Psychosocial impacts of the COVID-19 pandemic among settled women: A longitudinal study / Os impactos psicossociais da pandemia de COVID-19 entre mulheres assentadas: estudo longitudinal / Impactos psicosociales de la pandemia de COVID-19 en mujeres de asentamientos rurales: estudio longitudinal

Abstract Objective: to analyze the psychosocial impacts of the COVID-19 pandemic among Brazilian women from rural settlements. Method: this is a quantitative and longitudinal study conducted with 13 settled women. The data were collected between January 2020 and September 2021 using questionnaires on the perception of the social environment (quality of life, social support, self-efficacy), common mental disorder symptoms and sociodemographic aspects. The data were analyzed using descriptive statistics, cluster analysis and variance analysis. Results: intersecting vulnerability conditions were identified that possibly intensified the challenges arising from the pandemic. The Quality of Life physical domain fluctuated differently and inversely according to the mental disorder symptoms. As for the psychological domain, at the end of the segment, an increase over time was identified in the entire sample, as the women's perception was better than before the pandemic. Conclusion: worsening of the participants' physical health deserves to be highlighted and, probably, it can be related to the difficulty accessing health services in this period as well as to the fear of contamination. Despite this, the participants were emotionally resilient throughout the period, including signs of improvement in terms of psychological aspects, suggesting a possible effect of the community organization of the settlement.

Resumo Objetivo: analisar os impactos psicossociais da pandemia de COVID-19 entre mulheres brasileiras de assentamentos rurais. Método: trata-se de um estudo quantitativo longitudinal com 13 mulheres assentadas. Os dados foram coletados entre janeiro de 2020 e setembro de 2021 utilizando questionários sobre a percepção do ambiente social (qualidade de vida, apoio social, autoeficácia), sintomas de transtorno mental comum e aspectos sociodemográficos. Os dados foram analisados por meio de estatística descritiva, análise de agrupamento e de variância. Resultados: foram identificadas condições de vulnerabilidade interseccionadas que, possivelmente, exacerbaram os desafios decorrentes da pandemia. O domínio físico da qualidade de vida oscilou diferentemente e inversamente de acordo com os sintomas de transtorno mental. Quanto ao domínio psicológico, no final do segmento, identificou-se em toda a amostra um incremento ao longo do tempo, pois a percepção das mulheres estava melhor do que antes da pandemia. Conclusão: a piora na saúde física das participantes merece destaque e, provavelmente, pode estar relacionada à dificuldade de acesso aos serviços de saúde neste período bem como ao medo da contaminação. Apesar disso, as participantes apresentaram-se emocionalmente resilientes em todo o período, inclusive, com sinais de melhora em relação aos aspectos psicológicos, sugerindo um possível efeito da organização comunitária do assentamento.

Resumen Objetivo: analizar los impactos psicosociales de la pandemia de COVID-19 en mujeres brasileñas de asentamientos rurales. Método: se trata de un estudio longitudinal cuantitativo con 13 mujeres asentadas. Los datos se recolectaron entre enero de 2020 y septiembre de 2021 mediante cuestionarios sobre percepción del entorno social (calidad de vida, apoyo social, autoeficacia), síntomas de trastorno mental común y aspectos sociodemográficos. Los datos se analizaron mediante estadística descriptiva, análisis de conglomerados y análisis de varianza. Resultados: se identificaron condiciones de vulnerabilidad entrelazadas que posiblemente exacerbaron los desafíos impuestos por la pandemia. El dominio físico de la calidad de vida fluctuó de manera diferente e inversa de acuerdo a los síntomas del trastorno mental. En cuanto al dominio psicológico, al final del segmento, se identificó un aumento en el tiempo en toda la muestra, dado que la percepción de las mujeres era mejor que antes de la pandemia. Conclusión: hay que destacar el empeoramiento de la salud física de las participantes que, probablemente, puede estar relacionado con la dificultad para acceder a los servicios de salud durante ese período y el miedo al contagio. A pesar de eso, las participantes fueron resilientes emocionalmente durante todo el período e, inclusive, tuvieron signos de mejoría en los aspectos psicológicos, lo que sugiere un posible efecto de la organización comunitaria del asentamiento.

Ingesta de alimentos ultraprocesados y circunferencia de cintura según área de residencia en adultos peruanos / Ultra-processed food consumption and waist circumference by residence setting in Peruvian adults

Introducción. La circunferencia de cintura (CC) es indicador de obesidad abdominal y riesgo cardiovascular en adultos. En Perú, la obesidad ha aumentado a diferente magnitud por área de residencia y poco se sabe de la influencia del consumo de alimentos ultraprocesados (AUP) sobre este fenómeno en población adulta. Objetivo. Evaluar la asociación entre ingesta de AUP y circunferencia de cintura en adultos peruanos por área de residencia. Materiales y métodos. Estudio transversal de datos secundarios de 745 adultos con información de ingesta dietaria (un recordatorio de 24 horas) de la Encuesta Nacional Vigilancia Alimentaria y Nutricional por Etapas de Vida 2017-2018. Los AUP fueron caracterizados según la clasificación NOVA. La ingesta AUP como el porcentaje relativo de la ingesta energética total (%), dividida en terciles. La CC medida como punto medio entre última costilla y cresta iliaca. Se usó regresión lineal múltiple ponderada y análisis estratificado según área de residencia. Resultados. La edad promedio fue 37,2 años. La ingesta de AUP promedio fue 14,7% (IC95%: 14,2 ­ 15,3). Comparado con adultos en el menor tercil de ingesta de AUP, aquellos en tercil medio tuvieron mayor CC ( 0,73; IC95%: 0,22 ­ 1,24; valor p= 0,007). Al estratificar por área de residencia, adultos rurales del tercil medio tuvieron mayor CC en comparación con primer tercil ( : 1,85; IC95%: 1,17 ­ 2,53, valor p < 0,001). Conclusiones. En adultos peruanos, la ingesta de AUP se asoció a CC en áreas rurales, aunque no de forma lineal. Más estudios son necesarios para entender la naturaleza de esta asociación(AU)

