Trends in cerebrovascular disease mortality in Hangzhou City from 2006 to 2020 / 预防医学

Objective@#To investigate the trends in cerebrovascular disease mortality among residents in Hangzhou City from 2006 to 2020, so as to provide insights into the development of cerebrovascular disease control strategy. @*Methods@#The cerebrovascular disease mortality data were collected from residents in Hangzhou City through household registered death cards recorded in county- and city-level hospitals, township-level health centers and community health service centers in Hangzhou City and standardized by the national population census data in China in 2010. The changes in the crude and standardized mortality of cerebrovascular diseases were estimated using annual percent change (APC) in Hangzhou City from 2006 to 2020.@*Results@#A total of 109 891 deaths were reported due to cerebrovascular diseases among residents in Hangzhou City from 2006 to 2020, accounting for 17.72% of all deaths in Hangzhou City during the 15-year period, and the crude and standardized mortality rates were 105.83/105 and 65.15/105, which both appeared a tendency towards a decline (crude mortality: APC=-0.80%, t=-3.832, P=0.002; standardized mortality: APC=-4.69%, t=-24.084, P<0.001). The crude mortality of hemorrhagic stroke showed a tendency towards a decline among residents in Hangzhou City from 2006 to 2020 (APC=-7.97%, t=-30.704, P<0.001), and the crude mortality of both ischemic stroke (APC=5.76%, t=6.106, P<0.001) and sequelae of cerebrovascular disease (APC=13.20%, t=18.103, P<0.001) appeared a tendency towards a rise. The crude mortality of cerebrovascular diseases was significantly higher in men than in women (110.15/105 vs. 101.51/105; χ2=183.078, P<0.001), which both appeared a tendency towards a decline among residents in Hangzhou City from 2006 to 2020 (men: APC=-0.90%, t=-4.669, P<0.001; women: APC=-0.70%, t=-2.658, P=0.020). The crude mortality of cerebrovascular diseases was 101.95/105 and appeared a tendency towards a decline among urban residents in Hangzhou City from 2006 to 2020 (APC=-1.19%, t=-3.655, P=0.003), and was 112.46/105 and showed no remarkable changes among rural residents in Hangzhou City from 2006 to 2020 (t=-0.719, P=0.485). In addition, the crude mortality of cerebrovascular diseases appeared a tendency towards a rise with age among residents in Hangzhou City from 2006 to 2020 (χ2trend=502 711.682, P<0.001), and the crude mortality of cerebrovascular diseases appeared a tendency towards a decline among residents at ages of 35 years and above in Hangzhou City from 2006 to 2020 (P<0.05). @*Conclusions@#The cerebrovascular disease mortality appeared a tendency towards a decline among residents in Hangzhou City from 2006 to 2020, and a high mortality rate of cerebrovascular diseases was seen among rural residents, men and the elderly.

Evaluation of the effect of self-management model in diabetic patients in community under the guidance of general practitioners / 中华健康管理学杂志

Objective:To evaluate the effect of self-management model of community diabetes patients under the guidance of general practitioners.Methods:A total of 22 communities in Hangzhou were selected as intervention pilot from 2016 to 2017, and 10-15 diabetic patients were recruited to form a self-management team in each community. Relying on the construction of medical alliance and there sources of contracted service of family doctors, intervention teams were set up to conduct regular, personalized and continuous self-management interventions on patients. Intervention continued for 4-6 months. Before, after and 6 months after the intervention, the basic information of patients, knowledge of diabetes, faith in managing disease, self-management behavior, self-management ability of patients, and quality of life were collected through questionnaire survey, body mass index (BMI), 2-hour postprandial blood glucose and glycosylated hemoglobin were detected uniformly, and statistical analysis was conducted.Results:A total of 292 patients were involved in the self-management group, the average age was (66.38±7.90) years old, most of them were female (64.73%). Six months after the intervention, the awareness rate of basic knowledge, risk factors and prevention and treatment knowledge about diabetes in patients (68.64%, 78.75%, 63.41%) were significantly higher than those before the intervention (28.08%, 48.29%, 39.38%), the proportion of patients with reasonable diet, moderate exercise, active problem-solving, management plan making and action according to the plan increased (from 65.41%, 28.76%, 39.04%, 31.85%, 27.74% to 86.76%, 60.28%, 65.16%, 78.05%, 73.17%)(all P<0.05).In terms of time effect, the scores of physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health in SF-36 after intervention and 6 months after intervention were all increased step by step (all P<0.05). Before the intervention, BMI, 2-hour postprandial blood glucose and glycosylated hemoglobin were (24.20±3.11) kg/m 2, (9.29±2.23) mmol/L, (6.81±1.01)% respectively. After the intervention, the three indexes all showed a downward trend, which were (22.89±2.98) kg/m 2, (8.81±1.61) mmol/L, (6.57±0.76)% respectively ( F=14.832, 6.828, 9.667; all P<0.05). Conclusion:Under the guidance of general practitioners, the self-management model of community diabetes patients can effectively improve the level of recognition, belief and behavior of patients, improve their self-management ability and quality of life, and improve BMI and blood glucose control level.

