%, 19.5% and 8.3% had depression, anxiety and stress, respectively. The mean resilience score was 57.6 (SD = 15.9). In the univariate analyses, resilience was negatively associated with two studied mental health problems (depression and anxiety, ORu = 0.96 and 0.96, p resilience was independently associated with probable depression (ORa = 0.97, 95% CI: 0.93-0.99) and anxiety (ORa = 0.96, 95% CI: 0.94-0.99). Resilience was independently associated with depression and anxiety. As resilience is changeable, interventions targeting mental health problems of MMT users should consider resilience as an important part in the designing of such interventions.

  5. Environmental pollution by persistent toxic substances and health risk in an industrial area of China

    Institute of Scientific and Technical Information of China (English)

    Jing Li; Yonglong Lu; Yajuan Shi; Tieyu Wang; Guang Wang; Wei Luo; Wentao Jiao; Chunli Chen; Feng Yan

    2011-01-01

    Soil is an important environmental medium that is closely associated with humans and their health.Despite this,very few studies have measured toxicants in soils,and associated them with health risks in humans.An assessment of health effects from exposure to contaminants in soils surrounding industrial areas of chemical production and storage is important.This article aims at determining pollution characteristics of persistent toxic substances (PTS) in an industrial area in China to unravel the relationship between soil pollution by PTS and human health.One hundred and five soil samples were collected and 742 questionnaires were handed out to residents living in and around an industrial area around Bohai Bay,Tianjin in Northern China.Concentrations of organochlorine pesticides and polycyclic aromatic hydrocarbons (PAHs) were determined in soil.Mann-Whitney U and binary multivariate nonconditional logistic regression models were employed to analyze the relationship between health indicators of local residents and contaminant levels.Odds ratio (OR) and a 95% confidence interval (CI) for health incidences were also calculated.The average concentrations of DDT (73.9 rig/g),HCH (654 ng/g) and PAHs (1225 ng/g) were relatively high in the industrial area.Residents living in the chemical industry parks were exposed to a higher levels of PTS than those living outside the chemical industry parks.This exposure was associated with a higher risk of breast cancer (OR 1.87,95% CI 0.12-30.06),stomach cancer (OR 1.87,95% CI 0.26-13.41),dermatitis (OR 1.72,95% CI 1.05-2.80),gastroenteritis (OR 1.59,95% CI 0.94-2.68),and pneumonia (OR 1.05,95% CI 0.58-1.89).

  6. Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study.

    Science.gov (United States)

    Wu, Shengwei; Xuan, Zhengzheng; Li, Fei; Xiao, Wei; Fu, Xiuqiong; Jiang, Pingping; Chen, Jieyu; Xiang, Lei; Liu, Yanyan; Nie, Xiaoli; Luo, Ren; Sun, Xiaomin; Kwan, Hiuyee; Zhao, Xiaoshan

    2016-03-19

    Suboptimal health status (SHS)-an intermediate state between health and illness--refers to functional somatic symptoms that are medically undiagnosed. Although- SHS has become a great challenge for global public health, very little about its etiology and mechanisms are known. Work-recreation balance is a part of work-life balance, and is related to stress which greatly influences health status. We therefore carried out a cross-sectional investigation between 2012 and 2013 within a clustered sample of 24,475 individuals aged 15-60 years from a population in southern China. In so doing, we hoped to illuminate the associations between work-recreation balance conditions, healthy lifestyles, and SHS. Work-recreation balance conditions were categorically defined by frequency ("rarely, sometimes, or always"). Health-Promoting Lifestyle Profile (HPLP-II) was used to evaluate the level of healthy lifestyles, and the medical examination report and Sub-Health Measurement Scale V1.0 (SHMS V1.0) were both used to evaluate health status. The ratio of SHS (46.3%) is higher than health status (18.4%) or disease status (35.3%). Overall, 4.9% of respondents reported the lowest level of work-recreation balance, and they scored lower on both the HPLP-II and SHMS V1.0 compared with those who frequently maintained a work-recreation balance. Significant association was found between work-recreation balance behaviors and healthy lifestyles (p work-recreation balance, individuals whose work-recreation balance was categorically "rare" were 1.69 times as likely to develop SHS (odds ratio (OR): 1.69, 95% confidence interval (CI): 1.49-1.92), and those with infrequent work-recreation balance ("sometimes") were 1.71 times more likely to develop SHS (OR: 1.71, 95% CI: 1.62-1.81). These findings suggest that work-recreation balance conditions are significantly associated with, and seem to be accurate behavioral indicia of a healthy lifestyle. Poor work-recreation balance is associated with

  7. Nanoparticle pollution and associated increasing potential risks on environment and human health: a case study of China.

    Science.gov (United States)

    Gao, Yang; Yang, Tiantian; Jin, Jin

    2015-12-01

    The aims of this study are (1) to discuss the mechanism of nanoparticle lifecycle and estimate the impacts of its associated pollution on environment and human health; and (2) to provide recommendation to policy makers on how to leverage nanopollution and human health along with the rapid development of economics in China. Manufactured nanoparticles (MNPs) could either directly or indirectly impair human health and the environment. Exposures to MNP include many ways, such as via inhalation, ingestion, direct contact, or the use of consumer products over the lifecycle of the product. In China, the number of people exposed to MNP has been increasing year by year. To better provide medical care to people exposed to MNP, the Chinese government has established many disease control and prevention centers over China. However, the existing facilities and resources for controlling MNP are still not enough considering the number of people impacted by MNP and the number of ordinary workers in the MNP related industry applying for their occupational identification through the Center for Disease Control and Prevention. China should assess the apparent risk environment and human health being exposed to MNP and develop action plans to reduce the possibility of direct contacts between human beings and the emerging nanomaterials. In addition, we suggest more comprehensive studies on the MNP behavior and the development of quantitative approaches to measure MNP transport, and persistence should be carried out.

  8. Climate Change Impacts on Central China and Adaptation Measures

    Institute of Scientific and Technical Information of China (English)

    REN Yong-Jian; CUI Jiang-Xue; WAN Su-Qin; LIU Min; CHEN Zheng-Hong; LIAO Yu-Fang; WANG Ji-Jun

    2013-01-01

    In Central China, the obvious climate change has happened along with global warming. Based on the observational analysis, the climate change has significant effects, both positive and negative, in every field within the study area, and with the harmful effects far more prevalent. Under the scenario A1B, it is reported that temperature, precipitation, days of heat waves and extreme precipitation intensity will increase at respective rates of 0.38◦C per decade, 12.6 mm per decade, 6.4 d and 47 mm per decade in the 21st century. It is widely believed that these climate changes in the future will result in some apparent impacts on agro-ecosystems, water resources, wetland ecosystem, forest ecosystem, human health, energy sectors and other sensitive fields in Central China. Due to the limited scientific knowledge and researches, there are still some shortages in the climate change assessment methodologies and many uncertainties in the climate prediction results. Therefore, it is urgent and essential to increase the studies of the regional climate change adaptation, extend the research fields, and enhance the studies in the extreme weather and climate events to reduce the uncertainties of the climate change assessments.

  9. The effect of comprehensive sexual education program on sexual health knowledge and sexual attitude among college students in Southwest China.

    Science.gov (United States)

    Chi, Xinli; Hawk, Skyler T; Winter, Sam; Meeus, Wim

    2015-03-01

    The purpose of this study was to evaluate whether a comprehensive sexual education program for college students in Southwest China (a) improved sexual health knowledge in reproduction, contraception, condom use, sexually transmitted diseases, and HIV; (b) increased accepting attitudes toward lesbian, gay, bisexual, and transsexual individuals; and (c) altered participants' attitudes toward premarital sex and monogamy. The program used diverse teaching methods, providing 6 sessions over a period of 9 weeks about sexual health knowledge and sexual attitudes to college students (age 18-26 years) in Southwest China. Sexual health knowledge and sexual attitudes of 80 comprehensive sexual education class students (education group) and 92 general mental health education class students (control group) were measured at baseline, the end of course (posttest), and 3 weeks after the end of course (follow-up). There were significant effects of the program on (a) sexual health knowledge, including reproductive health, contraception, condom use, and HIV/AIDS and (b) positive attitudes toward sexual minorities, although these changes may require further reinforcement. In contrast, the program did not alter students' attitudes about premarital sex or monogamy. The results are discussed in terms of recommendations of sex education in China and future directions for research.

  10. China to Create an Access System for the Reproductive Health Industry Based on Quality Accreditation

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Zhang Weiqing, director of the National Population and Family Planning Commission (NPFPC), disclosed at the inaugural meeting of the China Reproductive Health Industry Association (CRIA), held on March 26, 2007, that China will create an inspection system, a quality accreditation system, and an industry access system for better population structure and family planning.

  11. The Effects of Health Education on Patients with Hypertension in China: A Meta-Analysis

    Science.gov (United States)

    Xu, L. J.; Meng, Q.; He, S. W.; Yin, X. L.; Tang, Z. L.; Bo, H. Y.; Lan, X. Y.

    2014-01-01

    Objective: This study collected on from all research relating to health education and hypertension in China and, with the aid of meta-analysis tools, assessed the outcomes of such health education. The analysis provides a basis for the further development of health-education programmes for patients with hypertension. Methods: Literature searches…

  12. MII prepares six major measures meet challenges of China's entry into WTO

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Jiang Yaoping, Vice Minister of MII (Ministry of Information Industry), has introduced six major preparations and measures of China information industry to meet challenges of China's entry into WTO at the conference "Opportuuities and Challenges of the Information Industry" on 5th Anniversary of China's entry into WTO on 11th Dec, 2006, which are stated as follows:

  13. Natural radioactivity measurements of building materials in Baotou, China.

    Science.gov (United States)

    Zhao, Caifeng; Lu, Xinwei; Li, Nan; Yang, Guang

    2012-12-01

    Natural radioactivity due to (226)Ra, (232)Th and (40)K in the common building materials collected from Baotou city of Inner Mongolia, China was measured using gamma-ray spectrometry. The radiation hazard of the studied building materials was estimated by the radium equivalent activity (Ra(eq)), internal hazard index (H(in)) and annual effective dose (AED). The concentrations of the natural radionuclides and Ra(eq) in the studied samples were compared with the corresponding results of other countries. The Ra(eq) values of the building materials are below the internationally accepted values (370 Bq kg(-1)). The values of H(in) in all studied building materials are less than unity. The AEDs of all measured building materials are at an acceptable level.

  14. Industrial water pollution, water environment treatment, and health risks in China.

    Science.gov (United States)

    Wang, Qing; Yang, Zhiming

    2016-11-01

    The negative health effects of water pollution remain a major source of morbidity and mortality in China. The Chinese government is making great efforts to strengthen water environment treatment; however, no studies have evaluated the effects of water treatment on human health by water pollution in China. This study evaluated the association between water pollution and health outcomes, and determined the extent to which environmental regulations on water pollution may lead to health benefits. Data were extracted from the 2011 and 2013 China Health and Retirement Longitudinal Study (CHARLS). Random effects model and random effects Logit model were applied to study the relationship between health and water pollution, while a Mediator model was used to estimate the effects of environmental water treatment on health outcomes by the intensity of water pollution. Unsurprisingly, water pollution was negatively associated with health outcomes, and the common pollutants in industrial wastewater had differential impacts on health outcomes. The effects were stronger for low-income respondents. Water environment treatment led to improved health outcomes among Chinese people. Reduced water pollution mediated the associations between water environment treatment and health outcomes. The results of this study offer compelling evidence to support treatment of water pollution in China.

  15. A study of the perception of health risks among college students in China.

    Science.gov (United States)

    Zhang, Chenggang; Fan, Jingbo

    2013-05-27

    The present survey was designed to investigate the perception of health risks among college students in China. The data are the responses of a sample of 3,069 college students at one university to surveys that include measures of several dimensions of public judgments about fifteen specific hazards. Chinese college students conveyed their concerns as falling into three broad categories: Environmental (e.g., global warming, natural catastrophes, the ozone hole, air pollution, chemical pollution, pesticides in food), Technological (e.g., nuclear power stations, thermal power, genetically modified food, medical X-rays), and Social (cigarette smoking, drinking alcohol, overtime study or work, mental stress, motor vehicle accidents). The data were collected with a self-report questionnaire. Descriptive statistics were used to illustrate the levels of perceived risk according to the percent of "high risk" responses as well as the mean response values. Generally, the hazards that were perceived as posing the greatest health risk were those belonging to the social health risks; items related to technology risks received the lowest percentage of "high health risk" rankings. Traditional environmental risks such as natural catastrophes, pollution issues (chemical pollution, air pollution), and pesticides in food were ranked as being relatively high risks. The respondents were less concerned about new emerging issues and long-term environmental risks (global warming). In this survey, motor vehicle accidents were considered to be a "high health risk" by the greatest percentage of respondents. Generally speaking, the female respondents' degree of recognition of health risks is higher than that of male respondents. Only for the item of smoking was the male respondents' degree higher than that of females. There is also a geographic imbalance in the health risk perceptions. The degree of recognition of health risks from respondents in municipalities is generally lower than that of

  16. A Study of the Perception of Health Risks among College Students in China

    Directory of Open Access Journals (Sweden)

    Chenggang Zhang

    2013-05-01

    Full Text Available The present survey was designed to investigate the perception of health risks among college students in China. The data are the responses of a sample of 3,069 college students at one university to surveys that include measures of several dimensions of public judgments about fifteen specific hazards. Chinese college students conveyed their concerns as falling into three broad categories: Environmental (e.g., global warming, natural catastrophes, the ozone hole, air pollution, chemical pollution, pesticides in food, Technological (e.g., nuclear power stations, thermal power, genetically modified food, medical X-rays, and Social (cigarette smoking, drinking alcohol, overtime study or work, mental stress, motor vehicle accidents. The data were collected with a self-report questionnaire. Descriptive statistics were used to illustrate the levels of perceived risk according to the percent of “high risk” responses as well as the mean response values. Generally, the hazards that were perceived as posing the greatest health risk were those belonging to the social health risks; items related to technology risks received the lowest percentage of “high health risk” rankings. Traditional environmental risks such as natural catastrophes, pollution issues (chemical pollution, air pollution, and pesticides in food were ranked as being relatively high risks. The respondents were less concerned about new emerging issues and long-term environmental risks (global warming. In this survey, motor vehicle accidents were considered to be a “high health risk” by the greatest percentage of respondents. Generally speaking, the female respondents’ degree of recognition of health risks is higher than that of male respondents. Only for the item of smoking was the male respondents’ degree higher than that of females. There is also a geographic imbalance in the health risk perceptions. The degree of recognition of health risks from respondents in municipalities

  17. Impacts of Air Pollution on Health in Eastern China: Implications for future air pollution and energy policies

    Science.gov (United States)

    Wang, X.; Mauzerall, D.

    2004-12-01

    Our objective is to establish the link between energy consumption and technologies, air pollution and resulting impacts on public health in eastern China. We quantify the impacts that air pollution in the Shandong region of eastern China has on public health in 2000 and quantify the benefits in improved air quality and health that could be obtained by 2020, relative to business-as-usual, through the implementation of new energy technology. We first develop a highly-resolved emission inventory for the year 2000 for the Shandong region of China including emissions from large point, area, mobile and biogenic sources. We use the Sparse Matrix Operator Kernel Emissions Modeling System (SMOKE) to process emissions from this inventory for use in the Community Multi-scale Air Quality modeling system (CMAQ) which we drive with the NCAR/PSU MM5 meso-scale meteorology model. We evaluate the inventory by comparing CMAQ results with available measurements of PM10 and SO2 from air pollution indices (APIs) reported in various Chinese municipalities during 2002-2004. We use epidemiological dose-response functions to quantify health impacts and values of a statistical life (VSL) and years-of-life-lost (YLL) to establish a range for the monetary value of these impacts. To examine health impacts and their monetary value, we focus explicitly on Zaozhuang, a coal-intensive city in the Shandong region of eastern China, and quantify the mortalities and morbidities resulting from air pollutants emitted from this city in 2000, and in 2020 using business-as-usual, best-available control technology, and advanced coal gasification technology scenarios. In all scenarios most health damages arise from exposure to particulate matter. We find that total health damages due to year 2000 anthropogenic emissions from Zaozhuang accounted for 4-10% of its GDP. If all health damages resulting from coal use were internalized in the market price of coal, the year 2000 price would have doubled. With no new

  18. Measurements of thoron and radon progeny concentrations in Beijing, China

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Lei; Liu Cuihong; Guo Qiuju [State Key Laboratory of Nuclear Physics and Technology, School of Physics, Peking University, Beijing 100871 (China)], E-mail: qjguo@pku.edu.cn

    2008-12-15

    It has been reported that thoron levels in China are above the world average and may therefore make a significant contribution to the natural background radiation dose. We therefore conducted a pilot study of concentrations of both thoron and radon progeny during the spring of 2006 in the Beijing area, China. A new type of portable 24 h integrating monitor with a CR-39 detector was used during the survey. Seventy dwellings and eight outdoor sites were measured during the survey. For country houses built of red bricks and slurry, the average equilibrium equivalent concentrations (EEC) of thoron and radon were 1.02 {+-} 0.48 and 16.41 {+-} 9.02 Bq m{sup -3}, respectively, whereas for city dwellings built of cement blocks and floor slabs, the results were 0.48 {+-} 0.47 and 11.50 {+-} 6.99 Bq m{sup -3} for thoron and radon, respectively. For outdoor air, concentrations of thoron and radon progeny were 0.29 {+-} 0.28 and 7.05 {+-} 2.68 Bq m{sup -3}, respectively. Radiation exposures from thoron and radon progeny were also evaluated; the ratio of dose contribution from thoron progeny to that of radon progeny was evaluated to be 28% and 17% in country houses and city dwellings, respectively. (note)

  19. Health in China and India: a cross-country comparison in a context of rapid globalisation.

    Science.gov (United States)

    Dummer, Trevor J B; Cook, Ian G

    2008-08-01

    China and India are similarly huge nations currently experiencing rapid economic growth, urbanisation and widening inequalities between rich and poor. They are dissimilar in terms of their political regimes, policies for population growth and ethnic composition and heterogeneity. This review compares health and health care in China and India within the framework of the epidemiological transition model and against the backdrop of globalisation. We identify similarities and differences in health situation. In general, for both countries, infectious diseases of the past sit alongside emerging infectious diseases and chronic illnesses associated with ageing societies, although the burden of infectious diseases is much higher in India. Whilst globalisation contributes to widening inequalities in health and health care in both countries--particularly with respect to increasing disparities between urban and rural areas and between rich and poor--there is evidence that local circumstances are important, especially with respect to the structure and financing of health care and the implementation of health policy. For example, India has huge problems providing even rudimentary health care to its large population of urban slum dwellers whilst China is struggling to re-establish universal rural health insurance. In terms of funding access to health care, the Chinese state has traditionally supported most costs, whereas private insurance has always played a major role in India, although recent changes in China have seen the burgeoning of private health care payments. China has, arguably, had more success than India in improving population health, although recent reforms have severely impacted upon the ability of the Chinese health care system to operate effectively. Both countries are experiencing a decline in the amount of government funding for health care and this is a major issue that must be addressed.

  20. CHINA HEALTH INSURANCE%Study on the Establishing and Developing History of Health for All and Universal Health Care of China

    Institute of Scientific and Technical Information of China (English)

    韩志奎

    2016-01-01

    中国共产党从诞生起就把建立和发展医疗保障制度作为保障人民健康的基础,早在新中国成立前就进行了大量的实践探索,没有共产党就没有今天的全民医保。实现建设“四更”医保的目标仍然必须坚持党的领导,坚定不移地贯彻落实党的重大决策部署,尤其要深刻领会习近平总书记在全国卫生与健康大会上的重要讲话精神,弄懂悟透全民医保与全民健康、全面小康的内在关系,从实现全面小康的大局出发想问题、办事情。%The establishment and development of medical insurance has been taken as foundation to ensure the health of Chinese people since the birth of Chinese Communist Party (CCP), and many explorations had been conducted before the establishment of People’s Republic of China. It can be said that without Chinese Communist Party, there would be no universal medical insurance in China. To achieve the goals of “4 more” medical insurance, we should insist on the leadership of CCP, on implementing the major policy decision of the CCP, especially, on intensively understanding the core information of President Xi Jinping’ speech at the National Conference on Health. We should make clear the inner relationship of universal health insurance, national health, and overall well-being, and think and handle affairs from the general point of achieving overall well-being.

  1. Practical considerations for the implementation of health outcome measures.

    Science.gov (United States)

    Carriere, Robin S

    2009-01-01

    The collection of health outcomes information is important for effective management of the health care system. The Health Outcomes for Better Information and Care (HOBIC) program is implementing a set of nurse-sensitive health outcome measures across the province of Ontario. This paper examines some of the opportunities and challenges of implementing measures across multiple organizations and multiple sectors of the health care system.

  2. Public Health Workers and Vaccination Coverage in Eastern China: A Health Economic Analysis

    Directory of Open Access Journals (Sweden)

    Yu Hu

    2014-05-01

    Full Text Available Background: Vaccine-preventable diseases cause more than one million deaths among children under 5 years of age every year. Public Health Workers (PHWs are needed to provide immunization services, but the role of human resources for public health as a determinant of vaccination coverage at the population level has not been assessed in China. The objective of this study was to test whether PHW density was positively associated with childhood vaccination coverage in Zhejiang Province, East China. Methods: The vaccination coverage rates of Measles Containing Vaccine (MCV, Diphtheria, Tetanus and Pertussis combined vaccine (DTP, and Poliomyelitis Vaccine (PV were chosen as the dependent variables. Vaccination coverage data of children aged 13–24 months for each county in Zhejiang Province were taken from the Zhejiang Immunization Information System (ZJIIS. Aggregate PHW density was an independent variable in one set of regressions, and Vaccine Personnel (VP and other PHW densities were used separately in another set. Data on densities of PHW and VP were taken from a national investigation on EPI launched by Ministry of Health of China in 2013. We controlled other determinants that may influence the vaccination coverage like Gross Domestic Product (GDP per person, proportion of migrant children aged <7 years, and land area. These data were taken from Zhejiang Provincial Bureau of Statistics and ZJIIS. Results: PHW density was significantly influence the coverage rates of MCV [Adjusted Odds Ratio(AOR = 4.29], DTP3(AOR = 2.16, and PV3 (AOR = 3.30. However, when the effects of VPs and other PHWs were assessed separately, we found that VP density was significantly associated with coverage of all three vaccinations (MCV AOR = 7.05; DTP3 AOR = 1.82; PV3 AOR = 4.83, while other PHW density was not. Proportion of migrant children < 7 years and Land area were found as negative and significant determinants for vaccination coverage, while GDP per person had

  3. Culture and health reporting: a comparative content analysis of newspapers in the United States and China.

    Science.gov (United States)

    Tang, Lu; Peng, Wei

    2015-01-01

    Health reporting has the potential to educate the public and promote health behaviors. Culture influences the style of such communication. Following the theorization of national cultures by Hofstede and Hofstede (2005) and Wilber (2000), this study compares health reporting in the United States and China through a content analysis of leading newspapers. The authors discover significant differences in health reporting in terms of controllability attribution, temporal orientation, citation of authority sources, and use of statistics. As one of the first comparative content analysis studies of health reporting in Eastern and Western cultures, this study provides a unique cultural lens for health communication scholars to better understand health information in the news media.

  4. Depressive symptoms and SES among the mid-aged and elderly in China: evidence from the China Health and Retirement Longitudinal Study national baseline.

    Science.gov (United States)

    Lei, Xiaoyan; Sun, Xiaoting; Strauss, John; Zhang, Peng; Zhao, Yaohui

    2014-11-01

    We examine the prevalence of depressive symptoms among the mid-aged and elderly in China and examine relationships between depression and current SES factors such as gender, age, education and income (per capita expenditures). In addition, we explore associations of depressive symptoms with measures of early childhood health, recent family deaths and current chronic health conditions. We use data from the China Health and Retirement Longitudinal Study (CHARLS) national baseline, fielded in 2011/12, which contains the ten question version of the Center for Epidemiologic Studies-Depression scale (CES-D) for 17,343 respondents aged 45 and older. We fill a major gap by using the CHARLS data to explore the general patterns of depression and risk factors among the Chinese elderly nationwide, which has never been possible before. We find that depressive symptoms are significantly associated with own education and per capita expenditure, and the associations are robust to the inclusion of highly disaggregated community fixed effects and to the addition of several other risk factors. Factors such as good general health during childhood are negatively associated with later depression. There exist strong gender differences, with females having higher depression scores. Being a recent widow or widower is associated with more depressive symptoms, as is having a series of chronic health problems, notably having moderate or severe pain, disability or problems with measures of physical functioning. Adding the chronic health problems to the specification greatly reduces the SES associations with depressive symptoms, suggesting that part of the pathways behind these associations are through these chronic health factors.

  5. Trans-boundary Air Quality and Health Impacts of Emissions in Various Regions in China

    Science.gov (United States)

    Gu, Y.; Yim, S. H. L.

    2015-12-01

    In last few decades, China has gone through a rapid development, resulting in urbanization and industrialization. However, the abundant economic achievements were gained at the cost of a sharp deterioration of air quality. Previous research has reported the adverse health outcome from outdoor air pollution in China. Nevertheless, the trans-boundary air quality and health impacts due to emissions in various regions in China have yet fully understood. Our study aims to comprehensively apportion the attribution of emissions in seven regions in China, which are defined based on their geographical locations, to air pollutions, as well as the resultant health impacts in their local areas and other regions, provinces, and cities in China. A regional air quality model is applied to simulate the physical and chemical processes of various pollutants in the atmosphere. The resultant health outcome, such as premature death, is estimated by using the concentration-response functions reported in the literature. We anticipate that our results would serve as a critical reference for research community and policy makers to mitigate the air quality and health impacts of emissions in China.

  6. Mobile LiDAR Measurement for Aerosol Investigation in South-Central Hebei, China

    Science.gov (United States)

    qin, kai; Wu, Lixin; Zheng, Yunhui; Wong Man, Sing; Wang, Runfeng; Hu, Mingyu; Lang, Hongmei; Wang, Luyao; Bai, Yang; Rao, Lanlan

    2016-04-01

    With the rapid industrialization and urbanization in China during the last decades, the increasing anthropogenic pollutant emissions have significantly caused serious air pollution problems which are adversely influencing public health. Hebei is one of the most air polluted provinces in China. In January 2013, an extremely severe and persistent haze episode with record-breaking PM2.5 outbreak affecting hundreds of millions of people occurred over eastern and northern China. During that haze episode, 7 of the top 10 most polluted cities in China were located in the Hebei Province according to the report of China's Ministry of Environmental Protection. To investigate and the spatial difference and to characterize the vertical distribution of aerosol in different regions of south-central Hebei, mobile measurements were carried out using a mini micro pulse LiDAR system (model: MiniMPL) in March 2014. The mobile LiDAR kit consisting of a MiniMPL, a vibration reduction mount, a power inverter, a Windows surface tablet and a GPS receiver were mounted in a car watching though the sunroof opening. For comparison, a fixed measurement using a traditional micro pulse LiDAR system (model: MPL-4B) was conducted simultaneously in Shijiazhuang, the capital of Hebei Province. The equipped car was driven from downtown Shijiazhuang by way of suburban and rural area to downtown Cangzhou, Handan, and Baoding respectively at almost stable speed around 100Km per hour along different routes which counted in total more than 1000Km. The results can be summarized as: 1) the spatial distribution of total aerosol optical depth along the measurement routes in south-central Hebei was controlled by local terrain and population in general, with high values in downtown and suburban in the plain areas, and low values in rural areas along Taihang mountain to the west and Yan mountain to the north; 2) obviously high AODs were obtained at roads crossing points, inside densely populated area and nearby

  7. Organization and Finance of China's Health Sector: Historical Antecedents for Macroeconomic Structural Adjustment.

    Science.gov (United States)

    Li, Hui; Hilsenrath, Peter

    2016-01-01

    China has exploded onto the world economy over the past few decades and is undergoing rapid transformation toward relatively more services. The health sector is an important part of this transition. This article provides a historical account of the development of health care in China since 1949. It also focuses on health insurance and macroeconomic structural adjustment to less saving and more consumption. In particular, the question of how health insurance impacts precautionary savings is considered. Multivariate analysis using data from 1990 to 2012 is employed. The household savings rate is the dependent variable in 3 models segmented for rural and urban populations. Independent variables include out-of-pocket health expenditures, health insurance payouts, housing expenditure, education expenditure, and consumption as a share of gross domestic product (GDP). Out-of-pocket health expenditures were positively correlated with household savings rates. But health insurance remains weak, and increased payouts by health insurers have not been associated with lower levels of household savings so far. Housing was positively correlated, whereas education had a negative association with savings rates. This latter finding was unexpected. Perhaps education is perceived as investment and a substitute for savings. China's shift toward a more service-oriented economy includes growing dependence on the health sector. Better health insurance is an important part of this evolution. The organization and finance of health care is integrally linked with macroeconomic policy in an environment constrained by prevailing institutional convention. Problems of agency relationships, professional hegemony, and special interest politics feature prominently, as they do elsewhere. China also has a dual approach to medicine relying heavily on providers of traditional Chinese medicine. Both of these segments will take part in China's evolution, adding another layer of complexity to policy.

  8. Health inequalities and social group differences: what should we measure?

    Science.gov (United States)

    Murray, C. J.; Gakidou, E. E.; Frenk, J.

    1999-01-01

    Both health inequalities and social group health differences are important aspects of measuring population health. Despite widespread recognition of their magnitude in many high- and low-income countries, there is considerable debate about the meaning and measurement of health inequalities, social group health differences and inequities. The lack of standard definitions, measurement strategies and indicators has and will continue to limit comparisons--between and within countries, and over time--of health inequalities, and perhaps more importantly comparative analyses of their determinants. Such comparative work, however, will be essential to find effective policies for governments to reduce health inequalities. This article addresses the question of whether we should be measuring health inequalities or social group health differences. To help clarify the strengths and weaknesses of these two approaches, we review some of the major arguments for and against each of them. PMID:10444876

  9. Methods to Measure Physical Activity Behaviors in Health Education Research

    Science.gov (United States)

    Fitzhugh, Eugene C.

    2015-01-01

    Regular physical activity (PA) is an important concept to measure in health education research. The health education researcher might need to measure physical activity because it is the primary measure of interest, or PA might be a confounding measure that needs to be controlled for in statistical analysis. The purpose of this commentary is to…

  10. Occupational safety and health status of sanitation workers in urban areas: a pilot study from Wuhan, China.

    Science.gov (United States)

    Gong, Yanhong; Yu, Jincong; Zhang, Xiaochang; Liang, Yuan

    2013-01-01

    Sanitation workers' workload increases quickly with rapid urbanization, but there is almost no evidence or policy recommendations for their management in developing countries. This study describes the health status and occupational protection of sanitation workers; it also explores risk factors related to their health status in Wuhan City, China. Three hundred and eighty-five sanitation workers from 54 streets of Wuhan were surveyed. Their prevalence of 2-week illness and arthritis was relatively higher than in the general population in China. Findings related to occupational protection showed that both sanitation workers (users) and their managers (providers) neglected the role of low-cost protection measures, especially masks, soap/hand sanitizer and prejob training (use rate of 7.27%, 26.75% and 43.64%, respectively). High-intensity workload was an important risk factor for 2-week illness, and prejob training was an important protective factor against arthritis.

  11. School Library Support of Health Education in China: A Preliminary Study

    Science.gov (United States)

    Liu, Geoffrey Z.; Zhang, Wuhong

    2008-01-01

    This preliminary study investigates the current situation of school library support of K-12 health education in China. A survey of 42 school librarians and 115 K-12 teachers from selected schools was conducted to find out their views about school library's role in school health education and their current practice of library use in health…

  12. International trends in health science librarianship Part 10: The Greater China area.

    Science.gov (United States)

    Xie, Zhiyun; Chan, Julia L Y; Lam, Louisa Mei Chun; Chiu, Tzu-Heng

    2014-06-01

    This is the 10th in a series of articles exploring international trends in health science librarianship. This issue describes developments in health science librarianship in the first decade of the 21st century in China, Hong Kong and Taiwan. The next issue will report on Japan and South Korea. JM.

  13. Social Capital and Health Outcomes among Older Adults in China: The Urban-Rural Dimension

    Science.gov (United States)

    Norstrand, Julie A.; Xu, Qingwen

    2012-01-01

    Purpose: This study examines different types of individual-level social capital (bonding, bridging, and linking) and their relationships with physical and emotional health among older Chinese living in urban and rural settings. Design and Methods: Using the 2005 China General Social Survey, physical and emotional health were regressed on social…

  14. [The emergence of China's Railway Health Services and its motivation in the late Qing Dynasty].

    Science.gov (United States)

    Huang, Huaping

    2014-03-01

    In the late Qing Dynasty, the railway authority of China commenced establishing their self-run medical institutions, setting up the hygienic standards of railway system, and opening a new prospects of railway health services and epidemic prevention, reflecting the emergence of China's Railway Health Services. The motivations of all these approaches were related to three factors, that is,"the eastward dissemination of western medicine","the medical requirement of railway employees", and"the emergent situation of railway health and epidemic prevention".

  15. [National health strategies in the world and its enlightenment to build healthy China].

    Science.gov (United States)

    Shi, X M

    2016-08-06

    The national health strategy is a reflection of a country on overall value and development vision of national health, and conducting this strategy will enhance and promote national development and people's welfare. In the current situation of building Healthy China during the 13th Five-Year Plan, it is important to learn experiences in this area from developed countries. This article mainly presents detailed introduction of the formulation, the implementation and the characteristics of National Health Strategies from the United States, United Kingdom and Japan, and also presents suggestions for the construction of Healthy China.

  16. The application status of Chinese herbal medicine in military health service in China.

    Science.gov (United States)

    Yang, Ge-Liang; Gu, Wei; Zhang, Hui-Qing; Zhai, Xiao-Feng; Li, Xiao-Qian; Ling, Chang-Quan

    2016-07-01

    Military medicine has had a long history in China since the emergence of the war. Chinese medicine, especially Chinese herbs, was widely used in China as well as other Asian countries for the prevention and treatment of diseases in the military for hundreds of years. However, the use of Chinese medicine in military health service has never been well studied. In this article, we briefly summarize the application status of Chinese herbal medicine in military health service in China, putting particular emphasis on special military environment, in an attempt to build a bridge between Chinese medicine and military health service and promote the quality of health service for the military and maintain world peace.

  17. Involuntary detention and treatment of the mentally ill: China's 2012 Mental Health Law.

    Science.gov (United States)

    Ding, Chunyan

    2014-01-01

    The long-awaited Mental Health Law of China was passed on 26 October 2012 and took effect on 1 May 2013. Being the first national legislation on mental health, it establishes a basic legal framework to regulate mental health practice and recognizes the fundamental rights of persons with mental disorders. This article focuses on the system of involuntary detention and treatment of the mentally ill under the new law, which is expected to prevent the so-called "Being misidentified as mentally disordered" cases in China. A systematic examination of the new system demonstrates that the Mental Health Law of China implicitly holds two problematic assumptions and does not provide adequate protection of the fundamental rights of the involuntary patients. Administrative enactments and further national legislative efforts are needed to remedy these flaws in the new law.

  18. How does social capital matter to the health status of older adults? Evidence from the China Health and Retirement Longitudinal Survey.

    Science.gov (United States)

    Liu, Gordon G; Xue, Xindong; Yu, Chenxi; Wang, Yafeng

    2016-09-01

    This paper uses longitudinal data from China to examine the causal relationship between structural social capital and health among Chinese older adults. We employ various econometric strategies to control for the potential endogeneity of social capital and account for the possible contextual confounding effects by including community-level social capital. We use three indicators to measure individuals' general, physical, and mental health. Results indicate that social capital has a significant and positive effect on general and physical health. Based on our primary IV findings, a one standard-deviation increase in social capital leads to a 4.9 standard-deviation decrease in the probability of having bad health and a 2.2 standard-deviation decrease in physical activity limitations. Our results are robust to a series of sensitivity checks. Further analysis suggests heterogeneous effects by age but not by gender or area of residence.

  19. Measuring socioeconomic health inequalities in presence of multiple categorical information.

    Science.gov (United States)

    Makdissi, Paul; Yazbeck, Myra

    2014-03-01

    While many of the measurement approaches in health inequality measurement assume the existence of a ratio-scale variable, most of the health information available in population surveys is given in the form of categorical variables. Therefore, the well-known inequality indices may not always be readily applicable to measure health inequality as it may result in the arbitrariness of the health concentration index's value. In this paper, we address this problem by changing the dimension in which the categorical information is used. We therefore exploit the multi-dimensionality of this information, define a new ratio-scale health status variable and develop positional stochastic dominance conditions that can be implemented in a context of categorical variables. We also propose a parametric class of population health and socioeconomic health inequality indices. Finally we provide a twofold empirical illustration using the Joint Canada/United States Surveys of Health 2004 and the National Health Interview Survey 2010.

  20. Perception, attitude and behavior in relation to climate change: A survey among CDC health professionals in Shanxi province, China

    Energy Technology Data Exchange (ETDEWEB)

    Wei, Junni, E-mail: junxinni@163.com [Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan 030001, Shanxi (China); Hansen, Alana, E-mail: alana.hansen@adelaide.edu.au [Discipline of Public Health, School of Population Health, The University of Adelaide, Adelaide 5005 (Australia); Zhang, Ying, E-mail: ying.zhang@sydney.edu.au [Sydney School of Public Health, The University of Sydney, NSW 2006 (Australia); Li, Hong [Shanxi Center for Disease Control and Prevention, Taiyuan 030001 Shanxi (China); Liu, Qiyong, E-mail: liuqiyong@icdc.cn [State Key Laboratory for Infectious Diseases Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206 (China); Shandong University Climate Change and Health Center, Jinan 250012, Shandong (China); Sun, Yehuan, E-mail: yhsun@sina.com [Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei 230032, Anhui (China); Bi, Peng, E-mail: peng.bi@adelaide.edu.au [Discipline of Public Health, School of Population Health, The University of Adelaide, Adelaide 5005 (Australia)

    2014-10-15

    Background: A better understanding of public perceptions, attitude and behavior in relation to climate change will provide an important foundation for government's policy-making, service provider's guideline development and the engagement of local communities. The purpose of this study was to assess the perception towards climate change, behavior change, mitigation and adaptation measures issued by the central government among the health professionals in the Centres for Disease Control and Prevention (CDC) in China. Methods: In 2013, a cross-sectional questionnaire survey was undertaken among 314 CDC health professionals in various levels of CDC in Shanxi Province, China. Descriptive analyses were performed. Results: More than two thirds of the respondents believed that climate change has happened at both global and local levels, and climate change would lead to adverse impacts to human beings. Most respondents (74.8%) indicated the emission of greenhouse gases was the cause of climate change, however there was a lack of knowledge about greenhouse gases and their sources. Media was the main source from which respondents obtained the information about climate change. A majority of respondents showed that they were willing to change behavior, but their actions were limited. In terms of mitigation and adaptation measures issued by the Chinese Government, respondents' perception showed inconsistency between strategies and relevant actions. Moreover, although the majority of respondents believed some strategies and measures were extremely important to address climate change, they were still concerned about economic development, energy security, and local environmental protection. Conclusion: There are gaps between perceptions and actions towards climate change among these health professionals. Further efforts need to be made to raise the awareness of climate change among health professionals, and to promote relevant actions to address climate change in

  1. 75 FR 51831 - Request for Measures of Health Plan Efforts To Address Health Plan Members' Health Literacy Needs

    Science.gov (United States)

    2010-08-23

    ... Quality Request for Measures of Health Plan Efforts To Address Health Plan Members' Health Literacy Needs...' health literacy needs and how well they communicate with health plan enrollees. This initiative is in response to the need identified by AHRQ to develop a new supplemental item set (the ``new instrument'')...

  2. Urban health insurance reform and coverage in China using data from National Health Services Surveys in 1998 and 2003

    Directory of Open Access Journals (Sweden)

    Collins Charles D

    2007-03-01

    Full Text Available Abstract Background In 1997 there was a major reform of the government run urban health insurance system in China. The principal aims of the reform were to widen coverage of health insurance for the urban employed and contain medical costs. Following this reform there has been a transition from the dual system of the Government Insurance Scheme (GIS and Labour Insurance Scheme (LIS to the new Urban Employee Basic Health Insurance Scheme (BHIS. Methods This paper uses data from the National Health Services Surveys of 1998 and 2003 to examine the impact of the reform on population coverage. Particular attention is paid to coverage in terms of gender, age, employment status, and income levels. Following a description of the data between the two years, the paper will discuss the relationship between the insurance reform and the growing inequities in population coverage. Results An examination of the data reveals a number of key points: a The overall coverage of the newly established scheme has decreased from 1998 to 2003. b The proportion of the urban population without any type of health insurance arrangement remained almost the same between 1998 and 2003 in spite of the aim of the 1997 reform to increase the population coverage. c Higher levels of participation in mainstream insurance schemes (i.e. GIS-LIS and BHIS were identified among older age groups, males and high income groups. In some cases, the inequities in the system are increasing. d There has been an increase in coverage of the urban population by non-mainstream health insurance schemes, including non-commercial and commercial ones. The paper discusses three important issues in relation to urban insurance coverage: institutional diversity in the forms of insurance, labour force policy and the non-mainstream forms of commercial and non-commercial forms of insurance. Conclusion The paper concludes that the huge economic development and expansion has not resulted in a reduced disparity in

  3. Measuring Environmental Health Perception among College Students

    Science.gov (United States)

    Ratnapradipa, Dhitinut; Brown, Stephen L.; Middleton, Wendi K.; Wodika, Alicia B.

    2011-01-01

    One's knowledge, perception, and attitude are fundamental in determining how one behaves regarding environmental hazards. While science has made great strides in promoting environmental health, threats still exist, largely due to individual actions in response to potential health hazards. Undergraduate students (n = 395) enrolled in an…

  4. Positive Mental Health; measurement, relevance and implications

    NARCIS (Netherlands)

    Lamers, Sanne

    2012-01-01

    The professionalization of psychology yielded many advantages, but also led to a main focus on psychopathology in mental health care. This thesis investigated an additional positive approach to mental health, focusing on positive feelings and life satisfaction (emotional well-being) and optimal func

  5. Preferred ecosystem characteristics: their food and health relevance to China's rapid urbanisation.

    Science.gov (United States)

    Gibson, Valerie; Zhu, Yong-Guan; Ge, Rubing; Wahlqvist, Mark L

    2015-01-01

    For most of its history, China has supported a growing population through food systems which have been mutually inclusive of people and their locality. This trajectory has required adequate ecosystem maintenance or humanised reformulation and a high degree of recyclable nutrient flow. The 'tipping point' in habitat sustainability has come with the size and demographic structure of China's population to one that is ageing, with modernisation of its infrastructure and increased expectations of better livelihoods, standards of living and health. In order to meet these expectations, China has embarked on rapid urbanisation for upwards of 300 million people over the next 15-20 years and to do so taking account of the environmental limitations. The process will radically change rural as well as urban China and the systems which connect them. Chief among these will be ecosystems in number and type along with the food and health systems integral to them. To minimise ecological damage and optimise the benefits to people and place, describing, monitoring and managing the process will be paramount. The present paper is a situational analysis of health as it may be ecologically favoured or disordered (Ecosystem Health Disorders) and of the food systems on which the environment and health depend. An effort is made to enumerate the current situation in China in a way that might enable the optimisation of humanised ecosystems.

  6. Environmental health in China: progress towards clean air and safe water.

    Science.gov (United States)

    Zhang, Junfeng; Mauzerall, Denise L; Zhu, Tong; Liang, Song; Ezzati, Majid; Remais, Justin V

    2010-03-27

    Environmental risk factors, especially air and water pollution, are a major source of morbidity and mortality in China. Biomass fuel and coal are burned for cooking and heating in almost all rural and many urban households, resulting in severe indoor air pollution that contributes greatly to the burden of disease. Many communities lack access to safe drinking water and sanitation, and thus the risk of waterborne disease in many regions is high. At the same time, China is rapidly industrialising with associated increases in energy use and industrial waste. Although economic growth from industrialisation has improved health and quality of life indicators, it has also increased the release of chemical toxins into the environment and the rate of environmental disasters, with severe effects on health. Air quality in China's cities is among the worst in the world, and industrial water pollution has become a widespread health hazard. Moreover, emissions of climate-warming greenhouse gases from energy use are rapidly increasing. Global climate change will inevitably intensify China's environmental health troubles, with potentially catastrophic outcomes from major shifts in temperature and precipitation. Facing the overlap of traditional, modern, and emerging environmental dilemmas, China has committed substantial resources to environmental improvement. The country has the opportunity to address its national environmental health challenges and to assume a central role in the international effort to improve the global environment.

  7. Crustal Movement Patterns of China Continent Measured by GPS

    Institute of Scientific and Technical Information of China (English)

    YAO Yibin

    2003-01-01

    This paper uses multi-quadric equations interpolation to es-tablish a widely covered and valuablespeed field model of China, withwhich the horizontal crustal movementpatterns are obtained. The present-dayvertical crustal movement velocity im-age of China is also expressed by GPSobservations, from which we canknow the vertical crustal movementpatterns.

  8. Use of infrared thermal imaging to diagnose health of Ammopiptanthus mongolicus in northwestern China

    Institute of Scientific and Technical Information of China (English)

    Weijie Yuan; Yi Yu; Yongde Yue; Ji Wang; Fengchun Zhang; Xiaohong Dang

    2015-01-01

    Population of the rare and endangered species Ammopiptanthus mongolicus (Maxim.) Cheng f. declined rapidly in China’s arid region and Central Asia. There is an urgent need to protect this species, which is particularly important in maintaining biodiversity throughout the arid region of northwestern China. By analyzing the infrared thermal images based on plant-transpiration transfer coef-ficient (hat) and photosynthetic parameters, we made quantitative and accurate diagnoses of the plant growth and health status of A. mongolicus. Using an LI-COR6400 photosynthesis system, we measured the net photosynthetic rate (Pn), stomatal conductance (Gs), and transpiration rate (Tr). Infrared thermal images obtained in the field were processed by ENVI4.8 software to calculate surface tem-peratures of the plant subjects. We found that the plant transpiration transfer coefficient of A. mongolicus was in the order of old plants [young plants [intermediate-aged plants. Declining health levels of young, intermediate, and old plants were divided into three categories:\\0.4, 0.4–0.7, and [0.7. The coefficient showed a significant negative correlation with Tr, Gs, and Pn, indicating that they can simultaneously reflect the state of plant growth. By estab-lishing hat and photosynthetic parameters in regression model Y=a-blnx, we can accurately diagnose plant growth and decline of plant health conditions.

  9. The Smart Health Initiative in China: The Case of Wuhan, Hubei Province.

    Science.gov (United States)

    Fan, Meiyu; Sun, Jian; Zhou, Bin; Chen, Min

    2016-03-01

    To introduce smart health in Wuhan, and provide some references for other cities. As the largest mega-city in central China, Wuhan is investing large amounts of resources to push forward the development of Smart Wuhan and Health Wuhan, and it has unique features. It is one of the centerpieces of China's New Healthcare Reform, and great hope is put on it to help solve the conflict between limited healthcare resources and the large population of patients. How to plan and design smart health is important. The construction of Wuhan Smart Health includes some aspects as follows, like requirement analysis, the establishment of objectives and blueprint, the architecture design of regional health information platform, evaluation and implementation, problems and solutions, and so on. Wuhan Smart Health has obtained some achievements in health network, information systems, resident's health records, information standard, and the first phase of municipal health information platform. The focus of this article is the whole construction process of smart health in Wuhan. Although there are some difficulties during this period, some smart health services and management have been reflected. Compared with other cities or countries, Wuhan Smart Health has its own advantages and disadvantages. This study aims to provide a reference for other cities. Because smart health of Wuhan is characteristic in construction mode. Though still in the initial stage, it has great potentials in the future.

  10. China's laws, rights, and administrative structures in occupational safety and health: a comparison with the United States.

    Science.gov (United States)

    Sun, Yinling; Xu, Lingzhong; Shao, Hua; Wang, He

    2014-11-01

    China has achieved rapid economic development, but faces tremendous challenges in occupational safety and health (OSH). We describe China's laws, rights, and administrative structures in OSH and in workers' compensation. The article compares these with comparable laws, rights, and administrative structures in the United States. We hope this comparison may provide useful lessons for continued OSH development and improvement in China.

  11. The performance measurement-management divide in public health.

    Science.gov (United States)

    Schwartz, Robert; Deber, Raisa

    2016-03-01

    What happens when performance measurement and management (PMM) is applied to public health systems? This review of the experiences of high-income jurisdictions reveals considerable challenges, some familiar from the general public management literature and some more unique to public health. To aid understanding, the PMM ladder, a framework for evaluating PMM systems is developed and applied to 55 public health measurement systems from Australia, Canada, EU, New Zealand, UK and US. Results indicate that: considerable measurement is occurring for informational purposes; measurement focuses more on clinical than on population health measures; and there is relatively little use of measurement results for improving management. Results demonstrate that much public health performance measurement is restricted to population health outcomes and fails to include more proximate activity and output measures that would be more useful for managing public health organizations. There are early signs of the emergence of a new breed of public health performance measurement that attempts to do just this. The PMM ladder proved useful for assessing efforts across a range of jurisdictions. It allows policymakers and managers to easily compare their PMM efforts with others and assists researchers in assessing what happens when PMM is applied to public health.

  12. Air quality and students' health in Shanghai (China): an educational and scientific project

    Science.gov (United States)

    Bigot-Cormier, Florence; Nicolaï, Marie-Pierre; Martinez, Claire-Marie; Bethmont, Valérie; Guinot, Benjamin

    2014-05-01

    The quality of our environment and especially air quality is a hot topic in any urban environment. Hourly air quality data tend to be easily available to the populations either in the news or on mobile phones. Studies underlining the relationship between environment and health exist in developed countries, but the results cannot be used in such different environmental and sociological contexts as the ones we have in China. In collaboration with the CNRS, students from the Lycée Français de Shanghai (LFS- 5th and 2nd grade) undertake a study in order to obtain an empiric relationship between the atmospheric pollutants they are exposed to in and out the classrooms, and their own health. This study is a part of a scientific and educational project including Beijing, and possibly other foreign schools in Asia later on. The atmospheric pollution in China is essentially caused by particles from different sizes mainly coming from coal combustion. First, in order to quantify the pollution at Shanghai, the students are recording information regarding fine particles as PM2.5 and PM1.0, NO2, SO2, and O3 using active and passive sensors indoors and outdoors, within the school campus. CO2, temperature and relative humidity are used to qualify the confinement rate indoors. In parallel, approximately 100 students (chosen regarding their age, health records, residence time in China…) and some teachers are going to complete a monthly survey regarding their health. Moreover, they will perform some specific measurements to obtain their breathing performances by spirometry, and an indication of the inflammation of their lower airways by exhaled NO measurements. The protocol of these experimentations and the first results will be presented in the poster. At the end of the project, these results will allow us to get a better knowledge about the air pollution we are exposed to, within the school campus, which will help us to adopt an optimized risk management protocol when pollution

  13. Reducing Health Risks from Indoor Exposures in Rapidly Developing Urban China

    DEFF Research Database (Denmark)

    Zhang, Yinping; Mo, Jinhan; Weschler, Charles J.

