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  • 2025 Volume 39 Issue 3
    Published: 20 March 2025
      
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  • ● Aticle
    ZHU Wenli
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    Nutrition literacy encompasses the collection of knowledge and skills that enable individuals to acquire, comprehend, and process information and services of food nutrition that can be helpful for making food and nutrition decisions. It functions as a bridge connecting individuals, food, and the environment, and holds predictive value for dietary behaviors. Upon the previous studies, this review was undertaken to examine the association between nutrition literacy and dietary behaviors among school-aged children. The findings revealed that the overall nutrition literacy level among school-aged children was linked to healthy dietary behaviors, and enhancing specific facets of nutrition literacy could foster healthier food consumption patterns. Future research endeavors should delve deeper into the associations between various competencies and dietary behaviors, as well as the interplay between children’s nutrition literacy and health outcomes, to furnish scientific basis and clues for the intervention of children’s dietary behaviors and the improvement of children’s nutritional status based on nutrition education.
  • ● Aticle
    MA Sheng, YU Yingjie, GUO Dandan, HUANG Liyu, GUO Xinyue, ZOU Zhiyong, DUAN Jiali
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    Objective To analyze the status and factors of milk and dairy products consumption among primary and secondary students in Beijing, so as to provide a basis for promoting the appropriate intake of milk and dairy products by students. Methods A questionnaire survey was conducted among students from 16 districts of Beijing, during September 2020 to June 2021. Students from primary and secondary schools were enrolled by a multi-stage stratified cluster sampling method. Chi-square test was applied to analyze the differences in the rate of insufficient intake of milk and dairy products between the groups, and logistic regression was employed to explore its relevant factors. Results A total of 9 959 students were enrolled, and the median daily consumption of milk and dairy products was 319.9 mL. However, 47.4% of these students failed to meet the recommended intake. Factors such as gender, grade, caregiver education, family income, accessibility of dairy products and knowledge of milk consumption were all found to significantly influence milk intake (all P<0.01). The higher risk of insufficient dairy intake was found among female students (OR=1.20, P<0.001), junior high school students (OR=1.50, P<0.001), senior high school students (OR=1.48, P<0.001), and those with limited access to milk and dairy products (OR=1.63, P<0.001). Conclusion Although the overall consumption of milk and dairy products intake among primary and secondary students shows a certain level, 47.4% of students still have insufficient intake.
  • ● Aticle
    GUO Xinyue, GUO Dandan, MA Rui, YU Bo, YAO Yihong, HUANG Liyu, ZHANG Yan, MA Sheng, YU Yingjie, DUAN Jiali
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    Objective To understand the current situation and factors of milk-related knowledge among primary and secondary students’ family caregivers in Beijing, so as to provide scientific basis for ensuring the growth and development of students and enhancing the level of milk-related knowledge of their family caregivers. Methods Family caregivers from 16 districts, whose children are in grade 3 to 12, were surveyed by questionnaires from September to December 2020. The current situation of milk-related knowledge among the family caregivers was analyzed. The binary logistic regression model was adopted to analyze the factors of the milk-related knowledge levels among caregivers. Results The mean score of milk-related knowledge among caregivers was 11.03 ± 2.32, with a compliance rate of 40.12%. Logistic regression analysis revealed that female caregivers; those aged ≤35 years, 35-45 years; those with educational level of high school/secondary vocational school/technical school, junior college/vocational college, as well as bachelor’s degree or above; and those from families with an annual per-capita income of 40 000-69 999 yuan, and≥70 000 yuan demonstrated a significantly higher likelihood of compliance with milk-related knowledge (all P<0.05). Conclusions The compliance rate of milk-related knowledge among primary and secondary students’ primary caregivers in Beijing requires to be improved. The focus should be on popularizing basic knowledge, such as the recommended amount of milk consumption and how to identify dairy products in the “Chinese Dietary Guidelines for School aged Children” among caregivers. In particular, efforts should be strengthened to popularize milk-related knowledge among caregivers who are middle-aged, have low educational level, and come from low-income families.
