1.Progress of research on the association between air pollution and prevalence of major cancers.
Z X YANG ; H M ZENG ; R S ZHENG ; C F XIA ; S W ZHANG ; W Q CHEN
Chinese Journal of Epidemiology 2018;39(4):532-535
Being an undisputed risk factor of cancer, air pollution is posing a huge threat to the health on human beings. In this article, we introduced the composition of air pollution, and the standards on air quality which was set by both World Health Organization and the Chinese government. We also summarized the most recent research findings on the association between air pollution and the risk of lung, breast, bladder and other major cancers.
Air Pollutants/toxicity*
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Air Pollution/adverse effects*
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Humans
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Neoplasms/epidemiology*
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Prevalence
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Research/trends*
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Risk Factors
2.Epidemiological characteristics of Coxsackie virus A16 caused hand foot and mouth disease cases in Guangdong province, 2012-2016.
L M SUN ; S L WU ; X H TAN ; H LI ; F YANG ; H R ZENG ; H Y ZHENG ; L LIU ; J F HE
Chinese Journal of Epidemiology 2018;39(3):342-346
Objective: To analyze the epidemiological characteristics of hand foot and mouth disease (HFMD) cases caused by Coxsackie virus A16 (Cox A16) in Guangdong province from 2012 to 2016. Methods: The data of mild HFMD cases caused by Cox A16 were collected from 8 sentinel hospitals in 8 prefecture-level cities in Guangdong to estimate Cox A16 infection status and its population and time distribution characteristics. Results: (1) The highest estimated incidence of Cox A16 infection was in 2014 (113.0/100 000), followed by 2016 (86.4/100 000) and 2012 (79.1/100 000), while the estimated incidence was lower in 2015 (29.0/100 000) and 2013 (28.8/100 000). (2) Cox A16 was confirmed to be the predominant pathogen causing HFMD outbreaks (54.6%, 89/163). The number of outbreaks in the year with high incidence (28 outbreaks) was 11.2 times higher than that in the year with low incidence (2.5 outbreaks). (3) Across all age groups, the annual estimated incidence of Cox A16 infection decreased with age (trend χ(2)=853 905.63, P<0.01). The incidence was highest in age group 1 year (1 449.2/100 000), followed by that in age group 3 years (1 097.0/100 000), in age group 2 years (1 083.5/100 000), in age group 4 years (687.8/100 000) and in age group 0 year (604.9/100 000). Among the age groups <12 months, the estimated incidence increased with age (trend χ(2)=5 541.77, P<0.01), which was highest in age group 11-months (2 105.1/100 000), followed by that in age groups 10-months (1 448.6/100 000), 9-months (938.3/100 000), 8-months (703.3/100 000) and 6-months (664.6/100 000). (4) The annual incidence peak was during May (143.9/100 000)-June (131.5/100 000). Conclusion: The prevalence of Cox A16 infection differed with year in Guangdong during 2012-2016. When the incidence of Cox A16 infection was high, more outbreaks occurred. The prevalence occurred mainly in nurseries and kindergartens from May to June each year. Children aged 0-4 years were the high risk group for Cox A16 infection, children aged 6-11 months were at high risk for Cox A16 infection.
Animals
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Child
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Child, Preschool
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China/epidemiology*
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Cities
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Coxsackievirus Infections/epidemiology*
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Disease Outbreaks
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Enterovirus A, Human/isolation & purification*
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Hand, Foot and Mouth Disease/epidemiology*
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Hospitals
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Humans
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Incidence
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Infant
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Schools
3.Interactive effects between health literacy and mobile phone dependence as well as its relation with unintentional injuries in middle school students.
