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  • Ya-ting LIU, Dan YAO, Na GUO, Zhuo LI, Ji-yan ZHANG, Fei-ran ZHENG, Xiao-ping WU, Chen-lu HONG, Yan-tao WANG, Ya-nan LUO
    Modern Preventive Medicine. 2024, 51(5): 904-909.
    Objective

    To investigate the relationship between childhood bullying and loneliness of the floating elderly in mega-cities.

    Methods

    By using the method of quota sampling, an effective questionnaire survey was conducted among 1 000 migrant elderly people ≥ 60 years old in Qingyundian Town, Daxing District, Beijing in 2022. The information of social demography, loneliness, and childhood bullying were collected. Univariate analysis and ordinary least squares (OLS) regression model were used to analyze the relationship between childhood bullying and loneliness of the floating elderly in mega-cities.

    Results

    After adjusting demographic variables, socio-economic status variables, physical health variables, length of stay in Beijing, and proficiency in Mandarin and social integration, the loneliness scores of floating elderly people in mega-cities who suffered childhood bullying increased by an average of 5.616 (4.153-7.079) points. Self-rated health, Mandarin proficiency, marital satisfaction, and social integration played a regulatory role in“childhood bullying-loneliness”. Compared with model 1, the 95%CI of models 2, 3, and 4 changed from 8.014 (6.580-9.447) to 7.498 (6.027-8.968), 7.402 (5.961-8.843), and 5.616 (4.153-7.079), respectively. Sub-sample regression showed that the results were stable in different gender, age, household registration, and marriage and spouse mobility (all P < 0.01), but there were differences in education level.

    Conclusion

    The floating elderly in mega-cities who suffered childhood bullying have a higher level of loneliness, and self-rated health, proficiency of Mandarin, marital satisfaction, and social integration are helpful to weaken the above-mentioned relationship.

  • Jia-sheng YUAN, Zhong-tian YONG, Kai WANG, Mei-qiong WU, Li-yan WANG, Jiang-tao HAN, Wen-hua ZHU, Li WANG
    Modern Preventive Medicine. 2024, 51(5): 848-853.
    Objective

    To understand the current situation of non-suicidal self-injury (NSSI) behavior among middle school students in Taiyuan, and to explore the relationship between socio-ecological risk factors and NSSI behavior of middle school students, so as to provide evidence for targeted intervention strategies.

    Methods

    A total of 2 635 middle and high school students in Taiyuan were selected by stratified random cluster sampling. The general demographic characteristics, the risk level of social ecology, and the occurrence of NSSI behavior in the past year were investigated. Binary Logistic regression was used to analyze the relationship between NSSI behavior and socio-ecological risk factors.

    Results

    The reporting rate of NSSI behavior of middle school students was 13.5%. There were significant differences in NSSI behavior report rate among middle school students with different genders (χ2=11.12), the number of close friends (χ2=30.52), and different learning burden (χ2=37.51). After adjusting gender, the number of close friends, and learning burden factors (all P<0.01), the Logistic regression model took the low risk level of social and ecological risk factors as the control group, high risk personal factor (OR=2.93, 95%CI: 1.87-4.59), high risk family factor (OR=3.10, 95%CI: 2.04-4.71), moderate risk family factor (OR=2.08, 95%CI: 1.40-3.08), high risk school factors (OR=2.36, 95%CI:1.48-3.76), and high risk cultural factors (OR=1.44, 95%CI: 1.01-2.06) were positively correlated with NSSI behavior of middle school students.

    Conclusion

    When middle school students are exposed to high risk levels of individuals, families, schools and cultures in the social ecosystem, the risk of NSSI behavior will increase. While carrying on the intervention of personal, family and school factors, we should also pay attention to the influence of cultural factors on the NSSI of middle school students.

  • Yan PENG, Kun CAI, Jing LI, Wen-jing ZOU
    Modern Preventive Medicine. 2024, 51(5): 916-920.
    Objective

    To analyze the characteristics of envelope protein (envelope, E) gene in dengue fever cases in Hubei Province from 2014 to 2023 and to trace the biological origin.

    Methods

    Serum samples of suspected dengue fever cases were collected, and nucleic acid detection and serum typing were carried out. Nucleic acid positive samples were amplified by RT-PCR and sequenced, and the gene sequences were obtained and analyzed by MEGA11.0 software.