  • ● Aticle
    HUANG Feifei, SU Chang, ZHANG Jiguo, DU Wenwen, JIA Xiaofang, OUYANG Yifei, LI Li, BAI Jing, ZHANG Xiaofan, WEI Yanli, GUAN Fangxu, WANG Huijun
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    Objective To understand the dietary choline intake, food sources, and their trends among Chinese children and adolescents from 1991 to 2018. Methods Children and adolescents aged 6-17 with complete dietary data and basic information from 10 waves of the “China Health and Nutrition Survey” project in 1991, 1993, 1997, 2000, 2004, 2006, 2009, 2011, 2015, and 2018 were enrolled. Those with abnormal daily energy or choline intake were excluded. Consecutive 3-day 24-hour dietary recall and household weighting methods were applied to conduct the dietary survey and calculate choline intake through indoor face-to-face. The first level of survey year and second level of subjects were employed to analyze the differences of dietary choline intake in different populations with two-level random effects models. Results A total of 19 371 individuals were enrolled. From 1991 to 2018, the daily dietary choline intake among Chinese children and adolescents ranged from 101.1 mg to 159.3 mg, with a proportion of 3.4% to 10.6% above the adequate intake. The average daily dietary choline intake in adolescents (17.2 mg) was higher than that in children, with boys (11.3 mg) having a higher intake than girls and urban areas (36.9 mg) having a higher intake than rural areas. The average daily dietary choline intake of individuals from middle- and high-income family (16.3 mg and 51.2 mg) had higher intake levels than individuals from low-income family (all P<0.000 1). Eggs and their products, meats and their products, vegetables and their products were the main food sources of dietary choline for children and adolescents, accounting for 72.1% to 79.9% of the total food sources. Conclusions Although the dietary choline intake of children and adolescents in China has been increasing, it is still at a relatively low level. It is necessary to increase the intake of foods choline-rich to improve the nutritional status of choline.
  • ● Aticle
    GUO Xinyue, GUO Dandan, MA Rui, YU Bo, YAO Yihong, HUANG Liyu, ZHANG Yan, MA Sheng, YU Yingjie, DUAN Jiali
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    Objective To learn the influence of knowledge-attitude-practice (KAP) for milk consumption of primary and secondary students’ family caregivers on the student’s intake of milk and dairy products, and to provide scientific basis for improving the milk-consumption among primary and secondary school students and ensure their future growth and development. Methods From September to December 2020, a cross-sectional survey employing a multistage cluster sampling method was conducted. The Household Dairy Consumption Behavior Questionnaire developed by the Beijing Center for Disease Prevention and Control was surveyed to investigate dairy product intake among primary and secondary students (grades 3-12) across 16 districts in Beijing. The KAP regarding dairy consumption among their primary caregivers was assessed. Statistical analyses included t-tests and ANOVA were performed to examine differences in KAP scores among caregivers. The binary logistic regression models were adopted to evaluate the influence of caregivers’ dairy-related KAP on students’ dairy product intake. Results A total of 9 758 primary and secondary students and their corresponding primary caregivers were enrolled. Analysis revealed a median daily dairy intake of 319.82 g among students, with 47.39% failing to meet recommended consumption levels. Caregivers demonstrated an overall KAP score of 16.56±3.19 (maximum 24), comprising three domains: dairy knowledge (4.76±1.58, pass rate 31.13%), dietary attitudes (6.27±1.53, pass rate 65.98%), and consumption behaviors (5.53±1.73, pass rate 46.69%). Binary logistic regression identified caregivers’ dairy-related attitudes (OR=1.034, 95%CI:1.007-1.063) and consumption behaviors (OR=1.121, 95%CI: 1.094-1.149) as significant determinants of students’ dairy intake adequacy (P<0.05). Conclusion Some primary and secondary school students in Beijing have inadequate daily intake of dairy products, with over 60% of their primary caregivers failing to meet the passing criteria in KAP scores. The dietary attitudes and consumption behaviors of caregivers are identified as significant factors influencing students’ dairy intake. It is necessary to strengthen the publicity and education of the “Dietary Guidelines for School-age Children in China (2022)” and the “Dietary Guidelines for Chinese Residents (2022)” among the main family caregivers. Propaganda and education on basic knowledge such as the recommended milk intake and how to identify dairy products should be carried out to promote their positive attitude and behavior changes. At the same time, scientific guidance and intervention should be provided to guide primary and secondary school students to consume milk scientifically.
