Accelerating the construction of ecological civilization and promoting the management of health environment problems is one of the core elements of the implementation of the“Beautiful China”and“Healthy China”strat...Accelerating the construction of ecological civilization and promoting the management of health environment problems is one of the core elements of the implementation of the“Beautiful China”and“Healthy China”strategies with Chinese characteristics in the new era.Based on the scientific connotation of ecological civilization,this paper systematically assesses the level of interprovincial ecological civilization construction in China using the combined CRITIC empowerment method and explores the impact of ecological civilization construction on the health burden of urban and rural residents using interprovincial panel data from 2003 to 2018 with the help of panel feasible generalized least squares,simultaneous equation estimation,and the extended regression model.It is found that there is a significant inverted U-shaped relationship between provincial ecological civilization construction and urban and rural residents’economic health burden,as well as a significant U-shaped relationship between ecological civilization construction and urban and rural residents’disease burden.Fiscal decentralization,urbanization,and industrialization are the three important indirect mechanisms through which ecological civilization affects the health burden of urban and rural residents,and fiscal decentralization plays a typical role in crowding out the health effect of ecological civilization.In the eastern and central regions,ecological civilization construction has effectively reduced the health burden of urban and rural residents,but it is more significant for improving the economic health burden of rural residents.While the“catching-up trend”of the progress of ecological civilization construction in the western region is obvious,ecological civilization plays an important role in alleviating the economic health burden of urban residents.After the robustness test,the conclusion still holds.This study provides an important empirical basis for local governments to improve the accuracy of their policies in promoting the“Beautiful China”and“Healthy China”strategies.展开更多
In Europe, there are an increasing number of persons suffering from depression, which also affects many relatives. The burden and health when being the relative of an inpatient suffering from severe depression has bee...In Europe, there are an increasing number of persons suffering from depression, which also affects many relatives. The burden and health when being the relative of an inpatient suffering from severe depression has been less examined. The aim of the study was to describe burden, health and sense of coherence among relatives of inpatients with severe depression. Furthermore, the aim was to investigate relatives’ burden in relation to their health and sense of coherence. A cross-sectional design was performed, with a questionnaire consisting of background questions and three instruments;Burden Assessment Scale, General Health Questionnaire and Sense of Coherence scale. The participants consisted of 68 relatives recruited from a sample of inpatients diagnosed with depression in the psychiatric specialist health services in one hospital trust in Norway. The Regional Committee for Medical and Health Research Ethics, Norway South East, gave approval to the study. The relatives reported burden to a various degree, with some reporting a significantly greater burden, poorer health and a weaker sense of coherence than others. With regard to subjective burden eight out of ten relatives reported “Worry about future”, and almost six out of ten were “Upset by change in patient”. Regarding objective burden, more than half the relatives reported having “Less time for friends” and “Reduced leisure time”. In conclusion the relatives with a high level of burden reported more mental distress, poorer health and weaker sense of coherence than those with lower level of burden. Further research should focus on identification of factors predicting burden and health of relatives of inpatients with severe depression.展开更多
针对城市污水处理厂运行过程中产生微生物气溶胶,工作人员暴露于气溶胶环境可经呼吸摄入致病性微生物,最终造成健康寿命损失的问题,通过对污水处理厂空气中气溶胶颗粒及其携载的病原体进行定量识别,明确工作人员的职业暴露风险,进一步...针对城市污水处理厂运行过程中产生微生物气溶胶,工作人员暴露于气溶胶环境可经呼吸摄入致病性微生物,最终造成健康寿命损失的问题,通过对污水处理厂空气中气溶胶颗粒及其携载的病原体进行定量识别,明确工作人员的职业暴露风险,进一步结合微生物定量风险评估及疾病负担研究方法,以伤残寿命(disability adjusted life year, DALY)为健康评价指标,提出基于DALY的微生物气溶胶职业健康风险评估新模式及计算方法体系,并进一步遴选典型病原体进行疾病负担计算。结果表明:典型污水处理厂工作人员职业暴露过程中,经气溶胶摄入诺如病毒、腺病毒和轮状病毒造成的健康损失均明显高出WHO标准,需改进工艺或限制接触。展开更多
质量调整生命年(quality adjusted life years,QALYs)作为多维健康效用指标的1种,它在卫生经济学评价和疾病负担评价中的应用越来越广泛。目前,未见详细归纳阐述不同研究类型下QALYs测算方法的报道。该文主要探讨了QALYs计算的基本原理...质量调整生命年(quality adjusted life years,QALYs)作为多维健康效用指标的1种,它在卫生经济学评价和疾病负担评价中的应用越来越广泛。目前,未见详细归纳阐述不同研究类型下QALYs测算方法的报道。该文主要探讨了QALYs计算的基本原理和过程,并进一步归纳总结在具体研究中如何根据研究设计来选择合适的QALYs计算方法,以期为研究者提供参考依据,促进其在我国卫生领域研究中的应用。展开更多
基金supported by the key program of the National Social Science Foundation of China“Research on the Theoretical Basis and Index System of Building a Modern Economic System in the New Era”[Grant number.18XKS009]the Foundation of Sichuan Provincial Soft Science Research“Research on the transformation path of high-quality development of new economy enterprises in Sichuan from the perspective of double cycle”[Grant number.2022JDR0261].
