Objective To understand the dietetic habits,the knowledge level of nutrition and food hygiene,the understanding of the relationship between food and disease,and their sources of and the demands for nutrition and food hygiene in the residents of Tianjin.Method 1 206 subjects(605 male and 601 female) aged 18 to 69 yrs were selected by the stratified multi-stage random sampling and investigated with the questionnaire.Results of all the subjects,no one's diet was consistent with the Chinese balanced diet guideline.Most subjects had some knowledge about food and nutrition,but only 60.2% of them passed the test.The situation of the knowledge awareness varied with their living area,education background and occupation.87.5% of the subjects had a good awareness for the relationship between food and disease,and varied with their education and occupation.Television was the most important approach for their acquiring the knowledge about nutrition and food hygiene.81.5% subjects were interested in learning more about nutrition and food hygiene.Conclusions The dietetic habits in residents of Tianjin was still not satisfied.It is necessary to strengthen the propaganda and education of the nutrition and food hygiene in residents and explore an effective education model for them.

Objective To understand the current status of blood pressure and to analyze its influence factors in rural residents in Tianjin.Methods Total 2 390 754 rural residents aged over 15 yrs were detected on their blood pressure by the trained professional staffs with standard method,then calculated the mean of blood pressure and hypertension prevalent rate,compared with results of Village I of National Nutrition and Health Situation Investigation in 2002.After population standardized,a multivariate analysis was done on hypertension in subjects.Results The average SBP was(125.91?18.99)mm Hg,average DBP was(80.44?10.77)mm Hg;hypertension prevalent rate was 31.57%(33.08% for male and 30.18% for female).The general hypertension prevalence was higher than that of the national level;after standardized with China population in 2000,the prevalent rate of hypertension in the group aged over 18 yrs was nearly 50% higher than that in national level.The multivariate analysis showed that the affected factors for hypertension of rural residents included age,gender,region,education level,smoking,alcohol drinking and obesity.Conclusions Hypertension had become a popular and serious public health problem.To prevent and control hypertension should be one of the key issues of chronic diseases prevention in rural area.

Objective To investigate the status of internet addiction among adolescent students of Tianjin and analyze its related factors.Methods Stratification cluster random sampling method was used in this questionnaire survey among nine schools of Tianjin.The data was analyzed by logistic regression with SPSS11.5.Results The results showed that the Family harmony(OR=0.433),good personal education achievement(0.645),and sports participation(0.705) were the protective factors,while the Family member accident(OR=1.735) was the risk factor for IAD in adolescent students.Good Family economic conditions(OR=0.793),Family harmony(0.778),good personal education achievement(0.787),and sports participation(0.750) were the protective factors,while subsidization(OR=1.404) and family member accident(1.244) were the risk factors for IAT in adolescent students.Conclusion Family has close relationship with the formation of adolescents' IAD.Besides,personal education achievement and sports participation also have good influence on the formation of IAD.

Objective To evaluate the relationship between Internet addiction disorder(IAD),Internet addiction tendency(IAT) and behavior type A of young students aged ≥16 years in urban districts,Tianjin.Based on the result,the intervention resolution suggestion was put forward.Methods 4 484students(male2 331,female2 153) anonymously completed the Questionnaire on Situation of Internet Using of Students compiled for this study and the Questionnaire on types of Northern Chinese adult's Behavior.All data was recorded with the evaluating system for adolescent Internet addiction.Result There are 306(6.82%) cases of IAD and 600(13.83%) of IAT among the students.The screened positive rate in boys was 9.87% for IAD and 15.66% for IAT,which significantly higher than those in girls(3.53%,10.92%).The rates in students with behavior type A and type M were the same but significantly higher than that in students with behavior type B.After weighing cases by power on learning stage and sex,the results showed the prevalent rates of IAD and IAT in students with behavior type A and type sub-A were significantly higher than those in students with behavior type M,type sub-B and type B.After weighing cases by power only on learning stage,the positive rates of IAD were higher in students with behavior type A(8.87% in high school students,11.11% in college students) than those in students with type M(7.77%,7.81%) and type B(4.35%,4.44%).Conclusions The results show a significant relationship between IA and behavior type A in students.It should be strengthened to take psychological intervention for young students,especially for students with high risk of IA and IAT in senior high schools.

