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Li J, Cai S, Liu Y, Dang J, Shi D, Chen Z, Zhang Y, Huang T, Zhou H, Hu P, Ma J, Song Y. Mapping Adolescent Mental Well-Being - 30 PLADs, China, 2019. China CDC Wkly 2024; 6:703-707. [PMID: 39050017 PMCID: PMC11264050 DOI: 10.46234/ccdcw2024.159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 05/23/2024] [Indexed: 07/27/2024] Open
Abstract
What is already known about this topic? High levels of mental well-being are linked to favorable life outcomes. Nonetheless, compared to the research on psychiatric disorders, the understanding of mental well-being among Chinese adolescents is still relatively underexplored. What is added by this report? This report fills a significant void in the literature concerning the mental well-being of Chinese adolescents by providing updated data. This information is critical for developing evidence-based interventions and strategies aimed at improving mental well-being and addressing mental health issues among adolescents. What are the implications for public health practice? Enhancing psychological support for vulnerable populations is essential to improve mental well-being among adolescents, reduce health disparities, and achieve global Sustainable Development Goals.
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Affiliation(s)
- Jiaxin Li
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Shan Cai
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Yunfei Liu
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Jiajia Dang
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Di Shi
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Ziyue Chen
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Yihang Zhang
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Tianyu Huang
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Haoyu Zhou
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Peijin Hu
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Jun Ma
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
| | - Yi Song
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, China
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Ning C, Pei H, Huang Y, Li S, Shao Y. Does the Healthy China 2030 Policy Improve People's Health? Empirical Evidence Based on the Difference-in-Differences Approach. Risk Manag Healthc Policy 2024; 17:65-77. [PMID: 38204928 PMCID: PMC10778192 DOI: 10.2147/rmhp.s439581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Accepted: 12/20/2023] [Indexed: 01/12/2024] Open
Abstract
Background The Healthy China 2030 (HC2030) policy is currently recognized as China's most significant and influential national health policy. However, despite its implementation in 2016, the policy's impact has yet to be comprehensively evaluated, particularly in relation to its effectiveness in enhancing population health and promoting public health equity. Methods We utilized the Difference-in-Differences (DiD) method to evaluate the impact of the HC2030. Our analysis utilized a panel dataset derived from five longitudinal surveys conducted by the China Family Panel Studies (CFPS). Results The implementation of HC2030 has improved the overall health status of residents, particularly in urban areas and the western and eastern regions. Mechanistic analysis has further unveiled that the policy's beneficial impact on health outcomes is attributed to a rise in physical activity frequency and the betterment of mental health. Additionally, female, married, and medically insured individuals have demonstrated a significant positive impact of the policy on their health outcomes. Conclusion Although the HC2030 appears to have effectively improved overall population health, it needs to promote equity in public health adequately. The study suggests adjustments are needed to address the unequal distribution of health outcomes between urban and rural areas and among different regions.
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Affiliation(s)
- Chuanlin Ning
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, People’s Republic of China
| | - Huacheng Pei
- School of Finance, Shanghai University of Finance and Economics, Shanghai, People’s Republic of China
| | - Youjia Huang
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, People’s Republic of China
| | - Sichen Li
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, People’s Republic of China
| | - Yiling Shao
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, People’s Republic of China
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Wu M, Liu Q, Wang Z. A comparative evaluation of child health care in China using multicriteria decision analysis methods. BMC Health Serv Res 2023; 23:1217. [PMID: 37932716 PMCID: PMC10629125 DOI: 10.1186/s12913-023-10204-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 10/23/2023] [Indexed: 11/08/2023] Open
Abstract
Child health is an important public health issue in China and the Chinese government always attached great importance to child health care. With the implementation of a series of medical and health reforms in China in recent decades, the status of child health improved year by year. Objectives This study aims to comprehensively evaluate if the measures implemented in the medical and health reforms effectively promoted the development of Chinese child health care in recent years and provide theoretical support for future decision-making on the policies of child health care in China. Methods A total of six indicators were selected from the China Health Statistics Yearbook. Based on the multi-criteria decision analysis (MCDA) algorithm, three different evaluation methods were applied in the study, which are the weighted technique for order preference by similarity to an ideal solution (TOPSIS) method, the weighted rank-sum ratio (RSR) method, and the fuzzy comprehensive evaluation (FCE). Each indicator's weight was calculated by the entropy weight methods objectively. The sensitivity analysis was conducted to validate the stability and accuracy of the rank results. Results The results indicated that the rank values of each year's child health care calculated by the different evaluation methods were not exactly the same, but the overall trend is consistent which is that child health care in China improved year by year from 2000 to 2020. The top 5 were ranked from 2016-2020 and the bottom 5 were ranked from 2000-2004. Conclusions The results indicated that the policies and measures implemented in the medical and health reforms, as well as improved sanitation conditions, availability of healthy food and water, etc., have jointly promoted the development of child health care in China in the past 20 years, providing a scientific theoretical basis for future policy-making to promote child health care.