Trend analysis of leukemia mortality in Hangzhou from 2006 to 2015 / 预防医学

Objective@#To analyze the status and trend of death from leukemia from 2006 to 2015 in Hangzhou,and to provide scientific basis for leukemia prevention and control. @*Methods@#The data of deaths in Hangzhou from 2006 to 2015 were collected from Zhejiang chronic diseases surveillance system. The crude mortality rates,standardized mortality rates and cumulative rates of the age group 0-74 of leukemia were calculated. The annual percentage change（APC）was used to examine the changing trend of leukemia mortality.@*Results@#The crude mortality rate of leukemia in Hangzhou was 4.38/100 000 and the standardized mortality rate was 3.79/100 000 from 2006 to 2015. The standardized mortality rates from 2006 to 2015 showed a decreasing trend and the APC was -2.27%（P<0.05）. The crude mortality rate of leukemia was 5.15/100 000 in males,which was higher than 3.62/100 000 in females（P<0.05）. The crude and standardized mortality rates were 2.00/100 000 and 0.45/100 000 in residents aged below 15 years,3.03/100 000 and 1.85/100 000 in residents aged 15-64 years,15.63/100 000 and 1.05/100 000 in residents aged 65 years or above. The standardized mortality rates of residents aged below 15 years and 15-64 years showed decreasing trends,the APCs were -9.24% and -3.82%,respectively（P<0.05）. The standardized mortality rates of residents aged 65 years or above showed an increasing trend,the APC was 3.77%（P<0.05）.@*Conclusion@#The standardized mortality rates of leukemia has presented a declining trend in Hangzhou from 2006 to 2015,with higher mortality in men and people aged 65 years or above.

Analysis of the incidence and mortality of leukemia in the cancer registration area of Zhejiang Province from 2010 to 2014 / 中华预防医学杂志

The incidence and mortality rate of leukemia in the cancer registration areas of Zhejiang Province from 2010 to 2014 were analyzed to depict their epidemiological characteristics. From 2010 to 2014, 3789 new cases were diagnosed as leukemia in Zhejiang cancer registration areas, with a crude incidence rate of 6.47 per 100 000. The age-standardized incidence rate of males (standardized by China census data 2000) was 1.35 times that of females. The age-standardized incidence rate of urban areas was similar to that in rural areas (1.04∶1). From 2010 to 2014, 2 568 cases died due to leukemia, with a crude mortality rate of 4.38 per 100 000. The age-standardized mortality rate of males was 1.44 times that of females. The age-standardized mortality rate of urban areas was 0.99 times that of rural areas. The age-standardized incidence and mortality rate did not show any significant change from 2010 to 2014. The annual percent change of these two metrics was -2.36% (t=-0.62, P=0.579) and -3.46% (t=-2.41, P=0.095).

