Table of Content

01 January 2024, Volume 40 Issue 1

Previous Issue    Next Issue

Treatise

Study on the correlation between plateau exposure time and mental health of cadres assisting Tibet

WANG Wen, JIANG Aiguo, TANG Xinlong, XU Xiaodong, MA Xiaowei

2024, 40(1):  1-4. 

Asbtract ( 5 )   PDF (881KB) ( 7 )  

References | Related Articles | Metrics

Objective To analyze the correlation between exposure time to high altitude and mental health of cadres in Tibet. Methods From 2019 to 2022,126 cadres who had been in Tibet for different periods of time and had college degrees or above were selected as the research objects. The 126 officials were divided into 2 groups according to their time in Tibet.The 68 officials who entered Tibet in July 2018 and left Tibet in July 2019 and entered Tibet in July 2020 and left Tibet in August 2021 were classified as the one-year aid group. The 58 people who entered Tibet in July 2019,left Tibet in July 2022,entered Tibet in August 2016,and left Tibet in July 2021 were in the group of aiding Tibet ≥3 years. Gender,age,altitude,and time spent in Tibet were collected through a self-compiled questionnaire. The self-reporting inventory（SCL-90） was tested by questionnaire one week before their departure from Tibet,and the test scores were collected and analyzed to measure the mental health status of cadres who assisted Tibet. Results Compared with the national norm,there were statistically significant differences in the scores of each factor of SCL-90 among 126 cadres in Tibet except interpersonal relationship,hostility and paranoia,the scores of somatization,compulsion,depression,anxiety,terror and psychosis（all P<0.05）. The differences of score of somatization[（2.30±0.83）points],compulsion[（2.53±0.75）points],interpersonal relationship[（1.78±0.73）points],anxiety[（1.94±0.67）points],depression[（2.16±0.72）points],paranoia[（1.64±0.70）points],and total score[（1.98±0.60）points],average score of positive symptoms[（2.83±0.54）points],number of positive items[（46.48±20.14）points],pain level of positive symptoms[（4.37±1.67）points] for cadres assisting Tibet exposed high attitude ≥3 years were statistically significant with the score of somatization[（1.80±0.57）points],compulsion[（2.03±0.63）points],interpersonal relationship[（1.46±0.40）points],anxiety[（1.67±0.49）points],depression[（1.73±0.54）points],paranoia[（1.35±0.50）points],total score[（1.66±0.42）points],average score of positive symptoms[（2.63±0.40）points],number of positive items[（35.96±20.50）points],and positive symptom distress level[（6.06±6.00）points] for cadres assisting Tibet exposed high attitude 1 year（all P<0.05）. The longer the altitude exposure time,the higher the SCL-90 score（r=0.225,P<0.05）. Conclusion The influence of plateau exposure on the mental health of cadres in aid Tibet is lower than that of the normal population,and the effect becomes more obvious with the extension of plateau exposure time. Factors such as somatization,compulsion,interpersonal relationship,depression and paranoia are strongly correlated with plateau exposure time.

Analysis on characteristics and related factors of achievement motivation of peacekeeping officers and soldiers

XU Ni, JINAG Zhuoqun, JINAG Zhongdong, YU Juntao, XU Tianchao

2024, 40(1):  5-8. 

Asbtract ( 8 )   PDF (882KB) ( 8 )  

References | Related Articles | Metrics

Objective To exploring the characteristics and influencing factors of achievement motivation of peacekeeping officers and soldiers. Method In June 2021,303 Malian peacekeeping officers and soldiers were selected from a cluster and investigated by the achievement motivation scale（AMS）,neuroticism extraversion openness five factor inventory（NEO-FFI）,simplified coping style questionnaire（SCSQ）,social support rating. Results The scores of motivation to pursue success and avoid failure of peacekeeping officers and soldiers were （48.19±8.57） and （29.54±11.06）points respectively. The high and low achievement motivation accounted for 86.14% and 13.86% respectively. The score of the motivation to pursue success and achievement were higher and the score of the motivation to avoid failure was lower than that of naval special service and armed police（all P<0.05）. The score of achievement motivation were negatively correlated with the total score of psychological stress and psychological symptoms（all P<0.05）. The scores of motivation to pursue success,avoid failure,and achievement had statistical significance in terms of job title,position,and educational level（all P<0.05）. There was a significant positive correlation between extroversion,openness,agreeableness,rigor,support utilization,positive coping and motivation to pursuit success and achievement,and a significant negative correlation with motivation to avoid failure（all P<0.05）.Neuroticism and negative coping were significantly negatively correlated with achievement motivation and significantly positively correlated with motivation to avoid failure（P<0.05）. The predictive factors for achievement motivation were extraversion,neuroticism,openness,positive coping,support utilization,and rigor. Conclusions The achievement motivation level of peacekeeping officers and soldiers is high. Achievement motivation is significantly correlated with stress resistance and mental health levels,and is influenced by multiple factors. Cultivating a good personality and improving the ability to actively respond and support utilization are measures to enhance achievement motivation.

Professional self-concept,job embeddedness and job burnout of anesthesia nurses in tertiary public hospitals in Mianyang

HE Feng

2024, 40(1):  9-13. 

Asbtract ( 5 )   PDF (891KB) ( 9 )  

References | Related Articles | Metrics

Objective To investigate the current situation of professional self-concept,job embeddedness and job burnout of anesthesia nurses in tertiary public hospitals,and to analyze the mediating role of job embeddedness between professional self-concept and job burnout. Methods From March to April 2022,308 anesthesia nurses from 7 tertiary public hospitals in Mianyang were selected by convenience sampling method.General information questionnaire,professional self-concept scale,job embeddedness scale and job burnout scale were used to collect data,and the data were analyzed. Results The scores of professional self-concept,job embeddedness and job burnout of nurses in anesthesia department of tertiary public hospitals in Mianyang were （194.35±26.69）,（40.72±10.27） and （68.86±12.34）points,respectively. There were statistically significant differences in the scores of professional self-concept,job embeddedness and job burnout among nurses in anesthesiology department with different characteristics of age,marital status,educational background,length of service,professional title,labor contract,income level and health status（all P<0.05）. The total score of professional self-concept of nurses in the anesthesia department of tertiary general hospitals was negatively correlated with the total score of job burnout（P<0.05）,and positively correlated with the total score of job embeddedness. The total score of job embeddedness was negatively correlated with the total score of job burnout（P<0.05）. Multivariate analysis showed that job embeddedness,professional self-concept,marital status and length of service in anesthesia department were the main influencing factors of job burnout of nurses in anesthesia department（all P<0.05）,which could explain 23.7% of the total variation. Conclusions The job burnout level of nurses in anesthesiology department of tertiary general hospitals is high,which is related to professional self-concept and job embeddedness. Nursing managers should pay attention to the cultivation of nurses' professional emotion and improve their job embeddedness,so as to reduce job burnout and promote the healthy development of nursing human resources.

