Association between eating at night and skipping breakfast with anxiety symptoms among freshman in colleges in Yunnan Province / 中国学校卫生

Objective@#To study the association between eating at night and skipping breakfast with college students anxiety symptoms, and to provide reference basis for preventing and alleviating college students anxiety symptoms.@*Methods@#A cross sectional survey was conducted among 9 960 freshman from three universities in Kunming and Dali, Yunnan Province. The dietary frequency questionnaire was used to evaluate the dietary behavior of college students. The Depression Anxiety Stress Scale-21 (DASS-21) was used to evaluate the anxiety symptoms of college students. The association of late night snack and breakfast skipping with the association of anxiety symptoms in college students used generalized linear model and Logistic regression model.@*Results@#The proportion of college students who reported eating at night and breakfast skipping in the last month was 72.5%(7 217/9 960) and 61.6%(6 131/9 960) respectively. The detection rate of anxiety symptoms in college students was 28.9%(2 875/9 960). There was a statistical significance between eating at night with anxiety symptoms( OR =1.40-2.54), and breakfast skipping with anxiety symptoms( OR =1.23-1.60)( P <0.05). The interaction between eating late at night and breakfast skipping was positively correlated with college students anxiety symptoms (multiplicative interaction, β=0.06, 95%CI=0.02- 0.10 , P<0.01; additive interaction, OR=2.00, 95%CI=1.59-2.51, P <0.01).@*Conclusion@#The study suggests that the college students who eat at night and frequently skipped breakfast are more likely to have anxiety symptoms. It suggested to promote the formation of healthy eating habits of college students, so as to reduce the occurrence of anxiety sympotoms.

Three-level precautions against medical disputes / 中华医院管理杂志

Taking feasible precautions is an important step in effectively reducing medical disputes and improving medical quality. Guarding against medical disputes is a complex systematic project, which shares similarities with disease prevention. In view of the causes, evolution and various manifestations of medical disputes, it is imperative to take measures from the following three aspects and guard against them on three levels: ①taking first level(primary) precautions so as to boost overall development and tackle medical disputes at the source; ②taking second level(key) precautions so as to conduct timely imterventions and nip medical disputes in the bud; ③taking third level(emergency) precautions so as to dissolve prominent conflicts and prevent the worsening of medical disputes.