• 主题
高级搜索  >
历史搜索 清空历史
您现在的位置：首页> 中文期刊>预防医学与卫生学>医药卫生>中华健康管理学杂志

中华健康管理学杂志

中华健康管理学杂志

CSCD

CSTPCD

Chinese Journal of Health Management
2007年10月创刊，中国科协主管，中华医学会主办。本刊是我国健康管理学领域唯一的一本学术期刊。2009年6月进入中国科技论文统计源期刊（中国科技核心期刊）。主要栏目：述评、专家论坛、标准与规范、论著、短篇论著、综述、学术争鸣、健康体检、健康评估与控制、慢性疾病管理、社区卫生、中医健康管理、继续教育园地、国内学术动态、国外健康管理动态、新技术研发与应用、经验与信息交流、健康管理服务导航、健康管理师、模式探讨、健康科普理论与实践、心理健康管理、个案报道、讲座、功能医学、妇幼健康管理、健康视点等。
更多
  • 发文量：1937
  • 被引量：1059
  • H指数：1
  • 开始收录时间：2008,2(1)
  • CNKI综合因子：0.981
  • 维普期刊影响因子： 1.204
  • 万方期刊影响因子：1.39
  • 创刊时间：2007
  • 国内刊号/CN：11-5624/R
    国际刊号/ISSN：1674-0815
  • 发行周期：双月刊
    邮发代号：80-723
  • 主管单位：中国科学技术协会
    主办单位：中华医学会
中华健康管理学杂志-联系信息
  • 主编：-
  • 电话：010-51322331
  • 邮箱：cjhm@cmaph.org
  • 地址：北京市西城区东河沿街69号
  • 邮编：100052
中华健康管理学杂志-获奖情况
  • 暂无获奖信息
  • 收录汇总
  • 刊内文献检索
  • 投稿信息