Analysis on quality of life and influencing factors of pneumoconiosis patients in Yantai City

MI Zhaojuan, CHEN Chao, SUN Dongliang, WANG Lei, LIU Wei, YAN Xige

2024, 40(1):  14-17. 

Asbtract ( 4 )   PDF (923KB) ( 8 )  

References | Related Articles | Metrics

Objective To explore the current situation and factors influencing the quality of life of pneumoconiosis patients in Yantai,and to provide a scientific basis for developing measures to improve the quality of life of pneumoconiosis patients. Methods A total of 300 cases of occupational pneumoconiosis diagnosed in Yantai City from 1949 to 2020 were stratified by disease duration as the case group and 600 cases of the general population with the same sex and age difference of less than 3 years were selected as the control group. The quality of life of the study subjects was evaluated by World Health Organization quality of life-bref（WHOQOL-BREF） and the St George's respiratory questionnaire（SGRQ）,and the factors influencing the quality of life of pneumoconiosis patients were analyzed by multiple linear regression analysis. Results The total score of WHOQOL-BREF[M（P₂₅,P₇₅）] in case group was 224.20（199.96,246.60）points,which was significantly lower than that in control group（P<0.05）. The total score of SGRQ[M（P₂₅,P₇₅）] was 137.30（109.70,186.50）points,which was significantly higher than that in the control group（P<0.05 ）. The negative influences on the quality of survival of pneumoconiosis patients were the number of pneumoconiosis comorbidities and other chronic diseases. The positive influences were central heating,personal monthly income and sleep time. Conclusions The quality of survival of pneumoconiosis patients in Yantai is significantly lower than that of the general population. Active prevention of pneumoconiosis comorbidities and other chronic diseases,improvement of patients' heating methods,income level and sleep status can effectively improve the survival quality of pneumoconiosis patients.

Study on disease burden of occupational pneumoconiosis in Liaoning Province in 2022

ZHAO Jie, LI Xiaoran, GUO Xinwei

2024, 40(1):  18-23. 

Asbtract ( 4 )   PDF (917KB) ( 1 )  

References | Related Articles | Metrics

Objective To analyze the disease burden of occupational pneumoconiosis in Liaoning Province in 2022,provide reference for the prevention and treatment of pneumoconiosis in the future. Methods The occupational pneumoconiosis patients reported up to the end of 2022 in Liaoning Province were enrolled as respondents. The disability-adjusted life years（DALY）,years of life lost（YLL） and years lived with disability（YLD） were used to comprehensively measure the disease burden of occupational pneumoconiosis by region,disease type,industry,sex,age,and the last stage. One-way analysis of variance（ANOVA） was used for univariate analysis. Results There were a total of 161 794.0 person-years of DALY due to the occupational pneumoconiosis in Liaoning Province in 2022,of which the YLD accounted for 98.7%,the YLL accounted for 1.3%,and the per capita DALY was 8.1 person-years,and Huludao City had the highest total DALY value at 76 977.7 person-years. The disease types were mainly concentrated in silicosis and coal workers' pneumoconiosis,accounting for 85.0% and 10.1% respectively. The industrial distribution was mainly concentrated in the mining industry,accounting for 80.3%. The age distribution was mainly concentrated in the 45-<85 years old group,accounting for 88.0%. The differences in per capita DALY among occupational pneumoconiosis cases with different stage,disability grade and first visit time were statistically significant（all P<0.05）. Conclusion The disease burden of occupational pneumoconiosis in Liaoning Province is serious,and effective occupational disease prevention and control measures should be taken in the key areas and industries.

Investigation on current situation of noise hazards in enterprises in Huizhou City in 2020

YAO Zhuocheng, YE Chunchang, YOU Chunnian, LIU Jiayong, CHEN Lisen

2024, 40(1):  24-31. 

Asbtract ( 5 )   PDF (1087KB) ( 8 )  

References | Related Articles | Metrics

Objective To investigate the distribution status of workplaces noise hazards in Huizhou in 2020,and provide a scientific basis for the prevention and control of occupational noise hazards. Methods Data of noise hazards from 5 407 enterprises in 7 counties and districts in Huizhou in 2020 were collected by cluster sampling method and analyzed by descriptive epidemiology. Results Among the 5 407 investigated enterprises,761 enterprises exceeded the workplace noise standard and exceeding standard rate was 14.07%. The exceeding standard rate of post noise was 16.88%（2 694/15 963）,and the exceeding standard rate of place noise was 18.84%（1 944/10 316）. A total of 117 351 people were exposed to noise hazards,and the exposure rate was 23.58%（117 351/497 691）. The declaration rate of occupational disease hazards was 17.66（955/5 407）,the physical examination rate of noise item was 69.16%（81 159/117 351） and the abnormal rate of examination results in noise item was 1.01%（817/81 159）. The occupational health training rate of the principal person was 55.41%（2 996/5 407）,the occupational health training rate of manager was 28.50%（1 541/5 407）,and the occupational health training rate of people exposed to hazard was 64.40%(112 605/186 443). The noise hazard in different distribution categories was comprehensively evaluated according to the weighted scoring results of the 4 dimensions of situation of workplace noise exceeding,noise exposure and declaration,physical examination of noise hazard exposed people and occupational health training. Huiyang District was the most serious（59 points） in the distribution of counties and districts,limited liability company was the most serious（74 points） in the distribution of economic types,micro enterprise enterprise was the most serious（34 points） in the distribution of enterprise size,and electricity,heat,gas and water industry was the most serious（26 points） in the distribution of industry types. Conclusion The current situation of noise hazards is different in varying degree on various types of Huizhou enterprises,suggesting that Huiyang District,limited liability companies,micro-enterprises,electric,heat,gas and water production and supply industries should be payed attention to in the future noise prevention work.

