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Sample records for china measurements health

  1. Developing a Performance Measurement Framework and Indicators for Community Health Service Facilities in Urban China

    Directory of Open Access Journals (Sweden)

    Wang Bin

    2010-11-01

    Full Text Available Abstract Background China has had no effective and systematic information system to provide guidance for strengthening PHC (Primary Health Care or account to citizens on progress. We report on the development of the China results-based Logic Model for Community Health Facilities and Stations (CHS and a set of relevant PHC indicators intended to measure CHS priorities. Methods We adapted the PHC Results Based Logic Model developed in Canada and current work conducted in the community health system in China to create the China CHS Logic Model framework. We used a staged approach by first constructing the framework and indicators and then validating their content through an interactive process involving policy analysis, critical review of relevant literature and multiple stakeholder consultation. Results The China CHS Logic Model includes inputs, activities, outputs and outcomes with a total of 287 detailed performance indicators. In these indicators, 31 indicators measure inputs, 64 measure activities, 105 measure outputs, and 87 measure immediate (n = 65, intermediate (n = 15, or final (n = 7 outcomes. Conclusion A Logic Model framework can be useful in planning, implementation, analysis and evaluation of PHC at a system and service level. The development and content validation of the China CHS Logic Model and subsequent indicators provides a means for stronger accountability and a clearer sense of overall direction and purpose needed to renew and strengthen the PHC system in China. Moreover, this work will be useful in moving towards developing a PHC information system and performance measurement across districts in urban China, and guiding the pursuit of quality in PHC.

  2. Deepening Health Reform in China

    OpenAIRE

    World Bank Group; World Health Organization,; Ministry of Finance, P.R.C.; National Health and Family Planning Commission, P.R.C.; Ministry of Human Resources and Social Security, P.R.C.

    2016-01-01

    At a meeting in July 2014 in Beijing, we committed to working together on a flagship report that would help set the direction for health sector reform in China. This report, Deepening Health Reform in China, is the result. Using the successful model offered by previous flagship reports like China 2030 and Urban China, this report primarily offers a blueprint for a new direction for China’s health sector. The report’s main theme is the need for China to transition...

  3. Health related quality of life measured by SF-36: a population-based study in Shanghai, China

    OpenAIRE

    Liu Wenbin; Wu Meijing; Ma Xiuqiang; Yan Xiaoyan; Zhao Yanfang; Wu Cheng; Wang Rui; Gu Zheng; Zhao June; He Jia

    2008-01-01

    Abstract Background Health related quality of life (HRQL) is a research topic that has attracted increasing interests around the world over the past two decades. The 36-item Short Form (SF-36) is a commonly used instrument for measuring HRQL. However, the information on Chinese adults' quality of life is limited. This paper reports on the feasibility of using the Mandarin version of SF-36 to evaluate HRQL in the population of Shanghai, China. Methods A total of 1034 subjects were randomly sam...

  4. Occupational health in China.

    Science.gov (United States)

    Christiani, David C; Tan, Xiaodong; Wang, Xiaorong

    2002-01-01

    China has been experiencing rapid industrialization and economic growth, resulting in a transformed industrial structure and expansion of the labor force. Occupational health and safety services, nonexistent before 1949, have made remarkable advances over the past decades. However, these services face greater challenges, consisting of both traditional and new occupational health problems. Poorly regulated work environments often lacking health services in recently developed and thriving small-scale industries and joint venture enterprises have created increasing risks for occupational diseases and work-related injuries. A special strategy based on cooperation among and contributions from the legal, administrative, social, economic, and scientific communities is critical to achieving the ultimate goal of control and prevention of these occupational health problems. PMID:12028948

  5. 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

  6. Children and Parental Health: Evidence from China

    OpenAIRE

    Asadul Islam; Russell Smyth

    2010-01-01

    In most developing countries children provide some form of insurance against risks when parents are old, which, in turn, justifies parental preference to have more children. In this paper, we examine the causal effect of number of children on several measures of health status of elderly parents using newly available China Health and Retirement Survey data. Because number of children in a family is not exogenously determined, we use a natural experiment (variations in China’s one child polic...

  7. Health related quality of life measured by SF-36: a population-based study in Shanghai, China

    Directory of Open Access Journals (Sweden)

    Liu Wenbin

    2008-08-01

    Full Text Available Abstract Background Health related quality of life (HRQL is a research topic that has attracted increasing interests around the world over the past two decades. The 36-item Short Form (SF-36 is a commonly used instrument for measuring HRQL. However, the information on Chinese adults' quality of life is limited. This paper reports on the feasibility of using the Mandarin version of SF-36 to evaluate HRQL in the population of Shanghai, China. Methods A total of 1034 subjects were randomly sampled using a stratified multiple-stage sampling method in Shanghai. Demographic information was collected, and SF-36 was used to measure HRQL. Results Internal reliability coefficients were greater than 0.7 in six of the eight SF-36 dimensions, except social function and mental health. Intraclass correlation coefficients ranged from 0.689 to 0.972. Split-half reliability coefficients were higher than 0.9 in five SF-36 dimensions. Validity was assessed by factor analysis and correlation analysis. Our results were basically in accordance with the theoretical construction of SF-36. The average scores of most SF-36 dimensions were higher than 80. The primary influencing risk factors of HRQL included chronic diseases, age, frequency of activities, and geographical region, which were identified using multivariate stepwise regression. Conclusion Overall, HRQL in the population of Shanghai is quite good. The Mandarin version of SF-36 is a valid and reliable tool for assessing HRQL.

  8. Household Air Pollution from Coal and Biomass Fuels in China: Measurements, Health Impacts, and Interventions

    OpenAIRE

    Zhang, Junfeng; SMITH, KIRK R.

    2007-01-01

    Objective 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 elucidat...

  9. Urban Health Service in China

    OpenAIRE

    Ling Li; Heng-fu Zou

    2006-01-01

    After 20 years of economic reform and development, China's healthcare system has not improved as well as the economy has. Instead, it has deteriorated in many aspects, both in rural and urban areas. The present situation can be briefly summarized as "Low accessibility and high prices in healthcare service". In terms of quality, efficiency, and fairness of health care, China's urban health care system is far behind the current economic status and people's demands. There are a lot of complaints...

  10. Comprehensive health protection measures and its effects at the Bayun Obo Rare-earth Iron mine in China

    International Nuclear Information System (INIS)

    The purpose of this paper is to present the comprehensive sanitary protection methods carried out by the authors at Bayun Obo Rare-earth Iron Mine. The methods are as follows. First, comprehensive measures to prevent dusts in the air. Second, enhancement of the individual protection measures; Third, promoting long-distance running and the establishment a workers. club; Fourth, the establishment of job rotation system; Fifth, increasing the transparency of the medical examination results, paying more attention to the health of the miners; Sixth, publicizing the value of stopping smoking. Results showed that the above-mentioned six aspects of comprehensive sanitary protection methods which we instituted brought about predominant effects. For example, the average dust concentrations in the air at 7 locations in the crushing workshop and 6 in the mining workshop decreased from 1143.67 mg.m-3 in January to June 1983 to 47.617 mg.m-3 in January to June 1991, and to 13.4 mg.m-3 in 2001. In 1983 the average thorium lung burden of 130 dust exposed miners selected by random stratification was 0.85 Bq, while the average thorium lung burden of 135 dust-exposed miners, similarly selected in 1991 was 0.25 Bq, a decrease by a factor of 3.4. It is concluded that the comprehensive health protection measures carried out by the authors for about 20 years in Bayun Obo Mine were proved very effective and should be continued and improved. It is also valuable to recommend our experience to other rare-earth mines and factories as well as thorium dusty units both in China and abroad. (author)

  11. Urbanisation and health in China

    OpenAIRE

    Gong, Peng; Liang, Song; Carlton, Elizabeth J.; Jiang, Qingwu; Wu, Jianyong; Wang, Lei; Remais, Justin V.

    2012-01-01

    China has seen the largest human migration in history, and the country's rapid urbanisation has important consequences for public health. A provincial analysis of its urbanisation trends shows shifting and accelerating rural-to-urban migration across the country and accompanying rapid increases in city size and population. The growing disease burden in urban areas attributable to nutrition and lifestyle choices is a major public health challenge, as are troubling disparities in health-care ac...

  12. Measuring and Valuing Health-Related Quality of Life among Children and Adolescents in Mainland China – A Pilot Study

    OpenAIRE

    Xu, Fei; Chen, Gang; Stevens, Katherine; Zhou, HaiRong; Qi, ShengXiang; Wang, Zhiyong; Hong, Xin; Chen, XuPeng; Yang, Huafeng; Wang, Chenchen; Ratcliffe, Julie

    2014-01-01

    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 Dat...

  13. Essays on health and nutrition in China

    OpenAIRE

    Nie, Peng

    2015-01-01

    This dissertation aims to investigate several major socio-economic determinants of health and nutrition in China. By using data from the China Health and Nutrition Survey (CHNS) spanning from 1991 to 2009, this enhances the understanding of the transition of health and nutrition with such unprecedented economic and social changes in China. This dissertation contains six chapters: more specifically, Chapter 1 gives a brief description of general background, research aim and also the outlin...

  14. The intergenerational Inequality of Health in China

    DEFF Research Database (Denmark)

    Eriksson, Tor; Pan, Jay; Qin, Xuezheng

    2014-01-01

    This paper estimates the intergenerational health transmission in China using the 1991–2009 China Health and Nutrition Survey (CHNS) data. Three decades of persistent economic growth in China has been accompanied by high income inequality, which may in turn be caused by the inequality of....... 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...... opportunity in education and health. In this paper, we find that there is a strong correlation of health status between parent and their offspring in both the urban and rural sectors, suggesting the existence of intergenerational health inequality in China. The correlation is robust to various model...

  15. The Intergenerational Inequality of Health in China

    DEFF Research Database (Denmark)

    Eriksson, Tor; Pan, Jay; Qin, Xuezheng

    This paper estimates the intergenerational health transmission in China using the 1991-2009 China Health and Nutrition Survey (CHNS) data. Three decades of persistent economic growth in China has been accompanied by high income inequality, which may in turn be caused by the inequality of...... inequality of income and opportunity in China can be ameliorated through the improvement of the current generation’s health status and living standards....... opportunity in education and health. In this paper, we find that there is a strong correlation of health status between parent and their offspring in both the urban and rural sectors, suggesting the existence of intergenerational health inequality in China. The correlation is persistent with different health...

  16. Regional inequality in health and its determinants: evidence from China.

    Science.gov (United States)

    Fang, Pengqian; Dong, Siping; Xiao, Jingjing; Liu, Chaojie; Feng, Xianwei; Wang, Yiping

    2010-01-01

    Health inequality is a problem with great political importance all over the world. Urban-rural inequality in health has attracted great attentions in recent years in China, but very few researches have been undertaken into regional discrepancies in health. This research aims at measuring the degree of regional health inequality in China and identifying its determinants. Indicators for health, socioeconomic status, health resources and health services delivery were selected through Delphi consultations from 18 experts. With cross-sectional data from 31 provinces, composite health indexes were generated. The regional inequality in health was described by Lorenz curve and measured by Gini coefficient. The determinants of health inequality were identified through canonical correlation analysis. The results showed that there existed distinct regional disparities in health in China, which were mainly reflected in "Maternal & Child Health" and "Infectious Diseases", not in the most commonly used health indicator average life expectancy. The regional health inequality in China was increasing with the rapid economic growth. The regional health inequality was associated with not only the distribution of wealth, but also the distribution of health resources and primary health care services. Policy makers need to be aware of three major challenges when they try to achieve and maintain equality in distribution of health: First, the most commonly used health indicators are not necessarily sensitive enough to detect health inequalities. Second, increase in health inequality is often accompanied with rapid economic growth and increase in life expectancy. Countries in transition are facing the greatest challenge in developing a fair and equitable health care system. Finally, investment in health resources does bring about differences in distribution of health. However, primary health care plays a more important role than hospital services in reducing regional disparities in health

  17. 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...

  18. Health-Physics Measurements

    International Nuclear Information System (INIS)

    The objectives of SCK-CEN's programme on health-physics measurements are (1) to improve health-physics measurement techniques by R and D, in particular in the field of neutron dosimetry, behaviour of radon progeny, and neutron activation analysis; (2) to maintain expertise in a wide range of health-physics measurements by continuous updating of competence; (3) to provide measurement services in the framework of both radiation protection and health-physics measurements. Progress and achievements in 1997 are reported

  19. Health care in China: improvement, challenges, and reform.

    Science.gov (United States)

    Wang, Chen; Rao, Keqin; Wu, Sinan; Liu, Qian

    2013-02-01

    Over the past 2 decades, significant progress has been made in improving the health-care system and people's health conditions in China. Following rapid economic growth and social development, China's health-care system is facing new challenges, such as increased health-care demands and expenditure, inefficient use of health-care resources, unsatisfying implementation of disease management guidelines, and inadequate health-care insurance. Facing these challenges, the Chinese government carried out a national health-care reform in 2009. A series of policies were developed and implemented to improve the health-care insurance system, the medical care system, the public health service system, the pharmaceutical supply system, and the health-care institution management system in China. Although these measures have shown promising results, further efforts are needed to achieve the ultimate goal of providing affordable and high-quality care for both urban and rural residents in China. This article not only covers the improvement, challenges, and reform of health care in general in China, but also highlights the status of respiratory medicine-related issues. PMID:23381317

  20. Maternal employment and childhood obesity in China: Evidence from the China Health and Nutrition Survey

    OpenAIRE

    Nie, Peng; Sousa-Poza, Alfonso

    2014-01-01

    Using five waves from the China Health and Nutrition Survey (CHNS), we investigate the association between maternal employment and obesity in children aged 3 - 17 in both rural and urban China. Using BMI and waist circumference as measures for pediatric adiposity, we provide scant evidence for its relation to maternal employment. We also find no strong association between maternal employment and our measures for children's diet and physical activity. Our study also suggests that grandparentin...

  1. Occupational health services in PR China

    International Nuclear Information System (INIS)

    In China, the origin of occupational health started in the mid 1950s soon after the founding of the People's Republic of China. However, more complete concept and practice of occupational health was defined after the early 1980s, when China started her full-scale drive for economic reform and policy of openness. The integrity intends to cover occupational health, occupational medicine, industrial toxicology, industrial hygiene, occupational ergonomics, and occupational psychology as theoretical and practical components of occupational health. As a result, occupational health in China has undergone many changes and has improved over the past decades. These changes and improvements came about, most likely due to a new scheme, where a holistic approach of the recognition, regulation, and provision of occupational health services in a wider coverage is gradually formed and brought into effect. This presentation provides the current status of occupational health and safety problems, the latest legislative to occupational health and safety, and a general scenario of the organizational structure and function of occupational health services in China. It attempts to share with participants both our experience and lessons learned towards creating a more open and effective channel of ideas and information sharing

  2. 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.

  3. Health Physics Measurements Services

    International Nuclear Information System (INIS)

    SCK-CEN's programme on health physics measurements includes various activities in dosimetry, calibration , instrumentation , gamma-ray spectrometry, whole body counting , the preparation of standard sources, non-destructive assay and the maintenance of Euratom Fork detectors. Main achievements in these topical areas in 2000 are summarised

  4. Transformation of health care in China.

    Science.gov (United States)

    Hsiao, W C

    1984-04-01

    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

  5. The old age health security in rural China: where to go?

    OpenAIRE

    Dai, Baozhen

    2015-01-01

    Introduction The huge number of rural elders and the deepening health problems (e.g. growing threats of infectious diseases and chronic diseases etc.) place enormous pressure on old age health security in rural China. This study aims to provide information for policy-makers to develop effective measures for promoting rural elders’ health care service access by examining the current developments and challenges confronted by the old age health security in rural China. Methods Search resources a...

  6. 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

  7. Perinatal mortality and maternal health in rural China

    OpenAIRE

    Wu, Zhuochun

    2011-01-01

    Background and context Since the economic reforms of 1978, China has been acclaimed as a remarkable economy, achieving 9% annual growth per head for more than 25 years. However, China's health sector has not fared well. The population health gains slowed down and health disparities increased. In the field of health and health care, significant progress in maternal care has been achieved. However, there still remain important disparities between the urban and rural areas and among the rur...

  8. 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

  9. [Forest health ecological risk assessment in China].

    Science.gov (United States)

    Xiao, Fengjin; Ouyang, Hua; Cheng, Shulan; Zhang, Qiang

    2004-02-01

    Forest health ecological risk assessment is an important factor in forest resources management. In this paper, we selected forest fire, forest disease-pest disasters and acid rain as main risk sources, described the risk resources by probability, intensity and distributing, and mapped each risk source. The endpoints were the damages that the risk acceptor might and these damages might cause ecosystems' organization and function changing under the uncertainty risk sources. Endpoints of forest might compose of productivity descent, reducing biodiversity, forest degrading, forest ecological function declining, furthermore, forest disappearing. We described exposure in terms of intensity, space, and time. In the exposure and hazard analysis, we used fragile index to show frangibility or resistibility (resistibility is reverse to frangibility), and analyzed the damages by different risk sources. Risk assessment and management was the integrated phase of the research. Because of the spatial heterogeneity of risk sources, all risk index were overlaid in the China map by GIS, which divided the region into 30 ecological risk sub-zones (provinces), according to risk index of each risk sub-zone, and the forest in China was divided into six levels of risk zones. In every level of risk zones, we also put forward the countermeasures for forest health ecological risk management. The result of assessment could provide scientific basis for forest management. PMID:15146655

  10. 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,…

  11. 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

  12. Microeconomic analyses of the health of the elderly in China

    OpenAIRE

    Liu, Lefan

    2016-01-01

    China is currently facing unprecedented health challenges; non-communicable diseases (NCD) now account for 80 percent of its 10.3 million deaths annually. China’s growing health challenges arise, at least in part, due to its rapidly aging population and are compounded by its inadequate social security provision and rapid urbanization. This dissertation examines the extent to the health and well-being of the elderly in China are affected in the presence of these demographic and social changes....

  13. Investigation of health care waste management in Binzhou District, China

    International Nuclear Information System (INIS)

    In China, national regulations and standards for health care waste management were implemented in 2003. To investigate the current status of health care waste management at different levels of health care facilities (HCF) after the implementation of these regulations, one tertiary hospital, one secondary hospital, and four primary health care centers from Binzhou District were visited and 145 medical staff members and 24 cleaning personnel were interviewed. Generated medical waste totaled 1.22, 0.77, and 1.17 kg/bed/day in tertiary, secondary, and primary HCF, respectively. The amount of medical waste generated in primary health care centers was much higher than that in secondary hospitals, which may be attributed to general waste being mixed with medical waste. This study found that the level of the HCF, responsibility for medical waste management in departments and wards, educational background and training experience can be factors that determine medical staff members' knowledge of health care waste management policy. Regular training programs and sufficient provision of protective measures are urgently needed to improve occupational safety for cleaning personnel. Financing and administrative monitoring by local authorities is needed to improve handling practices and the implementation of off-site centralized disposal in primary health care centers.

  14. 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. PMID:22992484

  15. 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.

  16. 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...

  17. The current state of public health in China.

    Science.gov (United States)

    Lee, Liming

    2004-01-01

    In the past 50 years, China has made great achievements in controlling infectious diseases and improving the public's health and hygiene. However, in the twenty-first century, owing to the negative effects brought on by aging of the population and the burdens of diseases, urbanization, industrialization, and globalization, Chinese public health officials are encountering greater difficulties than ever. Old operating models of public health cannot meet present requirements. The main problems are poor capacity to respond to public health emergencies, severe inequality of health care services, and lagging development of public health information systems. Public health in China can gradually meet the requirements of social development and the increasing public demand for health care services only when the public health is directed by informatization, globalization, technification, and humanization. PMID:15015923

  18. 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.

  19. 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

  20. 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.

  1. Consumer Satisfaction with Public Health Care in China

    OpenAIRE

    Linghui Jiang; Christopher Gan; Betty Kao; Yiyun Zhang; Hechuan Zhang; Long Cai

    2009-01-01

    Problem statement: Consumer satisfaction is regarded as one of the ultimate goals that all health system should strive for (Hsiao, 2003), it reflects the effectiveness of the health system in consumers prospect. Yet public health care services in developing countries including Greater Mekong Sub-region (GMS) have failed to achieve adequate level of services. China, for example, satisfaction of public health care is considerably low. To improve public participation and effectiveness of the und...

  2. Mobility of primary health care workers in China

    Directory of Open Access Journals (Sweden)

    Jing Limei

    2009-03-01

    Full Text Available Abstract Background Rural township health centres and urban community health centres play a crucial role in the delivery of primary health care in China. Over the past two-and-a-half decades, these health institutions have not been as well developed as high-level hospitals. The limited availability and low qualifications of human resources in health are among the main challenges facing lower-level health facilities. This paper aims to analyse the mobility of health workers in township and community health centres. Methods Data used in this paper come from a nationwide survey of health facilities in 2006. Ten provinces in different locations and of varying levels of economic development were selected. From these provinces, 119 rural township health centres and 89 urban community health centres were selected to participate in a questionnaire survey. Thirty key informants were selected from these health facilities to be interviewed. Results In 2005, 8.1% and 8.9% of health workers left township and community health centres, respectively. The health workers in rural township health centres had three to 13 years of work experience and typically had received a formal medical education. The majority of the mobile health workers moved to higher-level health facilities; very few moved to other rural township health centres. The rates of workers leaving township and community health centres increased between 2000 and 2005, with the main reasons for leaving being low salaries, limited opportunities for professional development and poor living conditions. Conclusion In China, primary health workers in township health centres and community health centres move to higher-level facilities due to low salaries, limited opportunities for promotion and poor living conditions. The government already has policies in place to counteract this migration, but it must step up enforcement if rural township health centres and urban community centres are to retain health

  3. Acute Health Impact of Air Pollution in China

    Science.gov (United States)

    Feng, T.; Zhao, Y.; Zheng, M.

    2014-12-01

    Air pollution not only has long term health impact, but can affect health through acute exposure. This paper, using air pollution index (API) as overall evaluation of air quality, blood pressure and vital capacity as health outcomes, focuses on the acute health impact of air pollution in China. Current result suggests that after controlling smoking history, occupational exposure, income and education, API is positively associated with blood pressure and negatively associated with vital capacity. The associations became stronger for people with hypertension or pulmonary functional diseases, which indicates that these people are more sensitive to air pollution. Among three pollutants which API measures, that is inhalable particles (PM10), sulfur dioxide (SO2) and nitrogen dioxide (NO2), PM10 is most statistically associated with blood pressure increase and vital capacity decrease. Further study will focusing on the following two questions. The first question is how various time lags affect the associations among API, blood pressure and vital capacity. The second question is how differently people in various cohorts reacts to acute exposure to air pollution. The differences in reactions of blood pressure and vital capacity between people in urban and rural areas, genders, various age cohorts, distinct income and education groups will be further studied.

  4. 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.

  5. Water pollution and human health in China.

    OpenAIRE

    Wu, C.; Maurer, C.; Y Wang; Xue, S.; Davis, D L

    1999-01-01

    China's extraordinary economic growth, industrialization, and urbanization, coupled with inadequate investment in basic water supply and treatment infrastructure, have resulted in widespread water pollution. In China today approximately 700 million people--over half the population--consume drinking water contaminated with levels of animal and human excreta that exceed maximum permissible levels by as much as 86% in rural areas and 28% in urban areas. By the year 2000, the volume of wastewater...

  6. The Contribution of Population Health and Demographic Change to Economic Growth in China and India.

    Science.gov (United States)

    Bloom, David E; Canning, David; Hu, Linlin; Liu, Yuanli; Mahal, Ajay; Yip, Winnie

    2010-03-01

    We find that a cross-country model of economic growth successfully tracks the growth takeoffs in China and India. The major drivers of the predicted takeoffs are improved health, increased openness to trade, and a rising labor force-to-population ratio due to fertility decline. We also explore the effect of the reallocation of labor from low-productivity agriculture to the higher-productivity industry and service sectors. Including the money value of longevity improvements in a measure of full income reduces the gap between the magnitude of China's takeoff relative to India's due to the relative stagnation in life expectancy in China since 1980. PMID:20419074

  7. Essays on the Health Effects of Pollution in China

    OpenAIRE

    He, Guojun

    2013-01-01

    This dissertation consists of three chapters that analyze the health effects of pollution in China. The first chapter investigates the effect of air pollution on cardiovascular mortality in the urban areas of China. The second chapter estimates the effect of water pollution on infant mortality. The third chapter studies the relationship between water pollution and cancer among the elderly. The first chapter entitled "The Effect of Air Pollution on Cardiovascular Mortality: Evidences from the ...

  8. Health impacts of domestic coal use in China

    OpenAIRE

    Finkelman, Robert B.; Belkin, Harvey E.; Zheng, Baoshan

    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 fire...

  9. Visiting entertainment venues and sexual health in China

    OpenAIRE

    Li, L.; Wu, Z.; Rotheram-Borus, MJ; Guan, J.; Yin, Y; R. Detels; Wu, S.; Lee, SJ; Cao, H.; Lin, C.; Rou, K; Liu, Z.

    2009-01-01

    Entertainment venues in China are associated with risky sexual behavior. Most previous studies related to entertainment venues in China have focused on sex workers and commercial sex, but this study addressed sexual health in a sample of the general urban population. A randomly selected sample of market vendors (n = 4,510) from an eastern city was recruited and assessed to examine relationships between entertainment venue visits and sexual risk. Both behavioral (self-reports of unprotected se...

  10. 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

  11. 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

  12. Experiences and Lessons from Urban Health Insurance Reform in China.

    Science.gov (United States)

    Xin, Haichang

    2016-08-01

    Health care systems often face competing goals and priorities, which make reforms challenging. This study analyzed factors influencing the success of a health care system based on urban health insurance reform evolution in China, and offers recommendations for improvement. Findings based on health insurance reform strategies and mechanisms that did or did not work can effectively inform improvement of health insurance system design and practice, and overall health care system performance, including equity, efficiency, effectiveness, cost, finance, access, and coverage, both in China and other countries. This study is the first to use historical comparison to examine the success and failure of China's health care system over time before and after the economic reform in the 1980s. This study is also among the first to analyze the determinants of Chinese health system effectiveness by relating its performance to both technical reasons within the health system and underlying nontechnical characteristics outside the health system, including socioeconomics, politics, culture, values, and beliefs. In conclusion, a health insurance system is successful when it fits its social environment, economic framework, and cultural context, which translates to congruent health care policies, strategies, organization, and delivery. No health system can survive without its deeply rooted socioeconomic environment and cultural context. That is why one society should be cautious not to radically switch from a successful model to an entirely different one over time. There is no perfect health system model suitable for every population-only appropriate ones for specific nations and specific populations at the right place and right time. (Population Health Management 2016;19:291-297). PMID:26565614

  13. 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...

  14. Study on Student Health Literacy Gained through Health Education in Elementary and Middle Schools in China

    Science.gov (United States)

    Yu, Xiaoming; Yang, Tubao; Wang, Shumei; Zhang, Xin

    2012-01-01

    Background: Health education in primary and middle schools in China has been implemented for more than two decades since 1990s. This study aims to assess the students' health literacy gained through school health education, and provide scientific base to the concerned government agencies for updating the relevant national policy for school-based…

  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. PMID:26895881

  16. 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.

  17. The need for health impact assessment in China: Potential benefits for public health and steps forward

    International Nuclear Information System (INIS)

    Health impact assessment (HIA) is a useful tool to predict and estimate the potential health impact associated with programs, projects, and policies by comprehensively identifying relevant health determinants and their consequences. China is undergoing massive and rapid socio-economic changes leading to environment and population health challenges such as a large increase in non-communicable diseases, the emergence and re-emergence of infectious diseases, new health risks associated with environmental pollutants and escalating health inequality. These health issues are affected by multiple determinants which can be influenced by planned policies, programs, and projects. This paper discusses the needs for health impact assessment in China in order to minimize the negative health consequences from projects, programs and policies associated with rapid social and economic development. It first describes the scope of China's current impact assessment system and points out its inadequacy in meeting the requirements of population health protection and promotion. It then analyses the potential use of HIA and why China needs to develop and apply HIA as a tool to identify potential health impacts of proposed programs, projects and policies so as to influence decision-making early in the planning process. Thus, the paper recommends the development of HIA as a useful tool in China to enhance decision-making for the protection and promotion of population health. For this to happen, the paper outlines steps necessary for the establishment and successful implementation of HIA in China: beginning with the establishment of a HIA framework, followed by workforce capacity building, methodology design, and intersectoral collaboration and stakeholder engagement.

  18. "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. PMID:10813270

  19. 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.

  20. Defining migration and its health impact in China.

    Science.gov (United States)

    Mou, J; Griffiths, S M; Fong, H F; Dawes, M G

    2015-10-01

    The scale and rapid expansion of urbanization resulting from socio-economic transformation in China at the beginning of the 21st century has accelerated rural-urban migration. Public health concerns from this increasing internal population mobility are now receiving attention from researchers. The health problems from internal migration pose particular demands on healthcare systems and relate to its demographic characteristics, with many younger and older people being left behind in the rural countryside. A review of literature, census, policy reports, government documents and media was undertaken to look at the classification system and health characteristics of China's internal migrants. It suggests that public health bears the consequences of political and economic decisions made elsewhere in society. PMID:25515044

  1. Regulatory system reform of occupational health and safety in China

    OpenAIRE

    WU, Fenghong; Chi, Yan

    2015-01-01

    With the explosive economic growth and social development, China’s regulatory system of occupational health and safety now faces more and more challenges. This article reviews the history of regulatory system of occupational health and safety in China, as well as the current reform of this regulatory system in the country. Comprehensive, a range of laws, regulations and standards that promulgated by Chinese government, duties and responsibilities of the regulatory departments are described. P...

  2. Occupational health and safety legislation and implementation in China.

    Science.gov (United States)

    Su, Zhi

    2003-01-01

    This article reviews the current statistics of employment and work-related injuries and illness in China, as well as the history of occupational health and safety legislation in the country. Comprehensive, newly promulgated workplace health and safety legislation is described, and the specific responsibilities of employers, government agencies, trade unions, and employees are detailed. The government's implementation plan for this and prior legislation is also outlined. PMID:14664481

  3. 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.

  4. Health reform, population policy and child nutritional status in China

    OpenAIRE

    Bredenkamp, Caryn

    2008-01-01

    This paper examines the determinants of child nutritional status in seven provinces of China during the 1990s, focusing specifically on the role of two areas of public policy, namely health system reforms and the one child policy. The empirical relationship between income and nutritional status, and the extent to which that relationship is mediated by access to quality healthcare and being...

  5. 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. PMID:24122513

  6. 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. PMID:26816664

  7. 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. PMID:26816664

  8. 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.

  9. The Impact of Residential Combustion Emissions on Air Quality and Human Health in China

    Science.gov (United States)

    Archer-Nicholls, S.; Wiedinmyer, C.; Baumgartner, J.; Brauer, M.; Cohen, A.; Carter, E.; Frostad, J.; Forouzanfar, M.; Xiao, Q.; Liu, Y.; Yang, X.; Hongjiang, N.; Kun, N.

    2015-12-01

    Solid fuel cookstoves are used heavily in rural China for both residential cooking and heating purposes. Their use contributes significantly to regional emissions of several key pollutants, including carbon monoxide, volatile organic compounds, oxides of nitrogen, and aerosol particles. The residential sector was responsible for approximately 36%, 46% and 81% of China's total primary PM2.5, BC and OC emissions respectively in 2005 (Lei et al., 2011). These emissions have serious consequences for household air pollution, ambient air quality, tropospheric ozone formation, and the resulting population health and climate impacts. This paper presents initial findings from the modeling component of a multi-disciplinary energy intervention study currently being conducted in Sichuan, China. The purpose of this effort is to quantify the impact of residential cooking and heating emissions on regional air quality and human health. Simulations with varying levels of residential emissions have been carried out for the whole of 2014 using the Weather Research and Forecasting model with Chemistry (WRF-Chem), a fully-coupled, "online" regional chemical transport model. Model output is evaluated against surface air quality measurements across China and compared with seasonal (winter and summer) ambient air pollution measurements conducted at the Sichuan study site in 2014. The model output is applied to available exposure—response relationships between PM2.5 and cardiopulmonary health outcomes. The sensitivity in different regions across China to the different cookstove emission scenarios and seasonality of impacts are presented. By estimating the mortality and disease burden risk attributable to residential emissions we demonstrate the potential benefits from large-scale energy interventions. Lei Y, Zhang Q, He KB, Streets DG. 2011. Primary anthropogenic aerosol emission trends for China, 1990-2005. Atmos. Chem. Phys. 11:931-954.

  10. Family Planning Policy in China: Measurement and Impact on Fertility

    OpenAIRE

    Wang, Fei

    2012-01-01

    The extent to which China's family planning policy has driven its fertility transition over the past decades is debatable. The disagreement is partly sourced from the different ways of measuring the policy. Most existing measures, constructed on the policy history, generally, do not include complete secular and cross-sectional policy variations, fail to heterogeneously reflect people's exposure to the policy, and often suffer from endogeneity. This paper reviews the entire history of China's ...

  11. 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.

  12. China's "market economics in command": footwear workers' health in jeopardy.

    Science.gov (United States)

    Chen, M S; Chan, A

    1999-01-01

    This study of occupational safety and health (OSH) problems in the footwear industry in China, the world's largest shoemaker, is based on four years of research in China supplemented by research in Taiwan, Australia, and the United States. With the advent of the economic reforms of the early 1980s, the Chinese state is being driven by an economic imperative under which the profit motive overrides other concerns, causing a deterioration in OSH conditions. Footwear workers are being exposed to high levels of benzene, toluene, and other toxic solvents contained in the adhesives used in the shoe-making process. Many workers have been afflicted with aplastic anemia, leukemia, and other health problems. Most of China's current permissible exposure limits to toxins are either outdated or underenforced. As a result, the Chinese state's protection of footwear workers' health is inadequate. The article aims to draw the attention of the international OSH community to the importance of setting specific exposure standards for the footwear industry worldwide. PMID:10615574

  13. The effect of new cooperative medical scheme on health outcomes and alleviating catastrophic health expenditure in China: a systematic review.