    2013-01-01

    Background: Over the past two decades there has been a large migration of China's population from rural to urban regions. At the same time, residences in cities have changed in character from single-story or low-rise buildings to high-rise structures constructed and furnished with many synthetic...... materials. As a consequence, indoor exposures (to pollutants with outdoor and indoor sources) have changed significantly. Objectives: We briefly discuss the inferred impact that urbanization and modernization have had on indoor exposures and public health in China. We argue that growing adverse health costs...... associated with these changes are not inevitable, and we present steps that could be taken to reduce indoor exposures to harmful pollutants. Discussion: As documented by China's Ministry of Health, there have been significant increases in morbidity and mortality among urban residents over the past 20 years...

  14. An Objective Measure to Evaluate Actual Body Shape among Children and Adolescents in China

    Institute of Scientific and Technical Information of China (English)

    FU Lian Guo; WANG Hai Jun; LI Xiao Hui; WANG Zhi Qiang; Patrick WC Lau; YANG Yi De; MENG Xiang Kun; MA Jun

    2014-01-01

    Objective The purpose of this study was to explore an objective measure to assess actual body shape of children and adolescents in China. Methods Based on the Chinese National Survey on Student’s Constitution and Health (CNSSCH) in 2005, 210 927 children and adolescents' (7-18 years) body height, body weight, chest circumference, sitting height, chest circumference-height ratio, chest circumference-sitting height ratio, chest circumference-low limb ratio, and sitting height-low limb ratio measurements were used to develop an objective measure by using transformation variables and explored factor analysis (EFA). Discrimination power of the objective measure was evaluated based on BMI reference and Receiver Operating Characteristic curves (ROC). Results The objective measure included four dimensions scores:transverse dimension (TD) indicating weight and chest circumference; length dimension (LD) indicating height and sitting height;transverse-length ratio dimension (TLD) indicating chest circumference-height ratio, chest circumference-sitting height and chest circumference-low limb ratio; proportion dimension (PD) indicating sitting height-low limb ratio. The whole dimension (WD) indicating the whole body shape was showed by the average of four dimensions scores. Four dimensions and WD scores were approximately 80 in children and adolescents with normal weight, and higher than those of overweight, obesity, and underweight (all P-values Conclusion The objective measure which included four dimensions was explored, and TD, TLD, and WD had significant discrimination power.

  15. Violence, stigma and mental health among female sex workers in China: A structural equation modeling.

    Science.gov (United States)

    Zhang, Liying; Li, Xiaoming; Wang, Bo; Shen, Zhiyong; Zhou, Yuejiao; Xu, Jinping; Tang, Zhenzhu; Stanton, Bonita

    2016-05-26

    Intimate partner violence is prevalent among female sex workers (FSWs) in China, and it is significantly associated with mental health problems among FSWs. However, limited studies have explored the mechanisms/process by which violence affects mental health. The purpose of this study was to explore the relationships among partner violence, internalized stigma, and mental health problems among FSWs. Data were collected using a self-administered cross-sectional survey administered to 1,022 FSWs in the Guangxi Zhuang Autonomous Region (Guangxi), China during 2008-2009. We used structural equation modeling to test the hypothesized relationships. Results indicated that violence perpetrated by either stable sexual partners or clients was directly and positively associated with mental health problems. Violence also had an indirect relation to mental health problems through stigma. Results highlight the need for interventions on counseling and care for FSWs who have experienced violence and for interventions to increase FSWs' coping skills and empowerment strategies.

  16. Illegal private clinics: ideal health services choices among rural-urban migrants in China?

    Science.gov (United States)

    Li, Yan

    2014-01-01

    The main purpose of this article is to explore the important issues and the role of illegal private clinics in health services access among rural-urban migrants in China. The function that illegal private clinics substantially play on the health among rural-urban migrants in China is rarely discussed in studies. A study on a migrant community in Beijing shows the disadvantaged status of health services choices and the constraints for access to health services among migrants. It argues that the existence of illegal private clinics provides a channel to migrants for medical services in the city and reflects the difficulties and high cost of providing medical services to migrants in urban public hospitals. Occasionally the illegal private clinics can cause danger to the health of migrants.

  17. Progress and challenges of disaster health management in China: a scoping review

    Directory of Open Access Journals (Sweden)

    Shuang Zhong

    2014-09-01

    Full Text Available Background: Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. Objective: This paper provides an overview of the status of disaster health management in China, with its aim to promote the effectiveness of the health response for reducing disaster-related mortality and morbidity. Design: A scoping review method was used to address the recent progress of and challenges to disaster health management in China. Major health electronic databases were searched to identify English and Chinese literature that were relevant to the research aims. Results: The review found that since 2003 considerable progress has been achieved in the health disaster response system in China. However, there remain challenges that hinder effective health disaster responses, including low standards of disaster-resistant infrastructure safety, the lack of specific disaster plans, poor emergency coordination between hospitals, lack of portable diagnostic equipment and underdeveloped triage skills, surge capacity, and psychological interventions. Additional challenges include the fragmentation of the emergency health service system, a lack of specific legislation for emergencies, disparities in the distribution of funding, and inadequate cost-effective considerations for disaster rescue. Conclusions: One solution identified to address these challenges appears to be through corresponding policy strategies at multiple levels (e.g. community, hospital, and healthcare system level.

  18. Measuring perinatal health equity and migration indicators for international comparisons.

    Science.gov (United States)

    Gagnon, Anita J; Small, Rhonda; Sarasua, Irene; Lang, Carly

    2015-01-01

    An international research collaboration answered, "Can equity in perinatal health for migrant women be measured for comparison across countries?" In nine countries, perinatal databases were assessed for the availability of equity indicators. Equity data were also sought from women and health records. Optimal sources of data differed depending on the migrant perinatal health equity indicator. Health and migration data, required to capture equity, were often not reported in the same location. Migration indicators other than country of birth were underreported. Perinatal health equity can be measured for international comparisons, although a standardized protocol is required to capture all indicators.

  19. China Takes Strict Measures on Intellectual Property Right

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ The Supreme People's Court and Supreme People's Procuratorate of the People's Republic of China have issued "Judicial Explanations on Handling the Criminal Cases of Infringing the Intellectual Property Right", which entered into force on December 22,2004.

  20. Assessment of TBLT in the College English Classroom in China and Measures to Deal with Problems

    Institute of Scientific and Technical Information of China (English)

    刘星

    2009-01-01

    As a relatively new methodology, task-based language teaching (TBLT) methodology is increasingly popular in China. The feasibility of TBLT in the college English classroom in China has been disputed. It is necessary to discuss it's suitable and unsuitable aspects, and then put forward measures in order to make this methodology suit this environ-ment and improve the teaching quality.

  1. Oral health knowledge, attitudes and behaviour of adults in China

    DEFF Research Database (Denmark)

    Zhu, Ling; Petersen, Poul Erik; Wang, Hong-Ying

    2005-01-01

    OBJECTIVES: To describe oral health behaviour, illness behaviour, oral health knowledge and attitudes among 35-44 and 65-74-year-old Chinese; to analyse the oral health behaviour profile of the two age groups in relation to province and urbanisation, and to assess the relative effect of socio-beh...

  2. Health Improvements Have Been More Rapid and Widespread in China than in India: A Comparative Analysis of Health and Socioeconomic Trends from 1960 to 2011

    Directory of Open Access Journals (Sweden)

    Gopal K. Singh, PhD

    2012-11-01

    Full Text Available ObjectivesWe examined differences between China and India in key health and socioeconomic indicators, including life expectancy, infant and child mortality, non-communicable disease mortality from cancer, cardiovascular diseases (CVD, and diabetes, Human Development Index, Gender Inequality Index, material living conditions, and health expenditure.MethodsData on health and social indicators came from various World Health Organization and United Nations databases on global health and development statistics, including the GLOBOCAN cancer database. Mortality trends were modeled by log-linear regression, and differences in rates and relative risks were tested for statistical significance.ResultsAlthough both countries have made marked improvements, India lags behind China on several key health indicators. Differential rates of mortality decline during 1960-2009 have led to a widening health gap between China and India. In 2009 the infant mortality rate in India was 50 deaths per 1,000 live births, 3 times greater than the rate for China. Sixty-six out of 1,000 Indian children died before reaching their 5th birthday, compared with 19 children in China. China’s life expectancy is 9 years longer than India’s. Life expectancy at birth in India increased from 42 years in 1960 to 65 years in 2009, while life expectancy in China increased from 47 years in 1960 to 74 years in 2009. Major health concerns for China include high rates of stomach, liver, and lung cancer, CVD, and smoking prevalence. Globally, India ranked 90th and China 102nd in life satisfaction.Conclusions and Public Health Implications:India’s less favorable health profile compared to China is largely attributable to its higher rates of mortality from communicable diseases and maternal and perinatal conditions. Further health gains can be achieved by reducing social inequality, greater investments in human development and health services, and by prevention and control of chronic

  3. Neuroticism, Social Support and Activities of Daily Living in the Health Longevity Survey of the Old in China

    OpenAIRE

    Wu, Na

    2010-01-01

    Previous studies concerning with the relationship of neuroticism and social support in areas of health suggested that neuroticism is highly associated with health problems and social support could reduce the effect of neuroticism on health as a mediator. Therefore, this study examined these findings for older people in China. Based on Chinese Longitudinal Health Longevity Survey dataset, 11,147 participants living in 22 of the 31 provinces in China were interviewed in 2000 by self-report ques...

  4. A new measure for infant mental health screening

    DEFF Research Database (Denmark)

    Ammitzbøll, Janni; Holstein, Bjorn E.; Wilms, Lisbeth;

    2016-01-01

    by community health nurses (CHN) in existing service settings in Denmark. This study was conducted to describe the development of a service setting based measure to screen for infant mental health problems, to investigate problems identified by the measure and assess the validity and feasibility in existing......Background: Mental health problems are a major public health challenges, and strategies of early prevention are needed. Effective prevention depends on feasible and validated measures of screening and intervention. Previous research has demonstrated potentials for infant mental health screening...... public health settings. Methods: Experts within the field developed a short, feasible and comprehensive measure. A consecutive sample of 2973 infants from 11 municipalities around the city of Copenhagen was screened at 9–10 months. Face validity and feasibility were evaluated among CHNs. Data on child...

  5. How is eHealth literacy measured and what do the measurements tell us?

    DEFF Research Database (Denmark)

    Knudsen, Astrid Karnøe; Kayser, Lars

    2015-01-01

    The increasing use of digital services and technologies in health care calls for effective tools to evaluate the users’ eHealth literacy in order to better understand the users’ interaction with health technologies. We here present a systematic review of existing tools to measure eHealth literacy...

  6. Health benefit evaluation of the energy use scenarios in Beijing, China.

    Science.gov (United States)

    Pan, Xiaochuan; Yue, Wei; He, Kebin; Tong, Shilu

    2007-03-15

    Air pollution is one of the important causal factors for excess cardiorespiratory deaths and diseases. However, little information is available on health gains from clean energy usage in developing countries. In this study the expected population exposed to air pollutants was estimated under the different energy use scenarios by the year 2010, 2020 and 2030, respectively, in the urban area of Beijing, China. The concentration-response functions between air pollutants and the health endpoints were established using meta-analysis and regression models. The decreased cardiorespiratory deaths and diseases of the exposed population were predicted as the health benefits from air pollution reduction. We used daily measurements of particulate matter less than 10 mum in aerodynamic diameter (PM(10)) and sulphate dioxide (SO(2)) as air pollution indicators. The percentage of population exposed to higher level of PM(10) will be decreased significantly under the clean energy use scenario than that under the Baseline Scenario (i.e., business-as-usual scenario). Compared with the Baseline Scenario there will be, by 2010, 2020, and 2030, respectively, a decrease of 29-152, 30-212 and 39-287 acute excess deaths; and 340-1811, 356-2529 and 462-3424 chronic excess deaths associated with the reduction of PM(10) level; also a decrease of 237-331, 285-371 and 400-554 short-term excess deaths associated with the decrease of SO(2) level. Meanwhile, the number of respiratory and cardiovascular hospital admissions, outpatient visits to internal and paediatrics departments, total emergency room visits and asthma attacks will be remarkably reduced with the reduction of air pollution. Energy structure improvement could reduce ambient air pollution and produce substantial health benefits to the population in Beijing. These findings may have significant implications for other metropolitan cities, particularly in developing countries.

  7. Refining estimates of public health spending as measured in national health expenditure accounts: the Canadian experience.

    Science.gov (United States)

    Ballinger, Geoff

    2007-01-01

    The recent focus on public health stemming from, among other things, severe acute respiratory syndrome and avian flu has created an imperative to refine health-spending estimates in the Canadian Health Accounts. This article presents the Canadian experience in attempting to address the challenges associated with developing the needed taxonomies for systematically capturing, measuring, and analyzing the national investment in the Canadian public health system. The first phase of this process was completed in 2005, which was a 2-year project to estimate public health spending based on a more classic definition by removing the administration component of the previously combined public health and administration category. Comparing the refined public health estimate with recent data from the Organization for Economic Cooperation and Development still positions Canada with the highest share of total health expenditure devoted to public health than any other country reporting. The article also provides an analysis of the comparability of public health estimates across jurisdictions within Canada as well as a discussion of the recommendations for ongoing improvement of public health spending estimates. The Canadian Institute for Health Information is an independent, not-for-profit organization that provides Canadians with essential statistics and analysis on the performance of the Canadian health system, the delivery of healthcare, and the health status of Canadians. The Canadian Institute for Health Information administers more than 20 databases and registries, including Canada's Health Accounts, which tracks historically 40 categories of health spending by 5 sources of finance for 13 provincial and territorial jurisdictions. Until 2005, expenditure on public health services in the Canadian Health Accounts included measures to prevent the spread of communicable disease, food and drug safety, health inspections, health promotion, community mental health programs, public

  8. The role of basic health insurance on depression: an epidemiological cohort study of a randomized community sample in Northwest China

    Directory of Open Access Journals (Sweden)

    Tian Donghua

    2012-09-01

    Full Text Available Abstract Background Little research has focused on the relationship between health insurance and mental health in the community. The objective of this study is to determine how the basic health insurance system influences depression in Northwest China. Methods Participants were selected from 32 communities in two northwestern Chinese cities through a three-stage random sampling. Three waves of interviews were completed in April 2006, December 2006, and January 2008. The baseline survey was completed by 4,079 participants. Subsequently, 2,220 participants completed the first follow-up, and 1,888 completed the second follow-up. Depression symptoms were measured by the Center for Epidemiologic Studies Depression Scale (CES-D. Results A total of 40.0% of participants had at least one form of health insurance. The percentages of participants with severe depressive symptoms in the three waves were 21.7%, 22.0%, and 17.6%. Depressive symptoms were found to be more severe among participants without health insurance in the follow-up surveys. After adjusting for confounders, participants without health insurance were found to experience a higher risk of developing severe depressive symptoms than participants with health insurance (7 months: OR, 1.40; 95% CI, 1.09-1.82; p = 0.01; 20 months: OR, 1.89; 95% CI, 1.37-2.61; p  Conclusion A lack of basic health insurance can dramatically increase the risk of depression based on northwestern Chinese community samples.

  9. Universal health coverage in emerging economies: findings on health care utilization by older adults in China, Ghana, India, Mexico, the Russian Federation, and South Africa

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2014-10-01

    Full Text Available Background and objective: The achievement of universal health coverage (UHC in emerging economies is a high priority within the global community. This timely study uses standardized national population data collected from adults aged 50 and older in China, Ghana, India, Mexico, the Russian Federation, and South Africa. The objective is to describe health care utilization and measure association between inpatient and outpatient service use and patient characteristics in these six low- and middle-income countries. Design: Secondary analysis of data from the World Health Organization's Study on global AGEing and adult health Wave 1 was undertaken. Country samples are compared by socio-demographic characteristics, type of health care, and reasons for use. Logistic regressions describe association between socio-demographic and health factors and inpatient and outpatient service use. Results: In the pooled multi-country sample of over 26,000 adults aged 50-plus, who reported getting health care the last time it was needed, almost 80% of men and women received inpatient or outpatient care, or both. Roughly 30% of men and women in the Russian Federation used inpatient services in the previous 3 years and 90% of men and women in India used outpatient services in the past year. In China, public hospitals were the most frequently used service type for 52% of men and 51% of women. Multivariable regression showed that, compared with men, women were less likely to use inpatient services and more likely to use outpatient services. Respondents with two or more chronic conditions were almost three times as likely to use inpatient services and twice as likely to use outpatient services compared with respondents with no reported chronic conditions. Conclusions: This study provides a basis for further investigation of country-specific responses to UHC.

  10. Urinary antibiotics of pregnant women in Eastern China and cumulative health risk assessment.

    Science.gov (United States)

    Wang, Hexing; Wang, Na; Qian, Junhua; Hu, Lingyun; Huang, Peixin; Su, Meifang; Yu, Xin; Fu, Chaowei; Jiang, Feng; Zhao, Qi; Zhou, Ying; Lin, Haijiang; He, Gengsheng; Chen, Yue; Jiang, Qingwu

    2017-02-23

    Exposure to antibiotics during pregnancy can pose a systematic effect on human health. A few bio-monitoring studies have demonstrated an extensive exposure of children to antibiotics, but there is still lack of data for pregnant women. To assess the exposure of pregnant women to antibiotics and potential health risk, we investigated 536 pregnant women aged 16-42 years from two geographically different study sites in Eastern China in 2015. We measured 21 antibiotics of five categories (seven fluoroquinolones, three phenicols, four tetracyclines, three macrolides, and four sulfonamides) in urines by using the isotope dilution ultra-performance liquid chromatography coupled to quadrupole time of-flight mass spectrometry. Hazard index (HI) was calculated based on estimated daily exposure dose and acceptable daily intakes. Sixteen antibiotics were found in urines with detection frequencies between 0.2% and 16.0%. Antibiotics were overall detected in 41.6% of urines, and two or more antibiotics were detected in 13.1% of urines. Ciprofloxacin, ofloxacin, and trimethoprim were most frequently detected in urine with detection frequencies between 10% and 20%. The majority of the antibiotics tested had an estimated daily exposure dose less than 1μg/kg/day and 4.3% of pregnant women had a HI value more than one. These findings indicated that pregnant women were frequently exposed to antibiotics and some individuals were in the potential risk of adverse microbiological effects induced by antibiotics.

  11. Defining and measuring health inequality: an approach based on the distribution of health expectancy.

    Science.gov (United States)

    Gakidou, E. E.; Murray, C. J.; Frenk, J.

    2000-01-01

    This paper proposes an approach to conceptualizing and operationalizing the measurement of health inequality, defined as differences in health across individuals in the population. We propose that health is an intrinsic component of well-being and thus we should be concerned with inequality in health, whether or not it is correlated with inequality in other dimensions of well-being. In the measurement of health inequality, the complete range of fatal and non-fatal health outcomes should be incorporated. This notion is operationalized through the concept of healthy lifespan. Individual health expectancy is preferable, as a measurement, to individual healthy lifespan, since health expectancy excludes those differences in healthy lifespan that are simply due to chance. In other words, the quantity of interest for studying health inequality is the distribution of health expectancy across individuals in the population. The inequality of the distribution of health expectancy can be summarized by measures of individual/mean differences (differences between the individual and the mean of the population) or inter-individual differences. The exact form of the measure to summarize inequality depends on three normative choices. A firmer understanding of people's views on these normative choices will provide a basis for deliberating on a standard WHO measure of health inequality. PMID:10686732

  12. The state of health services in China and India: a larger context.

    Science.gov (United States)

    Bardhan, Pranab

    2008-01-01

    In this paper the problems of health services in China and India are related to some structural features of the two economies. Some similarities and differences exist across these two countries in terms of political economy, with differential results. Both countries have experienced remarkable economic growth during the past quarter-century, but this has not always translated into improvements in health for the poor. Although China used to have an egalitarian basic public health service, the system has become quite inegalitarian during the past quarter-century, with the disintegration of the communes and adoption of fee-based services under a system of decentralized public finance. India's health system has remained inegalitarian throughout.

  13. Healthy migrant and salmon bias hypotheses: a study of health and internal migration in China.

    Science.gov (United States)

    Lu, Yao; Qin, Lijian

    2014-02-01

    The existing literature has often underscored the "healthy migrant" effect and the "salmon bias" in understanding the health of migrants. Nevertheless, direct evidence for these two hypotheses, particularly the "salmon bias," is limited. Using data from a national longitudinal survey conducted between 2003 and 2007 in China, we provide tests of these hypotheses in the case of internal migration in China. To examine the healthy migrant effect, we study how pre-migration self-reported health is associated with an individual's decision to migrate and the distance of migration. To test the salmon bias hypothesis, we compare the self-reported health of migrants who stay in destinations and who return or move closer to home villages. The results provide support for both hypotheses. Specifically, healthier individuals are more likely to migrate and to move further away from home. Among migrants, those with poorer health are more likely to return or to move closer to their origin communities.

  14. Benefit distribution of social health insurance: evidence from china's urban resident basic medical insurance.

    Science.gov (United States)

    Pan, Jay; Tian, Sen; Zhou, Qin; Han, Wei

    2016-09-01

    Equity is one of the essential objectives of the social health insurance. This article evaluates the benefit distribution of the China's Urban Residents' Basic Medical Insurance (URBMI), covering 300 million urban populations. Using the URBMI Household Survey data fielded between 2007 and 2011, we estimate the benefit distribution by the two-part model, and find that the URBMI beneficiaries from lower income groups benefited less than that of higher income groups. In other words, government subsidy that was supposed to promote the universal coverage of health care flew more to the rich. Our study provides new evidence on China's health insurance system reform, and it bears meaningful policy implication for other developing countries facing similar challenges on the way to universal coverage of health insurance.

  15. Is occupation a good predictor of self-rated health in China?

    Directory of Open Access Journals (Sweden)

    Zheng Xie

    Full Text Available China's rapidly changing economic landscape has led to widening social inequalities. Occupational status in terms of occupational type and prestige may reflect these socio-structural shifts of social position and be more predictive of self-rated health status than income and education, which may only reflect more gradual acquisitions of social status over time. The goals of this study were to understand the role of occupational status in predicting self-rated health, which is well known to be associated with long-term mortality, as well as compare the occupational status to the other major socioeconomic indicators of income and education.Data from the 2010 baseline surveys of the China Family Panel Studies, which utilized multi-stage probability sampling with implicit stratification was used. Logistic regression was used to examine the relationship of various socioeconomic indicators (i.e. occupational status, income, and education with self-rated health as the primary outcome of interest. A series of models considered the associations of occupational category or occupational prestige with self-rated health.The final sample consisted of 14,367 employed adults aged 18-60, which was nationally representative of working adults in China. We found that occupation was not a major predictor of self-rated health in China when age, ethnicity, location, marital status, physical and mental health status were controlled for, with the exception of women working in lower grade management and professional jobs (OR = 1.82, 95% CI: 1.03-3.22. In comparison, income followed by education exhibited greater association with self-rated health. The highest income group had the least probability to report poor health (In men: OR = 0.30, 95% CI: 0.21-0.43. In women: OR = 0.44, 95% CI: 0.26-0.73. People educated with junior high school had better self-rated health than those with primary and below education level (In men: OR = 0.62, 95% CI: 0.50-0.75. In women: OR = 0

  16. Touriam Health Care Center of Xiyuan Hospital China Academy of Traditioal Chinese Medicine

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Brief Introduction to Xiyuan Hospital Xiyuan Hospital of China Academy of Traditional Chinese Medicine (TCM) was founded in 1955.It is a large comprehensive hospital directly attached to the Chinese Ministry of Health and State Administration of TOM. This hospital governs First Clinical Medical Institute, Gerontology Institute and Clinical Pharmacological Institute of China Academy of TOM, and Clinical Pharmacological Base of the Health Ministry. It is a component of WHO Collaborating Center for Traditional Medicine. It also administers the Agency of Chinese Journal of Integrated Traditional Chinese and Western Medicine, the Society of Clinical Pharmacology of Chinese Drugs of China TOM Association, the Professional Committee of Hematology and Activating Blood-circulation and Removing Blood Stasis of Chinese Society of Integrated Traditional Chinese and Western Medicine.

  17. A comparison study on mental health status between suicide survivors and survivors of accidental deaths in rural China.

    Science.gov (United States)

    Xu, G; Li, N

    2014-12-01

    Suicide has become a major public health problem worldwide. For every suicide there are six suicide survivors, a term referring to family members or friends of a person who has died by suicide. Within the literature there has been ongoing debate regarding the bereavement process and if it differs in survivors of suicide as opposed to survivors of those who have died from accidental death. There are scarcely any published reports on comparison between these two groups of survivors in China. In this study, we aimed to explore the difference of mental health status between suicide survivors and survivors of accidental deaths in China. We used a cross-sectional study design to collect data of survivors. Consecutive sampling was used and 92 suicide survivors and 64 survivors of accidental deaths were interviewed. The Symptom Checklist-90-Revised was used to assess the survivors' mental health status. After controlling for demographic variables and time interval between death and interview, no significant differences were found on mental health status between these two groups of survivors. Several explanations might account for the lack of differences. Further studies employing qualitative measures and suicide-specific instruments are needed to explore the bereavement of Chinese suicide survivors.

  18. Health outcome after major trauma: what are we measuring?

    Directory of Open Access Journals (Sweden)

    Karen Hoffman

    Full Text Available Trauma is a global disease and is among the leading causes of disability in the world. The importance of outcome beyond trauma survival has been recognised over the last decade. Despite this there is no internationally agreed approach for assessment of health outcome and rehabilitation of trauma patients.To systematically examine to what extent outcomes measures evaluate health outcomes in patients with major trauma.MEDLINE, EMBASE, and CINAHL (from 2006-2012 were searched for studies evaluating health outcome after traumatic injuries.Studies of adult patients with injuries involving at least two body areas or organ systems were included. Information on study design, outcome measures used, sample size and outcomes were extracted. The World Health Organisation International Classification of Function, Disability and Health (ICF were used to evaluate to what extent outcome measures captured health impacts.34 studies from 755 studies were included in the review. 38 outcome measures were identified. 21 outcome measures were used only once and only five were used in three or more studies. Only 6% of all possible health impacts were captured. Concepts related to activity and participation were the most represented but still only captured 12% of all possible concepts in this domain. Measures performed very poorly in capturing concepts related to body function (5%, functional activities (11% and environmental factors (2%.Outcome measures used in major trauma capture only a small proportion of health impacts. There is no inclusive classification for measuring disability or health outcome following trauma. The ICF may provide a useful framework for the development of a comprehensive health outcome measure for trauma care.

  19. 76 FR 12401 - WTO Dispute Settlement Proceeding Regarding China-Certain Measures Affecting Electronic Payment...

    Science.gov (United States)

    2011-03-07

    ... TRADE REPRESENTATIVE WTO Dispute Settlement Proceeding Regarding China--Certain Measures Affecting Electronic Payment Services AGENCY: Office of the United States Trade Representative. ACTION: Notice; request for comments. SUMMARY: The Office of the United States Trade Representative (``USTR'') is...

  20. 75 FR 60159 - WTO Dispute Settlement Proceeding Regarding China-Certain Measures Affecting Electronic Payment...

    Science.gov (United States)

    2010-09-29

    ... TRADE REPRESENTATIVE WTO Dispute Settlement Proceeding Regarding China--Certain Measures Affecting Electronic Payment Services AGENCY: Office of the United States Trade Representative. ACTION: Notice; request for comments. SUMMARY: The Office of the United States Trade Representative (``USTR'') is...

  1. Measuring and improving patient safety through health information technology: The Health IT Safety Framework.

    Science.gov (United States)

    Singh, Hardeep; Sittig, Dean F

    2016-04-01

    Health information technology (health IT) has potential to improve patient safety but its implementation and use has led to unintended consequences and new safety concerns. A key challenge to improving safety in health IT-enabled healthcare systems is to develop valid, feasible strategies to measure safety concerns at the intersection of health IT and patient safety. In response to the fundamental conceptual and methodological gaps related to both defining and measuring health IT-related patient safety, we propose a new framework, the Health IT Safety (HITS) measurement framework, to provide a conceptual foundation for health IT-related patient safety measurement, monitoring, and improvement. The HITS framework follows both Continuous Quality Improvement (CQI) and sociotechnical approaches and calls for new measures and measurement activities to address safety concerns in three related domains: 1) concerns that are unique and specific to technology (e.g., to address unsafe health IT related to unavailable or malfunctioning hardware or software); 2) concerns created by the failure to use health IT appropriately or by misuse of health IT (e.g. to reduce nuisance alerts in the electronic health record (EHR)), and 3) the use of health IT to monitor risks, health care processes and outcomes and identify potential safety concerns before they can harm patients (e.g. use EHR-based algorithms to identify patients at risk for medication errors or care delays). The framework proposes to integrate both retrospective and prospective measurement of HIT safety with an organization's existing clinical risk management and safety programs. It aims to facilitate organizational learning, comprehensive 360 degree assessment of HIT safety that includes vendor involvement, refinement of measurement tools and strategies, and shared responsibility to identify problems and implement solutions. A long term framework goal is to enable rigorous measurement that helps achieve the safety

  2. mHealth Series: mHealth project in Zhao County, rural China – Description of objectives, field site and methods

    Directory of Open Access Journals (Sweden)

    Michelle Helena van Velthoven

    2013-12-01

    Full Text Available We set up a collaboration between researchers in China and the UK that aimed to explore the use of mHealth in China. This is the first paper in a series of papers on a large mHealth project part of this collaboration. This paper included the aims and objectives of the mHealth project, our field site, and the detailed methods of two studies.

  3. Phenotypic Dimensions of Spirituality: Implications for Mental Health in China, India, and the United States.

    Science.gov (United States)

    McClintock, Clayton H; Lau, Elsa; Miller, Lisa

    2016-01-01

    While the field of empirical study on religion and spirituality in relation to mental health has rapidly expanded over the past decade, little is known about underlying dimensions of spirituality cross-culturally conceived. We aimed to bridge this gap by inductively deriving potential universal dimensions of spirituality through a large-scale, multi-national data collection, and examining the relationships of these dimensions with common psychiatric conditions. Five-thousand five-hundred and twelve participants from China, India, and the United States completed a two-hour online survey consisting of wide-ranging measures of the lived experience of spirituality, as well as clinical assessments. A series of inductive Exploratory Factor Analysis (EFA) and cross-validating Exploratory Structural Equation Modeling (ESEM) were conducted to derive common underlying dimensions of spirituality. Logistic regression analyses were then conducted with each dimension to predict depression, suicidal ideation, generalized anxiety, and substance-related disorders. Preliminary EFA results were consistently supported by ESEM findings. Analyses of 40 spirituality measures revealed five invariant factors across countries which were interpreted as five dimensions of universal spiritual experience, specifically: love, in the fabric of relationships and as a sacred reality; unifying interconnectedness, as a sense of energetic oneness with other beings in the universe; altruism, as a commitment beyond the self with care and service; contemplative practice, such as meditation, prayer, yoga, or qigong; and religious and spiritual reflection and commitment, as a life well-examined. Love, interconnectedness, and altruism were associated with less risk of psychopathology for all countries. Religious and spiritual reflection and commitment and contemplative practice were associated with less risk in India and the United States but associated with greater risk in China. Education was directly

  4. Phenotypic Dimensions of Spirituality: Implications for Mental Health in China, India, and the United States

    Directory of Open Access Journals (Sweden)

    Clayton Hoi-Yun McClintock

    2016-10-01

    Full Text Available While the field of empirical study on religion and spirituality in relation to mental health has rapidly expanded over the past decade, little is known about underlying dimensions of spirituality cross-culturally conceived. We aimed to bridge this gap by inductively deriving potential universal dimensions of spirituality through a large-scale, multi-national data collection and examining the relationships of these dimensions with common psychiatric conditions. Five-thousand five-hundred twelve participants from China, India, and the United States completed a two-hour online survey consisting of wide-ranging measures of the lived experience of spirituality, as well as clinical assessments. A series of inductive Exploratory Factor Analysis (EFA and cross-validating Exploratory Structural Equation Modeling (ESEM were conducted to derive common underlying dimensions of spirituality. Logistic regression analyses were then conducted with each dimension to predict depression, suicidal ideation, generalized anxiety, and substance-related disorders. Preliminary EFA results were consistently supported by ESEM findings. Analyses of forty spirituality measures revealed five invariant factors across countries which were interpreted as five dimensions of universal spiritual experience, specifically: love, in the fabric of relationships and as a sacred reality; unifying interconnectedness, as a sense of energetic oneness with other beings in the universe; altruism, as a commitment beyond the self with care and service; contemplative practice, such as meditation, prayer, yoga, or qigong; and religious and spiritual reflection and commitment, as a life well-examined. Love, interconnectedness, and altruism were associated with less risk of psychopathology for all countries. Religious and spiritual reflection and commitment and contemplative practice were associated with less risk in India and the United States but associated with greater risk in China. Education

  5. Phenotypic Dimensions of Spirituality: Implications for Mental Health in China, India, and the United States

    Science.gov (United States)

    McClintock, Clayton H.; Lau, Elsa; Miller, Lisa

    2016-01-01

    While the field of empirical study on religion and spirituality in relation to mental health has rapidly expanded over the past decade, little is known about underlying dimensions of spirituality cross-culturally conceived. We aimed to bridge this gap by inductively deriving potential universal dimensions of spirituality through a large-scale, multi-national data collection, and examining the relationships of these dimensions with common psychiatric conditions. Five-thousand five-hundred and twelve participants from China, India, and the United States completed a two-hour online survey consisting of wide-ranging measures of the lived experience of spirituality, as well as clinical assessments. A series of inductive Exploratory Factor Analysis (EFA) and cross-validating Exploratory Structural Equation Modeling (ESEM) were conducted to derive common underlying dimensions of spirituality. Logistic regression analyses were then conducted with each dimension to predict depression, suicidal ideation, generalized anxiety, and substance-related disorders. Preliminary EFA results were consistently supported by ESEM findings. Analyses of 40 spirituality measures revealed five invariant factors across countries which were interpreted as five dimensions of universal spiritual experience, specifically: love, in the fabric of relationships and as a sacred reality; unifying interconnectedness, as a sense of energetic oneness with other beings in the universe; altruism, as a commitment beyond the self with care and service; contemplative practice, such as meditation, prayer, yoga, or qigong; and religious and spiritual reflection and commitment, as a life well-examined. Love, interconnectedness, and altruism were associated with less risk of psychopathology for all countries. Religious and spiritual reflection and commitment and contemplative practice were associated with less risk in India and the United States but associated with greater risk in China. Education was directly

  6. Modeling energy efficiency to improve air quality and health effects of China's cement industry

    NARCIS (Netherlands)

    Zhang, Shaohui; Worrell, Ernst; Crijns-Graus, Wina; Krol, Maarten; de Bruine, Marco; Geng, Guangpo; Wagner, Fabian; Cofala, Janusz

    2016-01-01

    Actions to reduce the combustion of fossil fuels often decrease GHG emissions as well as air pollutants and bring multiple benefits for improvement of energy efficiency, climate change, and air quality associated with human health benefits. The China's cement industry is the second largest energy co

  7. Establishment of Exposure-response Functions of Air Particulate Matter and Adverse Health Outcomes in China and Worldwide

    Institute of Scientific and Technical Information of China (English)

    HAI-DONG KAN; BING-HENG CHEN; CHANG-HONG CHEN; BING-YAN WANG; QING-YAN FU

    2005-01-01

    Objective To obtain the exposure-response functions that could be used in health-based risk assessment of particulate air pollution in China. Methods Meta analysis was conducted on the literatures on air particulate matter and its adverse health outcomes in China and worldwide. Results For each health outcome from morbidity to mortality changes, the relative risks were estimated when the concentration of air particulate matter increased to some certain units. Conclusion The exposure-response functions recommended here can be further applied to health risk assessment of air particulate matter in China.

  8. Development of the Patient Activation Measure for mental health.

    Science.gov (United States)

    Green, Carla A; Perrin, Nancy A; Polen, Michael R; Leo, Michael C; Hibbard, Judith H; Tusler, Martin

    2010-07-01

    Our objective was to adapt the physical health Patient Activation Measure (PAM) for use among people with mental health conditions (PAM-MH). Data came from three studies among people with chronic mental health conditions and were combined in Rasch analyses. The PAM-MH's psychometric properties equal those of the original 13-item PAM. Test-retest reliability and concurrent validity were good, and the PAM-MH showed sensitivity to change. The PAM-MH appears to be a reliable and valid measure of patient activation among individuals with mental health problems. It appears to have potential for use in assessing change in activation.

  9. Globalisation, Language Planning and Language Rights: The Recent Script Policy Measures Adopted by Japan and the People's Republic of China

    Science.gov (United States)

    Premaratne, Dilhara D.

    2015-01-01

    In 2009, two significant script policy measures were adopted by Japan and the People's Republic of China (China hereafter), both as a response to national language needs triggered by globalisation. However, the measures chosen by the two countries were very different, Japan choosing to increase and China choosing to standardise the Chinese…

  10. Application of ecosystem health cost-effect analysis in eco-planning in Guangzhou City,China

    Institute of Scientific and Technical Information of China (English)

    GUO Xiurui; MAO Xianqiang; YANG Jurong; YANG Zhifeng

    2007-01-01

    Ecosystem health has been a focal point and research frontier of applied ecology in recent years,increasingly used in urban ecological studies.To quantify the effect of ecological improvement from eco-planning,an ecosystem health assessment method is used in eco-planning evaluation and decision support in the urban eco-planning research of Guangzhou City of China.Based on features of an urban ecosystem,five factors such as vigor,organizational structure,resilience,ability to maintain ecosystem service,and influence on people's health were selected to develop the assessment indicator system.Then.to evaluate the validity of planning measures,a cost-effect analysis of the different sce-narios on eco-planning was made,taking investment of the planned projects as the cost and ecosystem health state after implementing the scenarios as the effect.To establish priority of all the proposed planning schemes or countermeasures,variation of the ecosystem health state was evaluated when the investment of eco-environmental construction projects changes by±10%,±20% and±50%,respectively.Thus,the order of importance of eco-environment construction projects to the urban ecosystem health state Can be worked out,providing a reference for prioritizing the implementation of such urban eco-environmental projects.The study proved the trial value of an ecosystem health evaluation method in urban eco-planning research.

  11. [Suicide Prevention and Mental Health Measures for Japanese University Students].

    Science.gov (United States)

    Ohnishi, Masaru; Koyama, Shihomi; Senoo, Akiko; Kawahara, Hiroko; Shimizu, Yukito

    2016-01-01

    According to the nationwide survey of the National University students in Japan, the annual suicide rate in 2012 was 15.7 per 100,000 undergraduate students. In many universities, suicide prevention is an important issue regarding mental health measures, and each university is actively examining this. The current situation concerning measures for suicide prevention in the Japanese National Universities was investigated in 2009. In 2010, the "college student's suicide prevention measures guideline, 2010" was established based on the results of this investigation. This guideline refers to the basic philosophy of suicide prevention in Chapter 1, risk factors for suicide in Chapter 2, and systems and activities for suicide prevention in Chapter 3. The Health Service Center, Okayama University plays central roles in mental health and suicide prevention measures on the Medical Campus. The primary prevention includes a mini-lecture on mental health, classes on mental health, and periodic workshops and lectures for freshmen. The secondary prevention includes interviews with students with mental health disorders by a psychiatrist during periodic health check-ups and introducing them to a hospital outside the university. The tertiary prevention includes support for students taking a leave of absence to return to school, periodic consultation with such students with mental disorders, and postvention following a suicide. We believe that for mental health measures on the university campus, it is important to efficiently make use of limited resources, and that these efforts will eventually lead to suicide prevention.

  12. Impacts of soil and water pollution on food safety and health risks in China.

    Science.gov (United States)

    Lu, Yonglong; Song, Shuai; Wang, Ruoshi; Liu, Zhaoyang; Meng, Jing; Sweetman, Andrew J; Jenkins, Alan; Ferrier, Robert C; Li, Hong; Luo, Wei; Wang, Tieyu

    2015-04-01

    Environmental pollution and food safety are two of the most important issues of our time. Soil and water pollution, in particular, have historically impacted on food safety which represents an important threat to human health. Nowhere has that situation been more complex and challenging than in China, where a combination of pollution and an increasing food safety risk have affected a large part of the population. Water scarcity, pesticide over-application, and chemical pollutants are considered to be the most important factors impacting on food safety in China. Inadequate quantity and quality of surface water resources in China have led to the long-term use of waste-water irrigation to fulfill the water requirements for agricultural production. In some regions this has caused serious agricultural land and food pollution, especially for heavy metals. It is important, therefore, that issues threatening food safety such as combined pesticide residues and heavy metal pollution are addressed to reduce risks to human health. The increasing negative effects on food safety from water and soil pollution have put more people at risk of carcinogenic diseases, potentially contributing to 'cancer villages' which appear to correlate strongly with the main food producing areas. Currently in China, food safety policies are not integrated with soil and water pollution management policies. Here, a comprehensive map of both soil and water pollution threats to food safety in China is presented and integrated policies addressing soil and water pollution for achieving food safety are suggested to provide a holistic approach.

  13. Interim Measures for the Tax Preservation and Enforcement Measures of the Customs of the People's Republic of China

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ The Interim Measures for the Tax Preservation and Enforcement Measures of the Customs of the People's Republic of China,which was deliberated and adopted at the executive meeting of the General Administration of Customs on August 13,2009,entered into effect as of September 1,2009.

  14. Multidimensional poverty measure and analysis: a case study from Hechi City, China.

    Science.gov (United States)

    Wang, Yanhui; Wang, Baixue

    2016-01-01

    Aiming at the anti-poverty outline of China and the human-environment sustainable development, we propose a multidimensional poverty measure and analysis methodology for measuring the poverty-stricken counties and their contributing factors. We build a set of multidimensional poverty indicators with Chinese characteristics, integrating A-F double cutoffs, dimensional aggregation and decomposition approach, and GIS spatial analysis to evaluate the poor's multidimensional poverty characteristics under different geographic and socioeconomic conditions. The case study from 11 counties of Hechi City shows that, firstly, each county existed at least four respects of poverty, and overall the poverty level showed the spatial pattern of surrounding higher versus middle lower. Secondly, three main poverty contributing factors were unsafe housing, family health and adults' illiteracy, while the secondary factors include fuel type and children enrollment rate, etc., generally demonstrating strong autocorrelation; in terms of poverty degree, the western of the research area shows a significant aggregation effect, whereas the central and the eastern represent significant spatial heterogeneous distribution. Thirdly, under three kinds of socioeconomic classifications, the intra-classification diversities of H, A, and MPI are greater than their inter-classification ones, while each of the three indexes has a positive correlation with both the rocky desertification degree and topographic fragmentation degree, respectively. This study could help policymakers better understand the local poverty by identifying the poor, locating them and describing their characteristics, so as to take differentiated poverty alleviation measures according to specific conditions of each county.

  15. Understanding seasonal mobilities, health and wellbeing to Sanya, China.

    Science.gov (United States)

    Kou, Lirong; Xu, Honggang; Hannam, Kevin

    2017-01-27

    Both the ageing of the Chinese population and elderly mobility impact on the Chinese social infrastructure, triggering challenges to maintain elderly wellbeing. This paper reflects on the notion that seasonal mobility promotes wellbeing, and explores how two crucial factors, namely, forced migration and health conditions, influence the relations between seasonal retirement mobility and wellbeing. This study analyses amenity-led seasonal retired mobilities to Sanya as a case study, and adopts and develops a conceptual framework for relations between mobility and wellbeing in terms of daily activity, sociality, and context through seasonal mobility. Qualitative methods including participant observation, non-participant observation, in-depth interviews, and mobile ethnography were used to collect data. This revealed the heterogeneity of health conditions, and the constrained mobilities of seasonal retirees. Health and willingness for mobility are shown as significant factors in influencing the relations between mobility and wellbeing, which are in turn complicated and dynamic. Seasonal mobilities bring about difficulties for retirees particularly in terms of their efforts to reconstruct their previous life and self-continuities. However, it is argued that these retirees can merely maintain temporary and superficial wellbeing due to constant health concerns and uncertainties over potential temporary or permanent return to their places of origin. Those with serious health problems have more limitations, sacrificing other aspects of wellbeing for physical health. Practical implications from state, destination, and individual levels to better facilitate seasonal mobility and promote wellbeing are provided.

  16. Rural-urban migration and mental and sexual health: a case study in Southwestern China.

    Science.gov (United States)

    Yang, Xiushi

    2014-01-01

    Massive rural-urban temporary migration has taken place amid China's rapid economic growth and development. Much has been written about the economic causes and consequences of this massive migration; less studied are the potential health and behavioral impacts of migration on migrants. Using data from a population-based sample survey conducted in southwestern China, this paper examines the potential impact of rural-urban migration and post-migration urban living on migrants' mental health and sexual risk behavior. The results suggest that regardless of places of origin and destination temporary migrants had on average poorer mental health and riskier sexual behavior than non-migrants. Compared to living in rural areas, living in urban areas does not make statistical difference in residents' mental health; it is only marginally associated with riskier sexual behavior. Rural-urban temporary migrants' mental health and health risk sexual behavior deserve more immediate research attention. Both selectivity of temporary migrants and migration-induced psycho-socio-behavioral changes may have contributed to migrants' poorer mental health and riskier sexual behavior. However, more theory-driven research with longitudinal design is needed before firm conclusions can be drawn about the underlying mechanisms that mediate or moderate the impact of temporary migration on migrants' mental health and sexual risk behavior.

  17. Contamination features and health risk of soil heavy metals in China

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Haiyang [Engineering Research Center of Groundwater Pollution Control and Remediation, Ministry of Education, Beijing 100875 (China); College of Water Sciences, Beijing Normal University, Beijing 100875 (China); Teng, Yanguo, E-mail: Teng1974@163.com [Engineering Research Center of Groundwater Pollution Control and Remediation, Ministry of Education, Beijing 100875 (China); College of Water Sciences, Beijing Normal University, Beijing 100875 (China); Lu, Sijin; Wang, Yeyao [China National Environmental Monitoring Center, Beijing 100012 (China); Wang, Jinsheng [Engineering Research Center of Groundwater Pollution Control and Remediation, Ministry of Education, Beijing 100875 (China); College of Water Sciences, Beijing Normal University, Beijing 100875 (China)

    2015-04-15

    China faces a big challenge of environmental deterioration amid its rapid economic development. To comprehensively identify the contamination characteristics of heavy metals in Chinese soils on a national scale, data set of the first national soil pollution survey was employed to evaluate the pollution levels using several pollution indicators (pollution index, geoaccumulation index and enrichment factor) and to quantify their exposure risks posed to human health with the risk assessment model recommended by the US Environmental Protection Agency. The results showed that, due to the drastically increased industrial operations and fast urban expansion, Chinese soils were contaminated by heavy metals in varying degrees. As a whole, the exposure risk levels of soil metals in China were tolerable or close to acceptable. Comparatively speaking, children and adult females were the relatively vulnerable populations for the non-carcinogenic and carcinogenic risks, respectively. Cadmium and mercury have been identified as the priority control metals due to their higher concentrations in soils or higher health risks posed to the public, as well as, arsenic, lead, chromium and nickel. Spatial distribution pattern analysis implied that the soil metal pollutions in southern provinces of China were relatively higher than that in other provinces, which would be related to the higher geochemical background in southwest regions and the increasing human activities in southeast areas. Meanwhile, it should be noticed that Beijing, the capital of China, also has been labeled as the priority control province for its higher mercury concentration. These results will provide basic information for the improvement of soil environment management and heavy metal pollution prevention and control in China. - Highlights: • Soil contamination with heavy metals in China was systematically studied. • Spatial distribution patterns of heavy metals in Chinese soils were identified. • Monte

  18. Public health in China: An environmental and socio-economic perspective

    Science.gov (United States)

    Song, Wenjing; Li, Yonghua; Hao, Zhe; Li, Hairong; Wang, Wuyi

    2016-03-01

    Despite the large literature on public health, few studies have examined the associations between public health outcomes and environmental and socio-economic factors. This study bridges this gap by demonstrating the relationships between public health and 10 selected environmental and socio-economic factors from the spatial perspective. In particular, three public health outcomes in China are investigated, namely the number of centenarians per 100,000 people (termed the centenarian ratio), the proportion of nonagenarians of the 65 years and older population (termed the longevity index), and life expectancy at birth. We base our analysis on stepwise regression and geographically weighted regression models, with study areas of 31 provinces in China. Our results show that SO2 (sulfur dioxide) concentration decreases the centenarian ratio; PM10 (particles with diameters of 10 μm or less) concentration and coal consumption (CC) per capita decrease the longevity index, and GDP (Gross Domestic Product) per capita prolongs life expectancy at birth, while energy consumption (EC) per capita decreases life expectancy at birth. Further, our findings demonstrate that public health outcomes show clear regional differences in China.