Analysis on occupational health examination results of noise workers in Suzhou

HU Fengxia, SONG Bin, YAO Jianhua, YANG Yuexin

2024, 40(1):  32-36. 

Asbtract ( 6 )   PDF (898KB) ( 8 )  

References | Related Articles | Metrics

Objective To analyze the occupational health examination results of noise-exposed workers in Suzhou,and to provide scientific basis for the supervision department to formulate noise prevention and control policies. Methods The occupational health examination data of noise workers in Suzhou in 2021 were collected,and the results of high-frequency hearing,blood pressure,hematuria routine,liver function and electrocardiogram were analyzed from 5 dimensions of gender,age,length of service,economic type and scale of enterprise. Results A total of 196 371 subjects were included in this study. The number and detection rate of high frequency hearing threshold loss,hypertension,elevated alanine aminotransferase and abnormal electrocardiogram were 15 044（7.66%）,47 370（24.12%）,28 054（14.29%） and 29 332（14.94%）. The detection rates of high frequency hearing loss,hypertension,abnormal white blood cell count,abnormal red blood cell count,abnormal hemoglobin count,urine glucose,and elevated alanine aminotransferase were higher in males than in females,and the differences were statistically significant（all P<0.05）. The detection rate of high-frequency hearing threshold loss,hypertension,urinary occult blood and urine sugar increased with the increase of age and working age（all P<0.05）. The detection rates of high-frequency hearing loss,hypertension,urinary occult blood,urinary protein,urine sugar,and abnormal electrocardiogram of workers in domestic-funded enterprises and micro-enterprises were higher than those in other types of enterprises,and the differences were statistically significant（all P<0.05）. Conclusion The regulatory authorities need to strengthen the hearing protection of male,older and long-serving noise workers,as well as the supervision of domestic-funded enterprises and small and micro enterprises.

Direct determination of blood lead by graphite furnace atomic absorption spectrometry

ZHANG Daoyu, QIU Qian

2024, 40(1):  37-39. 

Asbtract ( 4 )   PDF (993KB) ( 8 )  

References | Related Articles | Metrics

Objective To establish a graphite furnace atomic absorption method suitable for detecting blood lead concentration in lead workers. Methods According to the industrial standard of the People's Republic of China,the blood lead was determined by graphite furnace atomic absorption spectrometry,and the influence of instrument conditions,sampling amount and matrix modifier dihydrogen phosphate on the determination results was studied. Results After 0.1 mL whole blood was acidified by 0.9 mL 5% nitric acid,the solution concentration was determined by 50 g/L dihydrogen phosphate as matrix modifier.The standard curve was linear in the range of 0-50 μg/L,r=0.999 6.The relative standard deviation of the samples ranged from 1.70% to 5.75%,and the detection limit of the method was 2.0 μg/L,which was satisfactory compared with the standard method. Conclusion The method has good sensitivity and accuracy,and can be used for the determination of blood lead in large quantities of lead workers.

Reliability and validity test of social emotional competence scale in Chinese adults

ZHAO Cong, DU Huanlian, ZHANG Zhen

2024, 40(1):  40-45. 

Asbtract ( 4 )   PDF (1493KB) ( 5 )  

References | Related Articles | Metrics

Objective To test the reliability and validity of social emotional competence scale in Chinese adults. Methods Using an online questionnaire survey platform,a total of 1 321 adults aged ≥25 from various provinces and cities in China were investigated from January to April 2023. Two weeks later,74 of them were retested. Item analysis,exploratory factor analysis,confirmatory factor analysis,cross-gender and cross-age measurement equivalenceanalysis,difference analysis,and correlation analysis were conducted for the social emotional competence scale. Results The social emotional competence scale had good discrimination,with a total correlation between 0.453-0.712. Exploratory factor analysis showed that the revised scale with 23 items fitted the six factor model,explaining 65.9% of the total variation. Confirmatory factor analysis showed that it had a good fit[ χ²=606.534,degrees of freedom（df）=215,χ²/df=2.821,comparative fit index（CFI）=0.945,Tucker-Lewis index（TLI）=0.935,standardized root mean square residual（SRMR）=0.039,root-mean-square errorof approximation（RMSEA）=0.053]. The reliability of the revised scale was good,with Cronbach's α coefficient of 0.933,the partial reliability was 0.845,andreliability of retest two weeks later was 0.827. The scale was also proved to have good cross-gender and cross-age equivalence. The score of this scale showed significant differences in age,income,marital status,residence status,and physical condition. The scale and its six subscales showed good correlation with indicators such as loneliness,subjective well-being,and basic psychological needs satisfaction. Conclusion The revised social emotional competence scale has good psychometric characteristics such as reliability,validity,equivalence,and discrimination,and is suitable for the Chinese adults.

Epidemiological characteristics of viral hepatitis in Yangpu district of Shanghai from 2012-2021

ZHANG Zhen, HOU Yun, TANG Hui, BI Yatao, TAN Xiaojie

2024, 40(1):  46-49. 