  • ● Aticle
    FENG Yue, KONG Lin
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    To analyze the current status of foodborne pathogen contamination in infant and toddler foods and discuss risk control measures via literature retrieval and synthesis, and to provide scientific evidence for the safety of infant and toddler foods. Literature (Published from January 2005 to December 2023) of foodborne pathogenic contamination in infant and toddler foods were retrieved from Chinese literature databases, such as China National Knowledge Infrastructure, Wanfang. Descriptive statistical analysis was performed on the types of common pathogens and detection results in infant and toddler foods. A total of 56 articles were included, covering 4 common foodborne pathogens, including Cronobacter spp. (formerly known as Enterobacter sakazakii), Salmonella, Bacillus cereus, and Staphylococcus aureus. Both infant formula foods and complementary foods for infants and toddlers were detected. The analysis found that the detection rate of pathogens in infant complementary foods was generally higher than that in infant formula foods, with Cronobacter spp. showing particularly high detection rates. In the future, the process management and quality control of infant foods should be strengthened. More refined measures should be adopted to ensure the food safety and provide safer nutritional support for infants and toddlers.
  • ● Aticle
    REN Xingwei, BAI Xinyuan, ZHANG Junyue, HOU Ming, ZHANG Ping, HUANG Liyu, LI Hui
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    Objective To investigate the current status of dietary behaviors among middle school students in Daxing, Beijing, and to provide a scientific basis for implementing targeted nutritional health education and intervention measures. Methods A total of 1 026 middle school students from four schools in Daxing were randomly surveyed with a stratified sampling method. Chi-square tests were applied to analyze the inter-group differences, and binary multivariate logistic regression was employed to analyze the factors influencing students’ unhealthy dietary-behaviors. Results Among the unhealthy dietary behaviors of middle school students, the reporting rates of consuming sugar-sweetened beverages and fried foods at least once per day in the past 7 days were 15.8% and 6.2%, respectively. The reporting rates of not consuming fresh fruits, vegetables, milk, yogurt, soy milk or soy drinks, and skipping breakfast daily were 29.4%, 12.4%, 42.4%, 31.2%, and 31.2%, respectively. Logistic regression analysis indicated that students in high schools and vocational high schools and those who are not living with their parents had higher risks for having unhealthy dietary behaviors, while day students had lower risks of having unhealthy dietary behaviors. Conclusion Middle school students, and those who are boarding students, or not living with their parents, have higher risks of engaging in unhealthy dietary behaviors.
  • ● Aticle
    TAN Ting, PENG Fei, XIANG Jingjing, LIU Ling, LUO Dan, JIAO Jiayi, LIU Shuang
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    Objective To assess the level of nutrition-health knowledge among primary and secondary students in Hubei and identify its related factors, and to provide a scientific foundation for the development of targeted nutritional education programs. Methods A total of 3 175 primary and secondary students in Hubei were surveyed with a nutrition and health knowledge questionnaire and a stratified random cluster sampling method in April 2024. Participants completed a comprehensive questionnaire assessing nutritional health knowledge across five domains: nutrition and growth development, food selection principles, food safety, food classification and characteristics, and dietary guidelines. Knowledge scores were calculated for both the overall questionnaire and individual domains, with a total score of ≥75 points (out of 100 points) considered indicative of appropriate nutritional health knowledge. Multivariable logistic regression analyze was employed to identify factors associated with nutritional health knowledge levels. Results The median score of the nutrition-health knowledge was 67.00 with the overall awareness rate was 27.56%. Logistic regression analysis revealed that, compared with the senior primary students, both junior-high school and senior-high school students had significantly higher knowledge rates of nutritional health. Additionally, mothers with a bachelor's degree or higher exhibited significantly greater knowledge of nutritional health compared with those with lower educational attainment. Conclusions Primary students in Hubei exhibited limited nutritional health literacy, whereas higher nutrition-health knowledge is observed among middle and high school students and mothers with higher health literacy levels. This highlights the need to establish a multidimensional and progressive nutrition education framework.
  • ● Aticle
    DENG Manxin, GONG Zhuo, XIANG Shiting, QIU Jun
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    Objective To explore the associations between environmental lead exposure and blood pressure among children and adolescents. Methods Studies on the effects of environmental lead exposure on blood pressure among children and adolescents were systematically searched from six databases: Chinese National Knowledge Infrastructure(CNKI), Wang Fang, PubMed, Embase, Web of Science and Cochrane library. The relevant data were extracted for meta-analysis and integration. Beta values as well as 95% CIs were calculated to systematically evaluate the associations between environmental lead exposure and blood pressure. Results After combined effects analysis, metallic lead exposure during pregnancy and childhood and adolescence was positively associated with systolic blood pressure among children and adolescents. Conclusion Lead exposure during pregnancy and childhood and adolescence may be associated with elevated systolic blood pressure among children and adolescents.