刊期浏览

相关中文期刊

相关中文会议

相关外文期刊

相关外文会议

最新期刊

热门期刊

中华健康管理学杂志 >2021年第6期

学科

年度

全选（0）
排序：
共4384条结果
  • 摘要：Objective To explore the knowledge and training needs of cardiopulmonary resuscitation (CPR) among a health checkup population, and to provide evidence for promoting cardiopulmonary resuscitation knowledge and skills at physical examination centers. Methods Using physical examination numbers, the random number table method was used to randomly select 1 000 people from a health checkup population, information collected including their basic information, cognitive status of cardiopulmonary resuscitation, and attitudes and behaviors toward cardiopulmonary resuscitation. The statistical analysis was performed using χ2test, a one-way ANOVA, and multivariate logistic regression analysis. Results Questionnaires was acquired from 997 consenting adult subjects. From which, 26% had received CPR training, and they demonstrated a low ratio of cognitive knowledge, scoring only 9.94 ± 6.36 (from a possible score of 30). Additionally, 92.1% had a willingness to learn CPR skills, and the CPR performance score was 23.12±3.27 (the highest score was 28). Unmarried people younger than 25 years old, professional and technical personnel, and military men had higher CPR scores than other groups. The CPR learning efficiency of military men, undergraduates, and people younger than 25 years old was higher than other groups. Older people had a lower willingness to learn cardiopulmonary knowledge and the better the feel-good status, the lower the willingness to learn CPR skills, of which OR values were 0.787 and 0.657, respectively (P<0.05). The rate of people learning CPR skills for relatives was higher than for strangers (P<0.05), and 83.8% were willing to receive medical training. Conclusion The health checkup population had a low cognitive level of CPR knowledge, and the willingness to learn CPR was high. To address this, free CPR training should be conducted at medical examination institutions.%目的 了解健康体检人群对心肺复苏(CPR)知识的认知情况及培训需求.方法 采用自制调查问卷,根据体检单号采用随机数字表法随机抽取1 000名健康体检人员进行问卷调查,内容包括:基本资料、心肺复苏认知情况、心肺复苏态度行为,采用χ2检验、单因素方差分析和多因素Logistic回归分析等方法进行统计学分析.结果 回收有效问卷997份,健康体检人群中26.0%(259/997)的参检人员接受过心肺复苏培训;参检人员心肺复苏知识认知情况较低,测评分数仅为(9.94± 6.36)分(总分30分).参检人员中92.1%有学习实施心肺复苏意愿,效能评分达到了(23.12±3.27)分(最高分28分).未婚、年龄≤25岁、专业技术人员和军人职业的参检人员心肺复苏测试分数高于其他人员;军人、本科学历、年龄≤25岁参检人员学习实施心肺复苏效能高于其他人员.参检人员年龄越大学习心肺复苏知识意愿越弱,自觉健康状况越好学习实施心肺复苏意愿越低,OR值分别为0.787和0.657(P<0.05).参检人员愿意对亲人实施心肺复苏比例高于对陌生人(P<0.05);83.8%参检人员愿意在体检时接受医务人员培训.结论 健康体检人群对心肺复苏的认知水平偏低,学习心肺复苏的意愿较高,可在健康体检机构进行针对健康体检人员进行免费心肺复苏培训.
  • 摘要：Based on the theory of three-dimensional quality structure pattern, this review introduced the application of three-dimensional quality structure pattern in a quality evaluation system of health examination and examined its relationship with the quality evaluation index system based on literature analysis. The existing problems in current research and application were noted, and some suggestions for further research were put forward.%本综述以三维质量结构模式为理论基础,系统介绍了这一模式在健康体检质量评价体系中的应用情况,并基于文献分析了以该模式为基础构建的健康体检质量评价指标体系之间的关系及当前研究应用中存在的问题,对今后进一步研究提出了相应建议.
  • 摘要：目的 调查分析城市孕产妇对基本公共卫生服务健康管理项目的认知、利用和影响因素,以促进基本公共卫生服务均等化的顺利开展.方法 利用多阶段随机抽样的方法选取调查对象,首先按照分层随机抽样的方式将调查地所辖的8个街道按照经济发展水平分为好、一般、差3个等级,从3个等级各抽取1个街道作为样本街道,然后按照整群抽样的模式将3个街道所辖的290名城市孕产妇作为调查对象进行问卷调查.孕产妇对服务项目的知晓情况、利用现状采用统计学率的指标进行描述分析,并对影响项目利用的可能因素采用χ2检验以及Logistic回归分别进行单因素和多因素检验分析,以P<0.05为差异有统计学意义.结果 282名城市孕产妇年龄为(29.19±4.05)岁;初产妇占72.7%,有异常生育史的孕产妇占12.4%,孕28周后的孕产妇占65.6%.孕产妇对基本公共卫生服务的项目认知率最高的是孕期实验室检查(81.6%),认知率最低的是孕28～40周接受2次随访(30.1%).不同职业的孕产妇在建立孕产妇保健手册(χ2=12.075,P=0.034)、接受孕妇健康状况和胎儿生长发育评估(χ2=11.154,P=0.048)、接受产前指导(χ2=19.878,P=0.001﹚间的差异均有统计学意义.不同孕期在建立孕产妇保健手册(χ2=6.211,P=0.045)、接受产前指导(χ2=13.175,P=0.001)间的差异均有统计学意义.孕产妇基本公共卫生服务的知晓程度、服务利用积极性以及重视程度也是影响孕产妇健康服务利用的重要因素.结论 济宁市城市孕产妇对健康管理项目的认知和利用存在明显不足,项目的实施状况有待改善.政府应加强宣传教育,加大资金投入,扩大服务范围,促进孕产妇孕产妇健康管理项目的有效开展.进而从根本上实现基本公共卫生服务均等化这一惠民政策惠及大众特别是重点人群.