Asbtract ( 6 )   PDF (1260KB) ( 8 )  

References | Related Articles | Metrics

Objective To analyze the epidemiological characteristics and trends of viral hepatitis in Yangpu District of Shanghai from 2012 to 2021,and provide scientific evidence for developing the control and prevention measures. Methods A descriptive epidemiological method was used to analyze the data of viral hepatitis reported in Yangpu District from 2012 to 2021. Results From 2012 to 2021,the incidence rate of viral hepatitis in Yangpu District of Shanghai fluctuated,with the incidence falling first,then rising and falling again,and the annual average incidence rate was 64.43/1 000 000. Among all kinds of viral hepatitis,hepatitis B had the highest annual incidence（43.26/1 000 000） . The incidence of hepatitis B had dropped sharply and then increased a little in the past decade. Hepatitis A and hepatitis E occurred sporadically. The incidence of hepatitis C had increased slightly in the past decade,and the incidence of unidentified hepatitis decreased. Most cases of viral hepatitis in Yangpu District of Shanghai were the adults aged 50-<70 years old,and the male had the higher incidence with the average annual incidence rate of 82.37/1 000 000. The occupational division was mainly composed of retired and domestic unemployed people. Conclusion The overall incidence rate of viral hepatitis in Yangpu District has declined in recent ten years,but hepatitis B and hepatitis C have increased in recent years. The disease monitoring of viral hepatitis should not be slackened. In the future,we should strengthen the vaccination of hepatitis B vaccine and the vaccination of hepatitis A and E vaccine for key posts,and control the spread of hepatitis B and hepatitis C by strengthening publicity and education,avoiding high-risk behaviors,and preventing iatrogenic infections,etc. Strengthen the prevention and control of hepatitis E by doing a good job in environmental hygiene and other related work.

Analysis on relationship among social support,psychological capital and job engagement of takeaway riders in Beijing

WANG Jing, ZHI Fuli, HUANG Yunfeng, CHEN Yanqin

2024, 40(1):  50-55. 

Asbtract ( 4 )   PDF (926KB) ( 1 )  

References | Related Articles | Metrics

Objective To investigate the status quo of social support,psychological capital and job engagement of takeaway riders in Beijing,and to explore the correlation between social support,psychological capital and job engagement. Methods From September 2022 to March 2023,551 full-time takeaway riders who came to our center for health examination were investigated. The self-made items related to health examination,demographic data questionnaire,social support scale,psychological capital questionnaire and job engagement scale were used for health examination and questionnaire survey,and the data was analyzed. Results The total scores of social support,psychological capital and job engagement of takeaway riders in Beijing were（48.68±8.47）,（89.52±14.39） and （63.26±8.84）points,respectively. Social support and psychological capital of take away riders in Beijing were positively correlated with job involvement（r=0.407,0.432,both P<0.01）,and social support and psychological capital were positively correlated（r=0.396,P<0.01）.Social support and psychological capital had direct effects on job engagement（β=0.293, 0.342,both P<0.01）,and psychological capital played a partial mediating role between social support and job engagement,with the mediating effect of 0.131,accounting for 30.9% of the total effect. Conclusion Social support can not only directly affect the job engagement of takeaway riders,but also indirectly affect the job engagement of takeaway riders through psychological capital,which can strengthen social support and enhance the job engagement of takeaway riders.

Construction of the questionnaire on adherence to occupational HIV post-exposure prophylactic regimens among healthcare personnel

LI Qi, LI Hui, LI Yunxia, FAN Lu, ZHANG Lihui, YUAN Sue

2024, 40(1):  56-60. 

Asbtract ( 5 )   PDF (898KB) ( 8 )  

References | Related Articles | Metrics

Objective To construct the questionnaire on adherence to occupational human immunodeficiency virus（HIV） post-exposure prophylactic regimens among healthcare personal,providing reference basis for the prevention of HIV occupational exposure among healthcare workers in the next step. Methods The questionnaire item pool was preliminarily formulated based on literature review and group discussion. Two rounds of expert inquiry were conducted from August to October 2020 to screen and modify questionnaire entries. Results The effective recovery rate of the two rounds of consultation was 100%. The authority coefficients were 0.860 and 0.820,and the coordination coefficients were 0.257 and 0.387. The questionnaire on adherence to occupational HIV post-exposure prophylactic regimens among healthcare personal was formulated after two rounds of consultation. There were 50 items in total,including the general information of exposed persons,the information of post-exposure prophylactic medication,and the influencing factors of medication adherence. Conclusion The questionnaire is reasonable,comprehensible,and can be used as a tool to evaluate the adherence to occupational HIV post-exposure prophylactic regimens.

Analysis of the current status of self-disclosure and related factors of HIV/AIDS patients

LI Chengjuan, YANG Yonkang, MAN Yanli, MA Sumin, HE Ying, FAN Xiaoyan

2024, 40(1):  61-65. 

Asbtract ( 8 )   PDF (910KB) ( 6 )  

References | Related Articles | Metrics

Objective To examine the current status and related factors of self-disclosure amongpeople living with（human immunodeficiency virus,HIV） or acquired immune deficiency syndrome（AIDS） patients. Methods From January to May 2022,a total of 281 HIV/AIDS patients in a designated diagnosis and treatment of a tertiary A hospitals in Changsha were selected by convenience sampling.demographic information questionnaire,the social support rating scale,Berger HIV stigma scale and distress disclosure index were used for the study,and the data was analyzed. Results The total score for HIV self-disclosure was （34.09±9.65） of the 281 HIV/AIDS patients in a designated diagnosis and treatment of a tertiary A hospitals in Changsha. The total social support score was （30.53±7.20）points,the subjective support score was （18.00±4.21）points,the objective support score was （6.39±2.65）points,and the social support utilization score was （6.20±2.09）points. The score of perceived discrimination was （110.42±13.02）points,which was above the medium level. The scores of each dimension were individualized discrimination（48.31±6.69）points,worry about publicity（32.09±3.55）points,negative self-impression（33.53±4.89）points and concern about public attitude（57.27±7.75）points. The dimensions of social support were positively correlated with self-disclosure（r=0.465,0.524,0.664,all P<0.05） and negatively correlated with perceived discrimination（r=-0.573,P<0.05）. After excluding the interference of control variables（residency,marriage and transmission） on self-disclosure of HIV/AIDS patients,social support and perceived discrimination variables entered the regression equation and explained 58.9% of the variance in self-disclosuretogether with the control variables. Conclusions HIV/AIDS patients' self-disclosure was at a moderate to low level,social support showed positive anticipation of self-disclosure,and perceived discrimination showed negative anticipation of self-disclosure. Medical staff should consider the influence of social support and perceived discrimination on patients' self-disclosure,and develop psychological care plans to improve their self-disclosure level and reduce the psychological pressure.

Time series analysis on atmospheric particulate matter and daily outpatient visits of internal medicine in Heze from 2019-2021

TIAN Huan, LI Dalei, LIU Hongmin, WANG Ying, LIU Zhaolu

2024, 40(1):  66-70. 