  • ● Aticle
    QI Juan, LIU Yang, LIU Jijie, DU Yan, SHAO Jihong, PENG Lei
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    Objective To investigate the effects of gestational diabetes mellitus (GDM) on the infants’ physical development by analyzing the basic maternal and infantile data. Methods Pregnant women who gave birth at the Xuzhou Maternal and Child Health Care hospital from January 1st, 2019, to January 1st, 2020, and had their medical records in the community health service centers were enrolled as the research subjects. They were divided into the GDM group and the control group, and the physical development of their offspring during infancy was followed up. Combined with the data of children’s regular health examination, the standard deviation score (Z-score) and Binary logistic regression were applied to analyze the correlations between the infants’ physical development and GDM. Results A total of 601 subjects were included in the study. Among them, 147 cases of GDM were found, with a GDM rate of 24.5%. The weight for length Z score (WLZ) of infants at birth, 6 months and 12 months in the GDM group were higher than that in the control group(all P<0.05). The overweight or obesity rate in infants at 12 months of age was 25.9%, which was higher than that in control group (9.3%, χ2=26.282,P<0.001). Binary logistic regression analysis showed that the GDM exposure was one of the risk factor for infants overweight or obesity. Conclusions This suggests that blood glucose management during pregnancy is crucial for optimizing offspring growth and development. We should pay attention to the blood glucose control during pregnancy and reduce the impact of GDM on children’s physical development.
  • ● Aticle
    XIE Peiqin, CHEN Haoyue, WANG Hongfang, XIANG Quanyong
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    Objective To explore the relationship between overweight, obesity and the Triglyceride Glucose (TyG) index among middle school students, and to provide evidence for the prevention of overweight and obesity in students. Methods A total of 2 899 middle school students were enrolled with a stratified cluster random sampling method from September 2023 to January 2024. The basic information of the students was investigated. The venous blood from the elbow was collected to detect blood glucose, blood lipid and other indicators. The relationship between body mass index (BMI) and the TyG index was analyzed using multiple linear regression model. The dose-response relationship was analyzed by quadratic polynomial regression model. Results The prevalence of overweight and obesity was 28.94%, with 26.42% for male students and 30.34% for female students, showing significantly differences (χ2=4.980, P=0.026). The distribution of the TyG index was stable among male students, female students, and the total participants, and showed a stable linear distribution across all ages. Adjusted multiple linear regression model showed that for every 1 kg/m2 increase in BMI, the TyG index increased by 0.013 (95% CI: 0.008, 0.018) in male students, 0.012 (95% CI: 0.009, 0.015) in female students, and 0.013 (95% CI: 0.010, 0.015) in total participants. Adjusted quadratic polynomial regression model showed the TyG index gradually increased with the increase of BMI levels among male students, female students, and the total participants, and there was a significant dose-response relationship (all P<0.01). Conclusion BMI has a significant positive association with the TyG index, and there is a dose-response relationship between BMI and the TyG index.
  • ● Aticle
    LI Yanyan, ZHANG Lili, ZHANG Xianfu
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    Objective To monitor the current situation of disinfection among childcare institutions in Weihai, and to provide reference for the evaluation of the disinfection effect in childcare institutions. Methods The on-site sampling method and laboratory testing were applied in all childcare institutions of Weihai to evaluate air quality, object surfaces, hands, utensils, drinking water, ultraviolet lamps. The qualification rates of items from different years, monitoring projects, regions, and school types were compared. Results A total of 3 014 samples were enrolled from 2019 to 2022, with the qualification rates of 88.8%. There were significant differences in qualification rates among different years(χ2=42.385, P<0.001). Among the 6 types of monitoring items, the qualification rate of hands was the lowest (75.8%), while the air quality was the highest (95.2%). The qualification rate among different regions showed statistically significant differences (χ2=120.854, P<0.001), with the highest in Huancui (94.3%) and the lowest in Wendeng (78.0%). The qualification rates of public and private childcare institutions were 90.4% and 85.7%, respectively, with a statistically significant difference (χ2=15.678, P<0.001). Conclusion The overall disinfection quality of childcare institutions in Weihai is good, but in both ultraviolet lamps and hands are relatively low.