%Objective To investigate and analyze the cognition, utilization, and influencing factors of the health management project of basic public health services in urban pregnant woman, in order to promote the smooth implementation of equal access of basic public health services. Methods A multi-stage random sampling method was used to recruit participants. First, eight streets under the jurisdiction of the survey area were divided into three levels, high, medium, and low according to the level of economic development using the stratified random sampling method. One street was selected from each of the three levels as a sample street, and then using the cluster sampling method, a questionnaire survey was administered to 290 urban pregnant women in the three streets. Pregnant women's awareness of service items and utilization status were described and analyzed by statistical rate indicators. The possible factors affecting the utilization of service items were analyzed by χ2analysis and logistic regression. Significant differences were observed between the two methods (P<0.05). Results The 282 urban pregnant women were between 22-44 years, and had an average age of 29.19±4.05 years. Among them, 72.7% were primipara, 12.4% had an abnormal birth history and 65.6% were at 28 weeks of pregnancy. The highest awareness rate of basic public health services was found in medical examinations during pregnancy (81.6%), and the lowest awareness rate was found in two follow-up visits (30.1%) during 28-40 weeks of pregnancy. There were significant differences in the establishment of maternal health handbook (χ2=12.075, P=0.034), accepting assessment of maternal health and fetal growth (χ2=11.154, P=0.048), and accepting prenatal guidance (χ2=19.878, P=0.001) among pregnant women who held different jobs. Additionally, there were significant differences in the establishment of maternal health handbook (χ2=6.211, P=0.045) and prenatal guidance (χ2=13.175, P=0.001) among pregnant women at different gestation periods. The awareness of basic public health services for pregnancy, the enthusiasm of service utilization, and the degree of attention were also important factors affecting the utilization of health services among pregnant women. Conclusion There are apparent deficiencies in cognition and utilization of the health management project among pregnant women in Jining city, which indicates the need to improve the implementation of the project. The government should strengthen promotion and education, increase funding, expand the scope of services, and promote the effective implementation of maternal health management projects. Fundamentally, the equal access of basic public health services should be realized, which would benefit the public and particularly relevant groups.
  • 摘要：目的 了解宁夏泾源县非酒精性脂肪性肝病(NAFLD)的患病率及其危险因素.方法 采用人口比例抽样法,对泾源县18岁以上居民10 639人进行问卷调查、体格检查、收集空腹静脉血检测血糖、血脂、血尿酸,排除数据缺失纳入分析的共10 553人.采用高分辨率超声仪进行肝脏检查.根据肝脏超声检查结果,将研究对象分为NAFLD组和正常组,采用x2检验比较两组血液生化指标的差异,采用多因素Logostic回归模型探讨影响NAFLD患病的危险因素.结果 NAFLD的总患病率为7.60％,男性(8.60％)高于女性(6.82％)(x2=11.772,P=0.001).NAFLD患病率随年龄增长而增高(x2=57.336,P＜0.001),18岁～,30岁～,40岁～,50岁～,60岁～,70岁～组NAFLD患病率分别为2.92％、6.50％、8.81％、9.59％、8.08％、4.77％;NAFLD组超重、肥胖、腹型肥胖、空腹血糖调节受损、糖耐量异常、糖尿病、高血压、高尿酸血症、血脂异常的检出率均高于正常组(P均＜0.05).Logistic回归分析显示,超重、肥胖、腹型肥胖、空腹血糖调节受损、糖耐量异常、糖尿病、高血压、高尿酸血症、血脂异常人群患NAFLD的风险分别升高5.41、12.45、2.99、1.85、2.05、3.30、1.41、2.23、1.98倍.结论 宁夏泾源县NAFLD患病率较高,超重、肥胖、腹型肥胖、空腹血糖调节受损、糖耐量异常、糖尿病、高血压、高尿酸血症、血脂异常人群的NAFLD患病风险较正常人群高.