    Directory of Open Access Journals (Sweden)

    Xiaoyun Liang

    Full Text Available BACKGROUND: In 2002, the Chinese government launched a new rural health financing policy to provide health insurance (New Cooperative Medical Scheme, NCMS for its rural population. NCMS, jointly financed by governments and individual households, aims to protect households from impoverishment due to catastrophic health expenditure. In 2011, NCMS covered more than 96% of the rural population. We have systematically searched and reviewed available evidence to estimate the effects of NCMS on health outcomes and on alleviating catastrophic health expenditure. METHODS: PubMed, Web of Science with Conference Proceedings, ProQuest Digital Dissertations, CMCI, CNKI, and VIP were searched. We also obtained literature from colleague communications. Quasi-experimental studies regarding the effect of NCMS on health outcomes and catastrophic health expenditure were included. Two independent reviewers screened the literature, extracted the data, and assessed the study quality. RESULTS: Fifteen studies out of the 6123 studies in the literature fulfilled criteria and were included in this review. Twelve studies identified the relationship between NCMS and health outcomes, among which six studies measured sickness or injury in the past four weeks, four measured sickness or injury in the past two weeks, and five measured self-reported health status. Four studies focused on the relationship between NCMS and alleviating catastrophic health expenditure. However, the results from these studies were in conflict: individual studies indicated that NCMS had positive, negative, or no effect on health outcomes and/or the incidence of catastrophic health payments, respectively. CONCLUSIONS: We still have no clear evidence that NCMS improves the health outcomes and decreases the alleviating catastrophic health expenditure of the China's rural population. In addition, the heterogeneity among individual studies reminds us that provider payment method reforms, benefit package

  14. 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...

  15. 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.

  16. 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

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

    Science.gov (United States)

    Lin, Yanwei; Zhang, Qi; Chen, Wen; Shi, Jingrong; Han, Siqi; Song, Xiaolei; Xu, Yong; Ling, Li

    2016-01-01

    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 health

  18. Mental Health of North Korean Refugees in Protective Facilities in China

    OpenAIRE

    Yu, Shi-Eun; Jeon, Woo-Teak

    2008-01-01

    Objective This study aims to provide alternative care plans for mental health of North Korean refugees who are in protective facilities in China. Methods Personality Assessment Inventory (PAI) was utilized to measure the presence/absence of post traumatic stress disorder (PTSD) among 65 North Korean refugees. Results The gender differences in PAI t-scores showed that women exhibited meaningfully higher scores largely in anxiety (m=61.85), depression (m=65.23), and schizophrenia (m=60.98). In ...

  19. 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...

  20. Progress of Nuclear Data Measurement in China during 2013

    International Nuclear Information System (INIS)

    The China nuclear data activities consists of nuclear data measurement and related measurement methods development, data evaluation and model study, data library establishment and library management, nuclear data benchmark and validation. The main activities are being carried out at China Nuclear Data Center (CNDC), China Institute of Atomic Energy (CIAE) and China Nuclear Data Coordination Network (CNDCN). More than 10 institutions and universities are involved in CNDCN. The facilities used for the nuclear data measurements and studies include the HI-13 tandem accelerator, 600 kV-Cockcroft-Walton accelerator, 5SDH-2 2x1.7 MV tandem accelerator and the China Advanced Research Reactor (CARR) at CIAE, The 4.5-MV Van de Graaff accelerator at Peking University and 300 kV -Cockcroft-Walton accelerator at Lanzhou university. This document presents the recent Progress of Nuclear Data Measurement in China: - the fission yields of 235U at 3 MeV neutrons measured at CIAE; - the nuclear data benchmark system improvement at CIAE. With the new nuclear data benchmark system, the integral measurements were carried out for Be, Ga, natural iron and liquid Pb-Bi alloy. - The measurements of the 57Fe(n,α)54Cr and 63Cu(n,α)60Co reactions at neutron energies of 5.0, 5.5, 6.0 and 6.5 MeV at Peking University. Finally, the document describes the new facilities for Nuclear Data Measurement: the Back-n white neutron source of the China Spallation Neutron Source (CSNS), the neutron facility of Shanghai Institute of Applied Physics (SINAP-NF), and the multipurpose Cooling Storage Ring system, a new accelerator project planned at the Heavy Ion Research Facility in Lanzhou (HIRFL-CRS)

  1. 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.

  2. Aircraft measurement of organic aerosols over China.

    Science.gov (United States)

    Wang, Gehui; Kawamura, Kimitaka; Hatakeyama, Shiro; Takami, Akinori; Li, Hong; Wang, Wei

    2007-05-01

    Lower to middle (0.5-3.0 km altitude) tropospheric aerosols (PM2.5) collected by aircraft over inland and east coastal China were, for the first time, characterized for organic molecular compositions to understand anthropogenic, natural, and photochemical contribution to the air quality. n-Alkanes, fatty acids, sugars, polyacids are detected as major compound classes, whereas lignin and resin products, sterols, polycyclic aromatic hydrocarbons, and phthalic acids are minor species. Average concentrations of all the identified compounds excluding malic acid correspond to 40-50% of those reported on the ground sites. Relative abundances of secondary organic aerosol (SOA) components such as malic acid are much higher in the aircraft samples, suggesting an enhanced photochemical production over China. Organic carbon (OC) concentrations in summer (average, 24.3 microg m(-3)) were equivalent to those reported on the ground sites. Higher OC/EC (elemental carbon) ratios in the summer aircraft samples also support a significant production of SOA over China. High loadings of organic aerosols in the Chinese troposphere may be responsible to an intercontinental transport of the pollutants and potential impact on the regional and global climate changes. PMID:17539513

  3. 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.

  4. 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...

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

    OpenAIRE

    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 occurrence of childhood obesity, its determinants and its relationship with metabolic syndrome were available in China, until now. Data of  44880 youngsters aged 7-17 years from the nationally represe...

  6. China building energy consumption. Situation, challenges and corresponding measures

    International Nuclear Information System (INIS)

    As one of the biggest parts of total national energy consumption (TNEC), building energy consumption (BEC) catches public eyes and has been regarded as a crucial problem of the current society. For the past 20 years, BEC in china has been increasing at a high speed. To curb the rapid growing of BEC, china has enforced and implemented a series of policies. These include enforcing BEC constraints on new building projects, promoting more environment friendly building designs, establishing a more sophisticated legislation for building energy conservation, and increasing the total budget in the area of BEC control. This article analyzed china BEC situation and the challenges. As the main point, the measures required by China government to improve building energy efficiency were introduced as well. (author)

  7. China building energy consumption: Situation, challenges and corresponding measures

    International Nuclear Information System (INIS)

    As one of the biggest parts of total national energy consumption (TNEC), building energy consumption (BEC) catches public eyes and has been regarded as a crucial problem of the current society. For the past 20 years, BEC in china has been increasing at a high speed. To curb the rapid growing of BEC, china has enforced and implemented a series of policies. These include enforcing BEC constraints on new building projects, promoting more environment friendly building designs, establishing a more sophisticated legislation for building energy conservation, and increasing the total budget in the area of BEC control. This article analyzed china BEC situation and the challenges. As the main point, the measures required by China government to improve building energy efficiency were introduced as well.

  8. 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.

  9. WEEE flow and mitigating measures in China

    International Nuclear Information System (INIS)

    The research presented in this paper shows that Waste Electrical and Electronic Equipment (WEEE) issues associated with home appliances, such as TV sets, refrigerators, washing machines, air conditioners, and personal computers, are linked in the WEEE flow and recycling systems and are important to matters of public policy and regulation. In this paper, the sources and generation of WEEE in China are identified, and WEEE volumes are calculated. The results show that recycling capacity must increase if the rising quantity of domestic WEEE is to be handled properly. Simultaneously, suitable WEEE treatment will generate large volumes of secondary resources. Environmental problems caused by the existing recycling processes have been investigated in a case study. Problems mainly stem from open burning of plastic-metal parts and from precious metals leaching techniques that utilize acids. The existing WEEE flow at the national level was investigated and described. It became obvious that a considerable amount of obsolete items are stored in homes and offices and have not yet entered the recycling system. The reuse of used appliances has become a high priority for WEEE collectors and dealers because reuse generates higher economic profits than simple material recovery. The results of a cost analysis of WEEE flow shows that management and collection costs significantly influence current WEEE management. Heated discussions are ongoing in political and administrative bodies as to whether extended producer responsibilities policies are promoting WEEE recycling and management. This paper also discusses future challenges and strategies for WEEE management in China

  10. 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

  11. Does Health Insurance Coverage Lead to Better Health and Educational Outcomes? Evidence from Rural China. NBER Working Paper No. 16417

    Science.gov (United States)

    Chen, Yuyu; Jin, Ginger Zhe

    2010-01-01

    Many governments advocate nationwide health insurance coverage but the effects of such a program are less known in developing countries. We use part of the 2006 China Agricultural Census (CAC) to examine whether the recent health insurance coverage in rural China has affected children mortality, pregnancy mortality, and the school enrollment of…

  12. Urbanization and Mental Health in China: Linking the 2010 Population Census with a Cross-Sectional Survey

    OpenAIRE

    Juan Chen; Shuo Chen; Pierre F. Landry

    2015-01-01

    Along with the rapid urbanization in China, the state of mental health also receives growing attention. Empirical measures, however, have not been developed to assess the impact of urbanization on mental health and the dramatic spatial variations. Innovatively linking the 2010 Chinese Population Census with a 2011 national survey of urban residents, we first assess the impact of urbanization on depressive symptoms measured by the Center of Epidemiological Studies Depression Scale (CES-D) of 1...

  13. Factors predicting health services use among older people in China: An analysis of the China Health and Retirement Longitudinal Study 2013

    OpenAIRE

    Gong, Cathy Honge; Kendig, Hal; He, Xiaojun

    2016-01-01

    Background Rapid population ageing in China is increasing the numbers of older people who are likely to require health services in response to higher levels of poor perceived health and chronic diseases. Understanding factors influencing health services use at late life will help to plan for increasing needs for health care, reducing inequalities in health services use and releasing severe pressures on a highly variable health care system that has constrained public resources and increasing r...

  14. Assessment of Regional Human Health Risks from Lead Contamination in Yunnan Province, Southwestern China

    OpenAIRE

    Lu, Lu; Cheng, Hongguang; Liu, XueLian; Xie, Jing; Li, Qian; Zhou, Tan

    2015-01-01

    Identification and management the 'critical risk areas' where hotspot lead exposures are a potential risk to human health, become a major focus of public health efforts in China. But the knowledge of health risk assessment of lead pollution at regional and national scales is still limited in China. In this paper, under the guidance of 'sources-pathways-receptors' framework, regional human health risk assessment model for lead contamination was developed to calculate the population health risk...

  15. Health impact assessment in China: Emergence, progress and challenges

    International Nuclear Information System (INIS)

    The values, concepts and approaches of health impact assessment (HIA) were outlined in the Gothenburg consensus paper and some industrialized countries have implemented HIA for many years. HIA has played an important role in environmental protection in China, however, the emergence, progress and challenges of HIA in China have not been well described. In this paper, the evolution of HIA in China was analyzed and the challenges of HIA were presented based on the author's experiences. HIA contributed to decision-making for large capital construction projects, such as the Three Gorges Dam project, in its emergence stage. Increasing attention has been given to HIA in recent years due to supportive policies underpinning development of the draft HIA guidelines in 2008. However enormous challenges lie ahead in ensuring the institutionalization of HIA into project, program and policy decision-making process due to limited scope, immature tools and insufficient professionals in HIA practice. HIA should broaden its horizons by encompassing physical, chemical, biological and socio-economic aspects and constant attempts should be made to integrate HIA into the decision-making process, not only for projects and programs but also for policies as well.

  16. Health impact assessment in China: Emergence, progress and challenges

    Energy Technology Data Exchange (ETDEWEB)

    Huang Zheng, E-mail: huangzhg@mails.tjmu.edu.cn

    2012-01-15

    The values, concepts and approaches of health impact assessment (HIA) were outlined in the Gothenburg consensus paper and some industrialized countries have implemented HIA for many years. HIA has played an important role in environmental protection in China, however, the emergence, progress and challenges of HIA in China have not been well described. In this paper, the evolution of HIA in China was analyzed and the challenges of HIA were presented based on the author's experiences. HIA contributed to decision-making for large capital construction projects, such as the Three Gorges Dam project, in its emergence stage. Increasing attention has been given to HIA in recent years due to supportive policies underpinning development of the draft HIA guidelines in 2008. However enormous challenges lie ahead in ensuring the institutionalization of HIA into project, program and policy decision-making process due to limited scope, immature tools and insufficient professionals in HIA practice. HIA should broaden its horizons by encompassing physical, chemical, biological and socio-economic aspects and constant attempts should be made to integrate HIA into the decision-making process, not only for projects and programs but also for policies as well.

  17. Health Beliefs of College Students Born in the United States, China, and India

    Science.gov (United States)

    Rothstein, William G.; Rajapaksa, Sushama

    2003-01-01

    The authors surveyed 243 urban public university students who were born in the United States, China, and India to compare the health beliefs of the China-born, India-born, and US-born students. Although the China- and India-born students shared beliefs in many preventive and therapeutic practices of Western medicine with the US-born students, they…

  18. 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.

  19. PREGNANCY AND PERINATAL HEALTH, BAMEN, INNER MONGOLIA, CHINA

    Science.gov (United States)

    For developing countries, especially in remote rural areas, measures of maternal and perinatal health may be difficult to obtain because it is not systematically collected and/or electronic data is not available. We assisted the public health officials of Bayingnormen (BaMen), In...

  20. 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. PMID:26331812

  1. 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.

  2. Health System Measurement Project: Quality

    Science.gov (United States)

    ... 30 Days This measure reports the percentage of nursing home residents who experienced one or more falls within the past 30 days. Click on legends to show or hide columns See this measure in detail » Percentage of Surgical Patients Receiving Recommended Care Percentage of Surgical Patients ...

  3. Explaining public satisfaction with health care systems: findings from a nationwide survey in China

    OpenAIRE

    Munro, Neil; Duckett, Jane

    2016-01-01

    Objective: To identify factors and covariates associated with health care system satisfaction in China. Context: Recent research suggests that socio-demographic characteristics, self-reported health, income and insurance, ideological beliefs, health care utilization, media use and perceptions of services may affect health care system satisfaction, but the relationships between these factors are poorly understood. New data from China offers the opportunity to test theories about the source...

  4. 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.

  5. 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.

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

    Science.gov (United States)

    Cohen, Jane E; Amon, Joseph J

    2012-01-01

    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

  7. 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. PMID:27061471

  8. Assessment of the Chinese Resident Health Literacy Scale in a population-based sample in South China

    OpenAIRE

    Shen, Minxue; Hu, Ming; Liu, Siyun; Chang, Yan; Sun, Zhenqiu

    2015-01-01

    Background A national health literacy scale was developed in China in 2012, though no studies have validated it. In this investigation, we assessed the reliability, construct validity, and measurement invariance of that scale. Methods A population-based sample of 3731 participants in Hunan Province was used to validate the Chinese Resident Health Literacy Scale based on item response theory and classical test theory (including split-half coefficient, Cronbach’s alpha, and confirmatory factor ...

  9. 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.

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

    Science.gov (United States)

    Nie, Peng; Sousa-Poza, Alfonso; Xue, Jianhong

    2016-01-01

    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. PMID:27517950

  11. A new framework to evaluate ecosystem health: a case study in the Wei River basin, China.

    Science.gov (United States)

    Wu, Wei; Xu, Zongxue; Zhan, Chesheng; Yin, Xuwang; Yu, Songyan

    2015-07-01

    Due to the rapid growth of the population and the development of economies in the Guanzhong district, central China, the river ecosystem is gradually deteriorating, which makes it important to assess the aquatic ecosystem health and take measures to restore the damaged ecosystem. An index of catchment ecosystem health has been developed to assist large-scale management of watersheds by providing an integrated measure of ecosystem health, including aquatic and terrestrial ecosystem. Most researches focus on aquatic ecosystem or terrestrial ecosystem, but little research integrates both of them to assess the catchment ecosystem health. In this paper, we combine these two aspects into catchment ecosystem health. Ecosystem indicators derived from field samples and modeling are identified to integrate into ecosystem health. These included indicators of ecological landscape pattern (based on normalized difference vegetation index (NDVI), vegetation cover, dominance index, Shannon's diversity index, Shannon's evenness index, and fragmentation index), hydrology regime (based on 33 hydrological parameters), physical form condition (based on substrate, habitat complexity, velocity/depth regimes, bank stability, channel alteration), water quality (based on electrical conductivity (Cond), dissolved oxygen (DO), NH3_N, total nitrogen (TN), total phosphorus (TP), chemical oxygen demand-permanganate (CODMn)), and biological quality (based on fish abundance). The index of ecosystem health is applied in the Guanzhong district, and the ecosystem health was fair. The ecosystem health in the upstream to Linjiacun (U-L) and Linjiacun to Weijiabao (L-W) reaches was in good situation, while that in Weijiabao to Xianyang (W-X), Xianyang-Weijiabao (X-W), and Weijiabao to Tongguan (W-T) reaches was in fair situation. There is a trend that the ecosystem health in the upstream was better than that in the downstream. The ecosystem health assessment is expected to play a key role in future

  12. Mobility and health sector development in China and India.

    Science.gov (United States)

    Holdaway, Jennifer; Levitt, Peggy; Fang, Jing; Rajaram, Narasimhan

    2015-04-01

    China and India are both attempting to create comprehensive healthcare systems in the context of rapid but uneven economic growth and rapidly changing burdens of disease. While in each country the referencing of international policies and work experience abroad have been part of this process, research has yet to examine the kind of knowledge that is exchanged or the various actors involved in knowledge circulation. Based on a study of two sub-national contexts, this article focuses on the role Chinese and Indian health professionals who have studied and worked overseas play in introducing ideas and practices about healthcare provision and health education. We found that experience abroad influenced individuals, institutions, and each society differently and with some contradictory effects. International experience clearly contributed to personal growth and led individuals to support the adoption of new institutional practices, such as more egalitarian relations between doctors and patients and between students and teachers. However, the content of what individuals learned overseas and the mechanisms through which this knowledge was introduced back into homeland settings often reinforced rather than ameliorated institutional hierarchies and social inequalities. While the scope of this research was limited, we suggest that more explicit analysis of the role professional migrants play in transferring ideas and practices within the health sector would be valuable for policymakers and funders seeking to support a more productive interaction between local and global knowledge. PMID:25734612

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

    Science.gov (United States)

    Wang, Qing; Shen, Jay J

    2016-01-01

    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. PMID:27275829

  14. 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.

  15. 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.

  16. The mental health of adolescent school children: a comparison among Japan, Korea, and China.

    Science.gov (United States)

    Houri, Daisuke; Nam, Eun Woo; Choe, Eun Hee; Min, Liu Zhong; Matsumoto, Kenji

    2012-09-01

    This study compared the mental health of adolescents in three countries in northeast Asia: Japan, South Korea, and China. The study sample included a total of 1,399 third graders at junior high schools: 632 from Yonago City and Tottori City in Japan, 377 from Wonju City in Korea, and 390 from Changchun City in China. Mental health was measured by the Ochanomizu University Health Examination, which includes mental health scales composed of somatic symptoms, eating disorders, depression, interpersonal relationships, powerlessness, and impulsiveness; self-resilience; familial relationships; friendships; a feeling of gloom during the previous month; current well-being; and counseling. The results of this study were as follows: first, Japanese students experienced more difficulties in interpersonal relationships and experienced more feelings of powerlessness than Korean and Chinese students. Korean students were vulnerable to somatic symptoms and impulsiveness, whereas Chinese students experienced more depression than Korean and Japanese students. Second, more female students were in the poor mental health group than male students. Third, Japanese female students ranked the lowest of all groups for the Resilience Index scores. Fourth, when in need of counseling, students solicited advice from teachers (classroom teachers, health teachers or club teachers) about their study-related problems, and asked for advice from friends regarding problems or worries about peer and family relations. However, a number of students received no counseling for their troubles. The study concluded that it is necessary to promote a healthy environment for students, with easy access to counseling from mental health care professionals. PMID:24802782

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

    OpenAIRE

    Hjelm Katarina; Albin Björn; Chang Zhang Wen

    2010-01-01

    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...

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

    OpenAIRE

    Qing Wang; Jay J. Shen

    2016-01-01

    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 chil...

  19. Public Health Education in India and China: History, Opportunities, and Challenges

    OpenAIRE

    Bangdiwala, Shrikant I; Joseph D. Tucker; Sanjay Zodpey; Griffiths, Sian M.; Li-Ming Li; K. Srinath Reddy; Cohen, Myron S.; Miriam Gross; Kavya Sharma; Jin-Ling Tang

    2011-01-01

    Public health education in China and India has a long history that has been both deeply responsive to the unique needs and medical traditions of each country, and sensitive to global influences. The history of public health education in China reaches back several centuries, with substantial input from American and European organizations during the Republican Era, 1911-1949. In India, centuries-old health care traditions were influenced during the colonial period by the British Empire prior to...

  20. Evaluation of Responsiveness of Community Health Services in Urban China: A Quantitative Study in Wuhan City

    OpenAIRE

    Luo, Qing; Wang, Qi; Lu, Zuxun; Liu, Junan

    2013-01-01

    Background With the objective of the national health services systems reform to move care to the community, community health services (CHS) are becoming the gateways of the health system in China. This study aims to evaluate the levels and distributions of the responsiveness of CHS in urban China and identify the relevant features to provide the government with policy advice on the improvement of CHS responsiveness. Methods A total of 872 face-to-face interviews were conducted in community he...

  1. Evaluation of Responsiveness of Community Health Services in Urban China: A Quantitative Study in Wuhan City

    OpenAIRE

    Qing Luo; Qi Wang; Zuxun Lu; Junan Liu

    2013-01-01

    BACKGROUND: With the objective of the national health services systems reform to move care to the community, community health services (CHS) are becoming the gateways of the health system in China. This study aims to evaluate the levels and distributions of the responsiveness of CHS in urban China and identify the relevant features to provide the government with policy advice on the improvement of CHS responsiveness. METHODS: A total of 872 face-to-face interviews were conducted in community ...

  2. 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

  3. Measuring Rural Poverty in China: a Case Study Approach

    OpenAIRE

    Xiuqing Wang; Shujie Yao; Juan Liu; Xian Xin; Xiumei Liu; Wenjuan Ren

    2007-01-01

    This paper measures rural poverty in Hubei Province and Inner Mongolia in China. The poverty lines we derived by Ravallion's method differ from the official Chinese poverty lines. The official pan-country poverty line underestimates rural poverty in Hubei Province and overestimates rural poverty in Inner Mongolia. Poverty determinants are estimated by Logit as well as Probit models. The study notes that factors such as living in a mountainous area, lack of better irrigation conditions, a larg...

  4. 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.

  5. Health Disparities by Type of Disability: Health Examination Results of Adults (18-64 Years) with Disabilities in Shanghai, China

    Science.gov (United States)

    Chen, Gang; Lu, Jun; Yu, Huijiong

    2016-01-01

    Aims There have been few studies on the disparities within the population with disabilities, especially in China. The aim of this study was to evaluate the differences in some health conditions among people with different types of disabilities in Shanghai. Methods This study was conducted using data from the Shanghai Disabled Persons’ Rehabilitation Comprehensive Information Platform. The records of 31,082 persons with disabilities who had undergone professional health examination were analyzed, and the prevalence and number of five diseases and five risk factors were examined. Logistic regression was used to explore disparities from two perspectives: 1) basic differences, unadjusted for other factors, and 2) differences after adjusting for key demographic covariates. A p-value disability had a high rate of refractive error (60.0%), and averaged 1.75 diseases of interest, which was the highest value among all disability types. The mean number of risk factors we measured was greatest (1.96) in the population with mental disability. There were significant differences (p hearing and speech impairment group and the other groups with respect to most health outcomes, except chronic pharyngitis, hepatic cysts, and high blood pressure. Conclusion Significant differences of selected health outcomes between groups with different types of disabilities remained after controlling for key demographic indicators. Further research is needed to explore the relationships between health conditions and disability types. PMID:27196419

  6. Health Disparities by Type of Disability: Health Examination Results of Adults (18-64 Years with Disabilities in Shanghai, China.

    Directory of Open Access Journals (Sweden)

    Qi Kang

    Full Text Available There have been few studies on the disparities within the population with disabilities, especially in China. The aim of this study was to evaluate the differences in some health conditions among people with different types of disabilities in Shanghai.This study was conducted using data from the Shanghai Disabled Persons' Rehabilitation Comprehensive Information Platform. The records of 31,082 persons with disabilities who had undergone professional health examination were analyzed, and the prevalence and number of five diseases and five risk factors were examined. Logistic regression was used to explore disparities from two perspectives: 1 basic differences, unadjusted for other factors, and 2 differences after adjusting for key demographic covariates. A p-value < 0.05 was considered significant.Individuals with visual disability had a high rate of refractive error (60.0%, and averaged 1.75 diseases of interest, which was the highest value among all disability types. The mean number of risk factors we measured was greatest (1.96 in the population with mental disability. There were significant differences (p < 0.05 between the hearing and speech impairment group and the other groups with respect to most health outcomes, except chronic pharyngitis, hepatic cysts, and high blood pressure.Significant differences of selected health outcomes between groups with different types of disabilities remained after controlling for key demographic indicators. Further research is needed to explore the relationships between health conditions and disability types.

  7. Exploring Health Literacy in Medical University Students of Chongqing, China: A Cross-Sectional Study

    OpenAIRE

    Zhang, Yan; Zhang, Fan; HU Ping; Huang, Wenjie; Lu, Lu; Bai, Ruixue; Sharma, Manoj; ZHAO, YONG

    2016-01-01

    Health literacy is important in public health and healthcare, particularly in effective communication between patients and health professionals. Although most medical students will eventually work as health professionals after graduation, research on health literacy of medical students is scarce. This study aimed to assess the health literacy level of medical students in Chongqing, China, and its influencing factors. A cross-sectional study was conducted and 1,275 participants (250 males and ...

  8. 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).

  9. Oil price shocks, road transport pollution emissions and residents' health losses in China

    OpenAIRE

    Yang, Sheng; He, Ling-Yun

    2015-01-01

    China's rapid economic growth resulted in serious air pollution, which caused substantial losses to economic development and residents' health. In particular, the road transport sector has been blamed to be one of the major emitters. During the past decades, fluctuation in the international oil prices has imposed significant impacts on the China's road transport sector. Therefore, we propose an assumption that China's provincial economies are independent "economic entities". Based on this ass...

  10. 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. PMID:23417908

  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. Human Resource Staffing and Service Functions of Community Health Services Organizations in China

    OpenAIRE

    Yang, Jun; Guo, Aimin; Wang, Yadong; Zhao, Yali; Yang, Xinhua; Li, Hang; Duckitt, Roger; Liang, Wannian

    2008-01-01

    PURPOSE We report a study on the developmental status of human resource staffing and service functions of community health services (CHS) in China and offer recommendations for improving the CHS in the future.

  13. National equity of health resource allocation in China: data from 2009 to 2013

    OpenAIRE

    Liu, Wen; Liu, Ying; Twum, Peter; Li, Shixue

    2016-01-01

    Background The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese government in 2009. The aim of this study is to understand the changes of equity in health resource allocation from 2009 to 2013, and make a further inquiry of the main factors which...

  14. Direct health effects of global warming in Japan and China

    Energy Technology Data Exchange (ETDEWEB)

    Ando, M.; Yamamoto, S. [National Institute for Environmental Studies, Ibaraki (Japan); Tamura, K. [National Institute for Minamata Disease, Kumamoto (Japan)] [and others

    1997-12-31

    Combustion of fossil fuels and industrial and agricultural activities are resulting in greater emissions of some greenhouse gases such as carbon dioxide and methane into the atmosphere, therefore contributing to global warming. Using general circulation models, it is estimated that surface temperatures in temperate regions will rise 1 to 3 degrees C during the next 100 years. Because global warming may increase the frequency and length of high temperatures during hot summer months, various health risks caused by heat stress have been studied. According to our epidemiological survey, the incidence of heat-related illness was significantly correlated to hot environments in Tokyo, Japan and in Nanjing and Wuhan, China. The epidemiological results also showed that the incidence of heat-related morbidity and mortality in the elderly increased very rapidly in summer. The regression analysis on these data showed that the number of heat stroke patients increased exponentially when the mean daily temperature and maximum daily temperature exceeded 27C and 32C in Tokyo and 31C and 36C in Wuhan and Nanjing, respectively. Since the incidence of heat-related morbidity and mortality has been shown to increase as a result of exposure to long periods of hot summer temperatures, it is important to determine to what extent the incidence of heat stress-related morbidity and mortality will be affected as a result of global warming.

  15. Rural–urban migration and mental and sexual health: a case study in Southwestern China

    OpenAIRE

    Yang, Xiushi

    2013-01-01

    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...

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

    OpenAIRE

    Xiang-Sheng Chen; Yue-Ping Yin; Guo-Gu Liu; Wan-Hui Wei; Hong-Chun Wang; Yuan-Lin Yu; 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 w...

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

    OpenAIRE

    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 cooperati...

  18. The Mental Health of People Living with HIV in China, 1998–2014: A Systematic Review

    OpenAIRE

    Niu, Lu; Luo, Dan; Liu, Ying; Silenzio, Vincent M. B.; Xiao, Shuiyuan

    2016-01-01

    Background Understanding the mental health burdens faced by people living with HIV in China is instrumental in the development of successful targeted programs for psychological support and care. Methods Using multiple Chinese and English literature databases, we conducted a systematic review of observational research (cross-sectional, case-control, or cohort) published between 1998 and 2014 on the mental health of people living with HIV in China. Results We identified a total of 94 eligible a...

  19. Service utilization in community health centers in China: a comparison analysis with local hospitals

    OpenAIRE

    Wang Xiaohang; Dib Hassan H; Pan Xilong; Zhang Hong

    2006-01-01

    Abstract Background Being an important part of China's Urban Health Care Reform System, Community Health Centers (CHCs) have been established throughout the entire country and are presently undergoing substantial reconstruction. However, the services being delivered by the CHCs are far from reaching their performance targets. In order to assess the role of the CHCs, we examined their performance in six cities located in regions of South-East China. The purpose of this investigation was to ide...

  20. The Agency's Health and Safety Measures

    International Nuclear Information System (INIS)

    The Agency's health and safety measures as approved by the Board of Governors on 31 March 1960 in implementation of Articles III. A. 6 and XII of the Statute of the Agency are reproduced in this document for the information of all Members

  1. Development assistance for health given to Nepal by China and India: a comparative study

    OpenAIRE

    Yang, Haomin; Acharya, Shambhu Prasad; Liu, Peilong; Guo, Yan

    2014-01-01

    Background Development assistance for health (DAH) promotes health development in low and middle income countries. China and India, as emerging donors, have scaled-up their DAH programs during the recent years. Nepal, as a neighboring country to China and India, has witnessed the history and development of China’s and India’s DAH. Methods This research uses a literature review and in-depth individual interviewing to compare the history and forms of DAH given from China and India to Nepal. Res...

  2. 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.

  3. Status of cardiovascular health among adults in a rural area of Northwest China: Results from a cross-sectional study.

    Science.gov (United States)

    Zhao, Yaling; Yan, Hong; Yang, Ruihai; Li, Qiang; Dang, Shaonong; Liu, Ruru; Pei, Leilei; Cao, Lei; Marshall, Roger J; Wang, Duolao

    2016-07-01

    The aim of this study was to assess the status of cardiovascular health among a rural population in Northwest China and to determine the associated factors for cardiovascular health.A population-based cross-sectional study was conducted in the rural areas of Hanzhong in Northwest China. Interview, physical examination, and fasting blood glucose and lipid measurements were completed for 2693 adults. The construct of cardiovascular health and the definitions of cardiovascular health metrics proposed by the American Heart Association were used to assess cardiovascular health. The proportions of subjects with cardiovascular health metrics were calculated, adjusting for age and sex. The multiple logistic regression model was used to evaluate the association between ideal cardiovascular health and its associated factors.Only 0.5% (0.0% in men vs 0.9% in women, P = 0.002) of the participants had ideal cardiovascular health, whereas 33.8% (18.0% in men vs 50.0% in women, P health, respectively. The prevalence of poor cardiovascular health increased with increasing age (P health metrics. Also, 22.2% of the participants presented with 3 or fewer ideal metrics. Only 19.4% of the participants presented with 6 or more ideal metrics. 24.1% of the participants had all 4 ideal health factors, but only 1.1% of the participants had all 4 ideal health behaviors. Women were more likely to have ideal cardiovascular health, whereas adults aged 35 years or over and those who had a family history of hypertension were less likely to have ideal cardiovascular health.The prevalence of ideal cardiovascular health was extremely low among the rural population in Northwest China. Most adults, especially men and the elderly, had a poor cardiovascular health status. To improve cardiovascular health among the rural population, efforts, especially lifestyle improvements, education and interventions to make healthier food choices, reduce salt intake, increase physical activities, and cease

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

    Science.gov (United States)

    Zhang, Chenggang; Fan, Jingbo

    2013-06-01

    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 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

  5. 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

  6. Health protection measures after the Chernobyl accident

    International Nuclear Information System (INIS)

    The article describes the nutritional measures introduced to protect health after the Chernobyl accident, and the associated costs. The toal value of the reindeer meat, mutton, lamb and goat meat saved as a result of such measures in 1987 amounted to approx. NOK 250 million. The measures cost approx. NOK 60 million. The resulting reduction in the radiation dose level to which the population was exposed was 450 manSv. In 1988, mutton/lamb and goat meat valued at approx. NOK 310 million was saved from contamination by similar measures, which cost approx. NOK 50 million. The resulting dose level reduction was approx. 200 manSv. The relationship (cost/benefit ratio) between the overall cost of the measures taken to reduce radioactivity levels in food and the dose level reduction achieved was acceptable. 11 refs

  7. Assessment of regional human health risks from lead contamination in Yunnan province, southwestern China.

    Science.gov (United States)

    Lu, Lu; Cheng, Hongguang; Liu, Xuelian; Xie, Jing; Li, Qian; Zhou, Tan

    2015-01-01

    Identification and management the 'critical risk areas' where hotspot lead exposures are a potential risk to human health, become a major focus of public health efforts in China. But the knowledge of health risk assessment of lead pollution at regional and national scales is still limited in China. In this paper, under the guidance of 'sources-pathways-receptors' framework, regional human health risk assessment model for lead contamination was developed to calculate the population health risk in Yunnan province. And the cluster and AHP (analytic hierarchy process) analysis was taken to classify and calculate regional health risk and the decomposition of the regional health risk in the greatest health risk region, respectively. The results showed that Yunnan province can be divided into three areas. The highest health risk levels, located in northeastern Yunnan, including Kunming, Qujing, Zhaotong region. In those regions, lead is present at high levels in air, food, water and soil, and high population density which pose a high potential population risk to the public. The current study also reveals that most regional health risk was derived from the child receptors (age above 3 years) 4.3 times than the child receptors (age under 3 years), and ingestion of lead-contaminated rice was found to be the most significant contributor to the health risk (accounting for more than 49% health risk of total). This study can provide a framework for regional risk assessment in China and highlighted some indicators and uncertainties. PMID:25893826

  8. 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. PMID

  9. Interim Measures for the Tax Preservation and Enforcement Measures of the Customs of the Peoples Republic of China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ Article 1 For the purpose of regulating the Tax Preservation and enforcement measures of the Customs of the People's Republic of China, guaranteeing the state taxation and safeguarding the lawful rights and interests of taxpayers, these Measures are formulated in accordance with the Customs Law of the People's Republic of China and the Regulations of the People's Republic of China on Import and Export Duties.

