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The prevalence of hypertension in She nationality population of Fujian province

Jinping HUANG ; Wei ZHANG ; Xiaohong LI ; Jingxian ZHOU ; Yan GAO ; Yanju CAI ; Xiaofang LIN ; Baoying HUANG ; Zichun CHEN ; Shaoheng ZHU ; Zhaoqiao CHEN ; Yinghua LIN ; Gang CHEN

Chinese Journal of Health Management.2010;04(6):348-351. doi:10.3760/cma.j.issn.1674-0815.2010.06.008

Objective To study the prevalence of hypertension in She Chinese population of Fujian province and its epidemiological characteristics. Methods Using random sampling method to take advantage of number table, we select a sample of 5350 people who were conducted a questionnaire survey and measured weight, height, blood pressure and other indicators. Results The prevalence of hypertension in She Chinese population of Fujian province was 36. 09%, including undiagnosed number of 1374 cases. The main risk factors of hypertension were age,the level of education, BMI,saltintake. Smoking was not significant with hypertension. The prevalence rate of hypertension among people over 60 years was 63.10%, people comsumed above 8 grams of salt per day had higher pervalence than that in the goup which comsumed below 6 grams or between 6 grams to 8 grams of salt per day. Conclusions The prevalence of hypertension in She had grown rapidly. The She Chinese population should change their lifestyle and hypertension education should perform in this population.

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Health status and risk factors of medical professionals in Guangdong province

Ling DENG ; Meng DAI ; Ling CHEN ; Wenzhi CAI

Chinese Journal of Health Management.2010;04(6):344-347. doi:10.3760/cma.j.issn.1674-0815.2010.06.007

Objective To investigate current health status of medical professionals in Guangdong Province to provide evidence for individualized health management. Methods Based on multi-stage stratified sampling method,3872 medical professional from 56 hospitals in Guangdong Province were enrolled and completed a self-designed questionnaire. The results were collected and compared using descriptive analysis, K-S test, Chi-square test and multivariate Logistic regression. Results A total of 3687 (95.2%) feed-backs were collected,of which 3502 (95.0%) could be used. Insomnia was the most serious problem among nurses (68. 9% ). The incidence rate of sub-health condition was 58. 2%. First-line clinical work,female, long working experience, tertiary hospital, no physical activity and insomnia were correlated with more serious sub-clinical health. Conclusion Unhealthy life style and sub-heahh problems negatively impact health of medical professional. Therefore, supervisors should pay more attention to those with certain characteristics.

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Health management needs of 104 enterprises in Jingzhou city of Hubei province

Hong YUAN ; Lihua ZHANG ; Xuepeng ZHANG ; Yanping XIANG ; Jun LI ; Li DING ; Mingjun LU

Chinese Journal of Health Management.2010;04(6):337-339. doi:10.3760/cma.j.issn.1674-0815.2010.06.005

Objective To understand enterprises' demands for health management. Methods Self-designed questionnaires were distributed to senior managing directors from 104 enterprises in Jingzhou City of Hubei Province. The counting data were expressed as percentage or accumulated percentage. Results The main health problems in Jingzhou City were chronic diseases (28.4%), unhealthy behaviors (40. 1% ), occupational diseases ( 22. 8% ), and enviromental pollution ( 8.7% ). Health service needs of enterprises included health speeches (37.2%),health consultation (53.8%),medical report interpretation (43. 2% ), nutrition intake guidance ( 10. 5% ), and green passage medical treatment ( 14. 7% ).Conclusion All the enterprises show strong needs for health management. Establishing appropriate health management model may have better prospects.

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Health check-up intent and policy making of residents living in Shanghai

Yong BAO ; Xueli DU ; Huizhen PENG

Chinese Journal of Health Management.2010;04(6):333-336. doi:10.3760/cma.j.issn.1674-0815.2010.06.004

Objective To conduct a health check-up intention analysis to understand residents' altitude to health eheck-up. Methods A total of 3600 residents living in Shanghai completed the selfdesigned questionnaire. Results About 35.2% participants received health check-up onee per year. In 36 to 60 or > 60 age group, the figure was increased up to 62.6% or 50. 4%, respectively. Public institution employees and those with medical insurance were found to have the highest rate of health checkup. Conclusion Our investigation results suggest that government leadership,health management model and contents, and personnel training should be improve.