Incidence and mortality of thyroid cancer in cancer registries of Zhejiang Province, 2010-2014 / 中华预防医学杂志

From 2010 to 2014, a total of 17 150 new cases of thyroid cancer (TC) reported in cancer registration areas of Zhejiang province, the crude incidence rate of TC was 29.28/100 000. Using the Chinese Census in 2000 and the World Segi′s population as the standard population, the age-standardized incidence rate by Chinese standard population (ASIRC) and by world standard population (ASIRW) were 24.11/100 000 and 20.65/100 000 respectively. 256 TC death cases reported in all, the crude mortality rate was 0.44/100 000, the age-standardized mortality rate by Chinese standard population (ASMRC) and by World standard population (ASMRW) were 0.23/100 000 and 0.23/100 000 respectively. The ASIRC had a upward trend [annual percent change (APC)=28.62%, 95%CI: 21.00%-36.72%, t=13.10, P=0.001], while the ASMRC trend seemed stable (APC=0.73%, 95%CI: -7.47%-9.66%, t=0.27, P=0.803).

Disease burden of cancer in Hangzhou from 2006 to 2015 / 中华健康管理学杂志

Objective To investigate the disease burden of malignancies in Hangzhou in 2006-2015,and provide information for the prevention and control of cancer.Methods Data regarding deaths due to malignancies in Hangzhou in 2006-2015 was collected from general surveillance information.The main disease burden and population distribution of malignancies were determined by analyzing Potential years of life lost (PYLL),Potential years of life lost rate (PYLLR),standardized potential years of life lost (SPYLL),average years of life lost (AYLL),etc.Results PYLL and SPYLL for overall cancer were 733 811.0 years and 540 794.4 years,respectively,while PYLLR and AYLL were 12.9‰ and 13.1 year/person respectively.The top 5 cancers by PYLL were liver cancer,lung cancer,stomach cancer,colorectal cancer,and leukemia accounting for 67.5％ of overall PYLLR.The disease burden of malignant cancer was higher among male than female subjects.The peak of disease burden occurred in middle-aged and elderly patients.PYLL rate,SPYLL rate,and AYLL from 2011 to 2015 were lower than those from 2006 to 2010,except for cervical cancer.Conclusion Comprehensive control measures should be carried out for the malignancies with a greater burden.

Clinical study on the effect of oral and acupoint application of traditional chinese medicine combined with azithromycin for the children with mycoplasma pneumonia / 国际中医中药杂志

Objective To investigate the clinical curative effect of oral and acupoint application of traditional chinese medicine combined with Azithromycin for the children with Mycoplasma Pneumonia. Methods A total of 160 children with mycoplasma pneumonia were divided into two groups according to digital random table method, with 80 cases in each group. The patients of the two groups were given conventional treatment to relieve cough and reduce phlegm; On the basic treatment of conventional treatment, the control group were treated with azithromycin, wile the treatment group were treated with oral traditional chinese medicine Tinghuang runfei decotion and acupointion application of Tinglizi, Baijiezi, Shengnanxing, Dahuang, and Bingpian. The treatment of both groups last 3 weeks. The time of defervescence, the disappearance time of cough and pulmonaryrales of the two groups were compared, and the serum levels of inter leukin 8 (IL-8), tumor necrosis factor-a (TNF-a), thrombin regulatory proteins (TM), D-dimer were compared before and after treatment. The total effect rate and the incidence of adverse events were compared.Results The defervesce time (3.79 ± 1.68 dvs. 4.88 ± 1.61 d,t=3.846), disappearance time of cough (8.21 ± 2.42 dvs. 10.35 ± 2.60 d,t=5.389) and disappearance time of pulmonary rales (6.21 ± 1.89 dvs. 7.78 ± 2.08 d,t=4.997) in the treatment group were significantly less than those in the control group (P<0.01). The levels of IL-8 (9.98 ± 4.26 ng/Lvs.14.18 ± 4.82 ng/L, t=5.840), TNF-a (20.78 ± 5.93ng/Lvs. 26.07 ± 6.42 ng/L,t=5.414), TM (9.63 ±  2.88μg/Lvs. 13.08 ± 3.37μg/L,t=6.961), D-dimer levels (0.09 ± 0.04 ng/Lvs. 0.15 ± 0.06 ng/L,t=7.442) the treatment group were significantly better than those in the control group (P<0.01). The total effect rate in the treatment gruop was significantly higher than that of the control group (97.5%vs. 88.8%;χ2=4.783,P=0.029), but there was no significant difference in the incidence of adverse events between the two groups (16.3%vs. 10.0%;χ2=1.370,P=0.272).Conclusions Oral and acupointion of traditional chinese medicine Tinghuang runfei decotion combined with azithromycin could relieve the symptoms, improve the clincal effect and show its safety for the children with mycoplasma pneumonia.