Introduction. Waist circumference (WC) is an abdominal obesity and cardiovascular risk indicator among adults. In Peru, obesity prevalence has been increasing unequally between residence areas, and the influence of ultra- processed food (UPF) consumption on WC in Peruvian adults remains unclear. Objective. Evaluate the association between UPF consumption and waist circumference by residence setting among Peruvian adults. Materials and methods. A cross-sectional secondary analysis of dietary intake data (single 24-hour recall) from 745 adults aged 18 and 59 years old from the "Vigilancia Alimentaria y Nutricional por Etapas de Vida 2017-2018" National Surveys was performed. The NOVA system was used to characterize the UPFs, and the exposure was the percentage of total energy consumed from UPF per day (%), in quantiles. WC (cm) was assessed at the middle point between the last rib and the iliac crest. Weighted linear regression analysis stratified by residence areas were conducted. Results. The mean age was 37.2 years. The mean percent of total energy consumed from UPF was 14.7% (95%CI: 14.2 ­ 15.3). Those in the middle tertile of UPF consumption, had higher WC ( 0.73; 95%CI: 0.22 ­ 1.24; p-value = 0.007) compared with those in the lower tertile. In the stratified analysis, those in the second tertile in rural areas have more WC compared with the first tertile ( 1.85; 95%CI: 1.17 ­ 2.53, p-value< 0.001). Conclusions. In rural areas, UPF consumption was associated with waist circumference, but it does not follow a linear association. Further studies are needed to understand the rationale behind these results(AU)

Implicações psicossociais da migração rural-urbana para jovens universitários / Psychosocial implications of young college students' rural-urban migration / Implicaciones psicosociales de la migración rural-urbana para los jóvenes universitários

Neste trabalho discute-se como os processos migratórios podem produzir efeitos psicossociais, de diferentes ordens, dimensões e com especificidades, quando se trata da relação entre rural e urbano. O objetivo é identificar relações entre os modos de vida dos jovens universitários e a migração rural-urbana na realidade brasileira. Com base qualitativa, foram realizadas 14 entrevistas semiestruturadas com jovens universitários, de comunidades rurais, integrantes da assistência estudantil de uma instituição pública de ensino superior. Os resultados apontaram que o modo de vida dos jovens universitários que vivenciam a migração rural-urbana está atravessado por inúmeros desafios, dentre os quais a pobreza. Apresentou-se dilemas provenientes da migração para os universitários viajantes, que refletem na mudança do modo de socialização, no distanciamento dos vínculos familiares e na mudança cultural. Concluiu-se que é importante pensar políticas de assistência estudantil que considerem a dimensão socioeconômica e subjetiva, favorecendo o acesso e a permanência do estudante na universidade. (AU)

In this work discusses how the migration processes can produce psychosocial effects of different orders and dimensions, with specificities, regarding the connection between rural and urban. The objective is to identify relations between ways of life of theyoung college students and the urban-rural migration, in the Brazilian reality. Using a qualitative basis of research, we performed 14 semi structured interviews with the young college students, from rural communities, members of the student aid of a public institution of higher education. The results showed that the way of life of the young college students who experienced rural-urban migration is filled with innumerous challenges, poverty being one of them. The migration of the traveling college studentspresented dilemmas, which reflect the shift in the means of socialization, distancing from family bonds and cultural change. It has been concluded that it is important to think student aid policies that consider the social economic and subjective dimension, enabling the access and permanence of the student in the university. (AU)

En este trabajo se analizacómo los procesos migratorios pueden producir efectos psicosociales de diferentes órdenesy dimensiones, con especificidades, en lo que respecta a la relación entre lo rural y lo urbano. El objetivo es identificar las relaciones entre las formas de vida de los jóvenes universitarios y la migración rural-urbana en la realidad brasileña. Sobre una base cualitativa, se realizaron 14 entrevistas semiestructuradas a estudiantes universitarios de comunidades rurales, integrantes de la asistencia estudiantil en una institución pública de educación superior. Los resultados mostraron que la forma de vida de los jóvenes universitarios que experimentan la migración del campo a la ciudad está atravesada por numerosos desafíos, incluida la pobreza. Se presentaron los dilemas derivados de la migración para los estudiantes universitarios itinerantes, que reflejan el cambio en la forma de socialización, el alejamiento de los lazos familiares y el cambio cultural. Se concluyó que es importante pensar en políticas de atención al estudiante que consideren la dimensión socioeconómica y subjetiva, favoreciendo el acceso y permanencia de los estudiantes en la universidad. (AU)

Anamnesis ambiental como parte de la consulta pediátrica: estudio piloto / Environmental history-taking as part of pediatric consultations: a pilot study

Introducción. La salud ambiental infantil es la rama de la pediatría que estudia la influencia del medioambiente en la salud y la enfermedad de los niños. Las exposiciones ambientales globales representan una seria amenaza para la salud, lo que justifica una mayor investigación y acción. Objetivo. Evaluar la salud ambiental de una muestra de niños que viven en áreas urbanas y rurales de la ciudad de Uruguaiana, Brasil. Población y métodos. Se incluyeron padres/tutores (n = 714) de niños atendidos en el Policlínico Infantil de la Ciudad de Uruguaiana de enero a octubre de 2021, que respondieron la anamnesis ambiental en pediatría (Sociedad Brasileña de Pediatría). Los datos obtenidos se analizaron según la residencia en zona urbana o rural, o el ingreso familiar. Resultados. Al comparar los habitantes de la zona urbana (n = 660) con los de la zona rural (n = 54), verificamos que entre los de la zona rural fue significativamente mayor la actividad con productos químicos (15 % vs. 32,7 %; p = 0,004), vivir cerca de plantación (7,5 % vs. 74,5 %; p <0,001) o con fuente de contaminación (4,8 % vs. 32,7 %; p <0,001), tener perro (62 % vs. 87,3 %; p <0,001), usar plaguicidas (0,6 % vs. 32,7 %; p <0,001) y exposición a contaminación química (2,6 % vs. 18,2 %; p <0,001). En el área urbana predominó la exposición al tránsito de vehículos cerca de la vivienda (85 % vs. 48,1 %; p <0,001), renta media inferior a 3 salarios mínimos (90 %) y baja escolaridad. Conclusión. Realizar la anamnesis ambiental es fundamental para la detección de amenazas ambientales presentes en los lugares donde los niños y adolescentes viven, aprenden, juegan y estudian.