  • ● Aticle
    WU Suning, WANG Zhi, ZHANG Qi
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    Objective To analyze the incidence of mumps in Xinyi, and to formulate prevention and control strategies for mumps with scientific evidences. Methods The mumps cases with onset dates from January 1st, 2019 to December 31st, 2023, who lived in Xinyi, were enrolled through the Chinese Disease Prevention and Control Information System. The incidence of mumps among different populations at different time points was analyzed. Results The reported incidence rate of mumps in Xinyi was 82.61/100 000), showing a downward trend (χ2trend=5 425.946, P<0.001). The incidence rates in male and female patients were 98.74/100 000 and 65.15/100 000, respectively, with a statistically significant difference (χ2=186.881, P<0.001). The cases were mainly concentrated in the group aged 10-14 (n=2 114), accounting for 46.87%, followed by the 5-9 age group with 1 638 cases, accounting for 36.32%. The incidence of mumps peaked in these months, such as March to June. Conclusion To effectively prevent and control the mumps epidemic, relevant measures, such as monitoring work should be strengthened for the 10-14 age group.
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    ZHAO Yinghui, QI Jinying
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    Objective To investigate the current status and factors of Helicobacter pylori infection among children and adolescents in Miyun, Beijing, and to provide scientific evidence for the intervention strategies of Helicobacter pylori infection. Methods In April 2023, a total of 556 children and adolescents in Miyun were randomly selected with a cluster sampling method to participate in the on-site 13C Urea Breath Test. A questionnaire survey was applied to collect the relevant information of individual’s diets, dining styles, hand-washing and hygiene behaviors. Results Among the 556 children, 66 cases were positive for Helicobacter pylori infection, with a positive rate of 11.9%. Helicobacter pylori infection rates among students were higher when their parents had lower level of education. Helicobacter pylori infection was also higher among those whose families failed to use separate tableware in daily life or those who had been fed with pre-chewed food. The multifactorial analysis showed that a high educational attainment level of the mother was a protective factor against Helicobacter pylori infection in children. The presence of separate tableware-use in the family had a higher prevalence of Helicobacter pylori infection, indicating a risk factor for Helicobacter pylori infection among children and adolescents. Conclusions The factors of Helicobacter pylori infection among children and adolescents in Miyun are mainly related to family dining habits and the education level of guardians. Parents’ health awareness should be strengthened to effectively reduce the risk of Helicobacter pylori infection.
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    ZHU Wenwen, ZHANG Xue, ZHU Diyang, XU Wei
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    Objective The purpose of this study was to explore the family factors affecting school bullying among junior high school students, to provide a basis for the prevention of school bullying. Methods The China National Knowledge Infrastructure, VIP, Wanfang, Web of Science, and other databases were searched from inception to December 2023. Two researchers independently screened the literature, and extracted data according to predefined inclusion and exclusion criteria. After evaluation of the quality of the included literature with the Agency for Healthcare Research and Quality scale, quantitative analysis was conducted in CMA 3.3 software. Results A total of 26 studies were included, with a total sample size of 39 893. The seven family factors influencing middle school students’ bullying behavior in school were parenting style (positive parenting r=-0.164, P<0.05; negative parenting r=0.264, P<0.05), parental conflict (r=0.142, P<0.001), childhood maltreatment (r=0.275, P<0.001), family functioning (r=-0.163, P<0.05), family socioeconomic status (r=-0.076, P<0.05), parent-child attachment (r=-0.209, P<0.001), and parent-child conflict (r=0.230, P<0.001). Sensitivity analyses suggested the stability of the study results. Conclusion Bullying behavior among middle school students is closely associated with family dynamics: adolescents exposed to adverse family environments have elevated likelihood of engaging in bullying.