Objective To know the prevalence and distribution of Internet Addiction Disorder(IAD) among the adolescent students in urban districts in Tianjin.Methods This survey was carried out during November,2006 to April,2007 with Stratified cluster random sampling method.8225 questionnaires were valid among 8694 participants.Xing Yi's IAD diagnosis standard was used on the survey.Internet Addiction Tendency(IAT)by our definition was those students who had 3 or 4 of 10 indicators.The national standard population proportion of school students from junior high school to college in 2000 were used in weighing cases by power.Results 1.The detection rates of IAD between students online 2,3 or 4 hours per day were significantly different of the check out rate of IAD from the students on-line 2,3,or 4 hours per day,except time factor in the indicators;2.The detection rates of IAD between students with different learning stage or education system were also significantly different;the highest rate was among the students at special technical secondary school(11.69%),then followed by technical college and college students(6.74% and 6.73%),and junior high school and senior high school students(5.98% and 5.95%).The detection rates of IAT were increased by learning stage;the lowest rate was 8.65% in junior high school students,followed by 12.11% in high school students,13.96% in technical secondary school students,15.58% in technical college students and 16.73% in college students;3.After weighing case by power on learning stage or education system,the total IAD prevalence was 6.90%,9.50% for boys and 4.17% for girls.Total IAT prevalence was 11.78%,14.43% for boys and 8.96% for girls;4.For students in area with higher economic level,the rates of IAD and IAT were 4.16% and 8.27%,respectively,lower than those in other economic levels;5.Both IAD and IAT prevalent rates were no significant difference between the key high schools and common high schools.Conclusion The students of special technical secondary schools are high risk population for IAD and IAT.Students in area with higher level of economic have lower rates of IAD and IAT.It is suggested that it is needed to carry out health education on Internet using among the adolescent students together with family,school and social good environment.

Objective: To explore the acute effect of air pollution on mortality for patients with cardio cerebral vascular disease and to provide the basis for disease prevention and control.
Methods: The Mortality for patients with cardio cerebral vascular disease from 2001-01 to 2009-12 was from Tianjin Centers for Disease Control and Prevention, the meteorological and air pollution data were from Tianjin meteorological bureau and Tianjin environmental monitoring station respectively. The Single and multiple generalized additive model (GAM) extended poisson regression analysis was performed to calculate the relationship between air pollution and cardio-cerebral vascular disease mortality by controlling the time trends, weather, the day of week and air population.
Results: Results: Single GAM analysis indicated that when the effect of SO2, NO2 and PM10 in the air reached the maximum in the day, the RR values for the mortality in patients with cardio-cerebral vascular disease increased 1.13%[95%CI (0.76-1.51)%], 0.78% [95%CI ( 0.41-1.15)%] and 0.61% [95%CI ( 0.51-0.71)%] respectively; when the average concentration of SO2, NO2 and PM10 increasing 10μg/m3 per day, after 0-5 days, the RR values for the mortality elevated 0.70% [95%CI (0.47-0.94)%], 0.51% [95%CI (0.27-0.74)%] and 0.16% [95%CI (0.06-0.27)%] respectively. Multiple GAM analysis presented that when SO2, NO2 and PM10 increasing 10 μg/m3 per day, the RR values for the mortality elevated 0.77% [95%CI (0.58-0.97)%], 0.41% [95%CI (0.05-0.78) %] and 0.38% [95%CI (0.12-0.64%)%] respectively.
Conclusion: The air pollution could increase the mortality risk in patients with cardio-cerebral vascular disease, it is necessary to establish the prevention system in order to decrease the mortality risk in those patients.

Objective To explore the causes of death and life expectancy after elimination of main causes of disease in residents of Tianjin. Methods The death registry data of Tianjin residents in 2014 were collected and coded in“international classification of disease, 10th edition”. The crude death rate and life expectancy after elimination of main causes of disease were calculated, respectively. Results In 2014, the crude death rate in Tianjin residents was 70.708 per million, while in male and female were 78.728 and 62.637 per million respectively. The main cause of death in Tianjin residents was non-communicable disease. The top four death causes were heart disease, cancer, cerebrovascular disease and respiratory disease, accounting for 31.5%, 23.6%, 22.2% and 8.3% of the total death. The top four life expectancy lost diseases were heart disease, cerebrovascular disease, cancer and respiratory disease, with a 6.46 year, 3.28 year, 3.11 year and 1.25 year life increase respectively. Conclusion Non-communicable diseases are the major reason of death and life expectancy lost disease in Tianjin residents, which needs urgent effective intervention to control.