Introduction. Children's environmental health studies the influence of the environment on health and disease in children. Global environmental exposures pose a serious threat to health, warranting further research and action. Objective. To assess the environmental health of a sample of children living in urban and rural areas in Uruguaiana, Brazil. Population and methods. We included parents/legal guardians (n = 714) of children seen at Policlinica Infantil de Uruguaiana between January and October 2021, who completed the environmental history- taking in pediatrics (Brazilian Society of Pediatrics). Collected data were analyzed based on place of residence (urban or rural) or household income. Results. The comparison between inhabitants of the urban area (n = 660) and the rural area (n = 54) established that, among those living in the rural area, activity with chemical substances (15% versus 32.7%; p = 0.004), living near a plantation (7.5% versus 74.5%; p < 0.001) or near a source of contamination (4.8% versus 32.7%; p < 0.001), having a dog (62% versus 87.3%; p < 0.001), using pesticides (0.6% versus 32.7%; p < 0.001), and exposure to chemical contamination (2.6% versus 18.2%; p < 0.001) were significantly higher. In the urban area, exposure to vehicle traffic near the house (85% versus 48.1%; p < 0.001), an average income below 3 minimum wages (90%), and a low level of education predominated. Conclusion. Environmental history-taking is critical for the detection of environmental threats present in the areas where children and adolescents live, learn, play, and study

Fatores sociodemográficos associados ao uso do preservativo na população ribeirinha / Factores sociodemográficos asociados al uso del preservativo en una población ribereña / Sociodemographic factors associated with condom use in a riverside population

Objetivo: estimar a prevalência e fatores associados ao uso do preservativo em população ribeirinha. Materiais e método: estudo transversal, analítico, realizado com 209 ribeirinhos do estado da Paraíba, Brasil, de junho a outubro de 2019. Os dados foram coletados por meio de entrevista individual e privativa com a utilização de um questionário estruturado com variáveis sociodemográficas e de comportamento sexual. As análises foram realizadas pela regressão de Poisson e estimadas as razões de prevalência. Análises bivariadas e múltiplas foram utilizadas para identificar associação entre as variáveis sociodemográficas e comportamentais com o uso do preservativo. Resultados: a prevalência estimada de uso do preservativo foi de 18,2% (IC: 95% 13,0-23,4). Ribeirinhos com idade maior que 40 anos apresentaram menor probabilidade de uso do preservativo (RP = 0,53; IC: 95% 0,34-0,83). Por sua vez, ribeirinhos com mais de oito anos de estudo apresentaram maior probabilidade de uso do preservativo (RP = 3,94; IC 95% 2,65-5,88).Conclusões: a prevalência do uso do preservativo entre os ribeirinhos foi baixa. Entretanto, indivíduos com maior escolaridade apresentaram maiores chances de uso. A prevenção combinada é uma alternativa para o controle das infecções transmissíveis, sendo o preservativo a principal medida de prevenção; portanto, compreender as singu-laridades da população ribeirinha e os fatores de risco para a boa adesão é imprescindível

Objetivo: estimar la prevalencia y los factores asociados al uso del preservativo en una población ribereña. Materiales y método: estudio transversal analítico, realizado con 209 habitantes ribereños del estado de Paraíba, Brasil, entre junio y octubre de 2019. Los datos fueron recolectados a través de entrevistas individuales y privadas mediante un cuestionario estructurado con variables socio-demográficas y de comportamiento sexual. Los análisis se realizaron utilizando la regresión de Poisson, estimando las razones de prevalencia. Se utilizaron análisis bivariados y múltiples para identificar la asociación entre las variables sociodemográficas y conductuales relacionadas con el uso del preservativo. Resultados: la prevalencia estimada del uso de preservativo fue de 18,2 % (IC = 95 % 13,0-23,4). Los habitantes ribereños mayores de 40 años reportaron una menor probabilidad de uso del condón (RP = 0,53; IC del 95 %: 0,34-0,83). Por otro lado, los individuos con más de 8 años de escolaridad fueron más propensos a utilizar preservativo (RP = 3,94; IC 95 %: 2,65-5,88). Conclusiones: la prevalencia del uso del preservativo entre la población estudiada fue baja. Sin embargo, aquellos individuos con mayor grado de escolaridad fueron más propensos a emplearlo. La prevención combinada es una alternativa para el control de las infecciones transmisibles, siendo el preservativo la principal medida preventiva. Por lo tanto, resulta fundamental conocer las singularidades de la población ribereña y los factores de riesgo para una buena adherencia.

Objective: To estimate the prevalence and factors associated with condom use in a riverside population. Materials and method: Cross-sectional and analytical study with 209 riverside inhabitants in the state of Paraíba, Brazil, from June to October 2019. Data were collected through individual and private interviews using a structured questionnaire with sociodemographic and sexual behavior-related variables. Analysis was conducted using Poisson regression. Prevalence ratios were estimated. Bivariate and multiple analyzes were used to identify the association between sociodemographic and behavioral variables with condom use. Results: The estimated prevalence of condom use was 18.2% (95% CI: 13.0-23.4). Riverside people over 40 years were less likely to use condoms (PR = 0.53; 95% ci: 0.34-0.83). On the other hand, individuals with more than 8 years of schooling were more likely to use condoms (PR = 3.94; 95% CI: 2.65-5.88). Conclusions: The prevalence of condom use among participants was low. However, individuals with higher education attainment were more likely to use it. Combined prevention is an alternative to control communicable infections, with condoms being the main prevention measure. Consequently, understanding the singularities of similar populations and the risk factors for good adherence to condom use is essential.

Assessment of anthropometric and physical profile of selected school-age children in rural and urban setting in South-West Nigeria (NigeriaLINX pilot) / Avaliação do perfil antropométrico e físico de crianças em idade escolar selecionadas em ambientes rurais e urbanos no sudoeste da Nigéria (piloto NigeriaLINX)

Objective: the objective of this study was to examine the anthropometric and physical profile of selected school-age children in rural and urban setting. Methods: the descriptive cross-sectional design was adopted for the study while multistage sampling techniques, which included simple random and systematic sampling techniques, were used to draw samples from the target population. The sample constitute healthy children who voluntarily participated in the study after consent for participation was given by individual parent. Anthropometric measurements for the study included height, weight, sitting height and BMI while the physical fitness tests for the study included sit and reach, handgrip strength, speed bounce, standing broad jump, 10m x 5 shuttles run and multistage fitness test. Z score, STEN score and independent T-Test were used for data analysis. Results: a total of 222 healthy children with average age of 10 years (male=112, female=109) participated in the study. The results showed that the urban children were taller (Urban=141.3±9.2m; Rural=134±21.3m), heavier (Urban=37.6±10.4kg; Rural=28.2±6.2kg), had more leg power (Urban=105.7±25.5; Rural=49.4±41.0) and arm strength (Urban=15.7±4.1; Rural=13.4±5.2) than rural children. However, the rural children had higher sit and reach score (Rural=25.3±5.8; Urban=22.8±6.0) and completed more laps in multistage fitness test (Rural=35.5±25.5; Urban=12±5.7). The statistical analysis showed that all the variables were significantly different urban and rural children (P<0.05). Conclusion: the current study shows that the children in the urban and rural settings differed in the selected anthropometric and physical variables Therefore, the physical education program and infrastructural facilities for physical activity and sport participation for school age children should be designed based on the socioeconomic status, social amenities and level of development of the host community