  19. Measuring health: a practical challenge with a philosophical solution?

    Science.gov (United States)

    Shroufi, Amir; Chowdhury, Rajiv; Aston, Louise M; Pashayan, Nora; Franco, Oscar H

    2011-03-01

    With the current demographic shift being experienced by populations globally, almost linear increases in life expectancy have been seen and can be expected. However, increases in healthy life expectancy may not keep pace. Among older populations the proportion of time spent in less than full health tends to increase. As a result, the accurate valuation of life spent in states less than full health will become increasingly important. Different techniques and approaches have been used to measure health in populations. The use of summary measures of population health such as DALYs (Disability Adjusted Life Years) has become common, and is widely used to compare health between populations and to evaluate the potential impact of interventions in economic analyses. Most of the commonly used summary measures of health express some measure of life lived in full health and life lived with disability or in a state of sub-optimal health. Critical to the construction of summary health measures are values assigned to health states. Current tools used in determining these values include the standard gamble, time trade off, person trade off, and the visual analogue scale. However, these techniques all have the disadvantage of incorporating individual biases (derived from particular characteristics specific to individuals or populations) into the process through which health state valuations are derived. As a consequence health states are often not directly comparable between populations, since characteristics such as nationality and ethnicity can influence how health states are valued. Furthermore, health can be judged differently by those of different ages, with the young often assigning a lower value to life lived at less than full health compared to older people. The challenge of obtaining opinions which are not influenced by an individual's own circumstances is not new. This issue was encountered and described by the American philosopher John Rawls in 'A Theory of Justice

  20. Effects of Living Alone on Social Capital and Health Among Older Adults in China.

    Science.gov (United States)

    Xu, Qingwen; Norstrand, Julie A; Du, Yan

    2015-12-01

    Social capital has been connected with positive health outcomes across countries, including China. Given the rise in the number of seniors living alone, there is a need to examine the health benefits of social capital, accounting for living arrangements. Data from the 2005 Chinese General Social Survey were used to test research hypotheses. Controlling for demographics, elders living alone possessed similar level of social capital compared with elders living with others. While bonding and linking social capital were significant factors in urban areas and linking social capital was a significant factor in rural areas, the relationship between living alone and health did not differ based on the level of social capital possession. When the traditional intergenerational living arrangement has not been a valid option for many older adults in China, seeking new way of family caring, and developing appropriate social and institutional structures to assist elders living alone, becomes critical.

  1. The level of consumer information about health insurance in Nanjing, China.

    Science.gov (United States)

    Xu, Weiwei; Van de Ven, Wynand P M M

    2014-01-01

    The Chinese government is considering a (regulated) competitive healthcare system. Sufficient consumer information is a crucial pre-condition to benefit from such a change. We conducted a survey on the level of consumer information regarding health insurance among the insured population in Nanjing, China in 2009. The results from descriptive analysis and binary logistic regression demonstrate that the current level of consumer information about health insurance is low. The level of consumer information is positively correlated with the subscribers' motivation to obtain the information and its availability. The level of searching for health insurance information is also low; moreover, even upon searching, the chance of finding relevant information is less than 25%. We conclude that the level of consumer information is currently insufficient in China. If the Chinese government is determined to adopt market mechanisms in the healthcare sector, it should take the lead in making valid and reliable information publicly available and easily accessible.

  2. Universal Health Coverage through Community Nursing Services: China vs. Hong Kong

    Science.gov (United States)

    Chan, Wai Yee; Fung, Ita M; Chan, Eric

    2017-01-01

    ABSTRACT Objective: this article looks at how the development of community nursing services in China and Hong Kong can enhance universal health coverage. Methods: literature and data review have been utilized in this study. Results: nursing services have evolved much since the beginning of the nursing profession. The development of community nursing services has expanded the scope of nursing services to those in need of, not just hospital-level nursing care, but more holistic care to improve health and quality of life. Conclusion: despite the one-country-two-systems governance and the difference in population and geography, Hong Kong and China both face the aging population and its complications. Community nursing services help to pave the road to Universal Health Coverage. PMID:28146178

  3. Measuring outcomes of communication partner training of health care professionals:

    DEFF Research Database (Denmark)

    Isaksen, Jytte; Jensen, Lise Randrup

    Background: People with aphasia have greater risks of experiencing adverse events or medical errors in health care settings [1, 2]. Furthermore, people with aphasia often depend crucially on health care professionals’ ability to support their participation in information sharing, decisions about...... health care, and other communicative exchanges associated with appropriate health care [3]. As a consequence of these challenges in patient-provider communication, implementation of evidence- based methods of communication partner training is becoming increasingly frequent in different health care...... different needs? Implications for clinical practice: There is a need to develop different types of outcome measures for communication partner training in the health care context, including questionnaires for health care staff, which address generally agreed-upon problem areas in patient-provider...

  4. On the measurement of the (multidimensional) inequality of health distributions

    DEFF Research Database (Denmark)

    Hougaard, Jens Leth; Moreno-Ternero, Juan D.; Østerdal, Lars Peter Raahave

    2013-01-01

    Health outcomes are often described according to two dimensions: quality of life and quantity of life. We analyze the measurement of inequality of health distributions referring to these two dimensions. Our analysis relies on a novel treatment of the quality-of-life dimension, which might not hav...

  5. Improving Sexual and Reproductive Health of Young People in China:Shaping the Future

    Institute of Scientific and Technical Information of China (English)

    Iqbal H. Shah

    2004-01-01

    @@ Nearly one in five adolescents (10~19 years) in the world live in China. Therefore, the status of and progress in adolescent sexual and reproductive health in China will have an important bearing on the global situation. Yet, it was not a long time ago, when there was a complete lack of information and absence of a discussion on the critical issues of adolescent sexuality and reproduction. Indeed the concept that it was difficult to conduct research and projects dealing with the subject of adolescent sexuality was generally disapproved.

  6. Teaching Chinese health care professionals about community-based long-term care (CBLTC) in China.

    Science.gov (United States)

    Wu, Bei

    2005-01-01

    Academic exchanges between the U.S. and other countries around the world are increasing and teaching students abroad is part of this trend. China is in its initial stage of developing gerontology education and is in great need of new concepts and ideas for dealing with its rapidly aging population. This paper discusses the challenges and rewards of teaching gerontology to health care professionals in China. To achieve the desired learning outcomes in another country requires culturally appropriate course materials and teaching methods; drawing on students' knowledge and expertise by using an interactive format and gaining students' respect.

  7. Particulate air pollution in urban areas of Shanghai, China: health-based economic assessment.

    Science.gov (United States)

    Kan, Haidong; Chen, Bingheng

    2004-04-25

    Urban air quality is becoming a serious public health concern in China. To obtain the quantitative result of the impact of particulate air pollution on human health and the subsequent economic costs in Shanghai, we used epidemiology-based exposure-response functions to calculate the attributable number of cases due to particulate air pollution in urban areas of Shanghai in 2001, and then we estimated the corresponding economic costs of the health damage based on unit values of the health outcomes. It was estimated that the total economic cost of health impacts due to particulate air pollution in urban areas of Shanghai in 2001 was approximately 625.40 million US dollars, accounting for 1.03% of gross domestic product of the city. The results suggest that the impact of particulate air pollution on human health could be substantial in urban Shanghai, whether in physical and economic terms.

  8. Sanitary and Phytosanitary Measures in China:Efficiency and Challenge:A Case Study of Swine Industry

    Institute of Scientific and Technical Information of China (English)

    Yinguo DONG; Yehong LU

    2015-01-01

    The Sanitary and Phytosanitary( SPS) measures are technical regulations,standards,and requirements closely related to food safety,plant and animal health,and environmental safety,aiming to prevent disease,pests,pathogens and other alien risk from entering China.Pork is favorite meat for Chinese consumers; its safety directly concerns the safety of whole food supply chain with rapid increasing of pork import. This paper analyzed SPS management system of swine and pork import,and evaluated SPS efficiency of swine industry in China from SPS notification number,swine health situation,and pork import standard. The study found that as for SPS notification number and chemical residue control standard,China’s SPS protection level is relatively high,while the control level of swine diseases is still low. In China,SPS management system has the problem of involving multiple authorities and poor coordination among them,leading to some standards lacking scientific basis and low enforcement.

  9. Child Health and Nutrition: Getting better and facing new challenges in China

    Directory of Open Access Journals (Sweden)

    Shougang Wei

    2011-03-01

    Full Text Available BackgroundChild healthcare practices in China over the last 60 yearshave extensively improved children’s health and growth, yetnew challenges lie ahead. This review aims to summarisethe successful experiences and the newly identifiedproblems in child healthcare in China.MethodInformation, available to the public, was obtained fromChinese databases and Chinese Government websites,chiefly the Chinese National Knowledge Infrastructuredatabase, the Chinese Biomedical Literature database, theMinistry of Health website and the National WorkingCommittee on Children and Women website.ResultsDuring its poverty-stricken 1950s–1970s, China protectedchildren’s health mainly through prevention and control ofcommon infectious diseases and severe malnutrition withina comprehensive healthcare system. After the subsequent30 years of rapid socio-economic development, China hasachieved great success in reducing childhood mortality ratesand promoting child growth, meeting the MillenniumDevelopment Goal 4 targets and the WHO child growthstandards. Meanwhile, new challenges for children’shealthcare emerged, including: large disparities in thehealth, growth and nutritional status of children, and in theaccessibility and quality of child healthcare, between urbanand rural areas and across different regions of China; thenutritional and healthcare concerns of the fast-expandingpopulation of migrant children and rural left-behindchildren; the burgeoning epidemic of childhood obesity inurban and economically developed areas; micronutrientdeficiencies such as calcium, iron, zinc and vitamin A; andincreasing prevalence of mental and behavioural disorders.ConclusionUnder poor economic conditions, healthcare plays a keyrole in protecting children against diseases. With thedevelopment of social economy, new challenges present tohealthcare services, specifically, to comprehensivelypromote and optimise childrens’ health and nutrition.

  10. Regional ground deformation and its controlling measures in China

    Science.gov (United States)

    Zhou, Zhifang; Zhu, Haisheng; Huang, Yong

    2006-12-01

    With the development of construction of China Cities, there exist a lot of environmental geological problems involved in the geofracture, land subsidence, collapse, landslide, devolution, mudrock flow, floating sand, piping and soft ground deformation. Of big cities whose population is over one million in China, about 30 cities appears the land subsidence region. Other cities locate in the regions of collapse yellow earth or expand soil of strong swell-shrink charasteristic, soft ground and karst. In the paper, the cause and hazard of regionality ground deformation is summed up. The causes of regional land deformation caused by the natural geological effect and activities of human being are analyzed. According to the length of deformation course and endanger of society, economy and life, land deformation involves three types, that is, the delay, rapid and break land deformation. And the concrete countermeasure and method are provided.

  11. Changes in production efficiency in China identification and measuring

    CERN Document Server

    Xu, Bing; Watada, Junzo

    2014-01-01

    Evaluating  Production Efficiency in China examines production from engineering and statistics perspectives rather than from economics and mathematics perspectives. The authors present an observable benchmark as the criterion of the production efficiency to replace the unobservable production frontier surface. This book discusses several different computing technologies, controllable variable as a path of identification, changes in production efficiency by decision making on specific operating conditions, and optimal resource allocation. The book provides a channel to tap inside the success stories of China, exploiting the way of changes in production efficiency during China’s development in the past 30 years. This book examines the concepts and realization of production efficiencies across all areas of the economy. Also the book provides the perspective of foreign direct investment (FDI) absorption to identify how Chinese economy changes in production efficiency.

  12. Job satisfaction and its modeling among township health center employees: a quantitative study in poor rural China

    Directory of Open Access Journals (Sweden)

    Lu Zu X

    2010-05-01

    Full Text Available Abstract Background Job satisfaction is important to staff management of township health centers (THCs, as it is associated with organizational performance, quality of care and employee retention. The purpose of this study was to measure job satisfaction level of THC employees in poor rural China and to identify relevant features in order to provide policy advice on human resource development of health service institutions in poor regions. Methods A self-completion questionnaire was used to assess the job satisfaction and relevant features (response rate: 90.5% among 172 employees (i.e., clinic doctors, medico-technical workers and public health workers of 17 THCs in Anhui and Xinjiang provinces of China. The study covered a time period of two months in 2007. Results The mean staff job satisfaction scored 83.3, which was in the category of "somewhat satisfied" on a scale ranging from 0 (extremely dissatisfied to 100 (extremely satisfied by employing Likert's transformation formula. Exploratory factor analysis (EFA revealed eight domains involved in modeling of job satisfaction, among which, the caregivers were more satisfied with job significance (88.2, job competency (87.9 and teamwork (87.7, as compared with work reward (72.9 and working conditions (79.7. Mean job satisfaction in Xinjiang (89.7 was higher than that in Anhui (75.5. Conclusions Employees of THCs have moderate job satisfactions in poor areas, which need to be raised further by improving their working conditions and reward.

  13. The measurement of contingent valuation for health economics.

    Science.gov (United States)

    Bayoumi, Ahmed M

    2004-01-01

    In health economics, contingent valuation is a method that elicits an individual's monetary valuations of health programmes or health states. This article reviews the theory and conduct of contingent valuation studies, with suggestions for improving the future measurement of contingent valuation for health economics applications. Contingent valuation questions can be targeted to any of the following groups: the general population, to value health insurance premiums for programmes; users of a health programme, to value the associated programme costs; or individuals with a disease, to evaluate health states. The questions can be framed to ask individuals how much they would pay to obtain positive changes in health status or avoid negative changes in health status ('willingness to pay'; WTP) or how much they would need to be paid to compensate for a decrease in health status or for foregoing an improvement in heath status ('willingness to accept'; WTA). In general WTP questions yield more accurate and precise valuations than WTA questions. Payment card techniques, with follow-up bidding using direct interviews with visual aids, are well suited for small contingent valuation studies. Several biases may be operative when assessing contingent valuation, including biases in the way participants are selected, the way in which the questions are posed, the way in which individuals interpret probabilities and value gains relative to losses, and the way in which missing or extreme responses are interpreted. An important aspect of all contingent valuation studies is an assessment of respondents' understanding of the evaluation method and the valuation task. Contingent valuation studies should measure the potential influence of biases, the validity of contingent valuation tests as measures of QOL, and the reliability and responsiveness of responses. Future research should address equity concerns associated with using contingent valuation and explore contingent valuation as a

  14. Measuring Eco-Efficiency of Agriculture in China

    Directory of Open Access Journals (Sweden)

    Jiaxing Pang

    2016-04-01

    Full Text Available Eco-efficiency is a tool for sustainability analysis that indicates how to carry out economic activities effectively. This paper assesses agricultural eco-efficiency using data envelopment analysis (DEA and the Theil index approach. Using basic data of 31 provinces in China during 2003–2013, we analyzed the agricultural eco-efficiency development level and spatial pattern in China. The results show that the agricultural eco-efficiency of only four provinces has been relatively efficient in the entire study period, namely, Zhejiang, Hainan, Chongqing, and Tibet. The results also show that agricultural eco-efficiency was higher mainly in south of the Qinling Mountains-Huaihe River Line and north of the Yangtze River area, that agricultural eco-efficiency is mainly affected by pure technical efficiency, and that highly efficient areas are mainly concentrated in the densely populated areas, i.e., the economic developed areas (except Tibet. The Theil index results show that the agricultural eco-efficiency difference weakened between provinces in China, as did western and northeast regions, but eastern and central regions show a slight upward trend.

  15. A Comparison of the Health Systems in China and India

    Science.gov (United States)

    2008-01-01

    Centers for Disease Control and Prevention CHC community health center CHI community-based health insurance scheme CMS Cooperative Medical System DALY...perinatal, and nutritional conditions 83.7 401.9 Infectious and parasitic diseases 39.0 197.3 Tuberculosis 20.8 34.8 Sexually transmitted diseases ...58.1 Digestive diseases 27.9 32.6 Genitourinary diseases 10.7 11.2 Skin diseases NA 0.7 Musculoskeletal diseases 1.0 0.7 Congenital anomalies 6.6 9.9

  16. CHINA HEALTH INSURANCE%Comparison of Supervision on Medical Service between China and the USA

    Institute of Scientific and Technical Information of China (English)

    王国栋

    2016-01-01

    There are many differences in medical system, medical insurance system, and the management of medical care providers between China and the USA, and these discrepancy have brought difference in medical service supervision, philosophy, contents and methods. In the USA, commercial insurance system is taken, while in China, social medical insurance system is adopted. The medical service supervision system of American has a close relationship with federal system, and the responsibility and boundary between legislation and administration, federal and state government are clearly clarifi ed. Medical industry self-management and market-orientation are emphasized. In contrast in China, it emphasizes government guiding and vertical management, which results in lagged legal regulation, unclear defi nition of governmental position, weak independence of medical industry, and insufficient guiding role of medical insurance.%中美两国在医疗服务体系、医疗保险制度以及医生管理等方面存在诸多差异,这些差异决定了两国在医疗监管体制、理念、内容和方式等方面有所不同。美国医疗监管制度与联邦制密切相关,立法与行政,联邦与州政府之间的责任和界限比较清晰,重视医疗行业自治,强调市场力量引导。相比之下,中国医疗监管更加强调政府主导和垂直管理,法律监管相对滞后,政府定位不清,行业组织独立性不强,医疗保险的引导性作用发挥得不够。

  17. Ground-based measurements of aerosol optical properties and radiative forcing in North China

    Institute of Scientific and Technical Information of China (English)

    Hongbin Chen; Xiangao Xia; Pucai Wang; Wenxing Zhang

    2007-01-01

    In order to gain an insight into the aerosol properties and their climatic effect over the continental source regions of China, it is of significance to carry out long-term ground-based measurements of aerosol optical properties and radiative forcing. A couple of temporary and permanent Aerosol Robotic Network (AERONET) sites and three comprehensive radiative sites were established in China as a result of international cooperation in recent years. Heavy aerosol loading and significant temporal and spatial variation over North China are revealed by the AERONET data.Aerosol-induced reductions in surface radiation budget are examined on the basis of collocated observations by sun photometers and pyranometers.

  18. Effect of Air Pollution and Rural-Urban Difference on Mental Health of the Elderly in China

    OpenAIRE

    Tian, Tao; Yuhuai CHEN; Zhu, Jing; Pengling LIU

    2015-01-01

    Background: China has become an aging society, and the mental health problem of the elderly is increasingly becom-ing prominent. This paper aimed to analyze the effect of air pollution and rural-urban difference on mental health of the elderly in China.Methods: Using the data from the China Health and Retirement Longitudinal Survey (CHARLS, 2013), after control-ling the social demography variable via Tobit and Probit, a regression analysis of the effect of air pollution and rural-urban differ...

  19. United States import safety, environmental health, and food safety regulation in China.

    Science.gov (United States)

    Nyambok, Edward O; Kastner, Justin J

    2012-01-01

    China boasts a rapidly growing economy and is a leading food exporter. Since China has dominated world export markets in food, electronics, and toys, many safety concerns about Chinese exports have emerged. For example, many countries have had problems with Chinese food products and food-processing ingredients. Factors behind food safety and environmental health problems in China include poor industrial waste management, the use of counterfeit agricultural inputs, inadequate training of farmers on good farm management practices, and weak food safety laws and poor enforcement. In the face of rising import safety problems, the U.S. is now requiring certification of products and foreign importers, pursuing providing incentives to importers who uphold good safety practices, and considering publicizing the names of certified importers.

  20. Promoting mental health in Asia-Pacific: Systematic review focusing on Thailand and China.

    Science.gov (United States)

    Moeller-Saxone, Kristen; Davis, Elise; Herrman, Helen

    2015-12-01

    Mental health is essential for functioning, general health, and quality of life in low and middle-income countries (LAMICs), as for high-income countries. This study aimed first to search in the English language peer-reviewed literature for reviews of mental health promotion interventions in the Asia-Pacific region. A global rapid review by Barry and colleagues indicated a paucity of publications on this topic in the peer-reviewed literature. The second aim of the study followed from this observation. Two systematic reviews of English language literature were conducted as case studies in two countries with known interest in mental health promotion, Thailand and China. The reviews covered publications in peer-reviewed journals and the "grey" literature. In Thailand, the review demonstrated: strong evidence for an empowerment program for human immunodeficiency virus (HIV)-infected mothers; a reduction in HIV-related stigma in a community-based program; and a coping program for adolescents. The second review concerned suicide prevention interventions in China. It found one relevant study, a WHO multi-site study of suicide prevention. We found surprisingly little evidence in either country of interventions focused on health equity or modifying the social determinants of mental health. We agree with Barry and colleagues that there is an urgent need to invest in the policy, practice, and research capacity for mental health promotion in LAMICs so that mental health promotion can be incorporated into the wider health promotion and global health development agenda. This includes the Global Action for Health Equity Network. Evidence-based interventions in parenting, schools, workplaces, and among older people can be initiated or adapted and evaluated in LAMIC settings.

  1. Outreach syphilis testing services by different health providers to female sex workers in southern China.

    Directory of Open Access Journals (Sweden)

    Xiang-Sheng Chen

    Full Text Available Health providers have played important roles on delivering prevention and care services to control syphilis in China. The current study was aimed to evaluate the performance of different health providers in providing outreach syphilis testing services to female sex workers (FSWs. The current study carried out during April to August 2009 in Liuzhou was aimed to investigate the services delivered by two different types of clinics in China. A total of 1,808 FSWs recruited from sex work venues were included in the study. Prevalence of positive syphilis test (6.4% among FSWs accessed by the local center for disease control outreach teams (CDC teams was significantly lower than that (9.3% among FSWs accessed by the local reproductive health hospital outreach teams (RHH teams. As compared with CDC teams, RHH teams had more FSWs to be successfully referred to the designated STD clinics for further syphilis confirmation and intervention (85.7% vs. 26.7%, P<0.001. These findings indicate that RHH teams may be more efficient than CDC teams to provide outreach-based services to FSWs. Participation of the reproductive health providers or other medical facilities in outreach services to FSWs should be considered in developing intervention programs in China.

  2. Outreach Syphilis Testing Services by Different Health Providers to Female Sex Workers in Southern China

    Science.gov (United States)

    Chen, Xiang-Sheng; Yin, Yue-Ping; Liu, Guo-Gu; Wei, Wan-Hui; Wang, Hong-Chun; Yu, Yuan-Lin; Mabey, David C.; Peeling, Rosanna W.

    2013-01-01

    Health providers have played important roles on delivering prevention and care services to control syphilis in China. The current study was aimed to evaluate the performance of different health providers in providing outreach syphilis testing services to female sex workers (FSWs). The current study carried out during April to August 2009 in Liuzhou was aimed to investigate the services delivered by two different types of clinics in China. A total of 1,808 FSWs recruited from sex work venues were included in the study. Prevalence of positive syphilis test (6.4%) among FSWs accessed by the local center for disease control outreach teams (CDC teams) was significantly lower than that (9.3%) among FSWs accessed by the local reproductive health hospital outreach teams (RHH teams). As compared with CDC teams, RHH teams had more FSWs to be successfully referred to the designated STD clinics for further syphilis confirmation and intervention (85.7% vs. 26.7%, P<0.001). These findings indicate that RHH teams may be more efficient than CDC teams to provide outreach-based services to FSWs. Participation of the reproductive health providers or other medical facilities in outreach services to FSWs should be considered in developing intervention programs in China. PMID:23637755

  3. The effect of health insurance reform on the number of cataract surgeries in Chongqing, China

    Directory of Open Access Journals (Sweden)

    Yuan Rongdi

    2011-03-01

    Full Text Available Abstract Background Cataracts are the leading cause of blindness in China, and poverty is a major barrier to having cataract surgery. In 2003, the Chinese government began a series of new national health insurance reforms, including the New Cooperative Medical Scheme (NCMS and the Urban Resident Basic Health Insurance scheme (URBMI. These two programs, combined with the previously existing Urban Employee Basic Health Insurance (UEBMI program, aimed to make it easier for individuals to receive medical treatment. This study reports cataract surgery numbers in rural and urban populations and the proportion of these who had health insurance in Chongqing, China from 2003 to 2008. Methods The medical records of a consecutive case series, including 14,700 eyes of 13,262 patients who underwent age-related cataract surgery in eight hospitals in Chongqing from January 1, 2003, to December 31, 2008, were analysed retrospectively via multi-stage cluster sampling. Results In the past six years, the total number of cataract surgeries had increased each year as had the number of patients with insurance. Both the number of surgeries and the number of insured patients were much higher in the urban group than in the rural group. The rate of increase in the rural group however was much higher than in the urban group, especially in 2007 and 2008. The odds ratios of having health insurance for urban vs. rural individuals were relatively stable from 2003 to 2006, but it decreased in 2007 and was significantly lower in 2008. Conclusions Health insurance appears to be an important factor associated with increased cataract surgery in Chongqing, China. With the implementation of health insurance, the number of Chongqing's cataract surgeries was increased year by year.

  4. Translocation of threatened plants as a conservation measure in China.

    Science.gov (United States)

    Liu, Hong; Ren, Hai; Liu, Qiang; Wen, XiangYing; Maunder, Michael; Gao, JiangYun

    2015-12-01

    We assessed the current status of plant conservation translocation efforts in China, a topic poorly reported in recent scientific literature. We identified 222 conservation translocation cases involving 154 species, of these 87 were Chinese endemic species and 101 (78%) were listed as threatened on the Chinese Species Red List. We categorized the life form of each species and, when possible, determined for each case the translocation type, propagule source, propagule type, and survival and reproductive parameters. A surprisingly large proportion (26%) of the conservation translocations in China were conservation introductions, largely implemented in response to large-scale habitat destruction caused by the Three-Gorge Dam and another hydropower project. Documentation and management of the translocations varied greatly. Less than half the cases had plant survival records. Statistical analyses showed that survival percentages were significantly correlated with plant life form and the type of planting materials. Thirty percent of the cases had records on whether or not individuals flowered or fruited. Results of information theoretic model selection indicated that plant life form, translocation type, propagule type, propagule source, and time since planting significantly influenced the likelihood of flowering and fruiting on the project level. We suggest that the scientific-based application of species conservation translocations should be promoted as part of a commitment to species recovery management. In addition, we recommend that the common practice of within and out of range introductions in nature reserves to be regulated more carefully due to its potential ecological risks. We recommend the establishment of a national office and database to coordinate conservation translocations in China. Our review effort is timely considering the need for a comprehensive national guideline for the newly announced nation-wide conservation program on species with extremely

  5. Identifying determinants of socioeconomic inequality in health service utilization among patients with chronic non-communicable diseases in China.

    Directory of Open Access Journals (Sweden)

    Xin Xie

    Full Text Available BACKGROUND: People with chronic non-communicable diseases (NCD are particularly vulnerable to socioeconomic inequality due to their long-term expensive health needs. This study aimed to assess socioeconomic-related inequality in health service utilization among NCD patients in China and to analyze factors associated with this disparity. METHODS: Data were taken from the 2008 Chinese National Health Survey, in which a multiple stage stratified random sampling method was employed to survey 56,456 households. We analyzed the distribution of actual use, need-expected use, and need-standardized usage of outpatient services (over a two-week period and inpatient services (over one-year across different income groups in 27,233 adult respondents who reported as having a NCD. We used a concentration index to measure inequality in the distribution of health services, which was expressed as HI (Horizontal Inequity Index for need-standardized use of services. A non-linear probit regression model was employed to detect inequality across socio-economic groups. RESULTS: Pro-rich inequity in health services among NCD patients was more substantial than the average population. A higher degree of pro-rich inequity (HI = 0.253 was found in inpatient services compared to outpatient services (HI = 0.089. Despite a greater need for health services amongst those of lower socio-economic status, their actual use is much less than their more affluent counterparts. Health service underuse by the poor and overuse by the affluent are evident. Household income disparity was the greatest inequality factor in NCD service use for both outpatients (71.3% and inpatients (108%, more so than health insurance policies. Some medical insurance schemes, such as the MIUE, actually made a pro-rich contribution to health service inequality (16.1% for outpatient and 12.1% for inpatient. CONCLUSIONS: Inequality in health services amongst NCD patients in China remains largely

  6. Surface Measurements of dust/local aerosol properties over Northern China during 2008 China-US joined dust field campaign

    Science.gov (United States)

    Wang, X.; Huang, J.

    2009-12-01

    The objective of this study is to understand the detailed characteristics and underlying mechanisms of aerosol physical and optical parameters over China Loess Plateau and its potential impacts on the regional/global climate. In order to characterize the emission, transport, and removal of atmospheric pollutants emitted from East Asia, the 2008 China-US joined field campaign are conducted from late April to May 2008 focused specifically on the Asian direct measurements of dust and pollution transport, following the plume from the Northern China which from the Taklamakan desert and Gobi desert to the Eastern Pacific and into North America. Such measurements are crucial to understanding how the dust and the pollution plume (including black carbon) are modified as their age. Three sites involved this campaign, including one permanent site (Semi-Arid Climate & Environment Observatory of Lanzhou University (SACOL)) (located in Yuzhong, 35.95N/104.1E), one SACOL's Mobile Facility (SMF) (deployed in Jintai, 37.57N/104.23E) and the U.S. Department of Energy Atmospheric Radiation Measurements(ARM) Ancillary Facility (AAF mobile laboratories, SMART-COMMIT) (deployed in Zhangye, 39.08N/100.27E). Results indicate that the dust plumes are transported from the surface to a long distance from their sources have a significant influence on the air quality in the study area. The meteorological analysis indicates that these polluted layers are not from local sources during dust plume and this large-scale transport of dust and pollutants remains a major uncertainty in quantifying the global effect of emissions from Northern China.

  7. Measuring the health of populations: the veil of ignorance approach.

    Science.gov (United States)

    Pinto-Prades, José-Luis; Abellán-Perpiñán, José-María

    2005-01-01

    We report the results from two surveys designed to explore whether an application of Harsanyi's principle of choice form behind a veil of ignorance (VEI) can be used in order to measure the health of populations. This approach was tentatively recommended by Murray et al. (Bull. World Health Organ 2000; 78: 981-994; Summary Measures of population health: Concepts, Ethics, Measurement and Applications, WHO, 2002.) as an appropriate way of constructing summary measures of population health (SMPH) for comparative purposes. The operationalization of the VEI approach used in this paper was suggested by Nord (Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications, WHO, 2002.). We test if VEI and person trade-off (PTO) methods generate similar quality-of-life weights. In addition, we compare VEI and PTO weights with individual utilities estimated by means of the conventional standard gamble (SG) and a variation of it we call double gamble. Finally, psychometric properties like feasibility, reliability, and consistency are examined. Our main findings are next: (1) VEI and PTO approaches generate very different weights; (2) it seems that differences between PTO and VEI are not due to the 'rule of rescue'; (3) the VEI resembled more a DG than a classical SG; (4) PTO, VEI, and DG exhibited good feasibility, reliability and consistency.

  8. PERFORMANCE MEASUREMENT AND COMPETITIVE STRATEGY DEVELOPMENT OF STATE-OWNED ENTERPRISES IN CHINA

    Directory of Open Access Journals (Sweden)

    Xiaosong Zheng

    2015-04-01

    Full Text Available In the increasingly competitive market, the state-owned enterprises (SOEs in China, which dominate the national economy, have to take actions to enhance their competitive advantages in response to the competition. On one hand, competitive advantage of a company has impacts on its performance. On the other hand, the enterprise needs to develop competitive strategies related to its goals. Therefore, the two elements interact with each other. However, most scholars only focus on one aspect to do research, which resulted in incomplete findings. This article summarizes the development process of performance measurement in China and Western countries, based on performance measurement theory, and points out the disadvantages of the performance measurement system of state-owned enterprises in China. In addition, competitive strategies of company are sorted out. On the basis of existing research results, the article built a performance measurement index system which is used as a theoretical tool for case study. Then, through theoretical analysis and case studies of the two state-owned enterprises in the civil airline industry (China Eastern Airlines Corporation and China Southern Airlines Corporation, this article comprehensively analyzes and compares performance measurement of the two companies and the industry environment, suggests relevant competitive strategies for both companies. Finally, this article sums up the research results and makes suggestions for performance improvement.

  9. Carbon balance of China constrained by CONTRAIL aircraft CO2 measurements

    Directory of Open Access Journals (Sweden)

    F. Jiang

    2014-03-01

    Full Text Available Terrestrial CO2 flux estimates in China using atmospheric inversion method are beset with considerable uncertainties because very few atmospheric CO2 concentration measurements are available. In order to improve these estimates, nested atmospheric CO2 inversion during 2002–2008 is performed in this study using passenger aircraft-based CO2 measurements over Eurasia from the Comprehensive Observation Network for Trace gases by Airliner (CONTRAIL project. The inversion system includes 43 regions with a focus on China, and is based on the Bayesian synthesis approach and the TM5 transport model. The terrestrial ecosystem carbon flux modeled by the BEPS model and the ocean exchange simulated by the OPA-PISCES-T model are considered as the prior fluxes. The impacts of CONTRAIL CO2 data on inverted China terrestrial carbon fluxes are quantified, the improvement of the inverted fluxes after adding CONTRAIL CO2 data are rationed against climate factors and evaluated by comparing the simulated atmospheric CO2 concentrations with three independent surface CO2 measurements in China. Results show that with the addition of CONTRAIL CO2 data, the inverted carbon sink in China increases while those in South and Southeast Asia decrease. Meanwhile, the posterior uncertainties over these regions are all reduced. CONTRAIL CO2 data also have a large effect on the inter-annual variation of carbon sinks in China, leading to a better correlation between the carbon sink and the annual mean climate factors. Evaluations against the CO2 measurements at three sites in China also show that the CONTRAIL CO2 measurements have improved the inversion results.

  10. Carbon balance of China constrained by CONTRAIL aircraft CO2 measurements

    Science.gov (United States)

    Jiang, F.; Wang, H. M.; Chen, J. M.; Machida, T.; Zhou, L. X.; Ju, W. M.; Matsueda, H.; Sawa, Y.

    2014-09-01

    Terrestrial carbon dioxide (CO2) flux estimates in China using atmospheric inversion method are beset with considerable uncertainties because very few atmospheric CO2 concentration measurements are available. In order to improve these estimates, nested atmospheric CO2 inversion during 2002-2008 is performed in this study using passenger aircraft-based CO2 measurements over Eurasia from the Comprehensive Observation Network for Trace gases by Airliner (CONTRAIL) project. The inversion system includes 43 regions with a focus on China, and is based on the Bayesian synthesis approach and the TM5 transport model. The terrestrial ecosystem carbon flux modeled by the Boreal Ecosystems Productivity Simulator (BEPS) model and the ocean exchange simulated by the OPA-PISCES-T model are considered as the prior fluxes. The impacts of CONTRAIL CO2 data on inverted China terrestrial carbon fluxes are quantified, the improvement of the inverted fluxes after adding CONTRAIL CO2 data are rationed against climate factors and evaluated by comparing the simulated atmospheric CO2 concentrations with three independent surface CO2 measurements in China. Results show that with the addition of CONTRAIL CO2 data, the inverted carbon sink in China increases while those in South and Southeast Asia decrease. Meanwhile, the posterior uncertainties over these regions are all reduced (2-12%). CONTRAIL CO2 data also have a large effect on the inter-annual variation of carbon sinks in China, leading to a better correlation between the carbon sink and the annual mean climate factors. Evaluations against the CO2 measurements at three sites in China also show that the CONTRAIL CO2 measurements may have improved the inversion results.

  11. Meso- and Micro-scale modelling in China: Wind measurements at 12 meteorological stations in NE China (Dongbei)

    DEFF Research Database (Denmark)

    Lindelöw-Marsden, Petter; Enevoldsen, Karen

    This report is part of the presentation of the results obtained during the CMA component of the Wind Energy Development (WED) program. It describes the techniques and results of the project “A02 Measurements” which produced wind measurements from mast mounted anemometers and vanes in Dongbei in N...... in North-East China during 2008 to 2010. Main focus is given to the equipment supplied by Risø and the measurements taken by these systems. Specifically it shows the results of a comparison between the P2546A and EL15-1A cup anemometer....

  12. 77 FR 63917 - WTO Dispute Settlement Proceeding Regarding China-Certain Measures Affecting the Automobile and...

    Science.gov (United States)

    2012-10-17

    ... Subsidies and Countervailing Measures (``SCM Agreement''). In addition, it appears that China has failed to... Measures for the Administration of National Export Bases of Automobiles and Parts and Components (for Trial... Administration of National Export Bases of Automobiles and Parts and Components (Revised Draft); MOFCOM,...

  13. Spiritual health scale 2011: Defining and measuring 4 th dimension of health

    Directory of Open Access Journals (Sweden)

    Neera Dhar

    2011-01-01

    Full Text Available In the midst of physical comforts provided by the unprecedented developments in all spheres of life, the humanity is at cross roads and looking at something beyond these means. Spirituality has now been identified globally as an important aspect for providing answers to many questions related to health and happiness. The World Health Organization is also keen at looking beyond physical, mental and social dimensions of the health, and the member countries are actively exploring the 4 th Dimension of the health i.e. the spiritual health and its impact on the overall health and happiness of an individual. National Institute of Health and Family Welfare (NIHFW, realized this need and initiated a research study in this direction. In this study, an effort was made to define this 4 th Dimension of health from a common worldly person′s perspective and measure it. 3 Domains, 6 Constructs and 27 Determinants of spiritual health were identified through a scientific process. A statistically reliable and valid Spiritual Health Scale (SHS 2011 containing 114 items has been developed. Construct validity and test- retest reliability has been established for urban educated adult population. The scale is first of its kind in the world to measure the spiritual health of a common worldly person, which is devoid of religious and cultural bias. Its items have universal applicability.

  14. Spiritual health scale 2011: defining and measuring 4 dimension of health.

    Science.gov (United States)

    Dhar, Neera; Chaturvedi, Sk; Nandan, Deoki

    2011-10-01

    In the midst of physical comforts provided by the unprecedented developments in all spheres of life, the humanity is at cross roads and looking at something beyond these means. Spirituality has now been identified globally as an important aspect for providing answers to many questions related to health and happiness. The World Health Organization is also keen at looking beyond physical, mental and social dimensions of the health, and the member countries are actively exploring the 4(th) Dimension of the health i.e. the spiritual health and its impact on the overall health and happiness of an individual. National Institute of Health and Family Welfare (NIHFW), realized this need and initiated a research study in this direction. In this study, an effort was made to define this 4(th) Dimension of health from a common worldly person's perspective and measure it. 3 Domains, 6 Constructs and 27 Determinants of spiritual health were identified through a scientific process. A statistically reliable and valid Spiritual Health Scale (SHS 2011) containing 114 items has been developed. Construct validity and test- retest reliability has been established for urban educated adult population. The scale is first of its kind in the world to measure the spiritual health of a common worldly person, which is devoid of religious and cultural bias. Its items have universal applicability.

  15. Toward measuring the impact of ecological disintegrity on human health.

    Science.gov (United States)

    Sieswerda, L E; Soskolne, C L; Newman, S C; Schopflocher, D; Smoyer, K E

    2001-01-01

    Ecological integrity refers to the ability of environmental life-support systems to sustain themselves in the face of human-induced impacts. We used a correlational, aggregate-data study design to explore whether life expectancy, as a general measure of population health, is linked to large-scale declines in ecological integrity. Most of the data were obtained from World Resources Institute publications. Selected surrogate measures of ecological integrity and gross domestic product (GDP) per capita (as a socioeconomic confounder) were modeled, for the first time, using linear regression techniques with life expectancy as the health outcome. We found a modest relation between ecological integrity and life expectancy, but the direction of the association was inconsistent. When GDP per capita was controlled, the relation between ecological integrity and life expectancy was lost. GDP per capita was the overwhelming predictor of health. Any relation between ecological integrity and health may be mediated by socioeconomic factors. The effect of declines in ecological integrity may be cushioned by the exploitation of ecological capital, preventing a direct association between measures of exposure and outcome. In addition, life expectancy may be too insensitive a measure of health impacts related to ecological decline, and more sensitive measures may need to be developed.

  16. Mental Health Nursing, Mechanical Restraint Measures and Patients’ Legal Rights

    DEFF Research Database (Denmark)

    Birkeland, Søren; Gildberg, Frederik Alkier

    2016-01-01

    a serious collision with patient autonomy principles, pose a particular challenge to psychiatric patients’ legal rights, and put intensified demands on health professional performance. Legal rights principles require rationale for coercive measure use be thoroughly considered and rigorously documented......Abstract: Coercive mechanical restraint (MR) in psychiatry constitute the perhaps most important exception from the common health law requirement for involving patients in health care decisions and achieving their informed consent prior to treatment. Coercive measures and particularly MR constitute....... This article presents an in-principle Danish Psychiatric Complaint Board decision concerning MR use initiated by untrained staff. The case illustrates that, judicially, weight must be put on the patient perspective on course of happenings and especially when health professional documentation is scant, patients...

  17. The less healthy urban population: income-related health inequality in China

    Directory of Open Access Journals (Sweden)

    Yang Wei

    2012-09-01

    Full Text Available Abstract Background Health inequality has been recognized as a problem all over the world. In China, the poor usually have less access to healthcare than the better-off, despite having higher levels of need. Since the proportion of the Chinese population living in urban areas increased tremendously with the urbanization movements, attention has been paid to the association between urban/rural residence and population health. It is important to understand the variation in health across income groups, and in particular to take into account the effects of urban/rural residence on the degree of income-related health inequalities. Methods This paper empirically assesses the magnitude of rural/urban disparities in income-related adult health status, i.e., self-assessed health (SAH and physical activity limitation, using Concentration Indices. It then uses decomposition methods to unravel the causes of inequalities and their variations across urban and rural populations. Data from the China Health and Nutrition Survey (CHNS 2006 are used. Results The study finds that the poor are less likely to report their health status as “excellent or good” and are more likely to have physical activity limitation. Such inequality is more pronounced for the urban population than for the rural population. Results from the decomposition analysis suggest that, for the urban population, 76.47 per cent to 79.07 per cent of inequalities are driven by non-demographic/socioeconomic-related factors, among which income, job status and educational level are the most important factors. For the rural population, 48.19 per cent to 77.78 per cent of inequalities are driven by non-demographic factors. Income and educational attainment appear to have a prominent influence on inequality. Conclusion The findings suggest that policy targeting the poor, especially the urban poor, is needed in order to reduce health inequality.

  18. Using Data Envelopment Analysis approach to estimate the health production efficiencies in China

    Institute of Scientific and Technical Information of China (English)

    ZHANG Ning; HU Angang; ZHENG Jinghai

    2007-01-01

    By using Data Envelopment Analysis approach,we treat the health production system in a certain province as a Decision Making Unit (DMU),identify its inputs and outputs,evaluate its technical efficiency in 1982,1990 and 2000 respectively,and further analyze the relationship between efficiency scores and social-environmental variables.This paper has found several interesting findings.Firstly,provinces on frontier in different year are different,but provinces far from the frontier keep unchanged.The average efficiency of health production has made a significant progress from 1982 to 2000.Secondly,all provinces in China can be divided into six categories in terms of health production outcome and efficiency,and each category has specific approach of improving health production efficiency.Thirdly,significant differences in health production efficiencies have been found among the eastern,middle and western regions in China,and among the eastern and middle regions.At last,there is significant positive relationship between population density and health production efficiency but negative relationship (not very significant) between the proportions of public health expenditure in total expense and efficiency.Maybe it is the result of inappropriate tendency of public expenditure.The relationship between abilities to pay for health care services and efficiency in urban areas is opposite to that in rural areas.One possible reason is the totally different income and public services treatments between rural and urban residents.Therefore,it is necessary to adjust health policies and service provisions which are specifically designed to different population groups.

  19. A Cross-sectional Study of Health-related Behaviors in Rural Eastern China

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Objective This study examined the status of health-related behaviors among rural residents and the factors influencing the practice of such behaviors. Methods One thousand and ninety subjects aged 15 years or over in a rural community, Anhui Province, China were surveyed. A questionnaire was used to collect information on the health knowledge, attitude and behavior of the subjects. Information on health behavior included smoking, drinking, dietary habits, regular exercises, sleeping pattern and oral health behavior. Results The prevalence of smoking and drinking in the male subjects was 46.5% and 46.9%, respectively. There was a positive significant association between smoking and drinking. Only 8.3% of all subjects ate three regular meals a day regularly. Among subjects who ate two meals a day, 89.7% did not have breakfast. Only 1.7% of subjects took part in regular exercise. About 85% of subjects slept 6 to 8 h per day. Only 38.4 % of the respondents had the habit of hand washing before eating and after using the lavatory. 79.3% of the subjects brushed their teeth every day, and among them, only 10.6 percent brushed their teeth twice a day.Further analyses showed that 64.8% of subjects had 3-5 items of positive health behaviors out of 8 items and only 16.9% had six or more items. Logistical regression analyses suggested that better health behavior was affected by sex, age, years of education, income and health knowledge.Conclusion The status of health behaviors among rural residents was generally poor. It is thus urgent to reinforce health education in rural communities in China.

  20. A review of soil heavy metal pollution from mines in China: pollution and health risk assessment.

    Science.gov (United States)

    Li, Zhiyuan; Ma, Zongwei; van der Kuijp, Tsering Jan; Yuan, Zengwei; Huang, Lei

    2014-01-15

    Heavy metal pollution has pervaded many parts of the world, especially developing countries such as China. This review summarizes available data in the literature (2005-2012) on heavy metal polluted soils originating from mining areas in China. Based on these obtained data, this paper then evaluates the soil pollution levels of these collected mines and quantifies the risks these pollutants pose to human health. To assess these potential threat levels, the geoaccumulation index was applied, along with the US Environmental Protection Agency (USEPA) recommended method for health risk assessment. The results demonstrate not only the severity of heavy metal pollution from the examined mines, but also the high carcinogenic and non-carcinogenic risks that soil heavy metal pollution poses to the public, especially to children and those living in the vicinity of heavily polluted mining areas. In order to provide key management targets for relevant government agencies, based on the results of the pollution and health risk assessments, Cd, Pb, Cu, Zn, Hg, As, and Ni are selected as the priority control heavy metals; tungsten, manganese, lead-zinc, and antimony mines are selected as the priority control mine categories; and southern provinces and Liaoning province are selected as the priority control provinces. This review, therefore, provides a comprehensive assessment of soil heavy metal pollution derived from mines in China, while identifying policy recommendations for pollution mitigation and environmental management of these mines.

  1. Developmental Origins of Health and Disease (DOHaD): Implications for health and nutritional issues among rural children in China.

    Science.gov (United States)

    Feng, Aihua; Wang, Lijie; Chen, Xiang; Liu, Xiaoyan; Li, Ling; Wang, Baozhen; Luo, Huiwen; Mo, Xiuting; Tobe, Ruoyan Gai

    2015-04-01

    In China, with fast economic growth, health and nutrition status among the rural population has shown significant improvement in the past decades. On the other hand, burden of non-communicable diseases and prevalence of related risk factors such as overweight and obesity has also increased. Among rural children, the double burden of malnutrition and emerging overweight and obesity has been neglected so far. According to the theory of Developmental Origin of Health and Diseases (DOHaD), malnutrition, including both undernutrition (stunting and wasting) and over-nutrition (overweight and obesity) during childhood is closely related to worsened health outcomes during adulthood. Such a neglected problem is attributable to a complicated synergy of social and environmental factors such as parental migration, financial situation of the household, child-rearing knowledge and practices of the primary caregivers, and has implications for public health. Based on literature review of lessons from the field, intervention to address malnutrition among rural children should be a comprehensive package, with consideration of their developmental environment and geographical and socioeconomic diversity. The scientific evidence on DOHaD indicates the probability and necessity of prevention of adult disease by promotion of maternal and child health and reducing malnutrition by provision of high-quality complementary foods, promotion of a well-balanced dietary pattern, and promotion of health literacy in the public would bring a potential benefit to reduce potential risk of diseases.

  2. Association of Health-related Quality of Life with Health Examination and Lifestyles of Government Managers in China

    Institute of Scientific and Technical Information of China (English)

    HOU Changrong; L(U) Bin; LU Zuxun; QIN Shilong

    2007-01-01

    In order to study the association of each item of a health examination and lifestyles with health-related quality of life (HRQoL), a cross-sectional survey by a self-administered questionnaire using the 12-Item Short Form Health Survey (SF-12, version 1) was conducted on 145 government managers that took health examinations in Tongji Hospital, Wuhan, China during 2005. The results showed that the determinations of organic functions including BMI, hemoglobin, blood platelet count,urine protein, urine WBC and lipid metabolism (LDL) were associated with HRQoL. The lifestyle items including age, sex, life satisfaction, drinking alcohol and kind of alcohol drunk, drinking tea,sleep quality and adhering to bedtime, working overtime, work stress were associated with HRQoL in the multiple regression models. Sex, age and life satisfaction were the lifestyle items most closely associated with HRQoL, while LDL, hemoglobin and urine protein were the health examination items most closely associated HRQoL. This study revealed that both lifestyle and health examination items were associated with HRQoL.

  3. Measurement of single-fish target strength in the South China Sea

    Institute of Scientific and Technical Information of China (English)

    CHEN Guobao; LI Yongzhen; CHEN Pimao; ZHANG Jun; FANG Lichen; LI Nana

    2012-01-01

    We measured the target strength (TS) of three commercial fish species:whitespotted spinefoot (Siganus canaliculatus),black porgy (Acanthopagrus schlegelii),and creek red bream (Lutjanus argentimaculatus),in the South China Sea.The TS of caged or tethered fish (n=76 total) was measured using a Simrad EY60 portable scientific echosounder at 120 kHz.We evaluated the relationship between TS and total length (TL,cm) for the three species.This is the first attempt to use split-beam acoustics to measure single-fish TS in the South China Sea by Chinese researchers.Our results will improve the accuracy and precision of acoustic abundance estimates of commercially important species and further the development of underwater acoustic survey techniques in fisheries in the South China Sea.

  4. Elderly parent health and the migration decisions of adult children: evidence from rural China.

    Science.gov (United States)

    Giles, John; Mu, Ren

    2007-05-01

    Recent research has shown that participation in migrant labor markets has led to substantial increases in income for families in rural China. This article addresses the question of how participation is affected by elderly parent health. We find that younger adults are less likely to work as migrants when a parent is ill. Poor health of an elderly parent has less impact on the probability of employment as a migrant when an adult child has siblings who may be available to provide care. We also highlight the potential importance of including information on nonresident family members when studying how parent illness and elder care requirements influence the labor supply decisions of adult children.

  5. Health-care reforms in the People's Republic of China--strategies and social implications.

    Science.gov (United States)

    Wong, V C; Chiu, S W

    1998-01-01

    Analyses the features, strategies and characteristics of health-care reforms in the People's Republic of China. Since the 14th Central Committee of the Chinese Communist Party held in 1992, an emphasis has been placed on reform strategies such as cost recovery, profit making, diversification of services, and development of alternative financing strategies in respect of health-care services provided in the public sector. Argues that the reform strategies employed have created new problems before solving the old ones. Inflation of medical cost has been elevated very rapidly. The de-linkage of state finance bureau and health service providers has also contributed to the transfer of tension from the state to the enterprises. There is no sign that quasi-public health-care insurance is able to resolve these problems. Finally, cooperative medicine in the rural areas has been largely dismantled, though this direction is going against the will of the state. Argues that a new balance of responsibility has to be developed as a top social priority between the state, enterprises and service users in China in order to meet the health-care needs of the people.

