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CN 34-1304/R ISSN 1674-3679

2016 Vol. 20, No. 8

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The effect of hospital isolation in mid-stage dengue epidemic control
JING Qin-long, LUO Lei, LI Xiao-ning, CAO Qing, LI Yi-lan, XIAO Xin-cai, WANG Sheng-yong, YANG Zhi-cong
2016, 20(8): 755-758,763. doi: 10.16462/j.cnki.zhjbkz.2016.08.001
Abstract(370) PDF(41)
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Objective To evaluate the effect of hospital isolation in mid-stage dengue epidemic control. Methods The interval between Oct 27 and Dec 14,2014 after the implement of hospital isolation was slected as the study period, the hospital isolation rate and reporting incidence rate were investigated, the average reporting community rate was selected as the effective indicators for multiple linear regression analysis. Results A total of 2 956 cases were reported with reporting incidence rate 23.02 per 100 000, 1 264(61.99%) cases were actually isolated in total 2 039 patients who should received isolation. Weekly average reporting cases was 422 with weekly average reporting incidence rate 3.29 per 100 000 and weekly average community rate 49.70%. With population density and average Breteau Index adjusted, along with hospital isolation rate increasing, the district reporting incidence rate(R2=0.613 8,P=0.045), weekly district average reporting incidence rate(R2=0.625 3,P=0.041), weekly district average reporting community rate(R2=0.634 1,P=0.037) was decreasing. With week, population density, and lag of 2 weeks for weekly average air temperature, weekly average rainfull and weekly average Breteau Index adjusted, and with the weekly district hospital isolation rate increasing, the weekly average reporting incidence rate (R2=0.520 4,P<0.001), and the average reporting community rate(R2=0.681 3,P<0.001)were decreasing. Conclusions Hospital isolation of cases in the period of communicability plays an important role in reducing the velocity of incidence and geographical diffusion, and should be aroused more attention in dengue control.
The etiological and epidemiological characteristics of herpangina cases in Shenzhen City, 2015
WANG Yu-jie, YANG Hong, YAO Xiang-jie, ZHANG Hai-long, CHEN Long, HE Ya-qing
2016, 20(8): 759-763. doi: 10.16462/j.cnki.zhjbkz.2016.08.002
Abstract(586) PDF(62)
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Objective To analyze the etiological and epidemic characteristics of herpangina (HA) monitored in Shenzhen City in 2015, and to provide laboratory data for the epidemic control. Methods Seventy herpangina samples were collected in Shenzhen city in 2015. RT-PCR and RT-snPCR assays were performed to detect HEVs-postive specimens. Phylogenetic tree was contructed to identify the genotype of the predominant epidemic isolates. And the nucleotide sequence homology was analyzed among Shenzhen viral sequences and others viral sequences published in GenBank. Results According to the laboratory test results, 62 cases were enterovirus positive and the positive rate was 88.57%. Among these positive cases, six serotypes of EV including CA6, CA2, CA10, EV71, CA16 and CA5 were detected. CA6 and CA2 were the predominant serotype. A total of 22 and 16 cases of herpangina were infected by CA6 and CA2 which accouted for 31.43% and 22.86% of the totcucases respectively. Phylogenetic analysis showed that all CA6 strains determined in this study were belonged to B subgenotype. The nucleotide sequences identities of the VP1 gene among CA6 strains were 96.2%-100%. The homology of amino acid of the VP1 gene among CA6 strains was 97.3%-100%. The VP1 sequences of Shenzhen CA2 isolates shared high similarity with those of Hong Kong isolates. And their homologies of nucleotide and amino acid sequences were 91.1%-99.6% and 92.4%-100%, respectively. Conclusions A total of six different serotypes were detected in this study in which all six serotypes belonged to HEV-A species. And subgenotype B virus of CA6 may play an important role in the development of herpangina and it was the predominant etiologic agent of herpangina cases in this study.
Detection and drug resistance characteristic of Laribacter hongkongensis in freshwater products in a district of Shenzhen City
FENG Mei, LIU You-zhao, HE Ya-qing, LIU Zhi-hua, CHEN Qing, HU Jing
2016, 20(8): 764-767. doi: 10.16462/j.cnki.zhjbkz.2016.08.003
Abstract(173) PDF(34)
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Objective To investigate the contamination status of Laribacter hongkongensis in freshwater products in Nanshan district of Shenzhen city, and to analyze the antibiotic resistant characteristic. Methods 347 freshwater product samples from five different aquatic product markets were collected during April to September 2015 in Shenzhen city. All the samples were inoculated by using cefoperazone macconkey agar (CMA). Suspicious isolates were identified by gram staining, biochemical tests, amplification and sequencing of 16S rRNA. Antimicrobial resistance of L. hongkongensis to 19 antimicrobial agents was tested using disc-diffusion (K-B) method to determine the antibiotic susceptibility patterns. Results A total of 108 (31.12%)strains were isolated among 347 samples of aquatic product. The positive rates of grass carps and tiger frogs were 20.44% and 50.82%, respectively. Comparison of drug susceptibilities between fish-derived strains and frog-derived strains showed that the higher proportion of fish strains than frog strains were the first-generation and second-generation cephalosporins, while the higher discrepancies for frog strains were observed with tetracycline, quinolones and sulfonamides. Among 38 multiple drug-resistant strains of L. hongkongensis, nine fish strains and 29 frog strains were presented 6 and 20 different resistant phenotype, respectively. Conclusions There are different levels of the contamination of L. hongkongensis in aquatic products in Shenzhen. In addition, strains derived from frog have more complex drug-resistant pattern.