Objetivo: examinar o perfil antropométrico e físico de crianças em idade escolar selecionadas em ambientes rurais e urbanos. Métodos: foi realizado um estudo transversal aplicando técnicas de amostragem em vários estágios, que incluíam processos de amostragem aleatória simples e sistemática, usadas para extrair amostras da população-alvo. A amostra constitui-se de crianças saudáveis que participaram voluntariamente do estudo, após consentimento para participação dado por um dos pais. As medições antropométricas incluíram altura, peso, altura sentada e IMC, enquanto os testes de aptidão física para o estudo incluíram sentar-se e alcançar, força de preensão manual, salto de velocidade, salto em largura, corrida de vaivém de 10 x 5 metros e teste de aptidão multiestágio. Foram usados para a análise escore z, escore STEN e teste t independentemente dos dados. Resultados: um total de 222 crianças saudáveis com idade média de 10 anos (masculino=112, feminino=109) participaram do estudo. Os resultados mostraram que as crianças urbanas eram mais altas (Urbano=141,3±9,2m; Rurais=134±21,3m), mais pesadas (Urbano=37,6±10,4kg; Rurais=28,2±6,2kg), tinham mais força nas pernas (Urbano=105,7±25,5; Rurais =49,4±41,0) e força de braço (Urbano=15,7±4,1; Rural=13,4±5,2) do que as crianças da zona rural. No entanto, as crianças da zona rural tiveram maior pontuação de sentar e alcançar (Rural=25,3±5,8; Urbana=22,8±6,0) e completaram mais voltas no teste de condicionamento físico multiestágio (Rural=35,5±25,5; Urbana=12±5,7). Todas as variáveis eram significativamente diferentes entre crianças urbanas e rurais (P<0,05). Conclusão: o presente estudo mostrou que as crianças das áreas urbana e rural diferiram nas variáveis antropométricas e físicas selecionadas. Portanto, o programa de educação física e as instalações de infraestrutura para atividades físicas e participação em esportes para crianças em idade escolar devem ser projetados com base no status socioeconômico, nas comodidades sociais e no nível de desenvolvimento da comunidade anfitriã

Epidemiology of rocky mountain spotted fever in Brazil, 2010-2020 / Epidemiologia da febre das montanhas rochosas no Brasil, 2010-2020 / Epidemiología de la fiebre de las montañas rocosas en Brasil, 2010-2020

Rocky Mountain spotted fever is a tick-borne rickettsiosis. The main clinical signs and symptoms are fever, severe headache, rashes and myalgia. It is considered difficult to diagnose and underreported. The study aims to descriptively analyze the epidemiology of cases of Rocky Mountain spotted fever in Brazil from 2010 to 2021. This is a retrospective cohort study that statisticall analyzes the cases of spotted fever in Brazil between 2010 and 2020 through data obtained by the Information System of Notifiable Diseases. The proportions of spotted fever cases were calculated according to: sex, age, race/color, infection environment and evolution. There are 1967 cases were confirmed. The regions with the most cases were the Southeast (n%=72.24) and the South (n%=24). However, there are 4 deaths in the south while the lethality coefficient from the southeast is 47.78%. The most affected age group was 40-59 years old (n%=34.87), and 20-39 years old (n%=28.98). 71.17% of the cases are male. As for color/race, 60% of the cases are in whites. As for the infection environment, 35.23% are at home, 15.3% are at work, 26.13% are leisure places. The prevalence in males and the predominant age group 20-59 years can be linked to work activity, which leaves hem more exposed to ticks. The high numbers in adulthood can also be related to ecotourism. The lethality of the disease differs between the South and Southeast regions. One explanation for this phenomenon would be the different etiological agents, R. rickettsi, predominant in the Southeast, generating more severe clinical conditions.

A febre maculosa é uma riquetsiose transmitida por carrapatos. Os principais sinais e sintomas clínicos são febre, cefaleia intensa, erupções cutâneas e mialgia. É considerada de difícil diagnóstico e subnotificada. O estudo visa analisar descritivamente a epidemiologia dos casos de febre maculosa do Brasil no período de 2010 até 2021. Trata-se de um estudo de coorte retrospectivo que analisa estatisticamente os casos de febre maculosa no Brasil entre 2010 e 2020 por meio de dados obtidos pelo Sistema de Informação de Agravos de Notificação. As proporções de casos de febre maculosa foram calculadas segundo: sexo, idade, raça/cor, ambiente de infecção e evolução. Foram confirmados 1967 casos. As regiões com mais casos foram Sudeste (n%= 72,24) e Sul (n%= 24). No entanto, há 4 óbitos no Sul enquanto o coeficiente de letalidade do Sudeste é de 47,78%. A faixa etária mais acometida foi de 40 a 59 anos (n%= 34,87) e de 20 a 39 anos (n%= 28,98). 71,17% dos casos são do sexo masculino. Quanto à cor/raça, 60% dos casos são de brancos. Quanto ao ambiente de contágio, 35,23% são em casa, 15,3% são no trabalho, 26,13% são locais de lazer. A prevalência no sexo masculino e a faixa etária predominante de 20 a 59 anos pode estar ligada à atividade laboral, que os deixa mais expostos aos carrapatos. Os altos números na idade adulta também podem estar relacionados ao ecoturismo. A letalidade da doença difere entre as regiões Sul e Sudeste, sendo que uma explicação para esse fenômeno seriam os diferentes agentes etiológicos,