Cross-sectional survey of prevalence of metabolic disorders among Hangzhou citizens / 中华健康管理学杂志

Objective To investigate the levels of blood pressure, blood lipid, blood glucose, body mass index (BMI) as well as the epidemiological characteristics of dyslipidemia, hyperglycemia, hypertension and metabolic syndrome of Hangzhou citizens. Methods A total of 28 990 citizens in Hangzhou city who underwent health checkup were recruited in this study, including 10 179 males and 18 811 females. The average age of subjects was 65.05 years. Subjects were asked to complete questionnaires regarding personal characteristics. The physical examination emphasized measurement of height, waist and blood pressure. Blood samples were collected and subjected to serum glucose, TC, HDL-C, LDL-C and TG measurements. The values of the examinations was described as xˉ± s . The ratios were compared with chi-square test. The trend analysis was conducted by linear correlation test. Results The prevalence of hypertension and metabolic syndrome was 17.1% and 11.2% respectively. And the prevalence of overweight/obesity and hyperglycemia was 36.3%,8.1%,16.4%respectively. It was indicated that the men had higher prevalence of hyperglycemia, hypertension, metabolic syndrome and overweight compared with women. However, as to the dyslipidemia, men and women were totally different. Women were more prone to suffer from hypercholesterolemia and elevation of low-density lipoprotein cholesterol. Men were apt to suffer from hypertriglyceridemia and reduction of high-density lipoprotein cholesterol. Divided the subjects by age into three groups, it was suggested that the rates of dyslipidemia, hyperglycemia, hypertension and overweight/obesity increased along with the increment of age in women. Although the rates of metabolic disorders were higher in the group of men, the trend of increase with age was not as significant as in women. It could be seen in men that dyslipidemia and overweight/obesity were reduced with the increase of age. Conclusion The metabolic disorders in Hangzhou citizens showed their own characteristics. It is suggested that multiple strategies targeting at different sexes and age-groups should be formulated to prevent and control the occurrence of metabolic diseases.

Association between walking time and perception of built environment among urban adults in Hangzhou / 中华流行病学杂志

Objective To explore the association between walking time and the perception of built environment among local adults in Hangzhou.Methods Through multistage stratified random sampling,a total of 1 440 urban residents aged 25-59 years were surveyed in Hangzhou by face-to face interview in 2012.The international physical activity questionnaire-long version (IPAQ-L) was used to assess the physical activity levels,including walking time in the past week.Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A) was used to obtain information about their perception of built environment.Multiple logistic regression was applied to estimate the relationship between waking and the perception of built environment.Results Among the local adults in Hangzhou,the median of total physical activity was 2 766 met · min-1 · week 1,the average walking time per week was 90 min for leisure and 100 min for transportation respectively.After controlling the age,marital status,BMI,educational level,employment,community type and the total PA scores,the leisure-time walking was negatively related to the accessibility to stores,facilities and other things for both man (OR=0.764,95％CI:0.588-0.992) and woman (OR=0.633,95％CI:0.481-0.833).In sex specific analysis,the leisure-time walking was negatively related with the residential density (OR=0.997,95％CI:0.996-0.999) while transportation related walking was positively related with walking/cycling way scores (OR=1.537,95％ CI:1.138-2.075) in females.In contrast,there were no significant associations between perception of built environment and transportation related walking in males.Conclusion Improving the built environment,such as the walking/cycling way,might be useful to increase the transportation related walking time for adults.The sex specific differences need to be considered in the environment intervention for walking promotion.

