Objective To understand the prevalence of chronic kidney disease (CKD) in the elderly in xuzhou area and the main related factors, and to provide a theoretical basis for the prevention and treatment of CKD. Methods Xuzhou gulou, mountain springs, deals for the city select venture, peixian county rural countryside, deals with the community (village) as unit, adopt the method of stratified cluster sampling, a random sample of urban and rural community people aged 60 to 79, and residents living longer than six months as investigation object, obtain 482 valid data, chronic kidney disease (CKD) sampling investigation, All subjects underwent conventional questionnaires, including gender, age, occupation, chronic disease history, family history, etc. Laboratory tests included, UA, SCr, FBG, 2H PBG, TG and TC levels. EGFR was calculated based on SCr, and logistic regression was used to analyze the independent risk factors for CKD in the elderly in community. Results Among 482 elderly patients, 259 were males and 223 were females, with an average age of (45.73±6.14) years. 63 patients with CKD were diagnosed, with a prevalence rate of 13.07%. The prevalence of chronic diseases was 20.33%(98/482) for hypertension, 15.15%(73/482) for hyperuricemia, 11.00%(53/482) for overweight or obesity, 8.71%(42/482) for hyperlipidemia and 6.430%(31/482) for diabetes. The prevalence of CKD in 70-79 year olds was significantly higher than that in 60-69 year olds (χ²=6.621 , P<0.05). There were statistically significant differences in age, hypertension, diabetes and hyperuricemia between 2 groups (P<0.05). Logistic regression analysis showed that advanced age, hypertension, diabetes and hyperuricemia were independent risk factors for CKD in elderly population in Xuzhou area (P<0.05). Conclusion The prevalence of CKD in the elderly in Xuzhou community is high, and the main risk factors are advanced age, diabetes, hypertension and hyperuricemia. It is necessary to actively carry out early screening of CKD and take effective preventive measures to effectively delay the development of CKD and prevent the occurrence of end-stage renal disease.

Objective To investigate the characteristics and influencing factors of mental health status of permanent residents in Yichang, Hubei Province. Methods A total of 9 576 permanent residents aged 18 years and older from Yichang City were selected by a multistage random sampling method between June and October 2022. The PHQ-9 was used to assess the residents’ depressive symptoms, the GAD-7 was used to assess their anxiety symptoms, the ISI was used to assess their insomnia status, and the PCL-5 was used to assess their stress status. The influence factors of depression and anxiety were analyzed using χ2 test and logistic regression. Results A total of 9 122 valid questionnaires were completed. The detection rate of depression, anxiety, insomnia, and stress symptoms were 29.98%, 19.03%, 11.97% and 1.58%, respectively. Gender, education level, monthly family income, self-rated health status, mental health literacy level, total GAD-7 score, total ISI score, and total PCL-5 score were the main factors that caused residents' anxiety symptoms, while gender, education level, self-rated health status, total PHQ-9 score, total ISI score, and total PCL-5 score were the main factors that caused residents' anxiety symptoms. Conclusion The prevalence of depression and anxiety is high among the permanent residents in Yichang, while the situation of insomnia and stress is relatively good. Measures such as improving the level of mental health literacy can be taken to improve mental health level of residents in Yichang.

Objective To explore the spatial epidemiological characteristics of mortality and probability of premature death caused by chronic obstructive pulmonary disease (COPD) among residents in Pudong New Area of Shanghai from 2010 to 2020, and to provide reference for the formulation of chronic obstructive pulmonary disease prevention and control strategies according to local conditions. Methods The death data of chronic obstructive pulmonary disease were obtained from the local death surveillance system of Pudong New Area. Crude mortality, age-standardized mortality, and probability of premature death caused by COPD in each subdistricts and towns of Pudong New Area were calculated. The geographical information system (GIS) was used to plot the spatial distribution maps of chronic obstructive pulmonary disease death. The trend surface analysis and the spatial autocorrelation analysis were performed to analyze the spatial distribution of chronic obstructive pulmonary disease death. Results The crude mortality, age-standardized mortality and probability of premature death caused by COPD among residents in Pudong New Area between 2010 and 2020 were 58.40/100,000, 22.35/100,000, and 0.26%, respectively. The results of trend surface analysis showed that the crude mortality, age-standardized mortality and probability of premature death caused by COPD gradually increased from north to south. In the east-west direction, the crude mortality, age-standardized mortality, and probability of premature death showed an upward trend from west to east. The global autocorrelation analysis suggested that there existed a positive spatial autocorrelation for the crude mortality, age-standardized mortality, and probability of premature death. The local spatial autocorrelation analysis showed that the high-high clustering areas of COPD crude mortality, standardized mortality and premature mortality were all located in the rural areas of the southeast of Pudong New Area. Conclusion There are urban and rural differences in the mortality of chronic obstructive pulmonary disease among residents in Pudong New Area from 2010 to 2020. The residents living in rural southeast coast of Pudong New Area are more seriously affected by chronic obstructive pulmonary disease and should be paid more attention.