La fiebre maculosa es una rickettsiosis transmitida por garrapatas. Los principales signos y síntomas clínicos son fiebre, cefalea intensa, erupciones cutáneas y mialgias. Se considera difícil de diagnosticar y poco notificada. El estudio tiene como objetivo analizar descriptivamente la epidemiología de los casos de fiebre manchada en Brasil en el período de 2010 a 2021. Se trata de un estudio de cohortes retrospectivo que analiza estadísticamente los casos de fiebre manchada en Brasil entre 2010 y 2020 a través de datos obtenidos del Sistema de Información de Agraves de Notificación. Se calcularon las proporciones de casos de fiebre manchada según: sexo, edad, raza/color, ambiente de infección y evolución. Se confirmaron 1967 casos. Las regiones con más casos fueron el Sudeste (n%= 72,24) y el Sur (n%= 24). Sin embargo, hubo 4 muertes en el Sur, mientras que el coeficiente de letalidad en el Sureste fue del 47,78%. El grupo de edad más afectado fue el de 40 a 59 años (n%= 34,87) y el de 20 a 39 años (n%= 28,98). El 71,17% de los casos eran varones. En cuanto al color/raza, el 60% de los casos son de raza blanca. En cuanto al entorno de la infección, el 35,23% se produce en el domicilio, el 15,3% en el trabajo y el 26,13% en lugares de ocio. La prevalencia en los hombres y el grupo de edad predominante de 20 a 59 años pueden estar relacionados con la actividad laboral, que los deja más expuestos a las garrapatas. El elevado número en la edad adulta también puede estar relacionado con el ecoturismo. La letalidad de la enfermedad difiere entre las regiones Sur y Sudeste, y una explicación para este fenómeno serían los diferentes agentes etiológicos, R. rickettsi, predominante en la región Sudeste, generando cuadros clínicos más severos.

Produção científica sobre a saúde da população ribeirinha no território brasileiro: estudo bibliométrico / Producción científica sobre la salud de la población ribereña en territorio brasileño: estudio bibliométrico / Scientific production on the riverside population's health in Brazilian territory: a bibliometric study

Objetivo: mensurar a produção científica sobre a saúde da população ribeirinha no território brasileiro. Método: estudo bibliométrico, com dados coletados em março e abril/2023, utilizando diferentes bases, via Biblioteca Virtual em Saúde, PubMed, Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e biblioteca científica online. Foram elaboradas estratégias de busca com descritores e palavras-chave. Realizou-se análise estatística descritiva, e aplicaram-se as leis bibliométricas de Bradford, Lotka e Zipf. Resultados: a amostra foi constituída por 35 documentos, predominando artigos originais quantitativos, publicados em inglês e português, nos anos de 2019 a 2022. Por seus números de publicação, foram destacados cinco autores e quatro instituições brasileiras. Identificaram-se quatro periódicos mais influentes, quatro palavras-chave mais representativas e os principais termos utilizados na redação dos objetivos dos estudos selecionados. Conclusão: evidenciou-se que a produção científica aumentou nos últimos anos, mas é necessário robustecer o volume de estudos sobre o tema.

Objective: to measure scientific production on the riverside population's health in Brazilian territory. Method: a bibliometric study, with data collected in March and April 2023, using different databases, via the Virtual Health Library, PubMed, Coordination for the Improvement of Higher Education Personnel Journal Portal and the online scientific library. Search strategies were developed with descriptors and keywords. Descriptive statistical analysis was performed, and Bradford's, Lotka's and Zipf's bibliometric laws were applied. Results: the sample consisted of 35 documents, predominantly quantitative original articles, published in English and Portuguese, in from 2019 to 2022. Due to their publication numbers, five authors and four Brazilian institutions were highlighted. Four most influential journals, four most representative keywords and the main terms used in writing the objectives of selected studies were identified. Conclusion: it was evident that scientific production has increased in recent years, but it is necessary to strengthen the volume of studies on the topic.

Objetivo: medir la producción científica sobre la salud de la población ribereña en territorio brasileño. Método: estudio bibliométrico, con datos recolectados en marzo y abril de 2023, utilizando diferentes bases de datos, a través de la Biblioteca Virtual en Salud, PubMed, Portal de Revistas de la Coordinación de Perfeccionamiento del Personal de Educación Superior y la biblioteca científica en línea. Se desarrollaron estrategias de búsqueda con descriptores y palabras clave. Se realizó análisis estadístico descriptivo y se aplicaron las leyes bibliométricas de Bradford, Lotka y Zipf. Resultados: la muestra estuvo compuesta por 35 documentos, predominantemente artículos originales cuantitativos, publicados en inglés y portugués, en los años 2019 a 2022. Por su número de publicaciones, se destacaron cinco autores y cuatro instituciones brasileñas. Se identificaron cuatro revistas más influyentes, cuatro palabras clave más representativas y los principales términos utilizados en la redacción de los objetivos de los estudios seleccionados. Conclusión: se evidenció que la producción científica ha aumentado en los últimos años, pero es necesario fortalecer el volumen de estudios sobre el tema.

Políticas desenvolvimentistas e mulheres quebradeiras de coco babaçu: capturas contemporâneas / Developmentalist policies and babassu coconut-breaking women: contemporary catches / Políticas desarrollistas y las mujeres que rompen coco babaçu: capturas contemporáneas

Este estudo propõe analisar as relações e os processos de subjetivação de mulheres quebradeiras de coco babaçu decorrentes das intervenções de políticas desenvolvimentistas em seus territórios de vida e reverberações no Movimento Interestadual de Quebradeiras de Coco Babaçu (MIQCB). Sob a perspectiva ético-estético-política da Cartografia, acompanhamos as narrativas das histórias de vida de 24 mulheres, suas atividades cotidianas e eventos do MIQCB, também analisamos os documentos das políticas. Entendemos que, ao passo que tais políticas de desenvolvimento rural contribuem para a melhoria das condições de vida, em termos materiais e simbólicos, elas também produzem ressonâncias relacionadas ao modo de subjetivação do tipo "empresário de si", que agenciam seus modos de viver, de produzir e de se relacionar consigo e com os outros na lógica capitalista neoliberal. A resistência às capturas neoliberais também estão presentes ao ampliarem as mobilizações coletivas do próprio movimento, articulando com outros na produção de um "comum".(AU)

This study proposes to analyze the relations and the processes of subjectivation of babassu coconut-breaker women arising from developmental policy interventions in their territories of life and reverberations in the Babassu Coconut-breaker Interstate Movement (MIQCB). From the ethical-aesthetic-political perspective of Cartography, we followed the narratives of the life stories of 24 women, their daily activities and promoted events by MIQCB, we also analyzed the policy documents. We understand that while these policies of rural development contribute to improve the living conditions, in material and symbolic terms, they also produce resonances related to the "self-entrepreneur" mode of subjectivation, which has been handling their ways of living, producing, and relating to themselves and others in the neoliberal capitalist logic. Resistance to neoliberal captures is also present as they expand the collective mobilizations of the movement itself, articulating with others, in the production of a "common."(AU)