Serological survey of coxsackie virus A16 and enterovirus 71 infections among different population groups in Beijing
LI Jie, LIN Chang-ying, JIA Lei, YANG Yang, DU Yi-wei, LIANG Zhi-chao, LIU Yuan, CHEN Li-juan, WANG Quan-yi
2016, 20(8): 768-771,780. doi: 10.16462/j.cnki.zhjbkz.2016.08.004
Abstract(322) PDF(35)
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Objective To understand the infection status of coxsackievirus A16 (CoxA16) and enterovirus 71 (EV71) among different population groups in Beijing. Methods A cluster random sampling was performed in nine districts of Beijing in 2012. Blood samples were collected and serological survey was conducted with enzyme-linked immunosorbent assay (ELISA) to detect levels of anti-EV71, anti-CoxA16 immunoglobulin G(IgG)and immunoglobulin M(IgM). Results A total of 2 140 people were enrolled in this study. The seropositive rates of anti-EV71 IgG and IgM were 27.0% and 1.6% respectively. The positive rates were 48.5% and 4.2% for anti-CoxA16 IgG and IgM, respectively. The positive rate of both anti-EV71 and CoxA16 IgM positive was 0.7%. The positive rate of both anti-EV71 and CoxA16 IgG positive was 17.2%. Significant difference of positive rate was observed among different age groups. The age group of 1-4 years old showed the highest positive rate for anti EV71 IgM. The age group of 5-9 years old showed the highest positive rate of anti-Cox16 IgM. The age group of 10-14 years old showed the highest positive rate of anti-EV71 IgG. The age group of 20-24 years old showed the highest positive rate of anti-CoxA16 IgG. The positive rate of anti-CoxA16 IgG was significantly higher in female compared with that in male. Conclusions Young children should be focused by the hand foot and mouth disease (HFMD) prevention and control, and geographical distribution factors should be considered during the development of HFMD prevention and control strategies.
Life quality assessment of people living with HIV/AIDS in Northern Anhui Province
WANG Hua-dong, CHEN Wei, XIE Wen-qin, ZHU Yong-jia, WEN Yu-feng, ZHAO Cun-xi
2016, 20(8): 772-776. doi: 10.16462/j.cnki.zhjbkz.2016.08.005
Abstract(407) PDF(39)
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Objective To survey the present quality of life (QOL) and its influencing factor about HIV/AIDS in northern Anhui, in order to provide an objective basis for improving their QOL. Methods Using convenient sample method to select HIV/AIDS among 10 counties in northern Anhui, QOL of HIV/AIDS was investigated by anonymous, face-to-face with Medical outcomes study-HIV health survey (MOS-HIV). Then, QOL of HIV/AIDS was evaluated by t test, ANOVA and multiple linear regression analysis. Results The total score for physiology was (48.29±8.73), and that of psychology was (46.67±8.45). The scores for general health(GH),physical function(PF),social function(SF), physical(PA), mental health (MH),vitality (VT) among QOL were significantly lower than healthy individuals (all P<0.05). The scores for physiology, psychology, multi-dimension among QOL were significantly different among different education level, occupation, residence and family income (all P<0.05). The education level and family income were positively correlated to total score of physical health (PHS), total score of mental health (MHS), PF, cognitive function (CF), PA, MH, VT of HIV/AIDS. But the casual lab or was negetive corre lation to RF、PA of HIV/AIDS. Conclusions QOL of HIV/AIDS was lower than that of general population, which was affected by education level, occupation, residence, different family income, etc. It should be encouraged to strengthen their education level and family income to improve their QOL.