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Effect of synthetic intervention on schizophrenic outpatients re-entry community

Yanhu WANG ; Chaojuan MU ; Xinsheng CHAI ; Chongquan ZHENG ; Jingxuan ZHANG ; Zheng WENG ; Jisheng TANG

Chinese Journal of Health Management.2010;04(6):362-365. doi:10.3760/cma.j.issn.1674-0815.2010.06.015

Objective To investigate the effect of synthetic intervention on community re-entry of outpatients with schizophrenia. Methods Two hundred and eighty-four patients were randomly assigned to the intervention group (n = 143 ) and the control group (n = 141 ). The participants in the intervention group received mental health education, medication consultation, skill training and family-based psychological intervention for 1 year. The control group was followed up through clinic visits. At baseline,half a year and the end of the year,all the subjects completed the Social Support Rating Scale (SSRS) and the Positive and Negative Syndrome Scale (PANSS). Results The scores of SSRS and PANSS at baseline were not significantly different between the two groups. At the end of the year,the score of SSRS (32. 85 ± 12. 18) ,the objective support subscale (9. 15± 4. 18 ) ,the subjective support subscale ( 16. 92±7. 34) and the support utility subscale (6. 77±2. 09 ) in the intervention group were significantly increased when compared with the control group ( 31.05±8. 35,7. 77±4. 36,13.46±7.87,6. 23±2. 12, all P < 0.05 ). The score of PANSS (38. 88 ±9. 58 ), the positive subseale (7.40 ±1.12 ), the negative subscale ( 11. 32±5.92 ) and the general psychopathology subscale (20. 16±5. 19 ) in the intervention group showed significant difference with the control group (46. 88 ±16. 37,8.60 ±3. 19,13.52±7. 81,24. 76±8. 08 ,all P <0. 01 ). At the end of the year,the relapse of psychotic symptoms in the intervention and the control group was 18. 18% and 34. 75% ,respectively ( χ2 = 10. 03, P < 0. 01 ). Conclusion The study results suggest that synthetic intervention could be effective for schizophrenic outpatients in community re-entry.

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Personality and mental health of supercargoes

Huiling LIU ; Xianfu LI

Chinese Journal of Health Management.2010;04(6):359-361. doi:10.3760/cma.j.issn.1674-0815.2010.06.014

Objective To investigate mental health and personality characteristics of supercargoes. Methods Catell 16 Personality Factor Test (16PF) and Symptom Checklist 90 (SCL-90) were used in 470 supercargoes for quantitative analysis. Pearson correlation analysis, multiple regressions and t test were used for data analysis. Results The participants showed a significantly lower score, although specific items were higher than normal models. There was no difference in different age groups. 16PF were positively correlated with total score of SCL-90, except for gregariousness, intelligence, ambition, fantasy,worldly-wisdom,creativity and independency. All factors in SCL-90 were significantly related with the subfactor (i. e. adaptation and anxiety) of 16PF. Conclusion The mental health of supercargoes may not be optimistic,and the personality problems may have some effects on their mental health.

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Effects of unhealthy behavior intervention on community residents living at Yantian district of Shenzhen city

Wei WU ; Limin ZHANG ; Danian LIANG

Chinese Journal of Health Management.2010;04(6):352-354. doi:10.3760/cma.j.issn.1674-0815.2010.06.010

Objective To investigate unhealthy behaviors and their influence on community residents,and to evaluate the effectiveness of modified behaviors. Methods A total of 1230 community residents were randomly enrolled from 8 of 16 communities in Yantian District of Shenzhen City. The behavior information of the participants was collected through face-to-face interviews. A systematic intervention was carried out to the target residents, and the outcomes were evaluated. Results The awareness of healthy behaviors was improved and unhealthy behaviors (i. e. lack of physical activity,over-intake of salt, cigarette smoking,alcohol consumption,irregular health check-up, long-time watching TV) were significantly reduced ( P < 0. 05 ). Conclusions Systematic intervention could be an effective way to reduce unhealthy behaviors of community residents.