Objective: To observe the incidence of acute myocardial infarction (AMI) between 1999 and 2013 in Tianjin residents and analyze the incidence differences on residents with various age, gender and living in urban or rural areas. The data might help for targeted prevention strategies among Tianjin residents. Methods: AMI incidence data between 1999 and 2013 were obtained based on Tianjin cardiovascular disease incidence surveillance registry established by the Tianjin Centers for Disease Control and Prevention (CDC). Related information such as permanent residents′ population data were obtained from Tianjin Municipal Public Security Bureau. The Chinese population data in 2000 were used for age-sex-standardized rates estimation. Difference between two (or more) independent groups was compared by the Chi Square statistics. The Chi-square test for trend was used for computing the incidence trend in years and ages. Results: AMI incidence rate in Tianjin declined from the year 1999 to 2013 with the rude incidence rate of 80.46/100 000 to 81.29/100 000, and with the standardized incidence rate of 64.85/100 000 to 44.57/100 000 (Z=-35.767, P<0.001). AMI incidence decreased gradually in residents aged over 45 years old (P<0.01), but increased in residents younger than 45 years old (P<0.001) from 1999 to 2013. The AMI incidence rate is consistently higher in male residents (rude incidence 99.89/100 000-102.98/100 000, standardized incidence rate 78.53/100 000-56.61/100 000) than in female residents (rude incidence 61.18/100 000-59.44/100 000, standardized incidence rate 50.31/100 000-31.76/100 000, both P<0.001) and higher in urban residents (rude incidence rate 133.98/100 000-98.02/100 000, standardized incidence rate 99.89/100 000-50.12/100 000) than in rural residents (rude incidence rate 35.57/100 000-66.19/100 000, standardized incidence rate 32.68/100 000-43.51/100 000, Z=6.217, P<0.001). AMI incidence decreased significantly in the urban residents (rude incidence rate 133.98/100 000-98.02/100 000, standardized incidence rate 99.89/100 000-50.12/100 000, Z=-46.968, P<0.001), while significantly increased in rural residents (rude incidence rate 35.57/100 000-66.19/100 000, standardized incidence rate 32.68/100 000-43.51/100 000, Z=6.217, P<0.001) during the study period. Conclusions The general incidence of AMI decreased during the study period in Tianjin residents. However, AMI incidence significantly increased in young male residents and rural residents. It is necessary to develop corresponding strategies for AMI control for Tianjin residents with different age/gender and living in different areas.

Objective: To understand the status quo of smoking and change pattern of smoking related behaviors in the past 20 years in the urban adults in Tianjin. Methods: Data was from the study of Chinese Chronic Disease and Risk Factors (2015). Multi stage stratified random sampling method was used to conduct a questionnaire survey in 7 surveillance sites in Tianjin. Results: in the urban residents aged>20 years were compared with those in surveys in 1996 and 2010. Results In 2015, the smoking rate in men and women aged>20 years in Tianjin were 41.1% and 4.5% respectively. The average age of starting smoking was (19.2±4.7) years for men and (24.8±10.9) years for women, showing a younger age trend. Compared with the data from 1996 and 2010, the smoking rate in the urban residents was in decrease, but the rate of successful smoking cessation was in increase in 2015, the differences were significant. Conclusions Since 1996, the rate of smoking in the urban residents of Tianjin has been in decline, however it is still at a high level, especially in women. The average age of starting smoking remains to be younger. It is necessary to strengthen the health education about harm of smoking in adolescents.

Objective: To analyze the long-term trend of mortality and years of life lost (YLL) of gastric cancer in Tianjin from 1999 to 2015. Methods: From January 1, 1999 to December 31, 2015, the data of gastric cancer deaths was collected from the Tianjin death surveillance system. The inclusion criteria of death due to gastric cancer were coded by using 151 in the 9^th edition of the international classification of diseases (ICD) (1999-2002) and C16 in the 10^th edition of ICD (2003-2015). The crude and age-standardized mortality rate (ASR) of gastric cancer was calculated according to Segi′s world standard population. YLL was calculated according to the standard method of the disease burden of WHO. The Joinpoint regression was used to calculate the average annual percentage change (AAPC) to indicate the trend of mortality and YLL of gastric cancer. Results: From 1999 to 2015, there were 20 000 deaths of gastric cancer in Tianjin. The proportion of gastric cancer death in the population aged 0-44 years old, 45-64 years old, and 65 years old and above was 4.9%, 30.4%, and 64.8%, respectively. The proportion of males and urban was 67.1% and 67.5%, respectively. From 1999 to 2015, the crude mortality rate was from 12.10/100 000 to 12.58/100 000. The ASR was from 11.04/100 000 to 7.24/100 000. The average annual YLL number was 29 625.83 person-years and the rate was 3.09 person-years per thousand people. From 1999 to 2015, the crude mortality rate and the PYLL of gastric cancer in Tianjin were stable (the AAPC was 0.34% and -0.24%, all P values >0.05). The ASR showed a downward trend (AAPC=-2.58%, P<0.001). Conclusion From 1999 to 2015, the ASR of gastric cancer in Tianjin showed a downward trend, and the YLL of gastric cancer was stable.