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@#Abstract: Objective The tuberculosis data of students registered and reported in Xuzhou from 2016 to 2020 were analyzed to provide a basis for Xuzhou to formulate tuberculosis prevention and control measures in schools. Method The epidemiological characteristics of tuberculosis among students in Xuzhou from 2016 to 2020 were analyzed based on the data from Tuberculosis Information Management System and Xuzhou Statistical Yearbook 2021. Results From 2016 to 2020, a total of 574 student tuberculosis patients were registered in Xuzhou, with an annual average registration rate of 5.64/100 000. The reported incidence of tuberculosis among students in Xuzhou showed an increasing trend year by year (χ2trend=22.521, P<0.001). There were 365 males and 209 females, respectively, with a sex ratio of 1.75:1. The tuberculosis patients were mainly in the 15-19 years old group and 20-24 years old group. According to the statistical analysis by different levels of education, students from ordinary higher institutions accounted for 48.61% of the total number of confirmed cases, followed by senior high schools and secondary vocational schools, accounting for 20.91% and 14.46%, respectively. Preschool education had the lowest number of confirmed cases, accounting for 1.05%. There was significant difference in the reported incidence of tuberculosis among students at different educational levels (χ2=1 522.39, P<0.001). The highest incidence was reported in ordinary higher institutions, followed by senior high schools and secondary vocational schools, and the lowest incidence was reported in preschool education. Conclusion Xuzhou city school tuberculosis epidemic integral is on the rise, we should further strengthen tuberculosis control work of school tuberculosis prevention and control measures of implementation in the future, at the same time to strengthen school tuberculosis prevention knowledge propaganda and standardize the schools for disposal of tuberculosis epidemic situation. We should also further strengthen the newborn matriculation examination and students absent from class because of illness monitoring work.
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Objective:To investigate the middle-aged and elderly people′ willingness for family doctor service contracts and its influencing factors, and to provide feasible suggestions for the implementation and promotion of family doctor services.Methods:Stratified random sampling method was adopted to select middle-aged and elderly people aged 45 in 6 urban areas of Xuzhou city for questionnaire survey to investigate their illness, medical treatment and their willingness to contract a family doctor. The data acquired were analyzed with statistical description, univariate analysis( χ2 test), and multivariate logistic regression analysis. Results:Among the 927 valid questionnaires were recovered, 272(29.34%)of them intended to contract a family doctor, and 655(70.66%)had no such intention. Results of multivariate logistic regression showed that the influencing factors of the middle-aged and elderly people′ willingness of contracting family doctors were age, occupation, self-rated health, treatment status within two weeks, chronic diseases, referral experience and their knowledge of family physician contract system.Conclusions:Middle-aged and elderly people at large are not willing to sign up for family doctors. It is recommended to focus the publicity efforts on those who are relatively younger age, farming and healthier, enhancing their awareness of the service, and encouraging them to support the dual-referral policy. These efforts are expected to promote the coordinated progress of both dual referral and family doctor contract service, hence achieving the national coverage of the family doctor system.
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Objective To explore the risk factors and early intervention methods of obesity in children aged 5-14 years in Xuzhou. Methods Children from 3 urban areas were randomly selected from Xuzhou City for physical measurement. The children were divided into obese group and normal group based on 2 standard deviations of WHO standard weight. A questionnaire survey was used to assess the risk factors for obesity in children aged 5 to 14, and early intervention measures were put forward. Results The detection rate of obese children in this group was 53.00%. Single factor analysis showed that breastfeeding, supplementary food addition at 4 and 6 months, fast eating, preference for dessert, drinks and fried foods, sleep time <8h/d, dislike of sports, daily TV watching time ≥ 2h / d, obesity of father and mother, mother's education level, and parents' obesity cognition were related to obesity in children aged 5-14 (P <0.05) . Logistic regression analysis revealed that artificial feeding, fast eating, deep frying, sweet drinks, mother's education, father's obesity and mother's obesity were high risk factors of children's obesity. Conclusion The incidence of obesity in children aged 5-14 years old in Xuzhou was high. Early feeding mode, children's preference for fried desserts, parents' obesity and mother's education level were the main risk factors for children's obesity. It is suggested that communities promote more health education on children’s obesity.
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Objective To investigate the status of knowledge,attitude and practice(KAP)of foodborne parasitic diseases among middle school students in Xuzhou City,so as to provide a reference to the health education. Methods A total of four middle schools were selected and their students were investigated with the basic information questionnaire and questions of food-borne parasitic diseases. Results The awareness rates of parasitic diseases,hazards and transmission were 56.50％,66.33％and 70.50％respectively. The awareness rates of transmission of the diseases in the senior high school students and urban students were higher than those in the junior middle school students and rural students(χ2 =8.684,8.470,both P<0.05). The forma-tion rates of not drinking raw water and not eating raw food were higher among the female students than those among the male stu-dents(χ2 =7.675,15.230,both P<0.05). The formation rate of not eating raw food was higher among the senior high school students than that among the junior middle school students(χ2 =49.276,P<0.001),and the formation rates of washing hands before meals and not keeping pets were higher among the urban students than those among the rural students (χ2 = 5.833, 13.443,both P<0.05). Totally 64.83％of the students would not eat food that might be infected with foodborne parasites,and the proportion of girls was higher than that of the boys(χ2 =11.690,P<0.05),and 20.5％of the students would suggest others not eating food that might be infected with foodborne parasites,and 81％of the students would plan to get rid of bad habits. Con-clusion The cognition of foodborne parasitic diseases is poor among the middle school students in Xuzhou City. The health edu-cation work on foodborne parasitic diseases should be strengthened.
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Objective To understand the incidence and trend of malaria in Xuzhou City so as to provide the evidence for formulating the malaria control measures. Methods The information of network reported malaria cases and epidemiological da-ta were collected and analyzed statistically in Xuzhou City from 2010-2013. Results A total of 109 malaria cases were reported by the special report systems and the network report system in Xuzhou City from 2010 to 2013 in which there were 44 cases 40.37% of vivax malaria 62 cases 56.88% of falciparum malaria 2 cases 1.83% of quartan malaria 1 case 0.92% of ovale malaria. The latter three were all imported from other countries. Totally 93 cases 85.32% were confirmed by laboratory and other 16 cases 14.68% were diagnosed clinically. There was the incidence throughout the year and there were no obvious seasonal characteristics. The positive rate of blood test in the floating population was significantly higher than that of the local res-idents χ2 868.23 P＜0.01 . Conclusion The malaria endemic situation is in the steady decline period in Xuzhou City. The local infections decrease significantly but the imported falciparum malaria cases increase year by year. Therefore the manage-ment for floating population and fever patients should be strengthened.