Este estudio tiene como objetivo analizar los procesos de subjetivación de las mujeres que rompen coco babaçu que surgen de las intervenciones de las políticas de desarrollo en sus territorios de vida y las reverberaciones en el Movimiento Interestadual de las Mujeres que Rompen Coco Babaçu (MIQCB). Desde la perspectiva ético-estético-política de la Cartografía, seguimos las narraciones de las historias de vida de 24 mujeres, sus actividades diarias y eventos del MIQCB, y también analizamos los documentos de las políticas. Si bien estas políticas han contribuido a mejorar las condiciones de vida de las mujeres, en términos materiales y simbólicos, también han producido resonancias del modo de subjetivación "autoempresarial", que ha agenciado sus formas de vivir, producir y relacionarse consigo mismas y con los demás en la lógica capitalista neoliberal. La resistencia a las capturas neoliberales también está presente cuando amplían las movilizaciones colectivas del propio movimiento, articulándose con otros en la producción de un "común".(AU)

Perception and willingness to the uptake of COVID-19 vaccine among household-heads in a rural community of South-Western Nigeria

Background:The COVID-19 pandemic and its vaccine have been met with varying perceptions that may have both negative and positive effects on the willingness to uptake the COVID-19 vaccine. The study is set to determine the perception and willingness of the household heads to the uptake of COVID-19 vaccine in a rural community in Southwestern, Nigeria.Materials and Methods:A cross-sectional study was carried out among 409 household heads selected through a multistage sampling technique. The instrument of data collection was a semi-structured interviewer-administered questionnaireusing the Health Belief model constructs. Data were analyzed with IBM SPSS version 21.0 and Pearson's Chi-square test was used to determine the association between perception and willingness to uptake vaccine. P<0.05 was taken as significant at 95% confidence interval.Results:The majority of the unvaccinated respondents in the study were not willing to take the COVID-19 vaccine (60.1%). There was a poor perception of the susceptibility/severity of unvaccinated respondents to COVID-19 infection and a poor perception of the benefit/barrier to the uptake of the COVID-19vaccine. Perception of susceptibility and severity of COVID-19 infection were statistically related to the willingness to uptake the COVID-19vaccine.Conclusion:There should be an increase in awareness campaigns to change the perception of people positively to COVID-19 infection and uptake of the COVID-19vaccine.

Molecular and serological pattern of Toxoplasma gondii among rural population in four regions of Gabon

Toxoplasma gondii is an obligatory intracellular parasite that causes a zoonotic disease capable of infecting nearly all warm-blooded hosts, including humans. However, reports on the molecular prevalence of T. gondii in humans are rare in Gabon. The present study aimed to evaluate the serological and molecular prevalence of T. gondii among apparently healthy rural populations in four regions of Gabon. This study included six hundred blood samples from the Interdisciplinary Center for Medical Research (CIRMF) bank, including 300 women and 300 men living in 111 villages. Blood samples were screened using enzyme-linked fluorescent assay (ELFA), while buffy coat samples were analyzed using PCR analyses. Of the 600 samples screened, 548 (91.3%) showed IgG antibodies against T. gondii; 11 (2%) had both IgG and IgM. Among the 548 positive samples, 155 (28%) had higher IgG titers (>300 UI/ml), and 49 of them (31.6%) were detected with T. gondii DNA. The present findings on human toxoplasmosis in Gabon suggest that at an older age, reactivation of old infections seems more frequent than new infections, as indicated by the presence of T. gondii using PCR among elevated IgG subjects without IgM. Further studies should be performed to identify the genotypes of T. gondii that infect humans in Gabon.

Characteristics and Differences of Household Fine Particulate Matter Pollution Caused by Fuel Burning in Urban and Rural Areas in China / 中国医学科学院学报

Objective To explore the overall level,distribution characteristics,and differences in household fine particulate matter (PM2.5) pollution caused by fuel burning in urban and rural areas in China. Methods The relevant articles published from 1991 to 2021 were retrieved and included in this study.The data including the average concentration of household PM2.5 and urban and rural areas were extracted,and the stoves and fuel types were reclassified.The average concentration of PM2.5 in different areas was calculated and analyzed by nonparametric test. Results The average household PM2.5 concentration in China was (178.81±249.91) μg/m3.The mean household PM2.5 concentration was higher in rural areas than in urban areas[(206.08±279.40) μg/m3 vs. (110.63±131.16) μg/m3;Z=-5.45,P<0.001] and higher in northern areas than in southern areas[(224.27±301.66) μg/m3 vs.(130.11±140.61) μg/m3;Z=-2.38,P=0.017].The north-south difference in household PM2.5 concentration was more significant in rural areas than in urban areas[(324.19±367.94) μg/m3 vs.(141.20±151.05) μg/m3,χ2=-5.06,P<0.001].The PM2.5 pollution level showed differences between urban and rural households using different fuel types (χ2=92.85,P<0.001),stove types (χ2=74.42,P<0.001),and whether they were heating (Z=-4.43,P<0.001).Specifically,rural households mainly used solid fuels (manure,charcoal,coal) and traditional or improved stoves,while urban households mainly used clean fuels (gas) and clean stoves.The PM2.5 concentrations in heated households were higher than those in non-heated households in both rural and urban areas (Z=-4.43,P<0.001). Conclusions The household PM2.5 pollution caused by fuel combustion in China remains a high level.The PM2.5 concentration shows a significant difference between urban and rural households,and the PM2.5 pollution is more serious in rural households.The difference in the household PM2.5 concentration between urban and rural areas is more significant in northern China.PM2.5 pollution in the households using solid fuel,traditional stoves,and heating is serious,and thus targeted measures should be taken to control PM2.5 pollution in these households.