%Objective To investigate the prevalence of nonalcoholic fatty liver disease and the risk factors in Jingyuan county of Ningxia Autonomous Region.Methods The population proportionate sampling method was applied to enroll a representative sample of 10 639 adults in Jingyuan county and the study was conducted using questionnaires and physical examinations.A total of 10 553 people were included in the analysis after excluding those with missing data.High-resolution ultrasound was used to examine the liver and fasting blood was collected in the morning for measurement of blood glucose,blood lipid,and uric acid.The participants were divided into two groups of those with and without nonalcoholic fatty liver disease;the difference in blood biochemical indexes between fatty liver and non-fatty liver groups was compared,and the logistic regression model was used to explore the risk factors affecting the prevalence of fatty liver.Results The prevalence of nonalcoholic fatty liver disease was 7.60％.The prevalence of thyroid nodules was higher in men than in women (8.60％ vs.6.82％,x2=1 1.772,P=0.001).The prevalence rate of fatty liver increased with age (x2=57.336,P＜0.001),the prevalence rates among ≥18 years-＜29 years,≥30 years-＜39 years,≥40years-＜49 years,≥50 years-＜59 years,≥60 years-＜69 years,and above 70 years were 2.92％,6.50％,8.81％,9.59％,8.08％,and 4.77％ respectively.The detection rate of overweight,obesity,abdominal obesity,impaired fasting glucose,impaired glucose tolerance,diabetes,hypertension,hyperuricemia,and dyslipidemia were higher in nonalcoholic fatty liver disease group than in the normal group (P＜0.05).Logistic regression analysis showed that nonalcoholic fatty liver disease group had a higher risk for overweight,obesity,abdominal obesity,impaired fasting glucose,impaired glucose tolerance,diabetes,hypertension,hyperurcemia,and dyslipidemia (OR=5.41,12.45,2.99,1.85,2.05,3.30,1.41,2.23,and 1.98).Conclusion The incidence of nonalcoholic fatty liver in Jingyuan county of Ningxia Autonomous Region was higher.The groups of overweight,obesity,abdominal obesity,impaired fasting glucose,impaired glucose tolerance,diabetes,hypertension,hyperuricemia,and dyslipidemia were high risk factors for nonalcoholic fatty liver disease.
  • 摘要：Objective To clarify the status of tobacco exposure and identify risk factors of smoking among smear-positive pulmonary tuberculosis patients in Shenzhen,in order to provide a scientific basis for the formulation of tuberculosis-tobacco control strategy in Shenzhen.Methods From January to December 2016,a special survey was carried out in 8 districts in Shenzhen.A unified questionnaire was used to make face to face interviews for 958 smear-positive pulmonary tuberculosis patients registered in 2016.Descriptive statistics was conducted to analyze the status of tobacco exposure.Single factor analysis and multiple logistic regression were used to identify the important risk factors of smoking.Results Among smear-positive pulmonary tuberculosis patients in Shenzhen,the rates of general smoking,current smoking,regular smoking were 40.9％,34.2％ and 30％,respectively.All smoking rates were higher among male than female participants (x2=255.226,197.463 and 162.707,respectively,and the P values were all＜0.001);164cases of heavy smokers accounted for 50.0％ of current smokers.Among 392 smokers,64 had quitted smoking,and the rate of smoking cessation was 16.3％.Among 566 nonsmokers,the rate of passive smoking from cohabiting smokers was 17.8％ (101/566),and it was higher in female than male participants (23.1％ vs.12.3％,x2=11.219,P=0.001).In single factor analysis,gender,work or living environment,age,education level,marital status,and body mass index were closely related to smoking (x2=255.226,28.375,40.922,29.585,9.117,and 7.052,respectively,and the P values were all＜0.05).In multiple logistic regression,the major risk factors for smoking included in the model were gender (x2=120.797,P＜0.001),age (x2=5.728,P=0.017),education level (x2=17.159,P＜0.001),mode of case-finding (x2=3.670,P=0.055),work or living environment (x2=6.039,P=0.049),and marital status (x2=5.091,P=0.078).Conclusion The smoking status of smear-positive pulmonary tuberculosis patients was serious in Shenzhen.Tuberculosis patients were the key smokers.We should provide accurate intervention and health guidance for patients,such as,macro policy guidance,instillation of knowledge,mental health intervention,and smoke-free environment.