A study on dropping-out rate and associated factors of patients with methadone maintenance treatment in Beijing from 2010 to 2014
WANG Juan, LIU Guo-wu, ZHAO Yue-juan, XIA Dong-yan, LU Hong-yan, HE Xiong
2016, 20(8): 777-780. doi: 10.16462/j.cnki.zhjbkz.2016.08.006
Abstract(246) PDF(31)
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Objective To study on dropping-out rate and associated influencing factors of patients with methadone maintenance treatment (MMT) in Beijing from 2010 to 2014. Methods Cases were collected from MMT information system from January 1st, 2010 to December 31st, 2014 with detailed information and analyzed with SPSS 18.0. Results 1 923 cases were included in total and the dropping-out rate was 42.38%. It showed that the divorced or widowed had higher dropping-out risk compared with the married (OR=1.47,95% CI:1.11-1.99). In the way of contact frequency with drug addicts, cases contacted with drug addicts often(OR=1.45,95% CI:1.05-2.01) or daily(OR=1.86, 95% CI:1.34-2.59)had higher dropping-out risk than occasional contact, cases who were treated less than 720 days had higher dropping-out risk than those who above 720 days, and treatment time during 31-90 days(OR=22.25,95% CI：12.38-39.96)was with the highest dropping-out risk . During the treatment,the higher positive rate of urine test, the greater the risk of dropping-out. Conclusions MMT clinics should increase urine morphine test during the medicine using and we should strengthen the psychological behavior intervention especially on those whose treatment time is too short and with high positive rate of urine test to reduce dropping-out rate .
Study on distribution of partial HIV-1 strains subtypes in Liuzhou City from 2011 to 2013 by gene gag sequencing
LI Ming-qiang, HUANG Ping, CHEN Liu-jun, YU Jun-chi, LIU Xin, FENG Xian-xiang
2016, 20(8): 781-784. doi: 10.16462/j.cnki.zhjbkz.2016.08.007
Abstract(261) PDF(161)
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Objective To understand human immunodeficiency virus 1(HIV-1) subtype distribution and pandemic strains in Liuzhou City from 2011 to 2013. Methods From 2011 to 2013, 120 samples which were randomly selected in HIV-1 infectors were extracted RNA nucleic acids from plasma, and were amplified gene gag fragment to be sequenced by BGI Technology Co. The qualified sequences were analyzed subtypes by using Los Alamos National Laboratory HIV database and built a phylogenetic tree by MEGA 5 software. Results The 98 sequences of gene gag were accomplished. The circulate recombinant forms's recombinant subtype CRF01_AE accounted for 95.9%(94/98), the heterosexual transmission accounted for 79.8% (75/94); and recombinant subtype CRF07_BC accounted for 4.1%(4/98). There were 1LZ022 and 1LZ032, 1LZ025 and 3LZ029 with high bootstrap value of 99.0% and 100.0% respectively between the two different transmission ways. Conclusions From 2011 to 2013, subtype of HIV-1 was mainly CRF01_AE which had spread from drug addicts to the heterosexual contact infections in Liuzhou City. Using phylogenetic tree combined with the transmission way, to locate the origin of infection and provide powerful evidence for HIV/AIDS intervention measures.
Study on the HIV testing time distance distribution and its influencing factors of men who have sex with men
WANG Yi, LI Lu-lin, FAN Jing, ZHAO Xi-he, ZHANG Zhao, WANG Xiao-li, LIU Jiang, YANG Gan-jin, LI Wei, JIA Xiu-wei, DA Xu-hui, REN Ting-fei, WANG Hong-ming, LIAO Ping
2016, 20(8): 785-788. doi: 10.16462/j.cnki.zhjbkz.2016.08.008
Abstract(215) PDF(34)
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Objective To understand the time interval of the last time of the human immunodeficiency virus(HIV)testing and the influencing factors among men who have sex with men(MSM). Methods From April to October in 2014, the snowball sampling method was used to recruit the investigators, investigate the behaviors and test the serological among MSM in nine counties (cities, districts) of Mianyang City. They were given inform consent in a fixed place. Results A total of 1 097 cases were investigated. 76.7% had HIV testing in the past years.75.8% of them had known the result. The time interval of testing in the last time which ≤ 3 months accounted for 34.3%,four to six months accounted for 28.9%, 7 to 12 months accounted for 24.2%, >12 months accounted for 12.6%.The prevalence rate of HIV was 0.4%, 3.8%, 2% and 8.8% respectively. The difference was statistically significant (P<0.001). The multiple factor analysis showed that age, sexual orientation, receiving preventive services, the sites of seeking sexual partners, the number of anal intercourse in the past week, the protective of anal sex in the last time and the past six months were the independent influencing factors of the time interval of HIV testing (all P<0.05). Conclusions The time interval of HIV testing among MSM was short, which promoted to discover the infected persons in time. The time interval of testing had relationship with demographic characteristics, preventive services and sexual behavior.
