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  • Bo YANG, Su SU, Bin YU, Yu-ling HUANG, Hong-lian ZENG, Peng YU, Si-han WANG, Ji-qi YANG, Ting-ting YE, Chun-lan MA, Yun-zhe FAN, Chang-wei CAI, Shu-juan YANG
    Modern Preventive Medicine. 2024, 51(14): 2562-2567.
    Objective

    To explore the relationship between online sexual harassment experiences and the sexual values of primary and secondary school students, and to provide scientific reference for comprehensive sex education for primary and secondary school students.

    Methods

    The study used a multi-stage stratified cluster sampling method to select 4 051 primary and secondary school students from 9 schools in Fushun County, collecting information on the social demographics, online sexual harassment experiences, sexual values, psychological resilience, and social capital of primary and secondary school students. The study analyzed the impact of online sexual harassment experiences on the sexual values of primary and secondary school students using a multiple linear regression model. The mediating effect of psychological resilience was tested using the Bootstrap method (repeated sampling 5 000 times).

    Results

    It showed that out of 4 051 primary and secondary school students surveyed, 754 students (18.61%) reported experiencing online sexual harassment. In the regression model, online sexual harassment experiences were negatively associated with scores on sexual violence and safety perceptions (β=-0.50, P<0.05), gender power and social gender perceptions (β=-0.25, P<0.05), and positively associated with scores on sexual and reproductive health perceptions (β=0.31, P<0.05). Psychological resilience played a partial mediating role (β=-0.38, P<0.05), accounting for 46.34% of the mediating effect between online sexual harassment experiences and the sexual values of primary and secondary school students.

    Conclusion

    Online sexual harassment experiences are negatively associated with the sexual violence and safety perceptions, gender power and social gender perceptions of primary and secondary school students while being positively associated with the sexual and reproductive health perceptions of primary and secondary school students. Improving psychological resilience may help promote the formation of scientific and normative sexual values among primary and secondary school students.

  • Ru-ru LI, Ying-yan WANG, Hua YUE, Rong ZHAO, Qing-qing DU, Jing FENG, Xiao-feng JIANG, Xia LEI
    Modern Preventive Medicine. 2024, 51(14): 2523-2527.
    Objective

    To analyze the epidemiological characteristics of severe acute respiratory syndrome corona virus 2 (referred to as SARS-CoV-2) and influenza viruses in Inner Mongolia Autonomous Region in 2023, and to provide a scientific basis for the prevention and control of acute respiratory infectious diseases in the region.

    Methods

    Collect the ILI surveillance data and nucleic acid detection data of influenza virus and SARS-CoV-2 from the first to 52nd week of 2023 in the whole district and describe and statistically analyze the percentage of ILI among outpatient cases and the epidemiological data of influenza virus and SARS-CoV-2, statistical methods used were χ2 test.

    Results

    A total of 166 307 cases of ILI were reported in sentinel hospitals from weeks 1 to 52 in 2023, and the total number of cases attended was 6 143 210, and the percentage of ILI in the number of cases attending outpatient emergency departments (ILI%) was 2.71%. ILI% was statistically different in different weeks (χ2=35 246.742, P<0.05) and different regions (χ2=71 475.341, P<0.05)were statistically different. A total of 25 680 ILI specimens were collected in the sentinel hospitals, and the nucleic acid positivity rate of SARS-CoV-2 was 11.75%, and the positivity rate was statistically different in different weeks (χ2=2 272.239, P<0.05), different age groups (χ2=1 012.19, P<0.05), different regions (χ2=114.624, P<0.05), and different genders (χ2=26.464, P<0.05) were statistically different. Influenza virus nucleic acid positivity rate was 12.77%, and the positivity rate was statistically different in different weeks (χ2=9 606.493, P<0.05), different age groups (χ2=717.307, P<0.05), and different regions (χ2=41.406, P<0.05).

    Conclusion

    COVID-19 infection and influenza are alternately prevalent in Inner Mongolia Autonomous Region from week 1 to 52 in 2023, and continuous monitoring of SARS-CoV-2 and influenza virus is needed to obtain more monitoring data to provide scientific data support for effective prevention and control of acute respiratory infectious diseases.