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Affiliation(s)
- Miao Wu
- College of Medical Engineering and Technology, Xinjiang Medical University, Urumqi, 830011, China.
| | - Qian Liu
- Basic Medical College, Xinjiang Medical University, Urumqi, 830011, China
| | - Zhengye Wang
- College of Medical Engineering and Technology, Xinjiang Medical University, Urumqi, 830011, China
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Zhang P, Yang F, Huang N, Yan W, Zhang B, Zhang C, Peng K, Guo J. Assessment of Factors Associated With Mental Well-Being Among Chinese Youths at Individual, School, and Province Levels. JAMA Netw Open 2023; 6:e2324025. [PMID: 37462971 DOI: 10.1001/jamanetworkopen.2023.24025] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/21/2023] Open
Abstract
Importance Although rapid urbanization in China provided improved economic prosperity and educational opportunities, it was associated with increased internalizing and externalizing problems among youths, with negative outcomes for mental well-being. Previous studies suggested that factors in individual, school, and regional levels were associated with mental well-being, and comprehensively examining these factors may provide evidence for policies for improving youth mental health. Objective To investigate factors associated with mental well-being at individual, school, and province levels among Chinese youths. Design, Setting, and Participants This cross-sectional study analyzed nationally representative data collected December 1, 2021, to January 1, 2022, from schools in China. Among 435 schools, 144 institutions had primary school students, 107 institutions had middle school students, 95 institutions had primary and middle school students, and 89 institutions had high school students. A total of 398 520 students were included. Exposures Characteristics at individual, school, and province levels. Main outcomes and measures The main outcome was mental well-being, assessed by the Short Warwick-Edinburgh Mental Well-being Scale. Linear mixed-effects models were used to investigate individual, school, and regional disparities in mental well-being among youths. Results There were 398 520 participants (194 460 females [48.80%]; mean [SD; range] age, 13.78 [2.40; 9-20] years). At the school level, 352 443 students (88.44%) were in public school and 291 354 students (73.11%) were in urban schools. Drinking (coefficient = -1.08; 95% CI, -1.12 to -1.05; P < .001), smoking (coefficient = -0.89; 95% CI, -0.96 to -0.83; P < .001), and increased age (coefficient per 1-year increase in age = -0.02; 95% CI, -0.03 to -0.01; P < .001) were associated with worse mental well-being. Male sex (coefficient = 1.01; 95% CI, 0.98 to 1.04; P < .001), being in a 1-child family (coefficient = 0.17; 95% CI, 0.13 to 0.20; P < .001), being in the Han group (coefficient vs other ethnic groups = 0.20; 95% CI, 0.14 to 0.26; P < .001), a higher frequency and coverage of psychological courses (eg, ≥2/wk for all students vs none: coefficient = 1.02; 95% CI, 0.36 to 1.69; P = .003), and a higher level of self-rated popularity in school (coefficient per 1-unit increase in score = 0.89; 95% CI, 0.88 to 0.89; P < .001) were associated with improved mental well-being. However, age (eg, age and 1 courses/2 wk for all students: coefficient per 1-year increase in age = -0.047; 95% CI, -0.089 to -0.005; P = .03) and sex (eg, female sex and ≥2 courses/wk for some students: coefficient = -0.184; 95% CI, -0.323 to -0.046; P = .009) had interactions with the association between psychological courses and mental well-being. Conclusions and relevance This study found that social disparities in mental well-being existed and that various factors at different levels were associated with mental well-being among Chinese youths. These findings suggest that public mental health programs may be recommended for associated improvements in regional disparities in mental health resources.
