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| 1 | 中国糖尿病发病率和检出率地域性差异——98058例成年受试者数据多水平空间分析显示文摘目的探究中国糖尿病发病率和检出率地域性差异。方法选取分布在中国大陆162个地区的98058例18岁以上成年受试者的自述报告和生物学数据(90.5%反馈率),采用美国糖尿病协会糖尿病诊疗标准评估受试者的糖尿病症状,根据先前诊断结果 ,做出其是否患有糖尿病的判断。以各省为单位,使用分区统计图表法评估各调研数据结果的地域性差异。应用多元logistic回归分析法,校正个体和地域层级的差别后,评估每个结果出现的概率。结果各省糖尿病患者的地理分布反映出中国糖尿病发病率和检出率地域性差异。校正年龄、性别和城市/农村社会经济状况等因素后,糖尿病发病率自东北部向北部,从8.3%(95%CI 7.2%,9.7%)上升至12.7%(11.1%,14.6%)。从较好社会经济状况(socioeconomic circumstances,SEC)的城市到农村较差社会经济状况的县/区,糖尿病发病率呈下降趋势,分别为13.1%(12.0%,14.4%)和8.7%(7.8%,9.6%)。校正健康知识水平和个人原因两个因素后,地域性差异仍具有统计学意义。仅三分之一的糖尿病患者在接受此次测试前有糖尿病诊断史,但此结果因地域不同而不同。校正年龄、性别和城市/农村SEC后,糖尿病检出率自北向西南从40.4%(34.9%,46.3%)下降至15.6%(11.7%,20.5%)。与较好SEC县市的40.8%(37.3%,44.4%)检出率相比,农村较差SEC地区的检出率最低,仅为20.5%(17.7%,23.7%)。糖尿病检出率的地域性差异并不完全是个体差异造成的。结论加强防控糖尿病意识,提高检测准确率应从地域性因素出发。 | 陈研 陈刚 Maigeng Zhou Thomas Astell-Burt Yufang Bi | 2015 | 创伤与急诊电子杂志2015，3，4： | 42 |
| 2 | The China Alzheimer Report 2022显示文摘China’s population has rapidly aged over the recent decades of social and economic development as neurodegenerative disorders have proliferated,especially Alzheimer’s disease(AD)and related dementias(ADRD).AD’s incidence rate,morbidity,and mortality have steadily increased to make it presently the fifth leading cause of death among urban and rural residents in China and magnify the resulting financial burdens on individuals,families and society.The‘Healthy China Action’plan of 2019-2030 promotes the transition from disease treatment to health maintenance for this expanding population with ADRD.This report describes related epidemiological trends,evaluates the economic burden of the disease,outlines current clinical diagnosis and treatment status and delineates existing available public health resources.More specifically,it examines the public health impact of ADRD,including prevalence,mortality,costs,usage of care,and the overall effect on caregivers and society.In addition,this special report presents technical guidance and supports for the prevention and treatment of AD,provides expertise to guide relevant governmental healthcare policy development and suggests an information platform for international exchange and cooperation. | Rujing Ren Jinlei Qi Shaohui Lin Xinya Liu Peng Yin Zhihui Wang Ran Tang Jintao Wang Qiang Huang Jianping Li Xinyi Xie Yongbo Hu Shishuang Cui Yuan Zhu Xiaoping Yu Pengfei Wang Yikang Zhu Yiran Wang Yanyan Huang Yisong Hu Ying Wang Chunbo Li Maigeng Zhou Gang Wang | 2022 | General Psychiatry2022，35，1： | 20 |
| 3 | Cervical Cancer Screening Rates Among Chinese Women—China,2015显示文摘What is already known about this topic?Cervical cancer is the fourth most common cancer of women around the world.Age-adjusted incidence and mortality rates of cervical cancer were 11.78 and 3.29 per 100,000,respectively,in China in 2015.What is added by this report?Cervical cancer screening rates were 25.7%for women aged 20–64 years old and 31.4%for women aged 35–64 years old in China in 2015.Screening rates were lower in rural areas than in urban areas and varied across provinces.What are the implications for public health practice?Efforts should be made to continue to strengthen national and local policy initiatives,financial support,health education,and accessibility to women in rural areas for cervical cancer screening coverage. | Mei Zhang Yijing Zhong Zhenping Zhao Zhengjing Huang Xiao Zhang Chun Li Maigeng Zhou Jing Wu Limin Wang Xiaoying Zheng Linhong Wang | 2020 | China CDC weekly2020，2，26： | 17 |