Analysis on mortality of respiratory system diseases among the disease surveillance points in Guangxi, 2008-2012
HE Hui-min, YANG Li, LI Wu-ping
2016, 20(8): 789-791,800. doi: 10.16462/j.cnki.zhjbkz.2016.08.009
Abstract(282) PDF(34)
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Objective To investigate the situation of the mortality of respiratory system diseases in the disease surveillance points of Guangxi from 2008 to 2012, and to provide scientific evidence for prevention and control of respiratory system diseases.Methods The data of Guangxi were collected from Guangxi disease surveillance points death registration report information system. The statistical data of respiratory system diseases leading to death was analyzed.Results A total of 12 041 respiratory system diseases cases were reported from 2008 to 2012 in the province, with annual mean mortality of 78.95 per 100 thousand and standardized mortality rate of 77.63 per 100 thousand. The chi-square test for trend was statistically significant(χ2=7.59,P=0.006). The mortality rose with the increase of age. The mortality of respiratory system diseases was 86.33 per 100 thousand in male and 70.79 per 100 thousand in female, and the mortality between male and female was not significant different (Z=1.38,P=0.167). The mortality of respiratory system diseases was 27.82 per 100 thousand in urban and 101.91 per 100 thousand in rural. The mortality between urban and rural was significantly different (Z=6.44,P<0.001), and it was higher in rural than in urban. The mortality of chronic obstructive pulmonary disease was 71.58 per 100 thousand, which was the highest mortality of the main respiratory system disease.Conclusions The respiratory disease mortality differen of Guangxi monitoring points increased with age, the disease mortality rate of rural residents was higher than urban residents, and therefore prevention of respiratory disease should focus on older rural residents.
Epidemiological analysis on severe fever with thrombocytopenia syndrome in Anhui Province, 2011-2015
CAO Chen, WU Jia-bing, CAO Ming-hua, CHEN Guo-ping, SONG Dan-dan, WANG Jian-jun
2016, 20(8): 792-795. doi: 10.16462/j.cnki.zhjbkz.2016.08.010
Abstract(226) PDF(36)
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Objective To understand the epidemiological characteristics of severe fever with thrombocytopenia syndrome (SFTS) in Anhui Province, and to provide scientific evidence for the disease control and prevention. Methods A descriptive epidemiological study method was used to analyze the surveillance data of SFTS in Anhui Province during 2011 to 2015. Results The vast majority of cases (575 cases, 84.19%) of SFTS were reported by medical institutions in Anhui province from 2011 to 2015. As the number of reported SFTS cases continuously increased, its incidence was on the rise. But the case fatality rate (CFR) had steadily decreased. There were 330 cases confirmed by laboratory. These cases were mainly reported in the middle area of Anhui province. Every year the prevalence began at March and the peak of occurrence was from May to July. Among these cases, the ratio of male to female was 1.14:1. The majority (87.27%) were 40 to 74 years old, which included all of the deaths. 87.27% were farmers. The family clusters of SFTSV infections were most likely to result from contacting the blood and secretions of the index case. Conclusions SFTS reported cases exist widely in Anhui province and the reported cases increase year by year and the incidence time mainly concentrated from May to July. Therefore, we must work on the surveillance and prevention of SFTS among high risk population in high-risk area.
Risk factor analysis for measles infection in 8 months to 14 years children and older than 15 years adults in Jiangsu Province: a 1:3 matched case-control study
LIU Yuan-bao, HU Ying, DENG Xiu-ying, LU Pei-shan, WANG Zhi-guo, MA Fu-bao, MA Chao, SU Qi-ru, HAO Li-xin
2016, 20(8): 796-800. doi: 10.16462/j.cnki.zhjbkz.2016.08.011
Abstract(204) PDF(40)
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Objective To explore risk factors of measles infection in children aged 8 months-14 years and adults older than 15 years in Jiangsu province to provide scientific basis for measles prevention and control measures. Methods A 1:3 matched case-control study was conducted. Newly reported laboratory confirmed cases from 8 months-14years and more than 15 years were analyzed, respectively. Results Totally 24 groups of months-14years children and 74 groups of older than 15 years adults were included in the analysis. For 8 months-14 years old children, visited hospital on 7-21 days before the rash, went to the densely populated sites, and went to the large hospital were risk factors, while mother had measles and measles vaccination history were protective factors of measles infection. For adults, visited hospital on 7-21 days before the rash, travel history on 7-21 days before the rash were risk factors, while measles vaccination history, local inhabitants were protective factors. Conditional logistic analysis showed that for 8 months-14 years old children, visited hospital on 7-21 days before the rash (OR=165.13, 95% CI: 2.32-3 980.88) was risk factor and measles vaccination history (OR=0.06, 95% CI: 0.01- 0.86) were protective factor. For more than 15 years old adults, visited hospital on 7-21 days before the rash (OR=12.71, 95% CI: 4.25-38.02) and travel history on 7-21 days before the rash (OR=6.74, 95% CI: 1.51-30.18), and measles vaccination history (OR=0.18, 95% CI: 0.06-0.49) was protective factor. Conclusions To achieve the purpose of the measles control and elimination, nosocomial infection should be strengthened and high measles vaccine coverage should be maintained for the 8 months-14 years old children, and feasible vaccination strategies should be explored for adults.