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Affiliation(s)
- Peng Zhang
- Department of Psychology, Tsinghua University, Beijing, China
| | - Fan Yang
- Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China
| | - Ning Huang
- Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China
| | - Wei Yan
- Department of Psychology, Tsinghua University, Beijing, China
| | - Bo Zhang
- Department of Neurology, Boston Children's Hospital, Boston, Massachusetts
| | - Cancan Zhang
- Division of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
| | - Kaiping Peng
- Department of Psychology, Tsinghua University, Beijing, China
| | - Jing Guo
- Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China
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Chen S, Hong J, Milton K, Klepac B, Ma J, Pedisic Z. Analysis of national physical activity and sedentary behaviour policies in China. BMC Public Health 2023; 23:1024. [PMID: 37254122 PMCID: PMC10230767 DOI: 10.1186/s12889-023-15865-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Accepted: 05/10/2023] [Indexed: 06/01/2023] Open
Abstract
PURPOSE The aims of this study were to advance knowledge on physical activity (PA) and sedentary behaviour (SB) policies in China and to highlight related gaps and opportunities in the Chinese policy landscape. METHODS Literature and web-based searches were performed to identify national PA and SB policies in China. We assessed which of the 17 elements of the Health-Enhancing Physical Activity Policy Audit Tool (HEPA PAT, version 2) are included in each of the policy documents and whether and how they address the 'cornerstones' of PA and SB policy: PA and SB guidelines, targets, surveillance and monitoring, and public education programmes. RESULTS We found 60 national PA and SB policies, of which 54 focused on PA only and 6 focused on both PA and SB. There was a rapid increase in the number of policies issued between 2002 and 2021. In totality, the policies include all 17 key elements for a successful national policy approach to PA promotion according to the HEPA PAT. The policies reflect engagement from a range of sectors and encompass PA targets, recommendations for PA and SB, mandates and recommendations for school-related PA, plans for public education on PA, and plans for surveillance and monitoring of PA and SB. CONCLUSION Our findings demonstrate that there has been increasing focus on PA and SB policies in China, which reflects efforts by policymakers to address the health burden of insufficient PA and excessive SB. More emphasis may be placed on SB in Chinese policy, particularly in terms of setting specific targets for population SB. Policymakers and other relevant public health stakeholders in China could also consider developing or adopting the 24-hour movement guidelines, in accordance with recent trends in several other countries. Collaboration and involvement of different sectors in the development and implementation of Chinese PA and SB policies should continue to be facilitated as part of a whole-of-system approach to health promotion.
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Affiliation(s)
- Sitong Chen
- Institute for Health and Sport, Victoria University, Melbourne, 3011, Australia.
| | - Jintao Hong
- Shanghai Research Institute of Sports Science (Shanghai Anti-Doping Agency), Shanghai, 200030, China
| | - Karen Milton
- Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, NR4 7TJ, UK
| | - Bojana Klepac
- Mitchell Institute for Education and Health Policy, Victoria University, Melbourne, 3000, Australia
| | - Jiani Ma
- Centre for Sport, Exercise and Life Sciences, Coventry University, Coventry, CV1 5FB, UK
- School of Health and Social Development, Deakin University, Geelong, 3220, Australia
- Institute for Physical Activity and Nutrition, Deakin University, Geelong, 3220, Australia
| | - Zeljko Pedisic
- Institute for Health and Sport, Victoria University, Melbourne, 3011, Australia
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Xiao Y, Chow JCC, Han K, Wang S. Expenditure patterns among low-income families in China: Contributing factors to child development and risks of suicidal ideation. JOURNAL OF COMMUNITY PSYCHOLOGY 2023; 51:560-583. [PMID: 35195287 DOI: 10.1002/jcop.22826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 02/03/2022] [Accepted: 02/11/2022] [Indexed: 06/14/2023]
Abstract
Low-income families in urbsan China have been benefited from the Minimum Living Standard Guarantee Assistance (dibao) policy since 1999. However, little is known about how child-specific family expenditure patterns impact child outcomes. Based on 2531 children aged 8-16 years from the National Survey of Social Policy Support System for Low-Income Families in Urban and Rural China, this is the first study of its kind to (1) identify family expenditure patterns (food, apparel, housing, transportation, pocket money, after-school education, and other educational resources) among low-income families and (2) examine their relationship with child suicide risks and developmental outcomes (academic performance, mental health, and physical health) by sex and across the dibao and marginalized families (i.e., without dibao). Latent profile analysis identified two patterns. Profile 1 (97.59%) showed low expenditure on children. Profile 2 (2.41%) prioritized expenditure in after-school programs. Mixed-effects logistic regression showed male children from marginalized families in Profile 1 are 11 times (95% confidence interval 1.10-109.52) more likely to think about suicide than female children from dibao families in Profile 2. Social policies and interventions promoting educational expenditure support and addressing the social determinants of health have the potential to reduce child suicide and improve child developmental outcomes among the urban poor.