  6. Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China

    Directory of Open Access Journals (Sweden)

    Hong Qin

    2017-02-01

    Full Text Available Background: With the development of economy and urbanization, methods of child-feeding have significantly changed in China over the past three decades. However, little is known about breastfeeding in China since 2009. This study aims to update information on the prevalence of breastfeeding in China. Methods: Data were obtained from the first Health Service Household Interview Survey of Hunan Province, China. Of 24,282 respondents, 1659 were aged five years or younger. We ran multivariable logistic regression to examine the impact of urban/rural setting, gender, age and household income per capita on the use of breastfeeding. Results: A total of 79.4% of children aged 5 years or younger had been breastfed at some point and 44.9% been breastfed exclusively in the first 6 months of life. After controlling for setting urban/rural setting, gender and child age, children from households with average family income were more likely to be breastfed than those from households with the lowest family income (adjusted odds ratio: 2.28. Children from households with higher and the highest family income were less likely to be exclusively breastfed in the first 6 months of life compared to those from households with the lowest family income (adjusted odds ratio: 0.51 and 0.68, respectively. Conclusions: It is encouraging that the prevalence of exclusive breastfeeding for infants in the first 6 months of life in Hunan Province, China is approaching the goal of 50% proposed by the World Health Organization (WHO. Nevertheless, more efforts are needed to further promote exclusive breastfeeding in the first 6 months after birth.

  7. Developing a Measure of Value in Health Care.

    Science.gov (United States)

    Ken Lee, K H; Matthew Austin, J; Pronovost, Peter J

    2016-06-01

    There is broad support to pay for value, rather than volume, for health care in the United States. Despite the support, practical approaches for measuring value remain elusive. Value is commonly defined as quality divided by costs, where quality reflects patient outcomes and costs are the total costs for providing care, whether these be costs related to an episode, a diagnosis, or per capita. Academicians have proposed a conceptual approach to measure value, in which we measure outcomes important to patients and costs using time-driven activity-based costing. This approach is conceptually sound, but has significant practical challenges. In our commentary, we describe how health care can use existing quality measures and cost accounting data to measure value. Although not perfect, we believe this approach is practical, valid, and scalable and can establish the foundation for future work in this area.

  8. Applicability of internationally available health literacy measures in the Netherlands.

    Science.gov (United States)

    Fransen, M P; Van Schaik, T M; Twickler, T B; Essink-Bot, M L

    2011-01-01

    Health literacy measures for use in clinical-epidemiological research have all been developed outside Europe. In the absence of validated Dutch measures, we evaluated the cross-cultural applicability of the Rapid Estimate of Adult Literacy in Medicine (REALM), the Newest Vital Sign (NVS), the Set of Brief Screening Questions (SBSQ), and the measure of Functional Communicative and Critical Health Literacy (FCCHL). Each measure was translated into Dutch following standardized procedures. We assessed feasibility, internal consistency, and construct validity among patients with coronary artery disease (n = 201) and patients with diabetes type 2 (n = 88). Patients expressed most problems in responding to the NVS-D. They were not familiar with the type of food label and had difficulties calculating in portions instead of grams. The FCCHL-D items seemed too theoretical for many patients. Cronbach's alpha was acceptable for all measures. Correlation patterns between the measures were moderately coherent with a priori hypotheses. All translated measures were able to distinguish between high- and low-educated groups of patients, with the NVS-D performing best. Despite reasonable psychometric properties as demonstrated so far, these measures need to be further developed in order to increase applicability for assessing health literacy in clinical-epidemiological research in the Netherlands.

  9. Outpatient prescription practices in rural township health centers in Sichuan Province, China

    Directory of Open Access Journals (Sweden)

    Jiang Qian

    2012-09-01

    Full Text Available Abstract Background Sichuan Province is an agricultural and economically developing province in western China. To understand practices of prescribing medications for outpatients in rural township health centers is important for the development of the rural medical and health services in this province and western China. Methods This is an observational study based on data from the 4th National Health Services Survey of China. A total of 3,059 prescriptions from 30 township health centers in Sichuan Province were collected and analyzed. Seven indicators were employed in the analyses to characterize the prescription practices. They are disease distribution, average cost per encounter, number of medications per encounter, percentage of encounters with antibiotics, percentage of encounters with glucocorticoids, percentage of encounters with combined glucocorticoids and antibiotics, and percentage of encounters with injections. Results The average medication cost per encounter was 16.30 Yuan ($2.59. About 60% of the prescriptions contained Chinese patent medicine (CPM, and almost all prescriptions (98.07% contained western medicine. 85.18% of the prescriptions contained antibiotics, of which, 24.98% contained two or more types of antibiotics; the percentage of prescriptions with glucocorticoids was 19.99%; the percentage of prescriptions with both glucocorticoids and antibiotics was 16.67%; 51.40% of the prescriptions included injections, of which, 39.90% included two or more injections. Conclusions The findings from this study demonstrated irrational medication uses of antibiotics, glucocorticoids and injections prescribed for outpatients in the rural township health centers in Sichuan Province. The reasons for irrational medication uses are not only solely due to the pursuit of maximizing benefits in the township health centers, but also more likely attributable to the lack of medical knowledge of rational medication uses among rural doctors and the

  10. Who pays for health care in China? The case of Heilongjiang province.

    Directory of Open Access Journals (Sweden)

    Mingsheng Chen

    Full Text Available Health spending by the Chinese government has declined and traditional social health insurance collapsed after economic reforms in the early 1980s; accordingly, the low-income population is exposed to potentially significant healthcare costs. Financing an equitable healthcare system represents a major policy objective in China's current healthcare reform efforts. The current research presents an examination of the distribution of healthcare financing in a north-eastern Chinese province to compare equity status between urban and rural areas at two different times.To analyze the progressivity of healthcare financing in terms of ability-to-pay, the Kakwani index was used to assess four healthcare financing channels: general taxes, social and commercial health insurance, and out-of-pocket payments. Two rounds of surveys were conducted in 2003 (11,572 individuals in 3841 households and 2008 (15,817 individuals in 5530 households. Household socioeconomic status, healthcare payment, and utilization information were recorded using household interviews.China's healthcare financing equity is unsound. Kakwani indices for general taxation were -0.0212 (urban and -0.0297 (rural in 2002, and -0.0097 (urban and -0.0112 (rural in 2007. Social health insurance coverage has expanded, however different financing distributions were found with respect to urban (0.0969 in 2002 vs. 0.0984 in 2007 and rural (0.0283 in 2002 vs. -0.3119 in 2007 areas. While progressivity of out-of-pocket payments decreased in both areas, the equity of financing was found to have improved among poorer respondents.Overall, China's healthcare financing distribution is unequal. Given the inequity of general taxes, decreasing the proportion of indirect taxes would considerably improve healthcare financing equity. Financial contribution mechanisms to social health insurance are equally significant to coverage extension. The use of flat rate contributions for healthcare funding places a

  11. The roots of interprovincial inequality in education and health services in China since 1949.

    Science.gov (United States)

    Lampton, D M

    1979-01-01

    This study of the determinants of variations among the provinces of China in the provision of health and education services hypothesizes the following: interprovincial variations in the provision of educational and health services can be explained largely by economic and ecological factors; and specific levels of education and various types of medical services are responsive in different ways to changes in particular variables. 5 important and variably performing provinces (accounting for about 28% of China's population) were extensively examined: Anhwei; Hunan; Kwangtung: Shansi; and Shantung. The analysis is organized by program, dealing sequentially with factors affecting the availability of primary education, secondary education, hospital beds, and cooperative health programs in the 5 provinces. The hypotheses were suported. Economic variables were the principal determinants of the pattern of interprovincial performance for any given program, but leadership choices relating to program financing, investment strategies, and program priorities markedly affected the way in which the economy interacted with the program. Agricultural growth was a precondition to success in cooperative health care but not particularly helpful in obtaining high levels of primary or middle school enrollments, or hospital facilities. The critical political choices to be made are those concerning investment priorities, funding strategies, and program priorities, and these decisions are invariably made in Peking. The provincial leaders are left with the responsibility for implementing and refining policy. Leaders can never eliminate economic constraints, but their political choices to shape the longterm structure of those constraints and, in the short run, determine how those economic variables will manifest themselves through concrete programs. In addition to knowing that the provision of education and health services in China is shaped by economic variables, policy makers must understand

  12. Health Status Measurement Instruments in Chronic Obstructive Pulmonary Disease

    Directory of Open Access Journals (Sweden)

    Yves Lacasse

    1997-01-01

    Full Text Available Chronic obstructive pulmonary disease (COPD is associated with primary respiratory impairment, disability and handicap, as well as with secondary impairments not necessarily confined to the respiratory system. Because the primary goals of managing patients with COPD include relief of dyspnea and the improvement of health-related quality of life (HRQL, a direct measurement of HRQL is important. Fourteen disease-specific and nine generic questionnaires (four health profiles and five utility measures most commonly used to measure health status in patients with COPD were reviewed. The measures were classified according to their domain of interest, and their measurement properties - specifications, validity, reliability, responsiveness and interpretability - were described. This review suggests several findings. Currently used health status instruments usually refer to the patients’ perception of performance in three major domains of HRQL - somatic sensation, physical and occupational function, and psychological state. The choice of a questionnaire must be related to its purpose, with a clear distinction being made between its evaluative and discriminative function. In their evaluative function, only a few instruments fulfilled the criteria of responsiveness, and the interpretability of most questionnaires is limited. Generic questionnaires should not be used alone in clinical trials as evaluative instruments because of their inability to detect change over time. Further validation and improved interpretability of existing instruments would be of greater benefit to clinicians and scientists than the development of new questionnaires.

  13. Determinants and Equity Evaluation for Health Expenditure Among Patients with Rare Diseases in China

    Institute of Scientific and Technical Information of China (English)

    Xiao-Xiong Xin; Liang Zhao; Xiao-Dong Guan; Lu-Wen Shi

    2016-01-01

    Background:China has not established social security system for rare diseases.Rare diseases could easily impoverish patients and their families.Little research has studied the equity and accessibility of health services for patients with rare diseases in China.This study aimed to explore the factors that influence health expenditure of rare diseases and evaluate its equity.Methods:Questionnaire survey about living conditions and cost burden of patients with rare diseases was conducted.Individual and family information,health expenditure and reimbursement in 2014 of 982 patients were collected.The impact of medical insurance,individual sociodemographic characteristics,family characteristics,and healthcare need on total and out-of-pocket (OOP) health expenditures was analyzed through the generalized linear model.Equity of health expenditure was evaluated by both concentration index and Lorenz curve.Results:Of all the surveyed patients,11.41% had no medical insurance and 92.10% spent money to seek medical treatment in 2014.It was suggested female (P =0.048),over 50 years of age (P =0.062),high-income group (P =0.021),hospitalization (P =0.000),and reimbursement ratio (RR) (P =0.000) were positively correlated with total health expenditure.Diseases not needing long-term treatment (P =0.000) was negatively correlated with total health expenditure.Over 50 years of age (P =0.065),high-income group (P =0.018),hospitalization (P =0.000) and having Urban Employee Basic Medical Insurance (UEBMI) (P =0.022) were positively correlated with OOP health expenditure.Patient or the head of the household having received higher education (P =0.044 and P =0.081) and reimbursement ratio (P =0.078) were negatively correlated with OOP health expenditure.The equity evaluation found concentration indexes of health expenditure before and after reimbursement were 0.0550 and 0.0539,respectively.Conclusions:OOP health expenditure of patients with UEBMI was significantly more than that of

  14. Performance measures of cultural competency in mental health organizations.

    Science.gov (United States)

    Siegel, C; Davis-Chambers, E; Haugland, G; Bank, R; Aponte, C; McCombs, H

    2000-11-01

    The authors utilized numerous documents created by advisory groups, expert panels and multicultural focus groups to develop performance measures for assessing the cultural competency of mental health systems. Competency was measured within three levels of organizational structure: administrative, provider network, and individual caregiver. Indicators, measures and data sources for needs assessment, information exchange, services, human resources, plans and policies, and outcomes were identified. Procedures for selection and implementation of the most critical measures are suggested. The products of this project are broadly applicable to the concerns of all cultural groups.

  15. Health effects associated with energy conservation measures in commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    Stenner, R.D.; Baechler, M.C.

    1990-09-01

    Indoor air quality can be impacted by hundreds of different chemicals. More than 900 different organic compounds alone have been identified in indoor air. Health effects that could arise from exposure to individual pollutants or mixtures of pollutants cover the full range of acute and chronic effects, including largely reversible responses, such as rashes and irritations, to the irreversible toxic and carcinogenic effects. These indoor contaminants are emitted from a large variety of materials and substances that are widespread components of everyday life. Pacific Northwest Laboratory conducted a search of the peer-reviewed literature on health effects associated with indoor air contaminants for the Bonneville Power Administration to aid the agency in the preparation of environmental documents. Results are reported in two volumes. Volume 1 summarizes the results of the search of the peer-reviewed literature on health effects associated with a selected list of indoor air contaminants. In addition, the report discusses potential health effects of polychlorinated biphenyls and chlorofluorocarbons. All references to the literature reviewed are found in this document Volume 2. Volume 2 provides detailed information from the literature reviewed, summarizes potential health effects, reports health hazard ratings, and discusses quantitative estimates of carcinogenic risk in humans and animals. Contaminants discussed in this report are those that; have been measured in the indoor air of a public building; have been measured (significant concentrations) in test situations simulating indoor air quality (as presented in the referenced literature); and have a significant hazard rating. 38 refs., 7 figs., 23 tabs.

  16. A comparative study of vocational education and occupational safety and health training in China and the UK.

    Science.gov (United States)

    Nie, Baisheng; Huang, Xin; Xue, Fei; Chen, Jiang; Liu, Xiaobing; Meng, Yangyang; Huang, Jinxin

    2017-01-16

    In order to enhance Chinese workers' occupational safety awareness, it is essential to learn from developed countries' experiences. This article investigates thoroughly occupational safety and health (OSH) in China and the UK; moreover, the article performs a comparison of Chinese and British OSH training-related laws, regulations and education system. The following conclusions are drawn: China's work safety continues to improve, but there is still a large gap compared with the UK. In China a relatively complete vocational education and training (VET) system has been established. However, there exist some defects in OSH. In the UK, the employer will not only pay attention to employees' physiological health, but also to their mental health. The UK's VET is characterized by classification and grading management, which helps integrate OSH into the whole education system. China can learn from the UK in the development of policies, VET and OSH training.

  17. Health disparities among the western, central and eastern rural regions of China after a decade of health promotion and disease prevention programming.

    Science.gov (United States)

    Zhang, Xi-Fan; Tian, Xiang-Yang; Cheng, Yu-Lan; Feng, Zhan-Chun; Wang, Liang; Southerland, Jodi

    2015-08-01

    Health disparities between the western, central and eastern regions of rural China, and the impact of national health improvement policies and programming were assessed. A total of 400 counties were randomly sampled. ANOVA and Logistic regression modeling were employed to estimate differences in health outcomes and determinants. Significant differences were found between the western, central and eastern rural regions in community infrastructure and health outcomes. From 2000 to 2010, health indicators in rural China were improved significantly, and the infant mortality rate (IMR), maternal mortality rate (MMR) and under 5 mortality rate (U5MR) had fallen by 62.79%, 71.74% and 61.92%, respectively. Central rural China had the greatest decrease in IMR (65.05%); whereas, western rural China had the greatest reduction in MMR (72.99%) but smallest reduction in U5MR (57.36%). Despite these improvements, Logistic regression analysis showed regional differences in key health outcome indicators (odds ratios): IMR (central: 2.13; western: 5.31), U5MR (central: 2.25; western: 5.69), MMR (central: 1.94; western: 3.31), and prevalence of infectious diseases (central: 1.62; western: 3.58). The community infrastructure and health outcomes of the western and central rural regions of China have been improved markedly during the first decade of the 21st century. However, health disparities still exist across the three regions. National efforts to increase per capita income, community empowerment and mobilization, community infrastructure, capacity of rural health facilities, and health literacy would be effective policy options to attain health equity.

  18. Transforming rural health care through information technology: an interventional study in China.

    Science.gov (United States)

    Liu, Gordon Guoen; Chen, Yiqun; Qin, Xuezheng

    2014-12-01

    This article estimates the impacts of health information technology (HIT) on health-care delivery in the Wenchuan County of China, where the devastation of the 2008 Great Wenchuan Earthquake and the subsequent large-scale HIT implementation (the Healthy Wenchuan Program) offers a 'natural experiment' opportunity, enabling us to conduct a difference-in-difference evaluation of the potential benefits of HIT on accessibility, affordability and appropriateness of health-care services in the underdeveloped rural area. Based on data collected from two field surveys in township hospitals, we find that for both the inpatient and outpatient samples, the HIT system promotes access to medical care by increasing doctor referrals and encouraging within-county medical utilization, reduces patient financial burden in certain expenditure categories, and contributes to higher patient satisfaction on medical care quality. On the other hand, we also find that HIT leads to increased patient waiting time for hospital registration, reflecting the unique challenges in implementing HIT in the underdeveloped areas. Our study contributes to the growing body of literature on evaluating the impacts of HIT application in the developing regions, and provides implications on the potential role of HIT in China's national health system reforms.

  19. Continuing nursing education policy in China and its impact on health equity.

    Science.gov (United States)

    Xiao, Lily Dongxia

    2010-09-01

    The aim of this study was to evaluate the mandatory continuing nursing education (MCNE) policy in China and to examine whether or not the policy addresses health equity. MCNE was instituted in 1996 in China to support healthcare reform was to include producing greater equity in health-care. However, the literature increasingly reports inequity in participation in MCNE, which is likely to have had a detrimental effect on the pre-existing discrepancies of education in the nursing workforce, and thereby failing to really address health equity. Despite a growing appeal for change, there is lack of critical reflection on the issues of MCNE policy. Critical ethnography underpinned by Habermas' Communicative Action Theory and Giddens' Structuration Theory were used to guide this study. Findings are presented in four themes: (i) inaccessibility of learning programs for nurses; (ii) undervaluation of workplace-based learning; (iii) inequality of the allocation of resources; and (iv) demands for additional support in MCNE from non-tertiary hospitals. The findings strongly suggest the need for an MCNE policy review based on rational consensus with stakeholders while reflecting the principles of health equity.

  20. Environmental and Health Effects Associated With Harmful Algal Bloom and Marine Algal Toxins in China

    Institute of Scientific and Technical Information of China (English)

    TIAN YAN; MING-JIANG ZHOU

    2004-01-01

    The frequency and scale of Harmful Algal Bloom (HAB) and marine algal toxin incidents have been increasing and spreading in the past two decades, causing damages to the marine environment and threatening human life through contaminated seafood. To better understand the effect of HAB and marine algal toxins on marine environment and human health in China, this paper overviews HAB occurrence and marine algal toxin incidents, as well as their environmental and health effects in this country. HAB has been increasing rapidly along the Chinese coast since the 1970s, and at least 512 documented HAB events have occurred from 1952 to 2002 in the Chinese mainland. It has been found that PSP and DSP toxins are distributed widely along both the northern and southern Chinese coasts. The HAB and marine algal toxin events during the 1990s in China were summarized, showing that the HAB and algal toxins resulted in great damages to local fisheries, marine culture, quality of marine environment, and human health. Therefore, to protect the coastal environment and human health, attention to HAB and marine algal toxins is urgently needed from the environmental and epidemiological view.

  1. Ecosystem Health Assessment at County-Scale Using the Pressure-State-Response Framework on the Loess Plateau, China

    Directory of Open Access Journals (Sweden)

    Delin Liu

    2016-12-01

    Full Text Available Assessing ecosystem health is helpful to determine reasonable eco-environmental restoration and resource management strategies. Based on a pressure-state-response (PSR framework, a set of comprehensive indicators including natural, social and economic aspects was proposed and applied for assessing the ecosystem health of Yuanzhou County, Loess Plateau, Ningxia Province, China. The basic data used to calculate the values of the assessment indicators include Landsat TM image and socio-economic data, and remote sensing (RS and the geographic information system (GIS were used to process image data. The results showed that the ecosystem health conditions of most townships in Yuanzhou County were at the moderately healthy level, three townships were at the healthy level, and only two townships were at the unhelathy level; the areas (percentage at the unhealthy, moderately healthy and healthy levels were 443.91 km2 (12.66%, 2438.75 km2 (69.54% and 624.50 km2 (17.81%, respectively. The results could provide useful information for local residents and the government to take measures to improve the health conditions of their township ecosystem.

  2. Instruments for measuring mental health recovery: a systematic review.

    Science.gov (United States)

    Sklar, Marisa; Groessl, Erik J; O'Connell, Maria; Davidson, Larry; Aarons, Gregory A

    2013-12-01

    Persons in recovery, providers, and policymakers alike are advocating for recovery-oriented mental health care, with the promotion of recovery becoming a prominent feature of mental health policy in the United States and internationally. One step toward creating a recovery-oriented system of care is to use recovery-oriented outcome measures. Numerous instruments have been developed to assess progress towards mental health recovery. This review identifies instruments of mental health recovery and evaluates the appropriateness of their use including their psychometric properties, ease of administration, and service-user involvement in their development. A literature search using the Medline and Psych-INFO databases was conducted, identifying 21 instruments for potential inclusion in this review, of which thirteen met inclusion criteria. Results suggest only three instruments (25%) have had their psychometric properties assessed in three or more unique samples of participants. Ease of administration varied between instruments, and for the majority of instruments, development included service user involvement. This review updates and expands previous reviews of instruments to assess mental health recovery. As mental health care continues to transform to a recovery-oriented model of service delivery, this review may facilitate selection of appropriate assessments of mental health recovery for systems to use in evaluating and improving the care they provide.

  3. E-waste environmental contamination and harm to public health in China.

    Science.gov (United States)

    Xu, Xijin; Zeng, Xiang; Boezen, H Marike; Huo, Xia

    2015-06-01

    The adverse effects of electronic waste (e-waste) on the human body have stirred up concern in recent years. China is one of the countries that confront serious pollution and human exposure of e-waste, and the majority of the population is exposed to potentially hazardous substances that are derived from informal e-waste recycling processes. This study reviews recent reports on human exposure to e-waste in China, with particular focus on exposure routes (e.g., inhalation and ingestion) and several toxicities of human (e.g., endocrine system, respiratory system, reproductive system, developmental toxicity, neurotoxicity, and genetic toxicity). Pieces of evidence that associate e-waste exposure with human health effects in China are assessed. The role of toxic heavy metals (e.g., lead, cadmium, chromium, mercury, and nickel) and organic pollutants (e.g., polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyl (PCBs), polycyclic aromatic hydrocarbons (PAHs), polybrominated biphenyls (PBBs), polyhalogenated aromatic hydrocarbons (PHAHs), bisphenol A (BPA)) on human health is also briefly discussed.

  4. A dual Atkinson measure of socioeconomic inequality of health.

    Science.gov (United States)

    Erreygers, Guido

    2013-04-01

    The Atkinson index of income inequality is based on a comparison of the average income with the equivalent income, where the equivalent income is defined as the level of income that, if given to everyone, would generate the same social welfare as the existing distribution of income. This paper explores the possibility of extending this approach to the measurement of socioeconomic inequality of health. It assumes a social evaluation function that depends upon two variables: socioeconomic status as well as health status. With a general form of this function, an Atkinson measure is derived, which gives exactly the same result when applied to the socioeconomic variable and when applied to the health variable. The paper examines the properties of the index and suggests various extensions.

  5. Mental Health Nursing, Mechanical Restraint Measures and Patients’ Legal Rights

    DEFF Research Database (Denmark)

    Birkeland, Søren; Gildberg, Frederik Alkier

    2016-01-01

    Abstract: Coercive mechanical restraint (MR) in psychiatry constitute the perhaps most important exception from the common health law requirement for involving patients in health care decisions and achieving their informed consent prior to treatment. Coercive measures and particularly MR constitute...... a serious collision with patient autonomy principles, pose a particular challenge to psychiatric patients’ legal rights, and put intensified demands on health professional performance. Legal rights principles require rationale for coercive measure use be thoroughly considered and rigorously documented......’ rights call for taking notice of patient evaluations. Consequently, if it comes out that psychiatric staff failed to pay appropriate consideration for the patient’s mental state, perspective, and expressions, patient response deviations are to be judicially interpreted in this light potentially rendering...

  6. Measuring general animal health status: Development of an animal health barometer.

    Science.gov (United States)

    Depoorter, Pieter; Van Huffel, Xavier; Diricks, Herman; Imberechts, Hein; Dewulf, Jeroen; Berkvens, Dirk; Uyttendaele, Mieke

    2015-03-01

    The development of an animal health barometer, an instrument to measure the general health of the Belgian livestock population on a yearly basis and to monitor its evolution over time, is described. The elaboration of a set of 13 animal health indicators (AHIs) as the basis for the animal health barometer is discussed. These indicators were weighted by experts - including scientists, policy makers and agro-industrial representatives - to determine their relative weight in the barometer. The result of the barometer is expressed as a comparison with a previous year. Based on the results of the 13 AHIs, it is concluded that general animal health in Belgium shows a positive evolution since 2008. The animal health barometer provides a composite view of the status of livestock health in Belgium and is a tool to communicate in an intelligible, comprehensible manner on aspects of animal health to consumers and professional stakeholders in the animal production and food chain. Together with the food safety barometer (Baert et al., 2011. Food Res. Int. 44, 940) and the plant health barometer (Wilmart et al., 2014. Eur. J. Plant Pathol. doi: 10.1007/s10658-014-0547-x), the animal health barometer is one of the three instruments to provide a holistic view on the overall status of the safety of the food chain in Belgium.

  7. A New Preference Reversal in Health Utility Measurement

    NARCIS (Netherlands)

    H. Bleichrodt (Han); J.L. Pinto (Jose Luis)

    2007-01-01

    textabstractA central assumption in health utility measurement is that preferences are invariant to the elicitation method that is used. This assumption is challenged by preference reversals. Previous studies have observed preference reversals between choice and matching tasks and between choice and

  8. Properties of hail storms over China and the United States from the Tropical Rainfall Measuring Mission

    Science.gov (United States)

    Ni, Xiang; Liu, Chuntao; Zhang, Qinghong; Cecil, Daniel J.

    2016-10-01

    A 16 year record of hail reports over the south U.S. and from weather stations in China are collocated with precipitation features (PFs) derived from the Tropical Rainfall Measuring Mission (TRMM) radar and passive microwave observations. Differences in the way hail is reported in the two nations make it difficult to draw meaningful conclusions about storm frequency. But taking the two together yields a wide spectrum of hail sizes, suitable for comparing with remote sensing measurements. While U.S. hail reports are dominated by cases with hail size greater than 19 mm, hail reports in China mostly include diameters of 1-10 mm and mostly occur over the Tibetan Plateau. The fraction of PFs collocated with hail reports (hail PFs) reaches 3% in the plains of the U.S. In China, the fraction is higher in high elevation regions than low elevation regions. Hail PFs (as reported in the U.S.) show lower brightness temperatures, higher lightning flash rates, stronger maximum reflectivity, and higher echo tops than those with smaller hail, as reported in China. The average near surface maximum reflectivity of hail PFs at high elevations (≥2000 m) in China is about 5 dB smaller than those at low elevations. Larger hail is reported with PFs having stronger maximum reflectivity above 6 km, though the median of maximum reflectivity values at levels below 5 km is similar among the storms with large and small hail sizes.

  9. Improving reproductive health knowledge in rural China--a web-based strategy.

    Science.gov (United States)

    Tang, Songyuan; Tian, Lichuan; Cao, Wei Wei; Zhang, Kaining; Detels, Roger; Li, Virginia C

    2009-01-01

    In China, one of the major problems in upgrading rural health services is the difficulty of communicating between the rural and urban areas. Enabling local agencies to access the Internet in resource-poor areas can provide an efficient means of diffusing current training and information and will have far-reaching policy implications. To test the feasibility of using the Internet to deliver needed health information to the countryside, the UCLA School of Public Health and the Institute of Health Studies of Kunming Medical College (IHS-KMC) collaborated in an experimental website project to improve the quality of reproductive health services to promote women's health in three rural counties of Yunnan. The project involved the county government and the Bureau of Public Health, the Bureau of Family Planning; the Bureau of Education, Women's Federation, and the Maternal and Child Health Station targeting village health workers and teachers; women's cadres. Three counties, matched on socioeconomic status, participated in the study and were randomized to receive three programs. Nanhua County received computer skill training and logistic support including a planning workshop for information diffusion. Mouding County received computers only. Dayao, the control county, did not receive the full program until the conclusion of the project. The study demonstrated that the use of a website to disseminate health information in remote rural areas is not only feasible but that it also will be enthusiastically adopted by local health workers and interested parties. Moreover, the knowledge was diffused from the primary population of village doctors, family planning workers, women's cadres, and teachers to the secondary population of villagers and students.

  10. Spatial variation of health risk for drinking groundwater in Mingshan County, Ya’an,China

    Directory of Open Access Journals (Sweden)

    Fuquan Ni

    2010-12-01

    Full Text Available In recent years, rural drinking water safety has become a growing concern in China. The present study aims to the core problems in rural drinking water safety in Mingshan County, Ya’an, China where groundwater is used as drinking water. The objective of this study was to determine groundwater quality and to assess the health risk of pollution in groundwater in Mingshan County, Ya’an, China. Over the 19-year period from 1991 to 2010, the total number of groundwater samples was 47.This study inspected source water quality, applied the health risk assessment model recommended by U.S.EPA, and calculated carcinogenic risk, non-carcinogenic risk and total risk of factors exceeding standards. Health risk thematic maps of carcinogenic risk and non-carcinogenic risk caused by single factor and their combination can be obtained with the method of inverse-distance weighting interpolation (IDW and the function of geo-statistical analysis in ArcGIS (Geographic Information System, GIS. The results showed, carcinogenic risk caused by chemicals in drinking groundwater is low, which is in the acceptable interval in risk management both at home and abroad for years. However, non-carcinogenic risk is high and number of sampling sites with risk values exceeding the standards amounted to 30, in which, non-carcinogenic risk of Cr (6+, nitrate, fluoride and Fe of number 43, 46, 74, 64, 67, 50 were the sources that cause total health risk high. This study revealed the risk level of drinking groundwater quality, orders of treatment on pollutants and provided a scientific basis for groundwater management in this area.

  11. The spatial distribution of health vulnerability to heat waves in Guangdong Province, China

    Directory of Open Access Journals (Sweden)

    Qi Zhu

    2014-10-01

    Full Text Available Background: International literature has illustrated that the health impacts of heat waves vary according to differences in the spatial variability of high temperatures and the social and economic characteristics of populations and communities. However, to date there have been few studies that quantitatively assess the health vulnerability to heat waves in China. Objectives: To assess the spatial distribution of health vulnerability to heat waves in Guangdong Province, China. Methods: A vulnerability framework including dimensions of exposure, sensitivity, and adaptive capacity was employed. The last two dimensions were called social vulnerability. An indicator pool was proposed with reference to relevant literatures, local context provided by relevant local stakeholder experts, and data availability. An analytic hierarchy process (AHP and a principal component analysis were used to determine the weight of indicators. A multiplicative vulnerability index (VI was constructed for each district/county of Guangdong province, China. Results: A total of 13 items (two for exposure, six for sensitivity, and five for adaptive capacity were proposed to assess vulnerability. The results of an AHP revealed that the average VI in Guangdong Province was 0.26 with the highest in the Lianzhou and Liannan counties of Qingyuan (VI=0.50 and the lowest in the Yantian district of Shenzhen (VI=0.08. Vulnerability was gradiently distributed with higher levels in northern inland regions and lower levels in southern coastal regions. In the principal component analysis, three components were isolated from the 11 social vulnerability indicators. The estimated vulnerability had a similar distribution pattern with that estimated by AHP (Intraclass correlation coefficient (ICC=0.98, p<0.01. Conclusions: Health vulnerability to heat waves in Guangdong Province had a distinct spatial distribution, with higher levels in northern inland regions than that in the southern coastal

  12. Health economic evaluations of medical devices in the People's Republic of China: A systematic literature review

    Directory of Open Access Journals (Sweden)

    Zhang R

    2015-04-01

    Full Text Available Rongrong Zhang, Farhang Modaresi, Oleg Borisenko Synergus AB, Stockholm, Sweden Background: The objective of this study is to identify and review the methodological quality of health economic evaluations of medical devices performed in the People's Republic of China. To our knowledge, no such investigations have been performed to date. Methods: A systematic literature review involving searches of Medline, Medline In-Process, the National Health Service Economic Evaluation Database, the Cost-Effectiveness Analysis Registry of the Tufts Medical Center, and the Wanfang Database was performed. The search spanned the period from 1990 to 2013. Studies on health economic evaluations of medical devices, in-vitro diagnostics, procedures, and the use of medical devices in Chinese health care settings were included. Full-text articles and conference abstracts in English and Chinese were included. Results: Fifty-seven publications were included, 26 (46% of which were in English and 31 (54% of which were in Chinese. The included publications covered a wide range of clinical areas, such as surgery (n=23, 40%, screening (n=9, 16%, imaging use (n=6, 11%, kidney intervention (n=4, 7%, and nine other technological areas. Most of the studies (n=31, 54% were cost analyses. Among the others, 13 (50% studies used modeling, and another 13 (50% were within-trial evaluations. Among studies that used modeling, eleven (85% conducted sensitivity analyses, six of which had one-way sensitivity analysis, whereas one conducted both one-way and two-way sensitivity analyses; four of these eleven modeling-based analyses included probabilistic sensitivity analyses. The incremental cost-effectiveness ratio was reported in ten (18% studies, eight of which were screening studies. The remaining two modeling studies were in areas of imaging and oncology. Conclusion: This study indicates that there are major limitations and deficiencies in the health economic evaluations on medical

  13. Adolescent Student Burnout Inventory in Mainland China: Measurement Invariance across Gender and Educational Track

    Science.gov (United States)

    Li, Bi; Wu, Yan; Wen, Zhonglin; Wang, Mengcheng

    2014-01-01

    This article assessed the measurement in variance of the Adolescent Student Burnout Inventory (ASBI) across gender and educational track, and investigated the main and interaction effects of gender and educational track on the facets of student burnout with a sample consisting of 2,216 adolescent students from China. Multigroup confirmatory factor…

  14. Discharge and sediment measurements at the outlet of a watershed on the Loess plateau of China

    NARCIS (Netherlands)

    Elsen, van den H.G.M.; Hessel, R.; Liu Baoyuan,; Trouwborst, K.O.; Stolte, J.; Ritsema, C.J.; Blijenberg, H.

    2003-01-01

    A dam and weir system was constructed to measure the discharge of water and sediment from a selected small catchment on the Loess plateau in China. The aim of the system described here was to collect data on discharge and sediment content during occasional summer storms. These data can be used for c

  15. Energy Consumption of ADU/VDU in China and Measures for Improvement

    Institute of Scientific and Technical Information of China (English)

    LiZhiguo

    2003-01-01

    The present status of energy consumption ofADU (Atmospheric Distillation Unit)/VDU (VacuumDistillation Unit) in China is discussed, the major problems, such as low end temperature of heat exchange,low heater efficiency, high fuel consumption, and large consumption of water, electricity and steam areanalyzed, and measures for improvement are proposed.

  16. Economic evaluation of health losses from air pollution in Beijing, China.

    Science.gov (United States)

    Zhao, Xiaoli; Yu, Xueying; Wang, Ying; Fan, Chunyang

    2016-06-01

    Aggravated air pollution in Beijing, China has caused serious health concern. This paper comprehensively evaluates the health losses from illness and premature death caused by air pollution in monetary terms. We use the concentration of PM10 as an indicator of the pollution since it constitutes the primary pollutant in Beijing. By our estimation, air pollution in Beijing caused a health loss equivalent to Ұ583.02 million or 0.03 % of its GDP. Most of the losses took the form of depreciation in human capital that resulted from premature death. The losses from premature deaths were most salient for people of either old or young ages, with the former group suffering from the highest mortality rates and the latter group the highest per capital losses of human capitals from premature death. Policies that target on PM10 emission reduction, urban vegetation expansion, and protection of vulnerable groups are all proposed as possible solutions to air pollution risks in Beijing.

  17. Health promotion interventions and policies addressing excessive alcohol use: A systematic review of national and global evidence as a guide to health-care reform in China

    Science.gov (United States)

    Li, Qing; Babor, Thomas F.; Zeigler, Donald; Xuan, Ziming; Morisky, Donald; Hovell, Melbourne F.; Nelson, Toben F.; Shen, Weixing; Li, Bing

    2014-01-01

    Aims Steady increases in alcohol consumption and related problems are likely to accompany China's rapid epidemiologic transition and profit-based marketing activities. We reviewed research on health promotion interventions and policies to address excessive drinking and to guide health-care reform. Methods We searched in Chinese and English language databases and included 21 studies in China published between 1980 and 2013 that covered each policy area from the WHO Global Strategy to Reduce the Harmful Use of Alcohol. We evaluated and compared preventive interventions to the global alcohol literature for cross-national applicability. Results In contrast with hundreds of studies in the global literature, 11 of 12 studies from mainland China were published in Chinese; six of ten in English were on taxation from Taiwan or Hong Kong. Most studies demonstrated effectiveness in reducing excessive drinking, and some reported the reduction of health problems. Seven were randomized controlled trials. Studies targeted schools, drink-driving, workplaces, the health sector, and taxation. Conclusions China is the world's largest alcohol market, yet there has been little growth in alcohol policy research related to health promotion interventions over the past decade. Guided by a public health approach, the WHO Global Strategy, and health reform experience in Russia, Australia, Mexico, and the USA, China could improve its public health response through better coordination and implementation of surveillance and evidence-based research, and through programmatic and legal responses such as public health law research, screening and early intervention within health systems, and the implementation of effective alcohol control strategies. PMID:25533866

  18. Measuring psychosocial variables that predict older persons' oral health behaviour.

    Science.gov (United States)

    Kiyak, H A

    1996-12-01

    The importance of recognising psychosocial characteristics of older people that influence their oral health behaviours and the potential success of dental procedures is discussed. Three variables and instruments developed and tested by the author and colleagues are presented. A measure of perceived importance of oral health behaviours has been found to be a significant predictor of dental service utilization in three studies. Self-efficacy regarding oral health has been found to be lower than self-efficacy regarding general health and medication use among older adults, especially among non-Western ethnic minorities. The significance of self-efficacy for predicting changes in caries and periodontal disease is described. Finally, a measure of expectations regarding specific dental procedures has been used with older people undergoing implant therapy. Studies with this instrument reveal that patients have concerns about the procedure far different than those focused on by dental providers. All three instruments can be used in clinical practice as a means of understanding patients' values, perceived oral health abilities, and expectations from dental care. These instruments can enhance dentist-patient rapport and improve the chances of successful dental outcomes for older patients.

  19. Evaluating the Impact of Air Pollution on Human Health in China: the Price of Clean Air

    Science.gov (United States)

    Wang, X.; Mauzerall, D. L.; Hu, Y.; Russell, A. G.; Woo, J.; Streets, D. G.

    2003-12-01

    Population growth, rapid urbanization and economic development are contributing to increased energy consumption in China. One of the unintended consequences is poor air quality due to a lack of environmental controls. The coal dependent energy structure in China only worsens the situation. Quantification of the environmental costs resulting from air pollution is needed in order to provide a mechanism for making strategic energy policy that accounts for the life-cycle cost of energy use. However, few such studies have been conducted for China that examine the entire energy system. Here we examine the extent to which public health has been compromised due to elevated air pollution and how China could incorporate environmental costs into future energy and environmental policies. Taking the Shandong region in eastern China as a case study, we develop a high-resolution regional inventory for anthropogenic emissions of NOx, CO, PM2.5, PM10, VOCs, NH3 and SO2. SMOKE (Sparse Matrix Operator Kernel Emissions Modeling System) is used to process spatial and temporal distributions and chemical speciation of the regional emissions, MM5 (the Fifth-Generation NCAR/Penn State Meso-scale Model, Version 3) is used to generate meteorology and Models3/CMAQ (Community Multi-scale Air Quality Modeling System) is used to simulate ambient concentrations of particulates and other gaseous species in this region. We then estimate the mortality and morbidity in this region resulting from exposure to these air pollutants. We also estimate the monetary values associated with the resulting mortality and morbidity and quantify the contributions from various economic sectors (i.e. power generation, transportation, industry, residential and others). Finally, we examine the potential health benefits that adoption of best available or advanced energy (coal-based, in particular) and environmental technologies in different sectors could bring about. The results of these analyses are intended to provide

  20. Inequality in Human Resources for Health: Measurement Issues.

    Science.gov (United States)

    Speybroeck, Niko; Paraje, Guillermo; Prasad, Amit; Goovaerts, Pierre; Ebener, Steeve; Evans, David B

    2012-04-01

    This article discusses options to allow comparative analysis of inequalities in the distribution of health workers (HWs) across and within countries using a single summary measure of the distribution. Income inequality generally is measured across individuals, but inequalities in the dispersion of HWs must use geographical areas or population groupings as units of analysis. The article first shows how this change of observational unit creates a resolution problem for various inequality indices and then tests how sensitive a simple ratio measure of the distribution of HWs is to changes in resolution. This ratio of inequality is illustrated first with the global distribution of HWs and then with its distributions within Indonesia. The resolution problem is not solved through this new approach, and indicators of inequalities of access to HWs or health services more generally appear not to be comparable across countries. Investigating geographical inequalities over time in one setting is possible but only if the units of analysis remain the same over time.

  1. Study on the Similarities and Differences of Body Measurement Terminology between ASTM and China GB Standard

    Institute of Scientific and Technical Information of China (English)

    方方; 张渭源; 张文斌

    2003-01-01

    The similarities and differences of ASTM and China GB standard are studied in three aspects:measure instrument,terminology and applicable field.They are similar on the measuring apparatus and GB has less measurements,such as girth,length and width measurements than ASTM and it lack across chest width,back width,total crotch length and shoulder slope which are important measurements in pattern making.ASTM classifies its standards according to the customers' size,gender and age.So we think GB standard could make some modifications from these fields to satisfy the users.

  2. The influence of the rural health security schemes on health utilization and household impoverishment in rural China: data from a household survey of western and central China

    Directory of Open Access Journals (Sweden)

    Zhang Hong

    2010-02-01

    Full Text Available Abstract Background The New Rural Cooperative Medical Scheme (NRCMS, voluntary health insurance and the Medical Financial Assistance (MFA, financial relief program were established in 2003 for rural China. The aim of this study was to document their coverage, assess their effectiveness on access to in-patient care and protection against financial catastrophe and household impoverishment due to health spending, and identify the factors predicting impoverishment with and without these schemes. Methods A cross-sectional household survey was conducted in 2008 in Hebei and Shaanxi provinces and the Inner Mongolia Autonomous Region using a multi-stage sampling technique. Information on personal demographic characteristics, chronic illness status, health care use, household expenditure, and household health spending were collected by interview. Results NRCMS covered 90.8% of the studied individuals and among the designated poor, 7.6% had their premiums paid by MFA. Of those referred for hospitalization in the year prior to the interview, 34.3% failed to comply, mostly (80.2% owing to financial constraints. There was no significant difference in the unmet need for admission between the insured with NRCMS and the uninsured. Before reimbursement, the incidence of catastrophic health payment (household health spending more than 40% of household's capacity to pay and medical impoverishment (household per capita income falling below the poverty line due to medical expense was 14.3% and 8.2%, respectively. NRCMS prevented 9.9% of the households from financial catastrophe and 7.7% from impoverishment, whereas MFA kept just one household from impoverishment and had no effect on financial catastrophe. Household per capita expenditure and household chronic disease proportion (proportion of members of a household with chronic illness were the most important determinants of the unmet need for admission, risk of being impoverished and the chance of not being saved

  3. The Health Utilities Index (HUI®: concepts, measurement properties and applications

    Directory of Open Access Journals (Sweden)

    Horsman John

    2003-10-01

    Full Text Available Abstract This is a review of the Health Utilities Index (HUI® multi-attribute health-status classification systems, and single- and multi-attribute utility scoring systems. HUI refers to both HUI Mark 2 (HUI2 and HUI Mark 3 (HUI3 instruments. The classification systems provide compact but comprehensive frameworks within which to describe health status. The multi-attribute utility functions provide all the information required to calculate single-summary scores of health-related quality of life (HRQL for each health state defined by the classification systems. The use of HUI in clinical studies for a wide variety of conditions in a large number of countries is illustrated. HUI provides comprehensive, reliable, responsive and valid measures of health status and HRQL for subjects in clinical studies. Utility scores of overall HRQL for patients are also used in cost-utility and cost-effectiveness analyses. Population norm data are available from numerous large general population surveys. The widespread use of HUI facilitates the interpretation of results and permits comparisons of disease and treatment outcomes, and comparisons of long-term sequelae at the local, national and international levels.

  4. Anonymous indexing of health conditions for a similarity measure.

    Science.gov (United States)

    Song, Insu; Marsh, Nigel V

    2012-07-01

    A health social network is an online information service which facilitates information sharing between closely related members of a community with the same or a similar health condition. Over the years, many automated recommender systems have been developed for social networking in order to help users find their communities of interest. For health social networking, the ideal source of information for measuring similarities of patients is the medical information of the patients. However, it is not desirable that such sensitive and private information be shared over the Internet. This is also true for many other security sensitive domains. A new information-sharing scheme is developed where each patient is represented as a small number of (possibly disjoint) d-words (discriminant words) and the d-words are used to measure similarities between patients without revealing sensitive personal information. The d-words are simple words like "food,'' and thus do not contain identifiable personal information. This makes our method an effective one-way hashing of patient assessments for a similarity measure. The d-words can be easily shared on the Internet to find peers who might have similar health conditions.

  5. Cadmium contamination in orchard soils and fruit trees and its potential health risk in Guangzhou, China

    Energy Technology Data Exchange (ETDEWEB)

    Li, J.T. [School of Life Sciences and State Key Laboratory of Biocontrol, Sun Yat-sen (Zhongshan) University, Guangzhou 510275 (China); Qiu, J.W. [Department of Biology, Hong Kong Baptist University, Kowloon, Hong Kong (China); Wang, X.W. [School of Life Sciences and State Key Laboratory of Biocontrol, Sun Yat-sen (Zhongshan) University, Guangzhou 510275 (China); Zhong, Y. [School of Life Sciences and State Key Laboratory of Biocontrol, Sun Yat-sen (Zhongshan) University, Guangzhou 510275 (China); Lan, C.Y. [School of Life Sciences and State Key Laboratory of Biocontrol, Sun Yat-sen (Zhongshan) University, Guangzhou 510275 (China)]. E-mail: ls04@zsu.edu.cn; Shu, W.S. [School of Life Sciences and State Key Laboratory of Biocontrol, Sun Yat-sen (Zhongshan) University, Guangzhou 510275 (China)]. E-mail: ls53@zsu.edu.cn

    2006-09-15

    This study examines cadmium (Cd) contamination in orchard soils and fruit trees in Guangzhou, China, and assesses its potential health risk. Soils and tissues samples of three species of fruit trees were collected from three orchards. The average soil Cd concentration was 1.27, 1.84 and 0.68 mg/kg in orchards I, II, and III, respectively. The carambola (Averrhoa carambola) accumulated exceptionally high concentrations of Cd (7.57, 10.84, 9.01 and 2.15 mg/kg dw in root, twig, leaf and fruit, respectively), being 6.0-24 times and 4.0-10 times the corresponding tissue Cd in the longan (Dimocarpus longan) and wampee (Clausena lansium), respectively. Furthermore, all Cd concentrations (0.04-0.25 mg Cd/kg fw) of the fruits exceeded the tolerance limit of cadmium in foods of PR China (0.03 mg/kg fw). Our results indicate that the carambola tree has high Cd accumulation capacity and might be a Cd accumulator; and its fruit, among the three species of fruits studied, also poses the highest potential health risk to local residents. - Carambola fruit can accumulate high levels of cadmium and may be a health risk for humans.

  6. Modified Ideal Cardiovascular Health Status is Associated with Lower Prevalence of Stroke in Rural Northeast China

    Directory of Open Access Journals (Sweden)

    Liang Guo

    2016-02-01

    Full Text Available Background: In 2010, the American Heart Association developed a new definition of ideal cardiovascular health (CVH based on seven cardiovascular health metrics. This study aimed to investigate the relationship between modified ideal CVH metrics and the risk of stroke in the rural population of Northeast China. Methods: We included 11,417 adults from the rural population in Northeast China and collected all the information, including the baseline characteristics, history of stroke, and the seven ideal CVH metrics. Results: Our results showed that the presence of stroke was associated with high body mass index (BMI, poor diet score (salt intake, high total cholesterol (TC, high blood pressure (BP, and high fasting plasma glucose (FPG. The prevalence of stroke increased as the number of ideal CVH metrics decreased, and peaked to 13.1% among those with only one ideal CVH metric. Participants with only one ideal CVH had a 4.40-fold increased susceptibility of stroke than those with all seven ideal health metrics. Conclusion: This study revealed that people with a better CVH status had a lower prevalence of stroke and the susceptibility of stroke increased with the decreasing of the number of ideal CVH metrics.

  7. Estimating health damage cost from secondary sulfate particles - a case study of Hunan Province,China

    Institute of Scientific and Technical Information of China (English)

    HAO Ji-ming; LI Ji; YE Xue-mei; ZHU Tian-le

    2003-01-01

    China's coal-dominated energy pattern has resulted in large amount of SO2 emissions. Estimate of the sulfur-related health damage cost is necessary to help perform systematic cost-benefit analysis and set national energy and emissions control priorities. Current researches were confined to gaseous SO2 in urban areas; however, secondary sulfate (SO42-) particles can exert serious impact in a wider region. Based on the concept of "intake fraction", CALPUFF long-range dispersion model and 180 sample emission sources, multiple regression equation was obtained with good correlation(r=0.85), which illustrates that populations were key parameters to determine intake fraction but source characteristics were insignificant. Based on the formula and the population distribution data, county-level intake fractions were mapped for Hunan Province(range: 1.1×10-6-3.2×10-6) of China. A combination of county-level SO2 emissions with the intake fractions yields a total 1.98 tons of sulfate(SO42-) inhalation, and resulting total health damage cost to be 0.76(willingness to pay approach) or 0.16(human capital approach) billion USD in 1997, about 2.1% or 0.45% of GDP in Hunan in 1997. Average health damage cost per ton of SO2 emission is 930(willingness to pay approach) or 200 USD(human capital approach). The results demonstrated that more stringent regulation should be forced.