| 4 | Leisure-Time Physical Activity Among Chinese Adults--China, 2015显示文摘What is already known on this topic?Leisure-time physical activity(LTPA)such as sports,fitness,and recreation,is well documented to prevent chronic disease and improve health.The age-adjusted prevalence of regular LTPA was only 11.9%among Chinese adults in China in 2010.It has been reported that the age-adjusted LTPA prevalence increased from 7.13%in 2000 to 11.79%in 2011.What is added by this report?According to the latest available data,in 2015,the prevalence of LTPA and regular LTPA was 19.7%and 12.5%in adults aged 18 years old and above,respectively.Both LTPA and regular LTPA were lower in rural areas than in urban areas,higher in people with higher socioeconomic position,and varied across provinces.What are the implications for public health practice?To promote more people,especially those with lower socioeconomic position to participate in LTPA,great efforts are required to strengthen national and local policy initiatives,financial support,sports facility construction,and health education,especially in rural areas and in western China. | Chun Li Limin Wang Xiao Zhang Zhenping Zhao Zhengjing Huang Maigeng Zhou Jing Wu Mei Zhang | 2020 | China CDC weekly2020，2，35： | 8 |
| 5 | Breast Cancer Screening Rates Among Women Aged 20 Years and Above—China,2015显示文摘What is already known about this topic?Breast cancer is the most common cancer in women in China and around the world.By 2019,121 countries have instituted a national screening program as a secondary prevention measure for breast cancer.What is added by this report?Breast cancer screening rates in China were 18.9%in women aged 20 years and above,and 25.7%in women aged 35-64 years in 2015.The screening rate for women aged 20 years and above was significantly higher in urban areas than in rural areas(24.6%vs.15.0%),and in the eastern region than in the central and western regions(24.0%vs.15.1%and 15.3%). | Mei Zhang Yijing Zhong Heling Bao Zhenping Zhao Zhengjing Huang Xiao Zhang Chun Li Maigeng Zhou Limin Wang Jing Wu Xiaoying Zheng Linhong Wang | 2021 | China CDC weekly2021，3，13： | 5 |
| 6 | Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010显示文摘 | Gonghuan Yang Yu Wang Yixin Zeng George F Gao Xiaofeng Liang Maigeng Zhou Xia Wan Shicheng Yu Yuhong Jiang Mohsen Naghavi Theo Vos Haidong Wang Alan D Lopez Christopher JL Murray | 2013 | The Lancet . 2013 (9882)2013，，9882： | 4 |
| 7 | Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010显示文摘 | Gonghuan Yang Yu Wang Yixin Zeng George F Gao Xiaofeng Liang Maigeng Zhou Xia Wan Shicheng Yu Yuhong Jiang Mohsen Naghavi Theo Vos Haidong Wang Alan D Lopez Christopher JL Murray | 2013 | The Lancet2013，，9882： | 3 |
| 8 | Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010显示文摘 | Gonghuan Yang Yu Wang Yixin Zeng George F Gao Xiaofeng Liang Maigeng Zhou Xia Wan Shicheng Yu Yuhong Jiang Mohsen Naghavi Theo Vos Haidong Wang Alan D Lopez Christopher JL Murray | 2013 | 2013 (9882)2013，，9882： | 3 |
| 9 | Burden of Mental and Substance Use Disorders-China, 1990−2019显示文摘Summary What is already known about this topic?Mental and substance use disorders have notable contributions to the disease burden in China.What is added by this report?In China,mental disorders and substance use disorders accounted for 20.29 million and 5.76 million disability-adjusted life years(DALYs)in 2019,respectively;depressive disorders were the leading cause of DALYs.For mental disorders,the numbers of DALYs increased 12.06%from 2000 to 2019 while the standardized rates declined 5.24%;for substance use disorders,both the numbers and standardized rates of DALYs decreased 8.52%and 18.52%,respectively. | Chao Ma Shicheng Yu Yueqin Huang Zhaorui Liu Qiqi Wang Hongguang Chen Tingting Zhang Maigeng Zhou | 2020 | China CDC weekly2020，2，41： | 3 |