Asbtract ( 6 )   PDF (1054KB) ( 5 )  

References | Related Articles | Metrics

Objective To investigate the effect of atmospheric particulate matter exposure on daily outpatient visits of internal medicine in Heze City,aiming to provide scientific basis for effective health risk assessment of air pollution and effective intervention measures to improve population health. Methods The daily outpatient data from 2019 to 2021 were collected,and daily air pollutant data and meteorological data were also collected. The generalized additive model with time-series Poisson distribution was used to investigate the relationship between atmospheric particulate matter and the daily outpatient volume of internal medicine,the daily outpatient volume of respiratory system diseases,and the daily outpatient volume of circulatory system diseases in this city. The influence of atmospheric particulate matter concentration on the outpatient volume of these three diseases after the introduction of other pollutants was analyzed. Results There was a correlation between the concentration of air pollutants and the daily outpatient volume of internal medicine in Heze City. For every 10 μg/m³ increase in PM_2.5,the effect value of daily outpatient volume of internal medicine,daily outpatient volume of respiratory diseases and daily outpatient volume of circulatory system diseases reached the strongest effect at Lag09,Lag010,Lag0 days,respectively,with ER（95%CI） of 1.05%（0.44%-1.66%）,2.15%（1.48%-2.83%）,0.68%（0.33%-1.02%）. Every 10 μg/m³ increase in PM₁₀ had the strongest effect on the total volume of internal medicine,the daily outpatient volume of respiratory system and the daily outpatient volume of circulatory system at Lag02,Lag09 and Lag01 days,respectively,with ER（95%CI） of 0.21%（0.05%-0.38%）,0.80%（0.48%-1.12%） and 0.21%（0.04%-0.37%）. Conclusion The increase of PM_2.5 and PM₁₀ concentration in Heze City may increase the number of internal medicine outpatient visits,and there is a certain hysteresis.

Individual-family-school three factors analysis of suicidal ideation and depression among adolescents in Shangqiu City

LI Yuqin, YANG Yinmei, LI Yunyun

2024, 40(1):  71-75. 

Asbtract ( 5 )   PDF (902KB) ( 8 )  

References | Related Articles | Metrics

Objective To explore the effects of individual,family,school factors on suicidal ideation and depression among adolescents in Shangqiu City,and to provide targeted interventions for adolescents’ mental health. Methods From May to June 2021,a stratified random cluster sampling method was used to investigate the mental health of 1 607 adolescents from four high schools in Shangqiu City. Results 21.90% of adolescents reported suicidal ideation,and 28.31% had depressive symptoms. Girls（OR=1.58,95%CI：1.21-2.07）,family dysfunction（OR=2.21,95%CI：1.68-2.91） and childhood abuse（OR=1.13,95%CI：1.09-1.18） could significantly predict suicidal ideation,while those with higher levels of psychological resilience（OR=0.97,95%CI：0.96-0.98） and school connectedness（OR=0.93,95%CI：0.91-0.95） were less likely to report suicidal ideation. Similarly,girls（OR=1.47,95%CI：1.13-1.92）,family dysfunction（OR=2.11,95%CI：1.59-2.79） and childhood abuse（OR=1.23,95%CI：1.18-1.29） could significantly predict depression,while psychological resilience（OR=0.93,95%CI：0.92-0.95） and school connectedness（OR=0.93,95%CI：0.91-0.95） could prevent adolescents from developing depressive symptoms. Additionally,11th graders reported significantly higher prevalence of depression than 10th graders（OR=1.34,95%CI：1.03-1.74）. Conclusion The psychological health of adolescents in Shangqiu City is influenced by individual,family,and school factors. To effectively prevent psychological health problems among adolescents,we should start from the overall growth environment of adolescents,establish a linkage system of "individual family school",strengthen protective factors in all levels,reduce risk factors,and provide a supportive environment for the healthy growth of adolescents.

Prevalence and trend of overweight and obesity among primary and secondary school students in Changsha City

WU Xin, CHEN Yan, FENG Qi

2024, 40(1):  76-79. 

Asbtract ( 5 )   PDF (1089KB) ( 6 )  

References | Related Articles | Metrics

Objective To understand the current prevalence of overweight and obesity among primary and secondary school students in Changsha City and the trend of changes in overweight and obesity in the past three years,so as to provide a reference for further developing obesity prevention and control strategies. Methods Using the survey data of the Common Disease Monitoring Project for Students in Changsha from 2019 to 2021,13 350 primary and secondary school students with complete data were selected as the analysis objects. The logistic regression model was used to analyze the trend of changes in the detection rate of overweight or obesity. Results In 2021,the detection rate of overweight among primary and secondary school students in Changsha was 17.18%,and the detection rate of obesity was 13.38%. The detection rate of overweight and obesity in boys was higher than that in girls（both P<0.05）,and the detection rate of obesity in primary schools was higher than that in junior high schools and high schools（P<0.01）. The obesity rate increased from 10.69% in 2019 to 13.38% in 2021. After adjusting for region,gender,and age,the overall detection rate of obesity showed an upward trend（χ²_trend=16.209,P<0.01）;however,the average growth rate of obesity in 2021 was lower than that in 2020（11.88% vs 17.40%）. Conclusion From 2019 to 2021,the detection rate of obesity among primary and secondary school students in Changsha showed an upward trend with a slowing growth rate,but it was still in an epidemic state. Comprehensive intervention measures should be focused on primary school students to curb the occurrence and development of overweight and obesity.

Analysis on current situation and influencing factors of the sense of achievement among nursing students from the perspective of professional values

WANG Xin, LIU Yanjia, MEI Lulu, LIAO Wenyu

2024, 40(1):  80-83. 