  8. Public health preparedness for the world's largest mass gathering: 2010 World Exposition in Shanghai, China.

    Science.gov (United States)

    Yi, He; Zheng'an, Yuan; Fan, Wu; Xiang, Guo; Chen, Dong; Yongchao, He; Xiaodong, Sun; Hao, Pan; Mahany, Mollie; Keim, Mark

    2012-12-01

    The 2010 World Exposition in Shanghai China (Expo) was the largest mass gathering in world history, attracting a record 72 million visitors. More than 190 countries participated in the Expo, along with more than 50 international organizations. The 2010 Expo was six months in duration (May 1 through October 30, 2010), and the size of the venue site comprised 5.28 square kilometers. Great challenges were imposed on the public health system in Shanghai due to the high number and density of visitors, long duration of the event, and other risk factors such as high temperatures, typhoon, etc. As the major metropolitan public health agency in Shanghai, the Shanghai Municipal Center for Disease Control and Prevention (SCDC) implemented a series of actions in preparing for, and responding to, the potential health impact of the world's largest mass gathering to date, which included partnerships for capacity building, enhancement of internal organizational structure, risk assessment, strengthened surveillance, disaster planning and exercises, laboratory management, vaccination campaign, health education, health intervention, risk communication and mass media surveillance, and technical support for health inspection. The clear-cut organizational structures and job responsibilities, as well as comprehensive operational and scientific preparations, were key elements to ensure the success of the 2010 World Exposition.

  9. DALY-Based Health Risk Assessment of Construction Noise in Beijing, China.

    Science.gov (United States)

    Xiao, Jun; Li, Xiaodong; Zhang, Zhihui

    2016-10-26

    Noise produced by construction activities has become the second most serious acoustic polluting element in China. To provide industry practitioners with a better understanding of the health risks of construction noise and to aid in creating environmentally friendly construction plans during early construction stages, we developed a quantitative model to assess the health impairment risks (HIA) associated with construction noise for individuals living adjacent to construction sites. This model classifies noise-induced health impairments into four categories: cardiovascular disease, cognitive impairment, sleep disturbance, and annoyance, and uses disability-adjusted life years (DALYs) as an indicator of damage. Furthermore, the value of a statistical life (VSL) is used to transform DALYs into a monetary value based on the affected demographic characteristics, thereby offering policy makers a reliable theoretical foundation for establishing reasonable standards to compensate residents suffering from construction noise. A practical earthwork project in Beijing is used as a case study to demonstrate the applicability of the proposed model. The results indicate that construction noise could bring significant health risks to the neighboring resident community, with an estimated 34.51 DALYs of health damage and 20.47 million yuan in social costs. In particular, people aged 45-54 are most vulnerable to construction noise, with the greatest health risks being caused by sleep disturbance.

  10. Measurement of health equity as a driver for impacting policies.

    Science.gov (United States)

    Rashad, Hoda; Khadr, Zeinab

    2014-06-01

    This paper proposes measurement tracks of health equity (HE) and presents practical illustrations to influence, inform and guide the uptake of equity-sensitive policies. It discusses the basic requirements that allow the effective use of the proposed measurement tracks. Egypt is used as a demonstration of this practice. The paper differentiates between the policy needs of two groups of countries. The first set of measurement tracks are specifically tailored to countries at the early stages of considering health equity, requiring support in placing HE on the policy agenda. Key messages for this group of countries are that the policy influence of measurement can be strengthened through the implementation of four self-reinforcing tracks that recognize the need to effectively use the available current databases prior to engaging in new data collection, emphasize the importance of a social justice reframing of the documented health inequities, present health inequity facts in simple visual messages and move beyond the why to what needs to be done and how. The tracks also recognizes that placing an issue on the policy agenda is a complex matter requiring reinforcement from many actors and navigation among competing forces and policy circles. For the second group of countries the paper discusses the monitoring framework. The key messages include the importance of moving toward a more comprehensive system that sustains the monitoring system which is embedded within affective participatory accountability mechanisms. The paper discusses the basic requirements and the institutional, financial, technical and human capacity-building considerations for implementing the proposed measurement tracks.

  11. Directly measured secondhand smoke exposure and COPD health outcomes

    Directory of Open Access Journals (Sweden)

    Balmes John

    2006-06-01

    Full Text Available Abstract Background Although personal cigarette smoking is the most important cause and modulator of chronic obstructive pulmonary disease (COPD, secondhand smoke (SHS exposure could influence the course of the disease. Despite the importance of this question, the impact of SHS exposure on COPD health outcomes remains unknown. Methods We used data from two waves of a population-based multiwave U.S. cohort study of adults with COPD. 77 non-smoking respondents with a diagnosis of COPD completed direct SHS monitoring based on urine cotinine and a personal badge that measures nicotine. We evaluated the longitudinal impact of SHS exposure on validated measures of COPD severity, physical health status, quality of life (QOL, and dyspnea measured at one year follow-up. Results The highest level of SHS exposure, as measured by urine cotinine, was cross-sectionally associated with poorer COPD severity (mean score increment 4.7 pts; 95% CI 0.6 to 8.9 and dyspnea (1.0 pts; 95% CI 0.4 to 1.7 after controlling for covariates. In longitudinal analysis, the highest level of baseline cotinine was associated with worse COPD severity (4.7 points; 95% CI -0.1 to 9.4; p = 0.054, disease-specific QOL (2.9 pts; -0.16 to 5.9; p = 0.063, and dyspnea (0.9 pts; 95% CI 0.2 to 1.6 pts; p Conclusion Directly measured SHS exposure appears to adversely influence health outcomes in COPD, independent of personal smoking. Because SHS is a modifiable risk factor, clinicians should assess SHS exposure in their patients and counsel its avoidance. In public health terms, the effects of SHS exposure on this vulnerable subpopulation provide a further rationale for laws prohibiting public smoking.

  12. Evaluating Vegetation Health Condition Using MODIS Data in the Three Gorges Area, China

    Institute of Scientific and Technical Information of China (English)

    韩贵锋; 谢雨丝; 蔡智

    2015-01-01

    The satellite-based vegetation condition index (VCI) and temperature condition index (TCI) have been used extensively for drought detection and tracking, the assessment of weather impacts on vegetation and evaluation of the health and productivity of vegetation. In this study, in order to detect and monitor the growth condition of vegetation, we have collected data on vegetation indices and land surface temperature derived from MODIS (2001-2012) and deifned a vegetation health index (VHI) based on VCI and TCI for assessing vegetation health condition in the Three Gorges Area, China (TGA). The results of the study show that temporal and spatial characteristics of vegetation health condition can be detected, tracked and mapped by the VHI index. In most parts of the TGA, the vegetation health condition showed an overall increasing trend during the study period, especially in Wulong, Fengdu, Shizhu and other regions located in the midstream sections of the Three Gorges Reservoir. In addition, the four studied vegetation types all showed clear increasing trends during the study period. The increasing trend in the vegetation health condition shows a strong positive correlation with topographical slope and altitude (below 500 m). Over the seasons, this trend is strongest in autumn, followed by spring. However, the correlations between vegetation health condition and climatic factors are more frequently significant in summer and winter than in autumn and spring. The vegetation health condition has been low in 2006 and 2011. This finding is consistent with the extreme weather conditions in those two years. However, only in the summer is vegetation health condition signiifcantly correlated with three climatic factors in most of the study area. This result implies that vegetation growth may show a lagged response to climatic factors and may also be affected by human activities, including agricultural activities, industrial activities and other economic activities.

  13. Mini MAX-DOAS Measurements of Air Pollutants over China

    Science.gov (United States)

    Staadt, Steffen; Hao, Nan; Trautmann, Thomas

    2016-08-01

    This study continues the work of Clémer et al., (2010) and is aimed to improve trace gas retrievals with mini MAX-DOAS measurements in Nanjing. Based on that work, aerosol extinction vertical profiles are retrieved using the bePRO inversion algorithm developed by the Royal Belgian Institute for Space Aeronomy (BIRA- IASB). Afterwards, the tropospheric trace gas vertical profiles and vertical column densities (VCDs) are retrieved by applying the optimal estimation method to the O4 MAX-DOAS measurements. The Profiles for N O2 , S O2 , glyoxal, formaldehyde and nitrous acid are obtained with different results and different settings for the DOAS measurement. The AODs show small positive correlation against the AERONET values. For NO2, the retrieval shows reasonable concentrations in winter as opposed to summer and has small positive correlations with GOME-2 data. The SO2 VCDs are not correlated with the GOME-2 data, due to high uncertainties from MAX-DOAS and satellite retrievals, while the vertical mixing ratios (VMR) show good agreement with in-situ data (SORPES) at Nanjing. Nitrous acid shows a maximum in winter and a minimum in summer, while glyoxal has its maximum in August and September.

  14. Comparing models of mental health service systems between Australia and China: implications for the future development of Chinese mental health service

    Institute of Scientific and Technical Information of China (English)

    LIU Tie-qiao; Ng Chee; MA Hong; David Castle; HAO Wei; LI Ling-jiang

    2008-01-01

    @@ Mental illness is recognized as a significant social and public health problem in China, with approximately 16 million people affected with mental illness according to a report in 2002.1> In addition, approximately 30 million children and young adolescents are suffering from mood and/or behavioral disorders. Drug and alcohol problems and other psychosocial disorders affecting women, eiders and survivors of disasters are also important problems adding to the overall national mental health burden. Research from both China and abroad indicate that mental and behavioral problems will continue to increase in the future. The World Health Organization (WHO) has warned that the financial burden from mental disorders in China will constitute 1/4 of total burden from various diseases in 2020.1

  15. Health Literacy Measure for Adolescents (HELMA: Development and Psychometric Properties.

    Directory of Open Access Journals (Sweden)

    Shahla Ghanbari

    Full Text Available Health literacy refers to personal competencies for the access to, understanding of, appraisal of and application of health information in order to make sound decisions in everyday life. The aim of this study was to develop and evaluate the psychometric properties of an instrument for the measurement of health literacy among adolescents (the Health Literacy Measure for Adolescents-HELMA.This study was made up of two phases, qualitative and quantitative, which were carried out in 2012-2014 in Tehran, Iran. In the qualitative part of the study, in-depth interviews with 67 adolescents aged 15-18 were carried out in 4 high schools to generate the initial item pool for the survey. The content validity of the items was then assessed by an expert panel review (n = 13 and face validity was assessed by interviewing adolescents (n = 16. In the quantitative part of the study, in order to describe the psychometric properties of the scale, validity, reliability (internal consistency and test-retest and factor analysis were assessed.An item pool made up of 104 items was generated at the qualitative stage. After content validity was considered, this decreased to 47 items. In the quantitative stage, 582 adolescents aged 15-18 participated in the study with a mean age of 16.2 years. 51.2% of participants were females. In principal component factor analysis, 8 factors were loaded, which accounted for 53.37% of the variance observed. Reliability has been approved by α = 0.93 and the test-retest of the scale at two-week intervals indicated an appropriate stability for the scale (ICC = 0.93. The final questionnaire was approved with 44 items split into eight sections. The sections were titled: gain access to, reading, understanding, appraise, use, communication, self-efficacy and numeracy.The Health Literacy Measure for Adolescents (HELMA is a valid and reliable tool for the measurement of the health literacy of adolescents aged 15-18 and can be used to evaluate

  16. Co-benefits from CO{sub 2}-emission reduction measurements in Shanxi, China - a first assessment

    Energy Technology Data Exchange (ETDEWEB)

    Aunan, Kristin; Fang, Jinghua; Li, Guanghai; Seip, Hans Martin; Vennemo, Haakon

    2000-05-01

    The largest local and regional air pollution problems are usually found in countries without emission reduction obligations in the Kyoto protocol. Thus, in many Chinese cities the concentrations of SO{sub 2} and particulates in the air by far exceed the WHO air quality guidelines. This report analyses a set of CO{sub 2}-reducing abatement options related to coal consumption in Shanxi, China. The costs and potential for abatement are investigated for different economic sectors and the entailed emission reductions are estimated in terms of CO{sub 2}, SO{sub 2} and particles. The present population-weighted exposure level for particles and SO{sub 2} is estimated and the reduced population exposure resulting from the abatement measures is assessed. Exposure-response functions from Chinese and international epidemiology are used to indicate the health effects of applying the measures. An economic evaluation of the reduced health effect is made by applying unit prices of health impacts based on the damage cost approach. The present agricultural crop loss due to enhanced levels of surface ozone are estimated. It is found that the CO{sub 2}-reducing abatement options in Shanxi are profitable in a socioeconomic sense. But there is a certain lack of synergy between the options with respect to their effectiveness in meeting local, regional and global environmental concerns.

  17. Willingness to pay as a measure of health benefits.

    Science.gov (United States)

    Bala, M V; Mauskopf, J A; Wood, L L

    1999-01-01

    In this paper, we discuss the use of cost-benefit analysis (CBA) for evaluating new healthcare interventions, present the theoretical basis for the use of willingness to pay as a method for valuing benefits in a CBA and describe how to obtain willingness-to-pay (WTP) measures of health benefits and how to use these values in a CBA. We review selected economic studies on consumer demand and consumer surplus and studies presenting WTP estimates for healthcare interventions. The theoretical foundations of willingness to pay as a measure of commodity value are rooted in consumer demand theory. The area under the fixed income consumer demand curve represents the consumer's maximum willingness to pay for the commodity. We identify 3 types of potential benefits from a new healthcare intervention, namely patient benefits, option value and altruistic value, and suggest WTP questions for valuing different combinations of these benefits. We demonstrate how responses to these questions can be adjusted for income effects and incorporated into economic evaluations. We suggest that the lack of popularity of CBAs in the health area is related to the perceived difficulty in valuing health benefits as well as concern over how CBA incorporates the distribution of income. We show that health benefits can be valued using simple survey techniques and that these values can be adjusted to any desired income distribution.

  18. A National Initiative to Advance School Mental Health Performance Measurement in the US

    Science.gov (United States)

    Connors, Elizabeth Halsted; Stephan, Sharon Hoover; Lever, Nancy; Ereshefsky, Sabrina; Mosby, Amanda; Bohnenkamp, Jill

    2016-01-01

    Standardized health performance measurement has increasingly become an imperative for assuring quality standards in national health care systems. As compared to somatic health performance measures, behavioral health performance measures are less developed. There currently is no national standardized performance measurement system for monitoring…

  19. A study on sexual health knowledge, sexual attitudes and sex-related behaviors of university students in Hefei, China

    OpenAIRE

    Chi, Xinli; 遲新麗

    2014-01-01

    This present research aimed (1) to examine the level of sexual health knowledge, patterns of sexual attitudes and prevalence of sex-related behaviours among college students in contemporary China; (2) to explore factors predicting knowledge, attitude and behavior regarding sexuality; and (3) to assess gender differences in both characteristics and correlates. Based on data collected from 274 college students (167 male and 107 female) by the way of convenience sampling, in Hefei, China, Ph...

  20. Dietary exposure to aluminium and health risk assessment in the residents of Shenzhen, China.

    Directory of Open Access Journals (Sweden)

    Mei Yang

    Full Text Available Although there are great changes of dietary in the past few decades in China, few are known about the aluminium exposure in Chinese diet. The aim of this study is to systematically evaluate the dietary aluminium intake level in residents of Shenzhen, China. A total of 853 persons from 244 household were investigated their diet by three days food records. Finally, 149 kinds of foods in 17 food groups were selected to be the most consumed foods. From them, 1399 food samples were collected from market to test aluminium concentration. High aluminium levels were found in jellyfish (median, 527.5 mg/kg, fried twisted cruller (median, 466.0 mg/kg, shell (median, 107.1 mg/kg. The Shenzhen residents' average dietary aluminium exposure was estimated at 1.263 mg/kg bw/week which is lower than the PTWI (provisional tolerable weekly intake. But 0-2 and 3-13 age groups have the highest aluminium intake exceeding the PTWI (3.356 mg/kg bw/week and 3.248 mg/kg bw/week than other age groups. And the main dietary aluminium exposure sources are fried twisted cruller, leaf vegetables and bean products. Our study suggested that even three decades rapid economy development, children in Shenzhen still have high dietary aluminium exposure risk. How to control high dietary aluminium exposure still is a great public health challenge in Shenzhen, China.

  1. Collectivism, individualism, and pragmatism in China: implications for perceptions of mental health.

    Science.gov (United States)

    Kolstad, Arnulf; Gjesvik, Nini

    2014-04-01

    This study aimed to better understand how minor mental health problems (MMPs) are perceived by well-educated urban dwellers in China who are influenced by Western values. Urban China is a rapidly changing society in which traditional Chinese culture and Western thought coexist. As a result, the established processes of interdependent self-appraisal have been challenged and a sense of a bicultural self has developed among a growing proportion of the population. The fieldwork for this study included interviews and observations. The results are derived mainly from interviews with professional practitioners, students, and lay people from three urban sites. One of the main findings was that respondents who referred to traditional and collectivistic Chinese values tended not to label MMPs as psychiatric disorders or illnesses but as challenges in daily life and relationships strain. While the Western medical model of MMPs considers them a form of illness, they were not viewed in this way in traditional collectivistic China in the past, even among educated urban dwellers. However, the urban and educated Chinese who have developed a stronger sense of a bicultural self are now more likely to perceive and deal with MMPs from a Western viewpoint.

  2. Modeling Agricultural Crop Production in China using AVHRR-based Vegetation Health Indices

    Science.gov (United States)

    Yang, B.; Kogan, F.; Guo, W.; Zhiyuan, P.; Xianfeng, J.

    Weather related crop losses have always been a concern for farmers On a wider scale it has always influenced decision of Governments traders and other policy makers for the purpose of balanced food supplies trade and distribution of aid to the nations in need Therefore national policy and decision makers are giving increasing importance to early assessment of crop losses in response to weather fluctuations This presentation emphasizes utility of AVHRR-based Vegetation health index VHI for early warning of drought-related losses of agricultural production in China The VHI is a three-channel index characterizing greenness vigor and temperature of land surface which can be used as proxy for estimation of how healthy and potentially productive could be vegetation China is the largest in the world producer of grain including wheat and rice and cotton In the major agricultural areas China s crop production is very dependent on weather The VHI being a proxy indicator of weather impact on vegetation showed some correlation with productivity of agricultural crops during the critical period of their development The periods of the strongest correlation were investigated and used to build regression models where crop yield deviation from technological trend was accepted as a dependent and VHI as independent variables The models were developed for several major crops including wheat corn and soybeans

  3. Dietary exposure to aluminium and health risk assessment in the residents of Shenzhen, China.

    Science.gov (United States)

    Yang, Mei; Jiang, Lixin; Huang, Huiping; Zeng, Shengbo; Qiu, Fen; Yu, Miao; Li, Xiaorong; Wei, Sheng

    2014-01-01

    Although there are great changes of dietary in the past few decades in China, few are known about the aluminium exposure in Chinese diet. The aim of this study is to systematically evaluate the dietary aluminium intake level in residents of Shenzhen, China. A total of 853 persons from 244 household were investigated their diet by three days food records. Finally, 149 kinds of foods in 17 food groups were selected to be the most consumed foods. From them, 1399 food samples were collected from market to test aluminium concentration. High aluminium levels were found in jellyfish (median, 527.5 mg/kg), fried twisted cruller (median, 466.0 mg/kg), shell (median, 107.1 mg/kg). The Shenzhen residents' average dietary aluminium exposure was estimated at 1.263 mg/kg bw/week which is lower than the PTWI (provisional tolerable weekly intake). But 0-2 and 3-13 age groups have the highest aluminium intake exceeding the PTWI (3.356 mg/kg bw/week and 3.248 mg/kg bw/week) than other age groups. And the main dietary aluminium exposure sources are fried twisted cruller, leaf vegetables and bean products. Our study suggested that even three decades rapid economy development, children in Shenzhen still have high dietary aluminium exposure risk. How to control high dietary aluminium exposure still is a great public health challenge in Shenzhen, China.

  4. [Field measurement of Gobi surface emissivity spectrum at Dunhuang calibration site of China].

    Science.gov (United States)

    Zhang, Yong; Li, Yuan; Rong, Zhi-guo; Hu, Xiu-qing; Zhang, Li-jun; Liu, Jing-jing

    2009-05-01

    Gobi surface emissivity spectrum of Dunhuang radiometric calibration site of China is one of the key factors to calibrate the thermal infrared remote sensors using land surface. Based on the iterative spectrally smooth temperature/emissivity separation (ISSTES)algorithm, Dunhuang Gobi surface emissivity spectrum was measured using BOMEM MR154 Fourier transform spectroradiometer and Infrared Golden Board. Emissivity spectrum data were obtained at different time and locations. These spectrum data were convolved with the channel response function of CE312 radiometer and compared with the channel emissivity measured by the same instrument. The results showed that the difference between these two kinds of channel emissivity was within 0.012 and exhibited a good consistency. With these measured emissivity spectra, all of the mainstream thermal infrared remote sensors can be calibrated using Dunhuang Gobi surface at radiometric calibration site of China.

  5. Seasonal variability of cloud optical depth over northwestern China derived from CERES/MODIS satellite measurements

    Institute of Scientific and Technical Information of China (English)

    Yonghang Chen; Hongtao Bai; Jianping Huang; Hua Zhang; Jinming Ge; Xiaodan Guan; Xiaoqin Mao

    2008-01-01

    The seasonal variability of cloud optical depth over northwestern China derived from Clouds and the Earth's Radiant Energy System (CERES) Single Scanner Footprint (SSF) Aqua Moderate Resolution Imaging Spectroradiometer (MODIS) Edition 1B data from July 2002 to June 2004 is presented. The regions of interest are those with Asia monsoon influence, the Tianshan and Qilian Mountains, and the Taklimakan Desert. The results show that the instantaneous measurements presented here are much higher than the previous results derived from International Satellite Cloud Climatology Project (ISCCP) D2 monthly mean data. Generally the measurements of cloud optical depth are the highest in summer and the lowest in winter, however, Taklimakan Desert has the lowest measurements in autumn. The regional variation is quite significant over northwestern China.

  6. Measures for the Administration on the Establishment of Partnership Business by Foreign Enterprises or Individuals in China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Article 1 For the purpose of regulating the establishment of partnership business by foreign enterprises or individuals in China and facilitating foreign enterprises or individuals to invest in China in the form of partnership to expand foreign economic cooperation and technical exchanges, the Measures herein shall in accordance with the Partnership Business Law of the People's Republic of China (hereinafter referred to as the Partnership Business Law) be formulated.

  7. Translated and annotated version of the 2015-2020 National Mental Health Work Plan of the People's Republic of China.

    Science.gov (United States)

    Xiong, Wei; Phillips, Michael R

    2016-02-25

    The following document is a translation of the 2015-2020 National Mental Health Work Plan of the People's Republic of China which was issued by the General Office of China's State Council on June 4, 2015. The original Chinese version of the document is available at the official government website: http://www.gov.cn/gongbao/content/2015/content_2883226.htm The translators have added annotations at the end of the document that provide background information to help contextualize content that may be unclear to readers unfamiliar with China and explain their decisions when translating terms that can have multiple interpretations.

  8. Work engagement: a practical measure for workplace health promotion?

    Science.gov (United States)

    Torp, S; Grimsmo, A; Hagen, S; Duran, A; Gudbergsson, S B

    2013-09-01

    The objectives of this study were to investigate whether psychological job demands, personal control and social support affect the negative health measure of depression differently than the positive measure of work engagement and to investigate whether work engagement mediates the effects of job demands and resources on the level of depression. We discuss the implications of using engagement as an outcome measure in workplace health promotion. We performed a cross-sectional questionnaire study among a general working population in Norway (n = 605). In the multivariate analysis, high psychological job demands as well as high control and social support correlated significantly with high work engagement. High demands as well as low control and social support correlated significantly with high levels of depression. When we included engagement as an independent variable together with demands, control and social support in the multivariate analysis, the positive correlation between demands and depression remained as well as the significant correlations between the level of depression and control and social support became non-significant. This indicates that engagement mediates the effects of control and social support on the level of depression. Encouraging enterprises to improve engagement in addition to focusing on preventing diseases may be worthwhile in workplace health promotion. Promoting engagement may have more positive organizational effects than a more traditional disease prevention focus, because engagement is contagious and closely related to good work performance and motivation.

  9. Measuring health literacy regarding infectious respiratory diseases: a new skills-based instrument.

    Directory of Open Access Journals (Sweden)

    Xinying Sun

    Full Text Available BACKGROUND: There is no special instrument to measure skills-based health literacy where it concerns infectious respiratory diseases. This study aimed to explore and evaluate a new skills-based instrument on health literacy regarding respiratory infectious diseases. METHODS: This instrument was designed to measure not only an individual's reading and numeracy ability, but also their oral communication ability and their ability to use the internet to seek information. Sixteen stimuli materials were selected to enable measurement of the skills, which were sourced from the WHO, China CDC, and Chinese Center of Health Education. The information involved the distribution of epidemics, immunization programs, early symptoms, means of disease prevention, individual's preventative behavior, use of medications and thermometers, treatment plans and the location of hospitals. Multi-stage stratified cluster sampling was employed to collect participants. Psychometric properties were used to evaluate the reliability and validity of the instrument. RESULTS: The overall degree of difficulty and discrimination of the instrument were 0.693 and 0.482 respectively. The instrument demonstrated good internal consistency reliability with a Cronbach's alpha of 0.864. As for validity, six factors were extracted from 30 items, which together explained 47.3% of the instrument's variance. And based on confirmatory factor analysis, the items were grouped into five subscales representing prose, document, quantitative, oral and internet based information seeking skills (χ(2 = 9.200, P>0.05, GFI = 0.998, TLI = 0.988, AGFI = 0.992, RMSEA = 0.028. CONCLUSION: The new instrument has good reliability and validity, and it could be used to assess the health literacy regarding respiratory infectious disease status of different groups.

  10. Health insurance benefit design and healthcare utilization in northern rural China.

    Directory of Open Access Journals (Sweden)

    Hong Wang

    Full Text Available BACKGROUND: Poverty due to illness has become a substantial social problem in rural China since the collapse of the rural Cooperative Medical System in the early 1980s. Although the Chinese government introduced the New Rural Cooperative Medical Schemes (NRCMS in 2003, the associations between different health insurance benefit package designs and healthcare utilization remain largely unknown. Accordingly, we sought to examine the impact of health insurance benefit design on health care utilization. METHODS AND FINDINGS: We conducted a cross-sectional study using data from a household survey of 15,698 members of 4,209 randomly-selected households in 7 provinces, which were representative of the provinces along the north side of the Yellow River. Interviews were conducted face-to-face and in Mandarin. Our analytic sample included 9,762 respondents from 2,642 households. In each household, respondents indicated the type of health insurance benefit that the household had (coverage for inpatient care only or coverage for both inpatient and outpatient care and the number of outpatient visits in the 30 days preceding the interview and the number of hospitalizations in the 365 days preceding the household interview. People who had both outpatient and inpatient coverage compared with inpatient coverage only had significantly more village-level outpatient visits, township-level outpatient visits, and total outpatient visits. Furthermore, the increased utilization of township and village-level outpatient care was experienced disproportionately by people who were poorer, whereas the increased inpatient utilization overall and at the county level was experienced disproportionately by people who were richer. CONCLUSION: The evidence from this study indicates that the design of health insurance benefits is an important policy tool that can affect the health services utilization and socioeconomic equity in service use at different levels. Without careful

  11. Indicators for Environment Health Risk Assessment in the Jiangsu Province of China

    Directory of Open Access Journals (Sweden)

    Shujie Zhang

    2015-09-01

    Full Text Available According to the framework of “Pressure-State-Response”, this study established an indicator system which can reflect comprehensive risk of environment and health for an area at large scale. This indicator system includes 17 specific indicators covering social and economic development, pollution emission intensity, air pollution exposure, population vulnerability, living standards, medical and public health, culture and education. A corresponding weight was given to each indicator through Analytical Hierarchy Process (AHP method. Comprehensive risk assessment of the environment and health of 58 counties was conducted in the Jiangsu province, China, and the assessment result was divided into four types according to risk level. Higher-risk counties are all located in the economically developed southern region of Jiangsu province and relatively high-risk counties are located along the Yangtze River and Xuzhou County and its surrounding areas. The spatial distribution of relatively low-risk counties is dispersive, and lower-risk counties mainly located in the middle region where the economy is somewhat weaker in the province. The assessment results provide reasonable and scientific basis for Jiangsu province Government in formulating environment and health policy. Moreover, it also provides a method reference for the comprehensive risk assessment of environment and health within a large area (provinces, regions and countries.

  12. Online Information Searches and Help Seeking for Mental Health Problems in Urban China.

    Science.gov (United States)

    Chen, Juan; Zhu, Shizhan

    2016-07-01

    In recent years, the Internet has emerged as an alternative information source on mental health problems. Yet, the profile of the typical Internet help seeker is to be determined. Based on data from a household survey of 2558 Beijing residents, the study investigates online information searches and help seeking for mental health problems. Multinomial logistic regressions are estimated for respondents' access to the Internet, and mental-health-related information searches and help seeking on the Internet for the whole community sample and the most psychologically distressed subsample. The study identifies a digital divide in online help seeking for mental health issues based on age, migration and hukou status, and socio-economic factors. Youth and high socio-economic status are significant predictors of Internet access and use. Among the whole community sample, rural-to-urban migrants are less likely to have access to the Internet and search information or seek help online. Among the most psychologically distressed subsample, urban-to-urban migrants are significantly more likely to have access to the Internet and search information or seek help online. Given the shortage of mental health professionals in China, online information dissemination and guided self-help, if properly designed, could offer a means to reach large numbers of individuals in a cost-effective manner.

  13. A Response to the Commentary Entitled: “Addressing the Shortage of Health Professionals in Rural China: Issues and Progress”

    Directory of Open Access Journals (Sweden)

    Qian Yang

    2015-05-01

    Full Text Available The principal problems of healthcare services in China are “difficulty in seeing a doctor”and “high expense of getting medical service” (commonly known in Chinese as “kan bing nan, kan bing gui”. The central Chinese government has already launched the bottom-up cascading medical system and two-way referral system recently in order to solve these problems (1. Only when patients go to medical institutions in an orderly fashion, can we see the hope of breaking the kan bing nan, kan bing gui (2. However, we face a number of obstacles when implementing the referral policies. The biggest obstacle is the lack of Human Resource (HR for primary care both in capacity and volume (3. The central Chinese government has launched a series of policies to deal with the shortage of HRs in rural areas. Profound measurements involve postgraduate training for General Practitioner (GP (a three-year plan beginning in 2010 for producing health professionals for rural areas and improving rural retention, “3+2” medical education model (3-year diploma education and 2-year postgraduate GP training, and in-service training for physicians in rural areas (4. It is not the time to assess their effectiveness, however, these measurements are certain to improve the capacity of Community Health Service (CHS institutions.

  14. A survey of occupational health hazards among 7,610 female workers in China's electronics industry.

    Science.gov (United States)

    Yu, Wenlan; Lao, Xiang Qian; Pang, Shulan; Zhou, Jianjiao; Zhou, Anshou; Zou, Jianfang; Mei, Liangying; Yu, Ignatius Tak-sun

    2013-01-01

    To investigate the occupational hazards among Chinese female workers in the electronics industry, the authors systematically sampled a total of 8,300 female workers at random across 4 provinces in a variety of electronics factories. A detailed questionnaire was used to collect information on occupational hazards and the occurrence of occupation-related diseases. The results show that 4,283 female workers (51.9%) were exposed to 1 or more occupational hazards. The most common chemical hazard was organic solvent, and the second most common was heavy metals. The ergonomic hazards included repetitive movements, poor standing posture, and the lifting of heavy goods. More than 60% of the female workers self-reported occupation-related diseases. These results showed that occupational health hazards were common in the electronics industry in China and that they caused serious occupation-related health problems for the female workers therein.

  15. China's medical savings accounts: an analysis of the price elasticity of demand for health care.

    Science.gov (United States)

    Yu, Hao

    2016-09-20

    Although medical savings accounts (MSAs) have drawn intensive attention across the world for their potential in cost control, there is limited evidence of their impact on the demand for health care. This paper is intended to fill that gap. First, we built up a dynamic model of a consumer's problem of utility maximization in the presence of a nonlinear price schedule embedded in an MSA. Second, the model was implemented using data from a 2-year MSA pilot program in China. The estimated price elasticity under MSAs was between -0.42 and -0.58, i.e., higher than that reported in the literature. The relatively high price elasticity suggests that MSAs as an insurance feature may help control costs. However, the long-term effect of MSAs on health costs is subject to further analysis.

  16. Contamination and health risks from heavy metals in cultivated soil in Zhangjiakou City of Hebei Province, China.

    Science.gov (United States)

    Liang, Qian; Xue, Zhan-Jun; Wang, Fei; Sun, Zhi-Mei; Yang, Zhi-Xin; Liu, Shu-Qing

    2015-12-01

    A total of 79 topsoil samples (ranging from 0 to 20 cm in depth) were collected from a grape cultivation area of Zhangjiakou City, China. The total concentrations of As, Cd, Hg, Cr, Cu, Mn, Ni, Pb, and Zn in soil samples were determined to evaluate pollution levels and associated health risks in each sample. Pollution levels were calculated using enrichment factors (EF) and geoaccumulation index (I geo). Health risks for adults and children were quantified using hazard indexes (HI) and aggregate carcinogenic risks (ACR). The mean concentrations of measured heavy metals Cd, Hg, and Cu, only in the grape cultivation soil samples, were higher than the background values of heavy metals in Hebei Province. According to principal component analysis (PCA), the anthropogenic activities related to agronomic and fossil fuel combustion practices attributed to higher accumulations of Cd, Hg, and Cu, which have slightly polluted about 10-40% of the sampled soils. However, the HI for all of the heavy metals were lower than 1 (within safe limits), and the ACR of As was in the 10(-6)-10(-4) range (a tolerable level). This suggests the absence of both non-carcinogenic and carcinogenic health risks for adults and children through oral ingestion and dermal absorption exposure pathways in the studied area. It should be also noted that the heightened vulnerability of children to health risks was accounted for higher HI and ACR values. Consequently, heavy metal concentrations (e.g., Cd, Hg, Cu) should be periodically monitored in these soils and improved soil management practices are required to minimize possible impacts on children's health.

  17. Needle and syringe programs in Yunnan, China yield health and financial return

    Directory of Open Access Journals (Sweden)

    Xun Zhuang

    2011-04-01

    Full Text Available Abstract Background As a harm reduction strategy in response to HIV epidemics needle and syringes programs (NSPs were initiated throughout China in 2002. The effectiveness of NSPs in reducing the spread of infection in such an established epidemic is unknown. In this study we use data from Yunnan province, the province most affected by HIV in China, to (1 estimate the population benefits in terms of infections prevented due to the programs; (2 calculate the cost-effectiveness of NSPs. Methods We developed a mathematical transmission model, informed by detailed behavioral and program data, which accurately reflected the unique HIV epidemiology among Yunnan injecting drug users (IDUs in the presence of NSPs. We then used the model to estimate the likely epidemiological and clinical outcomes without NSPs and conducted a health economics analysis to determine the cost-effectiveness of the program. Results It is estimated that NSPs in Yunnan have averted approximately 16-20% (5,200-7,500 infections of the expected HIV cases since 2002 and led to gains of 1,300-1,900 DALYs. The total $1.04 million spending on NSPs from 2002 to 2008 has resulted in an estimated cost-saving over this period of $1.38-$1.97 million due to the prevention of HIV and the associated costs of care and management. Conclusion NSPs are not only cost-effective but cost-saving in Yunnan. Significant scale-up of NSPs interventions across China and removal of the societal and political barriers that compromise the effects of NSPs should be a health priority of the Chinese government.

  18. Trends in notifiable infectious diseases in China: implications for surveillance and population health policy.

    Directory of Open Access Journals (Sweden)

    Lei Zhang

    Full Text Available This study aimed to analyse trends in notifiable infectious diseases in China, in their historical context. Both English and Chinese literature was searched and diseases were categorised according to the type of disease or transmission route. Temporal trends of morbidity and mortality rates were calculated for eight major infectious diseases types. Strong government commitment to public health responses and improvements in quality of life has led to the eradication or containment of a wide range of infectious diseases in China. The overall infectious diseases burden experienced a dramatic drop during 1975-1995, but since then, it reverted and maintained a gradual upward trend to date. Most notifiable diseases are contained at a low endemic level; however, local small-scale outbreaks remain common. Tuberculosis, as a bacterial infection, has re-emerged since the 1990s and has become prevalent in the country. Sexually transmitted infections are in a rapid, exponential growth phase, spreading from core groups to the general population. Together human immunodeficiency virus (HIV, they account for 39% of all death cases due to infectious diseases in China in 2008. Zoonotic infections, such as severe acute respiratory syndrome (SARS, rabies and influenza, pose constant threats to Chinese residents and remain the most deadly disease type among the infected individuals. Therefore, second-generation surveillance of behavioural risks or vectors associated with pathogen transmission should be scaled up. It is necessary to implement public health interventions that target HIV and relevant coinfections, address transmission associated with highly mobile populations, and reduce the risk of cross-species transmission of zoonotic pathogens.

  19. Cadmium contamination in orchard soils and fruit trees and its potential health risk in Guangzhou, China.

    Science.gov (United States)

    Li, J T; Qiu, J W; Wang, X W; Zhong, Y; Lan, C Y; Shu, W S

    2006-09-01

    This study examines cadmium (Cd) contamination in orchard soils and fruit trees in Guangzhou, China, and assesses its potential health risk. Soils and tissues samples of three species of fruit trees were collected from three orchards. The average soil Cd concentration was 1.27, 1.84 and 0.68 mg/kg in orchards I, II, and III, respectively. The carambola (Averrhoa carambola) accumulated exceptionally high concentrations of Cd (7.57, 10.84, 9.01 and 2.15 mg/kg dw in root, twig, leaf and fruit, respectively), being 6.0-24 times and 4.0-10 times the corresponding tissue Cd in the longan (Dimocarpus longan) and wampee (Clausena lansium), respectively. Furthermore, all Cd concentrations (0.04-0.25 mg Cd/kg fw) of the fruits exceeded the tolerance limit of cadmium in foods of PR China (0.03 mg/kg fw). Our results indicate that the carambola tree has high Cd accumulation capacity and might be a Cd accumulator; and its fruit, among the three species of fruits studied, also poses the highest potential health risk to local residents.

  20. Understanding the health impacts of urbanization in China: A living laboratory for urban biogeochemistry research

    Science.gov (United States)

    Zhu, Y. G.

    2015-12-01

    China has the largest population in the world, and by 2011, more than 50% of its population are now living in cities. This ongoing societal change has profound impacts on environmental quality and population health. In addition to intensive discharges of waste, urbanization is not only changing the land use and land cover, but also inducing fundamental changes in biogeochemical processes. Unlike biogeochemistry in non-urban environment, the biological component of urban biogeochemistry is dominated by direct human activities, such as air pollution derived from transport, wastewater treatment, garbage disposal and increase in impervious surface etc. Managing urban biogeochemistry will include source control over waste discharge, eco-infrastructure (such as green space and eco-drainage), resource recovery from urban waste stream, and integration with peri-urban ecosystem, particularly with food production system. The overall goal of managing urban biogeochemistry is for human health and wellbeing, which is a global challenge. In this paper, the current status of urban biogeochemistry research in China will be briefly reviewed, and then it will focus on nutrient recycling and waste management, as these are the major driving forces of environmental quality changes in urban areas. This paper will take a holistic view on waste management, covering urban metabolism analysis, technological innovation and integration for resource recovery from urban waste stream, and risk management related to waste recycling and recovery.

  1. Public vs private administration of rural health insurance schemes: a comparative study in Zhejiang of China.

    Science.gov (United States)

    Zhou, Xiaoyuan; Mao, Zhengzhong; Rechel, Bernd; Liu, Chaojie; Jiang, Jialin; Zhang, Yinying

    2013-07-01

    Since 2003, China has experimented in some of the country's counties with the private administration of the New Cooperative Medical Scheme (NCMS), a publicly subsidized health insurance scheme for rural populations. Our study compared the effectiveness and efficiency of private vs public administration in four counties in one of China's most affluent provinces in the initial stage of the NCMS's implementation. The study was undertaken in Ningbo city of Zhejiang province. Out of 10 counties in Ningbo, two counties with private administration for the NCMS (Beilun and Ninghai) were compared with two others counties with public administration (Zhenhai and Fenghua), using the following indicators: (1) proportion of enrollees who were compensated for inpatient care; (2) average reimbursement-expense ratio per episode of inpatient care; (3) overall administration cost; (4) enrollee satisfaction. Data from 2004 to 2006 were collected from the local health authorities, hospitals and the contracted insurance companies, supplemented by a randomized household questionnaire survey covering 176 households and 479 household members. In our sample counties, private administration of the NCMS neither reduced transaction costs, nor improved the benefits of enrollees. Enrollees covered by the publicly administered NCMS were more likely to be satisfied with the insurance scheme than those covered by the privately administered NCMS. Experience in the selected counties suggests that private administration of the NCMS did not deliver the hoped-for results. We conclude that caution needs to be exercised in extending private administration of the NCMS.

  2. Health-Related Quality of Life and Associated Factors of Frontline Railway Workers: A Cross-Sectional Survey in the Ankang Area, Shaanxi Province, China.

    Science.gov (United States)

    Zhang, Xiaona; Chen, Gang; Xu, Feng; Zhou, Kaina; Zhuang, Guihua

    2016-11-30

    After validation of the widely used health-related quality of life (HRQOL) generic measure, the Short Form 36 version 2 (SF-36v2), we investigated the HRQOL and associated factors of frontline railway workers in China. Ground workers, conductors, and train drivers were selected from Ankang Precinct by using a stratified cluster sampling technique. A total of 784 frontline railway workers participated in the survey. The reliability and validity of SF-36v2 was satisfactory. The physical component summary (PCS) scores of three subgroups attained the average range for the USA general population, whereas the mental component summary (MCS) scores were well below the range. Most domains scored below the norm, except for the physical functioning (PF) domain. Among three subgroups, train drivers reported significantly lower scores on MCS and six health domains (excluding PF and bodily pain (BP)). After controlled confounders, conductors had significantly higher PCS and MCS scores than ground workers. There is heterogeneity on risk factors among three subgroups, but having long or irregular working schedules was negatively associated with HRQOL in all subgroups. SF-36v2 is a reliable and valid HRQOL measurement in railway workers in China. The frontline railway workers' physical health was comparative to American norms, whilst mental health was relatively worse. Long or irregular working schedules were the most important factors.

  3. Health-Related Quality of Life and Associated Factors of Frontline Railway Workers: A Cross-Sectional Survey in the Ankang Area, Shaanxi Province, China

    Science.gov (United States)

    Zhang, Xiaona; Chen, Gang; Xu, Feng; Zhou, Kaina; Zhuang, Guihua

    2016-01-01

    After validation of the widely used health-related quality of life (HRQOL) generic measure, the Short Form 36 version 2 (SF-36v2), we investigated the HRQOL and associated factors of frontline railway workers in China. Ground workers, conductors, and train drivers were selected from Ankang Precinct by using a stratified cluster sampling technique. A total of 784 frontline railway workers participated in the survey. The reliability and validity of SF-36v2 was satisfactory. The physical component summary (PCS) scores of three subgroups attained the average range for the USA general population, whereas the mental component summary (MCS) scores were well below the range. Most domains scored below the norm, except for the physical functioning (PF) domain. Among three subgroups, train drivers reported significantly lower scores on MCS and six health domains (excluding PF and bodily pain (BP)). After controlled confounders, conductors had significantly higher PCS and MCS scores than ground workers. There is heterogeneity on risk factors among three subgroups, but having long or irregular working schedules was negatively associated with HRQOL in all subgroups. SF-36v2 is a reliable and valid HRQOL measurement in railway workers in China. The frontline railway workers’ physical health was comparative to American norms, whilst mental health was relatively worse. Long or irregular working schedules were the most important factors. PMID:27916919

  4. Degraded Ecosystem and its Rehabilitating Measures in Sandy Areas of North China

    Institute of Scientific and Technical Information of China (English)

    ZHANGFengchun; LUQi

    2004-01-01

    Ecosystem degradation occurs in parallel with desertification process in sandy areas of North China. The vast sandy areas in North China are characterized with flexible environments and fragile ecosystems as well as intensive human activities. Due to the annual precipitation gradient decreases from east to west in North China, the whole sandy region falls into 3 main climatic zones: add, semi-add and dry sub-humid zones.The ecosystems in each type of climatic zones are different in climatic conditions, human activities,cultural dimensions, vegetation covers, landscapes, and causes and processes of ecosystem degradation.Therefore, the most effective rehabilitation measures of degraded ecosystems in different types of the climatic zones are also different. For the arid sandy areas, vegetation rehabilitation of degraded ecosystems needs to be completely closed, assisting with artificial measures, such as plantation, irrigation or others. For semi-add sandy areas, the effective measures of vegetation rehabilitation of degraded ecosystems include increasing of proportion of forests and rangelands and limitation of reclamation; reducing the carrying capacity of livestock on unit area of rangelands and growth of fodder plants; and plantation on the lowlands betweens and dunes. For the dry sub-humid areas, the most effective measure is enclosure of degraded ecosystems combined with plantation, and in some cases, just stop uses by grazing or reclamation.

  5. Hypertension Impact on Health-Related Quality of Life: A Cross-Sectional Survey among Middle-Aged Adults in Chongqing, China

    Directory of Open Access Journals (Sweden)

    Xianglong Xu

    2016-01-01

    Full Text Available Hypertension is a major risk factor of cardiovascular disease in China, and yet little is known about health-related quality of life (HRQOL and its associations with demographic and social-economic characteristics in middle-aged patients with hypertension. A cross-sectional survey was undertaken in Chongqing, China, using a multistage stratified random sampling methodology. Data was collected on 1,224 eligible adults, aged between 45 and 53 years, including the Medical Outcomes Survey Short Form-36 to measure HRQOL. Hypertension was associated with poor state of physical functioning, role-physical, bodily pain, general health, vitality, and social function (p<0.05 for all. In multivariable analyses, education level, job conditions, average monthly income, smoking status, sleep quality, perception of relationship with family, childhood breastfeeding history, and body mass index were associated with domains of SF36 among those with hypertension (p<0.05 for all. Hypertensive respondents with high education, marital status, breastfeeding, higher incomes, good quality of sleep, positive relationship with family, and higher body mass index have better HRQOL in middle-aged people with hypertension. Those unemployed had a better state of general health and had a poorer state of social function. Nonsmokers had a poorer state of bodily pain than smokers. This study provides detailed information of the implications for health care providers to gain a more complete picture of their hypertension patients’ health.

  6. Barriers and Potential Improvements for Needle and Syringe Exchange Programs (NSPs) in China: A Qualitative Study from Perspectives of Both Health and Public Security Sectors.

    Science.gov (United States)

    Koo, Fung Kuen; Chen, Xi; Chow, Eric P F; Jing, Jun; Zheng, Jun; Zhao, Junshi; Zhang, Lei

    2015-01-01

    This study explores the acceptability, the barriers to the implementation of needle and syringe exchange programs (NSPs) and the potential improvement strategies in China from the perspectives of governmental health and public security officials. Purposive sampling was used for recruitment of participants who had been involved in NSPs implementation. Semi-Structured individual interviews were conducted in Mandarin to address three aspects of NSPs: (1) participants' attitudes towards NSPs, (2) participants' opinions on the effectiveness and barriers of NSPs, and (3) suggestions for improving the program. Content analysis was used to analyse the translated interview data. A total of 68 participants from 12 Hunan counties were interviewed (34 from each of the Bureau of Health and the Narcotic Division). Both groups recognised the importance and effectiveness of NSPs in HIV prevention, but public security officials regarded NSPs as a temporary intervention in place of punitive measures. Most health officials (32/34) regarded the main barriers to its implementation as administrative and structural, whereas participants from Narcotics Division (n=24) questioned the legitimacy of NSPs and concerned about the poor management of drug users' risk behaviours. Close cooperation between the health and public security sectors, engagement of the drug user community and an enabling policy environment were reportedly to be critical for potential improvements of NSPs in China. Misconceptions about NSPs encourage drug users' addictive behaviour, and an unclear leadership and insufficient support de-motivate the participants from the Bureau of Health and the Narcotics Division to actively support the program implementation.

  7. Industrialization, Environment and Health: the Impacts of Industrial SO2 Emission on Public Health in China

    Institute of Scientific and Technical Information of China (English)

    He Jie

    2008-01-01

    In this paper,we construct a model in which the impact of pollution on health is exerted through both direct and indirect channels.The indirect channel is captured by a production func tion in which the principal health-improving factor,income growth,can be realized only in the cost of pollution increase.This model is then tested by the aggregated chronicle disease data in over 78 Chinese counties.Our results show,after attaining the threshold of 8 μg/m2,continuous increase in industrial SO2 emission density will lead the ratio of population suffering chronicle diseases,among which respiratory diseases occupy a significant proportion,to rise.However,owing to technological progress in pollution control activities,the needed SO2 emission to produce one unit of GDP diminishes with time.Therefore,the negative effect from pollution augmentation on public health seems to be recompensed more and more by the positive effect of economic growth.