Evaluation of perceptions of physical activity related built environment among urban adults with different characteristics in Hangzhou / 中华流行病学杂志

Objective To understand the perceptions of physical activity-related built environment among urban adults in Hangzhou.Methods A face-to-face interview was conducted among the urban residents aged 25-59 years selected through multistage stratified random sampling in Hangzhou in 2012.The Neighborhood Environment Walkability Scale-Abbreviated (NEWS-A) was used to assess the perception of built environment among residents,including residential building density,the diversities of stores,facilities and others,the accessibility to public service,the street connectivity,walking/cycling facilities,aesthetics,traffic safety,and public security.The multilevel logistic regression model was used to assess the demographic characteristics,BMI and other factors' influence on people' s perceptions.Results Among 1 362 local residents surveyed,no sex,martial status and occupation specific significant differences in the perception of built environment were found.After adjusting other factors,the age group 45-59 years was positively related to the score of street connectivity (OR=2.02,95％ CI:1.30-3.15).The educational level of college or higher was positively associated with the score of residential building density(OR=1.97,95％CI:1.29-3.00) but negatively associated with the score of facility variety(OR=0.65,95％ CI:0.43-0.97).Overweight or besity was negatively related to the scores of walking/cycling ways (OR=0.67,95％CI:0.48-0.95) and public security(OR=0.75,95％ CI:0.57-0.99).Compared with the class Ⅰ residential area,the people in class Ⅲ residential area had lower perception scores on facility diversity (OR =0.11,95％ CI:0.04-0.30),accessibility to public service (OR=0.33,95％ CI:0.11-0.95),street connectivity (OR=0.30,95％ CI:0.11-0.86) and traffic safety (OR=0.39,95％ CI:0.17-0.91).Conclusion The perceptions of physical activity-related built environment was associated with age,educational level,BMI and residential area.The personal characteristics should be considered while performing environment intervention on physical activity.

Effect of comprehensive intervention on capacity in prevention and control of chronic diseases in community medical staff in Hangzhou / 中华流行病学杂志

Objective To evaluate the effect of the Oxford Health Alliance-Community Interventions for Health on chronic diseases prevention and control capacity in community medical staff in Hangzhou.Methods A two year comprehensive intervention on chronic disease prevention and control capacity was conducted in the medical staff in Xiacheng district and Gongshu district,Xihu district was used as control according to the study design principal of parallel comparison and non-random grouping.The intervention effect was evaluated with Cochran-Mantel-Haenszel test.A total of 985 questionnaires were completed in the baseline survey and 870 questionnaires were completed in the follow-up survey.Results After 2 year intervention, the detection rates of blood cholesterol, blood pressure and fasting blood glucose by community medical staff significantly increased compared with the rates before the intervention (x2 =7.97, P =0.05;x2 =27.21, P =0.00;x2=21.32, P=0.00).While, in the control district, the fasting blood glucose detection rate increased from 25.37％ to 31.19％, the differences showed statistical significance (x2=15.29, P=0.00).The communication between community medical staff and patients about healthy diet pattern was improved after the intervention, the difference was statistical significant (x2=8.64, P=0.03).However, no significant differences in communication about increasing physical activity and smoking cessation between community medical staff and patients was found before and after intervention both in intervention districts and in control district.Furthermore, multivariate logistic regression analysis indicated that the interventions on screening of common chronic diseases and management of chronic diseases patients were related with the detections of blood cholesterol, blood pressure and fasting blood glucose.Moreover, the intervention on counsel and suggestion for chronic disease prevention and control had some influence on the communication about chronic disease risk factors between community medical staff and patients.Conclusion The intervention on chronic disease prevention and control capacity in community medical staff was effective to improve the detection of chronic diseases in community and the communication between the medical staff and patients.

The analysis of current situation of hypertension control and its influencing factors among geriatric patients in Hangzhou, Jiaxing and Shaoxing in Zhejiang province / 中华老年医学杂志

Objective From October 2010 to explore the current situation of hypertension control and its influencing factors among geriatric patients in Hangzhou,Jiaxing and Shaoxing in Zhejiang province.Methods To April 2011,10 644 geriatric patients aged 60 years and over were included,and related questionnaire survey,physical examination and laboratory examination were carried out.The situation of hypertension control and influencing factors were analyzed.Results The control rate of hypertension was 38.6％,and its standardized rate was 27.6％.It showed that female,inhabited city,high level of education degree and regular exercise were positively correlated with hypertension control,while age,smoking,high salt diet and abdominal obesity were negatively correlated with hypertension control,and standardized treatment had a close relationship with hypertension control.Conclusions The situations of hypertensive control among geriatric patients in Hangzhou,Jiaxing,Shaoxing in Zhejiang province are still unsatisfactory.Strengthening standardization management measures for improving the control rate of hypertension is needed and has actual value.