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Affiliation(s)
- Yunyu Xiao
- Department of Population Health Sciences, Weill Cornell Medicine, New York-Presbyterian, New York, NY, United States
| | | | - Keqing Han
- National Institute of Social Development, Chinese Academy of Social Sciences, Beijing, China
- Department of Social Development, University of Chinese Academy of Social Sciences, Beijing, China
| | - Shencheng Wang
- Teaching and Research Department of Social and Ecological Civilization, Party School of the Central Committee of C.P.C/National Academy of Governance, Beijing, China
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Zhu J, Li Y, Zhang C, He J, Niu L. Trends in mortality and causes of death among Chinese adolescents aged 10-19 years from 1990 to 2019. Front Public Health 2023; 11:1075858. [PMID: 36825144 PMCID: PMC9941149 DOI: 10.3389/fpubh.2023.1075858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 01/10/2023] [Indexed: 02/10/2023] Open
Abstract
Objective Promoting adolescent health is essential to achieving the goals of the Healthy China 2030 (HC 2030) initiative. As socioeconomic conditions improve and medical practices and disease patterns evolve, adolescent mortality rates and causes of death vary considerably. This study provides up-to-date data on adolescent mortality and causes of death in China, highlighting key areas of focus for investment in adolescent health. Methods Data regarding mortality and causes of death in Chinese adolescents aged 10-19 years were extracted from the Global Burden of Disease study from 1990 to 2019. The data variables were examined according to year, sex, and age. The autoregressive integrated moving average model was used to predict non-communicable disease (NCD) mortality rates and rank changes in the leading causes of death until 2030. Results The all-cause mortality rate (per 100,000 population) of Chinese adolescents aged 10-19 years steadily declined from 1990 (72.6/100,000) to 2019 (28.8). Male adolescents had a higher mortality (37.5/100,000 vs. 18.6 in 2019) and a slower decline rate (percent: -58.7 vs. -65.0) than female adolescents. Regarding age, compared with those aged 10-14 years, the mortality rate of adolescents aged 15-19 years had a higher mortality (35.9/100,000 vs. 21.2 in 2019) and a slower decrease rate (percent: -57.6 vs. -63.2). From 1990 to 2019, the rates of communicable, maternal, and nutritional diseases declined the most (percent: -80.0), while injury and NCDs mortality rates were relatively slow (percent: -50.0 and -60.0). In 2019, the five leading causes of death were road injuries (6.1/100,000), drowning (4.5), self-harm (1.9), leukemia (1.9), and congenital birth defects (1.3). Furthermore, NCDs' mortality rate decreased by -46.6% and -45.4% between 2015-2030 and 2016-2030, respectively. Conclusion A notable decline was observed in all-cause mortality rates among Chinese adolescents aged 10-19 years. In addition, the mortality rates of NCDs are projected to meet the target from the Global Strategy for Women's, Children's, and Adolescents' Health (2016-2030) and HC2030 reduction indicators by 2030. However, it should be noted that injury is the leading cause of death, with sexual and age disparities remaining consistent.