  8. Impacts of Climate Change on Human Health and Adaptation Strategies in South China

    Institute of Scientific and Technical Information of China (English)

    DU Yao-Dong; WANG Xian-Wei; YANG Xiao-Feng; MA Wen-Jun; AI Hui; WU Xiao-Xuan

    2013-01-01

    This study reviews the impacts of climate change on human health and presents corresponding adaptation strategies in South China. The daily mean surface air temperatures above or below 26.4◦C increase the death risk for the people in Guangzhou, especially the elderly are vulnerable to variations in temperature. Heat waves can cause insomnia, fatigue, clinical exacerbation, or death from heatstroke etc., while cold spells show increases in patients with fractures. During a cold spell period, the rates of both on-site emergency rescues and non-implementable rescues increase, and the risk of non-accidental deaths and respiratory disease deaths significantly rise as well. Both time series of hazy days and ozone concentrations have significant positive correlations with the number of patients with cardiovascular diseases. Both malaria and dengue fever reach higher altitudes and mountainous areas due to climate warming. Climate change is likely to bring stronger heat waves in the future, thereby increasing heat wave-related illnesses and deaths, particularly in the metropolitan areas of the Pearl River Delta. The projected increase of continuous cold days in Guangdong province and parts of northern Guangxi province will affect residents’ health in the future. The rising temperature exaggerates ozone pollution, but it is not clear whether climate change is aggravating or mitigating haze pollution. The transmission potential of malaria in South China will increase by 39%-140% and the transmission season will extend by 1-2 months with an air temperature increase of 1-2◦C. By 2050, most areas in Hainan province are projected to convert from non-endemic dengue into endemic dengue areas. The aging population will cause more vulnerable people. To mitigate the adverse impacts of climate change on human health, sound and scientific adaptation strategies must be adopted in advance, such as strengthening the surveillance of epidemic diseases in potential transmission areas

  9. Coverage and utilization of the health insurance among migrant workers in Shanghai, China

    Institute of Scientific and Technical Information of China (English)

    ZHAO Da-hai; RAO Ke-qin; ZHANG Zhi-ruo

    2011-01-01

    Background According to the regulations of the Chinese and Shanghai governments, migrant workers employed in Shanghai should all be entitled to Shanghai Migrant Worker Hospitalization Insurance (SMWHI) without premium and the vast majority should also have the New Rural Cooperative Medical System (NRCMS). This study aimed to examine the status of the coverage and utilization of health insurance among migrant workers employed in Shanghai. Methods Quantitative and qualitative research methods were employed in the study. A survey of 1020 migrant workers employed in Shanghai was conducted in 2010 with a structured questionnaire. Focus group discussions were held with respondents who were unable to maintain health insurance coverage through NRCMS or SMWHI. In-depth interviews were held with village heads and employers of the migrant workers, migrant workers who were hospitalized within the last year, and various individuals employed by the insurance agencies. Results The study found that 72.9% and 36.5% of migrant workers were covered by NRCMS or SMWHI, respectively,while 16.7% of them had no health insurance. The coverage by NRCMS among migrant workers correlated significantly with education level and workplace, while the coverage by SMWHI correlated significantly with the length of employment in Shanghai and workplace. The qualitative results confirmed that migrant workers were the main group who were not covered by NRCMS, and the coverage by SMWHI was completely dependent upon the employers of the migrant worker.The results also showed that health insurance utilization among migrant workers was strongly limited by hospital location. Conclusions We observed that the status of health insurance among migrant workers was not accordant with theory,and that Chinese health insurance policy should be further reformed in order to realize full coverage and equal utilization of health insurance among migrant workers in China.

  10. Rare earth elements stratigraphic significance in late Permian coal measure from Bijie City, Guizhou Province, China

    Institute of Scientific and Technical Information of China (English)

    WANG Qiang; YANG Ruidong; BAO Miao

    2008-01-01

    Rare earth elements (REEs) are good geological indicators. In order to understand REEs stratigraphic significance, REEs m Late Permian coal measure from Bijie City, western Guizhou Province, China were studied. The results showed that the contents of both light rare earth element (LREE) and ∑ REE were sharply increased in the boundary between Longtan Formation and Changxing Formation, which resulted from the gyration and discontinuity eruption of Emeishan basalt (REEs source) and frequent transgression-regression during forming coal. The coal measure and strata could be subdivided and correlate, and the sea-level change could be under stood by studying REEs content variation in coal measure.

  11. A review of soil cadmium contamination in China including a health risk assessment.

    Science.gov (United States)

    Wang, Lin; Cui, Xiangfen; Cheng, Hongguang; Chen, Fei; Wang, Jiantong; Zhao, Xinyi; Lin, Chunye; Pu, Xiao

    2015-11-01

    Cadmium (Cd) is one of the most serious soil contaminants in China, and it poses an increasing risk to human health as large amounts of Cd are emitted into the environment. However, knowledge about soil Cd concentrations and the human health risks of these concentrations at a national scale is limited. In this study, we conducted a review of 190 articles about soil Cd concentrations during 2001 to 2010. The study involved 146 cities in China, and we quantified the risks to human health according to different regions. The results showed that elevated Cd levels were present compared to the background value of soil in 1990, and the soil Cd concentrations in the Guangxi province exceeded even the class III Soil Environmental Quality standard, which is the limit for the normal growth of plants. The Chinese soil Cd concentrations ranged from 0.003 mg kg(-1) to 9.57 mg kg(-1). The soil Cd concentrations had the following trend: northwest > southwest > south central > east > northeast > north. The sources of soil Cd are mainly from smelting, mining, waste disposal, fertilizer and pesticide application, and vehicle exhaust, etc. but differentiated in various regions. The soil Cd contamination in urban areas was more serious than contamination in the agricultural areas. Currently, there is no significant non-carcinogenic risk in any of the provinces. Regarding the different exposure pathways, the dermal pathway is the primary source of soil Cd exposure, and the risk associated with this pathway is generally hundreds of times higher than the risk for an ingestion pathway. For most of the provinces, the health risk to the urban population was higher than the risk to the rural population. For each population, the carcinogenic risk was less than 10(-6) in most of the provinces, except for the urban population in the Hunan province. If the other exposure pathways are fully considered, then the people in these areas may have a higher carcinogenic risk. This

  12. Early assessment of Integrated Multi-satellite Retrievals for Global Precipitation Measurement over China

    Science.gov (United States)

    Guo, Hao; Chen, Sheng; Bao, Anming; Behrangi, Ali; Hong, Yang; Ndayisaba, Felix; Hu, Junjun; Stepanian, Phillip M.

    2016-07-01

    Two post-real time precipitation products from the Integrated Multi-satellite Retrievals for Global Precipitation Measurement Mission (IMERG) are systematically evaluated over China with China daily Precipitation Analysis Product (CPAP) as reference. The IMERG products include the gauge-corrected IMERG product (IMERG_Cal) and the version of IMERG without direct gauge correction (IMERG_Uncal). The post-research TRMM Multisatellite Precipitation Analysis version 7 (TMPA-3B42V7) is also evaluated concurrently with IMERG for better perspective. In order to be consistent with CPAP, the evaluation and comparison of selected products are performed at 0.25° and daily resolutions from 12 March 2014 through 28 February 2015. The results show that: Both IMERG and 3B42V7 show similar performances. Compared to IMERG_Uncal, IMERG_Cal shows significant improvement in overall and conditional bias and in the correlation coefficient. Both IMERG_Cal and IMERG_Uncal perform relatively poor in winter and over-detect slight precipitation events in northwestern China. As an early validation of the GPM-era IMERG products that inherit the TRMM-era global satellite precipitation products, these findings will provide useful feedbacks and insights for algorithm developers and data users over China and beyond.

  13. [Earthquakes--a historical review, environmental and health effects, and health care measures].

    Science.gov (United States)

    Nola, Iskra Alexandra; Doko Jelinić, Jagoda; Žuškin, Eugenija; Kratohvil, Mladen

    2013-06-01

    Earthquakes are natural disasters that can occur at any time, regardless of the location. Their frequency is higher in the Circum-Pacific and Mediterranean/Trans-Asian seismic belt. A number of sophisticated methods define their magnitude using the Richter scale and intensity using the Mercani-Cancani-Sieberg scale. Recorded data show a number of devastating earthquakes that have killed many people and changed the environment dramatically. Croatia is located in a seismically active area, which has endured a series of historical earthquakes, among which several occurred in the Zagreb area. The consequences of an earthquake depend mostly on the population density and seismic resistance of buildings in the affected area. Environmental consequences often include air, water, and soil pollution. The effects of this kind of pollution can have long-term health effects. The most dramatic health consequences result from the demolition of buildings. Therefore, quick and efficient aid depends on well-organized health professionals as well as on the readiness of the civil defence, fire department, and Mountain Rescue Service members. Good coordination among these services can save many lives Public health interventions must include effective control measures in the environment as secondary prevention methods for health problems caused by unfavourable environmental factors. The identification and control of long-term hazards can reduce chronic health effects. The reduction of earthquake-induced damages includes setting priorities in building seismically safe buildings.

  14. Levels and potential health risk of heavy metals in marketed vegetables in Zhejiang, China

    Science.gov (United States)

    Pan, Xiao-Dong; Wu, Ping-Gu; Jiang, Xian-Gen

    2016-02-01

    The present study analyzed 5785 vegetables for concentrations of As, Cd, Cr, Pb, Ni and Hg, and estimated the health risk to local consumers by deterministic (point estimates) approaches. Levels of elements varied in different vegetables. Average levels of As, Cd, Cr, Ni, Hg and Pb were 0.013, 0.017, 0.057, 0.002, 0.094 and 0.034 mg/kg (fresh weight), respectively. The samples with 0.25% for Cd and 1.56% for Pb were exceeding the maximum allowable concentrations (MACs) set by the Chinese Health Ministry. No obvious regular geographical distribution for these metals in vegetables was found in areas of Zhejiang, China. The mean and 97.5 percentile levels of heavy metal and metalloid were used to present the mean and high exposure assessment. The health indices (HIs) were less than the threshold of 1 both in mean and high exposure assessment. It indicates that for the general people there is very low health risk to As, Cd, Cr, Pb, Ni and Hg by vegetable intake.

  15. Health effect of agricultural pesticide use in China: implications for the development of GM crops

    Science.gov (United States)

    Zhang, Chao; Hu, Ruifa; Huang, Jikun; Huang, Xusheng; Shi, Guanming; Li, Yifan; Yin, Yanhong; Chen, Zhaohui

    2016-01-01

    It is notable that the adoption of GM glyphosate-tolerant crops increases glyphosate use but reduces non-glyphosate herbicide use; and adoption of GM insect-resistant crops significantly reduces insecticide use. While the health hazard of pesticide use has been well documented, little literature evaluates the health effects of different pesticides related to GM crops in an integrated framework. This study aims to associate the uses of different pesticides related to GM crops with the blood chemistry panel and peripheral nerve conduction of Chinese farmers. Pesticides used by farmers were recorded and classified as glyphosate, non-glyphosate herbicides, chemical lepidopteran insecticides, biological lepidopteran insecticides, non-lepidopteran insecticides and fungicides. The multivariate regression results show that none of the examined 35 health indicators was associated with glyphosate use, while the use of non-glyphosate herbicides was likely to induce renal dysfunction and decrease of serum folic acid. The use of chemical lepidopteran insecticides might be associated with hepatic dysfunction, serum glucose elevation, inflammation and even severe nerve damage. In this context, if GM crops are adopted, the alterations in pesticide use may benefit farmer health in China and globe, which has positive implications for the development of GM crops. PMID:27721390

  16. Assessing the Effects of the New Cooperative Medical Scheme on Alleviating the Health Payment-Induced Poverty in Shaanxi Province, China.

    Directory of Open Access Journals (Sweden)

    Xiaowei Yang

    Full Text Available Disease has become one of the key causes of falling into poverty in rural China. The poor households are even more likely to suffer. The New Cooperative Medical Scheme (NCMS has been implemented to provide rural residents financial protection against health risks. This study aims to assess the effect of the NCMS on alleviating health payment-induced poverty in the Shaanxi Province of China.The data was drawn from the 5th National Health Service Survey of Shaanxi Province, conducted in 2013. In total, 41,037 individuals covered by NCMS were selected. Poverty headcount ratio (HCR, poverty gap and mean positive poverty gap were used for measuring the incidence, depth and intensity of poverty, respectively. The differences on poverty measures pre- and post- insurance reimbursement indicate the effectiveness of alleviating health payment-induced poverty under NCMS.For the general insured, 5.81% of households fell below the national poverty line owing to the health payment; this HCR dropped to 4.84% after insurance reimbursement. The poverty HCRs for the insured that had hospitalization in the past year dropped from 7.50% to 2.09% after reimbursement. With the NCMS compensation, the poverty gap declined from 42.90 Yuan to 34.49 Yuan (19.60% decreased for the general insured and from 57.48 Yuan to 10.01 Yuan (82.59% decreased for the hospital admission insured. The mean positive poverty gap declined 3.56% and 37.40% for two samples, respectively.The NCMS could alleviate the health payment-induced poverty. The effectiveness of alleviating health payment-induced poverty is greater for hospital admission insured than for general insured, mainly because NCMS compensates for serious diseases. Our study suggests that a more comprehensive insurance benefit package design could further improve the effectiveness of poverty alleviation.

  17. Measuring and Benchmarking Technical Efficiency of Public Hospitals in Tianjin, China

    Directory of Open Access Journals (Sweden)

    Hao Li PhD

    2015-09-01

    Full Text Available China has long been stuck in applying traditional data envelopment analysis (DEA models to measure technical efficiency of public hospitals without bias correction of efficiency scores. In this article, we have introduced the Bootstrap-DEA approach from the international literature to analyze the technical efficiency of public hospitals in Tianjin (China and tried to improve the application of this method for benchmarking and inter-organizational learning. It is found that the bias corrected efficiency scores of Bootstrap-DEA differ significantly from those of the traditional Banker, Charnes, and Cooper (BCC model, which means that Chinese researchers need to update their DEA models for more scientific calculation of hospital efficiency scores. Our research has helped shorten the gap between China and the international world in relative efficiency measurement and improvement of hospitals. It is suggested that Bootstrap-DEA be widely applied into afterward research to measure relative efficiency and productivity of Chinese hospitals so as to better serve for efficiency improvement and related decision making.

  18. Preliminary validation of SMOS sea surface salinity measurements in the South China Sea

    Science.gov (United States)

    Ren, Yongzheng; Dong, Qing; He, Mingxia

    2015-01-01

    The SMOS (soil moisture and ocean salinity) mission undertaken by the European Space Agency (ESA) has provided sea surface salinity (SSS) measurements at global scale since 2009. Validation of SSS values retrieved from SMOS data has been done globally and regionally. However, the accuracy of SSS measurements by SMOS in the China seas has not been examined in detail. In this study, we compared retrieved SSS values from SMOS data with in situ measurements from a South China Sea (SCS) expedition during autumn 2011. The comparison shows that the retrieved SSS values using ascending pass data have much better agreement with in situ measurements than the result derived from descending pass data. Accuracy in terms of bias and root mean square error (RMS) of the SSS retrieved using three different sea surface roughness models is very consistent, regardless of ascending or descending orbits. When ascending and descending measurements are combined for comparison, the retrieved SSS using a semi-empirical model shows the best agreement with in situ measurements, with bias -0.33 practical salinity units and RMS 0.74. We also investigated the impact of environmental conditions of sea surface wind and sea surface temperature on accuracy of the retrieved SSS. The SCS is a semi-closed basin where radio frequencies transmitted from the mainland strongly interfere with SMOS measurements. Therefore, accuracy of retrieved SSS shows a relationship with distance between the validation sites and land.

  19. How to Measure Critical Health Competences: Development and Validation of the Critical Health Competence Test (CHC Test)

    Science.gov (United States)

    Steckelberg, Anke; Hulfenhaus, Christian; Kasper, Jurgen; Rost, Jurgen; Muhlhauser, Ingrid

    2009-01-01

    Consumers' autonomy regarding health increasingly requires competences to critically appraise health information. Critical health literacy refers to the concept of evidence-based medicine. Instruments to measure these competences in curriculum evaluation and surveys are lacking. We aimed to develop and validate an instrument to measure critical…

  20. Rocket Engine Health Management: Early Definition of Critical Flight Measurements

    Science.gov (United States)

    Christenson, Rick L.; Nelson, Michael A.; Butas, John P.

    2003-01-01

    The NASA led Space Launch Initiative (SLI) program has established key requirements related to safety, reliability, launch availability and operations cost to be met by the next generation of reusable launch vehicles. Key to meeting these requirements will be an integrated vehicle health management ( M) system that includes sensors, harnesses, software, memory, and processors. Such a system must be integrated across all the vehicle subsystems and meet component, subsystem, and system requirements relative to fault detection, fault isolation, and false alarm rate. The purpose of this activity is to evolve techniques for defining critical flight engine system measurements-early within the definition of an engine health management system (EHMS). Two approaches, performance-based and failure mode-based, are integrated to provide a proposed set of measurements to be collected. This integrated approach is applied to MSFC s MC-1 engine. Early identification of measurements supports early identification of candidate sensor systems whose design and impacts to the engine components must be considered in engine design.

  1. Evaluating health of paddy rice field ecosystem with remote sensing and GIS in Lower Yangtze River Plain, China

    Science.gov (United States)

    Li, Jingjing; Qin, Zhihao; Li, Wenjuan; Lin, Lu

    2008-10-01

    A paddy rice ecosystem is a farming system composed of paddy, animals, microbes and other environmental factors in specific time and space, with particular temporal and spatial dynamics. Since paddy rice is a main grain crop to feed above half of population in China, the performance of paddy rice ecosystem is highly concerned to yield level of paddy and food supply safety in China. Therefore, monitoring the performance of paddy rice ecosystem is very important to obtain the required information for evaluation of ecosystem health. In the study we intend to develop an approach to monitor the ecosystem performance spatially and dynamically in a regional scale using MODIS remote sensing data and GIS spatial mapping. On the basis of key factors governing the paddy rice ecosystem, we accordingly develop the following three indicators for the evaluation: Crop growing index (CGI), environmental Index (EI), and pests-diseases index (PDI). Then, we integrated the three indicators into a model with different weight coefficients to calculate Comprehensive ecosystem health index (CEHI) to evaluate the performance and functioning of paddy rice ecosystem in a regional scale. CGI indicates the health status of paddy rice calculated from the normalizing enhanced vegetation Index (EVI) retrieved from MODIS data. EI is estimated from temperature Index (TI) and precipitation Index (PI) indicating heat and water stress on the rice field. PDI reflects the damage brought by pests and diseases, which can be estimated using the information obtained from governmental websites. Applying the approach to Lower Yangtze River Plain, we monitor and evaluate the performance of paddy rice ecosystem in various stages of rice growing period in 2006. The results indicated that the performance of the ecosystem was generally very encouraging. During booting stage and heading and blooming stage, the health level was the highest in Anhui province, which is the main paddy rice producer in the region

  2. Measuring the effects of education on health and civic engagement

    DEFF Research Database (Denmark)

    is initially focusing on two domains: Health (physical and mental); and Civic and Social Engagement (CSE). This volume, which includes major papers on the two principal social domains and a series of responses to them, is the first published output from the SOL project. It will be followed in early 2007......Measurement is a central function of OECD?s work on education. This involves regular data production and analysis which enables countries to monitor trends in all parts of the education system. But it also refers to the exploration of the issues involved in producing valid and meaningful...

  3. Environmental and human health risks of antimicrobials used in Fenneropenaeus chinensis aquaculture production in China.

    Science.gov (United States)

    Sun, Ming; Chang, Zhiqiang; Van den Brink, Paul J; Li, Jian; Zhao, Fazhen; Rico, Andreu

    2016-08-01

    This study aimed to quantify the environmental fate of antimicrobials applied in Fenneropenaeus chinensis aquaculture production in China and to assess their potential risks for surrounding aquatic ecosystems, for the promotion of antimicrobial resistance in target and non-target bacteria and for consumers eating shrimp products that contain antimicrobial residues. For this, we first used the results of an environmental monitoring study performed with the antimicrobial sulfamethazine to parameterize and calibrate the ERA-AQUA model, a mass balance model suited to perform risk assessments of veterinary medicines applied in aquaculture ponds. Next, a scenario representing F. chinensis production in China was built and used to perform risk assessments for 21 antimicrobials which are regulated for aquaculture in China. Results of the model calibration showed a good correspondence between the predicted and the measured sulfamethazine concentrations, with differences within an order of magnitude. Results of the ecological risk assessment showed that four antimicrobials (levofloxacin, sarafloxacin, ampicillin, sulfadiazine) are expected to have adverse effects on primary producers, while no short-term risks were predicted for invertebrates and fish exposed to farm wastewater effluents containing antimicrobial residues. Half of the evaluated antimicrobials showed potential to contribute to antimicrobial resistance in bacteria exposed to pond water and farm effluents. A withdrawal period of three weeks is recommended for antimicrobials applied via oral administration to F. chinensis in order to comply with the current national and international toxicological food safety standards. The results of this study indicate the need to improve the current regulatory framework for the registration of aquaculture antimicrobials in China and suggest compounds that should be targeted in future aquaculture risk assessments and environmental monitoring studies.

  4. Multiscale measurement error models for aggregated small area health data.

    Science.gov (United States)

    Aregay, Mehreteab; Lawson, Andrew B; Faes, Christel; Kirby, Russell S; Carroll, Rachel; Watjou, Kevin

    2016-08-01

    Spatial data are often aggregated from a finer (smaller) to a coarser (larger) geographical level. The process of data aggregation induces a scaling effect which smoothes the variation in the data. To address the scaling problem, multiscale models that link the convolution models at different scale levels via the shared random effect have been proposed. One of the main goals in aggregated health data is to investigate the relationship between predictors and an outcome at different geographical levels. In this paper, we extend multiscale models to examine whether a predictor effect at a finer level hold true at a coarser level. To adjust for predictor uncertainty due to aggregation, we applied measurement error models in the framework of multiscale approach. To assess the benefit of using multiscale measurement error models, we compare the performance of multiscale models with and without measurement error in both real and simulated data. We found that ignoring the measurement error in multiscale models underestimates the regression coefficient, while it overestimates the variance of the spatially structured random effect. On the other hand, accounting for the measurement error in multiscale models provides a better model fit and unbiased parameter estimates.

  5. Integration of current identity-based district-varied health insurance schemes in China: implications and challenges.

    Science.gov (United States)

    Wang, Hai-Qiang; Liu, Zhi-Heng; Zhang, Yong-Zhao; Luo, Zhuo-Jing

    2012-03-01

    With China's great efforts to improve public health insurance, clear progress has been achieved toward the ambitious full health insurance coverage strategy for all. The current health insurance schemes in China fall into three categories: urban employee basic health insurance scheme, urban resident scheme, and new rural cooperative medical system. Despite their phasic success, these substantially identity-based, district-varied health insurance schemes have separate operation mechanisms, various administrative institutions, and consequently poor connections. On the other hand, the establishment and implementation of various health insurance schemes provide the preconditioning of more sophisticated social health insurance schemes, the increase in the income of urban and rural people, and the great importance attached by the government. Moreover, the reform of the "Hukou" (household register) system provides economical, official, and institutional bases. Therefore, the establishment of an urban-rural integrated, citizen-based, and nationwide-universal health insurance scheme by the government is critically important to attain equality and national connection. Accordingly, the differences between urban and rural areas should be minimized. In addition, the current schemes, administrative institutions, and networks should be integrated and interconnected. Moreover, more expenditure on health insurance might be essential for the integration despite the settings of global financial crisis. Regardless of the possible challenges in implementation, the proposed new scheme is promising and may be applied in the near future for the benefit of the Chinese people and global health.

  6. Validity of COPD diagnoses reported through nationwide health insurance systems in the People’s Republic of China

    Directory of Open Access Journals (Sweden)

    Kurmi OP

    2016-03-01

    Full Text Available Om P Kurmi,1 Julien Vaucher,1 Dan Xiao,2 Michael V Holmes,1 Yu Guo,3 Kourtney J Davis,4 Chen Wang,5 Haiyan Qin,6 Iain Turnbull,1 Peng Peng,7 Zheng Bian,3 Robert Clarke,1 Liming Li,8 Yiping Chen,1 Zhengming Chen1 On behalf of the China Kadoorie Biobank collaborative group 1Clinical Trial Service Unit & Epidemiological Studies Unit (CTSU, Nuffield Department of Population Health, University of Oxford, Oxford, UK; 2Tobacco Medicine and Tobacco Cessation Center, China–Japan Friendship Hospital, Beijing, People’s Republic of China; 3National Coordinating Centre for China Kadoorie Biobank Study, Chinese Academy of Medical Sciences, Beijing, People’s Republic of China; 4Worldwide Epidemiology, GlaxoSmithKline R&D, Collegeville, PA, USA; 5National Clinical Research Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, People’s Republic of China; 6Medical Research Center, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People’s Republic of China; 7Radiology Department, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People’s Republic of China; 8Department of Epidemiology, School of Public Health, Peking University Health Science Center, Beijing, People’s Republic of China Background: COPD is the fourth leading cause of death worldwide, with particularly high rates in the People’s Republic of China, even among never smokers. Large population-based cohort studies should allow for reliable assessment of the determinants of diseases, which is dependent on the quality of disease diagnoses. We assessed the validity of COPD diagnoses collected through electronic health records in the People’s Republic of China. Methods: The CKB study recruited 0.5 million adults aged 30–79 years from ten diverse regions in the People’s Republic of China during the period 2004–2008. During 7 years of follow-up, 11,800 COPD cases were identified by linkage with mortality registries and the national

  7. Medicare health maintenance organization benefits packages and plan performance measures.

    Science.gov (United States)

    Cox, Don; Lanyi, Bettina; Strabic, Allison

    2002-01-01

    This article reports the results of an analysis of the relationship between supplemental benefits offered by Medicare+Choice (M+C) plans and their plan performance ratings. We examined two measures of plan performance: (1) plan ratings as reported in the Medicare Managed Care (MMC) Consumer Assessment of Health Care Study (CAHPS), and (2) disenrollment rates. The results of our analysis indicated that variations in plan supplemental offerings have little impact on enrollees' plan performance ratings--both overall ratings and access to care measures. Furthermore, disenrollment rates were found to be more sensitive to the availability of alternative M+C plans, either in general, or for specific benefits than to variations in benefit offerings.

  8. Towards Measuring and Visualizing Sustainable National Power—A Case Study of China and Neighboring Countries

    Directory of Open Access Journals (Sweden)

    Hua Liao

    2015-09-01

    Full Text Available This paper presents a new perspective of national power—sustainable national power (SNP—emphasizing both the traditional comprehensive national power (CNP and social and environmental sustainability. We propose a measurement to quantify the SNP based on the measurement of comprehensive national power and a sustainable adjusted index. In addition, density-equalizing maps are adopted to visualize the sustainable national power of countries in order to gain a better understanding for its current state and future development from a cartographic perspective. China and its neighboring countries are selected as a case study area. The results show that China outperforms other countries in most of the CNP dimensions but performs poorly in various SNP-adjusted dimensions within the study area. The composite score shows that China is with the highest regional SNP, followed by Japan, Russia, South Korea and India. Furthermore, time series of cartograms reveal evidence showing power transitions among countries. In addition, the effectiveness of cartograms for cartographic communication is discussed.

  9. Traditional, complementary, and alternative medicine approaches to mental health care and psychological wellbeing in India and China.

    Science.gov (United States)

    Thirthalli, Jagadisha; Zhou, Liang; Kumar, Kishore; Gao, Jie; Vaid, Henna; Liu, Huiming; Hankey, Alex; Wang, Guojun; Gangadhar, Bangalore N; Nie, Jing-Bao; Nichter, Mark

    2016-07-01

    India and China face the same challenge of having too few trained psychiatric personnel to manage effectively the substantial burden of mental illness within their population. At the same time, both countries have many practitioners of traditional, complementary, and alternative medicine who are a potential resource for delivery of mental health care. In our paper, part of The Lancet and Lancet Psychiatry's Series about the China-India Mental Health Alliance, we describe and compare types of traditional, complementary, and alternative medicine in India and China. Further, we provide a systematic overview of evidence assessing the effectiveness of these alternative approaches for mental illness and discuss challenges in research. We suggest how practitioners of traditional, complementary, and alternative medicine and mental health professionals might forge collaborative relationships to provide more accessible, affordable, and acceptable mental health care in India and China. A substantial proportion of individuals with mental illness use traditional, complementary, and alternative medicine, either exclusively or with biomedicine, for reasons ranging from faith and cultural congruence to accessibility, cost, and belief that these approaches are safe. Systematic reviews of the effectiveness of traditional, complementary, and alternative medicine find several approaches to be promising for treatment of mental illness, but most clinical trials included in these systematic reviews have methodological limitations. Contemporary methods to establish efficacy and safety-typically through randomised controlled trials-need to be complemented by other means. The community of practice built on collaborative relationships between practitioners of traditional, complementary, and alternative medicine and providers of mental health care holds promise in bridging the treatment gap in mental health care in India and China.

  10. Defense Health Care: Availability and Quality Measurement of Women’s Health Care Services in U.S. Military Hospitals

    Science.gov (United States)

    2016-06-01

    identify a military treatment facility and if one is not available then they refer to a facility contracted with the MHS network . 22Military service ...DEFENSE HEALTH CARE Availability and Quality Measurement of Women’s Health Care Services in U.S. Military Hospitals...committees June 2016 DEFENSE HEALTH CARE Availability and Quality Measurement of Women’s Health Care Services in U.S. Military Hospitals What GAO Found

  11. Mental health and burnout in primary and secondary school teachers in the remote mountain areas of Guangdong Province in the People's Republic of China

    Directory of Open Access Journals (Sweden)

    Zhang L

    2014-01-01

    Full Text Available Lulu Zhang,1 Jingping Zhao,1 Huaqing Xiao,3 Hongbo Zheng,2 Yaonan Xiao,3 Miaoyang Chen,3 Dingling Chen31Mental Health Institute of the Second Xiangya Hospital, Key Laboratory of Psychiatry and Mental Health of Hunan Province, Central South University, Changsha, Hunan, 2Department of Psychiatry, Guangzhou Brain Hospital, Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 3Department of Psychiatry, Luoding Dagang Hospital, Luoding, Guangdong, People's Republic of ChinaBackground: A growing number of studies have shown that education is a work context in which professionals (teachers seem likely to suffer from burnout that may be associated with low levels of mental health. Although there is a demonstrated need to improve the mental health and burnout levels among teachers, little is known about their mental health status, particularly with respect to graduating class teachers in remote mountain areas with undeveloped economies. The purpose of this study was to survey mental health and burnout among graduating class teachers in remote mountain areas and to examine the influence of moderating variables.Methods: We conducted a multilevel analysis of 590 graduating class teachers from 42 primary and secondary schools in remote mountain areas of Guangdong province in the People's Republic of China. The outcome variable of self-reported mental health was measured by the Symptom Checklist-90 (SCL-90, and burnout was measured by the Chinese Maslach Burnout Inventory for primary and secondary school teachers.Results: The status of both mental health and burnout among the respondents was significantly more troubling than the national norm used as a reference (P<0.05 or P<0.01. Each factor in the SCL-90 had a significant correlation with burnout (P<0.01. All factors of the SCL-90 were entered into the regression equation for each dimension of burnout (P<0.01. The factor having the greatest impact on emotional exhaustion and

  12. China-Africa Health Development Initiatives: Benefits and Implications for Shaping Innovative and Evidence-informed National Health Policies and Programs in Sub-saharan African Countries

    Science.gov (United States)

    Tambo, Ernest; Ugwu, Chidiebere E.; Guan, Yayi; Wei, Ding; Xiao-Ning; Xiao-Nong, Zhou

    2016-01-01

    Background and Introduction: This review paper examines the growing implications of China’s engagement in shaping innovative national initiatives against infectious diseases and poverty control and elimination in African countries. It seeks to understand the factors and enhancers that can promote mutual and innovative health development initiatives, and those that are necessary in generating reliable and quality data for evidence-based contextual policy, priorities and programs. Methods: We examined the China-Africa health cooperation in supporting global health agenda on infectious diseases such as malaria, schistosomiasis, Ebola, TB, HIV/AIDS, neglected tropical diseases (NTDs) prevention, control and elimination spanning a period of 10 years. We reviewed referenced publications, global support data, and extensive sources related to and other emerging epidemics and infectious diseases of poverty, programs and interventions, health systems development issues, challenges, opportunities and investments. Published literature in PubMed, Scopus, Google Scholar, Books and web-based peer-reviewed journal articles, government annual reports were assessed from the first Forum on China-Africa Cooperation (FOCAC) in November 2006 to December 2015 Third Ministerial conferences. Results: Our findings highlight current shared public health challenges and emphasize the need to nurture, develop and establish effective, functional and sustainable health systems capacity to detect and respond to all public health threats and epidemic burdens, evidence-based programs and quality care outcomes. China’s significant health diplomacy emphasizes the importance of health financing in establishing health development commitment and investment in improving the gains and opportunities, importantly efficiency and value health priorities and planning. Conclusions and Global Health Implications: Strengthening China-Africa health development agenda towards collective commitment and investment

  13. Performance measures for management of chronic heart failure patients with acute coronary syndrome in China: results from the Bridging the Gap on Coronary Heart Disease Secondary Prevention in China (BRIG)Project

    Institute of Scientific and Technical Information of China (English)

    WANG Na; ZHAO Dong; LIU Jing; LIU Jun; Cheuk-Man Yu; WANG Wei; SUN Jia-yi

    2013-01-01

    Background Chronic heart failure (CHF) is a severe clinical syndrome associated with high morbidity and mortality,and with high health care expenditures.No nationwide data are currently available regarding the quality of clinical management of CHF patients in China.The aim of this study was to assess the quality of care of CHF inpatients in China.Methods The American College of Cardiology/American Heart Association Clinical Performance Measures for Adults with Chronic Heart Failure (Inpatient Measurement Set) with slight modifications was used to measure the performance status in 612 CHF patients with acute coronary syndrome (ACS) from 65 hospitals across all regions of China.Results The implementation rates of guideline recommended strategies for CHF management were low.Only 57.5% of the CHF patients received complete discharge instructions,53.6% of the patients received evaluation of left ventricular systolic function,62.8% received an angiotensin-converting enzyme inhibitor/angiotensin receptor blocker at discharge,and 52.7% received a β-blocker at discharge,56.3% of the smokers received smoking cessation counseling.The rate of warfarin utilization was only 9.7% in CHF patients with atrial fibrillation.Most patients (81.4%) did not receive all the first four treatments.There were marked differences in the quality of CHF management among patients with different characteristics.Conclusions Performance measures provide a standardized method of assessing quality of care,and can thus highlight problems in disease management in clinical practice.The quality of care for CHF patients with ACS in China needs to be improved.

  14. [Several common biases and control measures during sampling survey of eye diseases in China].

    Science.gov (United States)

    Guan, Huai-jin

    2008-06-01

    Bias is a common artificial error during sampling survey in eye diseases, and is a major impact factor for validity and reliability of the survey. The causes and the control measures of several biases regarding current sampling survey of eye diseases in China were analyzed and discussed, including the sampling bias, non-respondent bias, and diagnostic bias. This review emphasizes that controlling bias is the key to ensure quality of sampling survey. Random sampling, sufficient sample quantity, careful examination and taking history, improving examination rate, accurate diagnosis, strict training and preliminary study, as well as quality control can eliminate or minimize biases and improve the sampling survey quality of eye diseases in China

  15. Major emerging and re-emerging zoonoses in China: a matter of global health and socioeconomic development for 1.3 billion.

    Science.gov (United States)

    Liu, Quan; Cao, Lili; Zhu, Xing-Quan

    2014-08-01

    Emerging and re-emerging zoonoses are a significant public health concern and cause considerable socioeconomic problems globally. The emergence of severe acute respiratory syndrome (SARS), highly pathogenic avian influenza (HPAI) H5N1, avian influenza H7N9, and severe fever with thrombocytopenia syndrome (SFTS), and the re-emergence of rabies, brucellosis, and other zoonoses have had a significant effect on the national economy and public health in China, and have affected other countries. Contributing factors that continue to affect emerging and re-emerging zoonoses in China include social and environmental factors and microbial evolution, such as population growth, urbanization, deforestation, livestock production, food safety, climate change, and pathogen mutation. The Chinese government has devised new strategies and has taken measures to deal with the challenges of these diseases, including the issuing of laws and regulations, establishment of disease reporting systems, implementation of special projects for major infectious diseases, interdisciplinary and international cooperation, exotic disease surveillance, and health education. These strategies and measures can serve as models for the surveillance and response to continuing threats from emerging and re-emerging zoonoses in other countries.

  16. A new financial budgetary system for community health services institutions in China.

    Science.gov (United States)

    You, Chuanmei; Yao, Lan; Fu, Jiakang; Wang, Fang; Wang, Hongqing; Dai, Tao

    2011-01-01

    The separation of revenue and expenditure budgets (SREB) is a new financial budgetary system that is being implemented in community health services (CHS) institutions in some areas in China. Through literature review, it was found that, derived from the traditional separation of revenue and expenditure budgets (TSREB) implemented in administrative public services units, SREB and TSREB have something in common and yet many more differences. On the basis of some quantitative and qualitative data that were collected by field survey, it was also found that implementation of SREB in CHS institutions brings positive outcomes in terms of the quantity, quality and efficiency of services; residents' satisfaction; and the behavior of CHS institutions. The conclusion can be suggested that SREB, as a system having impact upon the incentives facing CHS institutions and the nature of governmental responsibility for developing CHS in China, will promote CHS institutions to fulfill basic service functions if implemented well. Therefore, it is a system that is worth further development and evaluation.

  17. Is tuberculosis health education reaching the public in China? A cross-sectional survey in Guizhou Province

    Science.gov (United States)

    Chen, Wei; Li, Yang; Yang, Haiqin; Ehiri, John; Chen, Zaiping; Liu, Ying; Wang, Mei; Liu, Shili; Tang, He; Li, Ying

    2016-01-01

    Background Knowledge about tuberculosis (TB) is important for TB control, and China's national TB control guidelines emphasise TB health promotion. A 2010 national TB epidemiology survey showed that the general public had limited knowledge and awareness of TB. Objective To assess the level of TB knowledge after 5 years of TB health promotion in Guizhou Province, one of the regions with the highest TB burden in China. Design and setting A community-based, cross-sectional survey of 10 237 residents of Guizhou Province from June to August 2015. Multiple logistic regression models were used to examine factors associated with core TB knowledge and TB health education among respondents. Results Overall, residents of Guizhou Province had inadequate knowledge of TB. The overall awareness of TB was 41.5%. Less than 30% of respondents were familiar with China's policy of free treatment for TB or knew that the disease could be cured. Factors associated with core TB knowledge included gender, age, ethnicity, education, occupation, region, and having received TB health education. Women, older adults, people employed in non-government institutions, and those living in counties with low TB burdens had little access to TB health education, whereas people with higher education levels had greater access. Respondents' sources of TB knowledge did not necessarily match their preferred channels for delivery of TB health education. Conclusions Our findings indicate that TB health education should be further strengthened in China and other countries with a high TB burden. TB health education programmes require further formative and implementation research in order to improve programme effectiveness. PMID:27670524

  18. OMI measurements of SO2 pollution over Eastern China in 2005-2008

    Science.gov (United States)

    Krotkov, N.; Pickering, K.; Witte, J.; Carn, S.; Yang, K.; Carmichael, G.; Streets, D.; Zhang, Q.; Wei, C.

    2009-05-01

    The Ozone Monitoring Instrument (OMI) on NASA Aura satellite makes global daily measurements of the total column of sulfur dioxide (SO2), a short-lived trace gas produced by fossil fuel combustion, smelting, and volcanoes. OMI seasonal to multi-year average images clearly show the world-highest consistent SO2 pollution in northeast China. China is the world's largest SO2 emitter, mostly due to the burning of high-sulfur coal in its many coal-fired power plants, which lack the technology used in many other countries to remove sulfur from smoke stack emissions. China's government has instituted nationwide measures to control SO2 emissions through the adoption of flue-gas desulfurization technology on new power plants; and even greater measures were adopted in the Beijing area in anticipation of the Olympic Games. To study the environmental effects of the emission controls we compared OMI SO2 time series over eastern China for 2005 through 2008. The time series have been done as 7-day running means of the cloud-free daily observations. By mid-March we started to see substantial periods of lower SO2 values in 2008 compared to 2007, and by mid June the 2008 values were consistently lower than 2007 and prior years. The decline is widespread with highest SO2 typically located to the south and southwest of Beijing in regions with large clusters of power plants and also around Shanghai. The decline also lasted beyond the Olympic season. We do not yet know to what extent the economic downturn in China (and reduced industrial production) contributed to lower SO2 levels in the fall of 2008. We have also compared the observed and modeled fields using University of Iowa STEM model for the period June - September 2008. The model provided SO2 vertical distributions as well as aerosol vertical profiles that were used to correct OMI operational SO2 retrievals and improve the comparisons. The OMI SO2 changes in 2008 have also been compared with the estimated changes in SO2 emissions

  19. Impact of Oral Health Behaviors on Dental Caries in Children with Intellectual Disabilities in Guangzhou, China

    Directory of Open Access Journals (Sweden)

    Zifeng Liu

    2014-10-01

    Full Text Available Dental care is consistently reported as one of the primary medical needs of children with disabilities (IDC. The aim of the present study was to explore the influence of oral health behaviors on the caries experience in children with intellectual disabilities in Guangzhou, China. A cross-sectional study was carried out in 477 intellectually disabled children, 12 to 17 years old, who were randomly selected from special educational schools in Guangzhou. A self-administered parental questionnaire was used to collect data on socio-demographic characteristics and oral health behavior variables, and 450 valid questionnaires were returned. Multiple regression analysis was used to examine the factors associated with dental caries. The average age of those in the sample was 14.6 years (SD = 1.3, 68.4% of whom were male, and the caries prevalence rate was 53.5% (DMFT = 1.5 ± 2.0. The factors significantly affecting the development of dental caries in IDC included gender, the presence or absence of cerebral palsy, and the frequency of dental visits and toothbrushing. In conclusion, the presence of cerebral palsy contributed to an increase risk of caries experience in intellectually disabled children, while toothbrushing more than twice a day and routine dental visits were caries-protective factors. Oral health promotion action may lead to a reduction in dental caries levels in IDC.

  20. Source apportionment and health effect of NOx over the Pearl River Delta region in southern China.

    Science.gov (United States)

    Lu, Xingcheng; Yao, Teng; Li, Ying; Fung, Jimmy C H; Lau, Alexis K H

    2016-05-01

    As one of the most notorious atmospheric pollutants, NOx not only promotes the formation of ozone but also has adverse health effects on humans. It is therefore of great importance to study the sources of NOx and its effects on human health. The Comprehensive Air Quality Model (CAMx) modeling system and ozone source apportionment technology (OSAT) were used to study the contribution of NOx from different emission sources over southern China. The results indicate that heavy duty diesel vehicles (HDDVs) and industrial point sources are the two major local NOx sources, accounting for 30.8% and 18.5% of local NOx sources, respectively. In Hong Kong, marine emissions contributed around 43.4% of local NOx in 2011. Regional transport is another important source of this pollutant, especially in February and November, and it can contribute over 30% of ambient NOx on average. Power plant point emission is an significant regional source in Zhuhai, Zhongshan and Foshan. The total emission sources are estimated to cause 2119 (0-4405) respiratory deaths and 991 (0-2281) lung cancer deaths due to long-term exposure to NOx in the Pearl River Delta region. Our results suggest that local governments should combine their efforts and vigorously promote further reduction of NOx emissions, especially for those sources that make a substantial contribution to NOx emissions and affect human health: HDDV, LDGV, industrial point sources and marine sources.

  1. The Functions of Social Support in the Mental Health of Male and Female Migrant Workers in China

    Science.gov (United States)

    Wong, Daniel Fu Keung; Leung, Grace

    2008-01-01

    The study reported herein adopted a stress and coping framework to examine the functions of social support in protecting the mental health of migrant workers who experience migration stress during settlement in Shanghai, China. A total of 475 migrant workers from four major districts in Shanghai were recruited for a survey through multistage…

  2. Barriers and facilitators to diabetes self-management: perspectives of older community dwellers and health professionals in China.

    Science.gov (United States)

    Shen, Huixia; Edwards, Helen; Courtney, Mary; McDowell, Jan; Wei, Juan

    2013-12-01

    Little is known about self-management among people with Type 2 diabetes living in mainland China. Understanding the experiences of this target population is needed to provide socioculturally relevant education to effectively promote self-management. The aim of this study was to explore perceived barriers and facilitators to diabetes self-management for both older community dwellers and health professionals in China. Four focus groups, two for older people with diabetes and two for health professionals, were conducted. All participants were purposively sampled from two communities in Shanghai, China. Six barriers were identified: overdependence on but dislike of western medicine, family role expectations, cuisine culture, lack of trustworthy information sources, deficits in communication between clients and health professionals, and restriction of reimbursement regulations. Facilitators included family and peer support, good relationships with health professionals, simple and practical instruction and a favourable community environment. The findings provide valuable information for diabetes self-management intervention development in China, and have implications for programmes tailored to populations in similar sociocultural circumstances.

  3. The effect of comprehensive sexual education program on sexual health knowledge and sexual attitude among college students in Southwest China

    NARCIS (Netherlands)

    Chi, Xinli; Hawk, Skyler T; Winter, Sam; Meeus, Wim

    2015-01-01

    The purpose of this study was to evaluate whether a comprehensive sexual education program for college students in Southwest China (a) improved sexual health knowledge in reproduction, contraception, condom use, sexually transmitted diseases, and HIV; (b) increased accepting attitudes toward lesbian

  4. The effect of comprehensive sexual education program on sexual health knowledge and sexual attitude among college students in southwest China

    NARCIS (Netherlands)

    Chi, X.; Hawk, S.T.; Winter, S.; Meeus, W.H.J.

    2015-01-01

    The purpose of this study was to evaluate whether a comprehensive sexual education program for college students in Southwest China (a) improved sexual health knowledge in reproduction, contraception, condom use, sexually transmitted diseases, and HIV; (b) increased accepting attitudes toward lesbian

  5. Universal Health Coverage in China and development strategies%中国全民统一健康保障程度与发展策略研究

    Institute of Scientific and Technical Information of China (English)

    周志男; 雷海潮

    2013-01-01

    目的 定量评价中国全民统一健康保障(以下简称全民统一健保)发展程度,探讨改善全民统一健保程度的主要策略.方法 使用加法模型,定量分析中国自2003年至2011年全民统一健保的发展程度,并进行灵敏度分析和国际比较.结果 计量分析表明,中国全民统一健保的得分在2003年为2.79,2008年为2.32,2011年为2.60.健康保障制度的数量、统筹层次等因素对全民统一健保程度的影响最显著.结论 中国全民统一健保已处于发展中期,但仍与英国等发达国家存在较大差距.需要采取包括齐同待遇、提高统筹层次在内的综合发展措施.其中,统一城乡居民基本医疗保障待遇是实现全民统一健保的关键任务.%Objective Perform a quantitative analysis on the development stage of Universal Health Coverage (UHC)in China and discuss key options for scaling up UHC in China.Methods Quantitative addition model was used to analyze the UHC trend in China from 2003-2011,along with a sensitivity analysis and international comparison with the UK.Results The quantitative analysis showed that the UHC in China,for the year of 2003,2008 and 2011 were 2.79,2.32 and 2.60 respectively.Sensitivity analysis showed the integration of the health insurance schemes and scaling up the risk pooling levels contributed more than other factors to UHC in China.Conclusion The UHC in China has been developed to the mid-stage,but still lags far behind developed countries like the UK.Such general measures as equalization of benefits and scaling up of the risk pooling level should be taken.First of all,equalization of medical benefits for both rural and urban residents makes the fundamental priority and policy in the pursuit of UHC in China.

  6. Estimating summary measures of health: a structured workbook approach

    Directory of Open Access Journals (Sweden)

    Le Petit Christel

    2005-05-01

    Full Text Available Abstract Background Summary measures of health that combine mortality and morbidity into a single indicator are being estimated in the Canadian context for approximately 200 diseases and conditions. To manage the large amount of data and calculations for this many diseases, we have developed a structured workbook system with easy to use tools. We expect this system will be attractive to researchers from other countries or regions of Canada who are interested in estimating the health-adjusted life years (HALYs lost to premature mortality and year-equivalents lost to reduced functioning, as well as population attributable fractions (PAFs associated with risk factors. This paper describes the workbook system using cancers as an example, and includes the entire system as a free, downloadable package. Methods The workbook system was developed in Excel and runs on a personal computer. It is a database system that stores data on population structure, mortality, incidence, distributions of cases entering a multitude of health states, durations of time spent in health states, preference scores that weight for severity, life table estimates of life expectancies, and risk factor prevalence and relative risks. The tools are Excel files with embedded macro programs. The main tool generates workbooks that estimate HALY, one per disease, by copying data from the database into a pre-defined template. Other tools summarize the HALY results across diseases for easy analysis. Results The downloadable zip file contains the database files initialized with Canadian data for cancers, the tools, templates and workbooks that estimate PAF and a user guide. The workbooks that estimate HALY are generated from the system at a rate of approximately one minute per disease. The resulting workbooks are self-contained and can be used directly to explore the details of a particular disease. Results can be discounted at different rates through simple parameter modification

  7. Heavy metal pollution and health risk assessment in the Wei River in China.

    Science.gov (United States)

    Yang, Xuefu; Duan, Jinming; Wang, Lei; Li, Wei; Guan, Jianling; Beecham, Simon; Mulcahy, Dennis

    2015-03-01

    From data collected monthly at 26 monitoring cross sections in the Wei River in the Shaanxi Region of China during the period 2008-2012, the temporal pollution characteristics of heavy metals (Hg, Cd, Cr(VI), Pb, and As) were analyzed based on a heavy metal pollution index (HPI). The monthly HPI values of the five heavy metals in the river fluctuated greatly in 2008 and then declined gradually with time. This general trend of reduction in HPI appears not to have a seasonal variation and most likely resulted from the continued improvement in heavy metal pollution control strategies implemented by local environmental agencies combined with a significant improvement in wastewater treatment capacities. Among the five heavy metals, Cd and Pb were below 0.1 and 3 μg L(-1), respectively, at all the sampling points in the studied areas in the year 2012. The detection rates of As, Hg, and Cr(VI) were in the order of Hg > Cr(VI) > As. Hg, Cr(VI), and As exceeded, in a month of the dry season in 2012, the standard limits for category III surface waters according to the China Environment Quality Standards for Surface Water (CEQSSW). Based on the assessment using the HPI method, the pollution status of these heavy metals in water of the Wei River in the Shaanxi Region was generally at an acceptable level, but exhibited distinctive characteristics between the main stream river and tributaries. Most of the tributaries were more seriously polluted than the main river. A health risk assessment was conducted based on the Human Health Risk Assessment (HHRA) method recommended by the United States Environmental Protection Agency (USEPA). Apart from As, the health risk for the five heavy metals in the region were at acceptable levels for drinking water sources (hazard quotient (HQ) pollutant of concern among the five heavy metals; both its values of the HQ and CR indicated potentially adverse health risks for the local population.