Quality of life measurement instrument for thyroid cancer and its application / 中华内分泌代谢杂志

[Summary] The study was to introduce quality of life measurement instruments for thyroid cancer,as well as the application of these scales.(1) Quality of life scales such as generic scale SF-36,tumor-specific scale EORTC QLQ-C30 were used in previous studies.(2) In these studies,the quality of life assessment was mainly used for measurement of quality of life in patients with thyroid cancer,comparative effectiveness research and specific psychological intervention evaluation,analysis of relevant factors affecting quality of life in patients with thyroid cancer.

Assessment on the impact of smoking cessation counseling service and related influencing factors under comprehensive community-based intervention programs about the community medical staff in Hangzhou city / 中华流行病学杂志

Objective To evaluate the short-term impact of comprehensive community-based intervention programs on smoking cessation counseling services provided by community medical staff and related influencing factors in three districts of Hangzhou city.Methods Within the framework of Community Interventions for Health (CIH) Program,a community trial was conducted in two districts (Xiacheng and Gongshu) and a district (Xihu) as control,by a parallel comparison and random grouping based quasi-experimental design.Two independent questionnaire-based surveys of cross-sectional samples in the intervention and comparison areas were used to assess the impact of intervention.Results There were 299 and 141 medical staff in the areas of intervention and ‘ control',respectively.For the intervention area,the quantity of available resources increased from 2to 3 and the quantity of used resources increased from 1 to 3 (both P＜0.001),while the area of control had a downward trend for both quantities.For the ratios of well-readiness for smoking counseling,in the intervention area were 35.5％,52.0％ before and after intervention (P＜0.001),while the ‘controlled' area they were 28.1％,39.3％,respectively (P=0.162).A slight increase was seen in the intervention area for the proportion of the medical staff who had been provided smoking cessation counseling,as ≥90％ patients (including asking smoking status,announcing risks related to the risks of smoking and advising smoking cessation programs etc.),while the proportion decreased in the area of ‘control'.The improvement of preparedness would promote medical staff to ask their patients about smoking status (OR=1.43,P=0.007),while all factors as a whole would not influence the medical staff to inform patients about the danger of smoking and advice patients to quit smoking.Conclusion Comprehensive community-based interventions could increase the opportunities for medical staff to acquire and utilize smoking cessation resources to some extent,as well as promote those staff' s preparedness.However,intervention itself might fail to improve the behavior of providing such services.Support that came from the policy or from the institutions also need to be strengthened.

Impact factors on physical activity level among the urban junior high school personnel in Hangzhou / 中华流行病学杂志

<p><b>OBJECTIVE</b>To explore the level of physical activities (PA) and related influencing factors among junior high school personnel in Hangzhou.</p><p><b>METHODS</b>In a cross sectional study, a self administered questionnaire was used to assess the levels of PA. Kruskal-Wallis H test and ordinal regression were applied to analyze the related factors.</p><p><b>RESULTS</b>Among the 1 497 school personnel included in this study, prevalence rates on the low, moderate and high levels of PA were 40.8%, 40.6% and 18.6%, respectively. Data from the multinomial logistic regression analysis indicated that:when comparing with the low level, people aged ≥ 45 (OR = 1.576, 95% CI:1.128-2.201) or those having minor perceived stress (OR = 1.490, 95% CI:1.141-1.946) more likely to fall into the moderate level. However, factors as higher awareness scores on the benefit of PA (OR = 1.070, 95%CI:1.002-1.143), being male (OR = 3.088, 95%CI:2.162-4.409), always or very often taking PA together with colleagues (OR = 2.903, 95%CI:1.587-5.312), taking PA once in a while together with colleagues (OR = 1.900, 95%CI:1.160-3.110) or having space to walk around home (OR = 1.657, 95% CI:1.022-2.688) would increase the likelihood of having high PA level. However, factors as marital status, socioeconomic status, years of working at school, BMI, level of having received education and positive impact from colleagues etc. did not seem to have significantly related to the PA level.</p><p><b>CONCLUSION</b>Gender, age, stress from work and supportive environment should be taken into account while planning on promoting the PA level among junior high school personnel in Hangzhou.</p>

