China’s rapid development and urbanization have induced large numbers of rural residents to migrate from their homes urban areas in search better job opportunities. Parents typically leave children behind with a caregiver, creating new, potentially vulnerable subpopulation left-behind areas. A growing number policies nongovernmental organization efforts target these children. The primary objective this study was examine whether are really the most need special programs. Pulling data...

BackgroundDementia and hearing loss are both highly prevalent conditions among older adults. We aimed to examine the association between aid use risk of all-cause cause-specific dementia middle-aged older-aged adults, explore roles mediators moderators in their association.MethodsWe used data from UK Biobank, a population-based cohort study, which recruited adults aged 40–69 years 2006 2010 across 22 centres England, Scotland, Wales. Cox proportional hazards models estimate hazard ratios...

Background Despite recent reductions in prevalence, China still faces a substantial tuberculosis (TB) burden, with future progress dependent on the ability of rural providers to appropriately detect and refer TB patients for further care. This study (a) provides baseline assessment correctly manage presumptive cases; (b) measures gap between provider knowledge practice and; (c) evaluates how ongoing reforms China's health system—characterized by movement toward "integrated care" promotion...

Abstract Background Physical frailty is a common characteristic of older people with the ageing process and has been viewed as major public health issue. The longitudinal association between different social engagement physical among not explored adequately in China. Marital status forms critical context for link people, which might constitute moderating process. purpose present study to investigate changes Chinese adults, examine whether differs by marital status. Methods data use this were...

Tuberculosis (TB) often causes catastrophic economic effects on both the individual suffering disease and their households. A number of studies have analyzed patient household expenditure TB care, but there does not appear to be any that assessed incidence, intensity determinants health (CHE) relating care in China. That will objective this paper. The data used for study were derived from baseline survey China Government – Gates Foundation Phase II program. Our analysis included 747 cases....

This study aims to assess the association between body mass index (BMI) and health-related quality of life (HRQOL), further explore gender differences in BMI-HRQOL among adults.

Abstract Aim To investigate changes in psychological distress community-dwelling older adults before and during the coronavirus disease 2019 (COVID-19) pandemic contribution of frailty transitions multimorbidity predicting distress. Methods Prospective repeated-measures cohort study on a sample participants aged 60 over. A total 2, 785 respondents at baseline (May 2019) were followed COVID-19 (August 2020). The assessed using generalised estimation equations with adjusting for sex, age,...

Background Loneliness and social isolation are global public health challenges. Sensory impairments (SIs) highly prevalent among older adults but often ignored as a part of normal aging. Identifying the role SIs in loneliness could provide insight into strategies for improving adults. Objective This study aims to analyze effects on rural urban China. Methods cohort 3069 (aged 60+) used data from 4 waves (2011, 2013, 2015, 2018) China Health Retirement Longitudinal Study (CHARLS), nationally...

Abstract The present study explored the validity of Joiner's interpersonal theory suicide in a sample 439 Chinese university students 17 to 24 years age. results indicated that three elements (thwarted belongingness, perceived burdensomeness, and acquired capability for self-harm) were associated with current suicidal ideation total students. For men, only thwarted belongingness burdensomeness predicted ideation, whereas all women. Multiple regression analyses, controlling other variables,...

Empty-nest elderly refers to those with no children or whose have already left home. Few studies focused on healthcare service use among empty-nest seniors, and identified the prevalence profiles of non-use services elderly. The purpose this study is compare between non-empty-nest identify risk factors for seniors. Four thousand four hundred sixty nine seniors (60 years above) were draw from a cross-sectional conducted in three urban districts rural counties Shandong Province China....

Previous studies have focused on health-related quality of life (HRQoL) in hypertensive individuals, but few attempted to compare HRQoL between and normotensive individuals using the EQ-5D China. Based a survey 3509 adults aged 18 + years, we compared chi-square test, t-test multi-linear regression model. The results indicated that was poorer than all domains its utility index. In addition, education, complications, household income, family history HBP were associated with among patients....

Few studies have explored the underlying mechanism between physical frailty and cognitive function. The aim of this study is to explore mediating role psychological distress (PD) for association function among elderly in rural China. A total 3,242 older adults were included analysis. Logistic regression Bootstrap analyses employed function, PD frailty, PD. This found that prevalence impairment China was 18.0%, 22.4%. After adjusted controlling variables, significantly associated with high...

Abstract Background Evidence concerning the association between body mass index (BMI) and cognitive function among older people is inconsistent. This study aimed to investigate gender age as moderators in BMI mild impairment (MCI) rural adults. Methods Data were derived from 2019 Health Service for Rural Elderly Families Survey Shandong, China. In total, 3242 aged 60 years above included analysis. Multilevel mixed-effects logistic regression was used examine moderating roles of age, then...

Abstract Background Previous studies have indicated that older adults with multimorbidity had higher risk of incurring catastrophic health expenditure (CHE). However, the effect co-occurrence frailty on CHE among single empty-nest elderly remains unclear. This study aims to explore multimorbidity, and whether this is moderated by economic status. Methods A cross-sectional household survey in 2019 Shandong province, China. total 606 aged 60 years or were included study. was defined as...

Adherence to TB treatment is the most important requirement for efficient control. Migrant patients' "migratory" nature affects adherence negatively, which presents an barrier National Control Program in China. Therefore, control among migrants of high importance.The aim this study describe migrant patients and identify factors associated with adherence. A total 12 counties/districts Shandong Province, China were selected as sites. 314 confirmed smear positive enrolled between August 2nd...

Objective The aim of this study was to compare the catastrophic health expenditure (CHE) prevalence and its determinants between empty-nest non-empty-nest elderly households. Setting Shandong province China. Participants A total 2761 households are included in analysis. Results CHE incidence among 44.9%. singles (59.3%, p=0.000, OR=3.19) couples (52.9%, OR=2.45) both statistically higher than that (31.4%). An inverse association observed income level all household types. Factors including 1...

Parental migration is most an important factor affecting children's behaviors. Few studies have addressed the association between parental and smoking behavior in China. This study aims to estimate current prevalence among children, evaluate of children identify factors associated with left-behind (LBC).A cross-sectional was conducted 6 cities Anhui province during July August, 2012. All participants were interviewed face-to-face using a standardized questionnaire. Only 10 14 years old that...

China has one of the highest rates antibiotic resistance. Existing studies document high prescription by primary care providers but there is little direct evidence on clinically inappropriate use antibiotics or drivers prescription.To assess prescriptions among rural providers, we employed unannounced standardized patients (SPs) who presented three fixed disease cases, none which indicated antibiotics. We compared same in interactions with SPs and matching vignettes assessing knowledge...

Over the past few decades, a large number of rural residents have migrated to cities in China and left their children behind. This study estimated how many 10- 14-year-old Anhui drank alcohol examined association between parental migration children's use.A cross-sectional was conducted six July August 2012. All participants had lived villages for at least months during previous year were interviewed face-to-face using standardised questionnaire.More than half (57%) 1367 subjects left-behind...

Abstract Few epidemiological studies have evaluated the effects of air pollution on risk pulmonary tuberculosis (TB). We investigated associations ambient pollutants (particulate matter with aerodynamic diameter <2.5 μm (PM 2.5 ), sulfur dioxide (SO 2 ),nitrogen (NO ozone (O 3 and carbon monoxide (CO)) in relation to TB a cohort Chinese patient Jinan city from 2011 2015. A total 9344 newly diagnosed cases were included. Poisson regression model was employed estimate daily TB. Four...