  • Ye JI, Wen-chao XU
    Modern Preventive Medicine. 2024, 51(14): 2628-2633.
    Objective

    To explore the association between blood lipid, lipid ratios and glucose metabolism disorders, and to explore the dose-response relationship between lipid ratios and glucose metabolism disorders.

    Methods

    During July 2022 to March 2023, a total of 7 527 residents aged 35 and above in Changzhou were selected. basic information, blood pressure, fasting plasma glucose and blood lipid of the subjectswere collected. Binary logistic regression was used to explore the correlation between prediabetes, diabetes and blood lipid, lipid ratios, respectively. The dose–response relationship was evaluated by restricted cubic spline analysis. ResultsOur results showed that TC, LDL-C, TC/HDL-C, TG/HDL-C, LDL-C/HDL-C and non-HDL-C/HDL-C were risk factors for both prediabetes and diabetes (P<0.05), and HDL-C was a protective factor for both prediabetes and diabetes (P<0.05). The dose-response relationships between TC/HDL-C, TG/HDL-C, LDL-C/HDL-C, non‐HDL-C/HDL-C and glucose metabolism disorders were statistically significant, and the cutoff values were 3.78, 1.07, 2.10 and 2.77, respectively.

    Conclusion

    TC/HDL-C, TG/HDL-C, LDL-C/HDL-C and non‐HDL-C /HDL-C increase the risk of prediabetes and diabetes, which may be useful indicators to identify future glucose metabolism disorders.

  • Jun-zhu BAI, Shu-meng YOU, Xin ZHANG, Heng-liang LV, Yong WANG, Yuan-yong XU, Wen-yi ZHANG
    Modern Preventive Medicine. 2024, 51(14): 2497-2500.
    Objective

    To analyze the incidence trend of viral hepatitis C (HCV) in China from 2006 to 2020, and to explore the influence of age, period and birth cohort on the incidence of HCV.

    Methods

    The data of hepatitis C cases and demographic data were collected in China from 2006 to 2020. The Joinpoint regression model was applied to analyze the trend of the incidence of hepatitis C in the whole population and by age group. The age-period-cohort model was applied to explore the effects of age, period and birth cohort on the incidence.

    Results

    The incidence of hepatitis C increased from 2006 to 2020, and the average incidence was 12.82 per 100 000. Unlike other age groups, the incidence of hepatitis C in people age group 60 and above still showed an upward trend from 2010 to 2018 (APC=3.40). The time of onset effect of hepatitis C increased from 0.63 (95%CI: 0.77-0.70) during 2006-2010 to 0.92 (95%CI: 0.84-1.00) during 2016 to 2020. The birth cohort effect was lowest in the 1926-1930 cohort and peaked in the 1991-1995 cohort (RR=1.41, 95%CI: 1.01-1.97).

    Conclusion

    The incidence of hepatitis C increased during the study period, and the disease burden increased with age. High-risk groups should be regularly screened and monitored.

  • Qian GENG, Li-wei SUN, Yu ZHANG, Guo-hua ZHENG
    Modern Preventive Medicine. 2024, 51(14): 2609-2614.
    Objective

    To explore the mediating effect of quality of sleep and cognitive reserve in the association of depression and cognitive function among the community-dwelling older adults.

    Methods

    A total of 492 community-dwelling elderly in the Pudong New Area of Shanghai were selected by convenience sampling method and investigated with the general information questionnaire, 15-item Geriatric Depression Scale (GDS-15), Pittsburgh Sleep Quality Index(PSQI), Cognitive Reserve Index Questionnaire(CRIq), and Beijing version of the Montreal Cognitive Assessment(MoCA). SPSS 25.0 software was used to explore the mediating role of sleep quality and cognitive reserve.