| 10 | Mortality of Common Gastrointestinal Tract Cancers--Huai River Basin, 2008–2018显示文摘What is already known on this topic?Gastrointestinal(GI)tract cancer is a leading cause of death and produces a heavy disease burden.GI tract cancer in the Huai River Basin was reportedly higher than the national level during 2004–2006,while current mortality rates and variations have not been reported recently.What is added by this report?During 2008 to 2018,significant decreases were observed in the rates of esophageal cancer(from 28.5 to 13.2 per 100,000)and stomach cancer(from 32.1 to 16.5 per 100,000).There was no statistical difference for the mortality rates of colorectal cancer,which actually showed a significant increase among men aged 45 to 54 years and women aged below 55 years.Substantial disparities exist among different sexes,age groups,and geographical regions.What are the implications for public health practice?These results highlight that the mortality of GI tract cancers in the Huai River Basin in 2018 are similar to national levels and still produce a heavy disease burden.More attention is needed to provide important evidence for evaluating the improvement and remaining gaps in cancer prevention and control strategies in the Huai River Basin. | Jinlei Qi Lijun Wang Maigeng Zhou Baohua Wang Peng Yin Wei Wang Jiangmei Liu Yunning Liu Jing Wu | 2020 | China CDC weekly2020，2，16： | 3 |
| 11 | Different Mortality Effects of Extreme Temperature Stress in Three Large City Clusters of Northern and Southern China显示文摘Extreme temperature events have affected Chinese city residents more frequently and intensively since the early 2000 s, but few studies have identified the impacts of extreme temperature on mortality in different city clusters of China. This study first used a distributed lag,nonlinear model to estimate the county/district-specific effects of extreme temperature on nonaccidental and cardiovascular mortality. The authors then applied a multivariate meta-analysis to pool the estimated effects in order to derive regional temperature–mortality relationship in three large city clusters—the Beijing-Tianjin-Hebei(BTH)region, the Yangtze River Delta(YRD), and the Pearl River Delta(PRD), which represent northern and southern regions. With 0–3 days' lag, the strongest heat-related mortality effect was observed in the BTH region(with relative risk(RR) of 1.29; 95% confidence interval(CI):1.13–1.47), followed by the YRD(RR = 1.25; 95% CI:1.13–1.35) and the PRD(RR = 1.14; 95% CI: 1.01–1.28)areas. With 0–21 days' lag, the cold effect was pronounced in all city clusters, with the highest extreme cold-related mortality risk found in the PRD area(RR = 2.27; 95% CI:1.63–3.16), followed by the YRD area(RR = 1.85; 95%CI: 1.56–2.20) and BTH region(RR = 1.33; 95% CI:0.96–1.83). People in the southern regions tended to be more vulnerable to cold stress, but the northern population was more sensitive to heat stress. By examining the effects of extreme temperature in city clusters of different regions,our findings underline the role of adaptation towards heat and cold, which has important implications for public health policy making and practice. | Lingyan Zhang Zhao Zhang Chenzhi Wang Maigeng Zhou Peng Yin | 2017 | International Journal of Disaster Risk Science2017，8，4： | 3 |
| 12 | Risk factors for suicide in China: a national case-control psychological autopsy study显示文摘 | Michael R Phillips Gonghuan Yang Yanping Zhang Lijun Wang Huiyu Ji Maigeng Zhou | 2002 | The Lancet2002，，9347： | 2 |
| 13 | Incidence,Prevalence,and Mortality of Four Major Chronic Non-communicable Diseases—China,1990-2017显示文摘Introduction Chronic and non-communicable diseases(NCDs)have become an important public health concern in China.We aimed to estimate the incidence,prevalence,and mortality of four major NCDs including cardiovascular disease(CVD),cancer,chronic respiratory diseases(CRD),and diabetes in China during 1990-2017.Methods The general analytic framework of Global Burden of Diseases Study 2017(GBD 2017)was applied.Data from Disease Surveillance Point System,censuses,and Chinese Center for Disease Control and Prevention Cause-of-Death Reporting System were used for mortality estimates.National surveys,cancer registries,and published studies were used for incidence and prevalence estimates.Results In 2017,new cases for CVD,cancer,and diabetes were 13.5,4.6,and 3.3 million,an increase of 