  10. 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…

  11. [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". PMID:24989806

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

    Science.gov (United States)

    Shi, X M

    2016-08-01

    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. PMID:27539518

  13. Radioactive contamination levels in China and health evaluation following radioactive release from Soviet Chernobyl Nuclear Power Plant accident

    International Nuclear Information System (INIS)

    For the purpose of evaluating radiological effects in China and protecting population from possible consequences of Soviet Chernobyl nuclear power plant accident, the national network of environmental radioactive monitoring stations in China started emergency monitoring since May 1st, 1986. From May 1st to the end of July, 131I, 137Cs and other man-made radionuclides in some environmental media were found in large amounts. 131I was detected obviously in daily deposition, surface water, growing leafy vegetables, fresh milk and sheep thyroid samples. It is proved that radioactive fallout from Soviet Chernobyl accident has spreaded in atmosphere over the territory of China; so, the environment has been contaminated. Thyroid dose for individuals of general public in China was estimated. The effective dose equivalents for adults are lower than 2 μSv, for infants lower than 30 μSv; they are low as compared with 'Basic Health Standards for Radiological Protection' in China. The emergency sanitary protective measures were considered unnecessary

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

    International Nuclear Information System (INIS)

    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-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-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-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)

  15. 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. PMID:26693739

  16. Measurement of Health Disparities, Health Inequities, and Social Determinants of Health to Support the Advancement of Health Equity.

    Science.gov (United States)

    Penman-Aguilar, Ana; Talih, Makram; Huang, David; Moonesinghe, Ramal; Bouye, Karen; Beckles, Gloria

    2016-01-01

    Reduction of health disparities and advancement of health equity in the United States require high-quality data indicative of where the nation stands vis-à-vis health equity, as well as proper analytic tools to facilitate accurate interpretation of these data. This article opens with an overview of health equity and social determinants of health. It then proposes a set of recommended practices in measurement of health disparities, health inequities, and social determinants of health at the national level to support the advancement of health equity, highlighting that (1) differences in health and its determinants that are associated with social position are important to assess; (2) social and structural determinants of health should be assessed and multiple levels of measurement should be considered; (3) the rationale for methodological choices made and measures chosen should be made explicit; (4) groups to be compared should be simultaneously classified by multiple social statuses; and (5) stakeholders and their communication needs can often be considered in the selection of analytic methods. Although much is understood about the role of social determinants of health in shaping the health of populations, researchers should continue to advance understanding of the pathways through which they operate on particular health outcomes. There is still much to learn and implement about how to measure health disparities, health inequities, and social determinants of health at the national level, and the challenges of health equity persist. We anticipate that the present discussion will contribute to the laying of a foundation for standard practice in the monitoring of national progress toward achievement of health equity. PMID:26599027

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

    International Nuclear Information System (INIS)

    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

  18. 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

  19. Health Indicators and Geographic Mobility among Young Rural-to-Urban Migrants in China

    OpenAIRE

    Li, Xiaoming; Stanton, Bonita; Chen, Xinguang (Jim); Hong, Yan; Fang, Xiaoyi; Lin, Danhua; Mao, Rong; Jin WANG

    2006-01-01

    The process of rural-to-urban migration in China is accelerating with increased modernization and industrialization. To address the issues of health outcomes and geographic mobility among this population, data from 4,208 rural-to-urban migrants in two major metropolitans of China were analyzed. Results indicate that average duration of migration was 4.3 years, with younger migrants being more mobile than their older counterparts. After controlling for possible confounders, increases in mobili...

  20. Community-Based Participatory Research: A Vehicle to Promote Public Engagement for Environmental Health in China

    OpenAIRE

    Ali, Robbie; Olden, Kenneth; Xu, Shunqing

    2008-01-01

    Background In the past 25 years, China has experienced remarkable economic growth and rapid agricultural-to-industrial and rural-to-urban transitions. As a consequence, China now faces many daunting environmental challenges that are significantly affecting human health and quality of life, including indoor and outdoor air pollution, water pollution, deforestation, loss of agricultural land, and sustainability. Chinese government leaders have recently emphasized the need for better environment...

  1. Oral health status of rural-urban migrant children in South China

    OpenAIRE

    Gao, XL; McGrath, C; Lin, HC

    2010-01-01

    International Journal of Paediatric Dentistry 2011; 21: 58-67 Background. In China, there is a massive rural-urban migration and the children of migrants are often unregistered residents (a 'floating population').Aim. This pilot study aimed to profile the oral health of migrant children in South China's principal city of migration and identify its socio-demographic/behavioural determinants.Design. An epidemiological survey was conducted in an area of Guangzhou among 5-year-old migrant childre...

  2. Health-related quality of life of among elders in rural China: the effect of widowhood.

    OpenAIRE

    Zhou, J.; Hearst, N

    2016-01-01

    China has an enormous and rapidly growing population of widowed elders. Little is known about how losing a spouse affects elders' health-related quality of life (QOL), especially in the rural areas where most Chinese elders live. This article analyzes QOL data collected in 2014 among rural Chinese elders to address this question.SF12 questionnaires and information about individual and household characteristics were collected from 3053 elders aged 60 and above in rural China. We compared the p...

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

    OpenAIRE

    Fuquan Ni; Liu, Guodong; Yaosheng TAN; Xu, Liping; Deng, Yu

    2010-01-01

    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 in...

  4. 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

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

    OpenAIRE

    Yang Wei; Kanavos Panos

    2012-01-01

    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 ...

  6. Assessment of tobacco control advocacy behavioural capacity among students at schools of public health in China

    OpenAIRE

    Yang, Tingzhong; Abdullah, Abu S.; Rockett, Ian R. H.; Li, Mu; Zhou, Yuhua; Jun MA; Ji, Huaping; Zheng, Jianzhong; Zhang, Yuhong; Wang, Liming

    2010-01-01

    Objectives To evaluate student tobacco control advocacy behavioural capacity using longitudinal trace data. Methods A tobacco control advocacy curriculum was developed and implemented at schools of public health (SPH) or departments of public health in seven universities in China. Participants comprised undergraduate students studying the public health curriculum in these 13 Universities. A standardised assessment tool was used to evaluate their tobacco control advocacy behavioural capacity. ...

  7. The Structure and Effectiveness of Health Systems: Exploring the Impact of System Integration in Rural China

    OpenAIRE

    Wang, Xin; Birch, Stephen; Ma, Huifen; Zhu, Weiming; Meng, Qingyue

    2016-01-01

    Introduction: Facing the challenges of aging populations, increasing chronic diseases prevalence and health system fragmentation, there have been several pilots of integrated health systems in China. But little is known about their structure, mechanism and effectiveness. The aim of this paper is to analyze health system integration and develop recommendations for achieving integration.Method: Huangzhong and Hualong counties in Qinghai province were studied as study sites, with only Huangzhong...

  8. Arsenic contamination and potential health risk implications at an abandoned tungsten mine, southern China

    Energy Technology Data Exchange (ETDEWEB)

    Liu Chuanping [Guangdong Public Laboratory of Environmental Science and Technology, Guangdong Institute of Eco-Environmental and Soil Sciences, Guangzhou 510650 (China); Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, Guangzhou 510640 (China); Graduate School of Chinese Academy of Sciences, Beijing 100039 (China); Luo Chunling [Department of Civil and Structural Engineering, The Hong Kong Polytechnic University, Hung Hom, Kowloon (Hong Kong); Gao Yun [Guangdong Public Laboratory of Environmental Science and Technology, Guangdong Institute of Eco-Environmental and Soil Sciences, Guangzhou 510650 (China); Li Fangbai, E-mail: cefbli@soil.gd.c [Guangdong Public Laboratory of Environmental Science and Technology, Guangdong Institute of Eco-Environmental and Soil Sciences, Guangzhou 510650 (China); Lin Lanwen; Wu Changan [Guangdong Public Laboratory of Environmental Science and Technology, Guangdong Institute of Eco-Environmental and Soil Sciences, Guangzhou 510650 (China); Li Xiangdong [Department of Civil and Structural Engineering, Hong Kong Polytechnic University, Hung Hom, Kowloon (Hong Kong)

    2010-03-15

    In an extensive environmental study, field samples, including soil, water, rice, vegetable, fish, human hair and urine, were collected at an abandoned tungsten mine in Shantou City, southern China. Results showed that arsenic (As) concentration in agricultural soils ranged from 3.5 to 935 mg kg{sup -1} with the mean value of 129 mg kg{sup -1}. In addition, As concentration reached up to 325 mug L{sup -1} in the groundwater, and the maximum As concentration in local food were 1.09, 2.38 and 0.60 mg kg{sup -1} for brown rice, vegetable and fish samples, respectively, suggesting the local water resource and food have been severely contaminated with As. Health impact monitoring data revealed that As concentrations in hair and urine samples were up to 2.92 mg kg{sup -1} and 164 mug L{sup -1}, respectively, indicating a potential health risk among the local residents. Effective measurements should be implemented to protect the local community from the As contamination in the environment. - It is the first report on arsenic contamination and potential health risk implications at abandoned Lianhuashan tungsten mine.

  9. Arsenic contamination and potential health risk implications at an abandoned tungsten mine, southern China

    International Nuclear Information System (INIS)

    In an extensive environmental study, field samples, including soil, water, rice, vegetable, fish, human hair and urine, were collected at an abandoned tungsten mine in Shantou City, southern China. Results showed that arsenic (As) concentration in agricultural soils ranged from 3.5 to 935 mg kg-1 with the mean value of 129 mg kg-1. In addition, As concentration reached up to 325 μg L-1 in the groundwater, and the maximum As concentration in local food were 1.09, 2.38 and 0.60 mg kg-1 for brown rice, vegetable and fish samples, respectively, suggesting the local water resource and food have been severely contaminated with As. Health impact monitoring data revealed that As concentrations in hair and urine samples were up to 2.92 mg kg-1 and 164 μg L-1, respectively, indicating a potential health risk among the local residents. Effective measurements should be implemented to protect the local community from the As contamination in the environment. - It is the first report on arsenic contamination and potential health risk implications at abandoned Lianhuashan tungsten mine.

  10. [Supply services at health facilities: measuring performance].

    Science.gov (United States)

    Dacosta Claro, I

    2001-01-01

    Performance measurement, in their different meanings--either balance scorecard or outputs measurement--have become an essential tool in today's organizations (World-Class organizations) to improve service quality and reduce costs. This paper presents a performance measurement system for the hospital supply chain. The system is organized in different levels and groups of indicators in order to show a hierarchical, coherent and integrated vision of the processes. Thus, supply services performance is measured according to (1) financial aspects, (2) customers satisfaction aspects and (3) internal aspects of the processes performed. Since the informational needs of the managers vary within the administrative structure, the performance measurement system is defined in three hierarchical levels. Firstly, the whole supply chain, with the different interrelation of activities. Secondly, the three main processes of the chain--physical management of products, purchasing and negotiation processes and the local storage units. And finally, the performance measurement of each activity involved. The system and the indicators have been evaluated with the participation of 17 health services of Quebec (Canada), however, and due to the similarities of the operation, could be equally implemented in Spanish hospitals. PMID:11693070

  11. 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

  12. 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. PMID:26667820

  13. Profiler-sonobuoy measurements in the South China Sea basin

    Energy Technology Data Exchange (ETDEWEB)

    Ludwig, W.J.; Kumar, N.; Houtz, R.E.

    1979-07-10

    Analyses of single-channel seismic reflection profiles, and wide-angle reflection and refraction data from sonobuoys, indicate that the deep part of the South China Sea basin is typically oceanic in structure, except that layer 2 is about 1 km thicker than usual and layer 3 is only about half the usual thickness. The top of layer 2 has a rough upper surface and becomes deeper in the northern part of the basin, where it is overlain by sediments of velocity 1.7--3.8 km/s up to 3 km thick. A 6-km-thick sequence of sediments fills a basement depression just north of the outer subsurface (peripheral) ridge of the Sunda shelf. Thick sediments were measured at the outer parts of the Sunda shelf, Palawan shelf, Northeast Borneo shelf, and in the Taiwan straits south of the Penghu-Peikang basement high. The Manila trench is divided into two sections, a sediment-filled trench between southernmost Taiwan and Stewart bank off central northern Luzon and a topographic trench between Stewart bank southward into the Mindoro straits. Burial of part of the trench by sediments that thicken to the north and the thick sediment cover of the northern South China Sea basin indicate provenance from the north. The northern margin of the South China Sea basin is predominantly a zone of tension the southern margin is predominantly a zone of compression, the western margin may be a zone of shear, and the eastern margin is a subduction zone. It seems probable that the southern margin of the basin, called the Reed bank crustal block, was formerly attached to mainland Asia. Sometime during the Paleogene the Reed bank crustal block broke away from the continent, and new sea floor was created between the southeastward migrating block and the Asian mainland. Old ocean crust in front of the advancing block was subducted along the northwestern sides of Borneo and Palawan. Subduction ceased in the early Miocene with the collision of the crustal block and the Borneo-Palawan isthmian ridge.

  14. 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

  15. Toward a Confucian family-oriented health care system for the future of China.

    Science.gov (United States)

    Cao, Yongfu; Chen, Xiaoyang; Fan, Ruiping

    2011-10-01

    Recently implemented Chinese health insurance schemes have failed to achieve a Chinese health care system that is family-oriented, family-based, family-friendly, or even financially sustainable. With this diagnosis in hand, the authors argue that a financially and morally sustainable Chinese health care system should have as its core family health savings accounts supplemented by appropriate health insurance plans. This essay's arguments are set in the context of Confucian moral commitments that still shape the background culture of contemporary China. PMID:21984753

  16. Male and Female Adult Population Health Status in China: A Cross-Sectional National Survey

    Directory of Open Access Journals (Sweden)

    Lu Mingshan

    2008-08-01

    Full Text Available Abstract Background With rapid economic growth and globalization, lifestyle in China has been changing dramatically. This study aimed to describe the male and female adult Chinese population health status. Methods The Chinese Third National Health Services Survey was conducted in 2003 to collect information about health status and quality of life from randomly selected residents. Of the 193,689 respondents to the survey (response rate 77.8%, 139,831 (69,748 male and 70,083 female respondents who were 18 years of age or older were analyzed. Results Among the respondents, fewer males than females rated their overall wellbeing as being poor or very poor (4.8% versus 6.2%, reported illness in the last 2 weeks (14.1% versus 17.4%, presence of physician diagnosed chronic disease (15.0% versus 17.7% and at least one functional problem in seven items of the quality of life (26.9% versus 32.8%. More males than females were currently smoking (52.4% versus 3.4% and drank alcohol more than three times per week (16.5% versus 1.1%. Physically inactive rate was similar between males and females (85.8% versus 87.0%. Fewer rural respondents reported chronic disease than urban respondents (13.0% versus 19.9% for males and 15.5% versus 22.8% for females. In all seven items of the quality of life measured, rural respondents reported less problems than urban respondents (26.2% versus 28.7% for males and 32.0% versus 34.7% for females. Conclusion Males had better health status than females in terms of self-perceived wellbeing, presence of illness, chronic disease, and quality of life. However, smoking and frequent alcohol drinking was more prevalent among males than that among females. In contrast with the social-economic gradient in health commonly found in the literature, the wealthier urban population in China was not found to be healthier than the rural population in terms of physician diagnosed chronic disease.

  17. An evaluation of a health status measure and two health utility measures in patients with inflammatory polyarthritis

    OpenAIRE

    Harrison MJ

    2008-01-01

    Background: The ability to measure health and the value of improving or declining health is crucial to the evaluation of health care interventions. Many generic and disease specific health status measures exist for use in patients with rheumatoid arthritis (RA). The Overall Status in Rheumatoid Arthritis (OSRA) measure is a new and simple measure with early evidence of construct validity. Generic health profiles with attached utility weights such as the EuroQol EQ-5D and the SF-6D (calculated...

  18. Human health risk assessment of organochlorines associated with fish consumption in a coastal city in China

    International Nuclear Information System (INIS)

    Food consumption is an important route of human exposure to organochlorines (OCs). In order to assess the potential health risks associated with these contaminants due to fish consumption, five species of fish were collected from a local market in Zhoushan City, an island in the East China Sea. Dioxin-like compounds, such as polychlorinated dibenzo-p-dioxins/ dibenzofurans, in the fish samples were screened by H4IIE-luc cell bioassay, and the concentrations of specific organochlorines were measured by gas chromatograph-electron capture detector (GC-ECD). The bioassay results indicated that concentrations of dioxin-like compounds in the fish samples were below detection limit (0.64 pg/mL). The concentrations of OC pesticides and PCBs ranged from 0.67 to 13 and 0.24 to 1.4 ng/g wet wt., respectively. Significantly, concentrations of p,p'-DDE in fish meat were comparatively high (average 3.9 ng/g wet wt.) compared with the other OC pesticides. The daily fish consumption, based on a dietary survey conducted among 160 local healthy residents, was determined to be 105 g/person. The relevant cancer benchmark concentrations of HCB, dieldrin, chlordane, DDTs and PCBs were 0.36, 0.04, 1.6, 1.7, and 0.29 ng/kg per day, respectively, based on the local diet. The hazard ratios (HRs), based on non-cancer endpoints were all less than 1.0, while the HRs based on cancer were greater than 1.0 for certain contaminants based on the 95th centile concentration in fish tissue. - Health risk assessment of organochlorines associated with fish consumption reveals potential cancer risks for some contaminants in a coastal population in China

  19. Health Status, Cognitive and Motor Development of Young Children Adopted from China, East Asia, and Russia across the First 6 Months after Adoption

    Science.gov (United States)

    Pomerleau, Andree; Malcuit, Gerard; Chicoine, Jean-Francois; Seguin, Renee; Belhumeur, Celine; Germain, Patricia; Amyot, Isabelle; Jeliu, Gloria

    2005-01-01

    We compared health status, anthropometric and psychological development of 123 children adopted before 18 months of age from China, East Asia (Vietnam, Taiwan, Thailand, South Korea, Cambodia), and Eastern Europe (mostly Russia). Data were collected close to the time of arrival, and 3 and 6 months later. Anthropometric measures included weight,…

  20. Acceptability and adoption of handheld computer data collection for public health research in China: a case study

    OpenAIRE

    Wan, Xia; Raymond, H Fisher; Wen, Tiancai; Ding, Ding; Wang, Qian; Shin, Sanghyuk S.; Yang, Gonghuan; Chai, Wanxing; Zhang, Peng; Novotny, Thomas E

    2013-01-01

    Background Handheld computers for data collection (HCDC) and management have become increasingly common in health research. However, current knowledge about the use of HCDC in health research in China is very limited. In this study, we administered a survey to a hard-to-reach population in China using HCDC and assessed the acceptability and adoption of HCDC in China. Methods Handheld computers operating Windows Mobile and Questionnaire Development Studio (QDS) software (Nova Research Company)...

  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. Study on Equity and Efficiency of Health Resources and Services Based on Key Indicators in China.

    Directory of Open Access Journals (Sweden)

    Xinyu Zhang

    Full Text Available This study aims to evaluate the dialectical relationship between equity and efficiency of health resource allocation and health service utilization in China.We analyzed the inequity of health resource allocation and health service utilization based on concentration index (CI and Gini coefficient. Data envelopment analysis (DEA was used to evaluate the inefficiency of resource allocation and service utilization. Factor Analysis (FA was used to determine input/output indicators.The CI of Health Institutions, Beds in Health Institutions, Health Professionals and Outpatient Visits were -0.116, -0.012, 0.038, and 0.111, respectively. Gini coefficient for the 31 provinces varied between 0.05 and 0.43; out of these 23 (742% were observed to be technically efficient constituting the "best practice frontier". The other 8 (25.8% provinces were technically inefficient.Health professionals and outpatient services are focused on higher income levels, while the Health Institutions and Beds in Health Institutions were concentrated on lower income levels. In China, a few provinces attained a basic balance in both equity and efficiency in terms of current health resource and service utilization, thus serving as a reference standard for other provinces.

  4. Long-Term Effects of Liming on Health and Growth of a Masson Pine Stand Damaged by Soil Acidification in Chongqing, China

    OpenAIRE

    Li, Zhiyong; Wang, Yanhui; Liu, Yuan; Guo, Hao; Li, Tao; Li, Zhen-Hua; Shi, Guoan

    2014-01-01

    In the last decades, the Masson pine (Pinus massoniana) forests in Chongqing, southwest China, have increasingly declined. Soil acidification was believed to be an important cause. Liming is widely used as a measure to alleviate soil acidification and its damage to trees, but little is known about long-term effects of liming on the health and growth of declining Masson pine forests. Soil chemical properties, health condition (defoliation and discoloration), and growth were evaluated following...

  5. 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.

  6. Assessment of soil erosion and effectiveness of soil conservation measures in China

    International Nuclear Information System (INIS)

    China is one of the countries suffering from the most serious soil erosion in the world. For the Loess Plateau and the North-Eastern China, severe water erosion is the major cause, resulting from the intensive tillage operations and potato growing on steep slopes in the Loess Plateau and downslope cultivation and inappropriate crop rotation in North East-China. For the North China site, wind erosion is the main process, resulting from conventional tillage operations without surface cover. In South West (SW) China, the overgrazing is considered a major cause of accelerated soil and water loss. IAEA-funded studies were conducted in the Loess Plateau (Nianzhuang watershed in Yan'an), North China (Fengning site), North East China (Baiquan site), and SW China (Xichang site). Results obtained show that soil erosion rates from cultivated land as measured by fallout radionuclides (137Cs, 210Pb, and 7Be) are substantial. Soil erosion rates, as measured by the fallout radionuclide tracer method, declined by 16 to 80% depending on the type of conservation measure (terraced hillslopes, vegetated hillslopes, contour cultivation and no tillage, species of vegetation) and the studied sites, highlighting the importance of the use of radionuclide tracers in targeting the appropriate soil conservation measures to sites with different levels and types of erosion. The information gained from IAEA-funded studies has been adopted by the Office of the World Bank Project in Baota district, Yan'an for selecting effective soil conservation measures to control soil erosion

  7. The implication of health insurance for child development and maternal nutrition: evidence from China.

    Science.gov (United States)

    Peng, Xiaobo; Conley, Dalton

    2016-06-01

    We use the implementation of the new rural cooperative medical scheme (NCMS) in China to investigate the effect of health insurance on maternal nutrition and child health. Given the uneven roll-out of the NCMS across rural counties, we are able to deploy its implementation as a natural experiment in order to obviate problems of adverse selection that typically plague research on the effects of health insurance. We find that, among children, the NCMS has the greatest positive effect on infants between birth and 5 years of age. Also, with respect to female nutritional status, our models show that the NCMS has the greatest effect on women of childbearing age (aged between 16 and 35), indicating that women who benefit from the NCMS benefits may, in turn, give birth to healthier babies. Thus, taken together, our findings indicate that the NCMS plays an important role in health dynamics in rural China. PMID:26024841

  8. 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. PMID:24565140

  9. Assessment of health benefits from controlling air pollution in Shanghai, China

    International Nuclear Information System (INIS)

    The large urban centers of the industrializing countries of the world are experiencing severe air quality problems as their demands for energy increase faster than their ability to afford strong environmental protection. This situation is particularly true in the fast-growing part of Asia, where coal often provides the fuel for power generation and industrial development and where the transportation sector grows unchecked. This paper describes the development of an integrated assessment of urban air quality and mitigation options for the city of Shanghai, China. First, a sector-specific, gridded inventory of emissions of SO(sub 2), NO(sub x), and particulate matter (PM) is developed. PM is divided into three size categories (TSP, PM(sub 10), and PM(sub 2.5)) and split into carbonaceous and mineral classes. The URBAT model, a non-steady-state Lagrangian puff model, and related techniques are used to determine the spatial distribution of ambient concentrations of primary and secondary pollutant species. Damage functions are developed to determine the effects of these levels on human health in the greater Shanghai area. Two control scenarios are developed (for power generation and industry), and their effects on emissions of each species are estimated. The health benefits of the control measures are determined, and their relative costs are calculated. The result is a rudimentary cost-benefit analysis that can be used by urban and environmental planners as a guide for determining the relative effectiveness of taking different courses of action

  10. Attitudes towards primary care career in community health centers among medical students in China

    OpenAIRE

    Zhang, Lingling; Bossert, Thomas; Mahal, Ajay; Hu, Guoqing; Guo, Qing; Liu, Yuanli

    2016-01-01

    Background Very few of the primary care doctors currently working in China’s community health centers have a college degree (issued by 5-year medical schools). How to attract college graduates to community services in the future, therefore, has major policy relevance in the government’s ongoing efforts to reform community health care and fill in the long-absent role of general physicians in China. This paper examined medical school students’ attitudes towards working in communities and the fa...

  11. A Survey of the Health, Sleep, and Development of Children Adopted from China

    Science.gov (United States)

    Rettig, Michael A.; Mccarthy-Rettig, Kelly

    2006-01-01

    The health, development, and sleeping patterns of 240 children adopted from China were examined using a survey research approach. Eighty percent of the children were 18 months of age or younger when adopted, and 98 percent of the children were girls. Sixty-two percent of the children were reported to have been developmentally delayed at the time…

  12. 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.

  13. Health Shocks and Children's School Attainments in Rural China

    Science.gov (United States)

    Sun, Ang; Yao, Yang

    2010-01-01

    Using a long panel dataset of Chinese farm households covering the period of 1987-2002, this paper studies how major health shocks happening to household adults affect children's school attainments. We find that primary school-age children are the most vulnerable to health shocks, with their chances to enter middle school dropping by 9.9…

  14. The evolving implications of health and sustainability in China.

    Science.gov (United States)

    Glasser, Jay H

    2006-07-01

    Sustainability in the context of China is an immediate and massive concept. A society of 1.3 billion has economic growth of 9-10% and a dramatic rise in life expectancy. It has rapidly-accumulating material wealth, major lifestyle changes and growing inequalities. It is putting great pressure on natural resources such as water and air quality. The Chinese Government's new 5-year plan uses the term 'sustainable development' as an important social goal for the first time. Sustainability requires a global effort and Sino-European partnerships are important. PMID:16740285

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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. PMID:25603422

  20. Employee and union inputs into occupational health and safety measures in Chinese factories.

    Science.gov (United States)

    Chen, Meei-shia; Chan, Anita

    2004-04-01

    Few studies have addressed the impact of employees' inputs on the protection of their health and safety. The research presented in this paper focuses on Chinese factories and measures employees' evaluation of the effectiveness in OHS issues of their enterprise trade union and staff and workers' representative congress (SWRC). The data for the study draws upon a national survey of employees of enterprises in manufacturing industry conducted in 1997 by the All-China Federation of Trade Unions. The study finds that the input of the trade union and SWRC does have a significant impact on the protection of the workers' occupational health and safety. PMID:14759672

  1. Coherence between health policy and human resource strategy: lessons from maternal health in Vietnam, India and China.

    Science.gov (United States)

    Martineau, Tim; Mirzoev, Tolib; Pearson, Stephen; Ha, Bui Thi Thu; Xu, Qian; Ramani, K V; Liu, Xiaoyun

    2015-02-01

    The failure to meet health goals such as the Millennium Development Goals (MDG) is partly due to the lack of appropriate resources for the effective implementation of health policies. The lack of coherence between the health policies and human resource (HR) strategy is one of the major causes. This article explores the relationship and the degree of coherence between health policy--in this case maternal health policy--processes and HR strategy in Vietnam, China and India in the period 2005-09. Four maternal health policy case studies were explored [skilled birth attendance (SBA), adolescent and sexual reproductive health, domestic violence and medical termination of pregnancy] across three countries through interviews with key respondents, document analysis and stakeholder meetings. Analysis for coherence between health policy and HR strategy was informed by a typology covering 'separation', 'fit' and 'dialogue'. Regarding coherence we found examples of complete separation between health policy and HR strategy, a good fit with the SBA policy though modified through 'dialogue' in Vietnam, and in one case a good fit between policy and strategy was developed through successive evaluations. Three key influences on coherence between health policy and HR strategy emerge from our findings: (1) health as the lead sector, (2) the nature of the policy instrument and (3) the presence of 'HR champions'. Finally, we present a simple algorithm to ensure that appropriate HR related actors are involved; HR is considered at the policy development stage with the option of modifying the policy if it cannot be adequately supported by the available health workforce; and ensuring that HR strategies are monitored to ensure continued coherence with the health policy. This approach will ensure that the health workforce contributes more effectively to meeting the MDGs and future health goals. PMID:24374717

  2. Recent results from a study of thorium lung burdens and health effects among miners in China

    Energy Technology Data Exchange (ETDEWEB)

    Chen Xingan; Cheng, Y-E; Rong Zhen [Laboratory of Industrial Hygiene, Ministry of Health, PO Box 8018, Beijing 100088 (China)

    2005-12-15

    The purpose of this study was to obtain more information about health effects among the dust-exposed male miners of Bayun Obo Rare-Earth and Iron Mine, China. From 2390 male miners from the seven dust-generating workshops of the mine, 136 dust-exposed miners were randomly selected for study. Of these, 64 men were from the high-dust-generating workshop and 72 from the lower-dust-generating workshops; the latter group was used as an internal control. Physical measurements and medical examinations were carried out on each of these 136 men. The average measured thorium lung burden for the high-dust-exposure miners was significantly greater than that for the group of lower-exposure miners, and the incidence of severe breathlessness and pneumoconiosis of stage 0{sup +} was also significantly raised in the high-exposure group relative to the low-exposure group. An epidemiological study of lung cancer mortality among all the miners and staff of this mine was also carried out. This showed significantly raised levels of lung cancer mortality in both exposed miners and unexposed workers when compared with the Chinese population, and the level in exposed miners was significantly higher than that in unexposed men. The general high rate of lung cancer mortality in the workers of the mine is attributed to high levels of cigarette smoking, and the raised rate in the exposed miners relative to the unexposed workers to inhalation of silica- and thorium-bearing dusts and thoron progeny.

  3. Recent results from a study of thorium lung burdens and health effects among miners in China

    International Nuclear Information System (INIS)

    The purpose of this study was to obtain more information about health effects among the dust-exposed male miners of Bayun Obo Rare-Earth and Iron Mine, China. From 2390 male miners from the seven dust-generating workshops of the mine, 136 dust-exposed miners were randomly selected for study. Of these, 64 men were from the high-dust-generating workshop and 72 from the lower-dust-generating workshops; the latter group was used as an internal control. Physical measurements and medical examinations were carried out on each of these 136 men. The average measured thorium lung burden for the high-dust-exposure miners was significantly greater than that for the group of lower-exposure miners, and the incidence of severe breathlessness and pneumoconiosis of stage 0+ was also significantly raised in the high-exposure group relative to the low-exposure group. An epidemiological study of lung cancer mortality among all the miners and staff of this mine was also carried out. This showed significantly raised levels of lung cancer mortality in both exposed miners and unexposed workers when compared with the Chinese population, and the level in exposed miners was significantly higher than that in unexposed men. The general high rate of lung cancer mortality in the workers of the mine is attributed to high levels of cigarette smoking, and the raised rate in the exposed miners relative to the unexposed workers to inhalation of silica- and thorium-bearing dusts and thoron progeny

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

    International Nuclear Information System (INIS)

    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

  5. 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

  6. Urban-rural disparities in child nutrition-related health outcomes in China: The role of hukou policy

    OpenAIRE

    Liu, Hong; John A. Rizzo; Fang, Hai

    2015-01-01

    Background Hukou is the household registration system in China that determines eligibility for various welfare benefits, such as health care, education, housing, and employment. The hukou system may lead to nutritional and health disparities in China. We aim at examining the role of the hukou system in affecting urban-rural disparities in child nutrition, and disentangling the institutional effect of hukou from the effect of urban/rural residence on child nutrition-related health outcomes. Me...

  7. Patients' Willingness on Community Health Centers as Gatekeepers and Associated Factors in Shenzhen, China: A Cross-sectional Study.