    Results

    Pearson’s partial correlation analysis showed the cognitive function of elderly was significantly positively correlated with the cognitive reserve scores (r=0.189,P<0.001), and negatively correlated with the depression scores and sleep quality scores (r=0.179 and -0.362, both P<0.001); depression scores were significantly negatively correlated with cognitive reserve scores (r=-0.152, P<0.01), and significantly positively correlated with sleep quality scores (r=0.185, P<0.001), after adjusting for significant covariates including age, marital status, economic income and BMI, the mediating analysis showed depression had a significantly negative directly effect oncognitive function (β=-0.297, P<0.001); depression also had an indirectly negative effect on cognitive function through the pathways: reducing sleep quality and diminishing cognitive reserve, with medication effect values (β=-0.019, P<0.001) both accounted for 5.69%.

    Conclusion

    Community-dwelling elderly with depression, sleep disorders, and lower cognitive reserve have poorer cognitive function. Depression may directly affect cognitive function, and may also have indirect effects on cognitive function in elderly by decreasing sleep quality and cognitive reserve.

  • Zhou-yu LU, Rui-peng WU, Meng-jun ZHANG, Wen-yuan LI
    Modern Preventive Medicine. 2024, 51(14): 2507-2512.
    Objective

    To investigate the correlation between UHR and CKD in middle-aged and elderly population.

    Methods

    The data of this study was obtained from 2015 China Health and Retirement Longitudinal Survey(CHARLS).A total of 9 204 people≥45 years old were included.Multivariate Logistics regression analysis was used to analyze the correlation between UHR and CKD.The receiver operating characteristic(ROC)curves was used to analyze the predictive value of UHR for the risk of CKD.

    Results

    The subjects who we included have the mean age of 60.78±9.32 years with the prevalence of CKD of 3.97%.The odd rations for the highest quartile group (Q4 group)of UHR was increased for CKD(OR=12.01, 95%CI:7.50-20.00).ROC curve analysis showed that the area under the ROC Curve(AUC) for UHR predicting CKD for middle-aged and elderly population was 0.76(95%CI:0.73-0.78),the AUC for UHR predicting CKD for male group was 0.74(95%CI:0.70-0.77)and the AUC for UHR predicting CKD for female group was 0.77(95%CI:0.73-0.81).

    Conclusion

    There was a positive correlation between the increased UHR level and risk of CKD among the middle-aged and elderly population in China.UHR might serve as a risk factor and demonstrated good predictive value for CKD in the middle-aged and elderly population in China.

  • Yu-jiang GUO, Zan ZHAO, Xian-yang JIANG, Jie MA, Ben YANG, Xin XIAO
    Modern Preventive Medicine. 2024, 51(14): 2574-2580.
    Objective

    To understand the obesity, overweight and malnutrition status of primary and secondary school students in Karamay from 2014 to 2021, and to provide basis for targeted interventions on nutritional status of primary and secondary school students.

    Methods

    70 792 autumn physical health monitoring data of primary and secondary school students in Karamay from 2014 to 2021 were collected, and SPSS 22.0 software was used. Chi square tests were used for gender comparisons, and trend chi square tests were used for statistical analysis of age groups and years.

    Results

    The malnutrition rate of primary and secondary school students in Karamay City decreased from 11.4% in 2014 to 5.7% in 2021 (χ2=1 329.791, P<0.01), and the overweight and obesity rates increased from 14.1% and 8.4% to 17.2% and 14.0% respectively (χ2=687.21 and 725.13, respectively, with P<0.01). From 2014 to 2021, the detection rates of malnutrition (except 2018), overweight and obesity (except 2014) in boys were higher than those in girls (P<0.01).

    Conclusion

    The malnutrition status of primary and secondary school students in Karamay City has been improved yearly, but the overweight and obesity rates have shown an increasing trend year by year. The bipolar problem of male students’ nutritional status is more prominent than that of female students. Schools and health management departments should carry out targeted interventions and countermeasures.

  • Yang SONG, Wen CHEN, Yu-jin ZHOU, Yu ZHANG, Chun-mei FAN, Bi ZHAO, Li LIN, Yi XU
    Modern Preventive Medicine. 2024, 51(14): 2548-2552.
    Objective

    To explore the epidemiological characteristics of foodborne disease events in a rural banquet in Sichuan Province from 2004 to 2023, and to provide a scientific basis for the prevention and control of foodborne disease in the rural banquet.