Current Situation and Influencing Factors of Delay in Seeking Medical Treatment Among Residents in Rural Areas of Sichuan Province / 中国医学科学院学报

Objective To understand the current situation and explore the influencing factors of delay in seeking medical treatment for common symptoms of residents in the rural areas of Sichuan province. Methods In July 2019,multi-stage random sampling was carried out in Zigong city,Sichuan province,and the data were collected by face-to-face questionnaire interview.The residents who had lived at hometown for more than half a year in the past year and had seen a doctor in the most recent month were surveyed.Logistic regression was adopted to predict the influencing factors of delay in seeking medical treatment. Results A total of 342 subjects were enrolled,and the incidence of delay in seeking medical treatment was 13.45%(46/342).Compared with the young and middle-aged(<65 years)people,the elderly(≥65 years)people were more likely to have delay in seeking medical treatment (OR=2.187,95%CI=1.074-4.457,P=0.031).The rural residents who gave higher score of the overall quality of township health centers were less likely to have delay in seeking medical treatment (OR=0.854,95%CI=0.735-0.992,P=0.039). Conclusions The occurrence of delay in seeking medical treatment for common symptoms of rural residents in Sichuan province is low.Age and the overall quality evaluation of township health centers affect the occurrence of delay in medical treatment among the rural residents in Sichuan province.Efforts should be made to improve the awareness of disease prevention among the elderly in rural areas.The investment in health resources in township health centers should be increased to strengthen the introduction and training of talents.These measures can improve the health services in township health centers,guide residents to make timely use of health resources,and reduce the occurrence of delay in seeking medical treatment.

Importance of vaccination against human papillomavirus in a rural settlement in Terenos, Mato Grosso do Sul / Importância da vacinação contra o papilomavírus humano em um assentamento rural em Terenos, Mato Grosso do Sul

ABSTRACT OBJECTIVE To understand health professionals' perceptions about vaccination against human papillomavirus (HPV) in the Santa Mônica rural settlement in Terenos, Mato Grosso do Sul. METHODS Quantitative and qualitative methodologies, consultations on vaccination cards, records of community health agents and the focus group technique were used. The main factors of hesitation and vaccine refusal were analyzed, as well as the health team's strategies for the process of immunization against HPV, from June to August 2018. RESULTS Of 121 children and adolescents, 81 (66.94%) received the complete vaccination schedule. Complete vaccination coverage for women was 73.17% (60/82) and for men, 53.8% (21/39). It was observed that, although strategies are adopted for vaccine promotion, such as mobile actions, the public is resistant due to superficial knowledge about the vaccine and its use in an early age group, showing itself to be susceptible to the negative influence of the media and to society's taboos. In addition, difficulties regarding the use of the Unified Health System card and the shortage of professionals were also observed. CONCLUSION The results explain the immunization coverage below the target and reinforce the need to strengthen the family health strategy, as well as the permanent and continuing education of professionals, in order to increase parental confidence and adherence to vaccination.

RESUMO OBJETIVO Compreender as percepções dos profissionais de saúde acerca da vacinação contra o papilomavírus humano (HPV) no Complexo de assentamentos Santa Mônica, em Terenos, Mato Grosso do Sul. MÉTODOS Foram utilizadas metodologias quanti-qualitativas, consultas em cartões vacinais, registros de agente comunitários de saúde e a técnica de grupo focal. Foram analisados os principais fatores de hesitação e recusa vacinal, bem como as estratégias da equipe de saúde para o processo de imunização contra o HPV, de junho a agosto de 2018. RESULTADOS De 121 crianças e adolescentes, 81 (66,94%) receberam o esquema vacinal completo. A cobertura vacinal completa feminina foi de 73,17% (60/82) e a masculina de 53,8% (21/39). Observou-se que, embora sejam adotadas estratégias para a promoção da vacina, como ações volantes, o público encontra-se resistente devido ao conhecimento superficial sobre a vacina e sua utilização em faixa etária precoce, mostrando-se suscetível à influência negativa da mídia e aos tabus da sociedade. Além disso, dificuldades quanto ao uso do cartão do Sistema Único de Saúde e a escassez de profissionais também foram observadas. CONCLUSÃO Os resultados justificam a cobertura vacinal abaixo da meta e reforçam a necessidade de fortalecimento da estratégia de saúde da família, bem como da educação permanente e continuada dos profissionais, a fim de aumentar a confiança dos pais e a adesão à vacinação.

A case study on undernutrition among children under five years of age in Barangay Calumpang, Nagcarlan, Laguna

Background@#In 2020, Barangay Calumpang, a 2nd class municipality in Nagcarlan, Laguna recorded the highest prevalence of undernutrition among children under five years of age out of the 52 barangays.@*Objectives@#This study was undertaken to describe the factors possibly causing undernutrition among children under five years of age in Barangay Calumpang and provide key recommendations to improve their nutritional status.@*Methods@#The study used a descriptive research design wherein secondary data from the 2020 Barangay Management Information System (BMIS) and Operation Timbang (OPT) 2021 was merged to extract the children's data. The Statistical Package for the Social Sciences (SPSS) was used for the principal component analysis (PCA) and creation of the wealth index. The children’s nutrition situation and profile were also cross-tabulated.@*Results@#We included 28 children. Undernutrition was more prevalent in boys than girls. Most of the children had improved water sources, sanitation facilities, and waste disposal methods. The wealth index showed that half of the subjects were in the lower quintiles, and all were partially immunized. The most prevalent forms of undernutrition were severe underweight (36%) and severe stunting (39%). Other forms of undernutrition were also present in the barangay, such as underweight (14%) and severe wasting (14%). There was also a prevalence of 11% for both stunting and wasting.@*Conclusion@#Undernutrition was more frequent in boys, lower quintile households (stunting), and partially immunized children. Conducting gender-targeted nutrition programs, developing nutrition-focused livelihood programs, increasing awareness on the advantages of immunization, and promoting proper infant and child feeding practices were some of the recommendations given to improve the nutritional status of children under five.

Analysis on trend of health examination rate and influencing factors in adults in China, 2010-2018 / 中华流行病学杂志

Objective: To understand the health examination rate and its changing trend in adults in China from 2010 to 2018, identify the main factors affecting the health examination rate and provide data support for decision making of health intervention. Methods: Data from China Chronic Disease and Risk Factor Surveillance in 2010, 2013, 2015 and 2018 were used. After complex weighting of the data, the rates of health examination, its changing trends and reasons for receiving health examination in adults were analyzed. Average annual percent change (AAPC) was used to describe the changing trend. Anderson model was used as the analysis framework. Multivariate logistic regression model was used to identify the influencing factors for the health examination rate. Results: From 2010 to 2018, the health examination rate in adults increased from 28.2% (95%CI: 24.8%-31.6%) to 41.0% (95%CI: 38.9%-43.1%, P for trend <0.001), the AAPC was 5.47%, the annual average increase was more obvious in those with lower education level and lower income level and in those living in rural area and in western China. In 2018, people received health examination mainly due to providing without charge by community (36.7%) and working unit (28.5%). The results of multivariate analysis showed that being women, age ≥45 years, education level of junior high school or above, living in urban areas, medical insurance, annual income ≥24 000 RMB, suffering from multiple chronic diseases, non-smoking, drinking, adequate physical activity were positive factors for receiving health examination. Conclusion: The rate of health examination in adults increased in China during 2010-2018, and the main reason for receiving health examination is free of charge.