  8. 中国环境-健康区域综合评价%Regional comprehensive assessment 0n environment-health of China

    Institute of Scientific and Technical Information of China (English)

    WANG Wuyi(王五一); LI Ribang(李日邦); LIAO Yongfeng(廖永丰); LI Hairong; YANG Linsheng; TAN Jianan

    2004-01-01

    The aim of the study was to assess the environment-health development in different regions of China. 175 indicators, such as average life expectancy at birth, emission intensity of waste gas, GDP etc. were chosen to describe various aspects of the environment, health and development of China. Of all the indicators, life expectancy can sufficiently reflect health situation of population. Consequently,life expectancy was identified as key indicator, and 42 out of 175 indicators were selected for establishing the environment-health indicator fiamework with three grades of integrative indices to assess the development of environment-health of China. Based on the hierarchical relation between various grades of indices, the comprehensive environment-health index was calculated and contributed to classify the environment-health situation of 30 provinces, municipalities and autonomous regions in China which were divided into five grades by four predefmed limits. Comprehensive assessment indicates that the environment-health situation of the eastern and coastal areas is superior to that of inland which is the western regions with underdeveloped economy and rigorous natural condition.Especially, the Qinghai-Tibet and Yunnan-Guizhou plateaus in southwestern China are most vulnerable in the environment and population health. These fit in with the pattern of national socio-economic development, which fully shows that socio-economic context plays a dominant role in the improvement of environment-health in China.

  9. Spatio-temporal variability of satellite derived aerosol optical thickness and ground measurements over East China

    Science.gov (United States)

    Meng, Fei; Shi, Tongguang

    2016-04-01

    Two-year records of Visible Infrared Imaging Radiometer Suite (VIIRS) Intermediate Product (IP) data on the aerosol optical thickness (AOT) at 550 nm were evaluated by comparing them with sun-sky radiometer measurements from the Chinese sun hazemeter network (CSHNET) and the aerosol robotic network (AERONET). The monthly and seasonal variations in the aerosol optical properties over eastern China were then investigated using collocated VIIRS IP data and CSHNET and AERONET measurements.Results show that the performances of the current VIIRS IP AOT retrievals at the provisional stage were consistent with ground measurements. Similar characteristics of seasonal and monthly variations were found among the measurements, though the observational methodologies were different, showing maxima in the summer and spring and minima in the winter and autumn.

  10. SPECTRAL REFLECTANCE MEASUREMENTS AT THE CHINA RADIOMETRIC CALIBRATION TEST SITE FOR THE REMOTE SENSING SATELITE SENSOR

    Institute of Scientific and Technical Information of China (English)

    张玉香; 张广顺; 刘志权; 张立军; 朱顺斌; 戎志国; 邱康睦

    2001-01-01

    A comprehensive field experiment was made with the support of the project of China Radiometric Calibration Site (CRCS) during June-July 1999. Ground reflectance spectra were measured at Dunhuang Calibration Test Site in the experiment. More than two thousands of spectral curves were acquired in a 20 km × 20 km area. The spectral coverage is from 350 nm to 2500 nm. The measurement values show that reflectance is between 10% and 33% at the VISSWIR spectral region. The standard deviation of reflectance is between 1.0% and 2.0% for the spectral range. Optical characteristics and ground reflectance measurements at the Dunhuang test site, result analysis and error source were described. In addition, a comparison of the reflectance obtained in 1999 with those measured in 1994 and 1996 was also made.

  11. Measuring the Productivity of Energy Consumption of Major Industries in China: A DEA-Based Method

    Directory of Open Access Journals (Sweden)

    Xishuang Han

    2014-01-01

    Full Text Available Data envelopment analysis can be applied to measure the productivity of multiple input and output decision-making units. In addition, the data envelopment analysis-based Malmquist productivity index can be used as a tool for measuring the productivity change during different time periods. In this paper, we use an input-oriented model to measure the energy consumption productivity change from 1999 to 2008 of fourteen industry sectors in China as decision-making units. The results show that there are only four sectors that experienced effective energy consumption throughout the whole reference period. It also shows that these sectors always lie on the efficiency frontier of energy consumption as benchmarks. The other ten sectors experienced inefficiency in some two-year time periods and the productivity changes were not steady. The data envelopment analysis-based Malmquist productivity index provides a good way to measure the energy consumption and can give China's policy makers the information to promote their strategy of sustainable development.

  12. Unlocking patients with mental disorders who were in restraints at home: a national follow-up study of China's new public mental health initiatives.

    Directory of Open Access Journals (Sweden)

    Lili Guan

    Full Text Available In 2005, China implemented a demonstration program known as "686" to scale-up nation-wide basic mental health services designed to improve access to evidence-based care and to promote human rights for people with severe mental disorders. As part of the 686 Program, teams "unlocked" and provided continuous mental health care to people with severe mental disorders who were found in restraints and largely untreated in their family homes. We implemented a nation-wide two-stage follow-up study to measure the effectiveness and sustainability of the "unlocking and treatment" intervention and its impact on the well-being of patients' families.266 patients unlocked from 2005 in "686" demonstration sites across China were recruited in Stage One of the study in 2009. In 2012, 230 of the 266 cases were re-interviewed (the Stage Two study. Outcome measures included the patient medication adherence and social functioning, family burden ratings, and relocking rate. We utilized pre-post tests to analyze the changes over time following the unlocking efforts.96% of patients were diagnosed with schizophrenia. Prior to unlocking, their total time locked ranged from two weeks to 28 years, with 32% having been locked multiple times. The number of persons regularly taking medicines increased from one person at the time of unlocking to 74% in 2009 and 76% in 2012. Pre-post tests showed sustained improvement in patient social functioning and significant reductions in family burden. Over 92% of patients remained free of restraints in 2012.Practice-based evidence from our study suggests an important model for protecting the human rights of people with mental disorders and keeping them free of restraints can be achieved by providing accessible, community based mental health services with continuity of care. China's "686" Program can inform similar efforts in low-resource settings where community locking of patients is practiced.

  13. Wind Erosion Induced Soil Degradation in Northern China: Status, Measures and Perspective

    Directory of Open Access Journals (Sweden)

    Zhongling Guo

    2014-12-01

    Full Text Available Soil degradation is one of the most serious ecological problems in the world. In arid and semi-arid northern China, soil degradation predominantly arises from wind erosion. Trends in soil degradation caused by wind erosion in northern China frequently change with human activities and climatic change. To decrease soil loss by wind erosion and enhance local ecosystems, the Chinese government has been encouraging residents to reduce wind-induced soil degradation through a series of national policies and several ecological projects, such as the Natural Forest Protection Program, the National Action Program to Combat Desertification, the “Three Norths” Shelter Forest System, the Beijing-Tianjin Sand Source Control Engineering Project, and the Grain for Green Project. All these were implemented a number of decades ago, and have thus created many land management practices and control techniques across different landscapes. These measures include conservation tillage, windbreak networks, checkerboard barriers, the Non-Watering and Tube-Protecting Planting Technique, afforestation, grassland enclosures, etc. As a result, the aeolian degradation of land has been controlled in many regions of arid and semiarid northern China. However, the challenge of mitigating and further reversing soil degradation caused by wind erosion still remains.

  14. Evolving WTO Law Concerning Health, Safety and Environmental Measures

    Directory of Open Access Journals (Sweden)

    Marcos A. Orellana

    2009-07-01

    Full Text Available With the advent of the World Trade Organization (WTO in 1995, the international trading system faced a new challenge: reinventing its mandate under the light of the sustainable development challenges confronting the global community in the twenty-first century. This challenge has emerged central to the identity of the WTO, since the organization is no longer simply about removing obstacles to trade, like its predecessor – the GATT, 1947. Instead, the WTO is facing the loaded question of how far it will go in scrutinizing the exercise of governmental authority of Members, in regard to internal regulatory issues that relate to trade. Facing this question has been far from easy, especially in connection with disputes concerning health, safety and environmental (HSE measures, since HSE-related disputes touch upon core environmental and human rights issues. The WTO’s Appellate Body has approached the tensions that surface in the adjudication of these disputes by engaging in a process of dialogue among the various legal regimes that bear on HSE measures. This process of normative dialogue and interpretation has allowed the WTO to overcome the GATT’s isolation by situating WTO law within the broader public international law universe. Normative dialogue has thus fundamentally transformed the evolving WTO law concerning HSE measures. This article explores the contours of this proposition, with a view to assessing the degree to which WTO law secures the quantum of policy space that governments need to realize human rights and protection of the environment.

  15. Application of macrobenthic diversity to estimate ecological health of artificial oyster reef in Yangtze Estuary, China.

    Science.gov (United States)

    Lv, Weiwei; Huang, Youhui; Liu, Zhiquan; Yang, Yang; Fan, Bin; Zhao, Yunlong

    2016-02-15

    In this study, several macrobenthic diversity investigations were performed in Yangtze Estuary Oyster Reef, the largest artificial oyster reef in China, from 2012 to 2014. The sampling sites of the south branch showed considerably higher diversity than those of the north branch. The richness measures exhibited a significant increasing trend from low- to high-salinity zone; however, the evenness measures were typically high in the middle-salinity zone. During the past decade, the results were combined with historical data to detect the changes in macrobenthos. The variation in substrate organisms and macrobenthic diversity followed a steady trend after a major fluctuation. Redundancy analysis indicated that the water salinity and substrate factors were the main indicators that influence macrobenthic distribution. All sampling sites in the south branch were protected by a nature reserve. However, the N2 and N6 sites in the north branch were subjected to severe and mild human interventions, respectively.

  16. Atmospheric particulate mercury in the megacity Beijing: Efficiency of mitigation measures and assessment of health effects

    Science.gov (United States)

    Schleicher, N. J.; Schäfer, J.; Chen, Y.; Blanc, G.; Chen, Y.; Chai, F.; Cen, K.; Norra, S.

    2016-01-01

    Atmospheric particulate mercury (HgP) was studied before, during, and after the Olympic Summer Games in Beijing, China, in August 2008 in order to investigate the efficiency of the emission control measures implemented by the Chinese Government. These source control measures comprised traffic reductions, increase in public transportation, planting of vegetation, establishment of parks, building freeze at construction sites, cleaner production techniques for industries and industry closures in Beijing and also in the surrounding areas. Strictest measures including the "odd-even ban" to halve the vehicle volume were enforced from the 20th of July to the 20th of September 2008. The Olympic period provided the unique opportunity to investigate the efficiency of these comprehensive actions implemented in order to reduce air pollution on a large scale. Therefore, the sampling period covered summer (August, September) and winter (December and January) samples over several years from December 2005 to September 2013. Average HgP concentrations in total suspended particulates (TSP) sampled in August 2008 were 81 ± 39 pg/m3 while TSP mass concentrations were 93 ± 49 μg/m3. This equals a reduction by about 63% for TSP mass and 65% for HgP, respectively, compared to the previous two years demonstrating the short-term success of the measures. However, after the Olympic Games, HgP concentrations increased again to pre-Olympic levels in August 2009 while values in August 2010 decreased again by 30%. Moreover, winter samples, which were 2- to 11-fold higher than corresponding August values, showed decreasing concentrations over the years indicating a long-term improvement of HgP pollution in Beijing. However, regarding adverse health effects, comparisons with soil guideline values and studies from other cities highlighted that HgP concentrations in TSP remained high in Beijing despite respective control measures. Consequently, future mitigation measures need to be tailored more

  17. Tobacco Control: China's New Challenge in Health%Tobacco Control: China's New Challenge in Health

    Institute of Scientific and Technical Information of China (English)

    Richard Peto

    2012-01-01

    I am Richard Peto from University of Oxford, UK. I am honored to receive the prestigious Chinese Government Friendship Award, Ever since my early visits to China I have had the privilege of working closely with many distinguished medical scientists in China. This has been an exciting chapter in my academic life. My first visit to China was over 30 years ago, as economic reforms and the open door policy were just beginning.

  18. The measurement of bridging social capital in population health research.

    Science.gov (United States)

    Villalonga-Olives, E; Kawachi, I

    2015-11-01

    Social capital is defined as the resources available to individuals and groups through membership in social networks. The definition is consistent with either an individualistic approach or a collective approach. Social capital can be further classified according to bonding versus bridging social capital (e.g. relationships between individuals who are homogeneous or heterogeneous with respect to social class, race/ethnicity, or other attributes). We conducted a systematic review via Pubmed, the ISI web of knowledge and OVID of the studies that examined bridging social capital in public health settings. Our results indicate lack of consistency or uniformity in the operationalization of bridging social capital. We identify some promising approaches to measurement that should be further investigated in future studies.

  19. Predicting health behaviors with an experimental measure of risk preference.

    Science.gov (United States)

    Anderson, Lisa R; Mellor, Jennifer M

    2008-09-01

    We conduct a large-scale economics experiment paired with a survey to examine the association between individual risk preference and health-related behaviors among adults aged 18-87 years. Risk preference is measured by the lottery choice experiment designed by Holt and Laury [Holt, C.A., Laury, S.K., 2002. Risk aversion and incentive effects. The American Economic Review 92(5), 1644-1655]. Controlling for subject demographic and economic characteristics, we find that risk aversion is negatively and significantly associated with cigarette smoking, heavy drinking, being overweight or obese, and seat belt non-use. In additional specifications, we find that risk aversion is negatively and significantly associated with the likelihood a subject engaged in any of five risky behaviors and the number of risky behaviors reported.

  20. E-learning for grass-roots emergency public health personnel: Preliminary lessons from a national program in China.

    Science.gov (United States)

    Xu, Wangquan; Jiang, Qicheng; Qin, Xia; Fang, Guixia; Hu, Zhi

    2016-07-19

    In China, grass-roots emergency public health personnel have relatively limited emergency response capabilities and they are constantly required to update their professional knowledge and skills due to recurring and new public health emergencies. However, professional training, a principal solution to this problem, is inadequate because of limitations in manpower and financial resources at grass-roots public health agencies. In order to provide a cost-effective and easily expandable way for grass-roots personnel to acquire knowledge and skills, the National Health Planning Commission of China developed an emergency response information platform and provided trial access to this platform in Anhui and Heilongjiang provinces in China. E-learning was one of the modules of the platform and this paper has focused on an e-learning pilot program. Results indicated that e-learning had satisfactorily improved the knowledge and ability of grass-roots emergency public health personnel, and the program provided an opportunity to gain experience in e-course design and implementing e-learning. Issues such as the lack of personalized e-courses and the difficulty of evaluating the effectiveness of e-learning are topics for further study.

  1. Evaluating impacts of air pollution in China on public health: Implications for future air pollution and energy policies

    Energy Technology Data Exchange (ETDEWEB)

    Wang, X.P.; Mauzerall, D.L. [Princeton University, Princeton, NJ (United States). Woodrow Wilson School of Public & Internal Affairs

    2006-03-15

    Our objective is to establish the link between energy consumption and technologies, air pollution concentrations, and resulting impacts on public health in eastern China. We use Zaozhuang, a city in eastern China heavily dependent on coal, as a case study to quantify the impacts that air pollution in eastern China had on public health in 2000 and the benefits in improved air quality and health that could be obtained by 2020, relative to business-as-usual (BAU), through the implementation of best available emission control technology (BACT) and advanced coal gasification technologies (ACGT). We use an integrated assessment approach, utilizing state-of-the-science air quality and meteorological models, engineering, epidemiology, and economics, to achieve this objective. We find that total health damages due to year 2000 anthropogenic emissions from Zaozhuang, using the 'willingness-to-pay' metric, was equivalent to 10% of Zaozhuang's GDP. If all health damages resulting from coal use were internalized in the market price of coal, the year 2000 price would have more than tripled. With no new air pollution controls implemented between 2000 and 2020 but with projected increases in energy use, we estimate health damages from air pollution exposure to be equivalent to 16% of Zaozhuang's projected 2020 GDP. BACT and ACGT (with only 24% penetration in Zaozhuang and providing 2% of energy needs in three surrounding municipalities) could reduce the potential health damage of air pollution in 2020 to 13% and 8% of projected GDP, respectively. Benefits to public health, of substantial monetary value, can be achieved through the use of BACT; health benefits from the use of ACGT could be even larger.

  2. An assessment of progress towards universal health coverage in Brazil, Russia, India, China, and South Africa (BRICS).

    Science.gov (United States)

    Marten, Robert; McIntyre, Diane; Travassos, Claudia; Shishkin, Sergey; Longde, Wang; Reddy, Srinath; Vega, Jeanette

    2014-12-13

    Brazil, Russia, India, China, and South Africa (BRICS) represent almost half the world's population, and all five national governments recently committed to work nationally, regionally, and globally to ensure that universal health coverage (UHC) is achieved. This analysis reviews national efforts to achieve UHC. With a broad range of health indicators, life expectancy (ranging from 53 years to 73 years), and mortality rate in children younger than 5 years (ranging from 10·3 to 44·6 deaths per 1000 livebirths), a review of progress in each of the BRICS countries shows that each has some way to go before achieving UHC. The BRICS countries show substantial, and often similar, challenges in moving towards UHC. On the basis of a review of each country, the most pressing problems are: raising insufficient public spending; stewarding mixed private and public health systems; ensuring equity; meeting the demands for more human resources; managing changing demographics and disease burdens; and addressing the social determinants of health. Increases in public funding can be used to show how BRICS health ministries could accelerate progress to achieve UHC. Although all the BRICS countries have devoted increased resources to health, the biggest increase has been in China, which was probably facilitated by China's rapid economic growth. However, the BRICS country with the second highest economic growth, India, has had the least improvement in public funding for health. Future research to understand such different levels of prioritisation of the health sector in these countries could be useful. Similarly, the role of strategic purchasing in working with powerful private sectors, the effect of federal structures, and the implications of investment in primary health care as a foundation for UHC could be explored. These issues could serve as the basis on which BRICS countries focus their efforts to share ideas and strategies.

  3. 77 FR 42738 - Request for Information on Quality Measurement Enabled by Health IT

    Science.gov (United States)

    2012-07-20

    ... Enabled by Health IT AGENCY: Agency for Healthcare Research and Quality (AHRQ), Health and Human Services... information technology (IT) system developers, including vendors; payers, quality measure developers, end... regarding quality measurement enabled by health IT. Quality measurement--the assessment of the...

  4. Effects of rural-urban return migration on women's family planning and reproductive health attitudes and behavior in rural China.

    Science.gov (United States)

    Chen, Jiajian; Liu, Hongyan; Xie, Zhenming

    2010-03-01

    This study examines the effects of rural-urban return migration on women's family planning and reproductive health attitudes and behavior in the sending areas of rural China. Based on data from a survey of rural women aged 16-40 in Sichuan and Anhui Provinces in 2000, our study finds that migrant women returning from cities to the countryside, especially those who have been living in a large city, are more likely than nonmigrant women to adopt positive family planning and reproductive health attitudes and behavior in their rural communities of origin. We find, moreover, that living in a rural community where the prevalence of such return migrant women is higher is positively associated with new fertility and gender attitudes and with knowledge of self-controllable contraceptives. The findings of significant rural-urban return-migration effects have important policy implications for shaping family planning and reproductive health attitudes and behaviors in rural China.

  5. An Evaluation of River Health for the Weihe River in Shaanxi Province, China

    Directory of Open Access Journals (Sweden)

    Jinxi Song

    2015-01-01

    Full Text Available Excessive socioeconomic activities in the Weihe River region have caused severe ecosystem degradation, and the call for the recovery and maintenance of the river health has drawn great attention. Based on the connotation of river health, previous research findings, and status quo of the Weihe River ecosystem, in this study, we developed a novel health evaluation index system to quantitatively determine the health of the Weihe River in Shaanxi Province. The river in the study area was divided into five reaches based on the five hydrological gauging stations, and appropriate evaluation indices for each river section were selected according to the ecological environmental functions of that section. A hybrid approach integrating analytic hierarchy process (AHP and a fuzzy synthetic evaluation method was applied to measure the river health. The results show that Linjiancun-Weijiabao reach and Weijiabao-Xianyang reach are in the “moderate” level of health and Lintong-Huaxian reach and downstream of Huaxian reach are in the “poor” health rating, whereas Xianyang-Lintong reach is in the “sick” rating. Moreover, the most sensitive factors were determined, respectively, for each reach from upper stream to lower stream in the study area.

  6. Differential health reporting by education level and its impact on the measurement of health inequalities among older Europeans

    NARCIS (Netherlands)

    T.M. Bago d'Uva (Teresa); O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy)

    2008-01-01

    textabstractBackground: This study aims to establish whether health reporting differs by education level and, if so, to determine the extent to which this biases the measurement of health inequalities among older Europeans. Methods: Data are from the Survey of Health, Ageing and Retirement in Europe

  7. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan

    Directory of Open Access Journals (Sweden)

    Huang Jianshi

    2008-09-01

    Full Text Available Abstract Background Hospital preparedness is critical for the early detection and management of public health emergency (PHE. Understanding the current status of PHE preparedness is the first step in planning to enhance hospitals' capacities for emergency response. The objective of this study is to understand the current status of hospital PHE preparedness in China. Methods Four hundred hospitals in four city and provinces of China were surveyed using a standardized questionnaire. Data related to hospital demographic data; PHE preparation; response to PHE in community; stockpiles of drugs and materials; detection and identification of PHE; procedures for medical treatment; laboratory diagnosis and management; staff training; and risk communication were collected and analyzed. Results Valid responses were received from 318 (79.5% of the 400 hospitals surveyed. Of the valid responses, 264 (85.2% hospitals had emergency plans; 93.3% had command centres and personnel for PHE; 22.9% included community organisations during the training for PHE; 97.4% could transport needed medical staff to a PHE; 53.1% had evaluated stockpiles of drugs; 61.5% had evaluated their supply systems; 55.5% had developed surveillance systems; and 74.6% could monitor the abnormity(See in appendix. Physicians in 80.2% of the analyzed hospitals reported up-to-date knowledge of their institution's PHE protocol. Of the 318 respondents, 97.4% followed strict laboratory regulations, however, only about 33.5% had protocols for suspected samples. Furthermore, only 59.0% could isolate and identify salmonella and staphylococcus and less than 5% could isolate and identify human H5N1 avian flu and SARS. Staff training or drill programs were reported in 94.5% of the institutions; 50.3% periodically assessed the efficacy of staff training; 45% had experts to provide psychological counselling; 12.1% had provided training for their medical staff to assess PHE-related stress. All of the above

  8. Normal incidence measurement in a subaqueous sand dune field in the South China Sea.

    Science.gov (United States)

    Chiu, Linus Y S; Chang, Andrea Y Y

    2014-11-01

    Regions with subaqueous sand dunes have been discovered on the upper continental slope of the northern South China Sea. These large subaqueous sand dunes are expected to cause errors in the measurement of normal incidence reflection. This letter presents experiment results of two normal incidence survey tracks conducted in 2013, and the errors in reflection coefficient estimation and the resulting sediment properties induced by sand dune bedforms. The results demonstrate that the reflected energy is focused and scattered by different parts of sand dune bedforms and that they produce significant variation in the estimated reflection coefficients and the inverted geoacoustic properties.

  9. Health related quality of life among patients with chronic graft-versus-host disease in China

    Institute of Scientific and Technical Information of China (English)

    MO Xiao-dong; XU Lan-ping; LIU Dai-hong; CHEN Yu-hong; ZHANG Xiao-hui; CHEN Huan; HAN Wei

    2013-01-01

    Background Chronic graft-versus-host disease (GVHD),the commonest long-term complication after allogeneic hematopoietic stem cell transplantation (HSCT),has a negative impact on patients' health related quality of life (HRQoL).This study was designed to investigate the HRQoL in patients with chronic GVHD in China.Methods Two hundred and sixty-four patients with chronic GVHD who were >24 months post-HSCT and had been in continuous complete remission since HSCT were enrolled in this retrospective study.HRQoL was evaluated using an SF-36 questionnaire.Multivariate analysis was used to identify the factors that affect HRQoL in patients with chronic GVHD.Results HRQoL in patients categorized as having mild and moderate chronic GVHD was significantly better than in those in the severe category.In the moderate chronic GVHD category,markedly poorer HRQoL was observed in patients with both multiple organ involvement and more severe organ impairment than in those without these factors.According to multivariate analysis,chronic GVHD severity had the greatest significant negative impact on patients' HRQoL; whereas being female was associated with a negative impact on psychological health.Conclusion Chronic GVHD severity strongly correlates with negative impacts on patients' HRQoL.

  10. National Occupational Health Service policies and programs for workers in small-scale industries in China.

    Science.gov (United States)

    Zhi, S; Sheng, W; Levine, S P

    2000-01-01

    Over the 14 years since economic reform began, and the restructuring of the economy to encourage international trade, a large number of township enterprises have been developed and put into operation in the Peoples Republic of China. From 1978 to 1991, the number of enterprises has increased 11.5 times; the number of employees has increased 2.4 times; the fixed assets have increased 13.7 times; and the value of the total output has increased 22.5 times. In this article, a report is given on a sample survey in 30 counties in 1990, which showed that 82.69% of rural industrial enterprises had at least one type of occupational hazard in their work environments. Workers engaged in at least one type of hazardous working environment accounted for 33.91% of the blue-collar workers. Physical examinations were performed for seven types of occupational diseases: silicosis, coal worker's pneumoconiosis, asbestosis, chronic lead poisoning, benzene analogs poisoning, chronic chromium poisoning, and noise-induced hearing loss. The total detectable rate of the seven types of occupational diseases was 4.4% among those workers. In addition, 11% had illnesses suspected of being (though not proven to be) caused by occupational exposures. Most township enterprises do not provide basic occupational health services. The coverage of five routine occupational health service activities provided for township enterprises were very limited, from 1.4 to 36%.

  11. An evaluation of a health screening program for migrant women to Taiwan, China

    Directory of Open Access Journals (Sweden)

    Yu-Chu Huang

    2016-05-01

    Full Text Available Objective: We aimed to evaluate an integrated screening program for female migrants to Taiwan. Method: We performed a mixed methodological evaluation of a public health nurse (PHN-led intervention to promote an integrated screening program for female migrants to Taiwan. The clinical case yield was determined by an audit, and staff/client questionnaires were used for the evaluation. Screening comprised surveillance for four untreated chronic diseases (hypertension, diabetes mellitus, tuberculosis, and liver disease, four cancers (mouth, bowel, liver, and cervix, parasitic infection, and hyperlipidemia. Results: Three hundred and thirty-six PHNs and 4751 immigrant women – with an average age of 29.2 years, most of whom were from Vietnam (44% or mainland China (41% – took part in the programme. Two thirds of screened women had no abnormalities. Further investigation was required in 1523 women, of whom 1220 were found to have significant disease. The majority of 280 PHNs (85% found the content, processes, and waiting time to be ‘highly acceptable’ and thought the program was worthwhile and could be incorporated into standard care. Conclusions: The Taipei County Comprehensive Health Screening Programme provided an accessible, free-of-charge, and preventative intervention for female migrants to Taiwan and had a good clinical case yield.

  12. Understanding the shortage of village doctors in China and solutions under the policy of basic public health service equalization: evidence from Changzhou.

    Science.gov (United States)

    Li, Xiaohong; Cochran, Christopher; Lu, Jun; Shen, Jay; Hao, Chao; Wang, Ying; Sun, Mei; Li, Chengyue; Chang, Fengshui; Hao, Mo

    2015-01-01

    As the most important public health service providers in rural China, village doctors are facing a new challenge of heavier workload resulting from the recent policy of public health service equalization. Studies on the shortage of village doctors, mainly based on the national statistics, have so far been very broad. This study conducted detailed field surveys to identify specific factors of and potential solutions to the shortage in village doctors. Eight hundred forty-four village doctors and 995 health decision makers and providers were surveyed through a questionnaire, and some of them were surveyed by in-depth face-to-face interviews and focus group interviews. Opinions on the shortage in village doctors and the potentially effective approaches to addressing the problem were sought. Some village doctors (51.3%) were at least 50 years old. Some village doctors (92.3%) did not want their children to become a village doctor, and the main reasons were "low salary" and "lack of social security". Village doctors felt that it was difficult to provide all the required public health services. Local residents indicated that they established good relationships with village doctors. Some health decision makers and providers (74.0%) thought that they needed more village doctors. The shortage in village doctors presents a major obstacle toward the realization of China's policy of public health service equalization. The aging of current village doctors exacerbates the problem. Policies and programs are needed to retain the current and attract new village doctors into the workforce. Separate measures are also needed to address disparities in socioeconomic circumstance from village to village.

  13. Wetland ecosystem health assessment through integrating remote sensing and inventory data with an assessment model for the Hangzhou Bay, China.

    Science.gov (United States)

    Sun, Tengteng; Lin, Wenpeng; Chen, Guangsheng; Guo, Pupu; Zeng, Ying

    2016-10-01

    Due to rapid urbanization, industrialization and population growth, wetland area in China has shrunk rapidly and many wetland ecosystems have been reported to degrade during recent decades. Wetland health assessment could raise the public awareness of the wetland condition and guide policy makers to make reasonable and sustainable policies or strategies to protect and restore wetland ecosystems. This study assessed the health levels of wetland ecosystem at the Hangzhou Bay, China using the pressure-state-response (PSR) model through synthesizing remote sensing and statistical data. Ten ecological and social-economic indicators were selected to build the wetland health assessment system. Weights of these indicators and PSR model components as well as the normalized wetland health score were assigned and calculated based on the analytic hierarchy process (AHP) method. We analyzed the spatio-temporal changes in wetland ecosystem health status during the past 20years (1990-2010) from the perspectives of ecosystem pressure, state and response. The results showed that the overall wetland health score was in a fair health level, but displayed large spatial variability in 2010. The wetland health score declined from good health level to fair health level from 1990 to 2000, then restored slightly from 2000 to 2010. Overall, wetland health levels showed a decline from 1990 to 2010 for most administrative units. The temporal change patterns in wetland ecosystem health varied significantly among administrative units. Our results could help to clarify the administrative responsibilities and obligations and provide scientific guides not only for wetland protection but also for restoration and city development planning at the Hangzhou Bay area.

  14. Measuring dispositional cancer worry in China and Belgium: a cross-cultural validation.

    Science.gov (United States)

    Bernat, Jennifer Kim; Jensen, Jakob D

    2014-01-01

    Dispositional cancer worry (DCW) is the uncontrollable tendency to dwell on cancer independent of relevant stimuli (e.g., diagnosis of the disease). Past research has suggested that DCW has two underlying dimensions: severity and frequency. Available measures of DCW severity and frequency were translated and validated in two countries: China and Belgium. Participants (N = 623) completed translated scales, as well as measures of general dispositional worry, cancer fear, and perceived risk. In both locations, DCW measures were reliable (Cronbach's alphas ranged from .78 - .93) and demonstrated strong convergent, divergent, and concurrent validity. Severity and frequency factors loaded as expected in exploratory factor analysis. Future research should pursue longitudinal tests of DCW's predictive validity and explore DCW in theoretical models predicting the relationship between worry and cancer prevention and early detection behaviors.

  15. Aerosol Properties over Southeastern China from Multi-Wavelength Raman and Depolarization Lidar Measurements

    Science.gov (United States)

    Heese, Birgit; Althausen, Dietrich; Baars, Holger; Bohlmann, Stephanie; Deng, Ruru

    2016-06-01

    A dataset of particle optical properties of highly polluted urban aerosol over the Pearl River Delta, Guangzhou, China is presented. The data were derived from multi-wavelengths Raman and depolarization lidar PollyXT and AERONET sun photometer measurements. The measurement campaign was conducted from Nov 2011 to June 2012. High aerosol optical depth was observed in the polluted atmosphere over this megacity, with a mean value of 0.54 ± 0.33 and a peak value of even 1.9. For the particle characterization the lidar ratio and the linear particle depolarization ratio, both at 532 nm, were used. The mean values of these properties are 48.0 sr ± 10.7 sr for the lidar ratio and 4%+-4% for the particle depolarization ratio, which means most depolarization measurements stayed below 10%. So far, most of these results indicate urban pollution particles mixed with particles arisen from biomass and industrial burning.

  16. Age and Socioeconomic Gradients of Health of Indian Adults: An Assessment of Self-Reported and Biological Measures of Health.

    Science.gov (United States)

    Arokiasamy, Perianayagam; Uttamacharya; Kowal, Paul; Chatterji, Somnath

    2016-06-01

    This paper describes overall socioeconomic gradients and the age patterns of socioeconomic gradients of health of Indian adults for multiple health indicators encompassing the multiple aspects of health. Cross-sectional data on 11,230 Indians aged 18 years and older from the WHO-SAGE India Wave 1, 2007 were analyzed. Multivariate logit models were estimated to examine effects of socioeconomic status (education and household wealth) and age on four health domains: self-rated health, self-reported functioning, chronic diseases, and biological health measures. Results show that socioeconomic status (SES) was negatively associated with prevalence of each health measure but with considerable heterogeneity across age groups. Results for hypertension and COPD were inconclusive. SES effects are significant while adjusting for background characteristics and health risk factors. The age patterns of SES gradient of health depict divergence with age, however, no conclusive age pattern emerged for biological markers. Overall, results in this paper dispelled the conclusion of negative SES-health association found in some previous Indian studies and reinforced the hypothesis of positive association of SES with health for Indian adults. Higher prevalence of negative health outcomes and SES disparities of health outcomes among older age-groups highlight need for inclusive and focused health care interventions for older adults across socioeconomic spectrum.

  17. Measuring Mental Health Recovery: An Application of Rasch Modeling to the Consumer Recovery Measure.

    Science.gov (United States)

    Lusczakoski, Kathryn Kd; Olmos-Gallo, P Antonio; Milnor, William; McKinney, Christopher J

    2016-01-01

    As the need for recovery-oriented outcomes increases, it is critical to understand how numeric recovery scores are developed. In the current article, the modern Rasch modeling techniques were applied to establish numeric scores of consumers' perceptions of recovery. A sample of 1,973 adult consumers at a community-based mental health center (57.5% male; average age of 47 years old) completed the 15-item Consumer Recovery Measure. A confirmatory factor analysis revealed the unidimensional nature of the Consumer Recovery Measure and provided construct validity evidence. The Rasch analysis displayed that the items produced acceptable model fit, reliability, and identified the difficulty of the items. The conclusion emphasizes the value of Rasch modeling regarding the measurement of recovery and its relevance to consumer-derived assessments in the clinical decision-making process.

  18. Health risk assessment of lead for children in tinfoil manufacturing and e-waste recycling areas of Zhejiang Province, China

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Xiaofeng, E-mail: zjcdcwxf@gmail.com [Zhejiang Provincial Center for Disease Control and Prevention, 630 Xin Cheng Road, Binjiang District, Hangzhou 310051 (China); Centre for Environment and Population Health, Griffith School of Environment, Griffith University, 170 Kessels Road, Nathan, QLD 4111 (Australia); Miller, Greg [Centre for Environment and Population Health, Griffith School of Environment, Griffith University, 170 Kessels Road, Nathan, QLD 4111 (Australia); Ding, Gangqiang; Lou, Xiaoming; Cai, Delei; Chen, Zhijian; Meng, Jia; Tang, Jun [Zhejiang Provincial Center for Disease Control and Prevention, 630 Xin Cheng Road, Binjiang District, Hangzhou 310051 (China); Chu, Cordia [Centre for Environment and Population Health, Griffith School of Environment, Griffith University, 170 Kessels Road, Nathan, QLD 4111 (Australia); Mo, Zhe; Han, Jianlong [Zhejiang Provincial Center for Disease Control and Prevention, 630 Xin Cheng Road, Binjiang District, Hangzhou 310051 (China)

    2012-06-01

    Tinfoil manufacturing and electronic waste (e-waste) recycling remain rudimentary processes in Zhejing Province, China, which could account for elevated blood lead levels (BLLs) and health impacts on children. We assessed the potential health risks of lead in tinfoil manufacturing and e-waste recycling areas. 329 children in total aged 11-12 who lived in a tinfoil manufacturing area (Lanxi), an e-waste recycling area (Luqiao) and a reference area (Chun'an) were studied. Lead levels in children's blood were determined by inductively coupled plasma mass spectrometer (ICP-MS). Blood urea nitrogen (BUN), serum creatinine, serum calcium, {delta}-Aminolaevulinic acid ({delta}-ALA) and intelligence quotient (IQ) were also measured. Geometric mean of BLLs in Lanxi, Luqiao and Chun'an were 8.11 {mu}g/dL, 6.97 {mu}g/dL, and 2.78 {mu}g/dL respectively, with 35.1%, 38.9% and 0% of children who had BLLs above 10 {mu}g/dL. The BLLs in exposed areas were much higher than those in the control area. Lanxi children had higher creatinine and calcium than Chun'an children, and Luqiao children had higher {delta}-ALA and lower calcium than Chun'an children. No significant differences of IQ were observed between Lanxi, Luqiao and Chun'an, however a negative relationship between BLLs and IQ was shown for the study children. The results indicated that lead pollution from e-waste recycling and tinfoil processing appears to be a potential serious threat to children's health. - Highlights: Black-Right-Pointing-Pointer No report on tinfoil processing impact on children's health before. Black-Right-Pointing-Pointer Few studies reported health impacts of lead from e-waste processing. Black-Right-Pointing-Pointer Children with blood lead levels < 10 {mu}g/dL are associated with a decrease in IQ. Black-Right-Pointing-Pointer Threshold appears to exist at blood lead level of about 20 {mu}g/dL for urinary {delta}-ALA.

  19. Measuring information technology investment among Canadian academic health sciences centres.

    Science.gov (United States)

    Pederson, Lorraine; Leonard, Kevin

    2005-01-01

    Many recent studies have attempted to accurately measure the expenditure by hospitals in the area of new information technology (IT), for example see Leonard 1998 and Pink et al. 2001. This is usually done as an exercise to compare the healthcare sector with other industries that have had much more success in implementing and leveraging their IT investment (Willcocks 1992; Chan 2000). It is normally hoped that such investigation would help explain some of the differences among the various industries and provide insight into where (and how much) future IT spending should occur in healthcare (Leonard 2004). Herein, we present the results from a study of eight Canadian academic health sciences centres that contributed data in order to analyze the amount of information technology spending in their organizations. Specifically, we focus on one specific indicator: the IT spend ratio. This ratio is defined as the percentage of total IT net costs to total hospital net operating costs, and aims to provide a "relative (or percentage) measure of spending" so as to make the comparisons meaningful. One such comparison shows that hospitals spend only 55% of the amount the financial services sector spends.

  20. Phase Space Dissimilarity Measures for Structural Health Monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Bubacz, Jacob A [ORNL; Chmielewski, Hana T [ORNL; Pape, Alexander E [ORNL; Depersio, Andrew J [ORNL; Hively, Lee M [ORNL; Abercrombie, Robert K [ORNL; Boone, Shane [ORNL

    2011-11-01

    A novel method for structural health monitoring (SHM), known as the Phase Space Dissimilarity Measures (PSDM) approach, is proposed and developed. The patented PSDM approach has already been developed and demonstrated for a variety of equipment and biomedical applications. Here, we investigate SHM of bridges via analysis of time serial accelerometer measurements. This work has four aspects. The first is algorithm scalability, which was found to scale linearly from one processing core to four cores. Second, the same data are analyzed to determine how the use of the PSDM approach affects sensor placement. We found that a relatively low-density placement sufficiently captures the dynamics of the structure. Third, the same data are analyzed by unique combinations of accelerometer axes (vertical, longitudinal, and lateral with respect to the bridge) to determine how the choice of axes affects the analysis. The vertical axis is found to provide satisfactory SHM data. Fourth, statistical methods were investigated to validate the PSDM approach for this application, yielding statistically significant results.

  1. DOES CHILDHOOD NUTRITION PREDICT HEALTH OUTCOMES DURING ADULTHOOD? EVIDENCE FROM A POPULATION-BASED STUDY IN CHINA.

    Science.gov (United States)

    Qi, Yaqiang; Niu, Jianlin

    2015-09-01

    Using data collected from the 2008 survey of Internal Migration and Health in China, this study examines the impact of late childhood nutrition intakes on a wide range of indicators of adult health. The results show that respondents who consume rich nutrients (meat, fish, milk, etc.) less frequently during late childhood have worse health outcomes when they grow up. They are more likely to rate their health as 'fair/poor', report a greater number of chronic diseases, have a higher incidence of acute illness, perceive greater numbers of physical pains/discomforts and to suffer more from insomnia and depression. With respect to objective biometrics, respondents who have less access to rich nutrients at age 14 tend to attain a shorter stature, gain more weight as an adult, and are more likely to become obese or have low lung capacity. Taken together, the evidence in support of a harmful impact of late childhood undernutrition on adult health is stronger and more consistent for subjective health indicators than for the objective biometrics examined in this study. Moreover, the results also indicate that the long-term health impact of late childhood nutrition deprivation is especially detrimental for females in China.

  2. Evaluating impacts of air pollution in China on public health: implications for future air pollution and energy policies

    Energy Technology Data Exchange (ETDEWEB)

    Xiaoping Wang; Mauzerall, D.L. [Princeton University, Princeton, NJ (United States). Science, Technology and Environmental Policy Program

    2006-03-15

    Our objective is to establish the link between energy consumption and technologies, air pollution concentrations, and resulting impacts on public health in eastern China. We use Zaozhuang, a city in eastern China heavily dependent on coal, as a case study to quantify the impacts that air pollution in eastern China had on public health in 2000 and the benefits in improved air quality and health that could be obtained by 2020, relative to business-as-usual (BAU), through the implementation of best available emission control technology (BACT) and advanced coal gasification technologies (ACGT). We use an integrated assessment approach, utilizing state-of-the-science air quality and meteorological models, engineering, epidemiology, and economics, to achieve this objective. We find that total health damages due to year 2000 anthropogenic emissions from Zaozhuang, using the ''willingness-to-pay'' metric, was equivalent to 10% of Zaozhuang's GDP. If all health damages resulting from coal use were internalized in the market price of coal, the year 2000 price would have more than tripled. With no new air pollution controls implemented between 2000 and 2020 but with projected increases in energy use, we estimate health damages from air pollution exposure to be equivalent to 16% of Zaozhuang's projected 2020 GDP. BACT and ACGT (with only 24% penetration in Zaozhuang and providing 2% of energy needs in three surrounding municipalities) could reduce the potential health damage of air pollution in 2020 to 13% and 8% of projected GDP, respectively. Benefits to public health, of substantial monetary value, can be achieved through the use of BACT; health benefits from the use of ACGT could be even larger. Despite significant uncertainty associated with each element of the integrated assessment approach, we demonstrate that substantial benefits to public health could be achieved in this region of eastern China through the use of additional pollution

  3. Evaluating impacts of air pollution in China on public health: Implications for future air pollution and energy policies

    Science.gov (United States)

    Wang, Xiaoping; Mauzerall, Denise L.

    Our objective is to establish the link between energy consumption and technologies, air pollution concentrations, and resulting impacts on public health in eastern China. We use Zaozhuang, a city in eastern China heavily dependent on coal, as a case study to quantify the impacts that air pollution in eastern China had on public health in 2000 and the benefits in improved air quality and health that could be obtained by 2020, relative to business-as-usual (BAU), through the implementation of best available emission control technology (BACT) and advanced coal gasification technologies (ACGT). We use an integrated assessment approach, utilizing state-of-the-science air quality and meteorological models, engineering, epidemiology, and economics, to achieve this objective. We find that total health damages due to year 2000 anthropogenic emissions from Zaozhuang, using the "willingness-to-pay" metric, was equivalent to 10% of Zaozhuang's GDP. If all health damages resulting from coal use were internalized in the market price of coal, the year 2000 price would have more than tripled. With no new air pollution controls implemented between 2000 and 2020 but with projected increases in energy use, we estimate health damages from air pollution exposure to be equivalent to 16% of Zaozhuang's projected 2020 GDP. BACT and ACGT (with only 24% penetration in Zaozhuang and providing 2% of energy needs in three surrounding municipalities) could reduce the potential health damage of air pollution in 2020 to 13% and 8% of projected GDP, respectively. Benefits to public health, of substantial monetary value, can be achieved through the use of BACT; health benefits from the use of ACGT could be even larger. Despite significant uncertainty associated with each element of the integrated assessment approach, we demonstrate that substantial benefits to public health could be achieved in this region of eastern China through the use of additional pollution controls and particularly from the

  4. Parental support for sexual and reproductive health information and services for unmarried youth in Chengdu, China.

    Science.gov (United States)

    Cui, Nian; Tian, Ai-Ping; Li, Min-Xiang; Shah, Iqbal H

    2012-07-01

    The objective of the study was to explore parental perspectives and attitudes towards the provision of sexual and reproductive health (SRH) information and services to unmarried youth in Chengdu, China. A representative sample of parents was drawn using multi-stage stratified cluster sampling technique, and information was collected using a structured questionnaire. The eligible respondents were parents (both fathers and mothers) who had at least one unmarried adolescent and/or youth aged 15 to 24 years old. A total of 2,871 fathers and mothers were interviewed. Parents' SRH-related knowledge was poor and dissonant attitudes of tolerance and ambivalence towards provision of SRH information and services to unmarried youth were found. About 80% of parents accepted and understood unmarried youth seeking SRH counseling service, but the percentages of such positive attitude was much lower for premarital contraceptive use. Over half of the parents were supportive of providing SRH education and information to unmarried youth; whereas on the provision of contraceptive services to sexually active unmarried youth, 27% were negative, 25% accepted, 36% indicated an understanding, and the rest 12% had no opinion. Parents' SRH-related knowledge and attitudes were associated with parental social-demographic characteristics. Findings from this study suggest that parent-oriented programs are needed to apprise them of the existing SRH conditions of the unmarried youth in China, to allay fears and misconceptions of parents, and to enhance family-based sex education in terms of increasing parents' SRH knowledge and their capacity and skills of providing such information to unmarried youth.

  5. Health and human rights concerns of drug users in detention in Guangxi Province, China.

    Directory of Open Access Journals (Sweden)

    J Elizabeth Cohen

    2008-12-01

    Full Text Available BACKGROUND: Although confinement in drug detoxification ("detox" and re-education through labor (RTL centers is the most common form of treatment for drug dependence in China, little has been published about the experience of drug users in such settings. We conducted an assessment of the impact of detention on drug users' access to HIV prevention and treatment services and consequent threats to fundamental human rights protections. METHODS AND FINDINGS: Chinese government HIV and anti-narcotics legislation and policy documents were reviewed, and in-depth and key informant interviews were conducted with 19 injection drug users (IDUs and 20 government and nongovernmental organization officials in Nanning and Baise, Guangxi Province. Significant contradictions were found in HIV and antinarcotics policies, exemplified by the simultaneous expansion of community-based methadone maintenance therapy and the increasing number of drug users detained in detox and RTL center facilities. IDU study participants reported, on average, having used drugs for 14 y (range 8-23 y and had been confined to detox four times (range one to eight times and to RTL centers once (range zero to three times. IDUs expressed an intense fear of being recognized by the police and being detained, regardless of current drug use. Key informants and IDUs reported that routine HIV testing, without consent and without disclosure of the result, was the standard policy of detox and RTL center facilities, and that HIV-infected detainees were not routinely provided medical or drug dependency treatment, including antiretroviral therapy. IDUs received little or no information or means of HIV prevention, but reported numerous risk behaviors for HIV transmission while detained. CONCLUSIONS: Legal and policy review, and interviews with recently detained IDUs and key informants in Guangxi Province, China, found evidence of anti-narcotics policies and practices that appear to violate human rights

  6. Health risk assessment of cadmium pollution emergency for urban populations in Foshan City, China.

    Science.gov (United States)

    Dou, Ming; Zhao, Peipei; Wang, Yanyan; Li, Guiqiu

    2017-03-01

    With rapid socioeconomic development, water pollution emergency has become increasingly common and could potentially harm the environment and human health, especially heavy metal pollution. In this paper, we investigate the Cd pollution emergency that occurred in the Pearl River network, China, in 2005, and we build a migration and transformation model for heavy metals to simulate the spatiotemporal distribution of Cd concentrations under various scenarios of Cd pollution emergency in Foshan City. Moreover, human health hazard and carcinogenic risk for local residents of Foshan City were evaluated. The primary conclusions were as follows: (1) the number of carcinogen-affected people per year under scenario 1 reached 254.41 when the frequency was 0.1 year/time; specifically, the number of people with cancer per year in the area of the Datang, Lubao, and Nanbian waterworks was 189.36 accounting for 74% of the total number per year; (2) at the frequency of 5 years/time, the Lubao waterwork is the only one in extremely high- or high-risk grade, while besides it, the risk grade in the Datang, Nanbian, Xinan, Shitang, and Jianlibao waterworks is in the extremely high or high grade when the frequency is 0.1 year/time; (3) when Cd pollution accidents with the same level occurs again, Cd concentration decreases to a low level in the water only if the migration distance of Cd is at least 40-50 km. Based on the health risk assessment of Cd pollution, this study gives the recommendation that the distance should keep above 50 km in tidal river network of the Pearl River Delta between those factories existing the possibility of heavy metal pollution and the drinking water source. Only then can the public protect themselves from hazardous effects of higher levels of heavy metal.

  7. Healthy Cities indicators--a suitable instrument to measure health?

    Science.gov (United States)

    Webster, Premila; Sanderson, Denise

    2013-10-01

    The evidence-base for a health strategy should include information on the determinants of health and how they link together if it is to influence the health of the population. The WHO European Healthy Cities Network developed a set of 53 healthy city indicators (HCIs), to describe the health of its citizens and capture a range of local initiatives addressing the wider dimensions of health. This was the first systematic effort to collect and analyze a range of data from European cities. The analysis provided important insights into the interpretation, availability, and feasibility of collecting data, resulting in the development of a revised set of 32 indicators with improved definitions. An analysis of the revised indicators showed that this data was more complete and feasible to collect. It provided useful information to cities contributing to developing a description of health and thus helping to identify health problems. It also highlighted issues about the importance of collecting qualitative as well as quantitative data, the number of indicators and the appropriateness of using the indicators to compare different cities. HCIs facilitated the collection of routinely available health data in a systematic manner. The introduction of HCIs has encouraged cities to adopt a structured process of collecting information on the health of their citizens and build on this information by collecting appropriate local data for developing a city health profile to underpin a city health plan that would set out strategies and interventions to improve health and provide the evidence-base for health plans.

  8. Ecological and Economic System Health Assessment Based on Fuzzy Set Pair Analysis: A Case Study of Northwest Region, China%Ecological and Economic System Health Assessment Based on Fuzzy Set Pair Analysis: A Case Study of Northwest Region, China

    Institute of Scientific and Technical Information of China (English)

    Chen Junfei; Zhou Xiaolan; Wang Huimin

    2012-01-01

    Due to the increasingly serious environmental pollution and destruction, especially humans' unreasonable activities, the ecological and economic system (EES) issues of Northwest region in China have attracted more and more attention of the researchers. Aiming at evaluating its ecological and economic system health, a multi-objective evaluation framework called Pressure- State-Response (PSR) was established to. describe the ecological and economic health situations. Meanwhile, an integrative set pair model combining set pair analysis (SPA) and fuzzy analytic hierarchy process (FAHP) was proposed to assess the ecological and economic system. Then the EES status of five northwest provinces (Shanxi, Gansu, Qinghai, Ningxia and Xinjiang) of Northwest region in China was evaluated during 1985 to 2009. The EES development trends of five provinces are obtained. In general, the health values of five provinces showed a rising trend. The health values of five provinces grew rapidly during 1985 to 2000. After 2000, the health values of five provinces still followed the present growth trend, but the growth is relatively smooth. The results show that the method proposed is effective for assessing the health of ecological and economic system.