    Methods

    The data of foodborne disease events in a rural banquet in Sichuan Province from 2004 to 2023 were collected from the National Foodborne Disease Outbreaks Surveillance System and National Management Information System of Public Health Emergencies and analyzed by descriptive statistics.

    Results

    From 2004 to 2023, a total of 189 foodborne disease events in rural banquet were reported in Sichuan Province with 5 971 cases and 22 deaths, and the case fatality rate was 0.37%. The third quarterly was the high incidence period, accounting for 43.39% of the total events. The top three regions with the highest number of reported events were Chengdu (25 events), Luzhou (19 events) and Yibin (18 events). Microbial pathogens were the main pathogenic factors, accounting for 66.67% of the total events. Chemicals were the main causes of death, with 15 and 5 deaths caused by methanol and nitrite, respectively. Meat and meat products were the main causes of foodborne diseases. Improper processing and storage were the main inducing factors.

    Conclusion

    The targeted health education, supervision, monitoring, and emergency handling should be carried out to effectively prevent and control foodborne disease events in rural banquets.

  • Ya-nan YANG, Yao YU, Feng-mei XING, Feng-yu CAI, Xin-hong XUE, Xiao-guang WANG, Xiao-li ZHANG
    Modern Preventive Medicine. 2024, 51(14): 2615-2619.
    Objective

    To explore the effects of intervention based on planned behavior theory on disease cognition, exercise self-efficacy, and daily living ability in elderly patients with sarcopenia.

    Methods

    Using convenience sampling method, 124 elderly patients with sarcopenia were selected from Lishuiwan Community and Shuxiangyuan Community in Shijiazhuang City as the research subjects. Using the coin toss method, 62 elderly people from Lishuiwan community were included in the intervention group on a residential community basis, while 62 elderly people from Shuxiangyuan community were included in the control group. The intervention group implemented interventions based on the Theory of Planned Behavior, which included five aspects: behavioral attitude, support from important others, perceived behavioral control, behavioral intention, and behavior. The control group maintained their original lifestyle and the intervention duration was 12 weeks. Two groups of patients were evaluated using the Simplified Disease Cognitive Questionnaire, Exercise Self Efficacy Scale, and Daily Living Ability Scale before and 12 weeks after intervention.

    Results

    Before intervention, there was no statistically significant difference in disease cognition, exercise self-efficacy, and daily living ability scores between the two groups of patients (P>0.05). After intervention, the elderly patients in the intervention group showed improvements in disease cognition, exercise self-efficacy, and daily living ability compared to the control group, with statistically significant differences (P<0.05).

    Conclusion

    Interventions based on planned behavior theory can improve the disease cognition level, exercise self-efficacy, and daily living ability of elderly patients with sarcopenia.

  • Yu-lan YAO, Shu-fen HE, Hong-wei HUA, Min ZHU, Gang DING, Jie SONG, Qing ZHU, Min-xing CHEN
    Modern Preventive Medicine. 2024, 51(14): 2581-2586.
    Objective

    To investigate the demand for home medical service among cancer patients in Pudong New Area and analyze the main influencing factors.

    Methods

    A convenience sampling method was used, and a self-designed questionnaire was administered to 1 161 cancer patients in Pudong New Area. Single-factor analysis, non-parametric rank sum test, and multiple linear regression model were used to analyze the influencing factors.

    Results

    18.2% of cancer patients had home medical service demands, with demands across all four dimensions. Among which the demand for health education, social support and rehabilitation guidance was more. Cancer patients’ needs are influenced by factors such as age, education level, economic status, and more (P<0.05). The driving factors include the number of comorbidities (β=0.111, t=3.643, P<0.001), being bedridden (β=0.121, t=4.299, P<0.001), and having a college degree or higher (β=0.071, t=2.416, P=0.016). The inhibiting factors include economic status (β=-0.072, t=-2.057, P=0.04) and daily condition (β=-0.192, t=-5.219, P<0.001).

    Conclusion

    Home medical services have significant demands among cancer patients. Relevant institutions should combine the characteristics of patient needs, improve service project evaluation, cost payment models, and relevant laws and policies, and strengthen supervision to promote the standardized and sustainable development of home medical services.