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Bone mineral density-related factors of adult health checkup receivers

Yansong ZHENG ; Fan WANG ; Xiaoyong SAI ; Wei ZHAO ; Linlin YANG ; Shumin XU

Chinese Journal of Health Management.2010;04(6):340-343. doi:10.3760/cma.j.issn.1674-0815.2010.06.006

Objective To investigate bone mineral density-related factors to decrease the prevalence of osteoporosis. Methods This croas-sectional survey enrolled 46 219 adults less than 60 years old. Anthropometry, blood pressure, serum lipid, glucose, electrolytes, uric acid and homocysteine were detected. Bone mineral density (BMD) of distal forearm was measured by using peripheral dual energy-ray detector (MestriscanTM). Our data were analyzed by Pearson's correlation analysis and stepwise multiple regression analysis. Results All BMD-related factors except age showed significant difference between male and female. BMD of female subjects was lower than that of male participants (0.50±0. 15 vs 0. 54 ±0. 15,t = 22. 38 ,P < 0. 05 ). The prevalence of osteoporosis in female was higher ( 29. 51% vs 26. 48%, χ2 =47.90,P <0. 05). BMD increased with age before 40-year old, and then decreased more rapidly in female after 50-year old. Conclusion BMD of male is higher. Cigarette smoking, waist-hip ratio, systolic blood pressure, serum sodium, total cholesterol, and ALP were negatively correlated with BMD.

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Chronic disease risk index and its predictive effectiveness on chronic diseases

Huicheng WANG ; Juan CUI ; Zhengxiong YANG ; Yi ZHAI ; Wenhua ZHAO

Chinese Journal of Health Management.2010;04(6):366-370. doi:10.3760/cma.j.issn.1674-0815.2010.06.016

Objectives To develop a measurement for obesity assessment which could be used as a simple tool of risk screening. Methods The data of National Nutrition and Health Survey ( 2002 ) were used to analyze the relationship between body mass index ( BMI ), waist circumference (WC) and chronic diseases, based on which chronic disease index ( CRI ) was established. Receiver operating characteristic curve (ROC) was used to determine the cut-off of CRI and to compare the predictive effectiveness of CRI,BMI and WC on chronic diseases. The kappa test was chosen to estimate the consistency of different cut-off of CRI with BMI and WC. The odds ratios of chronic diseases in different cut-offs of CRI were calculated by multiple Logistic regression analysis. Results CRI was calculated as CRI = BMI + 3.5 WC. In ROC curve,the cut-off of CRI was 300. The predictive effectiveness of CRI was higher than that of BMI and WC. CRI at 300 showed the best consistency with 24 kg/m2 BMI and 85 cm WC (P <0. 05 ). In comparison with CRI <300,the risk of chronic diseases was significantly increased with an increase of 20 U CRI. Conclusion CRI shows good predietive effectiveness and could be used to identify those with higher risk of chronic diseases.

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Effect of rehabilitation on 2-year survival rate of patients with malignant tumor

Yi CHEN ; Hongliang MA ; Minghui CHEN ; Jun PENG ; Xiaomei HE

Chinese Journal of Health Management.2010;04(5):282-285. doi:10.3760/cma.j.issn.1674-0815.2010.05.009

Objective To investigate the effect of multidisciplinary intervenient on survival of patients with malignant tumor. Methods Six hundred and thirty-nine malignant tumor patients were randomly assigned to the intervenient and the control group. A total of 584 completed the follow-up study. The intervenient group received comprehensive treatment for 2 years,while the control group was in a process of self-rehabilitation. The 2-year survival rate was compared between the groups by using Cox proportional hazard model. Results The 2-year survival rate was 94. 74% (108/114) or 80. 67% (121/150) in II stage patients of the intervenient or control group, respectively ( P < 0. 01 ) . The 2-year survival rate was 88. 03% (163/177) or 82. 8% (184/222) in early and medium stage patients of the intervenient or control group,respectively(P <0. 01). Conclusion The multidisciplinary intervenient may help to improve the 2 year survival of early or moderate stage malignant tumors.

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