Evaluation on measles containing vaccine immunization coverage rate and measles antibody level in Tianjin
DING Ya-xing, SUN Jing, TIAN Hong, GAO Zhi-gang, HAO Bao-yun, ZHANG Xiu-mei, LIU Xiao-chuan, ZHANG Ying
2016, 20(8): 801-804,820. doi: 10.16462/j.cnki.zhjbkz.2016.08.012
Abstract(330) PDF(29)
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Objective To evaluate the measles containing vaccine (MCV) immunization coverage rate and measles antibody level in healthy population in Tianjin. Methods Multistage random sampling method was applied to draw health subjects of aged 0-44 years for MCV coverage rate investigation and measles serological surveillance in 2012-2014. Results There were 993 children of eight birth cohorts from 2006 to 2013, the median of vaccinated age of MCV1 was raised from 8.42 months of age in 2006 to 8.15 months of age in 2013. Timely immunization coverage rate of eight months of age increased from 50.67% in 2006 to 90.90% in 2013. There were 720 children of seven birth cohorts from 2006 to 2012, the median of vaccinated age of MCV2 changed from 21.99 months of age in 2006 to 18.16 months of age in 2012. Timely immunization coverage rate of 18 months of age increased from 2.67% in 2006 to 71.11% in 2012. 3 147 subjects were enrolled for serological investigation, measles antibody positive rate was 90.28% totally, geometric mean concentration (GMC) was 912.83 mIU/ml. Logistic regression analysis showed that <8 months group had the highest risk for measles and then was 30-34 years group, the OR(95% CI) were 7.27(3.93-13.46) and 3.30(1.67-6.51) respectively. Spearman rank correlation analysis was applied to compare antibody level with morbidity of measles (r=-0.73, P=0.007). Conclusions High immunization coverage rate in children couldn't stop measles virus transmission among adults, an adult immunization program need to be considered.
Analysis on the awareness rate of Poliomyelitis vaccine and influential factors among guardians of children in Yinchuan City
YANG Chan, ZHOU Li-wei, LI Wu-ping, LI Ying
2016, 20(8): 805-808. doi: 10.16462/j.cnki.zhjbkz.2016.08.013
Abstract(277) PDF(34)
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Objective To investigate the awareness rate of Poliomyelitis vaccine among children guardians in Yinchuan as well as its influential factors, so as to provide basis for promoting the popularization of vaccine-related knowledge, avoiding VAPP, maintaining children's health and impelling National Expanded Program on Immunization. Methods The questionnaire survey was conducted among 1 164 children's parents who were randomly collected in vaccination clinic of Yinchuan. Results The 598 guardians of children knew well about Poliomyelitis vaccine and the awareness rate was 51.4%. The single factor analysis results showed that relationship with children, age, educational level, occupation, the number of family children, residence time and the monthly income of family were the significant factors. Unconditional Logistic regression analysis showed that the awareness rate was associated with age, relationship with children, educational level and the number of family children. Conclusions More attention to vaccine related knowledge should be paid to enhance public awareness and education in the future. Adjusting education approaches according to the requirements of different people should be performed to improve the motivation of parents and strengthen the popularization of vaccination knowledge.
The six-year follow-up investigation of students'social anxiety in grade 3 in Harbin
CHEN Fu-li, SU Shu-ge, LI Hong-jie, XIN Zhi-yu, WANG Yi-jun
2016, 20(8): 809-812. doi: 10.16462/j.cnki.zhjbkz.2016.08.014
Abstract(149) PDF(31)
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Objective To understand the development of students' social anxiety in grade 3 during six years, and to explore the influence of various factors on students' social anxiety. Methods In 2009, 533 students in Harbin of 4 primary school in grade 3 filled in the questionnaire survey. The questionnaire included general situation, and the social anxiety scale for children(SASC).We conducted a questionnaire survey of these students for follow-up investigation using the same questionnaire in 2011, 2013 and 2015. Results The detection rate of students' social anxiety of the four-time test was 28.7%, 18.6%, 24.8% and 27.9%, and there was significant difference in them (χ2=12.000, P=0.007). In 2009-2015, the number of students always holding social anxiety was 10(2.8%). In 2011, 2013, 2015, the number of students newly occurring social anxiety was 33(13.0%), 58(20.1%) and 53(19.9%), and the number of students whose social anxiety disappeared was 69(67.6%), 36(54.5%) and 42(47.7%). In 2009 and 2015, the detection rate of students' social anxiety on parental quarrelling were higher than students in normal families(all P<0.05). In addition, there was difference in girls' social anxiety of different measuring time(F=2.699, P=0.049), and the girls' social anxiety was higher than boys' (F=11.273, P=0.001). There was significant difference in singletons' social anxiety of different measuring time (F=3.820, P=0.012). Non-singletons' social anxiety was higher than singletons' (F=4.269, P=0.040). Conclusions During the six years,development status of social anxiety was constantly emerging and remission,but there were still 2.8% of the students keeping social anxiety state. Gender, singleton and parental quarrelling can affect the development of students' social anxiety.