    Results

    A total of 78 dengue nucleic acid positive cases were detected in Hubei Province from 2014 to 2023, and the E gene sequence of dengue virus (DENV) was successfully obtained in 44 samples, including 39 cases of serum type Ⅰ (DENV-Ⅰ) and 5 cases of serum typeⅡ (DENV-Ⅱ). Evolutionary analysis showed that 37 cases of DENV-Ⅰ were of gene type Ⅰ (G Ⅰ), distributed in three different branches, mainly close to the epidemic strains of Southeast Asian countries such as Guangzhou, Singapore, Indonesia, Thailand, and Myanmar, 2 cases were of gene type Ⅴ (GⅤ) were close to the epidemic strains of Guangzhou and India, and 5 cases of DENV-Ⅱ were of mixed type (Cosmopolitan type).

    Conclusion

    There was multitype dengue virus infection in Hubei Province from 2014 to 2023. The main epidemic strain was GⅠ subtype of DENV-Ⅰ, which was closely related to Guangzhou, China, and Southeast Asian countries. It is suggested that Hubei Province strengthen the prevention and control of cross-provincial and cross-border transmission of dengue fever and guard against the occurrence of severe dengue and death cases.

  • Li-ya XU, Yao LIU, Ying HAN, Li-na QI, Ya-ning ZHAO
    Modern Preventive Medicine. 2024, 51(5): 937-942.
    Objective

    To analyze the relationship between stress resistance, symptom interference, and cancer-related fatigue in cancer patients undergoing radiotherapy and chemotherapy.

    Methods

    A total of 336 cancer patients undergoing radiotherapy and chemotherapy in the First Affiliated Hospital of Hebei North University from October 2020 to October 2021 were selected by convenient sampling. The related data were collected by general condition questionnaire, cancer fatigue scale (CFS), Chinese version memory symptom assessment scale (MSAS-Ch), and stress resistance scale (CD-RICS).

    Results

    The scores of cancer-related fatigues, stress resistance, and symptom disturbance were 30.55 ±8.26, 62.14 ±14.04, and 1.11 ±0.38, respectively. The level of stress resistance played an intermediary role in symptom interference and cancer-related fatigue, accounting for 26.26% of the total effect. The level of stress resistance had a regulatory effect between symptom interference and cancer-related fatigue (β = 0.102, ΔR2=0.382, P < 0.05).

    Conclusion

    The level of stress resistance plays a mediating effect and regulation between symptom interference and cancer-related fatigue. Encouraging patients to strengthen the level of stress resistance, strengthen positive psychological construction, and weaken the level of symptom interference is helpful to reduce cancer-related fatigue.

  • Huai-liang CHEN, Bo SHI, Can JIANG, Ping MA, Chun-mei GAO, Jin CHEN
    Modern Preventive Medicine. 2024, 51(5): 925-929.
    Objective

    To describe the characteristics of commercial sexual behavior of HIV-infected men who have sex with men (MSM) and analyze its influencing factors.

    Methods

    An anonymous questionnaire survey was conducted through the recruitment of HIV-infected MSM by two social organizations in Chongqing. The χ2 test was used to compare the commercial sexual behavior of HIV infected with MSM with different social demographic characteristics, mental health status, and sexual behavioral characteristics. Multivariate Logistic regression model was used to analyze the influencing factors of commercial behavior.

    Results

    A total of 1 501 cases of HIV infection with MSM were investigated in this study. In total 12.50% of the respondents reported same-sex commercial sex in the past six months, of which 28.34% reported unprotected commercial sex behavior. The results of multivariate Logistic regression showed HIV-infected MSM with marital status as marriage/cohabitation (OR=2.345, 95%CI: 1.442-3.814), working status as part-time and others (OR=6.522, 95%CI: 3.575-11.900), monthly income exceeding 5 000 yuan (OR=7.890, 95%CI: 4.254-14.634), age of first sexual intercourse less than 18 years old (OR=1.818,95%CI: 1.014-3.260), using same-sex dating software (using one: OR=2.984, 95%CI: 1.477-6.030; using two: OR=3.683,95%CI: 1.650-8.221; using 3 and above: OR=21.777, 95%CI: 8.349-56.804), drinking (OR=2.528, 95%CI: 1.568-4.074), and using Rush (OR=3.114, 95%CI: 1.988-4.877) were more likely to have commercial sexual behavior (P < 0.05).

    Conclusion

    The commercial sexual behavior of HIV infection with MSM is common in Chongqing, and the proportion of commercial sexual behavior without condom is high. Comprehensive measures should be taken to intervene the drinking, Rush use, and commercial sexual behavior of this population in order to reduce the further spread of HIV/STIs.

  • Hui QIN, Na CHEN, Li ZHUO
    Modern Preventive Medicine. 2024, 51(5): 888-892.
    Objective

    To study the relationship between social participation and depression trajectory and to explore the mediating effect of quality of life.