Asbtract ( 4 )   PDF (865KB) ( 5 )  

References | Related Articles | Metrics

Objective To explore the current situation of the sense of achievement among nursing students from the perspective of professional values,and analyze its influencing factors. Methods From March to June 2022,a total of 326 nursing students from two universities in Jingchu area of Hubei Province were selected by convenient sampling method. A questionnaire survey was conducted using demographic data questionnaire,course ideological and political awareness questionnaire,and college student sense of achievement questionnaire,and the data was analyzed. Results The total score of the sense of achievement for nursing students was （133.80±18.54）points,and the total score of course ideological and political awareness was （37.29±4.63）points. The awareness of ideological and political education in courses was positively correlated with the sense of achievement（r=0.632,P<0.01）. Multiple linear regression analysis showed that gender,frequent participation in volunteer activities,and awareness of ideological and political education in courses were the influencing factors on the sense of achievement of nursing students（all P<0.05）,accounting for 43.7% of the total variance. Conclusion Nursing students have a good sense of achievement. Nursing educators and teaching managers should pay attention to the establishment of effective communication mechanism with nursing students,encourage them to participate in volunteer activities,improve their awareness of ideological and political courses through multiple ways,enhance their sense of achievement,promote the comprehensive development of nursing students,enhance their professional qualities,and establish good professional values.

Analysis on the current situation and influencing factors of emotional intelligence of military medical sergeant cadets

ZHANG Lihua, ZAHNG Yinling, LIU Qin, ZHANG Lanfang, YANG Haoshuang, LIU Na

2024, 40(1):  84-88. 

Asbtract ( 4 )   PDF (941KB) ( 3 )  

References | Related Articles | Metrics

Objective To investigate the current status of emotional intelligence among military health officer cadets and analyze its influencing factors. Methods A total of 226 health officer cadets who participated in preservice training at the Air Force Military Medical University from March to May 2021 and from May to July 2022 were selected as the survey subjects. General situation questionnaires,emotional intelligence scales,and interpersonal response indicators were used for the survey. The data were analyzed. Results The average emotional intelligence score of health officer cadets was （64.62±9.19）points,and the average score of each item was （4.03±0.57）points. The scores of each dimension from high to low were self-emotional monitoring[（16.96±2.51）points],emotional application[（16.23±2.90）points],emotional regulation[（15.90±3.29）points],recognizing other people's emotions[（15.52±3.04）points], participating in extracurricular activities, professional liking,and empathy were influencing factors of emotional intelligence level of health officer cadets（all P<0.01）. Conclusions The emotional intelligence of military health officer cadets is at a medium-high level,and the vocational education of health officers can start with targeted training plans for participation in extracurricular activities,professional interest,and empathy ability,in order to improve the emotional intelligence level of health officers.

Mediating role of cognitive reappraisal and mental toughness in the process of happiness literacy empowering military cadets' subjective well-being

JIA Zhen, LYU Tiange, YANG Guoyu

2024, 40(1):  89-94. 

Asbtract ( 4 )   PDF (946KB) ( 8 )  

References | Related Articles | Metrics

Objective To investigate the influence and mechanism of well-being literacy of military cadets on their subjective well-being. Methods From November 2022 to February 2023,3 218 military cadets were selected by the whole-group sampling method,a well-being literacy 6 item scale（Well-Lit 6）,general well-being schedule（GWBS）,emotion regulationquestionnaire（ERQ） and connor-savidsonresiliencescale（CD-RISC-10） were used to survey them,and the data was analyzed. Results The mean scores of well-being,cognitive reappraisal,resilience and subjective well-being of 3 218 military cadets were （34.22±9.76）,（32.07±7.68）,（30.15±8.25） and （84.82±15.36）points,and both were positively correlated（all P<0.01）. The direct effect value of well-being literacy on subjective well-being was 0.130（P<0.05）,well-being literacy positively predicted cognitive reappraisal（path coefficient of 0.26, P<0.05） and resilience（path coefficient of 0.11,P<0.05）,and the mediating effect of cognitive reappraisal and resilience on the relationship between well-being literacy and subjective well-being of military cadets was significant,with a total mediating effect value of 0.307.There were three main mediating effect chains：（1）well-being→cognitive reappraisal→subjective well-being,with an effect value of 0.018;（2）well-being→resilience→subjective well-being,with an effect value of 0.065;（3）well-being→cognitive reappraisal→resilience→subjective well-being,with an effect value of 0.094.The percentages of the three mediating effect chains in the total mediating effect were 5.9%,21.1%,and 30.5%. Conclusion Well-being literacy as a linguistic competence can empower military cadets to enhance their subjective well-being through the chain of cognitive reappraisal and resilience mediation.

Bibliometric analysis of related studies on self neglect of the elderly

YU Haoru, ZHANG Lingling, SUN Niuniu, YU Xuejiao

2024, 40(1):  95-102. 

Asbtract ( 4 )   PDF (9696KB) ( 1 )  

References | Related Articles | Metrics

Objective To analyze the current research status of self-neglect in the elderly at home and abroad,explore research hotspots and frontiers,and provide references for future research on self-neglect in the elderly in China. Methods The literature related to self-neglect in the elderly was retrieved from WOS and CNKI,with a search time from the establishment of the database to March 21,2022. CiteSpace V 5.8.R3 software was used for visual analysis. Results A total of 200 relevant articles were included in WOS,and 36 in CNKI.The overall publication volume at home and abroad showed an upward trend. The United States was the country with the highest number of publications,and it cooperated frequently with developed countries. The main research institution abroad was Rush University in the United States,and the main research institution at home was Wenzhou Medical University. The journal with the highest number of publications abroad was the Journal of the American Geriatrics Society（JAGS）,while the journal with the highest number of publications in China was Nursing,Occupation and Health,and Nursing Research. The keywords representing research hotspots abroad were risk,while those at home were influencing factors. Conclusion In the future,China needs to carry out research on early identification of risk factors for self-neglect in the elderly and localized intervention studies on self-neglect in the elderly.

Systematic evaluation of the psychological status of new recruits in high-attitude training in China based on SCL-90

XIAO Chulan, LI Lin, XIONG Zhaoye, WU Runzhe, CHANG Yunli

2024, 40(1):  103-108. 