文摘Accelerating the construction of ecological civilization and promoting the management of health environment problems is one of the core elements of the implementation of the“Beautiful China”and“Healthy China”strategies with Chinese characteristics in the new era.Based on the scientific connotation of ecological civilization,this paper systematically assesses the level of interprovincial ecological civilization construction in China using the combined CRITIC empowerment method and explores the impact of ecological civilization construction on the health burden of urban and rural residents using interprovincial panel data from 2003 to 2018 with the help of panel feasible generalized least squares,simultaneous equation estimation,and the extended regression model.It is found that there is a significant inverted U-shaped relationship between provincial ecological civilization construction and urban and rural residents’economic health burden,as well as a significant U-shaped relationship between ecological civilization construction and urban and rural residents’disease burden.Fiscal decentralization,urbanization,and industrialization are the three important indirect mechanisms through which ecological civilization affects the health burden of urban and rural residents,and fiscal decentralization plays a typical role in crowding out the health effect of ecological civilization.In the eastern and central regions,ecological civilization construction has effectively reduced the health burden of urban and rural residents,but it is more significant for improving the economic health burden of rural residents.While the“catching-up trend”of the progress of ecological civilization construction in the western region is obvious,ecological civilization plays an important role in alleviating the economic health burden of urban residents.After the robustness test,the conclusion still holds.This study provides an important empirical basis for local governments to improve the accuracy of their policies in promoting the“Beautiful China”and“Healthy China”strategies.
文摘In Europe, there are an increasing number of persons suffering from depression, which also affects many relatives. The burden and health when being the relative of an inpatient suffering from severe depression has been less examined. The aim of the study was to describe burden, health and sense of coherence among relatives of inpatients with severe depression. Furthermore, the aim was to investigate relatives’ burden in relation to their health and sense of coherence. A cross-sectional design was performed, with a questionnaire consisting of background questions and three instruments;Burden Assessment Scale, General Health Questionnaire and Sense of Coherence scale. The participants consisted of 68 relatives recruited from a sample of inpatients diagnosed with depression in the psychiatric specialist health services in one hospital trust in Norway. The Regional Committee for Medical and Health Research Ethics, Norway South East, gave approval to the study. The relatives reported burden to a various degree, with some reporting a significantly greater burden, poorer health and a weaker sense of coherence than others. With regard to subjective burden eight out of ten relatives reported “Worry about future”, and almost six out of ten were “Upset by change in patient”. Regarding objective burden, more than half the relatives reported having “Less time for friends” and “Reduced leisure time”. In conclusion the relatives with a high level of burden reported more mental distress, poorer health and weaker sense of coherence than those with lower level of burden. Further research should focus on identification of factors predicting burden and health of relatives of inpatients with severe depression.
文摘针对城市污水处理厂运行过程中产生微生物气溶胶,工作人员暴露于气溶胶环境可经呼吸摄入致病性微生物,最终造成健康寿命损失的问题,通过对污水处理厂空气中气溶胶颗粒及其携载的病原体进行定量识别,明确工作人员的职业暴露风险,进一步结合微生物定量风险评估及疾病负担研究方法,以伤残寿命(disability adjusted life year, DALY)为健康评价指标,提出基于DALY的微生物气溶胶职业健康风险评估新模式及计算方法体系,并进一步遴选典型病原体进行疾病负担计算。结果表明:典型污水处理厂工作人员职业暴露过程中,经气溶胶摄入诺如病毒、腺病毒和轮状病毒造成的健康损失均明显高出WHO标准,需改进工艺或限制接触。
文摘质量调整生命年(quality adjusted life years,QALYs)作为多维健康效用指标的1种,它在卫生经济学评价和疾病负担评价中的应用越来越广泛。目前,未见详细归纳阐述不同研究类型下QALYs测算方法的报道。该文主要探讨了QALYs计算的基本原理和过程,并进一步归纳总结在具体研究中如何根据研究设计来选择合适的QALYs计算方法,以期为研究者提供参考依据,促进其在我国卫生领域研究中的应用。