120.4%,159.7%,and 57.3%respectively compared with 1990.There were 9.6 million incident cases for CRD in 2017,a 4.9%decrease compared with 1990.A total of 8.1 million people died from cancer,CVD,CRD,and diabetes in China in 2017.There was a substantial decline in age-standardized mortality rate for CRD and a steady but slow decline for CVD and cancer.During 1990-2017,the age-standardized prevalence rate increased by 7.4%,135.2%,and 17.0%for CVD,cancer,and diabetes respectively.Conclusions and Implications for Public Health Practice The accumulated prevalence of the four major NCDs are increasing but the age-standardized mortality rate for CVD,cancer,and CRD has been on a decline during 1990-2017.More effective intervention strategies should be developed to deal with the continuously increasing burden caused by NCDs in China. | Peng Yin Jinlei Qi Yunning Liu Jiangmei Liu Jinling You Lijun Wang Maigeng Zhou | 2019 | China CDC weekly2019，1，3： | 2 |
| 14 | Risk factors for suicide in China: a national case-control psychological autopsy study显示文摘 | Michael R Phillips Gonghuan Yang Yanping Zhang Lijun Wang Huiyu Ji Maigeng Zhou | 2002 | The Lancet . 2002 (9347)2002，，： | 2 |
| 15 | National Cancer Data Linkage Platform of China:Design,Methods,and Application显示文摘Background:The National Cancer Center(NCC)and China CDC cooperatively designed a National Cancer Data Linkage(NCDL)Platform to fulfill the task of sharing cancer outcome data through an automatic web-based system.Methods:NCC and China CDC established a web-based NCDL Platform to link death information from China CDC with the cancer database from NCC.Overall,76,708 cancer patients’data were analyzed to assess the feasibility and match rate of the NCDL Platform for 7 major cancers.Results:The function of the platform includes a data application and approval system,data linkage module,and results visualization system.Through the platform,38.9%cases were identified as deaths cases from the NCDL Platform in the first 3 years after cancer diagnosis.The linkage rate was highest in liver cancer and lowest in breast cancer.Conclusions:The NCDL Platform provides a powerful and efficient way to link national vital statistics with national cancer programs’data.Expanding cancer outcome data linkage may not only improve data collection efficiency,but also improve data use. | Hongmei Zeng Yunning Liu Lijun Wang Peng Yin Baohua Wang Ruiying Fu Xianhui Ran Rongshou Zheng Siwei Zhang Jiangmei Liu Jinling You Kexin Sun Shaoming Wang Li Li Ru Chen Wenqiang Wei Maigeng Zhou Jing Wu Jie He | 2022 | China CDC weekly2022，4，13： | 1 |
| 16 | Trends of Mortality in End-Stage Liver Disease—China,2008–2020显示文摘Introduction:Liver cancer and cirrhosis represent the most prevalent forms of end-stage liver diseases(ESLDs).Notably,in China,deaths attributed to ESLDs contribute significantly to the global mortality rate of these disorders.Enhanced comprehension of the mortality profile associated with ESLDs in China could provide crucial insights into intervention prioritization,which could in turn help reduce the overall global burden of these diseases.Methods:Data were obtained from China’s Disease Surveillance Points system.The presentation includes both crude and age-standardized mortality rates,stratified by sex,residential location,and region.Using Joinpoint Regression,trends in annual mortality rates were estimated from the period of 2008 to 2020 and expressed as the average annual percentage change(AAPC).Results:In 2020,the gross mortality rate of ESLD stood at 30.08 cases per 100,000 individuals.A higher age-standardized ESLD mortality rate was observed in males and rural populations in comparison to their female and urban counterparts,respectively.Noticeably,the highest mortality rates associated with liver cancer and cirrhosis were reported in South and Southwest China,respectively.A positive correlation was noticed between age-specific