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Affiliation(s)
- Jiaxin Zhu
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Yilu Li
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Chengcheng Zhang
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Jun He
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China
| | - Lu Niu
- *Correspondence: Lu Niu ✉
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Tang Y, Ma Y, Zhang J, Wang H. The relationship between negative life events and quality of life in adolescents: Mediated by resilience and social support. Front Public Health 2022; 10:980104. [PMID: 36211680 PMCID: PMC9538389 DOI: 10.3389/fpubh.2022.980104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 09/05/2022] [Indexed: 01/25/2023] Open
Abstract
Background Quality of life has become an important indicator for assessing the health care of adolescents. This study aimed to explore the relationship between negative life events and quality of life in adolescents and the potential mediating roles of resilience and social support. Methods A stratified cluster sampling technique was used to select 3,860 adolescents as study participants. The Adolescent Self-Rating Life Events Checklist, the Resilience Scale for Chinese Adolescents, the Social Support Rating Scale, and the Adolescent Quality of Life Scale were used by participants to rate their negative life events, resilience, social support, quality of life, respectively. The correlations between study variables were analyzed by the Pearson correlation analyses. The AMOS 26.0 software was used to explore the mediating roles of resilience and social support in negative life events and quality of life. Results There was a negative correlation between negative life events and quality of life (β=-0.745, P < 0.05); resilience and social support played an important mediating role in the relationship between negative life events and quality of life (βResilience = -0.287, P < 0.05; βSocial support = -0.124, P < 0.05). The emotional adjustment dimension of resilience (β = -0.285, P < 0.05) and the subjective support dimension of social support (β = -0.100, P < 0.05) played the largest mediating roles, respectively. Conclusion Negative life events were negatively correlated with adolescents' quality of life. Strengthening resilience and social support is expected to weaken and reduce the adverse effects of negative life events on adolescents and further maintain and improve their quality of life.
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Affiliation(s)
- Yinshuang Tang
- Department of Maternal and Child Health and Adolescent Health, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Yingjie Ma
- Department of Epidemiology and Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Jinglin Zhang
- Department of Maternal and Child Health and Adolescent Health, School of Public Health, Chongqing Medical University, Chongqing, China
| | - Hong Wang
- Department of Maternal and Child Health and Adolescent Health, School of Public Health, Chongqing Medical University, Chongqing, China
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Tang Y, Diao H, Jin F, Pu Y, Wang H. The effect of peer education based on adolescent health education on the resilience of children and adolescents: A cluster randomized controlled trial. PLoS One 2022; 17:e0263012. [PMID: 35108312 PMCID: PMC8809556 DOI: 10.1371/journal.pone.0263012] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 01/10/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND An increasing number of children and adolescents have reported mental health problems, and resilience is a protective factor against these problems. Therefore, the aim of the study is to verify the effect of peer education based on adolescent health education on adolescent resilience. METHOD A cluster randomized controlled trial was conducted including 1,613 students who were divided into an intervention group (19 classes, 732 participants) and a control group (24 classes, 881 participants). One-year peer education was performed in the intervention group, and the control group had no interventions. The Resilience Scale for Chinese Adolescents by Yueqin Hu and a self-designed basic information questionnaire were used to collect data. Chi-square test and rank-sum test were used to compare the differences of demographic characteristics between the two groups. A linear mixed model was used to compare the changes of resilience between the two groups after intervention, and the intra-cluster correlation coefficient (ICC) was calculated. A generalized linear mixed model (GLMM) was used to verify the effect of peer education on adolescent resilience. The significance was set at P < 0.05. RESULTS After intervention, compared with the control group, the intervention group showed significant improvement in target focus, emotion adjustment, interpersonal assistance and total resilience (P < 0.05). The ICC range was 0.003 to 0.034. The GLMM results indicated that peer education based on adolescent health education had significant effects on adolescents' target focus (β = 0.893, P = 0.002), emotional adjustment (β = 1.766, P < 0.001), interpersonal assistance (β = 1.722, P = 0.016) and total mental resilience (β = 5.391, P < 0.001), and the effect was greater for boys than for girls. CONCLUSIONS Peer education based on adolescent health education is effective for improving adolescents' target focus, emotional adjustment, interpersonal assistance, and total resilience, especially for males. Future research should devote more attention to positive cognition and family support as well as gender differences.