Asbtract ( 4 )   PDF (2077KB) ( 2 )  

References | Related Articles | Metrics

Objective Based on the results of the symptom checklist-90（SCL-90）,to understand the overall mental health status and development trends of new recruits in high-altitude training in China,and provide reference for future investigations and research on SCL-90 mental health assessment of military officers and soldiers. Methods Review Manager 5.3 software was used to systematically evaluate the relevant investigation and research on SCL-90 of Chinese plateau（Xizang） recruits since the establishment of CNKI,VIP,Wanfang and other databases. Result A total of 12 articles were included,with 7 640 new recruits for high-altitude training. Meta-analysis results showed that among the combined effect sizes of SCL-90 factors of new recruits in high-altitude training,only somatization was positive with no statistically significant difference[d（95%CI）=0.01（-0.12-0.13）,P<0.05],and the other 8 items were all negative,the combined effects of obsessive-compulsive factor[d（95%CI）=-0.15（-0.26--0.03）,P<0.05],interpersonal sensitivity factor[d（95%CI）=-0.19（-0.35--0.03）,P<0.05],anxiety factor[d（95%CI）=-0.11（-0.22--0.01）,P<0.05],and psychiatric factor[d（95%CI）=-0.17（-0.30--0.05）,P<0.01] were significantly lower than the new recruit norm,but the effect level was lower. Conclusion Based on the results of SCL-90,the overall mental health status of new recruits in high-altitude training is higher than that of the 2000 version of the Chinese new recruits norm,with significant differences in compulsive factors,interpersonal sensitivity factors,anxiety factors,and psychiatric factors.

Meta analysis of influencing factors of AIDS knowledge,attitude and practice among college students in China

LONG Jianying, LI Wenrui, HAN Xinyi, SUN Mingyao, ZHANG Zhigang, ZHANG Caiyun

2024, 40(1):  109-114. 

Asbtract ( 5 )   PDF (933KB) ( 2 )  

References | Related Articles | Metrics

Objective To understand the influencing factors of AIDS knowledge,attitude and practice among college students in China. Method Nine databases including CNKI,SinoMed,CINAHL,WanFang,VIP,PubMed,Embase,Cochrane Library,and Web of Science were used as literature search sources to retrieve all studies conducted since the establishment of the database. Information was extracted from the included literature and quality was evaluated. Meta analysis was performed using Stata 14.0 software. Results A total of 13 articles were included. Meta analysis showed that in terms of knowledge,AIDS training（OR=2.38, 95%CI：1.86-3.05）,professional type（OR=0.45,95%CI：0.27-0.72） and sexual orientation（OR=0.78,95%CI：0.69-0.88） were the influencing factors. In terms of beliefs and attitudes,age（OR=0.887,95%CI：0.856-0.918） and AIDS knowledge（OR=1.273, 95%CI：1.079-1.502） were the influencing factors. In terms of behavior,gender（OR=0.555,95%CI：0.425-0.724）,age（OR=1.260, 95%CI：1.216-0.306）,grade（OR=1.479,95%CI：1.196-1.829）,monthly consumption >1 500 yuan（OR=1.448,95%CI：1.155-1.814）,AIDS knowledge（OR=1.146,95%CI：1.003-1.310） and alcohol consumption（OR=1.183,95%CI：1.069-1.309） were the influencing factors. Conclusion The risk factors of AIDS awareness are that college students in China have not experienced AIDS training,non-medical majors and sexual minorities. The risk factors of correct beliefs/attitudes are that they are 20-29 years old and do not know AIDS knowledge. Behaviors are affected by gender,age,grade,monthly consumption,AIDS knowledge and whether they drink alcohol.Future educators should consider these factors more in order to develop more targeted prevention strategies.

Investigation and Research

Analysis on current situation and prevention and control measures of occupational disease hazards in a furniture manufacturing enterprise in Yancheng City

GUO Jun, WANG Fang

2024, 40(1):  115-118. 

Asbtract ( 4 )   PDF (855KB) ( 8 )  

References | Related Articles | Metrics

Objective To understand the current situation of occupational disease hazards in a furniture manufacturing enterprise in Yancheng City,identify and detect hazardous factors in the workplace,and provide a basis for formulating feasible prevention and control measures. Methods Through field investigation,hazard factor detection and health monitoring,the occupational hazard factors in a furniture manufacturing enterprise in Yancheng City in 2022 were investigated. Results The main occupational hazards of the furniture manufacturing enterprise were wood dust and noise. The concentration of wood dust in the cutting and polishing areas,as well as the noise intensity in the cutting and polishing areas,did not meet the national occupational health standards. The qualified rate of wood dust was 75.00%,and the qualified rate of noise was 85.71%. The concentration of chemical substances in the workplace met national occupational health standards. Conclusions The wood dust and noise of some posts in the furniture manufacturing enterprise still exceed the standard. It is suggested to reform the process and introduce advanced equipment to reduce the noise. Equip sufficient dust removal systems and regularly maintain them. Entrust professional institutions to conduct occupational hazard factor detection and occupational health checks,strengthen workers' self-protection awareness,correctly wear protective equipment,and reduce the occurrence of occupational diseases.

Analysis on epidemiological characteristics of newly diagnosed pneumoconiosis in Changzhi City from 2015-2020

JIN Xin

2024, 40(1):  119-121. 

Asbtract ( 4 )   PDF (901KB) ( 8 )  

References | Related Articles | Metrics

Objective To analyze the epidemiological characteristics of newly diagnosed pneumoconiosis in Changzhi city during 2015-2020,and to provide scientific evidence for the prevention and control of pneumoconiosis. Methods The data of newly diagnosed pneumoconiosis in Changzhi from January 2015 to December 2020 was collected from Chinese Information System for Disease Control and Prevention-Occupation Disease and Occupation Health Information Monitor System. The database was established and adopted for statistical description and trend test by SPSS 22.0. Results From 2015-2020,there were 222 newly confirmed cases of pneumoconiosis in Changzhi City. Except Lucheng District,Qinxian County and Pingshun County,there were new cases of pneumoconiosis in Changzhi City,including 159 cases（71.62%） in Phase I,10 cases（4.51%） in Phase II and 53 cases（23.87%） in Phase III. Among the new types of pneumoconiosis from 2015-2020,coal workers' pneumoconiosis and silicosis were the mains. There was a statistically significant difference in the level of pneumoconiosis among workers of different ages,dust exposure years,types of work,and regions（all P<0.05）. Among the new types of pneumoconiosis in 2015-2020,coal miners,support workers,drillers,tunnellers and rock drillers were the mains,accounting for 80.63% of the total cases. The new cases of pneumoconiosis in Changzhi City were mainly concentrated in Lunan and Lubei regions.The number of new cases of pneumoconiosis in Shangdang District,Licheng County and Xiangyuan County ranked the top 3,with 70 cases（31.53%）,53 cases （23.87%） and 34 cases（15.32%） respectively. Conclusions The situation of prevention and control of pneumoconiosis in Changzhi City is still serious,and the pneumoconiosis shows obvious regional distribution,and the age of onset is younger.Therefore,it should be combined with the epidemiological characteristics of pneumoconiosis,strengthen the supervision and management of key industries and special investigations,especially in high incidence areas should focus on pneumoconiosis survey and pneumoconiosis screening of dust removal workers.