ESLD mortality rates and advancing age.Interestingly,an annual decrease in the ESLD mortality rate was observed from 2008 to 2020.In urban contexts,the AAPC of cirrhosis was noted to be higher than that of liver cancer.Conclusions:The mortality rate associated with ESLDs in China decreased between 2008 and 2020.Nevertheless,the death burden attributable to ESLD continues to be alarmingly high.Future initiatives should prioritize the reduction of ESLD mortality in particular populations:males,elderly individuals,and those residing in rural regions of South and Southwest China.The emphasis of future interventions should beplaced on antiviral therapy for adults diagnosed with viral hepatitis,and on the prevention of hepatitis B virus(HBV)infection across all demographics. | Xiaoxiao Wang Huixin Liu Jinlei Qi Fangfang Zeng Lijun Wang Peng Yin Feng Liu Hongbo Li Yunning Liu Jiangmei Liu Lai Wei Xiaofeng Liang Yu Wang Huiying Rao Maigeng Zhou | 2023 | China CDC weekly2023，5，30： | 1 |
| 17 | Rapid health transition in China, 1990–2010: findings from the Global Burden of Disease Study 2010显示文摘 | Gonghuan Yang Yu Wang Yixin Zeng George F Gao Xiaofeng Liang Maigeng Zhou Xia Wan Shicheng Yu Yuhong Jiang Mohsen Naghavi Theo Vos Haidong Wang Alan D Lopez Christopher JL Murray | 2013 | The Lancet2013，，9882： | 1 |
| 18 | The Establishment of a New Air Health Index Integrating the Mortality Risks Due to Ambient Air Pollution and Non-Optimum Temperature显示文摘A composite Air Health Index(AHI)is helpful for separately emphasizing the health risks of multiple stimuli and communicating the overall risks of an adverse atmospheric environment to the public.We aimed to establish a new AHI by integrating daily mortality risks due to air pollution with those due to non-optimum temperature in China.Based on the exposure-response(E-R)coefficients obtained from time-series models,the new AHI was constructed as the sum of excess mortality risk associated with air pollutants and non-optimum temperature in 272 Chinese cities from 2013 to 2015.We examined the association between the“total AHI”(based on total mortality)and total mortality,and further compared the ability of the“total AHI”to predict specific cardiopulmonary mortality with that of“specific AHIs”(based on specific mortalities).On average,air pollution and non-optimum temperature were associated with 28.23%of daily excess mortality,of which 23.47%was associated with non-optimum temperature while the remainder was associated with fine particulate matter(PM2.5)(1.12%),NO2(2.29%,),and O3(2.29%).The new AHI uses a 10-point scale and shows an average across all 272 cities of 6 points.The E-R curve for AHI and mortality is approximately linear,without any thresholds.Each one unit increase in“total AHI”is associated with a 0.84%increase in all-cause mortality and 1.01%,0.98%,1.02%,1.66%,and 1.71%increases in cardiovascular disease,coronary heart disease,stroke,respiratory diseases,and chronic obstructive pulmonary disease mortality,respectively.Cause-specific mortality risk estimates using the“total AHI”are similar to those predicted by“specific AHIs.”In conclusion,the“total AHI”proposed herein could be a promising tool for communicating health risks related to exposure to the ambient environment to the public. | Qingli Zhang Renjie Chen Guanjin Yin Xihao Du Xia Meng Yang Qiu Haidong Kan Maigeng Zhou | 2022 | Engineering2022，8，7： | 1 |
| 19 | Risk factors for suicide in China: a national case-control psychological autopsy study显示文摘 | Michael R Phillips Gonghuan Yang Yanping Zhang Lijun Wang Huiyu Ji Maigeng Zhou | 2002 | The Lancet2002，，9347： | 1 |
| 20 | Contrasting male and female trends in tobacco-attributed mortality in China: evidence from successive nationwide prospective cohort studies显示文摘 | ZHENG-MING CHEN RICHARD PETO MAIGENG ZHOU | 2015 | Lancet2015，136，386： | 1 |
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