    Methods

    Based on the data of the four periods of China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2018, the heterogeneous trajectory of depressive symptoms in the elderly was identified by group-based trajectory model, the relationship between social participation and depression trajectory was studied by multi-class logistic regression, and the mediating effect of quality of life on social participation and depression trajectory of the elderly was analyzed by Karlson-Holm-Breen (KHB) method.

    Results

    A total of 4 931 elderly people aged between 60 and 105 with at least two periods of depression were included, and four depression trajectory groups were identified: long-term non-depression group (61.69%), increased depression group (16.69%), depression remission group (13.83%), and long-term high depression group (7.79%). Compared with the subjects in the long-term non-depression group, the more social participation, the less likely the depression trajectory was attributed to the depression remission group, the increased depression group, and the long-term high depression group (RRR=0.899, 95%CI: 0.812-0.994; RRR=0.885, 95%CI: 0.786-0.995; RRR=0.747, 95%CI: 0.630-0.885). In addition, quality of life played a significant mediating role in the relationship between the two, and the mediating effect of self-rated health accounted for the largest contribution of 30.33% in the elevated depression group. The mediating effect of physical pain accounted for the largest contribution of 27.94% and 29.09, respectively in the depression remission group and the long-term high depression group. Similar results were obtained in the robustness test.

    Conclusion

    There is heterogeneity in the depression trajectory of the elderly, social participation has a significant impact on the attribution of depression trajectory, and quality of life is an important factor of social participation affecting depression trajectory.

  • Feng DENG, Qin LI, Rui YANG
    Modern Preventive Medicine. 2024, 51(5): 955-960.

    In order to further improve the ability of medical institutions to deal with mass and epidemic diseases, clinical workers need to have strong awareness of disease early screening and prevention and control, as well as the ability of monitoring, early warning, and emergency management. The underlying issue is the need to constantly strengthen clinical medical students’knowledge reserve and practical ability of preventive medicine. Especially in the process of medical education, how to strengthen clinical medical students’ ability to master the basic knowledge and skills of preventive medicine, to be familiar with the management of mass and major epidemic diseases, and to establish the concept of prevention and treatment of acute and chronic diseases are urgent problems to be solved. This paper discussed in-depth the problems and measures related to the cultivation of disease prevention and control mindset and practical ability of clinical medical talents, so as to provide an important reference for improving the training mode of comprehensive clinical medical talents and the formulation of related policies.

  • Sheng-nan WANG, Yuan-yuan ZHU, Zhao-zhong DU, Tian-yan NIE, Qiang YIN
    Modern Preventive Medicine. 2024, 51(5): 930-936.
    Objective

    To understand the distribution, serotype, and drug resistance of Salmonella in domestic sewage in Jining city, and to analyze the whole genome sequencing so as to provide scientific basis for the prevention and control of Salmonella.

    Methods

    From February to March in 2023, two samples of sewage from the intake of 3 urban sewage plants with 500 ml each were collected continuously for 7 weeks. A total of 42 sewage samples were collected for culture, isolation, and identification of Salmonella. The isolated Salmonella was tested for serum agglutination test and fluorescent quantitative PCR serotyping. In total 41 strains of Salmonella were tested for minimum inhibitory concentration (MIC) of 17 drugs in 9 classes by microbroth dilution method, followed by genome sequencing and phylogenetic analysis.

    Results

    The isolation rate of Salmonella from domestic sewage in Jining city was high. Among 24 positive samples, 41 strains of Salmonella were isolated, belonging to 9 serotypes, mainly S. Agona and S. Kentucky. Liying and Jidong sewage treatment plants had their own unique serotypes. Only one strain of S. Give was not resistant, and the other 40 strains of Salmonella were multi-drug resistant. The resistance rates to sulfamethoxazole, tetracycline, ampicillin, and streptomycin were more than 90%, and the resistance rate to ampicillin/sulbactam was more than 80%. There were 19 kinds of drug resistance spectra, of which SXT-TET-STR-AMP-AMS ranked the first place. The resistance spectra of different serotypes of Salmonella were different. S. Kentucky, S. Gold Coast, and S. Infant were multi-drug resistant seriously. The resistance spectrum of the same serotype was also inconsistent in different sewage plants, and the resistance was the most serious in Liying sewage plant. The CARD database was used to predict drug resistance genes, mainly predicting 18 drug resistance genes in 8 types of drug resistance families, and the drug resistance phenotypes and drug resistance genes were almost all consistent. The ST types of different serotypes of Salmonella were different, and ST13 S. Agona was dominant. The phylogenetic tree was divided into 6 clusters, and strains in different sewage plants were in different branches, indicating that their genomes were different and had different sources.