Analysis on incidence of occupational diseases in Sanming City from 2006-2021

LIN Shulian

2024, 40(1):  122-126. 

Asbtract ( 4 )   PDF (887KB) ( 8 )  

References | Related Articles | Metrics

Objective To understand the dynamic changes,incidence patterns,and characteristics of new occupational diseases in Sanming City from 2006-2021,and provide reference basis for occupational disease prevention and control work. Methods The number of occupational disease cases reported by Sanming City in the Occupational Disease and Occupational Health Information Monitoring System from 2006-2021 was collected,and the data was analyzed. Results A total of 3 059 cases of occupational diseases were reported in Sanming City from 2006-2021,including 2 752（89.96%） cases of pneumoconiosis,292（9.55%） cases of occupational chemical poisoning,and 15（0.49%） cases of other types of occupational diseases. Occupational diseases were mainly distributed in Datian County（1 426 cases,51.82%） and Yong'an City（1 035 cases,37.61%）. The industry was mainly distributed in bituminous coal and anthracite mining and washing industries（2 702 cases,67.73%）. The economic types of enterprises were mainly private liability limited companies（862 cases,28.18%）,joint-stock limited companies（751 cases,24.55%）,and state-owned enterprises（669 cases,21.87%）. The scales of enterprises were dominated by large enterprises（914 cases,29.88%） and small enterprises（1 167 cases,38.15%）. From the perspective of years,the annual distribution of occupational disease cases from 2006-2021 showed a fluctuated upward trend,with the peak periods of incidence occurring from 2010-2013,2016,and 2019-2021,respectively. The main pneumoconiosis in Sanming City were coal workers' pneumoconiosis and silicosis,of which 213 cases（65.81%） were coal workers' pneumoconiosis and 673 cases（22.0%） were silicosis. Conclusions The situation of occupational disease prevention and control in Sanming City remains severe. According to the characteristics of occupational diseases in Sanming City,we should pay more attention to the regions and enterprises with high incidence rate,strengthen the control of the source of occupational hazards,strengthen occupational health education,enhance workers' awareness of occupational disease prevention,thoroughly implement the strategy of building a healthy China,and take comprehensive measures to strengthen the prevention and control of occupational diseases.

Overview

Research progress on intervention measures for stigma of HIV-infected persons/AIDS patients

ZHOU Zhen, LI Bei, ZHANG Dongping, ZHANG Zebo

2024, 40(1):  127-130. 

Asbtract ( 5 )   PDF (926KB) ( 7 )  

References | Related Articles | Metrics

Due to the particularity of the transmission route of AIDS,the public still has prejudice,discrimination and unfair treatment,and most patients are often accompanied by stigma. Stigma not only affects the medication compliance of HIV-infected/AIDS patients,but also affects the patient's physical and mental health and quality of life. It is necessary to take corresponding intervention measures to alleviate the stigma of HIV infected/AIDS patients. This article mainly reviews the intervention measures for stigma of HIV infected/AIDS patients,aiming to provide reference for clinical medical staff.

Research progress on group health management in high temperature and humidity environments

JIANG Qinqin, YUAN Lei, SUN Jinhai

2024, 40(1):  131-135. 

Asbtract ( 4 )   PDF (902KB) ( 1 )  

References | Related Articles | Metrics

Through literature review,this article summarizes the complex and diverse disease spectrum of Chinese residents in high temperature and humidity environments,which have multiple impacts on group health,and analyzes the characteristics of human physiological and psychological health conditions under high temperature and humidity environments,which are unstable,easily imbalanced,and have a combined effect on exacerbating the severity of group diseases,and provides a reference basis for health maintenance,disease prevention and treatment in high temperature and humidity areas.

Research progress on textile occupational related tumors

ZHAO Wenjing, ZHAO Cheng, XIAO Fang, LUO Lei

2024, 40(1):  136-140. 

Asbtract ( 5 )   PDF (918KB) ( 4 )  

References | Related Articles | Metrics

In the industrial production of textiles,workers are exposed to dyes,solvents,fiber dust and various other toxic chemicals for a long time. Numerous studies have shown that the chemicals used in the textile industry are associated with different health-related hazards,and may even cause specific tumors. This article aims to review the research progress on the association and characteristics of different factors in the occupational environment with lung cancer,bladder cancer and other common malignant tumors among textile workers,and to provide a reference basis for comprehensive assessment of cancer risk at different work levels in the textile industry and the development of a monitoring and early warning system for occupational related tumors.

Current situation and response strategies of infectious disease risk monitoring and early warning in the military during sudden public health emergencies

LI Tan, LI Lingzhi, WU Zhidong

2024, 40(1):  141-144. 

Asbtract ( 4 )   PDF (868KB) ( 8 )  

References | Related Articles | Metrics

Public health emergencies can pose a serious threat to military activities and combat missions.This article reviews the current status of the military's disease supervision and monitoring system in terms of monitoring and early warning content,risk factor identification,prediction and prediction capabilities,and early warning information transmission,as well as the intelligent response strategies for infectious disease monitoring and early warning in the military. It is of great significance to strengthen the construction of disease prevention and control in the military in the new era,adjust and improve the monitoring and early warning system for infectious diseases in response to public health emergencies,maintain the health of officers and soldiers,and enhance combat effectiveness.