    Science.gov (United States)

    Gan, Yong; Li, Wenzhen; Cao, Shiyi; Dong, Xiaoxin; Li, Liqing; Mkandawire, Naomie; Chen, Yawen; Herath, Chulani; Song, Xingyue; Yin, Xiaoxv; Yang, Tingting; Li, Jing; Deng, Jian; Lu, Zuxun

    2016-04-01

    The gate-keeping function of primary healthcare facilities has not been fully implemented in China. This study was aiming at assessing the willingness on community health centers (CHCs) as gatekeepers among a sample of patients and investigating the influencing factors.A cross-sectional survey was conducted in 2013. A total of 7761 patients aged 18 to 90 years from 8 CHCs in Shenzhen (China) were interviewed using a structured questionnaire. Descriptive and multivariable logistic regression analyses were used to analyze the characteristics of patients, their willingness on the gatekeeper policy, and identify the associated factors.On willingness of patients to select CHCs as gatekeepers, 70.03% of respondents were willing, 18.95% were neutral, and 9.02% were unwilling. Multivariable analysis indicated that female patients (odds ratio [OR] = 1.15, 95% confidence interval [CI]: 1.02-1.30); patients with health insurance (OR = 1.21, 95% CI: 1.07-1.36); patients who lives near CHC (OR = 1.89, 95% CI: 1.17-3.05); and patients who were more familiar with the gatekeeper policy (OR = 2.09, 95% CI: 1.85-2.36), had higher level of willingness on the policy. Conversely, reporting with good health status was independently associated with the decreased willingness on gatekeeper policy (OR = 0.69, 95% CI: 0.53-0.90).The findings indicated that patients' willingness on CHCs as gatekeepers is high. More priority measures, such as expanding medical insurance coverage of patients, strengthening the propaganda of gatekeeper policy, and increasing the access to community health service, are warranted to be taken. This will help to further improve the patients' willingness on CHCs as gatekeepers. It is thus feasible to implement the gatekeeper policy among patients in China. PMID:27057877

  8. 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…

  9. 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.

  10. 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.

  11. 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.

  12. 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

    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....... Evidence suggests that the population's exposure to air pollutants has contributed to increases in lung cancer, cardiovascular disease, pulmonary disease, and birth defects. Whether a pollutant has an outdoor or an indoor source, most exposure to the pollutant occurs indoors. Going forward, indoor...

  13. Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts

    OpenAIRE

    Zhang, Xiulan; Bloom, Gerald; Xu, Xiaoxin; Chen, Lin; Liang, Xiaoyun; Wolcott, Sara J

    2014-01-01

    Background This paper explores the evolution of schemes for rural finance in China as a case study of the long and complex process of health system development. It argues that the evolution of these schemes has been the outcome of the response of a large number of agents to a rapidly changing context and of efforts by the government to influence this adaptation process and achieve public health goals. Methods The study draws on several sources of data including a review of official policy doc...

  14. A welfare economics foundation for health inequality measurement

    OpenAIRE

    Bleichrodt, Han; VAN DOORSLAER, Eddy

    2006-01-01

    textabstractThe empirical literature on the measurement of health inequalities is vast and rapidly expanding. To date, however, no foundation in welfare economics exists for the proposed measures of health inequality. This paper provides such a foundation for commonly used measures like the health concentration index, the Gini index, and the extended concentration index. Our results indicate that these measures require assumptions that appear restrictive. One way forward may be the developmen...

  15. 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.

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

    OpenAIRE

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

    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...

  17. 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…

  18. Effectiveness of a workplace-based intervention program to promote mental health among employees in privately owned enterprises in China.

    Science.gov (United States)

    Sun, Jing; Buys, Nicholas; Wang, Xinchao

    2013-12-01

    This study aims to examine the effectiveness of a workplace-based intervention program to improve mental health, work ability, and work productivity in privately owned enterprises in China. A prospective cohort intervention study design was employed in which the intervention program was implemented for 30 months (from July 2009 to December 2012). Nine privately owned retail enterprises in China participated in the intervention study. Researchers administered a self-report survey to 2768 employees. The research team measured participants' job stress, resilience, work ability, absenteeism, depression, and work performance. A comprehensive Health Promotion Enterprise Program was implemented that entailed the following components: policies to support a healthy work environment, psychosocial interventions to promote mental health, provision of health services to people with mental illness, and professional skills training to deal with stress and build resilience. Analysis of variance was used to examine preintervention versus postintervention differences in stress, resilience, and work ability. Logistic regression was used to examine absenteeism related to depression. The results suggest that the intervention program was effective at improving participants' ability to work, their sense of control over their jobs, and, in particular, their ability to meet the mental demands of work. The intervention program also reduced participants' job stress levels and reduced the probability of absenteeism related to depression. The intervention programs incorporating both individual-level and organizational-level factors to promote mental health were effective and have implications for both practice and policy regarding enterprises taking more responsibility for the provision of mental health services to their employees. PMID:23672231

  19. 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.

  20. Health benefits of improving air quality in Taiyuan, China.

    Science.gov (United States)

    Tang, Deliang; Wang, Cuicui; Nie, Jiesheng; Chen, Renjie; Niu, Qiao; Kan, Haidong; Chen, Bingheng; Perera, Frederica

    2014-12-01

    Since 2000, the government in Shanxi province has mounted several initiatives and mandated factory shutdowns with the goal of reducing coal burning emissions and the environmental impacts of industrialization. We estimated the health benefits associated with air quality improvement from 2001 to 2010 in Taiyuan, Shanxi Province, using disability-adjusted life years (DALYs) and monetized the health benefits using value of statistical life (VOSL). Data were collected on annual average concentrations of particulate matter less than 10 μm in aerodynamic diameter (PM10) and relevant health outcomes in Taiyuan from 2001 to 2010. Selected exposure-response functions were used to calculate the cases of death or disease attributable to PM10 annually over a 10-year period. These were summed to calculate the DALYs lost and their monetary value associated with PM10 each year between 2001 and 2010. Air quality improvement from 2001 to 2010 was estimated to have prevented 2810 premature deaths, 951 new cases of chronic bronchitis, 141,457 cases of outpatient visits, 969 cases of emergency-room visits and 31,810 cases of hospital admissions. The DALYs (VOSL) decreased by 56.92% (52.68%) from 52,937 (7274 million Yuan) in 2001 to 22,807 (3442 million Yuan) in 2010. Premature deaths accounted for almost 95% of the total DALYs. Our analysis demonstrates that air pollution abatement during the last decade in Taiyuan has generated substantial health benefits. PMID:25168129

  1. 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

  2. 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…

  3. Public health preparedness evaluation and measurement

    Directory of Open Access Journals (Sweden)

    Elena Savoia

    2004-06-01

    Full Text Available

    Dear Sir;
    Public health preparedness refers to the ability of different local, state, and federal entities to carry out a prompt,effective response to any public health threat.[1] Indeed,it is clear that the term “threat”could embrace
    a myriad of elements. Recently, the main focus has been on bioterrorism, defined as the terrorist use of chemical, biological, radiological, nuclear or explosive weapons of mass destruction.

    However, preparedness also involves other threats such as seasonal influenza epidemics, earthquakes or electricity failures. Programs aimed at improving the level of preparedness of different types of agencies (such as law enforcement, public health agencies, fire services, emergency medical services etc. in case of terrorist attacks could largely improve the overall ability of the public health system in addressing any threat to health, in particular those related to infectious diseases.[2]

  4. 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. PMID:26202433

  5. Service utilization in community health centers in China: a comparison analysis with local hospitals

    Directory of Open Access Journals (Sweden)

    Wang Xiaohang

    2006-08-01

    Full Text Available Abstract Background Being an important part of China's Urban Health Care Reform System, Community Health Centers (CHCs have been established throughout the entire country and are presently undergoing substantial reconstruction. However, the services being delivered by the CHCs are far from reaching their performance targets. In order to assess the role of the CHCs, we examined their performance in six cities located in regions of South-East China. The purpose of this investigation was to identify the utilization and the efficiency of community health resources that are able to provide basic medical and public health services. Methods The study was approved by Peking University Health Science Center Institutional Reviewing Board (NO: IRB00001052-T1. Data were collected from all the local health bureaux and processed using SPSS software. Methods of analysis mainly included: descriptive analysis, paired T-test and one-way ANOVA. Results The six main functions of the CHCs were not fully exploited and the surveys that were collected on their efficiency and utilization of resources indicate that they have a low level of performance and lack the trust of local communities. Furthermore, the CHCs seriously lack funding support and operate under difficult circumstances, and residents have less positive attitudes towards them. Conclusion The community health service must be adjusted according to the requirements of urban medical and health reform, taking into account communities' health needs. More research is required on the living standards and health needs of residents living within the CHC's range, taking into consideration the users' needs in expanding the newly implemented service, and at the same time revising the old service system so as to make the development of CHCs realistic and capable of providing a better service to patients. Several suggestions are put forward for an attainable scheme for developing a community health service.

  6. 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

    OpenAIRE

    Gopal K. Singh, PhD; Jihong Liu, ScD

    2012-01-01

    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 developm...

  7. Status and problems of wind turbine structural health monitoring techniques in China

    International Nuclear Information System (INIS)

    Wind energy is an important renewable energy source because of its reliability due to the maturity of the technology, good infrastructure and relative cost competitiveness. Rich wind resources and strong support in regulations by the Chinese government have enabled the wind power industry to grow at a fast speed and the primary market scale has been achieved, making it the second largest wind power market in the world. There has also been an increase in wind energy research in various regions in China during the last few years. As utility-size wind turbines increase in size, and correspondingly their initial capital investment cost, there is an increasing need to monitor the health of these structures. However, most of the research papers in China are about the manufacture and production, such as the simulation of the wind turbine generator system model, the systematic resonance and stability for the world turbine, the wind speed, wind power and pitch adjustment simulation model, and so on. Few papers focus on the structural health monitoring (SHM) techniques of the wind turbine. In this paper, we review the status of the current SHM techniques in wind turbine and analyze the problems of them in China. The aims of this paper are to let more scholars and experts know the status of the current SHM techniques and to do something for building a successful industry in China. (author)

  8. 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.

  9. Landfills in Jiangsu province, China, and potential threats for public health: Leachate appraisal and spatial analysis using geographic information system and remote sensing

    International Nuclear Information System (INIS)

    Waste disposal is of growing environmental and public health concern in China where landfilling is the predominant method of disposal. The assessment of potential health hazards posed by existing landfills requires sound information, and processing of a significant amount of spatial data. Geographical information system (GIS) and remote sensing (RS) are valuable tools for assessing health impacts due to landfills. The aims of this study were: (i) to analyze the leachate and gas emissions from landfills used for domestic waste disposal in a metropolitan area of Jiangsu province, China, (ii) to investigate remotely-sensed environmental features in close proximity to landfills, and (iii) to evaluate the compliance of their location and leachate quality with the relevant national regulations. We randomly selected five landfills in the metropolitan areas of Wuxi and Suzhou city, Jiangsu province, established a GIS database and examined whether data were in compliance with national environmental and public health regulations. The leachates of the sampled landfills contained heavy metals (Pb, As, Cr6+ and Hg) and organic compounds in concentrations considered harmful to human health. Measured methane concentrations on landfill surfaces were low. Spatial analysis of the location of landfills with regard to distance from major water bodies, sensible infrastructure and environmental conditions according to current national legislation resulted in the rejection of four of the five sites as inappropriate for landfills. Our results call for rigorous evaluation of the spatial location of landfills in China that must take into consideration environmental and public health criteria

  10. Public health preparedness evaluation and measurement

    OpenAIRE

    Elena Savoia; Jamie Morano; David Cote; Sanjay Rampal; Diego Villa; Marcia Testa

    2004-01-01

    Dear Sir;
    Public health preparedness refers to the ability of different local, state, and federal entities to carry out a prompt,effective response to any public health threat.[1] Indeed,it is clear that the term “threat”could embrace
    a myriad of elements. Recently, the main focus has been on bioterrorism, defined as the terrorist use of chemical, biological, radiological, nuclear or explosive weapons of mass destruction.

    However, preparedness ...

  11. The analysis of the impacts of energy consumption on environment and public health in China

    International Nuclear Information System (INIS)

    The emission parameters and expose-response functions of some pollutants, such as sulphur dioxide (SO2) and Inhalable Particulate Matter (PM10), were introduced to calculate the emission caused by energy consumption in various sectors and regions in China under different scenarios. The impacts of economic growth, population, and technology progress on energy consumption and on the environment were also analyzed. Finally, the economic value of public health damage caused by the changes of pollutants' concentration related to energy consumption under various scenarios, different regions and sectors in China was analyzed. The results show that the PM-10 and SO2 emissions and consequent health damage will increase significantly in the next 12 years. Thus, energy efficiency, population, economy, and urbanization are the main factors to be considered in this system.

  12. The analysis of the impacts of energy consumption on environment and public health in China

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Yu. [Institute of Nuclear and New Energy Technology, Tsinghua University, C506 Energy Science Building, Beijing 100084 (China)

    2010-11-15

    The emission parameters and expose-response functions of some pollutants, such as sulphur dioxide (SO{sub 2}) and Inhalable Particulate Matter (PM10), were introduced to calculate the emission caused by energy consumption in various sectors and regions in China under different scenarios. The impacts of economic growth, population, and technology progress on energy consumption and on the environment were also analyzed. Finally, the economic value of public health damage caused by the changes of pollutants' concentration related to energy consumption under various scenarios, different regions and sectors in China was analyzed. The results show that the PM-10 and SO{sub 2} emissions and consequent health damage will increase significantly in the next 12 years. Thus, energy efficiency, population, economy, and urbanization are the main factors to be considered in this system. (author)

  13. Effect of a school-based oral health education programme in Wuhan City, Peoples Republic of China

    DEFF Research Database (Denmark)

    Petersen, Poul Erik; Peng, Bin; Tai, Baojun;

    2004-01-01

    OBJECTIVES: To assess oral health outcomes of a school-based oral health education (OHE) programme on children, mothers and schoolteachers in China, and to evaluate the methods applied and materials used. DESIGN: The WHO Health Promoting Schools Project applied to primary schoolchildren in 3...

  14. 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

  15. Environmental health in China: challenges to achieving clean air and safe water

    OpenAIRE

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

    2010-01-01

    The health effects of environmental risks, especially those of air and water pollution, remain a major source of morbidity and mortality in China. Biomass fuel and coal are routinely 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 santiation, and thus the risk of waterborne disease in many regions remains high. At the ...

  16. Discrimination Based on Health Grounds : Case Study: Hepatitis B Virus Discrimination in China Labour Employment

    OpenAIRE

    2006-01-01

    Nowadays, due to the high prevalence of hepatitis B in China, millions of carriers are faced with discrimination when they come to work, study, health care or even marriage. The same situation also happens to those physically disadvantageous people especially in the access to employment. Employment discrimination detracts from the principle of equality and directly impairs social justice and human dignity. Series of institutional responses are needed to effectively prevent employment discrimi...

  17. Trends in Notifiable Infectious Diseases in China: Implications for Surveillance and Population Health Policy

    OpenAIRE

    Zhang, Lei; Wilson, David P.

    2012-01-01

    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 ra...

  18. Impact of Oral Health Behaviors on Dental Caries in Children with Intellectual Disabilities in Guangzhou, China

    OpenAIRE

    Zifeng Liu; Dongsheng Yu; Wei Luo; Jing Yang; Jiaxuan Lu; Shuo Gao; Wenqing Li; Wei Zhao

    2014-01-01

    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 questionnai...

  19. Exploring Health Literacy in Medical University Students of Chongqing, China: A Cross-Sectional Study

    Science.gov (United States)

    Hu, Ping; Huang, Wenjie; Lu, Lu; Bai, Ruixue; Sharma, Manoj; Zhao, Yong

    2016-01-01

    Health literacy is important in public health and healthcare, particularly in effective communication between patients and health professionals. Although most medical students will eventually work as health professionals after graduation, research on health literacy of medical students is scarce. This study aimed to assess the health literacy level of medical students in Chongqing, China, and its influencing factors. A cross-sectional study was conducted and 1,275 participants (250 males and 1,022 females) who majored in five different disciplines were involved. The Health Literacy Questionnaire was used as the survey tool. The junior students obtained the highest scores, whereas the freshman students had the lowest scores on each scale. The average score of males was higher than that of females except in “feeling understood and supported by healthcare providers,” and the average score of students who reside in urban areas was higher than that of students in rural areas. Moreover, the average score of engineering students was higher than that of medical or health sciences students. Multiple linear regression models (Radj2 = 0.435, P = 0.000) showed that the grade, socioeconomic status, and parent’s highest level of education were positively correlated with health literacy. In conclusion, the health literacy levels of the medical students are insufficient and need improvement. PMID:27050169

  20. Internal migration and health: re-examining the healthy migrant phenomenon in China.

    Science.gov (United States)

    Chen, Juan

    2011-04-01

    This study re-examines the healthy migrant phenomenon in China's internal migration process and investigates the different trajectories of place of origin on migrants' self-rated physical health and psychological distress. Data came from a household survey (N = 1474) conducted in Beijing between May and October in 2009. Multiple regression techniques were used to model the associations between self-rated physical health, psychological distress, and migration experience, controlling for sociodemographic characteristics. The healthy migrant phenomenon was observed among migrants on self-rated physical health but not on psychological distress. Different health status trajectories existed between physical health versus mental health and between rural-to-urban migrants versus urban-to-urban migrants. The study draws particular attention to the diminishing physical health advantage and the initial high level of psychological distress among urban-to-urban migrants. The initial physical health advantage indicates that it is necessary to reach out to the migrant population and provide equal access to health services in the urban area. The high level of psychological distress suggests that efforts targeting mental health promotion and mental disorder prevention among the migrant population are an urgent need. The findings of the study underline the necessity to make fundamental changes to the restrictive hukou system and the unequal distribution of resources and opportunities in urban and rural areas. These changes will lessen the pressure on big cities and improve the living conditions and opportunities of residents in townships/small cities and the countryside. PMID:21435765

  1. Bioactivities and Health Benefits of Mushrooms Mainly from China.

    Science.gov (United States)

    Zhang, Jiao-Jiao; Li, Ya; Zhou, Tong; Xu, Dong-Ping; Zhang, Pei; Li, Sha; Li, Hua-Bin

    2016-01-01

    Many mushrooms have been used as foods and medicines for a long time. Mushrooms contain polyphenols, polysaccharides, vitamins and minerals. Studies show that mushrooms possess various bioactivities, such as antioxidant, anti-inflammatory, anticancer, immunomodulatory, antimicrobial, hepatoprotective, and antidiabetic properties, therefore, mushrooms have attracted increasing attention in recent years, and could be developed into functional food or medicines for prevention and treatment of several chronic diseases, such as cancer, cardiovascular diseases, diabetes mellitus and neurodegenerative diseases. The present review summarizes the bioactivities and health benefits of mushrooms, and could be useful for full utilization of mushrooms. PMID:27447602

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. Measurement of aerosol chemical, physical and radiative properties in the Yangtze delta region of China

    Science.gov (United States)

    Xu, Jin; Bergin, M. H.; Yu, X.; Liu, G.; Zhao, J.; Carrico, C. M.; Baumann, K.

    In order to understand the possible influence of aerosols on the environment in the agricultural Yangtze delta region of China, a one-month field sampling campaign was carried out during November 1999 in Linan, China. Measurements included the aerosol light scattering coefficient at 530 nm, σsp, measured at both dry relative humidity (RHpolluted urban areas, with mean and standard deviation (S.D.) values for σsp, σap and PM 2.5 of 353 Mm -1 (202 Mm -1), 23 Mm -1 (14 Mm -1) and 90 μg m -3 (47 μg m -3), respectively. A clear diurnal pattern was observed in σsp and σap with minimum values occurring in the middle of the day, most likely associated with the maximum midday mixing height. The ratio of the change in light scattering coefficient at ambient RH to that at controlled RH (RHwater typically contributed ˜40% to the light scattering budget in this region. The mass scattering efficiency of the dry aerosol, E scat_2.5, and mass absorption efficiency of EC, E abs_2.5, have mean and S.D. values of 4.0 m 2 g -1 (0.4 m 2 g -1) and 8.6 m 2 g -1 (7.0 m 2 g -1), respectively. PM 2.5 concentrations in Linan and two other locations in the Yangtze delta, Sheshan and Changshu (which have monthly mean values ranging from ˜80 to 110 μg m -3), are all significantly higher than the proposed 24-h average US PM 2.5 NAAQS of 65 μg m -3. Organic compounds are the dominant chemical species accounting for ˜50% of the PM 2.5 mass at all three sites. The results indicate that aerosol loadings in the agricultural Yangtze delta region of China are relatively high, and suggest that aerosols have a significant impact on visibility, climate, crop production, and human health in this region.

  9. 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

  10. 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.

  11. 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. PMID:10351255

  12. China.

    Science.gov (United States)

    1983-12-01

    This discussion of China focuses on the following: the people; geography; history (early history, 20th century China, the People's Republic of China; the "Great Leap Forward" and the Sino Soviet Split, the Cultural Revolution, and Mao's death and present directions); government (state structure, Chinese Communist Party, and legal system); education; economy; foreign relations; defense; and relations between China and the US. As of 1982, China's population totaled just over 1.008 billion with an annual growth rate of 1.5%. Life expectancy is 68 years. Government authorities endorsed birth control in the 1950s, played it down in 1958, and began to promote it again in 1962. The present family planning program began in the early 1970s and has become more fully mobilized since 1979. The largest ethnic group is the Han Chinese, who constitute 93.3% of the total population. The People's Republic of China, located in eastern Asia, is almost as large as the European continent. 2/3 of China's area is mountainous or semidesert; only about 1/10 is cultivated. China is the oldest continuous major world civilization with records dating back about 3500 years. Mao's death in September 1976 removed a towering figure from Chinese politics and set off a scramble for succession. The post 11th Party Congress leadership has emphasized economic development and renounced the mass political movements of prior years. Important educational reforms were made in early 1978. Since 1979, the Chinese leadership has moved toward more pragmatic positions in almost all fields. The Chinese government has always been subordinate to the Chinese Communist Party (CCP), its role being to implement party policies. The primary instruments of state power are the State Council, an executive body corresponding to a cabinet, and the NPC, a legislative body. China has made impressive progress in primary education since 1949. About 93% of eligible children are enrolled in 1st grade, though only 65% finish primary

  13. Ecotourism Environmental Protection Measures and Their Effects on Protected Areas in China

    OpenAIRE

    Ling-en Wang; Linsheng Zhong; Yangjian Zhang; Bin Zhou

    2014-01-01

    Ecological and environmental protection is the core content of ecotourism development. A quantitative evaluation of the effects of ecotourism environmental protection (hereinafter referred to as EEP) measures on protected areas is conducive to a deeper understanding of the key issues related to ecotourism development in China, thus providing the theoretical basis for formulating the relevant national policies of sustainable ecotourism development in China. This paper first discusses the evalu...

  14. Health Beliefs and Culture: Essential Considerations for Outcome Measurement

    OpenAIRE

    Kamaldeep Bhui; Sokratis Dinos

    2008-01-01

    Culture is linked to the way emotions, mental distress, social problems, and physical illness are perceived, experienced, and expressed. Beliefs about what constitutes illness and what can be done about it vary considerably across cultures. Defining mental health and measuring mental health outcomes have been the focus of academics and mental health professionals across a number of disciplines from psychiatry and psychology to anthropology and sociology. Mental health diagnostic constructs an...

  15. 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. PMID:26173293

  16. 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.

  17. Development of a Multidimensional Functional Health Scale for Older Adults in China.

    Science.gov (United States)

    Mao, Fanzhen; Han, Yaofeng; Chen, Junze; Chen, Wei; Yuan, Manqiong; Alicia Hong, Y; Fang, Ya

    2016-05-01

    A first step to achieve successful aging is assessing functional wellbeing of older adults. This study reports the development of a culturally appropriate brief scale (the Multidimensional Functional Health Scale for Chinese Elderly, MFHSCE) to assess the functional health of Chinese elderly. Through systematic literature review, Delphi method, cultural adaptation, synthetic statistical item selection, Cronbach's alpha and confirmatory factor analysis, we conducted development of item pool, two rounds of item selection, and psychometric evaluation. Synthetic statistical item selection and psychometric evaluation was processed among 539 and 2032 older adults, separately. The MFHSCE consists of 30 items, covering activities of daily living, social relationships, physical health, mental health, cognitive function, and economic resources. The Cronbach's alpha was 0.92, and the comparative fit index was 0.917. The MFHSCE has good internal consistency and construct validity; it is also concise and easy to use in general practice, especially in communities in China. PMID:26537364

  18. China

    International Nuclear Information System (INIS)

    This paper reports on the reason for China's future nuclear policy. First, assuming a continued decline in superpower influence, China's focus will be on regional issues. The policies of Japan, the NICs and other Chinese neighbors will be more relevant than those of the superpowers. Second, Chinese domestic politics will have to resume the road to reform. A more unstable and suspicious Chinese leadership will perceive a more hostile and unstable world. Even when China was on the path to reform, its foreign relations were not always peaceful. However, it would be wrong to suggest that even a more xenophobic and unstable Chinese leadership would necessarily expand China's nuclear capability or lead China into a major war. Even at the height of the Cultural Revolution, Chinese foreign policy was careful, nuclear proliferation was avoided and crises were well-managed. Still China's basic domestic and foreign policy needs will likely remain unfulfilled for the foreseeable future. Furthermore, although the East Asian balance of power may not appear to be particularly dangerous at present, there is enough uncertainty to ensure that China remains a nuclear power and a maverick one at that at least in the near term

  19. Measuring the impact of allied health research

    OpenAIRE

    Grimmer-Somers, Karen

    2011-01-01

    Jan Heath, Karen Grimmer-Somers, Steve Milanese, Susan Hillier, Ellena King, Kylie Johnston, Kylie Wall, Olivia Thorpe, Alexandra Young, Saravana KumarSchool of Health Sciences, University of South Australia, Adelaide, SA, AustraliaBackground: Excellence in Research for Australia (ERA) rankings are given to academic journals in which Australian academics publish. This provides a metric on which Australian institutions and disciplines are ranked for international competitiveness. This paper ex...

  20. 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

  1. 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.

  2. Measuring access to medicines: a survey of prices, availability and affordability in Shaanxi province of China.

    Directory of Open Access Journals (Sweden)

    Minghuan Jiang

    Full Text Available OBJECTIVE: To measure the prices and availability of selected medicines in Shaanxi Province after the implementation of new healthcare reform in 2009. METHODS: Data on the prices and availability of 47 medicines were collected from 50 public and 36 private sector medicine outlets in six regions of Shaanxi Province, Western China using a standardized methodology developed by the World Health Organization and Health Action International from September to October 2010. Medicine prices were compared with international reference prices to obtain a median price ratio. Affordability was measured as the number of days' wages required for the lowest-paid unskilled government worker to purchase standard treatments for common conditions. FINDINGS: The mean availabilities of originator brands and lowest-priced generics were 8.9% and 26.5% in the public sector, and 18.1% and 43.6% in the private sector, respectively. The public sector procured generics and originator brands at median price ratios of 0.75 and 8.49, respectively, while patients paid 0.97 and 10.16. Final patient prices for lowest-priced generics and originator brands in the private sector were about 1.53 and 8.36 times their international retail prices, respectively. Public sector vendors applied high markups of 30.4% to generics, and 19.6% to originator brands. In the private sector, originator brands cost 390.7% more, on average, than their generic equivalents. Generic medicines were priced 17.3% higher in the private sector than the public sector. The lowest-paid government worker would need 0.1 day's wages to purchase captopril for lowest-priced generics from private sector, while 6.6 days' wages for losartan. For originator brands, the costs rise to 1.2 days' wages for salbutamol inhaler and 15.6 days' wages for omeprazole. CONCLUSIONS: The prices, availability and affordability of medicines in China should be improved to ensure equitable access to basic medical treatments, especially for

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

    Science.gov (United States)

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

    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

  4. 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. PMID:20712659

  5. Dentistry in Taiwan, Republic of China: National health insurance reforms, illegal dentistry and peer review quality control

    DEFF Research Database (Denmark)

    Moore, R.; Shiau, Y.Y.

    1999-01-01

    The dental health care system in Taiwan, Republic of China is described in terms of demographics, structure, context of treatment and historical development of the dental health care payment system. A notable characteristic of the system is the existence of trade dentists, who operate without...... licensure. Their popularity and price advantage has maintained a political base that affects policy decisions. Health care reforms of March, 1995 with a comprehensive national health insurance, as well as ambitious plans for systematic peer review quality control of dentists' work are unique health care...... developments worthy of the attention of health care policy makers in other countries who are studying health care reform processes...

  6. 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.

  7. 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. PMID:19728074

  8. Comparison of Triton SODAR Data to Meteorological Tower Wind Measurement Data in Hebei Province, China

    Energy Technology Data Exchange (ETDEWEB)

    Yuechun, Y.; Jixue, W.; Hongfang, W.; Guimin, L.; Bolin, Y.; Scott, G.; Elliott, D.; Kline, D.

    2012-01-01

    With the increased interest in remote sensing of wind information in recent years, it is important to determine the reliability and accuracy of new wind measurement technologies if they are to replace or supplement conventional tower-based measurements. In view of this, HydroChina Corporation and the United States National Renewable Energy Laboratory (NREL) conducted a comparative test near a wind farm in Hebei Province, China. We present the results of an analysis characterizing the measurement performance of a state-of-the-art Sound Detection and Ranging (sodar) device when compared to a traditional tower measurement program. NREL performed the initial analysis of a three-month period and sent the results to HydroChina. When another month of data became available, HydroChina and their consultant Beijing Millenium Engineering Software (MLN) repeated NREL's analysis on the complete data set, also adding sensitivity analysis for temperature, humidity, and wind speed (Section 6). This report presents the results of HydroChina's final analysis of the four-month period.

  9. Oral health survey and oral health questionnaire for high school students in Tibet, China

    OpenAIRE

    Hou, Rui; Mi, Yong; Xu, Quanhong; Wu, Fang; Ma, Yuanyuan; Xue, Peng; Xiao, Gao; Zhang, Yan; Wei, Yinhua; Yang, Wenbing

    2014-01-01

    Objectives The aim of this study is to identify the oral health status as well as oral health practices and access for care of graduating senior high school Tibetan students in Shannan prefecture of Tibet. Methods Based on standards of the 3rd Chinese National Oral Epidemiological Survey and WHO Oral Health Surveys, 1907 graduating students from three senior high schools were examined for caries, periodontitis, dental fluorosis, and oral hygiene status. The questionnaire to the students addre...

  10. 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...... and for what these tools have been used to investigate. We identified eight tools, of which three of them are bases upon a conceptual model of eHealth literacy and the remaining five are dual tools, i.a. comprised of individual measures for health literacy and digital literacy. Of these eight tools, only one...... tool (The eHealth literacy Scale - eHEALS) was used in other studies than the one it was originally published in. eHEALS has primarily been used to establish eHealth literacy levels in different populations. Five of the studies have been conducted by examining eHealth literacy’s impact on health...

  11. No Pain Labor & Delivery: A Global Health Initiative's Impact on Clinical Outcomes in China.

    Science.gov (United States)

    Hu, Ling-Qun; Flood, Pamela; Li, Yunping; Tao, Weike; Zhao, Peishan; Xia, Yun; Pian-Smith, May C; Stellaccio, Francis S; Ouanes, Jean-Pierre P; Hu, Fengling; Wong, Cynthia A

    2016-06-01

    The availability of labor analgesia is highly variable in the People's Republic of China. There are widespread misconceptions, by both parturients and health care providers, that labor epidural analgesia is harmful to mother and baby. Meanwhile, China has one of the highest cesarean delivery rates in the world, exceeding 50%. The goal of the nongovernmental No Pain Labor & Delivery (NPLD) is to facilitate sustainable increases in vaginal delivery rates by increasing access to safe neuraxial labor analgesia, thereby decreasing the cesarean delivery rate. NPLD was launched in 2008 with the stated goal of improving labor outcome in China by increasing the absolute labor epidural analgesia rate by 10%. NPLD established 10 training centers over a 10-year period. We hypothesized that increased availability of labor analgesia would result in reduced requests for cesarean delivery and better labor outcomes for mother and baby. Multidisciplinary teams of Western clinicians and support staff traveled to China for 8 to 10 days once a year. The approach involved establishing 24/7 obstetric anesthesia coverage in Chinese hospitals through education and modeling multidisciplinary approaches, including problem-based learning discussions, bedside teaching, daily debriefings, simulation training drills, and weekend conferences. As of November 2015, NPLD has engaged with 31 hospitals. At 24 of these sites, 24/7 obstetric anesthesia coverage has been established and labor epidural analgesia rates have exceeded 50%. Lower rates of cesarean delivery, episiotomy, postpartum blood transfusion, and better neonatal outcomes were documented in 3 impact studies comprising approximately 55,000 deliveries. Changes in practice guidelines, medical policy, and billing codes have been implemented in conjunction with the modernization of perinatal practice that has occurred concurrently in China since the first NPLD trip in 2008. PMID:27195636

  12. Heavy metal levels in kiwifruit orchard soils and trees and its potential health risk assessment in Shaanxi, China.

    Science.gov (United States)

    Guo, Jing; Yue, Tianli; Li, Xiaotong; Yuan, Yahong

    2016-07-01

    Concentrations of five heavy metals (Cr, Cu, Cd, Hg, and Pb) in orchard soils and kiwifruit tissues (root, twig, leave, fruit) collected from Shaanxi province in China were measured, and the potential health risk for human through the fruit consumption was assessed. The orchard soils were in no pollution for Cr, Cu, Hg, and Pb, with their pollution index (PI) ≤1, while 10.0 % of the soil samples were under Cd contamination. Furthermore, kiwifruit tended to have a higher Cd and Hg accumulation (as indicated by Biological Accumulation Coefficient) from soil and have a higher Cu and Hg translocation (as reflected by Biological Transfer Coefficient) to aboveground parts. From the human health point of view, the DIM and HRI values for all the fruit samples were within the safe limits, while for Cr, Cu, Cd, Hg, and Pb, about 22.5, 12.5, 52.5, 15.0, and 47.5 % of the fruit samples exceeded the national maximum permissible levels, respectively. These results showed that, although there was no possible health risk to consumers due to intake of studied kiwifruit fruits under the current consumption rate, the regular survey of heavy metal pollution levels should be performed for the kiwifruit in Shaanxi province and a strict management program should be established to reduce the amount of chemical fertilizers and pesticides used in fruit production in order to prevent the potential health risk. PMID:27068913

  13. 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.