    Conclusion

    There are various serotypes of salmonella in domestic sewage in Jining city, suggesting that they might have exist and spread in the population. Almost all strains are multi-drug resistant bacteria, carrying resistance genes extensively. Some types of strains live persistently and distribute across regions, leading to the potential risk to population. It is necessary to carry out continuous monitor, and scientific prevention and control measures need to be formulated to control the epidemic of salmonella and the aggravation of drug resistance.

  • Qing LI, Hui-xian LI, Hai-qing ZHENG, Jia-mei LI, Zi-ying CHEN, Jia-qi SUN, Hui-ying LIANG
    Modern Preventive Medicine. 2024, 51(5): 943-950.
    Objective

    To analyze the relationship between the proportion of omega-6/omega-3 and mortality in patients with cardiovascular disease (CVD), so as to provide reference for reducing the risk of death in patients with CVD.

    Methods

    The data were collected from the UK perspective cohort (UK Biobank) database. The exposure variable was the proportion of plasma omega6/omega-3, and the outcomes were all- cause deaths, CVD deaths, ischemic heart disease (IHD) deaths, and stroke deaths. Multivariate Cox proportional hazard regression model was used to analyze the relationship between omega-6/omega-3 ratio and death risk of CVD patients. Hazard ratio (HR) and 95% confidence interval (CI) were calculated. Gender, age, and other risk factors were stratified and their interaction with omega-6/omega-3 ratio was analyzed. Restricted cubic spline (RCS) was used to describe the dose-response relationship. Sensitivity analysis was used to test the robustness of the model.

    Results

    A total of 35 096 participants were enrolled. Multivariate Cox proportional hazard regression model showed that all-cause deaths, CVD deaths, and ischemic heart disease deaths risk increased in CVD patients with the increase of the proportion of omega-6/omega-3. For each unit increase in omega-6/omega-3 ratio, the risk of all-cause, CVD, and IHD deaths increased by 2.1% (HR=1.021, 95%CI: 1.016-0.025), 1.9% (HR=1.019, 95%CI: 1.010-1.028), and 2.3% (HR=1.023, 95%CI:1.013-1.034), respectively. The proportion of omega-6/omega-3 was grouped according to quartile method and included in the model as a classified variable. Compared with Q1, the HR of all-cause, CVD, and IHD deaths of Q4 was 1.394 (95%CI: 1.267-1.534), 1.292 (95%CI: 1.085-1.540), and 1.528 (95%CI: 1.200-1.945), respectively, and no correlation was found between Q4 and stroke death risk (HR=0.987, 95%CI: 0.660-1.477). The results of RCS showed that the proportion of omega-6/omega3 was positively correlated with the risk of death.

    Conclusion

    The proportion of omega-6/omega-3 is a risk factor for death in patients with CVD.

  • Shan-shan GUO, Jin-lin DU, Xiao-yu KE, Xiao-huan LU, Xiao-yu MO, Hao-sheng PENG
    Modern Preventive Medicine. 2024, 51(5): 871-876.
    Objective

    To analyze the spatial distribution characteristics, efficiency, and influencing factors of pension institutions in Dongguan, so as to provide reference for optimizing the resource allocation of pension institutions in Dongguan.

    Methods

    The resource allocation data of pension institutions in Dongguan were obtained by questionnaire survey, and the spatial distribution characteristics and efficiency of pension institutions were analyzed and evaluated based on GIS and three-stage DEA model.

    Results

    There was a good spatial coupling between the resources of pension institutions in Dongguan and the elderly population over 60 years old; the lowest occupancy rate was 12.50%, the highest was 100.005%, and the phenomenon of “difficulty in finding a bed” and “half of the beds were vacant” coexisted. In the third stage, the average comprehensive efficiency decreased from 0.679 to 0.635, and environmental factors had a great influence on the efficiency of resource allocation in Dongguan. There were great differences in the efficiency of pension institutions in different areas. The comprehensive efficiency of urban areas was 0.784, which exceeded the average level of the whole city (0.635). The comprehensive efficiency of the eastern industrial park was only 0.439, which did not reach the average level of the whole city. The per capita regional GDP and the level of aging had a negative impact on efficiency.

    Conclusion

    It is suggested to rationally allocate the resources of pension institutions, optimize regional development planning, promote the upgrading of institutional pension services, improve the efficiency of resource allocation, and provide improved reference scheme for improving the service level of pension institutions in Dongguan.