Community-based hypertension management for elderly patients / 中华全科医师杂志

Using the method of stratified random cluster sampling,8 996 elderly hypertensive patients in community were selected in the study.Patients entered the community-based hypertension program receiving stratified management,individualized treatment and health education.After 3 years of intervention,the disease awareness rate,treatment compliance rate and hypertensive control rate were increased from 68.30％,55.40％ and 38.60％ to 98.90％,86.70％ and 77.80％,respectively (P ＜0.05).The systolic and diastolic pressure,body mass index,triglyceride levels and other hypertensionrelated indicators were improved significantly,the number of individuals with obesity/overweight,smoking and drinking were decreased and those with regular exercise increased (all P ＜ 0.05).The results indicate that community-based comprehensive hypertension management is effective for hypertension control for elderly patients in community.

Impact factors on physical activity level among the urban junior high school personnel in Hangzhou / 中华流行病学杂志

Objective To explore the level of physical activities (PA) and related influencing factors among junior high school personnel in Hangzhou. Methods In a cross sectional study,a self administered questionnaire was used to assess the levels of PA. Kruskal-Wallis H test and ordinal regression were applied to analyze the related factors. Results Among the 1 497 school personnel included in this study,prevalence rates on the low,moderate and high levels of PA were 40.8%,40.6%and 18.6%,respectively. Data from the multinomial logistic regression analysis indicated that:when comparing with the low level,people aged ≥45(OR=1.576,95%CI:1.128-2.201) or those having minor perceived stress(OR=1.490,95%CI:1.141-1.946)more likely to fall into the moderate level. However,factors as higher awareness scores on the benefit of PA(OR=1.070, 95%CI:1.002-1.143),being male(OR=3.088,95%CI:2.162-4.409),always or very often taking PA together with colleagues(OR=2.903,95%CI:1.587-5.312),taking PA once in a while together with colleagues(OR=1.900,95%CI:1.160-3.110)or having space to walk around home(OR=1.657, 95%CI:1.022-2.688) would increase the likelihood of having high PA level. However,factors as marital status,socioeconomic status,years of working at school,BMI,level of having received education and positive impact from colleagues etc. did not seem to have significantly related to the PA level. Conclusion Gender,age,stress from work and supportive environment should be taken into account while planning on promoting the PA level among junior high school personnel in Hangzhou.

Impact factors on physical activity level among the urban junior high school personnel in Hangzhou / 中华流行病学杂志

Objective To explore the level of physical activities (PA) and related influencing factors among junior high school personnel in Hangzhou. Methods In a cross sectional study,a self administered questionnaire was used to assess the levels of PA. Kruskal-Wallis H test and ordinal regression were applied to analyze the related factors. Results Among the 1 497 school personnel included in this study,prevalence rates on the low,moderate and high levels of PA were 40.8%,40.6%and 18.6%,respectively. Data from the multinomial logistic regression analysis indicated that:when comparing with the low level,people aged ≥45(OR=1.576,95%CI:1.128-2.201) or those having minor perceived stress(OR=1.490,95%CI:1.141-1.946)more likely to fall into the moderate level. However,factors as higher awareness scores on the benefit of PA(OR=1.070, 95%CI:1.002-1.143),being male(OR=3.088,95%CI:2.162-4.409),always or very often taking PA together with colleagues(OR=2.903,95%CI:1.587-5.312),taking PA once in a while together with colleagues(OR=1.900,95%CI:1.160-3.110)or having space to walk around home(OR=1.657, 95%CI:1.022-2.688) would increase the likelihood of having high PA level. However,factors as marital status,socioeconomic status,years of working at school,BMI,level of having received education and positive impact from colleagues etc. did not seem to have significantly related to the PA level. Conclusion Gender,age,stress from work and supportive environment should be taken into account while planning on promoting the PA level among junior high school personnel in Hangzhou.