Prevalence and associated factors of elder abuse in one rural area of Anhui Province: a cross-sectional study
QIAN Zhen-zhong, HU Cai-yun, GONG Feng-feng, LU Shan-shan, FENG Fang, ZHAO Dong-dong, ZHAO Yuan-yuan, HUANG Yu-jun, SUN Ye-huan
2016, 20(8): 813-816. doi: 10.16462/j.cnki.zhjbkz.2016.08.015
Abstract(315) PDF(32)
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Objective To explore the prevalence of elder abuse in one rural area of Anhui China, to investigate and identify risk factors of elderly abuse, and to provide evidence for the elderly abuse prevention strategies and measures. Methods Dangtu County in Maanshan City was selected as the study field. Elder people with 60 years old and above and no obstacles in language communication were selected as the study subjects. Chi square test was used to compare the difference between gender and age groups of elderly abuse detection rate. Multivariate logistic regression was used to explore the influencing factors of elderly abuse. Results The detection rate of elder abuse was 9.9%. With the growth of age, detection rate of elder abuse showed a rising trend. Risk factors for elderly abuse included: a high degree of culture, religious belief, more children, living with a spouse, more diseases, poor daily life ability, moderate to severe pain and depression (all P<0.05). Conclusions Elder abuse had relatively low detection rate in the rural area of Maanshan, Anhui Province. More care and medical services for the elderly should be provided.
Correlation of physical activities with depression and the quality of life in elders from urban community in Jining City
LI Jing, WANG Wen-jun, GU Huai-ting, LIU Gen-yi, ZHANG Jing
2016, 20(8): 817-820. doi: 10.16462/j.cnki.zhjbkz.2016.08.016
Abstract(276) PDF(28)
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Objective To investigate the correlation of physical activities with depression and the quality of life in elders from urban community in Jining city. Methods 482 elders aged ≥60 years from 4 communities were selected using cluster sampling in Jining city. To survey the quality of life and depression status, we used the brief version of World Health Organization Quality of Life (WHOQOL-BREF), Self-rating Depression Scale, and a self-designed physical activity questionnaire for elders. Results The total rate of depression among 482 elders was 54.36%, among which 46.06% (222/482), 7.88% (38/482) and 0.41% (2/482) were mild, moderate and severe depression, respectively. The result of multivariate analysis showed that the main influencing factors for depression were duration for every physical activity (β=-2.167), monthly income (β=-2.661), times for physical activity every week (β=-2.826), educational level (β=1.694), occupation (β=-3.337) and exercise intensity (β=-1.112). The main influencing factors for the quality of life were duration for every physical activity (β=4.302), times for physical activity every week (β=3.036), monthly income (β=2.114), educational level (β=-2.160), occupation (β=4.324) and gender (β=2.356). There was a negative correlation between the depression score and the total score and scores of different fields of the quality of life in elders from urban community (all P<0.05). Conclusions Regular physical exercise was an important factor to improve the depression and life of quality among aged people.
Analysis the trend of life expectancy for Guilin urban citizens during 2008-2014
WANG Chun-xu, QIN Lin-yuan, YANG Dong, SHI Yu, LI Chun-hong, ZHONG Qiu-an, OU Chao-yan
2016, 20(8): 821-824,859. doi: 10.16462/j.cnki.zhjbkz.2016.08.017
Abstract(311) PDF(32)
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Objective To understand the current life expectancy of residents in Guilin and explore the main causes affecting the life expectancy of residents. Methods To draw the life table of each year and calculate the life expectancy using the death data of Guilin residents from 2008 to 2014 by SPSS 20.0. At the same time, to analyze the top five causes of death affecting life expectancy and calculate the life expectancy excluding causes of death. Results The life expectancy dropped year by year during 2008-2014, and there was a turning point in 2011, the life expectancy was the lowest for all in 2011, then was a slow recovery. It was 85.51 years in 2008. And it was slightly rising, 81.38 years in 2014. There were 4.13 years dropped in the seven years. The life expectancy in male is lower than which in female. The life expectancy would increase 3.97-6.49 years, 3.38-6.22 years, 1.07-2.06 years, 0.52-1.05 years and 0.27-0.40 years respectively after removing circulatory system disease, respiratory system disease the other diseases, tumor and injury and poisoning. Conclusions The trends of life expectancy for Guilin urban citizens kept decreasing. The residents of disease control and prevention focus should be different by sex.
Visual analysis of the behavioral intervention in diabetes based on CiteSpace Ⅲ
MO Ming-lu, XU Cong, DUAN Ming-xiang, XIONG Hong-yan
2016, 20(8): 825-830. doi: 10.16462/j.cnki.zhjbkz.2016.08.018
Abstract(223) PDF(29)
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Objective To analyze the behavioral interventions in diabetes based on the study distribution, classical literatures and research hotspots and fronts. Methods The web of scienceTM was searched for articles published during 2005-2015 and studies related to behavioral interventions in diabetes were selected. Data were analyzed by citespasce III (3.8.R1.32). Results Result showed a developing trend in behavioral intervention studies for control of diabetes mellitus. Research groups were primarily clustered in United States, England, Australia, Germany, Canada and other Western countries, including core intervention research project teams supported by the United States and Finland government. Research hotspots focused on the risk factors, intervention methods and effect evaluation. To date, diet and physical activity were main behavioral interventions in diabetes. Education and counseling were the main intervention contents for diabetes, with an increase in other new forms including peer support, telecommunications and network information contact. Conclusions Developed countries pay high attention to behavioral interventions in diabetes. Currently, optimization and effect evaluation of intervention contents based on diet and physical activity for control of diabetes are important tasks.