  14. 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

  15. Occupational health and safety challenges in China--focusing on township-village enterprises.

    Science.gov (United States)

    Wang, Xiaorong; Wu, Siying; Song, Qingkun; Tse, Lap-Ah; Yu, Ignatius T S; Wong, Tze-Wai; Griffiths, Sian

    2011-01-01

    China has experienced dramatic industrialization, urbanization, and economic growth over the last 3 decades. The rapid transformation and dramatic prosperity of industries in rural areas have, in turn, created tremendous challenges for occupational health and safety (OHS). This article was prepared to address occupational health and safety issues in township- and village-owned enterprises (TVEs) from several aspects, including working conditions and workplace hazards, major recognized OHS problems, implications of TVE industries to environmental health, and migrant workers. Among the major recognized OHS problems, pneumoconiosis, chemical poisoning, and workplace accidents, especially in small-scale coal mines, are highlighted. It is suggested that the national polices and regulations that specifically target TVEs are indispensable and a more powerful administrative structure should be established to ensure that the pertinent polices, regulations, and OHS standards can be enforced widely and effectively in practice. PMID:21337180

  16. Heavy metal bioaccumulation and health hazard assessment for three fish species from Nansi Lake, China.

    Science.gov (United States)

    Li, Pengfei; Zhang, Jian; Xie, Huijun; Liu, Cui; Liang, Shuang; Ren, Yangang; Wang, Wenxing

    2015-04-01

    Metal accumulation in fish is a global public health concern, because the consumption of contaminated fish accounts for the primary exposure of humans to toxic metals. In this study, the concentrations of arsenic (As), cadmium (Cd), lead (Pb), and mercury (Hg) in Crucian carp (Carassius auratus),Yellow catfish (Pelteobagrus fulvidraco), and Bighead carp (Hypophthalmichthys nobilis) from Nansi Lake of China were evaluated, and compared with the corresponding historical values in 2001 when the government started to govern water environment effectively. Bioaccumulation of heavy metal was highest in P.fulvidraco, followed by C.auratus and H.nobilis. The concentrations of Pb, As, Cd were much lower than the historical values, but Hg concentration was higher, suggesting that heavy metal pollution problem in fish from Nansi Lake still exists. Health hazard assessment showed no health risk from exposure to Pb, As, Cd, and Hg by consuming fish from this lake. PMID:25636438

  17. Health insurance coverage and its impact on medical cost: observations from the floating population in China.

    Directory of Open Access Journals (Sweden)

    Yinjun Zhao

    Full Text Available China has the world's largest floating (migrant population, which has characteristics largely different from the rest of the population. Our goal is to study health insurance coverage and its impact on medical cost for this population.A telephone survey was conducted in 2012. 644 subjects were surveyed. Univariate and multivariate analysis were conducted on insurance coverage and medical cost.82.2% of the surveyed subjects were covered by basic insurance at hometowns with hukou or at residences. Subjects' characteristics including age, education, occupation, and presence of chronic diseases were associated with insurance coverage. After controlling for confounders, insurance coverage was not significantly associated with gross or out-of-pocket medical cost.For the floating population, health insurance coverage needs to be improved. Policy interventions are needed so that health insurance can have a more effective protective effect on cost.

  18. [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. PMID:27192788

  19. Consumer satisfaction with occupational health services: should it be measured?

    OpenAIRE

    Verbeek, J.H.A.M.; van Dijk; Räsänen, K.; Piirainen, H.; Kankaanpää, E.; Hulshof, C.T.J.

    2001-01-01

    OBJECTIVES—To find answers in the literature to the questions if, why, and how consumer satisfaction with occupational health services (OHSs) should be measured.
METHODS—Publications about the concept of consumer satisfaction with health care and surveys of consumer satisfaction with occupational health care were reviewed.
RESULTS—For care providers, surveys of consumer satisfaction can be useful to improve quality or as indicators of non-compliant behaviour among patients. For clients, satis...

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

    OpenAIRE

    Birkeland, Soren; Gildberg, Frederik A.

    2016-01-01

    Coercive mechanical restraint (MR) in psychiatry constitutes the perhaps most extensive 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 seriously collide 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 ra...

  1. Health and the elusive gender equality : Can the impact of gender equality on health be measured?

    OpenAIRE

    Sörlin, Ann

    2011-01-01

    Background: All over the world men and women show different health patterns, and therecan be many and various reasons for these differences. This thesis therefore evaluates theimpact of gender equality on health. To do this, we must be able to measure gender equality.In this thesis, we develop two new measurements of gender equality and evaluate the relationshipbetween gender equality and health. Methods: Two cross-sectional studies, one register-based and one survey study, are used tocompare...

  2. 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.

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

    International Nuclear Information System (INIS)

    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

  4. 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

  5. Development of Measures of Organizational Leadership for Health Promotion

    Science.gov (United States)

    Barrett, Linda; Plotnikoff, Ronald C.; Raine, Kim; Anderson, Donna

    2005-01-01

    This study describes the development and psychometric evaluation of four scales measuring leadership for health promotion at an organizational level in the baseline survey (n = 144) of the Alberta Heart Health Project. Content validity was established through a series of focus groups and expert opinion appraisals, pilot testing of a draft based on…

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

    DEFF Research Database (Denmark)

    Hougaard, Jens Leth; Moreno-Ternero, Juan; 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...

  7. Health Risk Assessment of Heavy Metals in Rice to the Population in Zhejiang, China

    OpenAIRE

    Huang, Zhu; Pan, Xiao-dong; Wu, Ping-Gu; Han, Jian-Long; Chen, Qing

    2013-01-01

    Environmental pollution with toxic heavy metals can lead to the possible contamination of the rice. Selected metals (As, Cd, Hg and Pb) and their accumulation in rice collected from Zhejiang, China were analyzed to evaluate the potential health risk to the local adults and children. The mean levels found in rice were as follows: As, 0.080 mg/kg; Cd, 0.037 mg/kg; Hg, 0.005 mg/kg; Pb, 0.060 mg/kg. The estimated daily intakes (EDIs) were calculated in combination of the rice consumption data. Th...

  8. Long-term variations of ultraviolet radiation in China from measurements and model reconstructions

    International Nuclear Information System (INIS)

    Measurements of ultraviolet (UV) radiation at 38 stations from Chinese Ecosystem Research Network during 2006–2012 were used for reconstructing the historical UV levels in China for the first time. UV models were introduced by analyzing the dependence of UV irradiation on clearness index (Kt) and cosine of solar zenith angle under any sky conditions in each station. Mean bias error (MBE), mean-absolute bias error (MABE) and root-mean-square error (RMSE) were used for assessing the model performance; relative differences between UV estimates and measurements were generally lower than 10% at most stations, which indicated that our all-sky UV models can produce acceptable estimates in China. Long-term UV values during 1961–2012 were then reconstructed for investigating the spatiotemporal characteristics of UV radiation in China based on daily global solar radiation (G) at 115 meteorological stations from China Meteorological Administration. Annual mean daily UV radiation ranged from 0.55 MJ m−2 d−1 to 0.65 MJ m−2 d−1 with average value being about 0.61 MJ m−2 d−1. It was also discovered that UV radiation decreased slightly at about −2.72 kJ m−2 d−1 per decade during the study period and there was an increasing trend since 1991 (0.7 kJ m−2 d−1 per year). - Highlights: • UV radiation at 38 stations was used for model development in China. • All-sky UV models produce satisfied estimates at hourly/daily basis. • UV levels during 1961–2012 were reconstructed for the first time in China. • Spatiotemporal variability of UV radiation in China was investigated

  9. Essential Public Health Services' Accessibility and its Determinants among Adults with Chronic Diseases in China.

    Directory of Open Access Journals (Sweden)

    Miaomiao Tian

    Full Text Available Along with three years implementation of health reform in China, this study aimed at providing the up-to-date evidence about the accessibility of essential public health services (EPHS among adults with chronic diseases (CDs in both urban and rural areas, as well as determinants in access to EPHS.The data were collected from a cross-sectional survey conducted in 2013, which used a multistage stratified random sampling method to select 54 urban communities and 54 rural villages. Hypertension patients and diabetes patients were the target population who are the main beneficiaries of EPHS. Single factor analysis of influencing factors on difference access to EPHS was performed by Chi-Square analysis. Logistic regression analysis was used to determine the predictors of effective management and effective control.Patients with hypertension or diabetes were predominantly middle-aged or older persons and had a mean age of 65.26 year. People with CDs in China have a higher basic accessibility rate in EPHS with more than 90% of them having experience in receiving EPHS. And those who are willing to receive services from doctors have the most positive influence on effective management and control in blood pressure or blood glucose. But unsatisfied quality and equity of EPHS still exist in primary health system. 90% of participants could receive EPHS, but just 44% of them could control their diseases effectively. And participants from cities had the higher rates in effective management (urban: rural = 57%: 50.6% and effective control (urban: rural = 39.5%: 27.8%.People with CDs have a high level in geography and economic accessibility to EPHS, but the effectiveness of health management also needs to be improved, especially for those living in rural areas. Our study highlights the continuing need for improving ability to provide EPHS and the equality among regions. Meanwhile, strengthen health education and promotion for patients with CDs to improve their

  10. 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.

  11. Survey of knowledge, attitude, and practice regarding reproductive health among urban men in China: a descriptive study

    OpenAIRE

    Ling Zhang; Rui-Long Gong; Qing-Rong Han; Yu-Qin Shi; Quan-An Jia; Shan-Dan Xu; Le-Qun Wang; Chang-Cai Zhu

    2014-01-01

    There has been little focus on men's reproductive health (RH) in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of knowledge, attitudes and practices (KAPs) regarding prevention of sexually transmitted diseases (STDs). A total of 3933 men, aged 18-59 years (mean, 40.3 years), were recruited by cluster random sampling. They completed a questionnaire in the presence of an interviewer, with items re...

  12. 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...

  13. 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. PMID:24616231

  14. A health promotion logic model to review progress in HIV prevention in China.

    Science.gov (United States)

    Nutbeam, Don; Padmadas, Sabu S; Maslovskaya, Olga; Wu, Zhiwei

    2015-06-01

    Using the theory and concepts of health promotion, this paper proposes a logic model for HIV/AIDS prevention and control which provides a structure for describing planned actions and predicted impacts/outcomes from comprehensive HIV prevention interventions. The potential usefulness of the model is examined by reviewing the evolution of HIV prevention and management in China, drawing on evidence from interventions reported from a mixture of study designs and formats. It reports that HIV interventions in China can be considered in two distinctive phases, before and after 2003 when China commenced its 'official' response to the HIV epidemic. The logic model was useful in comparing actions taken over these two periods highlighting the importance of political leadership in distinguishing between the two phases, and the continuing importance of systematic and broadly based public education and communication. We conclude that the logic model can not only be used as a planning model, but can also be applied retrospectively to assess successes and failures in national and local responses to HIV in complex social settings. PMID:23753059

  15. 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

  16. Growing old before growing rich: inequality in health service utilization among the mid-aged and elderly in Gansu and Zhejiang Provinces, China

    Directory of Open Access Journals (Sweden)

    Wang Yang

    2012-09-01

    Full Text Available Abstract Background China’s recent growth in income has been unequally distributed, resulting in an unusually rapid retreat from relative income equality, which has impacted negatively on health services access. There exists a significant gap between health care utilization in rural and urban areas and inequality in health care access due to differences in socioeconomic status is increasing. We investigate inequality in service utilization among the mid-aged and elderly, with a special attention of health insurance. Methods This paper measures the income-related inequality and horizontal inequity in inpatient and outpatient health care utilization among the mid-aged and elderly in two provinces of China. The data for this study come from the pilot survey of the China Health and Retirement Longitudinal Study in Gansu and Zhejiang. Concentration Index (CI and its decomposition approach were deployed to reflect inequality degree and explore the source of these inequalities. Results There is a pro-rich inequality in the probability of receiving health service utilization in Gansu (CI outpatient = 0.067; CI inpatient = 0.011 and outpatient for Zhejiang (CI = 0.016, but a pro-poor inequality in inpatient utilization in Zhejiang (CI = −0.090. All the Horizontal Inequity Indices (HI are positive. Income was the dominant factor in health care utilization for out-patient in Gansu (40.3 percent and Zhejiang (55.5 percent. The non-need factors’ contribution to inequity in Gansu and Zhejiang outpatient care had the same pattern across the two provinces, with the factors evenly split between pro-rich and pro-poor biases. The insurance schemes were strongly pro-rich, except New Cooperative Medical Scheme (NCMS in Zhejiang. Conclusions For the middle-aged and elderly, there is a strong pro-rich inequality of health care utilization in both provinces. Income was the most important factor in outpatient care in both provinces, but access to

  17. Trends in smoking and quitting in China from 1993 to 2003: National Health Service Survey data

    Science.gov (United States)

    Qian, Juncheng; Cai, Min; Gao, Jun; Tang, Shenglan; Xu, Ling

    2010-01-01

    Abstract Objective China has about 350 million smokers, more commonly men. Using data from National Health Service Surveys conducted in 1993, 1998 and 2003, we (i) estimated trends in smoking prevalence and cessation according to sociodemographic variables and (ii) analysed cessation rates, quitting intentions, reasons for quitting and reasons for relapsing. Methods Data were collected from approximately 57 000 households and 200 000 individuals in each survey year. Household members > 15 years of age were interviewed about their smoking habits, quitting intentions and attitudes towards smoking. We present descriptive data stratified by age, sex, income level and rural versus urban residence. Findings In China, current smoking in those > 15 years old declined 60–49% in men and 5–3.2% in women over 1993–2003. The decline was more marked in urban areas. However, heavy smoking (≥ 20 cigarettes daily) increased substantially overall and doubled in men. The average age of uptake also dropped by about 3 years. In 2003, 7.9% of smokers reported intending to quit, and 6% of people who had ever smoked reported having quit. Of former smokers, 40.6% quit because of illness, 26.9% to prevent disease and 10.9% for financial reasons. Conclusion Smoking prevalence declined in China over the study period, perhaps due to the combined effect of smoking cessation, reduced uptake in women and selective mortality among men over 40 years of age. However, heavy smoking increased. People in China rarely quit or intend to quit smoking, except at older ages. Further tobacco control efforts are urgently needed, especially in rural areas. PMID:20931062

  18. Radon in indoor air. Health risk, measurement methods and remedial measures

    International Nuclear Information System (INIS)

    Radon in indoor air is the main source of ionizing radiation in Norway. The booklet contains a presentation of radon sources, measurement methods, indoor radon concentrations, action levels, health risk and remedial measures

  19. Measurement of Health-Related QOL in Diabetes Mellitus

    OpenAIRE

    Ken Watkins; Connell, Cathleen M

    2004-01-01

    A number of health-related QOL (HR-QOL) measures specifically designed for people with diabetes mellitus have appeared in the literature. This article provides a selective review of 12 measures that address this important construct. For each included study, a description of the measure and its development phase is provided, followed by discussion of sampling, reliability, validity and appropriateness for selected populations. Measures designed to investigate broad and specific conceptualisati...

  20. The promise of exergames as tools to measure physical health

    OpenAIRE

    Staiano, Amanda E.; Calvert, Sandra L.

    2011-01-01

    Exergames are popular video games that combine physical activity with digital gaming. To measure effects of exergame play on physical outcomes and health behaviors, most studies use external measures including accelerometry, indirect calorimetry, heart rate monitors, and written surveys. These measures may reduce external validity by burdening participants during gameplay. Many exergames have the capability to measure activity levels unobtrusively through monitors built into game equipment, a...

  1. 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.

  2. The Korean Diasporic Experience: Measuring Ethnic Identity in the United States and China.

    Science.gov (United States)

    Lee, Richard M.; Falbo, Toni; Doh, Hyun Sim; Park, Seong Yeon

    2001-01-01

    Korean undergraduates living in the United States and in China were administered the Multigroup Ethnic Identity Measure to assess their ethnic identity. Korean Americans had higher scores on ethnic identity and were more likely to be classified as bicultural, indicating that they were able to retain their cultural heritage while incorporating…

  3. 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

  4. 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…

  5. 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. PMID:25981055

  6. 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.

  7. 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.

  8. Measuring health disparities and health inequities: do you have REGAL data?

    Science.gov (United States)

    Ramos, Roberto; Davis, Jenna L; Ross, Thomas; Grant, Cathy G; Green, B Lee

    2012-01-01

    Measuring health disparities is a challenging and at times a difficult proposition. It is generally accepted that at minimum, collecting, analyzing, reporting, and applying data through tailored and targeted interventions responsive to issues regarding race, ethnicity, and preferred language are essential for identifying, monitoring, and, ultimately, eliminating health disparities. Key to eliminating these disparities is determining whether the care and services being provided are resulting in vastly different experiences for some patients. Health care institutions and providers often convince themselves that collecting these data is a time-consuming, costly, and arduous endeavor. However, if patient information on Race, Ethnicity, Gender, Age, and preferred Language (REGAL) is currently being collected, one has the basic elements to effectively measure disparities across a host of clinical and nonclinical indicators. In formulating comparisons among targeted populations in areas such as access to health care, health care quality, health outcomes, prevention, early detection, treatment, and morbidity and mortality rates, it is critical to frame part of the discussion around collecting, analyzing, reporting, and applying REGAL data, including future expansion of measures and indicators. The Health Disparities REGAL Data Dashboard is a useful tool for health care institutions and providers and can provide an innovative approach to measuring health disparities. PMID:22722524

  9. China's Left-Behind Children: Impact Of Parental Migration On Health, Nutrition, And Educational Outcomes.

    Science.gov (United States)

    Zhou, Chengchao; Sylvia, Sean; Zhang, Linxiu; Luo, Renfu; Yi, Hongmei; Liu, Chengfang; Shi, Yaojiang; Loyalka, Prashant; Chu, James; Medina, Alexis; Rozelle, Scott

    2015-11-01

    China's rapid development and urbanization have induced large numbers of rural residents to migrate from their homes to urban areas in search of better job opportunities. Parents typically leave their children behind with a caregiver, creating a new, potentially vulnerable subpopulation of left-behind children in rural areas. A growing number of policies and nongovernmental organization efforts target these children. The primary objective of this study was to examine whether left-behind children are really the most vulnerable and in need of special programs. Pulling data from a comprehensive data set covering 141,000 children in ten provinces (from twenty-seven surveys conducted between 2009 and 2013), we analyzed nine indicators of health, nutrition, and education. We found that for all nine indicators, left-behind children performed as well as or better than children living with both parents. However, both groups of children performed poorly on most of these indicators. Based on these findings, we recommend that special programs designed to improve health, nutrition, and education among left-behind children be expanded to cover all children in rural China. PMID:26526256

  10. 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.

  11. 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.

  12. Measuring Media Exposure to Contradictory Health Information: A Comparative Analysis of Four Potential Measures.

    Science.gov (United States)

    Nagler, Rebekah H; Hornik, Robert C

    2012-01-01

    There is increasing concern that the news media present conflicting health information on topics including cancer screening and nutrition, yet little is known about whether people notice such content. This study proposes four potential measures of media exposure to contradictory health information, using nutrition as an example (Measures I-IV). The measures varied on two dimensions: (1) content specificity, or whether specific nutrition topics and health consequences were mentioned in the question scripting, and (2) obtrusiveness, or whether "contradictory or conflicting information" was mentioned. Using data from the Annenberg National Health Communication Survey (ANHCS), we evaluated the performance of each measure against a set of validity criteria including nomological, convergent, and face validity. Overall, measure IV, which was moderately content-specific and obtrusive, performed consistently well and may prove most useful to researchers studying media effects of contradictory health information. Future directions and applications are discussed. PMID:22518202

  13. China's "energy revolution": measuring the status quo, modelling regional dynamics and assessing global impacts

    DEFF Research Database (Denmark)

    Mischke, Peggy

    As the world's largest economy in transition, China plays a growing role in global energy markets, clean technology deployment and climate change negotiations. The Chinese president Xi Jinping called in June 2014 for an “energy revolution” of the country’s “energy production and consumption habits...... in light of changing dynamics in global energy markets” [Xinhua, 2014]. This highlights the strategic importance of China’s energy sector in the country’s national economic planning and its associated global impacts. China furthermore has a growing research and development budget and plays an increasing...... role in global scientific collaboration networks. A wide range of Chinese national and provincial statistics builds the foundation of this China energy sector research and allows measuring and modelling its main regional dynamics. As the quality, reliability, and availability of China’s official...

  14. 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.

  15. Measuring the health of populations: explaining composite indicators

    Directory of Open Access Journals (Sweden)

    Adnan A. Hyder

    2012-12-01

    Full Text Available Indicators that summarise the health status of a population and that provide comparable measures of a population disease burden are increasingly vital tools for health policy decision making. Decisions concerning health systems across the world are greatly affected by changes in disease profiles and population dynamics, and must develop the capacity to respond to such changes effectively within the resources of each nation. Decisions must be based on evidence of the patterns of diseases, their risk factors and the effectiveness of alternative interventions. This paper focuses on the main approaches used for developing summary measures that include mortality and morbidity occurring in a population. It discusses the rationale for composite measures and reviews the origins of each main approach. The paper also examines methodological differences among these approaches making explicit the value choices that each entails, outlines the advantages and limitations of each measure, and shows how they relate to one another.

  16. Continuous emission monitoring systems at power plants in China: Improving SO2 emission measurement

    International Nuclear Information System (INIS)

    The Chinese Government recently mandated the installation of continuous emission monitoring systems (CEMS) at state-controlled key polluting facilities in order to provide direct, real-time, continuous measurements of sulfur dioxide (SO2) emissions. By 2010, most coal-fired power plants in China have installed and are operating SO2 CEMS. As China's Central Government strengthens the SO2 control program and implements new nitrogen oxides (NOX) and carbon dioxide (CO2) control programs, the quality of and confidence in CEMS data will become more important. This study utilizes field surveys and existing literature on Chinese CEMS to analyze their operation and management. Our study found that the Chinese government has issued a set of regulations and technical guidance documents to standardize CEMS operation, management, and supervision, and to improve the quality of CEMS data. Many power plants have followed key parts of the national CEMS rules and guidance and are periodically inspected by local environmental authorities. This study suggests several options for addressing some of the gaps and problems with the CEMS operation and supervision and thus enhancing China's CEMS program. - Highlights: → Nearly all coal power plants in China have SO2 CEMS providing direct, real-time, continuous measurements of emissions. → Government and industry have made significant progress toward a comprehensive measurement system. → We found that problems remain and CEMS operation and supervision is inconsistent. → Data from power plant CEMS often undergo limited quality assurance and analysis. → We propose some options for enhancing the CEMS network.

  17. 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

  18. Health Education as an Important Component in the National Schistosomiasis Control Programme in The People's Republic of China.

    Science.gov (United States)

    Chen, L; Zhong, B; Xu, J; Li, R-Z; Cao, C-L

    2016-01-01

    Schistosomiasis control programme in The People's Republic of China had promoted the mass mobilization of health education in various forms, such as films, drama, traditional opera, poems, slogans, posters, exhibits. This paper is trying to review the impacts of those forms on different endemic settings and targeted populations. In the future, health education and health promotion will still be the effective strategy and one of the interventions in the national control programme for schistosomiasis and other infectious diseases, even in the pre- or posttransmission stages. With the social and economic development and improvement of people's living standard, it is necessary to establish a sustainable mechanism, in combination of health education with health guarantee of improving the quality of life, improving the production and living conditions, changing the unhealthy production methods and lifestyle of the residents in the endemic areas, in order to reach the goal of schistosomiasis elimination in The People's Republic of China. PMID:27137451

  19. Parental job loss and children's health: Ten years after the massive layoff of the SOEs' workers in China

    OpenAIRE

    Liu, Hong; Zhao, Zhong

    2011-01-01

    Beginning in the mid 1990s, China sped up its urban labor market reform and drastically restructured its state-owned enterprises (SOEs), which resulted in massive layoff of the SOEs' workers and a high unemployment rate. In this paper, we investigate the impact of the parents’ job loss on the health of their children, using six waves of the China Health and Nutrition Survey covering the period from 1991 to 2006. We find that paternal job loss has a significant negative effect on children's he...

  20. 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.

  1. Measurements of energy and water vapor fluxes over different surfaces in the Heihe River Basin, China

    OpenAIRE

    Liu, S.; Xu, Z.; Wang, W.; J. Bai; Jia, Z; Zhu, M.; Wang, J.

    2010-01-01

    We analyzed the seasonal variations of energy and water vapor fluxes over three different surfaces: irrigated cropland (Yingke, YK), alpine meadow (A'rou, AR), and spruce forest (Guantan, GT). The energy and water vapor fluxes were measured using eddy covariance systems (EC) and a large aperture scintillometer (LAS) in the Heihe River Basin, China, in 2008 and 2009. We also determined the source areas of the EC and LAS measurements with a footprint model for each site, and discussed th...

  2. Prevention measures and socio-economic development result in a decrease in malaria in Hainan, China

    OpenAIRE

    Wang, Shan-Qing; Li, Yu-Chun; Zhang, Zhi-Ming; Wang, Guang-Ze; Hu, Xi-min; Qualls, Whitney A; Xue, Rui-De

    2014-01-01

    Background Historically, the incidence of malaria in the Hainan Province, China has been high. However, since 2001 the malaria incidence in Hainan has decreased due to large-scale, public educational, promotional campaigns and the adoption of preventative measures against malaria following the fast growth of socio-economic development. The present study analysed the correlation between prevention measures and social economic development on the incidence of malaria in Hainan from 2001 to 2013....

  3. 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

  4. 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.

  5. 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.

  6. 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.

  7. Does distrust in providers affect health-care utilization in China?

    Science.gov (United States)

    Duckett, Jane; Hunt, Kate; Munro, Neil; Sutton, Matt

    2016-01-01

    How trust affects health-care utilization is not well-understood, especially in low- and middle-income countries. This article focuses on China, a middle-income country where low trust in health-care settings has become a prominent issue, but actual levels of distrust and their implications for utilization are unknown. We conducted a nationally representative survey of the Chinese population (November 2012 to January 2013), which resulted in a sample of 3680 adult men and women. Respondents rated their trust in different types of health-care providers. Using multivariate logistic and negative binomial regression models, we estimated the association between distrust in clinics and respondents’ hospital visits in the last year; whether they had sought hospital treatment first for two common symptoms (headache, cold) in the last 2 months; and whether they said they would go first to a hospital if they had a minor or major illness. We analysed these associations before and after adjusting for performance evaluations of clinics and hospitals, controlling for sex, age, education, income, insurance status, household registration and self-assessed health. We found that distrust in hospitals is low, but distrust in clinics is high and strongly associated with increased hospital utilization, especially for minor symptoms and illnesses. Further research is needed to understand the reasons for distrust in clinics because its effects are not fully accounted for by poor evaluations of their competence. PMID:27117483

  8. Rethinking Elderly Poverty: Time for a Health Inclusive Poverty Measure?

    OpenAIRE

    Sanders Korenman; Dahlia Remler

    2013-01-01

    Census's Supplemental Poverty Measure (SPM) nearly doubles the elderly poverty rate compared to the "Official" Poverty Measure (OPM), a result of the SPM subtraction of medical out-of-pocket (MOOP) expenditures from income. Neither the SPM nor OPM counts health benefits or assets as resources. Validation studies suggest that subtracting MOOP from resources worsens a poverty measure's predictive validity and excluding assets exacerbates this bias, since assets fund MOOP. The SPM is based on a ...

  9. Estimating summary measures of health: a structured workbook approach

    OpenAIRE

    Le Petit Christel; Boswell-Purdy Jane; Flanagan William; Berthelot Jean-Marie

    2005-01-01

    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 ...

  10. Appropriateness in health care delivery: definitions, measurement and policy implications.

    OpenAIRE

    Lavis, J N; Anderson, G M

    1996-01-01

    A major focus of the current health care debate is the notion that a substantial proportion of the health care delivered in Canada is inappropriate. There are two types of appropriateness: appropriateness of a service and appropriateness of the setting in which care is provided (i.e., inpatient v. outpatient or home care). Measuring both types objectively requires the comparison of observed patterns of care with explicit criteria for appropriate care. The few studies of appropriateness conduc...

  11. [Planning a Health Residence for Prison Security Measures, Tuscany (Italy)].

    Science.gov (United States)

    Porfido, Eugenio; Colombai, Renato; Scarpa, Franco; Totaro, Michele; Tani, Luca; Baldini, Claudio; Baggiani, Angelo

    2016-01-01

    Health Residences for Prison Security Measures are facilities hosting psychotic persons who have committed crimes and providing them with personalized rehabilitation and treatment plans to promote their reinstatement in society. The aim of this study was to describe the criteria for planning and designing a prison health residence in the Tuscany region (Italy), to be managed by the regional healthcare service, in line with current regulations, with dedicated staff for providing specific treatment plans and programmes. PMID:27510291

  12. 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.

  13. 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. PMID:27137193

  14. [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. PMID:19650456

  15. Correlates of unequal access to preventive care in China: a multilevel analysis of national data from the 2011 China Health and Nutrition Survey

    OpenAIRE

    Huang, Chi; Liu, Chao-Jie; Pan, Xiong-Fei; Liu, Xiang; Li, Ning-Xiu

    2016-01-01

    Background Preventive care has an essential role in reducing income-related health inequalities. Despite a general consensus of the need of shifting focus from disease treatment to wellness and prevention, little is known about inequalities in access to preventive care in China. Our study aimed to explore the inequalities in preventive care usage and factors that were associated with such inequalities among Chinese adults. Methods Multilevel logistic regression analyses were performed using n...

  16. Assessing the Effects of the New Cooperative Medical Scheme on Alleviating the Health Payment-Induced Poverty in Shaanxi Province, China

    Science.gov (United States)

    Gao, Jianmin; Zhou, Zhongliang; Yan, Jue; Lai, Sha; Xu, Yongjian; Chen, Gang

    2016-01-01

    Background 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. Methods 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. Results 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. Conclusion 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. PMID:27380417

  17. 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. PMID:27325323

  18. 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

  19. Bioaccumulation of Trace Elements in Ruditapes philippinarum from China: Public Health Risk Assessment Implications

    Directory of Open Access Journals (Sweden)

    Xiwu Yan

    2013-04-01

    Full Text Available The Manila clam Ruditapes philippinarum is one of the most important commercial bivalve species consumed in China. Evaluated metal burden in bivalve molluscs can pose potential risks to public health as a result of their frequent consumption. In this study, concentrations of 10 trace elements (Cu, Zn, Mn, Se, Ni, Cd, Cr, Pb, Hg and As were determined in samples of the bivalve Ruditapes philippinarum, collected from nine mariculture zones along the coast of China between November and December in 2010, in order to evaluate the status of elemental metal pollution in these areas. Also, a public health risk assessment was untaken to assess the potential risks associated with the consumption of clams. The ranges of concentrations found for Cu, Zn, Mn, Se, Ni, Cd, Cr, Pb, Hg and As in R. philippinarum were 12.1–38.0, 49.5–168.3, 42.0–68.0, 4.19–8.71, 4.76–14.32, 0.41–1.11, 0.94–4.74, 0.32–2.59, 0.03–0.23 and 0.46–11.95 mg·kg−1 dry weight, respectively. Clear spatial variations were found for Cu, Zn, Cr, Pb, Hg and As, whereas Mn, Se, Ni, and Cd did not show significant spatial variation. Hotspots of trace element contamination in R. philippinarum can be found along the coast of China, from the north to the south, especially in the Bohai and Yellow Seas. Based on a 58.1 kg individual consuming 29 g of bivalve molluscs per day, the values of the estimated daily intake (EDI of trace elements analyzed were significantly lower than the values of the accepted daily intake (ADI established by Joint Food and Agriculture Organization/World Health Organization Expert Committee on Food Additives (JFAO/WHO and the guidelines of the reference does (RfD established by the United States Environmental Protection Agency (USEPA. Additionally, the risk of trace elements to humans through R. philippinarum consumption was also assessed. The calculated hazard quotients (HQ of all trace elements were less than 1. Consequently, there was no obvious

  20. Size distributions and health risks of particulate trace elements in rural areas in northeastern China

    Science.gov (United States)

    Wang, Jian; Pan, Yuepeng; Tian, Shili; Chen, Xin; Wang, Lu; Wang, Yuesi

    2016-02-01

    To characterize the airborne trace elements (Be, Na, Mg, Al, K, Ca, Mn, Fe, Co, Ni, Cu, Zn, Se, Mo, Ag, Cd, Ba, Tl, Pb, Th and U) in rural areas in northeastern China, size-resolved aerosols were collected bi-weekly from March 2013 to February 2014 at two farmland sites in Shenyang (SHY) and Hailun (HLZ), a grassland site in Tongyu (TYU) and a forest site in the Changbai Mountain (CBS). The results showed that most trace elements (TEs) exhibited significantly higher concentrations at SHY than those at HLZ, TYU and CBS. All of the sites exhibited higher values in spring/winter than those in summer/autumn. Industrial imprints on the concentrations and size distributions of Pb and Cd were found at SHY, as supported by an air-mass backward-trajectory analysis and the abundance of sulfate and heavy metals. Due to the frequent influence of sand dust, the size distributions of Ca and Ba at the grassland site near Inner Mongolia had dominant peaks at 5.8-9 μm, in contrast to the other agricultural and forest sites, which peaked at 4.7-5.8 μm. In addition, the concentrations and the enrichment factors (EFs) of the TEs in this study increased as the size range decreased from coarse to fine particles, resulting in the highest carcinogenic (e.g., Pb) and non-carcinogenic (e.g., Mn) risks at 1.1-2.1 μm. Overall, the results highlight the severe pollution of heavy metals in northeastern China, particularly in agricultural regions that are subject to anthropogenic influences. Mitigating atmospheric TEs in the studied region, an important commodity grain base in China, is urgently needed to protect the environment and human health from toxic metals.