  9. Air quality of Beijing (China) and Delhi (India) and impact on Human Health and Climate in Asia

    Science.gov (United States)

    Zheng, S.; Singh, R. P.; Wu, Y.; Wu, C.

    2015-12-01

    Air pollution has been estimated to represent a significant fraction of the total mortality attributable to 26 risk factors assessed by the World Health Organization global burden of disease project. Delhi is distributed over 1484 km2 with population density of 11297/km2 (as in 2011) and surrounded by highly industrialized National Capital region (NCR) with population density of 1050/km2. Beijing covers an area of 16,800 km2, with population density of 1300/km2 (upto 2014). It is located at the foothills of Yan Mountains and Taihang Mountains, in the North China Plain. Both these cities suffer with poor air quality and are severely affected by dense haze, fog and smog during summer and winter seasons. Earlier studies in developing countries have concentrated on limited air quality parameters. Detailed results from trace gases (O3, NO, NO2, and CO) and particulate matter (PM10 and PM2.5) in two Asian megacities, Delhi (India) and Beijing (China), will be presented. Trace gases and particulate matter in Beijing were collected at 31 sites during 2013-2014. The measurements in Delhi were carried out at 8 sites during October 2010 - March 2013. The annual average of PM10, PM2.5, O3, NO, NO2, and CO over Delhi in 2013 is 199 ug/m3, 123 ug/m3, 25.6 ppb, 21.5 ppb, 15.8 ppb, 1.7 ppb, respectively. The annual average of PM10, PM2.5, O3, NO2, CO, and SO2 over Beijing is 113 ug/m3, 85 ug/m3, 51 ug/m3, 46 ug/m3, 1.3 mg/m3, 23 ug/m3, respectively. The annual and seasonal variations of trace gases and particulate matter in Beijing and Delhi are also analyzed, as well as spatial changes of air pollution in these two cities. A comparative analysis in these two cities and the sources of pollution and their impact on human health and Asian climate will be discussed.

  10. Comparison of two approaches for measuring household wealth via an asset-based index in rural and peri-urban settings of Hunan province, China

    Directory of Open Access Journals (Sweden)

    Balen Julie

    2010-09-01

    Full Text Available Abstract Background There are growing concerns regarding inequities in health, with poverty being an important determinant of health as well as a product of health status. Within the People's Republic of China (P.R. China, disparities in socio-economic position are apparent, with the rural-urban gap of particular concern. Our aim was to compare direct and proxy methods of estimating household wealth in a rural and a peri-urban setting of Hunan province, P.R. China. Methods We collected data on ownership of household durable assets, housing characteristics, and utility and sanitation variables in two village-wide surveys in Hunan province. We employed principal components analysis (PCA and principal axis factoring (PAF to generate household asset-based proxy wealth indices. Households were grouped into quartiles, from 'most wealthy' to 'most poor'. We compared the estimated household wealth for each approach. Asset-based proxy wealth indices were compared to those based on self-reported average annual income and savings at the household level. Results Spearman's rank correlation analysis revealed that PCA and PAF yielded similar results, indicating that either approach may be used for estimating household wealth. In both settings investigated, the two indices were significantly associated with self-reported average annual income and combined income and savings, but not with savings alone. However, low correlation coefficients between the proxy and direct measures of wealth indicated that they are not complementary. We found wide disparities in ownership of household durable assets, and utility and sanitation variables, within and between settings. Conclusion PCA and PAF yielded almost identical results and generated robust proxy wealth indices and categories. Pooled data from the rural and peri-urban settings highlighted structural differences in wealth, most likely a result of localized urbanization and modernization. Further research is needed

  11. Effect of low income on health-related quality of life: a cross-sectional study in northeast China.

    Science.gov (United States)

    Zhang, Ying; Ou, Fengrong; Gao, Shuang; Gao, Qian; Hu, Liwen; Liu, Yang

    2015-03-01

    Following the dramatic socioeconomic transition since the 1980s in China, some people became unemployed and experienced a significant drop in income. The aim of this study was to assess the effects of low income on health-related quality of life (HRQOL) among the population in northeast China. A total of 5100 individuals in northeast China were randomly sampled and investigated using the 36-item Short-Form Health Survey (SF-36) from November 2005 to October 2006. According to the monthly per capita income level, the population was divided into different groups for analysis. Multiple linear regressions showed that low income, older age, disease, and unemployment were the important factors that could lead to worse HRQOL. Covariance analysis showed that there were significant differences in HRQOL scores among the subgroups of the low-income population. When the income level increased, HRQOL scores improved. This study could provide valuable information for planning integrated economic and public health policies to improve the health of people living in poverty.

  12. Air pollution-induced health impacts on the national economy of China: demonstration of a computable general equilibrium approach.

    Science.gov (United States)

    Wan, Yue; Yang, Hongwei; Masui, Toshihiko

    2005-01-01

    At the present time, ambient air pollution is a serious public health problem in China. Based on the concentration-response relationship provided by international and domestic epidemiologic studies, the authors estimated the mortality and morbidity induced by the ambient air pollution of 2000. To address the mechanism of the health impact on the national economy, the authors applied a computable general equilibrium (CGE) model, named AIM/Material China, containing 39 production sectors and 32 commodities. AIM/Material analyzes changes of the gross domestic product (GDP), final demand, and production activity originating from health damages. If ambient air quality met Grade II of China's air quality standard in 2000, then the avoidable GDP loss would be 0.38%o of the national total, of which 95% was led by labor loss. Comparatively, medical expenditure had less impact on national economy, which is explained from the aspect of the final demand by commodities and the production activities by sectors. The authors conclude that the CGE model is a suitable tool for assessing health impacts from a point of view of national economy through the discussion about its applicability.

  13. Health impact of bioaccessible metal in lip cosmetics to female college students and career women, northeast of China.

    Science.gov (United States)

    Gao, Peng; Liu, Sa; Zhang, Zhaohan; Meng, Ping; Lin, Nan; Lu, Binyu; Cui, Fuyi; Feng, Yujie; Xing, Baoshan

    2015-02-01

    Actual measure-based studies have estimated ingestion rate of moderate and high daily use to female college students and career women in northeast of China. Sequential extraction analyses showed that total bioaccessible metals concentration in lipstick ranged from 2.103 to 31.103 μg/g and in lip balm ranged from 0.100 to 3.716 μg/g. The relationship between total bioaccessible metal concentrations and the cost of lip cosmetics showed a negative correlation. Lead was detected in all 30 products (100%), with an average concentration of 0.346 for lip balm and 0.407 μg/g for lipstick. With the exception of chromium content in three lipsticks, the estimated exposure in female college students and career women to target metals via lipstick and lip balm ingestion (calculated for moderate and high use) were much lower than the acceptable reference limits. The findings strongly emphasize the need to focus on the health risk of lip balm.

  14. Metals compositions of indoor PM2.5, health risk assessment, and birth outcomes in Lanzhou, China.

    Science.gov (United States)

    Zhang, Yaqun; Cao, Suzhen; Xu, Xiaoying; Qiu, Jie; Chen, Mingxia; Wang, Dennis; Guan, Donghong; Wang, Chengyuan; Wang, Xiao; Dong, Bowen; Huang, Huang; Zhao, Nan; Jin, Lan; Bai, Yana; Duan, Xiaoli; Liu, Qing; Zhang, Yawei

    2016-06-01

    The study aimed to investigate the metal compositions in indoor PM2.5 and the potential health risks they pose to residents of an urban area in China. A total of 41 and 54 households were surveyed in February and September 2013, respectively. The results showed that the indoor concentrations of metals varied depending on the types of cooking fuels used. All measured concentrations of metals were highest among households using coal for cooking. In the majority of households, non-carcinogenic risks were posed by the use of coal. The carcinogenic risks posed by chromium (VI) and arsenic were generally higher among households using coal for cooking than among those using gas or electricity. The multivariate linear regression model suggested a potential adverse effect from arsenic and cadmium on birth weight and gestational weeks. This study also found that cooking fuel was the most significant factor that contributed to the differences in concentrations of metals in indoor PM2.5 and highlighted the importance of using clean energy for cooking and heating.

  15. Source identification and health impact of PM2.5 in a heavily polluted urban atmosphere in China

    Science.gov (United States)

    Yang, Lingxiao; Cheng, Shuhui; Wang, Xinfeng; Nie, Wei; Xu, Pengju; Gao, Xiaomei; Yuan, Chao; Wang, Wenxing

    2013-08-01

    Positive matrix factorization (PMF) was applied to identify the types of PM2.5 sources and corresponding mass contributions to PM2.5 mass concentrations using PM2.5 measurements obtained from Dec. 2007 to Oct. 2008 in Jinan, which is a highly polluted city in China. The reconstructed mass concentrations from six sources matched the observations, and the resolved sources constituted 98.91% of the PM2.5 mass concentrations. Secondary sources, the major source contributor, accounted for 55.15% of PM2.5 mass concentration, while several other sources, including coal burning (20.98%), soil dust (9.30%), motor vehicles (6.06%), biomass burning (4.55%), and industry (2.87%), contributed a total of 43.76%. The non-carcinogenic risk estimates showed the elemental risk for Mn, Co, S and Cr were high, with values larger than 0.1 being observed for the three groups. The total elemental risk in Jinan for the three groups was higher than 1, and the largest risk was present for children between the age of 6-12 followed by that for children between 2 and 6 years of age, indicating that citizens in Jinan, particularly children, faced more serious potential non-carcinogenic health risks.

  16. Comprehensive Measurement for Carrying Capacity of Resources and Environment of City Clusters in Central China

    Institute of Scientific and Technical Information of China (English)

    FANG Chuanglin; LIU Xiaoli

    2010-01-01

    Studying the carrying capacity of resources and environment of city clusters in the central China has impor-tant practical guidance significance for promoting the healthy,sustainable and stable development of this region.Ac-cording to their influencing factors and reciprocity mechanism,using system dynamics approaches,this paper built a SD model for measuring the carrying capacity of resources and environment of the city clusters in the central China,and through setting different development models,the comprehensive measurement analysis on the carrying capacity was carried out.The results show that the model of promoting socio-economic development under the protection of resources and environment is the optimal model for promoting the harmony development of resources,environment,society and economy in the city clusters.According to this model,the optimum population scale of the city clusters in2020 is 42.80×106 persons,and the moderate economic development scale is 22.055× 1012 yuan(RMB).In 1996-2020,the carrying capacity of resources and environment in the city clusters took on obvious phase-change characteristics.During the studied period,it is basically at the initial development stage,and will come through the development process from slow development to speedup development.

  17. Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China.

    Directory of Open Access Journals (Sweden)

    Minxue Shen

    Full Text Available Few studies on nutrition and food safety education intervention for students in remote areas of China were reported. The study aimed to assess the questionnaire used to measure the knowledge, attitude and behavior with respect to nutrition and food safety, and to evaluate the effectiveness of a quasi-experimental nutrition and food safety education intervention among primary school students in poverty-stricken counties of west China.Twelve primary schools in west China were randomly selected from Zhen'an of Shaanxi province and Huize of Yunnan province. Six geographically dispersed schools were assigned to the intervention group in a nonrandom way. Knowledge, attitude and behavior questionnaire was developed, assessed, and used for outcome measurement. Students were investigated at baseline and the end of the study respectively without follow-up. Students in intervention group received targeted nutrition and food safety lectures 0.5 hour per week for two semesters. Item response theory was applied for assessment of questionnaire, and a two-level difference-in-differences model was applied to assess the effectiveness of the intervention.The Cronbach's alpha of the original questionnaire was 0.84. According to item response model, 22 knowledge items, 6 attitude items and 8 behavior items showed adequate discrimination parameter and were retained. 378 and 478 valid questionnaires were collected at baseline and the end point. Differences of demographic characteristics were statistically insignificant between the two groups. Two-level difference-in-differences models showed that health education improved 2.92 (95% CI: 2.06-3.78 and 2.92 (95% CI: 1.37-4.47 in knowledge and behavior scores respectively, but had no effect on attitude.The questionnaire met the psychometric standards and showed good internal consistence and discrimination power. The nutrition and food safety education was effective in improving the knowledge and behavior of primary school

  18. Is the effect of person-organisation fit on turnover intention mediated by job satisfaction? A survey of community health workers in China

    Science.gov (United States)

    Yan, Fei; Wang, Wei; Li, Guohong

    2017-01-01

    Objectives Person-organisation fit (P-O fit) is a predictor of work attitude. However, in the area of human resource for health, the literature of P-O fit is quite limited. It is unclear whether P-O fit directly or indirectly affects turnover intention. This study aims to examine the mediation effect of job satisfaction on the relationship between P-O fit and turnover intention based on data from China. Design and methods This is a cross-sectional survey of community health workers (CHWs) in China in 2013. A questionnaire of P-O fit, job satisfaction and turnover intention was developed, and its validity and reliability were assessed. Multiple regression and structural equation modelling were used to examine the relationship among P-O fit, job satisfaction and turnover intention. Setting and participants Multistage sampling was applied. In total, 656 valid questionnaire responses were collected from CHWs in four provincial regions in China, namely Shanghai, Shaanxi, Shandong and Anhui. Results P-O fit was directly related to job satisfaction (standardised β 0.246) and inversely related to turnover intention (standardised β −0.186). In the mediation model, the total effect of P-O fit on turnover intention was −0.186 (pjob satisfaction on the relationship between P-O fit and turnover intention was −0.092 (pjob satisfaction. It is suggested that more work attitude variables and different dimensions of P-O fit be taken into account to examine the complete mechanism of person-organisation interaction. Indirect measures of P-O fit should be encouraged in practice to enhance work attitudes of health workers.

  19. Long term PM2.5 estimation and its impact on human health in Beijing, China

    Science.gov (United States)

    Zheng, Sheng; Pozzer, Andrea; Cao, Chunxiang

    2014-05-01

    Due to the economic growth and urbanization, the emissions of pollutants have increased significantly in the North China Plain (NCP). Beijing, the capital of China, is located at the northern tip of NCP, and it is considered one of the most densely populated cities with the poorest air quality. This is of major concerns, because of the impact of high pollutants concentration on human health. The present study analyses the characteristics of AOD and the particulate matter with diameter human health in the central Beijing areas. We acquire AOD from Aerosol Robotic Network (AERONET) in Beijing from 2001 to 2012. The AOD data are fitted with a lognormal distribution, and the 95% of the cumulative probability is used as the threshold for episodes of high AOD. Most episodes occur in summer, mostly in June, though this is combined with high precipitation. Episodes of high AOD caused by coarse pollutants occur only in March and April, and they are mostly caused by dust from the north. According to wind direction, wind speed, boundary layer height (BLH) and pollutant emission distribution, episodes of high AOD are due to the anthropogenic pollutants from the south (Hebei province). Based on ground PM2.5 observation from the US embassy in Beijing from 2010 to 2011, we establish a relationship between PM2.5and AERONET AOD, including BLH and relative humidity (RH) correction. Thanks to this method, 12 years of PM2.5 are estimated for the Beijing central area, allowing the estimation of long term concentrations of this pollutant. Since there is no obvious difference among the daily PM2.5 of six stations lying in Chaoyang, Dongcheng, and Xicheng district, we use the daily PM2.5 from US embassy station to represent the PM2.5 concentration in these three districts, and calculate yearly premature mortality due to long term exposure to PM2.5among the population with an age of ≥ 30 yr in these three districts.

  20. Informatics Metrics and Measures for a Smart Public Health Systems Approach: Information Science Perspective.

    Science.gov (United States)

    Carney, Timothy Jay; Shea, Christopher Michael

    2017-01-01

    Public health informatics is an evolving domain in which practices constantly change to meet the demands of a highly complex public health and healthcare delivery system. Given the emergence of various concepts, such as learning health systems, smart health systems, and adaptive complex health systems, health informatics professionals would benefit from a common set of measures and capabilities to inform our modeling, measuring, and managing of health system "smartness." Here, we introduce the concepts of organizational complexity, problem/issue complexity, and situational awareness as three codependent drivers of smart public health systems characteristics. We also propose seven smart public health systems measures and capabilities that are important in a public health informatics professional's toolkit.

  1. Evaluation of the pollution and human health risks posed by heavy metals in the atmospheric dust in Ebinur Basin in Northwest China.

    Science.gov (United States)

    Abuduwailil, Jilili; Zhaoyong, Zhang; Fengqing, Jiang

    2015-09-01

    Recently, a large amount of research assessing pollution levels and the related health risks posed by atmosphere dust has been undertaken worldwide. However, little work has been done in the oases of the arid regions of Northwest China. In this paper, we studied the pollution and health risks over a year of seven heavy metals in the atmospheric dust of Ebinur Basin, a typical oasis in Northwest China. The results showed the following: (1) The annual amount of atmospheric deposition in Ebinur Basin was 298.23 g m(-2) and the average monthly atmospheric deposition was 25.06 g m(-2). The average and maximum values of the seven heavy metals measured were all below the National Soil Environmental Quality Standards (2nd). (2) Heavy metals of Cu, Cr, and As in the atmospheric deposition mainly originated from the natural geological background, while Zn came from human activity. This study also showed that among the seven measured heavy metals, the ratios of the no-pollution status of Pb, Cd, and Hg were higher than those of others with moderate degrees of pollution also accounting for a certain ratio. (3) The carcinogenic risks from As, Cd, and Cr were all lower than the corresponding standard limit values, and these metals are considered not harmful to the health of the basin. However, there is a relatively high risk of exposure for children from hand-to-mouth intake, which is worthy of attention. This research showed that both human activity and natural factors, such as wind and altitude, influenced the heavy metal contents in the atmospheric dust of the study area. Furthermore, recent human activity in the study area had the most negative influence on the accumulation of the heavy metals and the corresponding health risks, especially for Hg, Pb, and Cd, which is worthy of attention.

  2. Measurement of cosmic ray flux in the China JinPing underground laboratory

    Institute of Scientific and Technical Information of China (English)

    WU Yu-Cheng; HAO Xi-Qing; YUE Qian; LI Yuan-Jing; CHENG Jian-Ping; KANG Ke-Jun; CHEN Yun-Hua

    2013-01-01

    The China JinPing underground Laboratory (CJPL) is the deepest undcrground laboratory running in the world at present.In such a deep underground laboratory,the cosmic ray flux is a very important and necessary parameter for rare-event experiments.A plastic scintillator telescope system has been set up to measure the cosmic ray flux.The performance of the telescope system has been studied using the cosmic rays on the ground laboratory near the CJPL.Based on the underground experimental data taken from November 2010 to December 2011 in the CJPL,which has an effective live time of 171 days,the cosmic ray muon flux in the CJPL is measured to be (2.0±0.4) ×10-10/(cm2s).The ultra-low cosmic ray background guarantees an ideal environment for dark matter experiments at the CJPL.

  3. Pure Rotational Raman Lidar for Temperature Measurements from 5-40 Km Over Wuhan, China

    Science.gov (United States)

    Li, Yajuan; Song, Shalei; Yang, Yong; Li, Faquan; Cheng, Xuewu; Chen, Zhenwei; Liu, Linmei; McCormick, M. Patrick; Gong, Shunsheng

    2016-06-01

    In this paper a pure rotational Raman lidar (PRR) was established for the atmospheric temperature measurements from 5 km to 40 km over Wuhan, China (30.5°N, 114.5°E). To extract the expected PRR signals and simultaneously suppress the elastically backscattered light, a high-spectral resolution polychromator for light splitting and filtering was designed. Observational results revealed that the temperature difference measured by PRR lidar and the local radiosonde below 30 km was less than 3.0 K. The good agreement validated the reliability of the PRR lidar. With the 1-h integration and 150-m spatial resolution, the statistical temperature error for PRR lidar increases from 0.4 K at 10 km up to 4 K at altitudes of about 30 km. In addition, the whole night temperature profiles were obtained for study of the long-term observation of atmospheric fluctuations.

  4. Pure Rotational Raman Lidar for Temperature Measurements from 5-40 Km Over Wuhan, China

    Directory of Open Access Journals (Sweden)

    Li Yajuan

    2016-01-01

    Full Text Available In this paper a pure rotational Raman lidar (PRR was established for the atmospheric temperature measurements from 5 km to 40 km over Wuhan, China (30.5°N, 114.5°E. To extract the expected PRR signals and simultaneously suppress the elastically backscattered light, a high-spectral resolution polychromator for light splitting and filtering was designed. Observational results revealed that the temperature difference measured by PRR lidar and the local radiosonde below 30 km was less than 3.0 K. The good agreement validated the reliability of the PRR lidar. With the 1-h integration and 150-m spatial resolution, the statistical temperature error for PRR lidar increases from 0.4 K at 10 km up to 4 K at altitudes of about 30 km. In addition, the whole night temperature profiles were obtained for study of the long-term observation of atmospheric fluctuations.

  5. Research on the measurement of the price change of telecom services in China

    Institute of Scientific and Technical Information of China (English)

    ZHAO Hui-juan

    2006-01-01

    It is difficult to measure the total change of the telecom service price (TSP) in China due to the complexity of TSP and the diversity of telecom service. This article analyzes the relation between telecom service revenue and traffic volumes of telecom service and deduces the method of measuring the total change in tendency of telecom price, which is based on the consumer's actual payment for telecom services. After describing the changing trend of TSP with the time series data from 1949 to 2000, the TSP showed a continuous declining tendency during 1949~1975. In contrast, the TSP showed a rising tendency from 1976 to 1991 and a sharp declining trend after 1992. Empirical tests and actual background of telecom reform support the results.

  6. Utility and limitations of measures of health inequities: a theoretical perspective

    Directory of Open Access Journals (Sweden)

    Olakunle Alonge

    2015-09-01

    Full Text Available What is already known on this subject?Various measures have been used in quantifying health inequities among populations in recent times; most of these measures were derived to capture the socioeconomic inequalities in health. These different measures do not always lend themselves to common interpretation by policy makers and health managers because they each reflect limited aspects of the concept of health inequities.What does this study add?To inform a more appropriate application of the different measures currently used in quantifying health inequities, this article explicates common theories underlying the definition of health inequities and uses this understanding to show the utility and limitations of these different measures. It also suggests some key features of an ideal indicator based on the conceptual understanding, with the hope of influencing future efforts in developing more robust measures of health inequities. The article also provides a conceptual ‘product label’ for the common measures of health inequities to guide users and ‘consumers’ in making more robust inferences and conclusions.This paper examines common approaches for quantifying health inequities and assesses the extent to which they incorporate key theories necessary for explicating the definition of health inequity. The first theoretical analysis examined the distinction between inter-individual and inter-group health inequalities as measures of health inequities. The second analysis considered the notion of fairness in health inequalities from different philosophical perspectives. To understand the extent to which different measures of health inequities incorporate these theoretical explanations, four criteria were used to assess each measure: 1 Does the indicator demonstrate inter-group or inter-individual health inequalities or both; 2 Does it reflect health inequalities in relation to socioeconomic position; 3 Is it sensitive to the absolute transfer of

  7. Persistent halogenated compounds in aquaculture environments of South China: implications for global consumers' health risk via fish consumption.

    Science.gov (United States)

    Yu, Huan-Yun; Zhang, Bao-Zhong; Giesy, John P; Zeng, Eddy Y

    2011-10-01

    This study examined the potential sources of persistent halogenated compounds (PHCs), including organochlorine pesticides, mainly DDXs (sum of o,p'- and p,p'-DDT, -DDD, and -DDE and p,p'-DDMU) and polybrominated diphenyl ethers, to typical aquaculture environments of South China, determined the relative importance of gill diffusion and fish feeding for exposure of fish to these contaminants and assessed potential health risk for global consumers via consumption of fish from South China. Fish feed is generally a direct and important source of PHCs in both freshwater and seawater aquaculture. In addition, gill diffusion is the predominant uptake route for PHCs (except p,p'-DDMU, o,p'-DDD and -DDT) in farmed freshwater fish, whereas accumulation from the diet is the major route for farmed marine fish. Risks to health of global consumers via consumption of fish from South China are minimal. However, increased risk can be foreseen due to continuous use of brominated fire retardants and electronic waste importation to China.

  8. Health and Economic Impacts of Air Pollution in China: A Comparison of the General Equilibrium Approach and Human Capital Approach

    Institute of Scientific and Technical Information of China (English)

    YUE WAN; HONG-WEI YANG; TOSHIHIKO MASUI

    2005-01-01

    In China, combustion of fossil fuels and biomass has produced serious air pollution that does harm to human health. Based on dose-response relationships derived from epidemiological studies, the authors calculated the number of deaths and people with health problems which were thought to be attributable to China's air pollution in the year of 2000. In order to estimate the corresponding economic impacts from the national point of view, the general equilibrium approach was selected as an analysis tool for this study. A computable general equilibrium (CGE) model was constructed involving 39 sectors and 32 commodities.The human capital approach (HCA) was also used for comparison. The economic burden of disease for people estimated by HCA was equivalent to 1.26‰ (ranging from 0.44‰ to 1.84‰) of China's gross domestic product (GDP). China's GDP loss estimated by the general equilibrium approach reached 0.38‰ (ranging from 0.16‰ to 0.51‰). The difference between the two approaches and the implications of the results were discussed.

  9. Health and economic impacts of air pollution in China: a comparison of the general equilibrium approach and human capital approach.

    Science.gov (United States)

    Wan, Yue; Yang, Hong-Wei; Masui, Toshihiko

    2005-12-01

    In China, combustion of fossil fuels and biomass has produced serious air pollution that does harm to human health. Based on dose-response relationships derived from epidemiological studies, the authors calculated the number of deaths and people with health problems which were thought to be attributable to China's air pollution in the year of 2000. In order to estimate the corresponding economic impacts from the national point of view, the general equilibrium approach was selected as an analysis tool for this study. A computable general equilibrium (CGE) model was constructed involving 39 sectors and 32 commodities. The human capital approach (HCA) was also used for comparison. The economic burden of disease for people estimated by HCA was equivalent to 1.26 per thousand (ranging from 0.44 per thousand to 1.84 per thousand) of China's gross domestic product (GDP). China's GDP loss estimated by the general equilibrium approach reached 0.38 per thousand (ranging from 0.16 per thousand to 0.51 per thousand). The difference between the two approaches and the implications of the results were discussed.

  10. Study Based on Bridge Health Monitoring System on Multihazard Load Combinations of Earthquake and Truck Loads for Bridge Design in the Southeast Coastal Areas of China

    Directory of Open Access Journals (Sweden)

    Dezhang Sun

    2015-01-01

    Full Text Available Similar to American LRFD Bridge Design Specifications, the current Chinese bridge design code is fully calibrated against gravity load and live load. Earthquake load is generally considered alone and has its own methodology, however, which is not covered in the code in a consistent probability-based fashion. Earthquake load and truck load are the main loads considered in the basis of bridge design in more than 70% of seismic areas in China. They are random processes, and their combination is the main subject of this paper. Seismic characteristics of southeast coastal areas of China are discussed and an earthquake probability curve is calculated through seismic risk analysis. Using measured truck load data from a Bridge Health Monitoring System, the multimodal characteristics of truck load are analyzed and a probability model for a time interval t is obtained by fitting results and reliability theory. Then, a methodology is presented to combine earthquake load and truck load on a probabilistic basis. To illustrate this method, truck load and earthquake load combinations are used. Results conceptually illustrate that truck load and earthquake load are not dominant in southeast coastal areas of China, but the effect of their combination is. This methodology quantitatively demonstrates that the design is controlled by truck load in most ranges; that is, truck load is more important to bridge design in the region.

  11. Health effects of perceived racial and religious bullying among urban adolescents in China: a cross-sectional national study.

    Science.gov (United States)

    Pan, Stephen W; Spittal, Patricia M

    2013-07-01

    Research concerning ethnocultural bullying and adolescent health in China remains extremely limited. This study among Chinese urban adolescents examines associations between ethnocultural bullying and eight health-related outcomes: suicidal ideation, suicide planning, depressive symptomology, anxiety symptomatology, fighting, injury intentionally inflicted by another, smoking and moderate/heavy alcohol consumption. Data were obtained from the World Health Organisation's 2003 Chinese Global School-based Health Survey, a cross-sectional national survey of urban adolescents in four Chinese cities. The analytic sample size was n = 8182, which represented a sampling frame of 769,835 adolescents. Statistical analysis was conducted using generalised linear mixed effects models and sampling weights. Prevalence of ethnocultural bullying was significantly higher in Urumqi, Xinjiang province (2.08%) compared with Beijing municipality (0.72%) or Wuhan, Hubei province (0.67%). Compared to participants who were not bullied, religious bullying victimisation was significantly associated with suicidal ideation, injury intentionally inflicted by another and depressive symptomology. Racial bullying victimisation was significantly associated with suicidal ideation, injury intentionally inflicted by another and among females but not males, depressive symptomology. Health effects of ethnocultural bullying appear to be distinct from that of bullying in general. Additional research on ethnocultural adolescent health issues in China is warranted.

  12. Organizational Health--How to Measure a School's Level of Health and Take Remedial Action.

    Science.gov (United States)

    Childers, John H., Jr.

    1985-01-01

    Reviews interrelated factors affecting a school's organizational health and describes nine steps administrators can take to enhance the school's climate. Suggests using the Organizational Health Instrument or a similar diagnostic tool to collect data on the school's organizational health. (PGD)

  13. Health outcomes in diabetics measured with Minnesota Community Measurement quality metrics

    Directory of Open Access Journals (Sweden)

    Takahashi PY

    2014-12-01

    Full Text Available Paul Y Takahashi,1 Jennifer L St Sauver,2 Lila J Finney Rutten,2 Robert M Jacobson,3 Debra J Jacobson,2 Michaela E McGree,2 Jon O Ebbert1 1Department of Internal Medicine, Division of Primary Care Internal Medicine, 2Department of Health Sciences Research, Mayo Clinic Robert D and Patricia E Kern Center for the Science of Health Care Delivery, 3Department of Pediatric and Adolescent Medicine, Division of Community Pediatrics, Mayo Clinic, Rochester, MN, USA Objective: Our objective was to understand the relationship between optimal diabetes control, as defined by Minnesota Community Measurement (MCM, and adverse health outcomes including emergency department (ED visits, hospitalizations, 30-day rehospitalization, intensive care unit (ICU stay, and mortality. Patients and methods: In 2009, we conducted a retrospective cohort study of empaneled Employee and Community Health patients with diabetes mellitus. We followed patients from 1 September 2009 until 30 June 2011 for hospitalization and until 5 January 2014 for mortality. Optimal control of diabetes mellitus was defined as achieving the following three measures: low-density lipoprotein (LDL cholesterol <100 mg/mL, blood pressure <140/90 mmHg, and hemoglobin A1c <8%. Using the electronic medical record, we assessed hospitalizations, ED visits, ICU stays, 30-day rehospitalizations, and mortality. The chi-square or Wilcoxon rank-sum tests were used to compare those with and without optimal control. We used Cox proportional hazard models to estimate the associations between optimal diabetes mellitus status and each outcome. Results: We identified 5,731 empaneled patients with diabetes mellitus; 2,842 (49.6% were in the optimal control category. After adjustment, we observed that non-optimally controlled patients had higher risks for hospitalization (hazard ratio [HR] 1.11; 95% confidence interval [CI] 1.00–1.23, ED visits (HR 1.15; 95% CI 1.06–1.25, and mortality (HR 1.29; 95% CI 1.09–1

  14. Geothermal measurements in the pilot-boreholes of the China Continental Scientific Drilling

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The geothermal measurements in the piIot-boreholes of the China Continental Scientific Drilling (CCSD) indicate that the temperature gradients in the target area of the deep drilling range from 19 to 26℃/km, which is lower than that (25-30℃/km) for the global continental area and similar to that for the KTB (21-28℃/km). Thermal conductivity measurements for 44 core samples show that the ultra-high pressure (UHP) metamorphic rocks have 50% higher thermal conductivity (with a mean of 3.94±1.26 W/mK) than that for the average value of the upper crust.The measured heat flow values vary between 76 and 80 mW/m2, higher than that for the global continental area (65±1.6 mW/m2) and the continental China (61±15.5 mW/m2)as well as the adjacent North Jiangsu Basin (68 mW/m2), but lower than that below 1000 m in the KTB (85 mW/m2). The elevated heat flow in the pilot-boreholes can be attributed to the lateral heat concentration due to higher rock thermal conductivity of the UHP belt than that of the adjacent rocks. Lower deep temperature in the target area of the deep drilling can be expected due to the lower measured temperature gradient, which means that the Sulu area is geothermally suitable for continental deep drilling.

  15. Measurement and assessment of carrying capacity of the environment in Ningbo, China.

    Science.gov (United States)

    Liu, R Z; Borthwick, Alistair G L

    2011-08-01

    Carrying Capacity of the Environment (CCE) provides a useful measure of the sustainable development of a region. Approaches that use integrated assessment instead of measurement can lead to misinterpretation of sustainable development because of confusion between Environmental Stress (ES) indexes and CCE indexes, and the selection of over-simple linear plus models. The present paper proposes a comprehensive measurement system for CCE which comprises models of natural resources capacity, environmental assimilative capacity, ecosystem services capacity, and society supporting capacity. The corresponding measurable indexes are designed to assess CCE using a carrying capacity surplus ratio model and a vector of surplus ratio of carrying capacity model. The former aims at direct comparison of ES and CCE based on the values of basic indexes, and the latter uses a Euclidean vector to assess CCE states. The measurement and assessment approaches are applicable to Strategic Environmental Assessment (SEA) and environmental planning and management. A case study is presented for Ningbo, China, whereby all the basic indexes of ECC are measured and the CCE states assessed for 2005 and 2010.

  16. A New Measure of Traditional Values Across Cultures: China and Russia Compared

    Directory of Open Access Journals (Sweden)

    Robert J. Taormina

    2016-10-01

    Full Text Available A new measure of adherence to traditional values was created with the objective of facilitating research within and across cultures and nations. The measure was tested in China (N = 321 and Russia (N = 314 and factor analysis of the data revealed two subscales named Personal Traditional Values (10 items and Public Traditional Values (6 items. Empirical psychometric testing of the overall 16-item measure and the two subscales strongly supported the validity and reliability of all three measures. Means comparisons conducted to assess how well the measures could be used for cross-cultural comparisons revealed the Russians somewhat more than the Chinese living by traditional values overall, both nations about equal on living according to traditional values in their personal lives, and the Russians significantly more inclined to abide by traditional values in public. Also tested were several social and psychological variables as theoretical predictors of living by traditional values, and Life Satisfaction was tested as a possible correlate of living according to traditional values. Regression analyses on the combined data confirmed that Family Emotional Support, Conscientiousness, Collectivism, and Age were all significant positive predictors of living by traditional values. Additional regressions also found some unique predictors for each nation. These findings and the results of the parametric tests support the use of the new scales for measuring traditional values both within and across cultures.

  17. Measuring Nursing Value from the Electronic Health Record.

    Science.gov (United States)

    Welton, John M; Harper, Ellen M

    2016-01-01

    We report the findings of a big data nursing value expert group made up of 14 members of the nursing informatics, leadership, academic and research communities within the United States tasked with 1. Defining nursing value, 2. Developing a common data model and metrics for nursing care value, and 3. Developing nursing business intelligence tools using the nursing value data set. This work is a component of the Big Data and Nursing Knowledge Development conference series sponsored by the University Of Minnesota School Of Nursing. The panel met by conference calls for fourteen 1.5 hour sessions for a total of 21 total hours of interaction from August 2014 through May 2015. Primary deliverables from the bit data expert group were: development and publication of definitions and metrics for nursing value; construction of a common data model to extract key data from electronic health records; and measures of nursing costs and finance to provide a basis for developing nursing business intelligence and analysis systems.

  18. Perceived health status as measured by the SF-36 in patients with multiple sclerosis : a review

    NARCIS (Netherlands)

    Krokavcova, Martina; van Dijk, Jitse P.; Nagyova, Iveta; Rosenberger, Jaroslav; Gavelova, Miriam; Gdovinova, Zuzana; Groothoff, Johan W.

    2009-01-01

    This review of literature gives an overview of recent studies about perceived health status as measured by the Short-Form-36 (SF-36) Health Survey in patients with multiple sclerosis (MS). The SF-36 is one of the tools measuring health status in patients used in international research and clinical p

  19. Health-care data collecting, sharing, and using in Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia.

    Science.gov (United States)

    Aljunid, Syed Mohamed; Srithamrongsawat, Samrit; Chen, Wen; Bae, Seung Jin; Pwu, Raoh-Fang; Ikeda, Shunya; Xu, Ling

    2012-01-01

    This article sought to describe the health-care data situation in six selected economies in the Asia-Pacific region. Authors from Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia present their analyses in three parts. The first part of the article describes the data-collection process and the sources of data. The second part of the article presents issues around policies of data sharing with the stakeholders. The third and final part of the article focuses on the extent of health-care data use for policy reform in these different economies. Even though these economies differ in their economic structure and population size, they share some similarities on issues related to health-care data. There are two main institutions that collect and manage the health-care data in these economies. In Thailand, China mainland, Taiwan, and Malaysia, the Ministry of Health is responsible through its various agencies for collecting and managing the health-care data. On the other hand, health insurance is the main institution that collects and stores health-care data in South Korea and Japan. In all economies, sharing of and access to data is an issue. The reasons for limited access to some data are privacy protection, fragmented health-care system, poor quality of routinely collected data, unclear policies and procedures to access the data, and control on the freedom on publication. The primary objective of collecting health-care data in these economies is to aid the policymakers and researchers in policy decision making as well as create an awareness on health-care issues for the general public. The usage of data in monitoring the performance of the heath system is still in the process of development. In conclusion, for the region under discussion, health-care data collection is under the responsibility of the Ministry of Health and health insurance agencies. Data are collected from health-care providers mainly from the public sector. Routinely collected data are

  20. Health and social impacts of biomass gasification for household energy in rural China: Assessment from three perspectives and emergent insights from their synthesis

    Science.gov (United States)

    Fischer, Susan Lynn

    Solid fuels such as coal, wood, and crop straw supply some fraction of household cooking and heating fuel for more than one billion people in China. As these fuels do not generally combust cleanly in household stoves, their use levies large health and environmental burdens, particularly in rural regions. Production of clean-burning fuels from agricultural residue offers one prospect for mitigating health and social burdens imposed by household use of solid fuels. This dissertation explores the question: how might production of clean-burning household fuels from agricultural residues affect human health and social conditions in rural China? I approach this question from three perspectives. First, a technically plausible but currently unproven village-scale energy technology is explored in a scenario bounded by natural resources and substantiated by engineering specifications, estimates of indoor exposures to air pollution, and epidemiological analyses. This analysis asks at the national (China) level: how might rural health burdens be mitigated and greenhouse gas emissions reduced by such a technology? Secondly, I perform wintertime indoor air quality monitoring in a Chinese village where coal and wood are used for heating and a variety of solid and "improved" fuels, including gas and electricity, are used for cooking. This fieldwork characterizes rural indoor air quality in terms of 24-hour and peak-period (1-hour) carbon monoxide (CO) and particulate matter (PM) concentrations and 24-hour airborne nicotine (a proxy for environmental tobacco smoke), as well as daily exposures of primary cooks to CO. I also explore relationships between observed measures of indoor air quality and investigate household structural and behavioral factors as determinants of air quality. The third perspective is an ethnographic case study of a demonstration project for production of household fuel from agricultural residue in Hechengli Village, Jilin Province, China. With an emphasis on

  1. Knowledge, Attitudes and Practice of Desalinated Water among Professionals in Health and Water Departments in Shengsi, China: A Qualitative Study

    OpenAIRE

    Tao Chen; Qiqi Wang; Yu Qin; Xi Chen; Xiaoxiong Yang; Wei Lou; Mikang Zhou; Guangxue He; Kai Lu

    2015-01-01

    Desalination has been considered as an essential way to solve water stress all over the world. Most of previous studies focused on its environmental impacts, energy consumption and desalination technologies rather than human health. However, the safety of desalinated water remains unclear. This study was undertaken to investigate the knowledge, attitude and practice (KAP) of the residents in an island county in eastern China to desalinated water. Seventeen people working in medical and water ...

  2. National occupational health service policies and programs for workers in small scale industries in China

    Energy Technology Data Exchange (ETDEWEB)

    Su Zhi; Wang Sheng; Levine, S.P.

    2000-07-01

    Over the 14 years since economic reform began, and the restructuring of the economy to encourage international trade, a large number of township enterprises have been developed and put into operation in the Peoples Republic of China. In this paper, a report is given on a sample survey in 30 counties in 1990, which showed that 82.69% of rural industrial enterprises had at least one type of occupational hazard in their work environments. Workers engaged in at least one type of hazardous working environment accounted for 33.91% of the blue-collar workers. Physical examinations were performed for seven types of occupational diseases: silicosis, coal worker's pneumoconiosis, asbestosis, chronic lead poisoning, benzene analogs poisoning, chronic chromium poisoning, and noise-induced hearing loss. The total detectable rate of the seven types of occupational diseases was 4.4% among those workers. In addition, 11% had illnesses suspected of being caused by occupational exposures. Most township enterprises do not provide basic occupational health services.

  3. Status monitoring and health assessment of Luhuitou fringing reef of Sanya,Hainan, China

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qiaomin; SHI Qi; CHEN Gang; FONG T C W; WONG D C C; HUANG Hui; WANG Hankui; ZHAO Meixia

    2006-01-01

    The monitoring survey and health assessment for benthic community were carried out in Luhuitou fringing reef of Sanya, Hainan, China in 2002. Monitoring survey included manta tow, line intercept transect, video transect and digital photograph. The mean live coral cover was 23.40%. Comparison of used monitoring methods showed that video transect can replace line intercept transect, and 50 m transect is better than 20 m transect in uneven coral region. Survey data and comparison with previous research work showed that Luhuitou fringing reef has been damaged severely and has a general declining trend with live coral cover from about 85% in the 1960s down to 20% in 2004,but it still has quite high biodiversity and therefore has special protection value. Main factors of Luhuitou fringing reef declining were human activities including reef rock digging and curios collecting, destructive fishing, sediment and pollutant from coastal land, and recent marine aquaculture. Only strengthening integrated management can reach improvement and restoration of Luhuitou declining coral reef ecosystem.

  4. Health Care Austerity Measures in Times of Crisis: The Perspectives of Primary Health Care Physicians in Madrid, Spain.

    Science.gov (United States)

    Heras-Mosteiro, Julio; Sanz-Barbero, Belén; Otero-Garcia, Laura

    2016-01-01

    The current financial crisis has seen severe austerity measures imposed on the Spanish health care system, including reduced public spending, copayments, salary reductions, and reduced services for undocumented migrants. However, the impacts have not been well-documented. We present findings from a qualitative study that explores the perceptions of primary health care physicians in Madrid, Spain. This article discusses the effects of austerity measures implemented in the public health care system and their potential impacts on access and utilization of primary health care services. This is the first study, to our knowledge, exploring the health care experiences during the financial crisis of general practitioners in Madrid, Spain. The majority of participating physicians disapproved of austerity measures implemented in Spain. The findings of this study suggest that undocumented migrants should regain access to health care services; copayments should be minimized and removed for patients with low incomes; and health care professionals should receive additional help to avoid burnout. Failure to implement these measures could result in the quality of health care further deteriorating and could potentially have long-term negative consequences on population health.

  5. Suggestion of Policy and Measurement in Nutritional Improvement in China%我国未来营养改善的策略与措施建议

    Institute of Scientific and Technical Information of China (English)

    张兵; 张伋; 翟凤英; 张继国; 杜文雯; 王惠君; 苏畅; 刘爱东; 王志宏; 黄辉; 周蕊

    2011-01-01

    Nutrition not only illustrates health status of the residents, but also affects manpower for economic development. China is in a critical period of economic development, however, nutritional status of residents will not improve with economic development, and nutritional deficiencies and over-nutrition will not disappear and effective strategies and measures need to be taken to ensure nutrition and health of residents develop in good direction. Short and long term nutritional goals, strategies, and measures need to be established in China according to different stages and needs.%营养问题不仅关系居民的健康,也影响经济发展的人力资源质量.我国正处在经济发展的关键时期,居民的营养状况并不会因为经济的发展而自然改善,营养缺乏和营养过剩问题也不会自己消失,需要采取有效策略和措施,才能保证居民营养与健康状况向着良好的方向发展.国家需要根据发展的不同阶段和需求,确立近期和远期的营养目标、策略和措施.

  6. MAX-DOAS aerosol and trace gases measurements in megacities in China

    Energy Technology Data Exchange (ETDEWEB)

    Li, Xin [Institut fuer Energie- und Klimaforschung, Forschungszentrum Juelich (Germany); College of Environmental Science and Engineering Peking University, Beijing (China); Brauers, Theo [Institut fuer Energie- und Klimaforschung, Forschungszentrum Juelich (Germany); Shao, Min [College of Environmental Science and Engineering Peking University, Beijing (China)

    2011-07-01

    Multi Axis Differential Optical Absorption Spectroscopy (MAXDOAS) is a new remote sensing technique to measure atmospheric trace gases. Compared to other areas in the world, the atmospheric observations in megacities in China are rather limited. We present MAX-DOAS measurements at four sites in Beijing and Guangzhou in 2006 and 2008. At each site, the scattered sunlight was recorded at 7 elevation angles for about 1 months. Using the zenith spectrum as reference, the Differential Slant Column Densities (DSCDs) of HCHO, CHOCHO, O{sub 4} and NO{sub 2} at offaxis viewing geometries were derived from the DOAS fit. These DSCDs were simulated using a backward Monte Carlo radiative transfer model. The aerosol and trace gas profiles were defined by 3 parameters: the integrated quantities (T), the height of the surface layer (H), and the fraction of T below H. We fitted the modeled values to the measured values at the corresponding viewing geometries by varying the 3 parameters. The aerosol extinction and the boundary layer height were successfully retrieved from the measured O{sub 4} DSCDs as well as ground level concentrations of CHOCHO, HCHO, and NO{sub 2}, the latter being compared to simultaneous in-situ measurements.

  7. An information theory based framework for the measurement of population health.

    Science.gov (United States)

    Nesson, Erik T; Robinson, Joshua J

    2015-04-01

    This paper proposes a new framework for the measurement of population health and the ranking of the health of different geographies. Since population health is a latent variable, studies which measure and rank the health of different geographies must aggregate observable health attributes into one summary measure. We show that the methods used in nearly all the literature to date implicitly assume that all attributes are infinitely substitutable. Our method, based on the measurement of multidimensional welfare and inequality, minimizes the entropic distance between the summary measure of population health and the distribution of the underlying attributes. This summary function coincides with the constant elasticity of substitution and Cobb-Douglas production functions and naturally allows different assumptions regarding attribute substitutability or complementarity. To compare methodologies, we examine a well-known ranking of the population health of U.S. states, America's Health Rankings. We find that states' rankings are somewhat sensitive to changes in the weight given to each attribute, but very sensitive to changes in aggregation methodology. Our results have broad implications for well-known health rankings such as the 2000 World Health Report, as well as other measurements of population and individual health levels and the measurement and decomposition of health inequality.

  8. Health Risk Assessment for Inhalation Exposure to Methyl Tertiary Butyl Ether at Petrol Stations in Southern China.

    Science.gov (United States)

    Hu, Dalin; Yang, Jianping; Liu, Yungang; Zhang, Wenjuan; Peng, Xiaowu; Wei, Qinzhi; Yuan, Jianhui; Zhu, Zhiliang

    2016-02-06

    Methyl tertiary butyl ether (MTBE), a well known gasoline additive, is used in China nationwide to enhance the octane number of gasoline and reduce harmful exhaust emissions, yet little is known regarding the potential health risk associated with occupational exposure to MTBE in petrol stations. In this study, 97 petrol station attendants (PSAs) in southern China were recruited for an assessment of the health risk associated with inhalation exposure to MTBE. The personal exposure levels of MTBE were analyzed by Head Space Solid Phase Microextraction GC/MS, and the demographic characteristics of the PSAs were investigated. Cancer and non-cancer risks were calculated with the methods recommended by the United States Environmental Protection Agency. The results showed that the exposure levels of MTBE in operating workers were much higher than among support staff (p operating workers, and 0.026 to 0.049 per 10⁶ for support staff, which are below the typical target range for risk management of 1 × 10(-6) to 1 × 10(-4); The hazard quotients (HQs) for all subjects were exposure of PSAs in southern China is in a low range which does not seem to be a significant health risk.

  9. Health Risk Assessment for Inhalation Exposure to Methyl Tertiary Butyl Ether at Petrol Stations in Southern China

    Directory of Open Access Journals (Sweden)

    Dalin Hu

    2016-02-01

    Full Text Available Methyl tertiary butyl ether (MTBE, a well known gasoline additive, is used in China nationwide to enhance the octane number of gasoline and reduce harmful exhaust emissions, yet  little is known regarding the potential health risk associated with occupational exposure to MTBE in petrol stations. In this study, 97 petrol station attendants (PSAs in southern China were recruited for an assessment of the health risk associated with inhalation exposure to MTBE. The personal exposure levels of MTBE were analyzed by Head Space Solid Phase Microextraction GC/MS, and the demographic characteristics of the PSAs were investigated. Cancer and non-cancer risks were calculated with the methods recommended by the United States Environmental Protection Agency. The results showed that the exposure levels of MTBE in operating workers were much higher than among support staff (p < 0.01 and both were lower than 50 ppm (an occupational threshold limit value. The calculated cancer risks (CRs at the investigated petrol stations was 0.170 to 0.240 per 106 for operating workers, and 0.026 to 0.049 per 106 for support staff, which are below the typical target range for risk management of 1 × 10−6 to 1 × 10−4; The hazard quotients (HQs for all subjects were <1. In conclusion, our study indicates that the MTBE exposure of PSAs in southern China is in a low range which does not seem to be a significant health risk.

  10. Cirrus Cloud Macrophysical and Optical Properties over North China from CALIOP Measurements

    Institute of Scientific and Technical Information of China (English)

    MIN Min; WANG Pucai; James R. CAMPBELL; ZONG Xuemei; XIA Junrong

    2011-01-01

    Two years of mid-latitude cirrus