Case-control study on association of carotid artery unstable carotid plaque, blood lipid and blood pressure with acute cerebral infarction
ZHANG Meng, ZHENG Hui, ZHANG Min, ZHOU Shan-shan, CHEN Qing
2016, 20(8): 831-834. doi: 10.16462/j.cnki.zhjbkz.2016.08.019
Abstract(214) PDF(27)
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Objective To investigate the relationship between carotid artery unstable plaque, blood lipid, blood pressure and the acute cerebral infarction. Methods Color doppler ultrasound was conducted to see the nature of carotid plaque. At the same time, the blood lipid and blood pressure levels of two groups were compared, case-control study design was used to compare the differences between the cerebral infarction group and the control group. Results Compared with the control group, the detection rate of carotid plaque in the cerebral infarction group was higher (χ2=12.477,P<0.001); and unstable plaques occupied 70.2% of the cerebral infarction group detected plaques(χ2=7.754,P=0.005), differences were statistically significant. TC,TG,VLDL and LDL-C of the cerebral infarction group was higher than that of the control group, and HDL-C was lower than that of the control group, differences were statistically significant (all P<0.05). As for the patients detected with unstable plaques, their HDL-C was lower than that of people without plaques and LDL-C was higher than those without plaques, differences were statistically significant(all P<0.05). Systolic blood pressure and diastolic blood pressure of the cerebral infarction group were both higher than that of the control group, differences were statistically significant(all P<0.05). Among the study objects with high blood pressure history, the systolic and diastolic pressure of the cerebral infarction group were higher than that of the control group(t1=3.154,P1=0.003;t2=4.384,P2<0.001) , differences were statistically significant. Conclusions The occurrence of acute cerebral infarct is related to carotid artery unstable carotid plaques, blood lipid and blood pressure. Positive prevention treatment in the early stage of risk factors has potential significance in reducing acute cerebral infarct occurrence rate.
Analysis of reasons and preference for caesarean section among parturient underwent caesarean section
WU Jing, ZHANG Hong-wei, GUO Li
2016, 20(8): 839-842. doi: 10.16462/j.cnki.zhjbkz.2016.08.021
Abstract(259) PDF(36)
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Objective To understand the preference rate and reasons of caesarean section, and analyse delivery complication knowledge level and influencing factors among parturient underwent caesarean section. Methods A cross-sectional study was conducted among women who actually had caesarean section. Data were collected with a self-designed questionnaire in a maternity hospital from April to June, 2014. Socio-demographic information, history of gestation and childbearing, reasons of preference for caesarean and delivery complication knowledge investigation results were obtained. Results A total of 192 women were included, and 70 of them preferred caesarean section in the third trimester. The main reason of caesarean preference was to reduce the risk of fetal intrauterine asphyxia. The main reasons of preference for vaginal delivery were natural process, faster recovery, and healthier baby. In multivariate analysis, the following factors were found to be strongly associated with caesarean section preference: gravidity >1 time (ORadjusted=2.8,95% CI: 1.5-5.3), having only one information source on preference for delivery route (ORadjusted=2.5,95% CI: 1.0-5.9), denying doctor's right to decide delivery mode (ORadjusted=2.2,95% CI: 1.0-4.8). Those women who were older than 35 years (ORadjusted=3.4,95% CI: 1.5-7.7) and who thought that doctors have no right to decide the delivery mode for their patients (ORadjusted=2.1,95% CI: 1.1-6.0) had significantly higher odds of preferring caesarean section among primiparous women. Conclusions The rate of preference for caesarean section is high (36.5%). We should take reasonable steps to reduce the actual caesarean rate among women who preferred caesarean section.
Effect of continuous quality improvement PDCA management mode on health knowledge acquisition mastering and the quality of life of patients with leukemia
YAO Su-yu, LIANG Chang-lan, SHENG Yu-ping, WANG-Rong, ZHOU Ying, ZHU Liu, XIA Rui-xiang
2016, 20(8): 843-846. doi: 10.16462/j.cnki.zhjbkz.2016.08.022
Abstract(315) PDF(39)
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Objective To investigate the effects of continuous quality improvement management model on health knowledge acquisition mastering and the quality of life of patients with leukemia. Methods According to the date of hospitalization,104 cases (admitted in the year of 2012) and 103 cases (admitted in 2013) of leukemia patients, who were admitted to our department in the year of 2012 and 2013, respectively, were included in the control group and the experimental group, respectively. The control group received conventional care management while the experimental group received continuous quality improvement care management. The degree of health knowledge acquisition, quality of life, satisfaction with medical care and hospitalization time were compared between two groups. Results QLQ-C30 functional scores were higher and QLQ-C30 symptom scores lower in the experimental group compared to the control group, with statistical significance (all P<0.05). The degree of health knowledge acquisition and satisfaction with medical care in the experimental group is higher than the control group (all P<0.05). The average hospitalization days was lower in the experimental group compared to the control group. The difference was statistically significant (t=13.78,P<0.001). Conclusions Continuous quality improvement model can decrease the duration of hospitalization and increase the degree of satisfaction and quality of life of leukemia patients. Therefore, continuous quality improvement model should be widely applied in medical care of leukemia patients.