  1. Differences in reporting of maternal and child health indicators: A comparison between routine and survey data in Guizhou Province, China

    Directory of Open Access Journals (Sweden)

    Du Q

    2012-07-01

    Full Text Available Qing Du,1,2 Øyvind Næss,1,3 Espen Bjertness,1,4 Gonghuan Yang,5 Linhong Wang,6 Bernadette Nirmal Kumar71Institute of Health and Society, University of Oslo, Oslo, Norway; 2Binzhou Medical College, Yantai, China; 3The Norwegian Institute of Public Health, Oslo, Norway; 4Tibet University Medical College, Lhasa, China; 5Chinese Center for Disease Control and Prevention, Beijing, China; 6National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China; 7Norwegian Center for Minority Health Research, Oslo, NorwayBackground: The quality of routine data, such as the maternal mortality ratio (MMR, infant mortality rate (IMR, and under-five mortality rate (U5MR is often questioned. The objective of this study was to compare routine and survey data on key maternal and child health indicators, including the MMR, IMR, and U5MR in the Guizhou Province of China.Methods: In 2008, an urban area and a rural area in the Guizhou Province were randomly selected. All households in the selected areas were included and, of the total 5466 households therein, 5459 were visited. The response rate was 99.9%. Survey data were collected from mothers (46.0%, fathers (32.5%, grandmothers (11.1%, grandfathers (9.0%, and other caregivers (1.4%. Data from routine records of the health bureaus in selected areas were reviewed for the same indicators. The Chi-square test was used to study the differences between routine data and survey data.Results: We found the differences between the routine and survey data live births in the survey data (68 was fewer than in the routine data (94 in the rural area, while live births in the survey data (106 was larger than in the routine data (96 in the urban area. The IMR was higher in the survey data (51.7 per thousand as compared with routine data (31.6 per thousand. The U5MR was higher (69.0 per thousand in the survey data than in the routine data (42.1 per thousand. Indicators related to the

  2. The promise of exergames as tools to measure physical health.

    Science.gov (United States)

    Staiano, Amanda E; Calvert, Sandra L

    2011-01-01

    Exergames are popular video games that combine physical activity with digital gaming. To measure effects of exergame play on physical outcomes and health behaviors, most studies use external measures including accelerometry, indirect calorimetry, heart rate monitors, and written surveys. These measures may reduce external validity by burdening participants during gameplay. Many exergames have the capability to measure activity levels unobtrusively through monitors built into game equipment, and preliminary analysis indicates that exergame measures are significantly correlated with external measures of caloric expenditure, duration of play, and balance. Exergames also have unique capabilities to measure additional data, such as the game challenges, player movement, and levels of performance that affect aerobic activity. Researchers could capitalize on the data collected by the exergame itself, providing an efficient, unobtrusive, comprehensive measure of physical activity during exergame play. PMID:23378860

  3. 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.

  4. 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. PMID:22213260

  5. Strategy Research on Health Informatization Development in China%我国卫生信息化发展策略研究

    Institute of Scientific and Technical Information of China (English)

    李新伟; 胡红濮; 郭珉江; 黄薇

    2011-01-01

    Health informatization is one important component of the health reform, as well as one efficient measure impelling health development and health reform, which could reduce health cost and medical errors, improve health service quality and optimize resources allocation.. Combining with the histroy of national health informatization, the paper analyses the main problems in depth, and puts forward policy suggestions-planning and organization, financing, human resource development, industry standard research and implementation and effectiveness evaluation-to promote health informatizaiton in China.%卫生信息化是医药卫生体制改革的重要内容,也是推动卫生事业发展和卫生改革的有效手段,对于降低整个医疗成本、减少医疗差错、提高医疗服务质量、合理配置卫生资源具有重要作用.系统梳理了我国卫生信息化发展历程,对当前影响我国卫生信息化建设的关键问题进行了深入剖析,并在组织规划、资金投入、人才培养、标准研发、效果评价等方面提出了促进卫生信息化健康发展的政策建议.

  6. 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.

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

    International Nuclear Information System (INIS)

    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

  8. 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.

  9. Bioaccumulation of Antimony and Arsenic in Vegetables and Health Risk Assessment in the Superlarge Antimony-Mining Area, China

    OpenAIRE

    Defang Zeng; Saijun Zhou; Bozhi Ren; Tengshu Chen

    2015-01-01

    Heavy metal pollution in soils caused by mining and smelting has attracted worldwide attention for its potential health risks to residents. This paper studies the concentrations and accumulations of Sb and As in both soils and vegetables and the human health risks of Sb and As in vegetables from Xikuangshan (XKS) Sb mine, Hunan, China. Results showed that the soils were severely polluted by Sb and As; Sb and As have significant positive correlation. Sb and As concentrations in vegetables were...

  10. Predictors on Delay of Initial Health-Seeking in New Pulmonary Tuberculosis Cases among Migrants Population in East China

    OpenAIRE

    Li, Xinxu; Jiang, Shiwen; Li, Xue; Mei, Jian; Zhong, Qiu; Xu, Weiguo; Li, Jun; Li, Weibin; Liu, Xiaoqiu; Zhang, Hui; Wang, Lixia

    2012-01-01

    Objectives To determine the length of delay in initial health-seeking in new pulmonary tuberculosis (PTB) cases among migrant population in the eastern part of China, and factors associated with it. Methods A cross-sectional study was conducted using a structured questionnaire in six counties in Shanghai, Guangdong and Jiangsu from May to October, 2008, to estimate the extent and factors responsible for delayed initial health-seeking of the new PTB cases. The interval between self-reported on...

  11. 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

  12. 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

  13. To Unfold a Hidden Epidemic: Prevalence of Child Maltreatment and Its Health Implications among High School Students in Guangzhou, China

    Science.gov (United States)

    Wong, William C. W.; Leung, Phil W. S.; Tang, Catherine S. K.; Chen, Wei-Qing; Lee, Albert; Ling, Davina C.

    2009-01-01

    Objective: This study investigated the prevalence of child maltreatment as perpetrated by parents, its associated health outcomes, and its resilient factors among high school students in China. Methods: A multi-level stratified random school-based survey was conducted in 2005. Twenty four high schools were randomly chosen from eight districts in…

  14. HEALTH RISKS FROM CHRONIC EXPOSURE TO ARSENIC VIA DRINKING WATER: FINDINGS FROM THE CLINICAL INVESTIGATIONS DATA IN INNER MONGOLIA, CHINA

    Science.gov (United States)

    Prior studies have reported a large number of arsenicism cases in the Mongolia Autonomous Region of China due to drinking arsenic-contaminated water with concentrations up to 1.8 mg/L. However, the endemic health risks from chronic exposure to arsenic in this population have not...

  15. Measuring Health Literacy in Individuals with Diabetes: A Systematic Review and Evaluation of Available Measures

    Science.gov (United States)

    Al Sayah, Fatima; Williams, Beverly; Johnson, Jeffrey A.

    2013-01-01

    Objective: To identify instruments used to measure health literacy and numeracy in people with diabetes; evaluate their use, measurement scope, and properties; discuss their strengths and weaknesses; and propose the most useful, reliable, and applicable measure for use in research and practice settings. Methods" A systematic literature review was…

  16. Survey of attitude and knowledge of reproductive health among middle school students in Luoyang, China.

    Science.gov (United States)

    Wang, P; Zhang, Y J; Pan, X J; Xia, X Y; Lv, S Y

    2014-01-01

    The aim of this study was to assess the knowledge and attitude of AIDS and sexual behavior of middle school students. Structural questionnaires were designed to interview 1980 junior and senior middle school students about their basic knowledge, attitude, and behavior with respect to AIDS and sexual behavior. Students were recruited from the six most common middle schools of the six regions in Luoyang City of the Henan Province of China by cluster sampling from September to December of 2004. Results showed that 54.5% of students had not learned about the prevention of HIV/AIDS in school, and 38.3% of students did not have any knowledge about the route of transmission of HIV/AIDS. Furthermore, 91.2% of students were reluctant to share a classroom with HIV/AIDS patients. Approximately 21.7% of students had read books, watched videos, and consulted other media related to sex, 1.1% of students had had sexual intercourse during high school, and 80.5% believed that health education on HIV/AIDS and sex was necessary. The results of this survey showed that middle school students have little knowledge about HIV/AIDS and sex. Therefore, health education programs for HIV/AIDS prevention and sexual health should be developed as soon as possible to help students peacefully get through a sexually puzzling period of life. PMID:24737509

  17. Impact of oral health behaviors on dental caries in children with intellectual disabilities in Guangzhou, China.

    Science.gov (United States)

    Liu, Zifeng; Yu, Dongsheng; Luo, Wei; Yang, Jing; Lu, Jiaxuan; Gao, Shuo; Li, Wenqing; Zhao, Wei

    2014-01-01

    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. PMID:25340906

  18. 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.

  19. Association between occupational exposures to pesticides with heterogeneous chemical structures and farmer health in China

    Science.gov (United States)

    Huang, Xusheng; Zhang, Chao; Hu, Ruifa; Li, Yifan; Yin, Yanhong; Chen, Zhaohui; Cai, Jinyang; Cui, Fang

    2016-01-01

    This study analyzed the associations of farmers’ exposure to organophosphates (OPs), organosulfurs (OSs), organonitrogens (ONs) and pyrethroids (PYRs) with parameters of the blood complete counts (CBC), a blood chemistry panel (BCP) and the conventional nerve conduction studies among 224 farmers in China in 2012. Two health examinations and a series of follow-up field surveys were conducted. Multiple linear regression analyses were used to evaluate the associations. The results show considerable associations between multiple groups of pesticides and several CBC parameters, but it was not enough to provide evidence of hematological disorders. The short- and medium-term OPs exposures were mainly associated with liver damage and peripheral nerve impairment, respectively, while OSs exposure might induce liver damage and renal dysfunction. The neurotoxicity of ONs was second only to OPs in addition to its potential liver damage and the induced alterations in glucose. In comparison, the estimated results show that PYRs would be the least toxic in terms of the low-dose application. In conclusion, occupational exposures to pesticides with heterogeneous chemical structures are associated with farmer health in different patterns, and the association between a specific group of pesticides and farmer health also differs between the short- and medium-term exposures. PMID:27117655

  20. 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. PMID:26944425

  1. Gay Apps for Seeking Sex Partners in China: Implications for MSM Sexual Health.

    Science.gov (United States)

    Bien, Cedric H; Best, John M; Muessig, Kathryn E; Wei, Chongyi; Han, Larry; Tucker, Joseph D

    2015-06-01

    Anti-gay stigma and harsh local environments in many low and middle-income countries (LMIC) encourage men who have sex with men (MSM) partner-seeking mobile application (gay app) use. To investigate the sexual risk profiles of gay app users and guide future HIV prevention programs, we conducted a cross-sectional online survey among 1,342 MSM in China examining associations between gay app use and sexual behaviors, including HIV and sexually transmitted disease testing. Compared to non-app users, app users were more likely to be younger, better educated, "out" about their sexual orientation, and single. They were also more likely to report multiple recent sex partners and HIV testing, but there was no difference in condomless sex between the two groups. Future research among MSM in LMIC is needed to characterize gay app use and explore its potential for future public health interventions. PMID:25572834

  2. Measuring the Interprovincial CO2 Emissions Considering Electric Power Dispatching in China: From Production and Consumption Perspectives

    OpenAIRE

    Xueping Tao; Ping Wang; Bangzhu Zhu

    2016-01-01

    How to accurately measure the interprovincial CO2 emissions is key to achieving the task of energy saving and emission reduction. Electric power is very important for economy development. At the same time, the amount of interprovincial electric power dispatching is very large in China, so it is obligatory to measure the CO2 emissions from both electricity production and consumption perspectives. We have measured China's interprovincial CO2 emissions from fossil fuel combustion during 2000–201...

  3. Measuring the Impact of the Human Rights on Health in Global Health Financing.

    Science.gov (United States)

    Davis, Sara L M

    2015-01-01

    In response to new scientific developments, UNAIDS, WHO, and global health financing institutions have joined together to promote a "fast-track" global scale-up of testing and treatment programs. They have set ambitious targets toward the goal of ending the three diseases by 2030. These numerical indicators, based on infectious disease modeling, can assist in measuring countries' progressive realization of the right to health. However, they only nominally reference the catastrophic impact that human rights abuses have on access to health services; they also do not measure the positive impact provided by law reform, legal aid, and other health-related human rights programs. Drawing on experience at the Global Fund to Fight AIDS, Tuberculosis and Malaria, which has incorporated expanded stakeholder consultation and human rights programming into its grants, the article argues that addressing human rights barriers to access is often an ad hoc activity occurring on the sidelines of a health grantmaking process that has focused on the scale-up of biomedical programs to meet global health indicators. To ensure that these biomedical programs have impact, UN agencies and health financing mechanisms must begin to more systematically and proactively integrate human rights policy and practice into their modeling and measurement tools. PMID:26766865

  4. Preliminary results of measurement of natural environmental radiation levels and doses to population in China

    International Nuclear Information System (INIS)

    In this paper the preliminary results of measurement of natural environmental radiation levels in China with RSS-111 high pressure ionization chamber and estimated doses to population are reported. A total of 2,723 indoor locales throughout China were measured. The results showed that the average absorbed dose rates in air due to gamma radiation for indoors and outdoors were 11.0 x 10-8 Gy.h-1 and 7.4 x 10-8 Gy.h-1, respectively, and those due to cosmic rays were 3.2 x 10-8 Gy.h-1 and 3.7 x 10-8 Gy.h-1, respectively. The annual average effective dose equivalent to population was 919 μSv, including 630 μSv from natural gamma radiation and 289 μSv from cosmic rays

  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...... scant, patients’ 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...

  6. 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.

  7. Measuring Health-Related Quality of Life: General Issues

    OpenAIRE

    Guyatt, Gordon H.

    1997-01-01

    Clinicians and policy makers recognize the importance of measuring health-related quality of life (HRQL) to make informed patient management and policy decisions. Self- or interviewer-administered questionnaires can be used to measure cross-sectional differences in quality of life among patients at a point in time (discriminative instruments) or longitudinal changes in HRQL within patients over time (evaluative instruments). Both discriminative and evaluative instruments must be valid (ie, me...

  8. Methods of measuring patient satisfaction in health care organizations.

    Science.gov (United States)

    Ford, R C; Bach, S A; Fottler, M D

    1997-01-01

    Patient perceptions of the quality of services provided is a key factor (along with cost effectiveness) in determining a health care organization's competitive advantage and survival. This article examines the advantages, disadvantages, and problems associated with nine different methods of measuring patient satisfaction with service quality. The appropriateness of each of these techniques under different organizational conditions is also discussed. The article concludes with guidelines for measurement of patient satisfaction and implementation of managerial follow-up. PMID:9143904

  9. Measuring religiousness in health research: review and critique.

    Science.gov (United States)

    Hall, Daniel E; Meador, Keith G; Koenig, Harold G

    2008-06-01

    Although existing measures of religiousness are sophisticated, no single approach has yet emerged as a standard. We review the measures of religiousness most commonly used in the religion and health literature with particular attention to their limitations, suggesting that vigilance is required to avoid over-generalization. After placing the development of these scales in historical context, we discuss measures of religious attendance, private religious practice, and intrinsic/extrinsic religious motivation. We also discuss measures of religious coping, wellbeing, belief, affiliation, maturity, history, and experience. We also address the current trend in favor of multi-dimensional and functional measures of religiousness. We conclude with a critique of the standard, "context-free" approach aimed at measuring "religiousness-in-general", suggesting that future work might more fruitfully focus on developing ways to measure religiousness in specific, theologically relevant contexts. PMID:19105008

  10. 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

  11. Framework of National Non-Structural Measures for Flash Flood Disaster Prevention in China

    OpenAIRE

    Dongya Sun; Dawei Zhang; Xiaotao Cheng

    2012-01-01

    In recent years, disasters caused by flash floods with many casualties have occurred frequently in China. In order to effectively prevent flash flood disasters, the State Council approved the National Flash Flood Control Planning (NFFCP) in 2006. In this planning, non-structural measures are recommended as the first step to be adopted in the prevention of flash floods, debris flow and landslide disasters caused by heavy rainfall. In order to effectively build up a comprehensive non-structural...

  12. Ecotourism Environmental Protection Measures and Their Effects on Protected Areas in China

    Directory of Open Access Journals (Sweden)

    Ling-en Wang

    2014-09-01

    Full Text Available Ecological and environmental protection is the core content of ecotourism development. A quantitative evaluation of the effects of ecotourism environmental protection (hereinafter referred to as EEP measures on protected areas is conducive to a deeper understanding of the key issues related to ecotourism development in China, thus providing the theoretical basis for formulating the relevant national policies of sustainable ecotourism development in China. This paper first discusses the evaluation index system and then establishes an index evaluation model of EEP measures and their effects on protected areas. Using surveys of more than 1110 protected areas in 27 provinces (autonomous regions or municipalities, we evaluated the EEP measures and their effects from a quantitative and spatial perspective. The completeness of EEP measures for Chinese protected areas was moderately effective, and the implementation status of the protection measures varied with the protection region. The effectiveness of EEP measures in different provinces and regions showed significant differences. The effectiveness decreased from east to west. The evaluation index values of the environmental protection measures displayed a high correlation with the effects of environmental protection on protected areas. The ecological protection measures should be further improved and strengthened according to their regional differences during ecotourism development.

  13. Health Impact and Control Policy of Air Pollution in Shanxi, China

    OpenAIRE

    2013-01-01

    Facing the increasing environmental degradation locally and globally, the Chinese government sets mandatory goals of 10% reduction of SO2 emission and 20% reduction of energy intensity in its 11th Five-Year Plan period (FYP, 2006-2010). This study uses Shanxi Province to show the health effects of air pollution and health benefits resulting from various air pollution control scenarios in Shanxi province, illustrate how policies and measures have been implemented in practice in the province as...

  14. Health access livelihood framework reveals potential barriers in the control of schistosomiasis in the dongting lake area of hunan province, China

    OpenAIRE

    Julie Balen; Zhao-Chun Liu; McManus, Donald P.; Giovanna Raso; Jürg Utzinger; Shui-Yuan Xiao; Dong-Bao Yu; Zheng-Yuan Zhao; Yue-Sheng Li

    2013-01-01

    BACKGROUND: Access to health care is a major requirement in improving health and fostering socioeconomic development. In the People's Republic of China (P.R. China), considerable changes have occurred in the social, economic, and health systems with a shift from a centrally planned to a socialist market economy. This brought about great benefits and new challenges, particularly for vertical disease control programs, including schistosomiasis. We explored systemic barriers in access to equitab...

  15. Health-related quality of life in glioma patients in China

    Directory of Open Access Journals (Sweden)

    Lin Hong

    2010-06-01

    Full Text Available Abstract Background Health-related quality of life (HRQOL has been increasingly emphasized in cancer patients. There are no reports comparing baseline HRQOL of different subgroups of glioma patients prior to surgery. Methods HRQOL assessments by the standard Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30 (EORTC QLQ-C30, version 3.0, the Mini-Mental State Examination and Karnofsky Performance Status were obtained from glioma patients prior to surgery. Results Ninety-two pathologically confirmed glioma patients were recruited. There were 84.8% patients with emotional impairment, 75% with social and cognitive impairment, 70.7% with physical impairment, and 50% with role impairment. Eighty-two percent of patients reported fatigue symptoms, 72.8% reported pain, 50% reported appetite loss, 39.1% reported insomnia, and 36.9% reported nausea/vomiting, whereas other symptoms (dyspnea, diarrhea, constipation in the QLQ-C30 were reported by fewer than 30% of patients. Fatigue and pain symptoms and all "functioning" scales were strongly correlated with global health status/quality of life (QoL. Fatigue was strongly related to all functioning scales, pain, appetite loss, and global health status/QoL. No difference in baseline HRQOL prior to surgery was reported between females and males, among different lesion locations, or between normal- and abnormal-cognition subgroups of glioma patients. Age, KPS, WHO grade, and tumor recurrence significantly affected HRQOL in glioma patients. Conclusions These data provided the baseline HRQOL in glioma patients prior to surgery in China. Most pre-surgery glioma patients indicated emotional, social, cognitive, physical, and role impairment. Fatigue, pain, appetite loss, insomnia, and nausea/vomiting were common in these patients. The fatigue and pain symptoms and all types of functioning strongly affected global health status/QoL. Old age, worse

  16. Indicators of human health in ecosystems: what do we measure?

    International Nuclear Information System (INIS)

    Increasingly, scientists are being called upon to assist in the development of indicators for monitoring ecosystem health. For human health indicators, they may draw on environmental exposure, human morbidity/mortality or well-being and sustainability approaches. To improve the rigour of indicators, we propose six scientific criteria for indicator selection: (1) data availability, suitability and representativeness (of populations), (2) indicator validity (face, construct, predictive and convergent) and reliability; (3) indicator responsiveness to change; (4) indicator desegregation capability (across personal and community characteristics); (5) indicator comparability (across populations and jurisdictions); and (6) indicator representativeness (across important dimensions of concern). We comment on our current capacity to adhere to such criteria with examples of measures of environmental exposure, human health and sustainability. We recognize the considerable work still required on documenting environment-human health relationships and on monitoring potential indicators in similar ways over time. Yet we argue that such work is essential in order for science to inform policy decisions which affect the health of ecosystems and human health. (Copyright (c) 1998 Elsevier Science B.V., Amsterdam. All rights reserved.)

  17. 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.

  18. 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.

  19. Measuring the diffusion of innovative health promotion programs.

    Science.gov (United States)

    Steckler, A; Goodman, R M; McLeroy, K R; Davis, S; Koch, G

    1992-01-01

    Once a health promotion program has proven to be effective in one or two initial settings, attempts may be made to transfer the program to new settings. One way to conceptualize the transference of health promotion programs from one locale to another is by considering the programs to be innovations that are being diffused. In this way, diffusion of innovation theory can be applied to guide the process of program transference. This article reports on the development of six questionnaires to measure the extent to which health promotion programs are successfully disseminated: Organizational Climate, Awareness-Concern, Rogers's Adoption Variables, Level of Use, Level of Success, and Level of Institutionalization. The instruments are being successfully used in a study of the diffusion of health promotion/tobacco prevention curricula to junior high schools in North Carolina. The instruments, which measure the four steps of the diffusion process, have construct validity since they were developed within existing theories and are derived from the work of previous researchers. No previous research has attempted to use instruments like these to measure sequentially the stages of the diffusion process. PMID:10148679

  20. Health physics measurement of Princeton Tokamaks, 1977-1987.

    Science.gov (United States)

    Stencel, J R; Gilbert, J D; Couch, J G; Griesbach, O A; Fennimore, J J; Greco, J M

    1989-06-01

    The Princeton Plasma Physics Laboratory (PPPL) began fusion experiments in 1951. In the early years, the major health physics concerns were associated with x radiation produced by energetic electrons in the plasma. Within the past year, neutron and 3H production from 2H-2H (represented hereafter as D-D) reactions has increased significantly on the larger fusion devices. Tritium retention noted in graphite tiles underscores the significance of material selection in present and future 3H-fueled fusion devices. This paper reports on operational health physics radiation measurements made on various PPPL machines over the past 10 y. PMID:2722515

  1. 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. PMID:27264545

  2. 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. PMID:21465720

  3. Predictors on delay of initial health-seeking in new pulmonary tuberculosis cases among migrants population in East China.

    Directory of Open Access Journals (Sweden)

    Xinxu Li

    Full Text Available OBJECTIVES: To determine the length of delay in initial health-seeking in new pulmonary tuberculosis (PTB cases among migrant population in the eastern part of China, and factors associated with it. METHODS: A cross-sectional study was conducted using a structured questionnaire in six counties in Shanghai, Guangdong and Jiangsu from May to October, 2008, to estimate the extent and factors responsible for delayed initial health-seeking of the new PTB cases. The interval between self-reported onset of TB symptoms and date of first attendance at any medical institution was determined. More than the median duration was defined as delayed health-seeking. RESULTS: A total of 323 new migrant PTB patients participated in the study. Only 6.5% had medical insurance. The median and mean durations to initial health-seeking were respectively 10 and 31 days. There was no significant association between socio-demographic factors and delayed initial health-seeking. Average monthly working days >24 (AOR, 1.61; 95% CI, 1.03-2.51, and hemoptysis or bloody sputum (AOR, 0.48; 95% CI, 0.28-0.85 were significantly associated with delayed initial health-seeking. CONCLUSIONS: Interventions to improve health seeking behavior among the migrant population in China must focus on strengthening their labor, medical security and health education.

  4. 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.

  5. 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. PMID:24793339

  6. Health risk assessment of heavy metals in the water environment of Zhalong Wetland, China.

    Science.gov (United States)

    Zhang, Nannan; Zang, Shuying; Sun, Qingzhan

    2014-05-01

    Concentrations of the Cu, Cd, Cr, As, Zn and Ni in water samples from 272 sampling stations in the water environment of Zhalong Wetland, China were studied. Health risk assessment associated with six heavy metals and metalloid was conducted using health risk assessment model from United States Environmental Protection Agency. It can be concluded that the mean concentrations of Cu, Ni, Zn, As, Cd and Cu were 0.19, 0.45, 0.52, 4.9, 0.12 and 0.24 μg L(-1), respectively. The carcinogenic risk of Cr, As and Cd in the discharged area, experimental area, buffer area and core area were lower than the maximum allowance risk level recommended by International Commission on Radiological Protection (ICRP 5.0 × 10(-5) a(-1)). The non-carcinogenic risks (Cu, Zn, Ni) was also lower than the maximum allowance levels recommended by ICRP. Though it was lower than the level, it was very approaching to maximum acceptable risk level, need to draw attention to the relevant departments. PMID:24414855

  7. 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.

  8. A Healthy Bottom Line: Healthy Life Expectancy as an Outcome Measure for Health Improvement Efforts

    OpenAIRE

    Stiefel, Matthew C; Perla, Rocco J; Zell, Bonnie L

    2010-01-01

    Context: Good health is the most important outcome of health care, and healthy life expectancy (HLE), an intuitive and meaningful summary measure combining the length and quality of life, has become a standard in the world for measuring population health.

  9. 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.

  10. Indicators of child health, service utilization and mortality in Zhejiang Province of China, 1998-2011.

    Directory of Open Access Journals (Sweden)

    Wei Fang Zhang

    Full Text Available OBJECTIVE: To investigate the levels of primary health care services for children and their changes in Zhejiang Province, China from 1998 to 2011. METHODS: The data were drawn from Zhejiang maternal and child health statistics collected under the supervision of the Health Bureau of Zhejiang Province. Primary health care coverage, hospital deliveries, low birth weight, postnatal visits, breastfeeding, underweight, early neonatal (<7 days mortality, neonatal mortality, infant mortality and under-5 mortality were investigated. RESULTS: The coverage rates for children under 3 years old and children under 7 years old increased in the last 14 years. The hospital delivery rate was high during the study period, and the overall difference narrowed. There was a significant difference (P<0.001 between the prevalence of low birth weight in 1998 (2.03% and the prevalence in 2011 (2.71%. The increase in low birth weight was more significant in urban areas than in rural areas. The postnatal visit rate increased from 95.00% to 98.45% with a significant difference (P<0.001. The breastfeeding rate was the highest in 2004 at 74.79% and lowest in 2008 at 53.86%. The prevalence of underweight in children under 5 years old decreased from 1.63% to 0.65%, and the prevalence was higher in rural areas. The early neonatal, neonatal, infant and under-5 mortality rates decreased from 6.66‰, 8.67‰, 11.99‰ and 15.28‰ to 1.69‰, 2.36‰, 3.89‰ and 5.42‰, respectively (P<0.001. The mortality rates in rural areas were slightly higher than those in urban areas each year, and the mortality rates were lower in Ningbo, Wenzhou, and Jiaxing regions and higher in Quzhou and Lishui regions. CONCLUSION: Primary health care services for children in Zhejiang Province improved from 1998 to 2011. Continued high rates of low birth weight in urban areas and mortality in rural areas may be addressed with improvements in health awareness and medical technology.

  11. 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

  12. 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. PMID:27236628

  13. 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

  14. Integrated Health Risk Assessment of Heavy Metals in Suxian County, South China

    Directory of Open Access Journals (Sweden)

    Daping Song

    2015-06-01

    Full Text Available The purpose of this study was to assess soil heavy metal contamination and the potential risk for local residents in Suxian county of Hunan Province, southern China. Soil, rice and vegetable samples from the areas near the mining industrial districts were sampled and analyzed. The results indicate that the anthropogenic mining activities have caused local agricultural soil contamination with As, Pb, Cu and Cd in the ranges of 8.47–341.33 mg/kg, 19.91–837.52 mg/kg, 8.41–148.73 mg/kg and 0.35–6.47 mg/kg, respectively. GIS-based mapping shows that soil heavy metal concentrations abruptly diminish with increasing distance from the polluting source. The concentrations of As, Pb, Cu and Cd found in rice were in the ranges of 0.02–1.48 mg/kg, 0.66–5.78 mg/kg, 0.09–6.75 mg/kg, and up to 1.39 mg/kg, respectively. Most of these concentrations exceed their maximum permissible levels for contaminants in foods in China. Heavy metals accumulate to significantly different levels between leafy vegetables and non-leafy vegetables. Food consumption and soil ingestion exposure are the two routes that contribute to the average daily intake dose of heavy metals for local adults. Moreover, the total hazard indices of As, Pb and Cd are greater than or close to the safety threshold of 1. Long-term As, Pb and Cd exposure through the regular consumption of the soil, rice and vegetables in the investigated area poses potential health problems to residents in the vicinity of the mining industry.

  15. A population-based study on health-related quality of life among urban community residents in Shenyang, Northeast of China

    OpenAIRE

    Song, Tian; Ding, Yan-Wei; Sun, Yan; He, Yi-Ni; Qi, Dian-jun; Wu, Ying; Wu, Bin; Lang, Lang; Yu, Kai; Zhao, Xin; Zhu, Liang-Liang; Wang, Shuang; Yu, Xiao-Song

    2015-01-01

    Background Due to the rising standard of living environment and advances in public health and medical care in China, it has been a tendency in recent years that health-related quality of life (HRQoL) has been increasingly acknowledged in community health management. However, large-scale population-based study on evaluating HQRoL in northeast of China was not conducted. This article aims to investigate the HRQoL in community residents in Northeast China and explore the associated factors. Meth...

  16. 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…

  17. Mental Health Nursing, Mechanical Restraint Measures and Patients' Legal Rights.

    Science.gov (United States)

    Birkeland, Soren; Gildberg, Frederik A

    2016-01-01

    Coercive mechanical restraint (MR) in psychiatry constitutes the perhaps most extensive 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 seriously collide 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. 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' 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 MR use illegitimated. While specification of law criteria might possibly improve law use and promote patients' rights, education of psychiatry professionals must address the need for, as far as possible, paying due regard to meeting patient perspectives and participation principles as well as formal law and documentation requirements. PMID:27123152

  18. Towards the system-wide implementation of the International Classification of Functioning, Disability and Health in routine practice: Lessons from a pilot study in China.

    Science.gov (United States)

    Li, Jianan; Prodinger, Birgit; Reinhardt, Jan D; Stucki, Gerold

    2016-06-13

    In 2011 the Chinese leadership in rehabilitation, in collaboration with the International Classification of Functioning, Disability and Health (ICF) Research Branch, embarked on an effort towards the system-wide implementation of the ICF in the healthcare system in China. We report here on the lessons learned from the pilot phase of testing the ICF Generic Set, a parsimonious set of 7 ICF categories, which have been shown to best describe functioning across the general population and people with various health conditions, for use in routine clinical practice in China. The paper discusses whether classification and measurement are compatible, what number of ICF categories should be included in data collection in routine practice, and the usefulness of a functioning profile and functioning score in clinical practice and health research planning. In addition, the paper reflects on the use of ICF qualifiers in a rating scale and the particularities of certain ICF categories contained in the ICF Generic Set when used as items in the context of Chinese rehabilitation and healthcare. Finally, the steps required to enhance the utility of system-wide implementation of the ICF in rehabilitation and healthcare services are set out. PMID:27008243

  19. A Mixed-Methods Study on the Acceptability of Using eHealth for HIV Prevention and Sexual Health Care Among Men Who Have Sex With Men in China

    OpenAIRE

    Muessig, Kathryn E.; Bien, Cedric H.; Wei, Chongyi; Lo, Elaine J.; Yang, Min; Tucker, Joseph D; Yang, Ligang; Meng, Gang; Hightow-Weidman, Lisa B

    2015-01-01

    Background Human immunodeficiency virus (HIV) infection disproportionately affects men who have sex with men (MSM). Over half of all HIV-positive MSM in China may not know their HIV status. Mobile phones and Web interventions (eHealth) are underutilized resources that show promise for supporting HIV education, testing, and linkage to care. Objective This mixed-methods study among MSM in China assessed technology utilization and eHealth acceptability for sexual health care. Methods We conducte...

  20. Advancing Implementation of Evidence-Based Public Health in China: An Assessment of the Current Situation and Suggestions for Developing Regions

    OpenAIRE

    Jianwei SHI; Jiang, Chenghua; Tan, Duxun; Yu, Dehua; Lu, Yuan; Sun, Pengfei; Pan, Ying; Zhang, Hanzhi; Wang, Zhaoxin; Yang, Beilei

    2016-01-01

    Objective. Existing research shows a serious scarcity of EBPH practice in China and other developing regions; as an exploratory study, this study aimed to assess the current EBPH implementation status in Shanghai of China qualitatively. Methods. Using semistructured key informant interviews, we examined the status of and impediments to the lagging EBPH in China. Data were analyzed based on the Consolidated Framework for Implementation Research (CFIR). Results. Chinese public health practition...

  1. Sociodemographic and obstetric characteristics of stillbirths in China: a census of nearly 4 million health facility births between 2012 and 2014

    OpenAIRE

    Prof. Jun Zhu, MD; Prof. Juan Liang; Yi Mu, MPH; Xiaohong Li, MS; Sufang Guo, MD; Robert Scherpbier, MD; Prof. Yanping Wang; Li Dai, PhD; Zheng Liu, MSE; Mingrong Li, MD; Chunhua He, MD; Changfei Deng, MPH; Ling Yi, MPH; Kui Deng, MPH; Qi Li, MSE

    2016-01-01

    Background: Very little is known about the burden and determinants of stillbirths in China. We used data from a national surveillance system for health facility births to compute a stillbirth rate representative of all facility births in China and to explore sociodemographic and obstetric factors associated with variation in the stillbirth rate. Methods: We used data from China's National Maternal Near Miss Surveillance System between Jan 1, 2012, and Dec 31, 2014, which covers 441 hospita...