%目的 掌握深圳市肺结核患者的烟草暴露现状及吸烟行为危险因素,为深圳市结核病烟草控制策略制订提供科学依据.方法 2016年1至12月,在深圳市选取8个区开展专题调查.采用统一编制的调查表,对2016年诊断登记的958例涂阳肺结核患者进行面对面询问调查.采用统计性描述分析患者烟草暴露状况.采用单因素分析和多因素Logistic回归,确定患者吸烟行为的重要危险因素.结果 深圳市涂阳肺结核患者吸烟率、现在吸烟率和常吸烟率分别为40.9％、34.2％和30.0％,男性各种吸烟率均大于女性,x2值分别为255.226、197.463和162.707,P值均＜0.001.重度吸烟者164例,占现在吸烟者比例50.0％(164/328).392例吸烟患者中,已戒烟64例,戒烟率为16.3％.566例不吸烟患者中,受同住者的被动吸烟率为17.8％(101/566),女性大于男性(23.1％比12.3％),x2值为11.219,P值=0.001.经单因素分析,性别、工作生活环境、年龄、文化程度、婚姻状况、体质指数与吸烟密切相关,x2值分别为255.226、28.375、40.922、29.585、9.117和7.052,P值均＜0.05;经多因素Logistic回归分析,最终纳入模型的重要吸烟危险因素有性别(x2=120.797,P＜0.001)、年龄(x2=5.728,P=0.017)、文化程度(x2=17.159,P＜0.001)、发现方式(x2=3.670,P=0.055)、工作生活环境(x2=6.039,P=0.049)和婚姻状况(x2=5.091,P=0.078).结论 深圳市肺结核患者吸烟状况严重,是重点吸烟人群,应采取宏观政策引导、知识观念灌输、健康心理干预、无烟环境营造等措施加以精准干预和健康指导.
  • 摘要：目的 了解中国60岁以上老年人社会支持状况及影响因素,为制定针对性的保健服务措施提供参考依据.方法 检索中国期刊全文数据库、维普数据库、万方数据库、Pubmed和Web ofScience等中英文数据库,收集公开发表的老年人社会支持的相关文献.由异质性检验结果(I2＞50％)选择随机效应模型对纳入文献所提取的数据进行Meta合并分析.结果 共纳入分析文献32篇,累积研究对象21 763人.老年人社会支持总分为34.047 (95％CI:32.532～35.563)、主观支持19.218(95％CI:17.589～20.846)、客观支持7.787 (95％CI:7.483～8.091)、支持利用度7.075 (95％CI:6.884～7.266),社会支持总分及各维度得分相对较低;高年龄组(80岁以上:30.907,95％CI:28.378～33.436)、老年女性(32.512,95％CI:30.723～34.300)、低文化程度(文盲:32.088,95％CI:30.944～33.231;小学32.709,95％CI:30.069～35.349)、农村(33.780,95％CI:31.523～36.038)、空巢(32.301,95％CI:27.061～37.542)和不完整婚姻(未婚:27.044,95％CI:24.652～29.437;离异:29.159,95％CI:24.520～33.791)的老年人相比其他亚组社会支持得分较低.结论 老年人社会支持现状不容乐观,总体及各维度得分均较低,且不同特征老年人的社会支持存在明显差异,应针对不同特点,给予重点保健干预措施.%Objective To understand the current status of social support among the elderly,aged ≥60 years,as well as to identify influencing factors and to provide a reference for relevant health care services.Methods Publications about social support of the elderly were collected by searching the database of CNKI,VIP,Wanfang Data,Pubmed,and Web of Science.A random effects model was employed according to the results of heterogeneity (I2＞50％) to pool the extracted data.Results Thirty-two articles were included,with a total sample of 21 763 articles.Total scores of social support and three dimensions were low,with social support of 34.047 (95％CI:32.532-35.563),subjective support of 19.218 (95％CI:17.589-20.846),objective support of 7.787 (95％CI:7.483-8.091),and support utilization of 7.075 (95％CI:6.884-7.266).Scores of elderly with character of high age (aged 80:30.907,95％CI:28.378-33.436),female (32.512,95％CI:30.723-34.300),low education (illiteracy:32.088,95％CI:30.944-33.231;primary school:32.709,95％CI:30.069-35.349),country side (33.780,95％CI:31.523-36.038),empty nest (32.301,95％CI:27.061-37.542) and incomplete marriage (discoverture:27.044,95％CI:24.652-29.437;divorced:29.159,95％CI:24.520-33.791) was lower than the others.Conclusions The current status of social support is not optimistic.Scores of social support and its dimensions were relatively low,and a significant difference was found between elderly of different character,indicating that health interventions should be implemented based on character.
  • 摘要：目的 分析新疆医科大学第一附属医院健康管理中心主检报告现况,为提高主检报告质量提供参考依据.方法 纳入7位主检医师2017年9至10月的12 489份主检报告,由3名高年资医师作为质控医师从主检报告标准化疾病诊断分类书写、结论及阳性结果排序、一元化诊断分析的一致性3个方面盲法对主检报告进行质控分析.结果 7位主检医师主检报告标准化疾病诊断分类书写一致性在95.2％～96.5％之间、体检结论及阳性结果排序的一致性在94.0％～96.1％之间,各医师间差异无统计学意义(x2=9.906、9.740,P＞0.05);但7位主检医师主检报告的一元化诊断的一致性在86.2％～94.6％之间,各医师间差异有统计学意义(x2=92.990,P＜0.001).结论 不同主检医师主检报告可在标准化疾病系统分类书写、体检结论及阳性结果排序等方面做到规范统一,但一元化诊断存在差异,仍需加强培训.