Prevalence and trends of anemia among pregnant women in eight provinces of China from 2016 to 2020 / 中华预防医学杂志

This study analyzed the anemia status and change trend of 219 835 pregnant women in eight provinces from 2016 to 2020 in the Maternal and Newborn Health Monitoring Program(MNHMP). The results showed that from 2016 to 2020, the anemia rate of pregnant women in eight provinces was 41.27%, and the rates of mild, moderate and severe anemia were 28.56%, 12.59% and 0.12% respectively; the anemia rates in eastern, central and western regions were 41.87%, 36.09% and 44.63% respectively, and the anemia rates in urban and rural areas were 39.87% and 42.23%. From 2016 to 2020, the anemia rate of pregnant women decreased from 44.93% to 38.22%, with an average annual decline of 3.86% (95%CI:-5.84%, -1.85%). The anemia rate among pregnant women of the eastern region (AAPC=-6.16%, 95%CI:-9.79%, -2.38%) fell faster than that among pregnant women of the central region (AAPC=0.71%, 95%CI:-6.59%, 8.57%) and western region (AAPC=-1.53%, 95%CI:-5.19%, 2.28%). From 2016 to 2020, the moderate anemia rate in pregnant women decreased from 14.98% to 10.74%, with an average annual decline of 8.72% (95%CI:-12.90%, -4.34%), with a statistically significant difference (P<0.05); AAPC for mild and severe anemia in pregnant women was 1.56% (95%CI: 3.44%, 0.36%) and 18.86% (95%CI: 39.88%, 9.52%), respectively, without statistically significant difference (P>0.05).

Investigation of ABO and RhD blood groups in childbearing age people in rural areas of Yunnan Province / 中华预防医学杂志

The participants in this study were 20-49 years old rural childbearing age people who received the National Free Preconception Health Examination Project (NFPHEP) in Yunnan Province during 2013 to 2019. The proportion of ABO and RhD blood groups among different ethnic groups and different areas were calculated. The proportion of 2 748 131 participants with blood group A phenotype was highest (32.60%), followed by O (30.60%), B (27.33%) and AB (9.47%). In the RhD blood system, the proportion of the RhD positivity (RhD+) and RhD negativity (RhD-) group were 99.29% and 0.71% respectively. The proportions blood groups were significantly different among ethnic groups and areas (all P<0.001). Among 18 ethnic groups with more than 3 000 participants, Yao (42.75%), Bouyei (40.58%) and Dai (40.37%) ethnic groups had higher proportion of blood group O phenotype than other ethnic groups. Wa ethnic groups had highest proportion of the A (40.15%) and AB phenotypes (11.23%). Miao ethnic group (34.70%) and Lahu ethnic group (34.42%) had higher proportion of blood group B phenotype than other ethnic groups. Wa ethnic group had the highest proportion of RhD-group (1.88%). In all 16 prefectures of Yunnan, the proportion of blood group O phenotype was highest in Xishuangbanna Dai Autonomous Prefecture (40.27%). Baoshan city (36.39%), Lincang city (36.22%) and Dali Bai autonomous prefecture (36.06%) had higher proportion of blood group A phenotype than other regions. Diqing Tibetan Autonomous Prefecture (30.83%) and Qujing city (30.48%) had higher proportion of blood group B phenotype than other areas, while Zhaotong city had a highest proportion of blood group AB phenotype (11.19%). The proportion of RhD-group was highest in Honghe hani and Yi nationality autonomous prefecture(1.37%). The A RhD+(39.36%), A RhD-(0.78%), AB RhD+(11.03%), AB RhD-(0.20%) and O RhD-(0.48%) blood groups were higher proportion in Wa ethnic group than in other ethnic groups (P<0.001).

Cancer statistics in China, 2016 / 中华肿瘤杂志

Objective: Data for 2016 from cancer registries were used to estimate cancer incidence and mortality in China in 2016. Methods: According to the quality control process of the National Central Cancer Registry, the data from 683 cancer registries submitted by each province were evaluated, and the data of 487 cancer registries were qualified and included in the final analysis. Age-specific incidence and mortality rates were calculated by area (urban/rural), sex, age and cancer site, combined with national population data to estimate cancer incidence and mortality in China in 2016. Chinese population census in 2000 and Segi's population were used for age-standardized incidence and mortality rates. Results: Total population covered by 487 cancer registries was 381 565 422 (192 628 370 in urban and 188 937 052 in rural areas). The percentages of morphologically verified (MV%) and death certificate-only cases (DCO%) accounted for 68.31% and 1.40%, respectively, and the mortality to incidence ratio was 0.61. It was estimated about 4 064 000 new cases occurred in China in 2016, with the crude incidence rate being 293.91/100 000 (the rates of males and females were 315.52/100 000 and 271.23/100 000), age-standardized incidence rates by Chinese standard population (ASIRC) and by world standard population (ASIRW) were 190.76/100 000 and 186.46/100 000, with the cumulative incidence rate (0-74 years old) being 21.42%. The crude incidence and ASIRC were 314.74/100 000 and 196.38/100 000 in urban areas, whereas in rural areas, they were 265.90/100 000 and 182.21/100 000, respectively. It was estimated about 2 413 500 cancer deaths occurred in China in 2016, the crude mortality rate was 174.55/100 000 (216.16/100 000 in males and 130.88/100 000 in females), the age-standardized mortality rates by Chinese standard population (ASMRC) and by world standard population (ASMRW) were 106.00/100 000 and 105.19/100 000, and the cumulative mortality rate (0-74 years old) was 11.85%. The crude mortality and ASMRC were 180.31/100 000 and 104.44/100 000 in urban areas, whereas in rural areas, they were 166.81/100 000 and 108.01/100 000, respectively. The most common cancer cases include lung, colorectal, stomach, liver and female breast cancers. The top five cancers accounted for about 57.27% of all cancer cases. The most common cancer deaths included lung, liver, stomach, colorectal and esophageal cancers. The top five cancers accounted for about 69.25% of all cancer deaths. Conclusions: The burden of cancer shows a continuous increasing trend in China. Regional and gender differences in cancer burden are obvious. The cancer patterns still show the coexistence of cancer patterns in developed countries and developing countries. The situation of cancer prevention and control is still serious in China.