  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. Determinants of Medical and Health Care Expenditure Growth for Urban Residents in China: A Systematic Review Article.

    Directory of Open Access Journals (Sweden)

    Xiaolong Zhu

    2014-12-01

    Full Text Available In recent years, medical and health care consumption has risen, making health risk an important determinant of household spending and welfare. We aimed to examine the determinants of medical and health care expenditure to help policy-makers in the improvement of China's health care system, benefiting the country, society and every household. This paper employs panel data from China's provinces from 2001 to 2011 with all possible economic variations and studies the determinants of medical and healthcare expenditure for urban residents. CPI (consumer price index of medical services and the resident consumption level of urban residents have positive influence on medical and health care expenditures for urban residents, while the local medical budget, the number of health institutions, the incidence of infectious diseases, the year-end population and the savings of urban residents will not have effect on medical and health care expenditure for urban residents. This paper proposed three relevant policy suggestions for Chinese governments based on the findings of the research.

  4. Health of returnees in Osijek Region and required special measures of health care and community organization.

    Science.gov (United States)

    Prlić, Lidija; Ebling, Zdravko; Glavina, Kresimir; Gmajnić, Rudika; Vuletić, Gorka; Kovacić, Luka; Tokalić, Martin

    2004-01-01

    Many citizens from the Osijek-Baranja County, in order to survive, left their homes during the 1991/92 war in Croatia and spent between 5 and 7 years in exile. The aim of this pilot research was to assess the health status (physical, mental and social) of refugee /returnee population and their use of health services, to identify the factors influencing their adaptation, and to propose the health programs, psychological and social support, which could help foster integration into the social and community life, education and employment. The study was done on a randomized sample of 589 respondents using the 2003 Croatian Health Survey with an additional questionnaire related to the problems of returnees. The results of the study show good organization of health service in returnees' communities, with exception of gynecological and dental services. There was also a presence of health transportation problem and the problem in the supply of medicines. Finally, the results show that the returnees' communities were dominated by social problems such as lack of employment, lack of support for elderly, poverty, and concerns for children's prospects. This implies the necessity for intervention in both mental and social aspects. Measures to be undertaken in the next stage of the Project will be aimed at the work in the refugee communities and based on public health working methods such as organization of the community by stimulating intergenerational solidarity, education and raising awareness of self-help. PMID:15571108

  5. Health risk assessment of lead for children in tinfoil manufacturing and e-waste recycling areas of Zhejiang Province, China

    International Nuclear Information System (INIS)

    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, δ-Aminolaevulinic acid (δ-ALA) and intelligence quotient (IQ) were also measured. Geometric mean of BLLs in Lanxi, Luqiao and Chun'an were 8.11 μg/dL, 6.97 μg/dL, and 2.78 μg/dL respectively, with 35.1%, 38.9% and 0% of children who had BLLs above 10 μg/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 δ-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: ► No report on tinfoil processing impact on children's health before. ► Few studies reported health impacts of lead from e-waste processing. ► Children with blood lead levels < 10 μg/dL are associated with a decrease in IQ. ► Threshold appears to exist at blood lead level of about 20 μg/dL for urinary δ-ALA.

  6. The CLARITY modular ambient health and wellness measurement platform

    OpenAIRE

    Walsh, Michael; O'Grady, Michael J; Dragone, Mauro; Tynan, Richard; Ruzzelli, Antonio G.; Barton, John,; O'Flynn, Brendan; O'Hare, G. M. P.; O Mathuna, Cian

    2010-01-01

    Emerging healthcare applications can benefit enormously from recent advances in pervasive technology and computing. This paper introduces the CLARITY Modular Ambient Health and Wellness Measurement Platform:, which is a heterogeneous and robust pervasive healthcare solution currently under development at the CLARITY Center for Sensor Web Technologies. This intelligent and context-aware platform comprises the Tyndall Wireless Sensor Network prototyping system, augmented with an agent-based mid...

  7. Bridge health monitoring system based on vibration measurements

    OpenAIRE

    Ntotsios, Evangelos; Papadimitriou, Costas; Panetsos, Panagiotis; Karaiskos, Grigorios; Perros, Kyriakos; Perdikaris, Filippos

    2009-01-01

    A bridge health monitoring system is presented based on vibration measurements collected from a network of acceleration sensors. Sophisticated structural identification methods, combining information from the sensor network with the theoretical information built into a finite element model for simulating bridge behaviour, are incorporated into the system in order to monitor structural condition, track structural changes and identify the location, type and extent of damage. This work starts wi...

  8. 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. PMID:16121834

  9. 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. PMID:22692482

  10. Physical restraint for psychiatric patients and its associations with clinical characteristics and the National Mental Health Law in China.

    Science.gov (United States)

    An, Feng-Rong; Sha, Sha; Zhang, Qing-E; Ungvari, Gabor S; Ng, Chee H; Chiu, Helen F K; Wu, Ping-Ping; Jin, Xin; Zhou, Jian-Song; Tang, Yi-Lang; Xiang, Yu-Tao

    2016-07-30

    Physical restraint (PR) for patients is an ongoing controversial topic in psychiatry. This study examined the percentage of PR and its associations with clinical characteristics and the implementation of the National Mental Health Law (NMHL) in China. The study consecutively assessed a sample of 1364 psychiatric inpatients. Socio-demographic and clinical data including use of PR were collected from the medical records using a form designed for this study and confirmed via interview. Psychopathology and insight were measured using standardized instruments. The percentage of PR was 27.2% in the whole sample with 30.7% and 22.4% occurring respectively before and after the NMHL implementation (p=0.001). In multiple logistic regression analysis PR was positively associated with unemployment, lower income, aggression in the past month, being admitted before the NMHL implementation and poorer insight. The percentage of PR in Chinese psychiatric patients is associated with various clinical factors and appeared to decrease after the implementation of the NMHL. Focused and individualized care for patients who are unemployed, have low income, recent aggression and poor insight would be necessary at early stages of admission. PMID:27179180

  11. 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. PMID:27147238

  12. 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. PMID:25432169

  13. Health impact of bioaccessible metal in lip cosmetics to female college students and career women, northeast of China

    International Nuclear Information System (INIS)

    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. - Highlights: • Lip cosmetics are one of non-dietary exposure source for metals. • Binding force of trace metals was possibly weaker in lip balm, not lipstick. • Bioaccessible metal intakes from lip cosmetics are below reference dose values. - Bioaccessible Metal in Lip Cosmetics and Exposure Assessment

  14. Modern movement and deformation in the South China Sea shown by GPS measurements and numerical simulation

    Institute of Scientific and Technical Information of China (English)

    WANG Jing; LUAN Xiwu; YU Roger Z.

    2013-01-01

    To better understand the crustal deformation of the South China Sea Basin,we produce a mechanically consistent 2-dimensional model for observing regional velocity field in the South China Sea (SCS).We studied the dominating regional tectonic stress field by geodetic measurements and finite element analysis,the spatial variations of velocity field and strain field,and relative movements among different blocks,using a 2-dimensional model describing crustal deformation of the South China Sea Basin.Strain results show that the SCS is extending at present.The western part of SCS is opening gradually in NW-SE direction from its northern margin to the south,but the eastern part of SCS is opening gradually from its central part to the north and south.In addition,we analyzed the plate kinematics to the deformation of the SCS,using a two-dimensional finite element model.Our simulations results are well explained by available geodetic data.The movement of SCS is resulted from interactions among Indian Plate,Pacific Plate,Philippine Sea Plate,and Eurasian Plate.

  15. 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.

  16. 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.

  17. 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.

  18. 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. PMID:16544525

  19. 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.

  20. Symptoms of posttraumatic stress disorder among health care workers in earthquake-affected areas in southwest China.

    Science.gov (United States)

    Wang, Li; Zhang, Jianxin; Zhou, Mingjie; Shi, Zhanbiao; Liu, Ping

    2010-04-01

    The symptoms of posttraumatic stress disorder and associated risk factors were investigated among health care workers in earthquake-affected areas in southwest China. 343 health care workers completed the Chinese version of the Impact of Event Scale-Revised 3 mo. after the Wenchuan Earthquake. The prevalence of probable PTSD was 19%. The significant risk factors identified for PTSD severity included being female, being bereaved, being injured, and higher intensity of initial fear. These findings suggest that PTSD is a common mental health problem among health care workers in earthquake-affected areas. The present information can be useful in directing, strengthening, and evaluating disaster-related mental health needs and interventions after an earthquake. PMID:20524558

  1. Comparing China and India: Is dividend of economic reforms polarized?

    OpenAIRE

    Sudip Ranjan Basu

    2007-01-01

    The paper develops a new measure of development, namely, development quality Index (DQI), to compare performance of China and India. The results show that national level development quality grew three times faster in China than in India. Conversely, the health quality grew three times as fast in India than China over the period 1980-2004. The overall regional development quality level improved in both countries, but polarization widened in China. The sign of inter-regional polarization in Chi...

  2. 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. PMID:23713464

  3. Health impacts of mercury cycling in contaminated environments in China studied by nuclear techniques

    International Nuclear Information System (INIS)

    In recent decades, the production and using of mercury was reduced, however, the mercury pollution and health impacts are still serious. It is because that China's economy was forging rapidly ahead in the past 20 years. The combustion of fossil fuels, in which of the coal is more than 70% in the total energy consumption, was increasing year after year, especially in some industrial cities. So a co-ordinated research project (CRP), on health impacts of mercury cycling in contaminated environments studied by nuclear techniques, has been supported by the IAEA. In the CRP that contract number is PRC-10874, some research techniques for understanding the behavior of mercury in terrestrial ecosystem were developed, and some problems about mercury pollution in terrestrial ecosystem and their impacts have been probed. The results indicated that because of the increasing of anthropogenic Hg emission, the Hg accumulation in terrestrial ecosystem was increasing with time in the research sites (Chongqing, China), which Hg in wet and dry deposition was sum 195.3 g/km2·yr in urban and 48.5 g/km2·yr in rural area. The bioaccumulation of Hg in plant was related to the concentration of atmospheric Hg and soil Hg. The Hg content of plant increased with the atmospheric Hg increasing. Hg contents in plant leaves increased with the increase of air-Hg, the correlation equation was: y 0.0173x-0.3204 Calculation from this equation showed that the accumulation of Hg in plants stemmed mainly from soil rather than atmosphere when air-Hg was lower than 18.5 ng/m3, however contribution of air-Hg to plant Hg accumulation was increasing with the increase of Air-Hg when its concentration was higher than 18.5 ng/m3. Furthermore, it was found that Hg content in some crops and livestock products had exceeded the limit of FHSV due to Hg accumulation in terrestrial ecosystem increasing gradually with the increasing Hg emission in Chongqing. It should be noted specially that the Hg concentration of

  4. MAX-DOAS measurements in southern China: 1. automated aerosol profile retrieval using oxygen dimers absorptions

    OpenAIRE

    Li, X.; Brauers, T.; Shao, M.(University of Science and Technology of China, Hefei, 230026, China); Garland, R. M.; Wagner, T; Deutschmann, T.; A. Wahner

    2008-01-01

    We performed MAX-DOAS measurements during the PRiDe-PRD2006 campaign in the Pearl River Delta region 50 km north of Guangzhou, China, for 4 weeks in June 2006. We used an instrument which simultaneously sampled the wavelength range from 292 nm to 443 nm at 7 different elevation angles between 3° and 90°. Here we show that the O4 (O2 dimer) absorption at 360 nm can be used to retrieve the aerosol extinction and the height of the bou...

  5. Different Models of Hospital–Community Health Centre Collaboration in Selected Cities in China: A Cross-Sectional Comparative Study

    OpenAIRE

    Xu, Jing; Pan, Rui; Pong, Raymond W; MIAO, Yudong; Qian, Dongfu

    2016-01-01

    Objective: In recent years, in order to provide patients with seamless and integrated healthcare services, some models of collaboration between public hospitals and community health centres have been piloted in some cities in China. The main goals of this study were to assess the nature and characteristics of these collaboration models.Methods: Three cases of three different collaboration models in three Chinese cities were selected to analyse using descriptive statistics, Pearson χ2 and ordi...

  6. Prevalence of Diabetes and Impaired Fasting Glucose in Chinese Adults, China National Nutrition and Health Survey, 2002

    OpenAIRE

    Shuqian Liu, MD; Wenyu Wang, PhD; Jian Zhang, PhD; Yuna He, MS; Chonghua Yao, MD; Zhechun Zeng, MD; Jianhua Piao; Barbara V. Howard, PhD; Richard R. Fabsitz, PhD; Lyle Best, PhD; Xiaoguang Yang, MD, PhD; Elisa T. Lee, PhD

    2011-01-01

    Introduction As a result of rapid economic development in China, the lifestyles and dietary habits of its people have been changing, and the rates of obesity, diabetes, and other chronic conditions have increased substantially. We report the prevalence of type 2 diabetes and impaired fasting glucose (IFG) and the association between diabetes and overweight and obesity in Chinese adults. We also compare the results with those from the US National Health and Nutrition Examination Survey, 1999-2...

  7. Adding New Spices to Development Cooperation. Brazil, India, China and South Aftrica in Health, Agrciulture and Food Security

    OpenAIRE

    De Bruyn, Tom

    2013-01-01

    This paper presents a literature review of what is known about the characteristics of development cooperation in the sectors health and agriculture and food security (AFS) of four so-called emerging powers or economies: Brazil, India, China and South Africa. This is the first paper in a series within the four year research project (2012-2015) 'Challenging the status-quo? The impact of the emerging economies on the global governance of development cooperation'.

  8. Knowledge, Attitudes and Practice of Desalinated Water among Professionals in Health and Water Departments in Shengsi, China: A Qualitative Study

    OpenAIRE

    Chen, Tao; Wang, Qiqi; Qin, Yu; Chen, Xi; Yang, Xiaoxiong; Lou, Wei; Zhou, Mikang; He, Guangxue; Lu, Kai

    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 ...

  9. 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.

  10. A measure of the fulfillment of health needs.

    Science.gov (United States)

    Shannon, M

    1976-01-01

    Female patients, sixty-five of age and over, admitted to acute medical and psychiatric wards of a municipal hospital were observed directly and unobtrusively for a three hour time period every other day during the first two weeks of hospitalization. The behaviors of the patients and of those who interacted with them were recorded and later categorized according to fifteen activities defined as representing basic health needs. Behaviors were compared according to the outcome of hospitalization, discharge, transfer to another ward or institution, or death. Differences which distinguished patients who were discharged from those who died were found in the activities of movement, comunication, and learning. Behaviors observed at different points in time during hospitalization also were compared. This study is the first step in the development of an instrument to measure the perceived satisfaction of health needs of geriatric patients in institutions. PMID:1024105

  11. 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

  12. 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.

  13. 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

    2016-01-01

    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. PMID:26861375

  14. A Critical Evaluation of Waste Incineration Plants in Wuhan (China) Based on Site Selection, Environmental Influence, Public Health and Public Participation

    OpenAIRE

    Hui Hu; Xiang Li; Anh Dung Nguyen; Philip Kavan

    2015-01-01

    With the rapid development of the waste incineration industry in China, top priority has been given to the problem of pollution caused by waste incineration. This study is the first attempt to assess all the waste incineration plants in Wuhan, the only national key city in central China, in terms of environmental impact, site selection, public health and public participation. By using a multi-criterion assessment model for economic, social, public health and environmental effects, this study ...

  15. A cross-sectional study of the effect of health literacy on diabetes prevention and control among elderly individuals with prediabetes in rural China

    OpenAIRE

    Qin, Lulu; Xu, Huilan

    2016-01-01

    Objectives This study was designed to examine the effect of health literacy on diabetes prevention and control and risk factors for low diabetes health literacy among elderly individuals with prediabetes in rural areas in China. Design setting and participates A cross-sectional survey was conducted among elderly individuals in rural communities in Yiyang City in China. Multi-staged cluster random sampling was used to select 42 areas and 434 individuals with prediabetes who were interviewed us...

  16. Factors that influence the choice to work in rural township health centers among 4,669 clinical medical students from five medical universities in Guangxi, China

    OpenAIRE

    Qing, Yunbo; Hu, Guijie; Chen, Qingyun; Peng, Hailun; Li, Kailan; Wei, Jinling; Yi, Yanhua

    2015-01-01

    Purpose: To produce competent undergraduate-level medical doctors for rural township health centers (THCs), the Chinese government mandated that medical colleges in Central and Western China recruit rural-oriented, tuition-waived medical students (RTMSs) starting in 2010. This study aimed to identify and assess factors that influence the choice to work in rural township health centers among both RTMSs and other students from five medical universities in Guangxi, China. Methods: An internet-ba...

  17. Work stress, work motivation and their effects on job satisfaction in community health workers: a cross-sectional survey in China

    OpenAIRE

    LI Li; Hu, Hongyan; Zhou, Hao; He, Changzhi; Fan, Lihua; Liu, Xinyan; Zhang, Zhong; Li, Heng; Sun, Tao

    2014-01-01

    Objective It is well documented that both work stress and work motivation are key determinants of job satisfaction. The aim of this study was to examine levels of work stress and motivation and their contribution to job satisfaction among community health workers in Heilongjiang Province, China. Design Cross-sectional survey. Setting Heilongjiang Province, China. Participants The participants were 930 community health workers from six cities in Heilongjiang Province. Primary and secondary out...

  18. 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.

  19. Age Group Differences in HIV Risk and Mental Health Problems among Female Sex Workers (FSWs) in Southwest China

    OpenAIRE

    Su, Shaobing; Li, Xiaoming; Zhang, Liying; Lin, Danhua; Zhang, Chen; Zhou, Yuejiao

    2014-01-01

    HIV risk and mental health problems are prevalent among female sex workers (FSWs) in China. The purpose of this research was to study age group differences in HIV risk and mental health problems in this population. In the current study we divided a sample of 1,022 FSWs into three age groups (≤20 years, 21– 34 years, and ≥35 years). Results showed that among the three groups (a) older FSWs (≥35 years) were likely to be socioeconomically disadvantaged (e.g., rural residency, little education, e...

  20. New measures for new roles: defining and measuring the current practices of health sciences librarians

    OpenAIRE

    Scherrer, Carol S.; Jacobson, Susan

    2002-01-01

    The roles of academic health sciences librarians are continually evolving as librarians initiate new programs and services in response to developments in computer technology and user demands. However, statistics currently collected by libraries do not accurately reflect or measure these new roles. It is essential for librarians to document, measure, and evaluate these new activities to continue to meet the needs of users and to ensure the viability of their professional role. To determine wha...

  1. Simultaneous measurements of HONO and NO2 at a rural site in Northern China by IBBCEAS

    Science.gov (United States)

    Qin, Min; Duan, Jun; Fang, Wu; Hu, Renzi; Lu, Xue; Shen, Lanlan; Li, Ang; Xie, Pinhua; Liu, Wenqing

    2016-04-01

    HONO arose the interests for its photolysis is an important source of OH radical. However, its source, especially the daytime source is still unclear. With high primary pollutants and aerosol concentrations, the characteristics of air pollutions in China can be expected to be sometimes quite different from the one observed in developed countries. HONO shows high level not only in urban areas but also in rural areas in China. The temporal behavior of HONO and NO2 was investigated at a rural site in Wangdu, Hebei Province, China, by using incoherent broadband cavity-enhanced absorption spectroscopy (IBBCEAS) during the CAREBEIJING-NCP Campaign from June 26th to July 9th 2014. The concentrations of HONO and NO2 measured by IBBCEAS were compared with a LOPAP (Long Path Absorption Photometer) instrument and a commercial NOx analyzer (Thermo 42i), and the results showed the well correlations for the correlation coefficient (R2) of HONO and NO2 were up to 0.878 and 0.989, respectively. During the measurements, the daytime rapid variations of HONO were found. The peak values of HONO at around noon even unexpected exceed 3ppb and the unknown daytime HONO source strength (PM) reached up to 14 ppb/h, while the concentrations of NO2 were very low (< 5ppb) and the peaks of HONO/NO2 even exceed 100%, which were different from the previous field observations. The possible formations were discussed in this paper, the so high value of daytime HONO could not be explained by the known direct emissions or reactions related to NO2 and might come from soils much possible or the other unknown sources.

  2. Study of Aerosol Liquid Water Content based on Hygroscopicity Measurements at High Relative Humidity in the North China Plain

    Science.gov (United States)

    Bian, Y.; Zhao, C.

    2013-12-01

    Aerosol has significant effects on direct/indirect climate forcing, visibility, tropospheric chemistry and human health. Water can represent an extensive proportion of the mass of aerosol particles, and can also serve as a medium for aqueous-phase reactions in such particulate matter. In this study, a new method is proposed to estimate the aerosol liquid water content at high relative humidity, based on aerosol hygroscopic growth factors, particle number size distribution and relative humidity measured during the Haze in China (HaChi) campaign of July-August, 2009. The aerosol liquid water content estimated by this method is compared to the results calculated by a thermodynamic equilibrium model (ISORROPIA II). The calculation results from these two methods agree well at high relative humidity above 60% with the correlation coefficient of 0.9658. At relative humidity lower than 60%, the thermodynamic equilibrium model underestimates the aerosol liquid water content. The discrepancy is mainly caused by the ISORROPIA II model, which considers only limited chemical species. The mean and maximum value of aerosol liquid water content during July-August, 2009 in the North China Plain reached 1.69×10^{-4}g/m^3 and 9.71×10^{-4}g/m^3, respectively. Aerosol liquid water content is highly related to the relative humidity. There exists a distinct diurnal variation of the aerosol liquid water content, with lower values during daytime and higher ones during night time. The contribution to the aerosol liquid water content from the accumulation mode is dominating among all the aerosol particle modes.

  3. Maximising health versus sharing: measuring preferences for the allocation of the health budget.

    Science.gov (United States)

    Richardson, Jeff; Sinha, Kompal; Iezzi, Angelo; Maxwell, Aimee

    2012-10-01

    Empirical evidence indicates that people consider sharing health resources to be important even in the absence of the attributes usually associated with equity (age, social class, ethnicity, disease severity or geographic location). If government is to take account of these preferences then survey methods are needed which allow their measurement. The present paper presents a new technique for measuring these preferences and reports the results of a representative survey of 626 Australians which employed the technique. The online and postal survey did not include any of the attributes usually associated with equity but was designed to quantify the respective importance of sharing life years (outcome egalitarianism), resource sharing per se and the changing importance of total health as other attributes varied. Results indicate respondents were primarily concerned with outcome egalitarianism, and that cost per life year had a relatively small effect upon their allocative decisions. PMID:22795915

  4. Analysis of radon concentration in drinking water in Baoji (China) and the associated health effects

    International Nuclear Information System (INIS)

    This paper presents the results of radon concentration measurements in drinking water from the municipal water supply system and private wells located in Baoji (China)). The measurements were carried out on 69 samples. The mean values of tap water and well water were found to be 12 kBq m-3 with a maximum of 18 kBq m-3 and 41 kBq m-3 with a maximum of 127 kBq m-3, respectively. The well water samples obtained from different depth-well (water-bearing levels), i.e. shallow well (well depth under 10 m) water, middle well (well depth 10-30 m) water and deep well water, have respective mean values of 24, 34 and 56 kBq m-3. The contributions of the observed radon concentration in drinking water to indoor radon account for 2.8-13.2% of the mean value of Shaanxi indoor radon concentration and the effective dose to the dweller owing to inhalation of radon emanating from household water is 0.03-0.14 mSv y-1. (authors)

  5. Addressing tb & poverty under the changing health care systems in China

    Institute of Scientific and Technical Information of China (English)

    Meng Qingyue

    2003-01-01

    @@ China has the second highest TB prevalence in the world. The TB prevalence in economically underdeveloped provinces is 1.8 times that of more developed provinces. About 80 % of TB patients are living below the average income level. The case detection rate in China is about 30 %, and it is believed the rate amongst the poor may be even lower.

  6. The SF-36 health survey: a valid measure of changes in health status after injury.

    OpenAIRE

    Kopjar, B.

    1996-01-01

    OBJECTIVES: The aim of this study is to evaluate the criterion validity and responsiveness to changes over time of the Medical Outcome Study Short Form 36 (MOS SF-36) measure. METHODS: A consecutive sample of 775 patients 16 to 78 years treated for an unintentional injury at the hospital or emergency clinic in Drammen, Norway was selected for the study. Data about activity restrictions and health status measured by SF-36 were obtained by a postal questionnaire 6-10 weeks after the injury. A f...

  7. A Value-Added Based Measure of Health System Output and Estimating the Efficiency of OECD Health Systems

    OpenAIRE

    Dennis Petrie; Kam Ki Tang; Prasada Rao, D.S.

    2009-01-01

    Life expectancy at birth is the most commonly used measure for health system output. However, there are a number of reasons why it may be a poor proxy. First, life expectancy assumes a stationary population and thus does not take into account the current demographic structure of a country; and second, the output of a health system should be measured in terms of the value-added to the population’s health status rather than health status itself. The paper develops a new measure of health system...

  8. Health status as a measure of outcome of disease and treatment

    OpenAIRE

    Essink-Bot, Marie-Louise

    1995-01-01

    textabstractThis thesis addresses a number of related topics in health status measurement in the evaluation of the effects of disease and of medical care. Its main objectives are: I. To provide a general overview of the field of descriptive health status measurement. 2. To compare the contents and the relative performance of a number of currently available measures for descriptive health status measurement, to demonstrate applications of descriptive health status measurement and to discuss th...

  9. NOISE INDUCED HEARING LOSS IN CHINA:A POTENTIALLY COSTLY PUB-LIC HEALTH LSSUE

    Institute of Scientific and Technical Information of China (English)

    Shi Yongbing; William Hal Martin

    2013-01-01

    Hearing loss and tinnitus are among the most common consequences of long term noise exposure and re-main an under-addressed heath issue in most developing nations including China. The rapid industrializa-tion and life style changes in China increase the concern over noise exposure and noise induced hearing loss (NIHL). Research on NIHL in China is limited. The current paper reviews studies published in English and Chinese language literatures regarding noise exposure and NIHL in China. Their implication on the Chi-nese population is discussed. The possible utility of a research model such as the Dangerous Decibels® as a means to increase understanding of the scope of NIHL among the Chinese population, to educate the gener-al public in China (especially the young) about NIHL and its prevention, and to study effects of language and cultural factors on international information dissemination and behavioral interventions is proposed.

  10. Excessive daytime sleepiness assessed by the Epworth Sleepiness Scale and its association with health related quality of life: a population-based study in China

    Directory of Open Access Journals (Sweden)

    Wu Shunquan

    2012-10-01

    Full Text Available Abstract Background Excessive daytime sleepiness (EDS is a common condition worldwide that has many negative effects on people who were afflicted with it, especially on their health-related quality of life (HRQOL. The Epworth Sleepiness Scale (ESS is a commonly used method for evaluating EDS in English-speaking countries. This paper reported the prevalence of subjective EDS in China as assessed by the Mandarin version of the ESS; tested the scale’s response rate, reliability and validity; and investigated the relationship between ESS scores and HRQOL. Methods A population-based sample of 3600 residents was selected randomly in five cities in China. The demographic information was collected, subjective EDS was assessed by the Mandarin version of the ESS (ESS scores >10, and HRQOL was evaluated by the Mandarin version of the 36-item Short Form Health Survey (SF-36. Results The Mandarin version of ESS had very few missing responses, and the average response rate of its eight items was 97.92%. The split-half reliability coefficient and Cronbach’s α coefficient were 0.81 and 0.80, respectively. One factor was identified by factor analysis with an eigenvalue of 2.78. The ESS scores showed positive skewness in the selected sample, with a median (Q1, Q3 of 6 (3, 0. 644 (22.16% respondents reported subjective EDS, and all of the scores of the eight dimensions of the SF-36 were negatively correlated with ESS scores. Conclusions The Mandarin version of ESS is an acceptable, reliable, and valid tool for measuring EDS. In addition, subjective EDS is common in China, based on the ESS results, and impairs HRQOL.

  11. Measurement of cosmic ray flux in the China Jinping underground laboratory

    International Nuclear Information System (INIS)

    The China JinPing underground Laboratory (CJPL) is the deepest underground 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/(cm2·s). The ultra-low cosmic ray background guarantees an ideal environment for dark matter experiments at the CJPL. (authors)

  12. 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.

  13. 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.

  14. Measuring the Mental Health-Care System Responsiveness: Results of an Outpatient Survey in Tehran

    OpenAIRE

    Forouzan, Setareh; Padyab, Mojgan; Rafiey, Hassan; Ghazinour, Mehdi; Dejman, Masoumeh; San Sebastian, Miguel

    2016-01-01

    As explained by the World Health Organization (WHO) in 2000, the concept of health system responsiveness is one of the core goals of health systems. Since 2000, further efforts have been made to measure health system responsiveness and the factors affecting responsiveness, yet few studies have applied responsiveness concepts to the evaluation of mental health systems. The present study aims to measure responsiveness and its related domains in the mental health-care system of Tehran. Utilizing...

  15. Measuring the mental health care system responsiveness: results of an outpatient survey in Tehran

    OpenAIRE

    Setareh eForouzan; Mojgan ePadyab; Hassan eRafiey; Mehdi eGhazinour; Masoumeh eDejman; Miguel eSan Sebastian

    2016-01-01

    AbstractAs explained by the World Health Organisation (WHO) in 2000, the concept of health system responsiveness is one of the core goals of health systems. Since 2000, further efforts have been made to measure health system responsiveness and the factors affecting responsiveness, yet few studies have applied responsiveness concepts to the evaluation of mental health systems. The present study aims to measure responsiveness and its related domains in the mental health care system of Tehran. U...

  16. Measurement and estimation of photosynthetically active radiation from 1961 to 2011 in Central China

    International Nuclear Information System (INIS)

    Highlights: • 6-Year observations were used to show the temporal variability of PAR and PAR/G. • Dependence of PAR on clearness index was studied in model development. • New developed models performed very well at different time scales. • The new all-weather model provided good estimates of PAR at two other sites. • Long-term variations of PAR from 1961 to 2011 in Central China were analyzed. - Abstract: Measurements of photosynthetically active radiation (PAR) and global solar radiation (G) at WHU, Central China during 2006–2011 were used to investigate the seasonal characteristics of PAR and PAR/G (PAR fraction). Both PAR and PAR fraction showed similar seasonal features that peaked in values during summer and reached their lowest in winter with annual mean values being 22.39 mol m−2 d−1 and 1.9 mol M J−1 respectively. By analyzing the dependence of PAR on cosine of solar zenith angle and clearness index at WHU, an efficient all-weather model was developed for estimating PAR values under various sky conditions, which also produced accepted estimations with high accuracy at Lhasa and Fukang. PAR dataset was then reconstructed from G for 1961–2011 through the new developed model. Annual mean daily PAR was about 23.12 mol m−2 d−1, there was a significant decreasing trend (11.2 mol m−2 per decade) during the last 50 years in Central China, the decreases were sharpest in summer (−24.67 mol m−2 per decade) with relatively small decreases being observed in spring. Meanwhile, results also revealed that PAR began to increase at a rate of 0.1 mol m−2 per year from 1991 to 2011, which was in consistent with variation patterns of global solar radiation in the study area. The proposed all-weather PAR model would be of vital importance for ecological modeling, atmospheric environment, agricultural processes and solar energy application

  17. 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.