%Objective This paper analyzed the conclusion report of physical examinations by the chief inspection physician from the Health Management Center,The First Teaching Hospital of Xinjiang Medical University in Urumqi,to examine the quality of these reports.The research aimed to provide a reference for improving the quality of the chief physician's conclusions from physical examinations.Method Using the method of blinding,three senior physicians as quality control doctors analyzed the value of concordance of 12 489 conclusions from physical examinations by seven chief inspection physicians made from September to October 2017 based on three aspects,including standardization of classified disease-diagnosis handwriting,conclusions of physical examination and sequence of positive results,and unified diagnosis.Results The results showed that value of concordance of standardization of classified disease-diagnosis handwriting of the reports by the seven chief inspection physicians was 95.2％-96.5％ and of conclusions of physical examination and sequence of positive results was 94.0％-96.1％.Additionally,these two values indicated no statistically significant differences among the seven chief inspection physician (x2=9.906,9.740respectively,P＞0.05).However,the concordance value of unified diagnosis by the seven chief inspection physicians was 86.2％-94.6％,displaying statistically significant differences among the chief inspection physicians (x2=92.990,P＜0.001).Conclusion It was concluded through the research that differences in the chief inspection physicians' reports of physical examination reached normalization and unification in aspects of standardization of classified disease-diagnosis handwriting,and conclusions of physical examination and sequence of positive results.However,statistical variations in aspects of unified diagnosis revealed that training should be conducted for the chief inspection physician for physical examination.
  • 摘要：目的 评价血清尿酸对多种代谢性疾病发生的预测价值.方法 研究对象来自天津医科大学总医院健康管理中心.针对2型糖尿病、高血压、高脂血症、非酒精性脂肪肝的4种代谢性疾病患者,开展4个队列分析,样本量分别为56 915、47 387、31 431、35 203人;分别平均随访(3.56±2.32)、(3.31±2.24)、(2.70±1.95)、(2.90±1.76)年.基线和随访期检测所有相关变量,包括实验室检查、生活方式问卷和体格检查.血清尿酸五分位水平和2型糖尿病、高血压、高血脂、非酒精性脂肪肝发生率之间的关系通过Cox比例风险回归模型进行分析.结果 随访期内2型糖尿病、高血压、高脂血症和非酒精性脂肪肝发病率分别为3.5％、17.6％、33.4％、15.7％.调整了混杂因素后,随着血清尿酸浓度的增高,2型糖尿病发生的风险比(95％可信区间)分别为1.00、0.82 (0.70,0.95)、0.80 (0.69,0.92)、0.77 (0.67,0.88)和0.83 (0.72,0.95)(倾向性P值=0.02).而血清尿酸水平升高分别与高血压、高脂血症和非酒精性脂肪肝的高发生风险有关:相比于最低水平尿酸组,最高水平血尿酸发生高血压、高脂血症和非酒精性脂肪肝的风险比(95％置信区间)分别为1.17 (1.09,1.25)、1.20(1.13,1.28)和1.56(1.43,1.70)(倾向性P值均＜0.01).结论 血清尿酸水平对高血压、高脂血症和非酒精性脂肪肝的发生具有阳性预测价值,而对于2型糖尿病具有阴性预测价值.%Objective To evaluate the prediction value of serum uric acid level in the occurrence of multiple metabolic disorders.Methods The subjects are from the Health Management Centre,Tianjin Medical University General Hospital.Four kinds of metabolic diseases,namely type 2 diabetes mellitus,hypertension,hyperlipidemia,and nonalcoholic fatty liver disease (NAFLD),were analyzed by four-cohort analysis.Sample sizes were 56 915,47 387,31 431,and 35 203.The average follow-up time for each cohort was (3.56±2.32),(3.31±2.24),(2.70±1.95),(2.90± 1.76) years,respectively.In each cohort,the population was divided into two groups,depending on the occurrence of type 2 diabetes,hypertension,hyperlipidemia,and NAFLD during follow-up.All relevant variables were tested for baseline and follow-up,including laboratory tests,lifestyle questionnaire,and physical examination.Statistical analysis by Cox proportional hazard regression model was performed for the relationships between the fifth percentile of the distribution of serum uric acid levels and incidence of type 2 diabetes,hypertension,hyperlipidemia,and NAFLD.Results During the follow-up period,the incidence of type 2 diabetes,hypertension,hyperlipidemia,and NAFLD were 3.5％,17.6％,33.4％,and 15.7％,respectively.After adjustment for confounding factors,with the increase in serum uric acid level,the hazard ratios (95％CI) of type 2 diabetes were 1.00,0.82 (0.70,0.95),0.80 (0.69,0.92),0.77 (0.67,0.88),and 0.83 (0.72,0.95) (P=0.02).Meanwhile,higher risk of hypertension,hyperlipidemia,and NAFLD were associated with elevated serum uric acid level.In the group with the highest serum uric acid level in each cohort,the hazard ratio (95％CI) of hypertension,hyperlipidemia,and NAFLD were 1.17 (1.09,1.25),1.20 (1.13,1.28),and 1.56 (1.43,1.70),respectively (P＜ 0.01),as compared to the group with the lowest level.Conclusion Serum uric acid levels have a positive predictive value for the occurrence of hypertension,hyperlipidemia,and NAFLD,but have a negative predictive value for type 2 diabetes.