Application of Bayesian model and Spatial-temporal scan statistic in mortality spatial distribution characteristics of gastric cancer
LIAO Wei-bin, SUN Jian-guo, YONG Wan-ling, YU Guo-wei, TIAN De-hong, WANG Xi-bei
2016, 20(8): 847-850. doi: 10.16462/j.cnki.zhjbkz.2016.08.023
Abstract(336) PDF(56)
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Objective Based on the Bayesian model and the spatial-temporal scan statistic, to analysze the spatial distribution of gastric cancer from 2012-2013 in Liangzhou District of Wuwei, taking the percent of male mortality and the distribution of the river into consideration to estimate the relative risk of gastric cancer mortality, and provide the basis for gastric cancer risk factors and spatial aggregation analysis. Methods Based on the morality data of gastric cancer in Liangzhou district of Wuwei during 2012-2013, Bayesian model (BYM) and spatial-temporal scan statistics analysis were carried out. Results The result of Bayesian models showed there exist high relative risk areas in Liangzhou District of Wuwei from 2012 to 2013, which were distributed in the northern, central and southeast of Liangzhou district. The model with risk factors was performed better than BYM, and the result of spatial-temporal scan statistic indicated that there were two clusters of gastric cancer mortality in 2012, besides, the area with high RR value and spatial temporal clusters were similar. Conclusions The gastric cancer morality in Liangzhou District of Wuwei exist high risk and aggregation areas, and the distribution of these regions may related to the river pollution and other environmental risk factors, the correlation between these factors and high risk areas needs further study.
An ARIMA model of epidemiological features of hemorrhagic fever with renal syndrome and its meteorological factors in Guangdong
YU Liang, LIANG Li-jun, HUANG Ping, HAO Yuan-tao
2016, 20(8): 851-855. doi: 10.16462/j.cnki.zhjbkz.2016.08.024
Abstract(319) PDF(40)
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Objective To learn the relationship between epidemiological feature of hemorrhagic fever with renal syndrome (HFRS) in Guangdong and its meteorological factors. Methods The data of HFRS epidemic and meteorological data in Guangdong were collected and the descriptive epidemiology was conducted, the Autoregressive Integrated Moving Average(ARIMA) model using SPSS 19.0 were analyzed between the epidemiological feature of HFRS and meteorological factors.Results The incidence of HFRS in Guangdong increased year by year, with incidence rate (0.069-0.328)/100 000.Most cases occurred in Guangzhou, Foshan, Shenzhen, Dongguan and Zhuhai (totally accounted for 82.6%).The HFRS cases peaked monthly between March to June and lesser between December to January of next year.The ratio of male to female totally was 2.95:1(χ2=427.22,P<0.001) and the 15-55 years-old groups accounted for 85.0%.The workers, household workers and farmers(18.7%, 17.3% and 13.1%, respectively) accounted for 49.1%.There was a negative correlation between the monthly-cases and the average temperature with lags of 2-months (-0.486) and the minimum temperature with lags of 2-months (-0.493) by cross-correlation.In ARIMA (R2=0.747) model, HFRS cases monthly were statistically associated with the average relative humidity with lags of 4-months(β=0.880, P=0.044) and the sunshine duration with lags of 3-months(β=-0.024, P=0.033). Conclusions The HFRS incidence in Guangdong increased gradually past 11 years.More raining/cloud might result in increasing the HFRS cases next season as rodent habit changing.HFRS surveillance and rodent ecological monitoring should be strengthened.
Study on the relationship of the HBsAg levels and HBV-DNA in the chronic hepatitis B patients
CHEN Ren, LIAO Jin-yao, LUO Xiao-dan, HUANG Jing, CHEN Wen-li, MA Xiao-jun
2016, 20(8): 856-859. doi: 10.16462/j.cnki.zhjbkz.2016.08.025
Abstract(228) PDF(26)
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Investigation on KAP regarding child safety seat among parents of child aged 4-6
ZHAO Dan, MA Jian-ping, LIU Sheng-yuan, CHEN Si-han, PENG Ji, DUAN Lei-lei, DENG Xiao, LI Li-ping, WANG Chang-yi
2016, 20(8): 860-862. doi: 10.16462/j.cnki.zhjbkz.2016.08.026
Abstract(218) PDF(22)
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