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Affiliation(s)
- Yinshuang Tang
- School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Hua Diao
- School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Feng Jin
- School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Yang Pu
- School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
| | - Hong Wang
- School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing, China
- * E-mail:
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Zhang Q, Liu Z, Hu W, Chen X, Li J, Wan Q, Zhao J, Ruan Y, Dao B, Li Y, Min X. Social capital and dietary patterns in three ethnic minority groups native to Yunnan Province, Southwest China. PLoS One 2021; 16:e0256078. [PMID: 34383859 PMCID: PMC8360576 DOI: 10.1371/journal.pone.0256078] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 08/02/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Few studies have focused on the influencing factors of dietary practices among ethnic minority groups in China, particularly from a social capital perspective. METHODS Between May and September 2019, we conducted a cross-sectional survey among adults (n = 1,813) from three ethnic minority communities (A Chang, De Ang and Jing Po) in Yunnan Province, Southwest China. Dietary intakes during the past 12 months were measured with a 100-item Food Frequency Questionnaire (FFQ), and two forms of social capital (bonding and bridging) were measured using the validated Personal Social Capital Scale 16 (PSCS-16). Principal component factor analysis was used to derive dietary patterns from 20 food groups. Multivariate linear regressions were used to examine the associations between social capital and dietary patterns. RESULTS Two distinct dietary patterns were identified: the traditional and the modern. The traditional pattern was characterized by high consumptions of tubers, poultry, rice, fruits, vegetables and low consumptions of oil and salt, whereas the modern pattern was highly correlated with egg, nut, beverage, snack and oil consumptions. After adjusted for potential confounders, the modern pattern was positively associated with bonding capital (β = 0.066; 95%CI: 0.058, 0.075) and negatively associated with bridging capital (β = -0.017; 95%CI: -0.024, -0.010). CONCLUSION In conclusion, an unhealthy dietary pattern was identified among the ethnic minority groups in Southwest China. The influences of people's social connections on dietary behaviors should be considered in designing and implementing nutrition intervention programs for the population.
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Affiliation(s)
- Qiang Zhang
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Zhitao Liu
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Wenmin Hu
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Xinguang Chen
- Department of Epidemiology, University of Florida, Gainesville, Florida, United States of America
| | - Juanjuan Li
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Qingqing Wan
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Jiang Zhao
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Yuan Ruan
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
| | - Baoqing Dao
- Department of Public Health, Dehong Center for Disease Control and Prevention, Mangshi, China
| | - Yunfei Li
- Department of Health Education, Lanping Center for Disease Control and Prevention, Lanping, China
| | - Xiangdong Min
- Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China
- * E-mail:
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Dong B, Zou Z, Song Y, Hu P, Luo D, Wen B, Gao D, Wang X, Yang Z, Ma Y, Ma J, Narayan A, Huang X, Tian X, Patton GC. Adolescent Health and Healthy China 2030: A Review. J Adolesc Health 2020; 67:S24-S31. [PMID: 33246530 DOI: 10.1016/j.jadohealth.2020.07.023] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 04/30/2020] [Accepted: 07/12/2020] [Indexed: 12/13/2022]
Abstract
PURPOSE This article explores differences between the current health status of adolescents and the targets set in Healthy China 2030 (HC2030). METHODS Global and domestic policies and strategies relating to adolescent health were reviewed. Data from the Global Burden of Disease Study (1990-2016) and the Chinese National Survey on Students' Constitution and Health (1985-2014) were used to analyze time trends and geographical distributions of health indicators for adolescents aged 10-19 years in China. RESULTS The Chinese government has released many health policies over the past 3 decades. In this context, there has been a major decline in all-cause mortality and stunting. However, gaps between the current health status of adolescents and the targets set in HC2030 were numerous. The prevalence of obesity and poor vision increased rapidly, and few adolescents meet the physical activity and fitness targets set in HC2030. Urban/rural differences were marked for some indicators such as obesity, whereas for other indicators (e.g., stunting), there remained notable differences across provinces. CONCLUSIONS Many long-standing health problems of adolescents have improved, but new problems related to noncommunicable disease risks have emerged and should be a prominent focus for policy action under HC2030.
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Affiliation(s)
- Bin Dong
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Zhiyong Zou
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Yi Song
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Peijing Hu
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Dongmei Luo
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Bo Wen
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Di Gao
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Xijie Wang
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Zhaogeng Yang
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Yinghua Ma
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China.
| | - Jun Ma
- Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China.