  • 摘要：Objective To investigate the relationship between hyperlipidemia and hyperuricemia.Methods From February 1,2012 to May 31,2017,a physical examination queue for serving and retired employees in Xiangya Hospital was established.As the survey's baseline,height,weight,waist circumference,blood lipids,blood pressure,blood glucose,creatinine,and serum uric acid were collected.The normal group was the control group,and the dyslipidemia group was the exposure group.The occurrence of hyperuricemia was investigated during follow-up.A multivariate Cox proportional hazards regression model was used to analyze hyperlipidemia.Four different clinical types (hypercholesterolemia,hypertriglyceridemia,mixed hyperlipidemia,and low high-density lipoprotein hyperlipidemia) and hyperuricemia had an incidence of hazard ratio (HR) and confidence interval (95％CI).Results A total of 1 553 people entered the follow-up cohort.A total of 5 297 patients were followed up for an average of 3.4 years.Three hundred and ninety-four cases of hyperuricemia were collected.The density of hyperuricemia was 744/10 000 years.The hyperuricemia group was followed up for 2 509 years,with hyperuricemia occurring in 142 cases,and hyperuricemia in the hyperlipidemia group of 566/million years.The hypercholesterolemia,high triglyceride,mixed hyperlipidemia,and low-density lipoprotein groups were followed up for 1 431,403,580,92 years,respectively,and high uric acid occurred respectively.In 105,64,72 and 11 cases,the incidence of disease was 734/million years,1 588/million years,1 241/million years,1 196/million years;the difference was statistically significant (P＜ 0.01).Hyperlipidemia and its four clinical types,hypercholesterolemia,hypertriglyceridemia,mixed hyperlipidemia,and hypodic lipoproteinemia,were associated with hyperuricemia.HR (95％CI) was 1.971 (1.604-2.421),1.441 (1.120-1.855),3.103 (2.309-4.169),2.434 (1.833-3.233),2.336,respectively.(1.265-4.316),P＜ 0.01;after adjusting the influence of age,sex,body mass index,hypertension,hyperglycemia,and hyper creatinine,HR (95％CI) was 1.885 (1.533-2.317),1.450 (1.127-1.866),2.881 (2.141-3.876),2.118 (1.588-2.825),2.451 (1.326-4.528) P＜0.01.Conclusions Hyperlipidemia and its four different clinical types (hypercholesterolemia,hypertriglyceridemia,mixed hyperlipidemia,and low-density lipoproteinemia) are all associated with the onset of hyperuricemia.%目的 探讨高脂血症与高尿酸血症的关系.方法 自2012年2月1日至2017年5月31日,建立湘雅医院在职及离退休职工体检队列.基线调查时收集研究对象身高、体重、腰围、血脂、血压、血糖、肌酐、血尿酸等信息,血脂正常组为对照组,血脂异常组为暴露组,随访收集高尿酸血症发生的情况.采用多因素Cox比例风险回归模型分析高脂血症及其4种不同临床分型(高胆固醇血症、高三酰甘油血症、混合型高脂血症、低高密度脂蛋白胆固醇血症)与高尿酸血症发病的风险比(HR)和95％置信区间(95％CI).结果 共有1 553人进入随访队列,共随访5 297人年,平均随访3.4年,共收集高尿酸血症新发病例394例.高尿酸血症粗发病密度744/万人年.高脂血症组随访2 509人年,发生高尿酸血症142例,高脂血症组高尿酸血症发病密度为566/万人年,其中高胆固醇血症组、高三酰甘油血症组、混合型高脂血症组、低高密度脂蛋白胆固醇组分别随访1 431、403、580、92人年,分别发生高尿酸血症105、64、72、11例,发病密度分别为734/万人年、1 588/万人年、1 241/万人年、1 196/万人年,差异有统计学意义(P＜0.01).高脂血症及其4种临床分型:高胆固醇血症、高三酰甘油血症、混合型高脂血症、低高密度脂蛋白胆固醇血症均与高尿酸血症的发病相关,HR(95％CI)分别为1.971(1.604～2.421)、1.441(1.120～1.855)、3.103(2.309～4.169)、2.434(1.833～3.233)、2.336(1.265～4.316),P＜0.01;调整年龄、性别、体质指数、高血压、高血糖、高肌酐的影响后,HR(95％CI)分别为1.885(1.533～2.317)、1.450 (1.127～1.866)、2.881 (2.141～3.876)、2.118(1.588～2.825)、2.451(1.326～4.528) P＜0.0.结论 高脂血症及其4种不同临床分型:高胆固醇血症、高三酰甘油血症、混合型高脂血症、低高密度脂蛋白胆固醇血症均与高尿酸血症发病相关.