  18. A review of environmental fate, body burdens, and human health risk assessment of PCDD/Fs at two typical electronic waste recycling sites in China

    Energy Technology Data Exchange (ETDEWEB)

    Chan, Janet Kit Yan, E-mail: chanjky@hku.hk [School of Biological Sciences, The University of Hong Kong, Pokfulam, Hong Kong (China); Wong, Ming H., E-mail: mhwong@hkbu.edu.hk [Croucher Institute for Environmental Sciences, and Department of Biology, Hong Kong Baptist University, Hong Kong (China)

    2013-10-01

    This paper reviews the levels of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in different environmental media, human body burdens and health risk assessment results at e-waste recycling sites in China. To provide an indication of the seriousness of the pollution levels in the e-waste recycling sites in China, the data are compared with guidelines and available existing data for other areas. The comparison clearly shows that PCDD/Fs derived from the recycling processes lead to serious pollution in different environmental compartments (such as air, soil, sediment, dust and biota) and heavy body burdens. Of all kinds of e-waste recycling operations, open burning of e-waste and acid leaching activities are identified as the major sources of PCDD/Fs. Deriving from the published data, the estimated total exposure doses via dietary intake, inhalation, soil/dust ingestion and dermal contact are calculated for adults, children and breast-fed infants living in two major e-waste processing locations in China. The values ranged from 5.59 to 105.16 pg WHO-TEQ/kg bw/day, exceeding the tolerable daily intakes recommended by the WHO (1–4 pg WHO-TEQ/kg bw/day). Dietary intake is the most important exposure route for infants, children and adults living in these sites, contributing 60–99% of the total intakes. Inhalation is the second major exposure route, accounted for 12–30% of the total exposure doses of children and adults. In order to protect the environment and human health, there is an urgent need to control and monitor the informal e-waste recycling operations. Knowledge gaps, such as comprehensive dietary exposure data, epidemiological and clinical studies, body burdens of infants and children, and kinetics about PCDD/Fs partitions among different human tissues should be addressed. - Highlights: ► PCDD/F levels at e-waste recycling sites in China were reviewed. ► Data on environment and body burden and health risk assessment results were reviewed

  19. A review of environmental fate, body burdens, and human health risk assessment of PCDD/Fs at two typical electronic waste recycling sites in China

    International Nuclear Information System (INIS)

    This paper reviews the levels of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in different environmental media, human body burdens and health risk assessment results at e-waste recycling sites in China. To provide an indication of the seriousness of the pollution levels in the e-waste recycling sites in China, the data are compared with guidelines and available existing data for other areas. The comparison clearly shows that PCDD/Fs derived from the recycling processes lead to serious pollution in different environmental compartments (such as air, soil, sediment, dust and biota) and heavy body burdens. Of all kinds of e-waste recycling operations, open burning of e-waste and acid leaching activities are identified as the major sources of PCDD/Fs. Deriving from the published data, the estimated total exposure doses via dietary intake, inhalation, soil/dust ingestion and dermal contact are calculated for adults, children and breast-fed infants living in two major e-waste processing locations in China. The values ranged from 5.59 to 105.16 pg WHO-TEQ/kg bw/day, exceeding the tolerable daily intakes recommended by the WHO (1–4 pg WHO-TEQ/kg bw/day). Dietary intake is the most important exposure route for infants, children and adults living in these sites, contributing 60–99% of the total intakes. Inhalation is the second major exposure route, accounted for 12–30% of the total exposure doses of children and adults. In order to protect the environment and human health, there is an urgent need to control and monitor the informal e-waste recycling operations. Knowledge gaps, such as comprehensive dietary exposure data, epidemiological and clinical studies, body burdens of infants and children, and kinetics about PCDD/Fs partitions among different human tissues should be addressed. - Highlights: ► PCDD/F levels at e-waste recycling sites in China were reviewed. ► Data on environment and body burden and health risk assessment results were reviewed

  20. Zinc, nickel and cadmium in carambolas marketed in Guangzhou and Hong Kong, China: Implication for human health

    International Nuclear Information System (INIS)

    Carambola (Averrhoa carambola L.) is a popular juicy fruit throughout the tropical and subtropical world. This study was designed to quantify the levels of zinc (Zn), nickel (Ni) and cadmium (Cd) in carambolas marketed in southern China, and further to evaluate the potential health risk of human consumption of carambola. Zinc concentrations, ranging from 1.471 to 2.875 mg/kg (on fresh weight basis), were below the maximum permissible concentration for Zn in fruit of China (5 mg/kg). However, Ni concentrations (0.134-0.676 mg/kg) were considerably higher than the related recommendation values. Furthermore, Cd concentrations in 51% of the carambolas purchased from Guangzhou exceeded the maximum permissible concentration for Cd in fruit of China (0.03 mg/kg). Our results implicated that the consumption of 0.385 kg carambola contaminated by Cd per day would cause the tolerable daily intake (TDI) of Cd by the consumer to be exceeded. In addition, the remarkably high Ni concentrations in carambolas should also be of concern. The status of heavy metal contamination of carambola products marketed in the other regions and their implications for human health should be identified urgently by in-depth studies

  1. Evaluation of dietary cholesterol intake in elderly Chinese: a longitudinal study from the China Health and Nutrition Survey

    Science.gov (United States)

    Jia, Xiaofang; Su, Chang; Wang, Zhihong; Wang, Huijun; Jiang, Hongru; Zhang, Bing

    2016-01-01

    Objective This study aimed to evaluate daily cholesterol intake across demographic factors and its food sources in elderly Chinese. Design A longitudinal study was conducted using demographic and dietary data for elders aged 60 and above from eight waves (1991–2011) of the China Health and Nutrition Survey. Setting The data were derived from urban and rural communities of nine provinces (autonomous regions) in China. Participants There were 16 274 participants (7657 male and 8617 female) in this study. Outcomes The primary outcome was daily cholesterol intake, which was calculated by using the Chinese Food Composition Table, based on dietary data. Results Daily consumption of cholesterol in the elderly significantly increased by 34% from 1991 to 2011 (p300 mg/day increased significantly during 1991–2011 (pmeats which ranked fourth in the contribution to total intake in 1991 was replaced by poultry in 2011. Moreover, younger elders, male elders and elders from a high-income family or a highly urbanised community had higher cholesterol intakes and larger proportions of subjects with excessive cholesterol consumption in each survey year. Conclusions The large growth in daily cholesterol intake may pose major challenges for the health of elders in China. Reduced exposure to food enriched in cholesterol is required for elderly Chinese. PMID:27507232

  2. 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

  3. Health risks of heavy metals in contaminated soils and food crops irrigated with wastewater in Beijing, China

    International Nuclear Information System (INIS)

    Consumption of food crops contaminated with heavy metals is a major food chain route for human exposure. We studied the health risks of heavy metals in contaminated food crops irrigated with wastewater. Results indicate that there is a substantial buildup of heavy metals in wastewater-irrigated soils, collected from Beijing, China. Heavy metal concentrations in plants grown in wastewater-irrigated soils were significantly higher (P ≤ 0.001) than in plants grown in the reference soil, and exceeded the permissible limits set by the State Environmental Protection Administration (SEPA) in China and the World Health Organization (WHO). Furthermore, this study highlights that both adults and children consuming food crops grown in wastewater-irrigated soils ingest significant amount of the metals studied. However, health risk index values of less than 1 indicate a relative absence of health risks associated with the ingestion of contaminated vegetables. - Long-term wastewater irrigation leads to buildup of heavy metals in soils and food crops

  4. 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

    ... Address Health Plan Members' Health Literacy Needs AGENCY: Agency for Healthcare Research and Quality... health providers address health plan enrollees' health literacy needs and how well they communicate with... supplemental item set (the ``new instrument'') for addressing health literacy for the CAHPS Health Plan...

  5. Measures of the General Administration of Customs of the People's Republic of China for Implementing the Regulations of the People's Republic of China on Customs Protection of Intellectual Property Rights

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ The Measures of the General Administration of Customs of the People's Republic of China for Implementing the Regulations of the People's Republic of China on Customs Protection of Intellectual Property Rights discussed and passed at the executive meeting of the General Administration of Customs (GAC) on Feb.17,2009 is hereby promulgated,which take effects on July 1,2009.The Measures of the General Administration of Customs of the People's Republic of China for Implementing the Regulations of the People's Republic of China on Customs Protection of Intellectual Property Rights promulgated by No.114 Decree of the GAC on May 25,2004 shall be repealed simultaneously.

  6. Tobacco control in China: the dilemma between economic development and health improvement Control del tabaco en China: el dilema entre desarrollo económico y salud

    Directory of Open Access Journals (Sweden)

    Hong Wang

    2006-01-01

    Full Text Available Although China's National People's Congress announced its decision to ratify the WHO's Framework Convention on Tobacco Control (FCTC on Sunday, August 28, 2005, fundamental challenges to tobacco control still exist. A survey at the "No Smoking Day" on May 31, 2004 in China showed that over 73% of respondents do not think that human society will be able to get rid of the consumption of tobacco products. Although the prevalence of smoking declined 1.2% from 1996 to 2002, the absolute number of smokers increased by 30 million during this period. It is estimated that smoking prevalence will decline 10% in the next 25 years. However, due to the population increase, the total number of tobacco consumers will be about the same as today, which is 320 million. As long as the tobacco industry continues to be significant in overall economic development, and as long as the government continues to play a significant role in tobacco production, the debate between tobacco production and tobacco control will continue. Although China has already made significant efforts with regard to tobacco control, it is still in the beginning of its "long march" towards improving the population's health status by reducing tobacco consumption in China.A pesar de que el Congreso Nacional de la Población de China anunció su decisión de ratificar el Convenio Marco sobre Control de Tabaco (CMCT el domingo 28 de agosto del 2005, los desafíos fundamentales a dicho control todavía existen. El análisis de "Un día sin tabaco", llevado a cabo el 31 de mayo del 2004 en China, demostró que alrededor de 73% de los encuestados no piensan que la sociedad esté dispuesta a liberarse del consumo de los productos de tabaco. Aunque el predominio de fumadores disminuyó en 1.2% de 1996 al 2002, su número total se incrementó a 30 millones durante este periodo. Se estima que la prevalencia de fumadores disminuirá en un 10% en los próximos 25 años. Sin embargo, debido al aumento de la

  7. 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

  8. Economic Impacts from PM2.5 Pollution-Related Health Effects in China: A Provincial-Level Analysis.

    Science.gov (United States)

    Xie, Yang; Dai, Hancheng; Dong, Huijuan; Hanaoka, Tatsuya; Masui, Toshihiko

    2016-05-01

    This study evaluates the PM2.5 pollution-related health impacts on the national and provincial economy of China using a computable general equilibrium (CGE) model and the latest nonlinear exposure-response functions. Results show that the health and economic impacts may be substantial in provinces with a high PM2.5 concentration. In the WoPol scenario without PM2.5 pollution control policy, we estimate that China experiences a 2.00% GDP loss and 25.2 billion USD in health expenditure from PM2.5 pollution in 2030. In contrast, with control policy in the WPol scenario, a control investment of 101.8 billion USD (0.79% of GDP) and a gain of 1.17% of China's GDP from improving PM2.5 pollution are projected. At the provincial level, GDP loss in 2030 in the WoPol scenario is high in Tianjin (3.08%), Shanghai (2.98%), Henan (2.32%), Beijing (2.75%), and Hebei (2.60%) and the top five provinces with the highest additional health expenditure are Henan, Sichuan, Shandong, Hebei, and Jiangsu. Controlling PM2.5 pollution could bring positive benefits in two-thirds of provinces. Tianjin, Shanghai, Beijing, Henan, Jiangsu, and Hebei experience most benefits from PM2.5 pollution control as a result of a higher PM2.5 pollution and dense population distribution. Conversely, the control investment is higher than GDP gain in some underdeveloped provinces, such as Ningxia, Guizhou, Shanxi, Gansu, and Yunnan. PMID:27063584

  9. 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 cloud macrophysical and optical properties over North China are described from Earth-orbiting Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) satellite measurements. Global cloud climatological studies based on active remote sensing data sets benefit from more accurate resolution of vertical structure and more reliable detection of optically thin layers. The mean values for cirrus cases over North China are 0.19-0.18 for infrared emittance, 0.41±0.68 for visible optical depth,0.26±0.12 for integrated depolarization ratio, and 0.72±0.22 for integrated color ratio. When studied using reasonable assumptions for the relationship between extinction and ice crystal backscatter coefficients, our results show that most of the cirrus clouds profiled using the 0.532 μm channel data stream correspond with an optical depth of less than 1.0. The dependence of cirrus cloud properties on cirrus cloud mid-cloud temperature and geometry thickness are generally similar to the results derived from the ground-based lidar,which are mainly impacted by the adiabatic process on the ice cloud content. However, the differences in macrophysical parameter variability indicate the limits of spaceborne-lidar and dissimilarities in regional climate variability and the nature and source of cloud nuclei in different geographical regions.

  10. Cirrus Cloud Macrophysical and Optical Properties over North China from CALIOP Measurements

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Two years of mid-latitude cirrus cloud macrophysical and optical properties over North China are described from Earth-orbiting Cloud-Aerosol Lidar with Orthogonal Polarization(CALIOP) satellite measurements. Global cloud climatological studies based on active remote sensing data sets benefit from more accurate resolution of vertical structure and more reliable detection of optically thin layers.The mean values for cirrus cases over North China are 0.19±0.18 for infrared emittance,0.41±0.68 for visible optical depth, 0.26±0.12 for integrated depolarization ratio,and 0.72±0.22 for integrated color ratio.When studied using reasonable assumptions for the relationship between extinction and ice crystal backscatter coefficients,our results show that most of the cirrus clouds profiled using the 0.532μm channel data stream correspond with an optical depth of less than 1.0.The dependence of cirrus cloud properties on cirrus cloud mid-cloud temperature and geometry thickness are generally similar to the results derived from the ground-based lidar, which are mainly impacted by the adiabatic process on the ice cloud content.However,the differences in macrophysical parameter variability indicate the limits of spaceborne-lidar and dissimilarities in regional climate variability and the nature and source of cloud nuclei in different geographical regions.

  11. Assessment of School-Based Quasi-Experimental Nutrition and Food Safety Health Education for Primary School Students in Two Poverty-Stricken Counties of West China

    OpenAIRE

    Minxue Shen; Ming Hu; Zhenqiu Sun

    2015-01-01

    Background 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. Methods Twelve primary schools in west China wer...

  12. 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.

  13. Health hazards and preventive measures of farm women. Emerging issues.

    Science.gov (United States)

    Meeker, Bonnie Juve; Carruth, Ann; Holland, Catherine B

    2002-07-01

    Currently, an increasing number of farms are family owned and women are directly involved in the farming operations as an independent manager or partner. Women play an important role in farm management by marketing farm products, purchasing materials, and financial planning. Because of this involvement, women can be exposed to potential health hazards that can result in chronic illness, debilitation, or death. This study explored and described health hazards affecting farm women in southeast Louisiana, preventive measures used by farm women, and their consistency in using protective equipment with varying levels of time commitment toward farm operations. This cross sectional study included women older than 18 whose family participated in farming operations. A stratified, random sample design with parishes comprising the strata and simple random selection without replacement within each stratum was used to select family addresses. A total of 519 women who met the criteria completed a structured 30 minute telephone interview conducted using The Louisiana Farm Health and Injury Survey instrument. Information elicited included farm work characteristics, prevention practices, and demographics. Results showed that women working 1 to 20 hours per week were less likely to wear personal protective equipment (PPE) than women working more than 20 hours per week. This included wearing seat belts on tractors; using hearing, eye, or breathing protection; and wearing gloves or boots. No differences were found between groups for use of skin protection, hair holders, or helmets on all terrain vehicles (ATVs). The researchers concluded that if nursing interventions such as teaching and counseling related to prevention methods could be provided, the incidence of acute and chronic illnesses and traumatic injury would decline. PMID:12141093

  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. 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. PMID:26895999

  16. 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...

  17. A cross-sectional survey on the health status and the health-related quality of life of the elderly after flood disaster in Bazhong city, Sichuan, China

    OpenAIRE

    Wu, Jun; Xiao, Jian; Li, Tong; Li, Xiaoshan; Sun, Huamin; Chow, Eric PF; Lu, Yihua; Tian, Tian; LI, XIAOYAN; Wang, Qi; Zhuang, Xun; Zhang, Lei

    2015-01-01

    Background Flood is common in China and causes extensive loss of property and human lives. Elderly is a vulnerable population prone to the detrimental impacts of floods. This survey aims to investigate the health status and the HRQoL of the elderly in Bazhong city after a major flood in 2011. Methods A total of 1183 elderly (aged > 60) were surveyed through random sampling from eight villages in Bazhong city. Two-week healthcare-seeking rate and chronic diseases prevalence were recorded anony...

  18. Motorized Transportation, Social Status, and Adiposity The China Health and Nutrition Survey

    OpenAIRE

    Qin, Li; Stolk, Ronald P.; Corpeleijn, Eva

    2012-01-01

    Background: Increased dependence on motorized transportation may contribute to obesity. Countries in rapid socioeconomic transitions, such as China, provide an opportunity to investigate such an association. Purpose: The aim of the study was to examine the hypotheses that increased dependence on motorized transportation is related to adiposity and that this effect will be more pronounced in adults with high SES or those who live in urban regions. Methods: Data from the longitudinal China Heal...

  19. Digging into adolescents' health behaviours: From measurement to targeting.

    OpenAIRE

    Victoir, An

    2006-01-01

    Good health is an important prerequisite to a good quality of life. Good or bad health orginates from biological factors, factors in the environ ment (e.g. housing conditions), health care provision, and lifestyle. Th e health status of Flemish school aged children and adolescents has sign ificant links with energy balance behaviours (eating and physical exerci se), substance use behaviours and safety practices. In order to foster g ood health, it must be known why adolescents behave the way ...

  20. An integrative model for measuring graduates’ employability skills—A study in China

    Directory of Open Access Journals (Sweden)

    Wenping Su

    2015-12-01

    Full Text Available Employability is a key issue in graduates’ job-hunting, but little research has been done on that of the graduates in Chinese universities. These universities have been experiencing a decline in their graduate employment since the past decade. This paper attempts to tackle this issue. It reviews the relevant research on employability and develops a research-based theoretical framework to evaluate and analyze the graduates’ employability in China. It adopts multiple approaches to establish the skills that will enhance university students’ employability. Investigating around 100 employers and 200 undergraduates from the universities in Beijing, the paper explores the characteristics of and factors influencing the graduates’ employability. Subsequently, it proposes a qualitative model to measure graduates’ employability. Based on the findings, it discusses the theoretical and practical implications and provides advice for Chinese graduates to improve their employability.

  1. Transitions among Health States Using 12 Measures of Successful Aging in Men and Women: Results from the Cardiovascular Health Study

    OpenAIRE

    Stephen Thielke; Paula Diehr

    2012-01-01

    Introduction. Successful aging has many dimensions, which may manifest differently in men and women at different ages. Methods. We characterized one-year transitions among health states in 12 measures of successful aging among adults in the Cardiovascular Health Study. The measures included self-rated health, ADLs, IADLs, depression, cognition, timed walk, number of days spent in bed, number of blocks walked, extremity strength, recent hospitalizations, feelings about life as a whole, and lif...

  2. Community-based measures for mitigating the 2009 H1N1 pandemic in China.

    Directory of Open Access Journals (Sweden)

    Sanyi Tang

    Full Text Available Since the emergence of influenza A/H1N1 pandemic virus in March-April 2009, very stringent interventions including Fengxiao were implemented to prevent importation of infected cases and decelerate the disease spread in mainland China. The extent to which these measures have been effective remains elusive. We sought to investigate the effectiveness of Fengxiao that may inform policy decisions on improving community-based interventions for management of on-going outbreaks in China, in particular during the Spring Festival in mid-February 2010 when nationwide traveling will be substantially increased. We obtained data on initial laboratory-confirmed cases of H1N1 in the province of Shaanxi and used Markov-chain Monte-Carlo (MCMC simulations to estimate the reproduction number. Given the estimates for the exposed and infectious periods of the novel H1N1 virus, we estimated a mean reproduction number of 1.68 (95% CI 1.45-1.92 and other A/H1N1 epidemiological parameters. Our results based on a spatially stratified population dynamical model show that the early implementation of Fengxiao can delay the epidemic peak significantly and prevent the disease spread to the general population but may also, if not implemented appropriately, cause more severe outbreak within universities/colleges, while late implementation of Fengxiao can achieve nothing more than no implementation. Strengthening local control strategies (quarantine and hygiene precaution is much more effective in mitigating outbreaks and inhibiting the successive waves than implementing Fengxiao. Either strong mobility or high transport-related transmission rate during the Spring Festival holiday will not reverse the ongoing outbreak, but both will result in a large new wave. The findings suggest that Fengxiao and travel precautions should not be relaxed unless strict measures of quarantine, isolation, and hygiene precaution practices are put in place. Integration and prompt implementation of

  3. Health risk assessment of heavy metals in soils and vegetables from wastewater irrigated area, Beijing-Tianjin city cluster, China

    Institute of Scientific and Technical Information of China (English)

    Yanchun Wang; Min Qiao; Yunxia Liu; Yongguan Zhu

    2012-01-01

    The possible health risks of heavy metals contamination to local population through food chain were evaluated in Beijing and Tianjin city cluster,China,where have a long history of sewage irrigation.The transfer factors (TF) for heavy metals from soil to vegetables for six elements including Cu,Zn,Pb,Cr,As and Cd were calculated and the pollution load indexes (PLI) were also assessed.Results indicate that only Cd exceeded the maximum acceptable limit in these sites.So far,the heavy metal concentrations in soils and vegetables were all below the permissible limits set by the Ministry of Environmental Protection of China and World Health Organization.The transfer factors of six heavy metals showed the trend as Cd > Zn > Cu > Pb > As > Cr,which were dependent on the vegetable species.The estimated dietary intakes of Cu,Zn,Pb,Cr,As and Cd were far below the tolerable limits and the target hazard quotient (THQ) values were less than 1,which suggested that the health risks of heavy metals exposure through consuming vegetables were generally assumed to be safe.

  4. Metafrontier Environmental Efficiency for China’s Regions: A Slack-Based Efficiency Measure

    OpenAIRE

    Guoping Mei; Jingyi Gan; Ning Zhang

    2015-01-01

    A metafrontier slack-based efficiency measure is presented to measure environmental efficiency for various regions in China. The objective of the new approach is to investigate the change of environmental efficiency while incorporating group heterogeneities and all variable slack and environmental pollutants into environmental efficiency analysis. Global production technology is used to improve the discriminating power of environmental efficiency measurement. An empirical analysis of regional...

  5. Dilemmas of securitization and health risk management in the People's Republic of China: the cases of SARS and avian influenza.

    Science.gov (United States)

    Wishnick, Elizabeth

    2010-11-01

    Since the SARS epidemic in 2003, the international community has urged Chinese leaders to do more to address infectious diseases. This paper looks at two cases in which the Chinese government securitized infectious disease (SARS and avian influenza) and examines the pros and cons of securitization. It is argued that the reactive mobilization involved in a securitizing move runs counter to the preventive risk management strategy needed to address infectious diseases. Although the Copenhagen School favours desecuritization as a return to normal practices, in the Chinese cases desecuritizing moves proved detrimental, involving cover-ups and restrictions on activists pressing for greater information. The article begins by examining the contributions of the Copenhagen School and sociological theories of risk to conceptualizing the security challenges that pandemics pose. Although analysis of the cases of SARS and avian influenza gives credence to criticisms of this approach, securitization theory proves useful in outlining the different stages in China's reaction to epidemics involving reactive mobilization and subsequent efforts to return to politics as usual. The second section examines securitizing and desecuritizing moves in Chinese responses to SARS and avian influenza. Each case study concludes with an assessment of the consequences for health risk management in China. The reactive mobilization implicit in Chinese securitization moves in the two cases is contrasted with the preventive logic of risk management. A third section draws out the implications of these cases for theories of securitization and risk. It is argued here that when securitization has occurred, risk management has failed. Although Copenhagen School theorists see the return to politics as usual-what they call 'desecuritization'-as optimal, this turns out to be far from the case in China during SARS and avian influenza, where the process involved retribution against whistleblowers and new

  6. Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China

    Institute of Scientific and Technical Information of China (English)

    Yao Pan; Shanquan Chen; Manli Chen; Pei Zhang; Qian Long; Li Xiang; Henry Lucas

    2016-01-01

    Background:Health inequity is an important issue all around the world.The Chinese basic medical security system comprises three major insurance schemes,namely the Urban Employee Basic Medical Insurance (UEBMI),the Urban Resident Basic Medical Insurance (URBMI),and the New Cooperative Medical Scheme (NCMS).Little research has been conducted to look into the disparity in payments among the health insurance schemes in China.In this study,we aimed to evaluate the disparity in reimbursements for tuberculosis (TB) care among the abovementioned health insurance schemes.Methods:This study uses a World Health Organization (WHO) framework to analyze the disparities and equity relating to the three dimensions of health insurance:population coverage,the range of services covered,and the extent to which costs are covered.Each of the health insurance scheme's policies were categorized and analyzed.An analysis of the claims database of all hospitalizations reimbursed from 2010 to 2012 in three counties of Yichang city (YC),which included 1506 discharges,was conducted to identify the differences in reimbursement rates and out-of-pocket (OOP) expenses among the health insurance schemes.Results:Tuberculosis patients had various inpatient expenses depending on which scheme they were covered by (TB patients covered by the NCMS have less inpatient expenses than those who were covered by the URBMI,who have less inpatient expenses than those covered by the UEBMI).We found a significant horizontal inequity of healthcare utilization among the lower socioeconomic groups.In terms of financial inequity,TB patients who earned less paid more.The NCMS provides modest financial protection,based on income.Overall,TB patients from lower socioeconomic groups were the most vulnerable.Conclusion:There are large disparities in reimbursement for TB care among the three health insurance schemes and this,in turn,hampers TB control.Reducing the gap in health outcomes between the three health insurance

  7. Mental health training program for community mental health staff in Guangzhou, China: effects on knowledge of mental illness and stigma

    OpenAIRE

    Li, Jie; Li, Juan; Huang, Yuanguang; THORNICROFT, GRAHAM

    2014-01-01

    Background In order to reduce the huge treatment gap in mental health, WHO has called for integrating mental health into primary care. The purposes of this study are to provide a training course to improve the community mental health staff’s knowledge of mental health and reduce stigma related to mental illness, as well as to evaluate the impact of this training on knowledge and stigma. Methods The training intervention was a one day course for community mental health staff in Guangzhou, Chin...

  8. Development of the multi-attribute Adolescent Health Utility Measure (AHUM)

    OpenAIRE

    Beusterien Kathleen M; Yeung Jean-Ezra; Pang Francis; Brazier John

    2012-01-01

    Abstract Objective Obtain utilities (preferences) for a generalizable set of health states experienced by older children and adolescents who receive therapy for chronic health conditions. Methods A health state classification system, the Adolescent Health Utility Measure (AHUM), was developed based on generic health status measures and input from children with Hunter syndrome and their caregivers. The AHUM contains six dimensions with 4–7 severity levels: self-care, pain, mobility, strenuous ...

  9. Outcome Measurement in Economic Evaluations of Public Health Interventions: a Role for the Capability Approach?

    OpenAIRE

    Lorgelly, Paula K; Lawson, Kenny D.; Fenwick, Elisabeth A.L.; Briggs, Andrew H

    2010-01-01

    Public health interventions have received increased attention from policy makers, and there has been a corresponding increase in the number of economic evaluations within the domain of public health. However, methods to evaluate public health interventions are less well established than those for medical interventions. Focusing on health as an outcome measure is likely to underestimate the impact of many public health interventions. This paper provides a review of outcome measures in public h...

  10. 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.

  11. Validity of COPD diagnoses reported through nationwide health insurance systems in the People’s Republic of China

    OpenAIRE

    Kurmi, Om

    2016-01-01

    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 F...

  12. Validity of COPD diagnoses reported through nationwide health insurance systems in the People’s Republic of China

    OpenAIRE

    Kurmi OP; Vaucher J; Xiao D; Holmes MV; Guo Y; Davis KJ; Wang C; Qin H; Turnbull I; Peng P; Bian Z; Clarke R; Li L; Chen Y; Chen Z

    2016-01-01

    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 Friendshi...

  13. Integrative fuzzy hierarchical model for river health assessment: A case study of Yong River in Ningbo City, China

    Science.gov (United States)

    Zhao, Y. W.; Yang, Z. F.

    2009-04-01

    Due to the increasingly serious ecological degradation of river systems, the river health research has attracted more and more attention of the researchers and decision-makers. This paper aims to integrate the fuzzy assessment method with analytic hierarchy process to establish the integrative fuzzy hierarchical assessment model, thus combing qualitative analysis and quantitative assessment and overcoming the disadvantages of subjectivity of the previous evaluation methods. The results show that the proposed assessment method is able to reveal how the river system is disturbed by human activities. Finally, the integrative fuzzy hierarchical method is validated and applied to the case study of Yong River in Ningbo City, China.

  14. Special communication: China's first historic efforts to develop a tobacco control advocacy workforce via schools of public health.

    Science.gov (United States)

    Yang, T; Yang, X; Lv, Q; Zhao, Q; Ke, X

    2009-10-01

    This paper provides an overview of a recent 18-month project which set out for the first time to introduce training on tobacco control into the curricula of public health courses in Chinese universities. The aim was to produce graduates with appropriate knowledge and skills to be effective in advocating for policies that could lead to the reduction of tobacco use. Results from this initial project involving seven universities have been encouraging and the new curriculum is to be implemented, with some changes, on a wider scale throughout China. Each of the universities also successfully introduced a smoke-free campus policy and the aim is to extend this policy. PMID:19622521

  15. Oral health information systems--towards measuring progress in oral health promotion and disease prevention

    DEFF Research Database (Denmark)

    Petersen, Poul Erik; Bourgeois, Denis; Bratthall, Douglas;

    2005-01-01

    general public. WHO has developed global and regional oral health databanks for surveillance, and international projects have designed oral health indicators for use in oral health information systems for assessing the quality of oral health care and surveillance systems. Modern oral health information...

  16. Ecosystem health assessment on the hill and gully area of Loess Plateau in Inner Mongolia,China

    Institute of Scientific and Technical Information of China (English)

    HUANG Heping; YANG Jie; SONG Bingyu; BAO Tiejun

    2006-01-01

    Maintenance of ecosystem health is the primary focus of a sound ecological restoration.Yet methods involved in quantifying and assessing the health level remain a challenge to the ecological community.In this study,we selected the hill and gully area of Loess Plateau,Inner Mongolia,China,as our study area.The soil and water erosions in this area continue to be responsible for many environmental problems in northern China because of its fragility and long disturbance history.In this study,we developed an assessment method of indicator system(AMIS)based on analytical hierarchy process(AHP),fuzzy mathematics.and the theory of net-hierarchy.At ecosystem or catchment scale,three sample areas,that is(1)intact vegetation(i.e., Aguimiao Natural Reserve,110°45'E,39°28'N),(2)reconstructed vegetation(Wufendigou Soil and Water Conservation Experimental Area,111°07'E 39°45'N),and (3)severely degraded vegetation(Yangquangou Catchment,111°06'E,39°45'N)in the hill and gully area of Loess Plateau in Inner Mongolia.China.were selected to examine ecosystem vigor,organizational structure,service function,and soil healm.We applied the AMIS for all three landscapes by categorizing each ecosystem into five health levels.Wle found that the health index for reconstructed vegetation were at levels of Ⅳ,Ⅱ,Ⅳ,and Ⅲ,while those of degraded vegetation were ranked at Ⅴ,Ⅳ,Ⅴ,and Ⅳ.Overall.the comprehensive ecosystem health index of reconstmcted vegetation was lower than that of intact vegetation but higher than that of degraded vegetation.The health index for reconstructed vegetation was at level Ⅲ.and that of degraded vegetation was still at level Ⅳ.The contributing values were:organization structure>soil health>vigor>service function.Based on our results and assessments,we proposed several management recommendations and methods for restoring the regional ecosystems.

  17. Fallout radionuclide based techniques for assessing the effectiveness of soil conservation measures in different eroded regions of China

    International Nuclear Information System (INIS)

    Using fallout radionuclide techniques (FRN), we investigated the extent of soil erosion and to quantify the beneficial effects of soil conservation measures at four sites (Xichang city in the Yangtze upriver, Yan'an in the Loess Plateau, Fengning in the wind erosion region of northern China, and Baiquan in black soil region of north-eastern China) extending from South West (SW) to North East (NE) China. At the Xichang site of SW-China, the combined use of FRN 137Cs and 210Pbex measurements demonstrated that the effectiveness of vegetation species in reducing soil erosion decreased in the following order: shrubs > trees with litter layer > grasses > trees without litter layer. At the Yan'an site of Loess Plateau, sediment production estimated by 137Cs declined by 49% due to terracing and by 80% due to vegetated (with grass forest) compared to the cultivated hillslopes. Vegetated hillslope with grasses and forest increased soil organic matter (SOM) by 255%, soil available N (AN) by 198%, and soil available P (AP) by 18% while terracing increased SOM by 121%, soil AN by 103%, and soil AP by 162% compared with the entire cultivated hillslope. Both terracing and vegetating hillslopes were found to enhance soil porosity as shown by a decrease in soil bulk density (1.6% and 6.4%, respectively). At the Fengning site, data from 7Be measurements indicated that four years of no tillage with high crop residues (50 ∼ 56 cm depth) reduced soil erosion by 44% and no tillage with low residues (25 cm depth) reduced soil erosion rates by 33% when compared with conventional tillage practices. At the Baiquan site in NE-China, soil loss as measured by 137Cs tracer, decreased by 14% due to terracing and by 34% due to contoured tillage. Our results suggested that shrub cover and composite structure of forest and grass are the effective practices to control hillslope erosion in SW-China, while terracing forest-grass structure can greatly reduce soil erosion and improve soil quality on

  18. Sexual and reproductive health service needs of university/ college students: updates from a survey in Shanghai, China

    Institute of Scientific and Technical Information of China (English)

    Bin Chen; Pei Chen; Yong-Ning Lu; Hong-Xiang Wang; Qing-Liang Ma; Xiao-Ming Zhao; Jian-Hua Guo; Kai Hu; Yi-Xin Wang; Yi-Ran Huang

    2008-01-01

    Aim: To promote the provision of reproductive health services to young people by exploring the attitudes and perceptions of university students in Shanghai, China, toward reproductive health. Methods: From July 2004 to May 2006, 5 243 students from 14 universities in Shanghai took part in our survey. Topics covered the demands of reproductive health-care services, attitudes towards and experience with sex, exposure to pornographic material, and knowledge on sexual health and sexually transmitted infections (STIs)/AIDS. Results: Of the 5 067 students who provided valid answer sheets, 50.05% were female and 49.95% were male, 14.86% were medical students, and 85.14% had non-medical backgrounds. A total of 38.4% of respondents had received reproductive health education previously. The majority of students supported school-based reproductive health education, and also acquired information about sex predominantly from books, schoolmates, and the Internet. Premarital sexual be- havior was opposed by 17.7% of survey participants, and 37.5% could identify all the three types of STIs listed in the questionnaire. Although 83.7% knew how HIV is transmitted, only 55.7% knew when to use a condom and 57.8% knew that the use of condoms could reduce the risk of HIV infection. Conclusion: The reproductive health service is lagging behind current attitudes and demands of university students. Although students' attitudes towards sexual matters are liberal, their knowledge about reproductive health and STIs/AIDS is still limited. It is therefore necessary to provide effective and confidential reproductive health services to young people. (Asian J Androl 2008 Jul; 10: 607-615)

  19. Maryland Department of Health and Mental Hygiene (DHMH) Dashboard Measures

    Data.gov (United States)

    U.S. Department of Health & Human Services — Data sources: heroin overdose deaths/infant mortality-Vital Statistics Administration; lead-Medicaid; HIV diagnoses-Prevention and Health Promotion Administration;...

  20. Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties

    OpenAIRE

    Zhang Yurong; Miège Pierre; Zhang Xiulan

    2011-01-01

    Abstract This study is based on a large-scale household survey and in-depth interviews of key informants that was conducted in villages in three counties of two provinces in China. We assess the new decentralized service provision system for people living with HIV/AIDS in rural populations in China. Since 2003, new social assistance schemes, and, more importantly, decentralization of routine treatment and care to community health stations, were progressively implemented in rural areas most af...