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    SUN Jing, ZHANG Chengcheng, ZHANG Fuyong, YANG Xinyu, SONG Guirong, YU Hong, MA Xiaohong, HUANG Meiting, RAO Wenbiao, LIU Wanling, YU Mingcheng, NING Shitao, WANG Zhiyong
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    Objective To establish a children’s health education learning database and test question bank, and to investigate the intervention effects on students’ parents. Methods Students’ parents from three primary schools (Grade 1, Grade 2, Grade 3, with a total of seven classes) were selected in Dalian with a stratified cluster sampling method. A WeChat group was established, and 108 self-made “WeChat promotional articles” were sent. The intervention was carried out for two months. Before and after the intervention, self-designed health knowledge test questions were applied to evaluate the effects and parents’ learning status. Results A total of 223 parents were enrolled. Before the intervention, the score M (P25-P75) of the parents’ health knowledge test was 1.5 (0.5-2.5) points, and the accuracy M (P25-P75) was15.00% (5.00%-25.00%). After intervention, the score was 7.5 (2.5-9.0) and the accuracy rate was 75.00% (25.00%-90.00%), with statistically significant differences (Z=-11.326, P<0.001). After intervention, 59.19% of parents had a correct answer rate of ≥ 50% for health knowledge test questions, of which 36.32% had a correct answer rate of ≥ 90%. The correct answer rates for all seven aspects of knowledge were significantly improved (all P<0.001). Results revealed that 61.43% of parents spend 6-15 minutes on daily studying, but 9.42% of parents only understand<50% of the content, or even have no understanding at all, 22.87% of parents failed to keep up with the learning pace, and 64.57% of parents had a better learning attitude. We found that 48.43% of parents have significantly improved or even fundamentally changed their understanding of their children’s health. 42.60% of parents made significant or even fundamental changes to their children’s education and guiding methods. 9.87% of parents believe that their learning methods need to be improved. 62.78% of parents believe that these materials need to be formally published, and 33.63% hope to continue strengthening their mental health education. Conclusion The use of self-designed health education learning materials has significantly improved the health knowledge level of parents of primary students, but further optimization and verification are still needed.
  • ● Aticle
    GUO Xiang, LIU Yitian, ZHU Shiyao, YUAN Yuan
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    Objective To evaluate the effect of health education lecture among the residents with basic public health services in Kuishan community, Xuzhou, and to clarify the practical significance of community health education. Methods Two communities were randomly selected from Kuishan Community Health Service Center in Quanshan District, Xuzhou, with a random sampling method. Residents were divided into study group and control group. The acquisition rate of health knowledge in both groups were compared. The acquisition rate of health knowledge in study group before and after intervention and in the two groups after intervention ended for one month were compared. The acquisition of health behavior in study group after intervention ended for one month was compared. Results A total of 600 residents in study group and 748 residents in control group were enrolled. The acquisition rate of health knowledge in study group was 74.50% and that in control group was 79.14%, with no significant differences in the two groups (χ2=2.946, P=0.086). After intervention, the total acquisition rate of health knowledge in study group was increased from 74.50% to 89.00%, showing statistically significant differences (χ2=38.729, P<0.001). The total acquisition rate of health knowledge was 89.00% in the study group after intervention and 78.48% in the control group after the second survey. The difference between the two groups showed statistically significant (χ2=23.508, P<0.001). One month after the intervention ended, the total acquisition rate of health knowledge in the study group was 80.00% and that in the control group was 73.13%, with statistical differences (χ2=8.665, P=0.003). The acquisition of health behaviors among residents in the study group was 87.76%. Conclusions The acquisition of health knowledge and health behavior among residents in Kuishan Community, Quanshan District, Xuzhou is significantly improved after interventions with health education lectures. It is suggested that health education lectures should be carried out continuously to enhance the residents’ health knowledge levels and promote the formation of their health behaviors.
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    ZANG Xiujuan, JIANG Ting, WANG Fangfang
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    Objective To analyze the commercial insurance compensation in the prevention of abnormal vaccination reactions in Sucheng, and to provide reference for optimizing the commercial insurance mechanism. Methods Vaccination data, commercial insurance (basic insurance, supplementary insurance) coverage information, and compensation information from Sucheng, Suqian during 2021 to 2023 were collected. The distribution of ages, vaccine types, and clinical diagnosis of insurance compensation were analyzed. Results From 2021 to 2023, a total of 15 577 people had their vaccination records established. The coverage rate of basic insurance and supplementary insurance for vaccination was 100% and 33.1%, respectively. There were 589 individual cases of compensation for abnormal reactions to vaccination, with a total compensation amount of 2 414 200 yuan. Among them, there were 2 cases of basic insurance compensation, with a total amount of 1 107 700 yuan, which were respectively the right upper limb skin abscess, furuncle and carbuncle caused by hepatitis B vaccine and the vaccination reaction (harmful reaction of BCG vaccine) caused by BCG vaccine. There were 587 cases of supplementary insurance compensation, with a total amount of 1 306 500 yuan. Among the cases compensated by supplementary insurance, hepatitis B vaccine had the largest number of compensation cases, and the BCG vaccine and hepatitis B vaccine had largest amount of compensation. Conclusions The combination of basic insurance and supplementary insurance in commercial insurance effectively compensates for the shortcomings of basic insurance in terms of compensation scope and efficiency. It is recommended to continue to promote and deepen the compensation work of commercial insurance.