S C ZHANG ; R YANG ; D L LI ; J WANG ; Y H WAN ; S J XU ; H L XU ; S S MA ; W WANG ; H J ZENG ; H Q XU ; F B TAO
Chinese Journal of Epidemiology 2018;39(12):1549-1554
Objective: To investigate the interaction between health literacy, mobile phone dependence and unintentional injuries in middle school students, and to provide guidance for prevention on unintentional injuries in adolescents. Methods: From November 2015 to January 2016, a questionnaire survey was conducted among 22 628 middle school students in Shenyang of Liaoning province, Bengbu of Anhui province, Xinxiang of Henan province, Ulanqab of Inner Mongolia Autonomous Region, Chongqing and Yangjiang of Guangdong province. Chinese Adolescent Interactive Health Literacy Questionnaire (CAIHLQ), Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU), and Unintentional Injuries Assessment Scale and demographic variables were used to measure the health literacy, mobile phone dependence and unintentional injuries among the Chinese middle school students. Results: The detection rates of mobile phone dependence and unintentional injuries were 25.4% and 46.7%, respectively. The rates of unintentional injuries of middle school students with mobile phone dependence and with low, medium and high health literacy were 53.6%, 44.4% and 48.8%, 48.1%, 41.7%. Factors as mobile phone dependence, low and middle health literacy were positively related to unintentional injuries (OR=1.452, 1.196, 1.364). However, the multiplicative interaction between mobile phone dependence and health literacy on unintentional injuries was noticed significant (OR=1.217, 95%CI: 1.041-1.422). Conclusions: Our results showed that the prevalence of unintentional injuries was relatively high in middle school students. Health literacy and mobile phone dependence seemed related to unintentional injuries. Interaction between health literacy and mobile phone dependence on unintentional injuries appeared significant.
Adolescent
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Cell Phone
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China
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Female
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Health Literacy
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Humans
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Male
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Students
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Surveys and Questionnaires
4.Association between gestational weight gain and adverse pregnancy outcomes: a prospective study.
Y Q ZHANG ; X LAN ; J ZHANG ; R ZHOU ; Z Y DAI ; C WU ; Y H BAO ; L Q YANG ; F M ZHOU ; R P ZHAO ; G ZENG
Chinese Journal of Epidemiology 2018;39(12):1626-1629
Objective: To explore the association between gestational weight gain (GWG) and adverse pregnancy outcomes. Methods: A prospective study was conducted among 1 220 healthy singleton pregnant women in the first trimester of pregnancy, from Chengdu city, Sichuan province. Pre-gestational body mass and other basic information were collected through a set of questionnaires. Weight at the last week before delivery was measured and GWG was classified by IOM criteria (2009). Related information on pregnancy outcomes was collected after delivery, through the hospital information system. Multiple non-conditional logistic regression models were used to test the association between GWG and adverse pregnancy outcomes. Results: In total, data on 1 045 pregnant women were analyzed. Compared with adequate GWG, excessive GWG was associated with the increased risks of cord entanglement and large for gestational age (OR=1.641, 95%CI: 1.197-2.252; OR=1.678, 95%CI: 0.132-2.488), respectively. Additionally, when compared with the adequate GWG, insufficient GWG was associated with the increased risk of preterm delivery (OR=3.189, 95%CI: 1.604-6.341). Conclusions: Both excessive and insufficient GWG appeared associated with the pregnancy outcomes. Weight monitoring should be strengthened for pregnant women to reduce related risks on adverse pregnancy outcomes.
Adult
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Birth Weight
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Body Mass Index
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China/epidemiology*
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Female
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Gestational Weight Gain
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Humans
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Infant, Newborn
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Pregnancy
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Pregnancy Complications/epidemiology*
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Pregnancy Outcome/epidemiology*
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Prospective Studies
5.The Wuhan Twin Birth Cohort Study.
S P YANG ; J Z ZHAO ; H MEI ; A N PENG ; H MEI ; Y F TAN ; D ZHANG ; Y ZHANG ; J X CAO ; R Z LI ; Q ZHOU ; F Q LEI ; F WANG ; N LI ; N LI ; Z H HE ; Y JI ; L M ZENG ; J CUI ; B ZHANG
Chinese Journal of Epidemiology 2018;39(9):1281-1286
The prevalence of child and adolescent growth and mental-behavior related diseases are increasing, and the pathogenesis are complex. Twins are excellent natural resources for complex chronic diseases research as they share the maternal intrauterine environment, born at the same time and share the same family environment in early years, which could benefit the adjust ment of confounding factors, such as age, genetic factors and early family environmental factors. Birth cohort with twin families involved could be more effective in exploring the genetic and environmental factors for complex chronic diseases at the very beginning of life. This paper summarizes the objective, content, progress, strengths and potential problems of Wuhan Twin Birth Cohort, with emphasis on the overall design and progress of the study.
Adolescent
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Asian People
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Birth Weight
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Child
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China
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Cohort Studies
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Diseases in Twins/genetics*
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Epidemiological Monitoring
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Female
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Humans
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Male
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Twin Studies as Topic
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Twins