| | - Anuradha Narayan
- Health, Nutrition & WASH Section, UNICEF China Office, Beijing, China
| | - Xiaona Huang
- Health, Nutrition & WASH Section, UNICEF China Office, Beijing, China
| | - Xiaobo Tian
- Health, Nutrition & WASH Section, UNICEF China Office, Beijing, China
| | - George C Patton
- Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
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12
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Luo X, Zheng R, Jin X, Sun Y, Chen L, Peng J, Huang X, Tian X, Mei L. Barriers to Adolescent Health Care in Maternal and Children's Healthcare Hospitals: Based on a National Survey in China. J Adolesc Health 2020; 67:S32-S37. [PMID: 33246531 DOI: 10.1016/j.jadohealth.2020.07.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 05/31/2020] [Accepted: 07/12/2020] [Indexed: 11/29/2022]
Abstract
PURPOSE Adolescence is a critical period for physical and psychological development; therefore, health interventions at this phase may be especially beneficial. In this study, we aim to describe the distribution of the adolescent health care system in China and to compare the perceived barriers of running an adolescent clinic (AC) proposed by hospitals with corresponding government entities. METHODS A nationwide online survey was launched by the National Health Commission of China in December 2015, among 116 Maternal and Children's Healthcare (MCH) hospitals located across 24 randomized selected provinces. The online survey included management questionnaires filled out by health administrators from local health commissions and service questionnaires filled out by adolescent care providers from MCH hospitals. RESULTS Among the surveyed provinces, only 7% have special funding for adolescent health care, 13% have a supporting policy, 8% have guidelines/service standards, and 16% provide adolescent health care based in MCH hospitals. Among the 116 MCH hospitals investigated, 31 (27%) had a functioning AC and 15 (13%) used to have an AC. Compared with the MCH hospitals that never have an AC, those that previously had an AC were more likely to perceive demand as a barrier (odds ratio = 8.02; p value < .05) but less likely to perceive guidelines/service standards as a problem (odds ratio = .09; p value < .01). The perceptions of health administrators and adolescent health care providers differed markedly on demand and profits: both were ranked highly by supply side (health providers) but ranked low by the health administrators. CONCLUSIONS This national survey, for the first time, presents a whole picture of adolescent health care in MCH hospital settings in China. Among the surveyed MCH hospitals, major areas of discordance between administrators and health care providers were barriers in demand and profits, which health administrators tend to overlook. A number of strategic priorities are proposed to best guide the development of the adolescent health care system in China, including improved linkage between health and education and community systems, comprehensive approaches move beyond sexual and reproductive education, as well as the workforce development and capacity-building.
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Affiliation(s)
- Xiaomin Luo
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Ruimin Zheng
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China.
| | - Xi Jin
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Ying Sun
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China
| | - Li Chen
- Department of Medicine, Georgia Prevention Institute, Medical College of Georgia, Augusta University, Augusta, Georgia
| | - Jiong Peng
- United Nations Population Fund - China, Beijing, China
| | - Xiaona Huang
- United Nations Children's Fund - China, Beijing, China
| | - Xiaobo Tian
- United Nations Children's Fund - China, Beijing, China
| | - Lili Mei
- National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing, China
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13
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Lu Q, Liu L, Wang Y, Shi L, Xu Y, Lu Z, Que J, Yue J, Yuan K, Yan W, Sun Y, Shi J, Bao Y, Lu L. Online Survey on Accessing Psychological Knowledge and Interventions During the COVID-19 Pandemic - China, 2020. China CDC Wkly 2020; 2:797-803. [PMID: 34594770 PMCID: PMC8393144 DOI: 10.46234/ccdcw2020.218] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 09/30/2020] [Indexed: 12/28/2022] Open
Abstract
What is already known on this topic? The public was at elevated risk of mental health illnesses during the coronavirus disease 2019 (COVID-19) pandemic, so accessibility to psychological knowledge and interventions is vital to promptly respond to mental health crises. What is added by this report? During the pandemic period, 40,724 (71.9%) participants reportedly had access to psychological knowledge, and 36,546 (64.5%) participants had accessed information on psychological interventions. Participants who were male, unmarried, living alone, divorced or widowed, or infected with COVID-19 were less likely to access psychological knowledge and intervention. What are the implications for public health practice? Governments should pay more attention to formulate policies, popularize psychological education, and provide mental health services online or in the community.
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Affiliation(s)
- Qingdong Lu
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Lin Liu
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Yunhe Wang
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Le Shi
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Yingying Xu
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Zhengan Lu
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Jianyu Que
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Jingli Yue
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Kai Yuan
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Wei Yan
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Yankun Sun
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China
| | - Jie Shi
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China
| | - Yanping Bao
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China.,School of Public Health, Peking University, Beijing, China
| | - Lin Lu
- Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing, China.,Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing, China
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Cheng G, Yang F, Xiong F, Zhao L, Zhang L, Wang Y. Comparison of nutrition education policies and programs for children in China and other selected developed countries. GLOBAL HEALTH JOURNAL 2020. [DOI: 10.1016/j.glohj.2020.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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