  • 摘要：Health Impact Assessment (HIA) is an important tool for promoting health in all policies.HIA helps decision-makers foresee how different factors can affect health,and to make choices between alternatives and improvements to prevent disease/injury,as well as to actively promote health.The Healthy China 2030 Planning Outline proposed the establishment of overall health impact assessment systems to systematically assess the potential health effects of various economic and social development programs and policies and important engineering projects on a population.This paper introduces international research on the definition,origin,development,function,contents,and implementation of HIA,as well as two typical practical examples,namely the HIA in Urban Design and Planning of Manukau,NZ,and the HIA of the Healthy Families Act of 2009,USA.Finally,the authors put forward suggestions for exploring and establishing the Chinese HIA system.Specifically,to strengthen the guidance of HIA to the direction of law and regulation,to promote the publicity and awareness of the HIA concept,and carry out research on HIA evaluation methodology and technical tools.%健康影响评价(HIA)是推动把健康融人所有政策的重要手段.HIA帮助政策制订者预见不同的选择如何对健康产生影响,促使他们在选择时充分考虑健康结果.中国对HIA的运用目前尚属探索阶段,《“健康中国2030”规划纲要》提出要“全面建立HIA评估制度,系统评估各项经济社会发展规划和政策、重大工程项目对健康的影响”.本文从定义、起源与发展、作用、内容和实施程序等方面对国外HIA研究进行了介绍,同时结合新西兰城市规划设计和美国2009健康家庭法案的HIA典型实践经验,对探索建立适宜中国国情的HIA评估制度提出了建议,即加强对HIA政策法规方向的引导,加强对HIA理念的认识宣传和开展HIA评估技术研究.
  • 摘要：Objective To validate bioelectrical impedance analysis(BIA) for measuring the area of visceral fat of school-age populations using MRI as a reference method.Methods Sixty healthy children (30 boys and 30 girls) aged 7 to 18 years were enrolled in the study.Both MRI and BIA were completed in seven days.We obtained the indexes of the body composition from BIA and MRI in the morning before the participants had their breakfast.For reference,the navel plane image obtained with MRI was used to analyze the area of adipose tissue.With BIA,the area of visceral adipose tissue could be derived directly.Results Sixty healthy school-age children were enrolled in the study.The average age of the school children was (11.9±4.6) years,and their BMI was (22.8±7.3) kg/m2.The average area of visceral fat obtained with BIA was (85.4±64.2) cm2,which was higher than that obtained with MRI [(49.4±32.4) cm2](t=-6.524,P =0.000).The Pearson correlation coefficient was r=0.806 (P=0.000) and the simple linear regression equation for the areabetween the two was:y=0.41x + 14.78;β (95％CI) was 0.41(0.04-0.81).The Bland-Altman plot was (x-) ±1.96 s:(35.9± 83.7) cm2.Conclusion BIA is comparable to MRI for assessing the area of visceral fat and is a reliable and simple tool to evaluate the visceral fat area in school-age children.%目的 验证生物电阻抗技术(BIA)在儿童内脏脂肪测定的准确性.方法 招募7～18岁受试者,根据报名顺序和入组标准进行筛选.受试者入组后7d内完成BIA和核磁共振(MRI)检测.BIA检测和腹部MRI扫描均在清晨空腹状态下完成.MRI脐平面图像分析得到内脏脂肪面积,BIA测试后直接获得内脏脂肪面积数据.以MRI作为标准方法,将两者测定结果进行比对,并建立简单线性方程.结果 纳入60例受试者,男女各30例,年龄(11.9±4.6)岁,体质指数为(22.8±7.3)kg/m2.BIA测定内脏脂肪面积为(85.4±64.2)cm2,高于MRI测定结果(49.4±32.4)cm2(t=-6.524,P=0.000).Pearson相关系数r=0.806(P=0.000).建立线性校正方程:y=0.41x+ 14.78,β值(95％CI)为0.41(0.04～0.81).绘制Bland-Altman图:(x-)±1.96 s为(35.9±83.7)cm2.结论 BIA测定内脏脂肪面积结果稳定,相关性好,可以用于快速评价儿童的内脏脂肪情况.
  • 摘要：2017年美国高血压指南提出了新的高血压诊断标准、控制目标值和启动药物治疗的血压阈值,如何看待这一指南,本文通过回顾近年来欧美和中国高血压指南的相关内容,希望能帮助临床医生和健康管理师更好地理解高血压新进展,更科学规范地管理高血压患者.%The latest American hypertension guideline in 2017 proposed new diagnostic criteria for hypertension,control target values,and threshold for starting a drug treatment.This article reviews the related contents of hypertension guidelines in Europe,America and China in recent years,hoping to help clinicians and health managers better understand the new progress of hypertension,and manage patients with hypertension more scientifically and more regularly.
  • 摘要：Objective To investigate the disease burden of malignancies in Hangzhou in 2006-2015,and provide information for the prevention and control of cancer.Methods Data regarding deaths due to malignancies in Hangzhou in 2006-2015 was collected from general surveillance information.The main disease burden and population distribution of malignancies were determined by analyzing Potential years of life lost (PYLL),Potential years of life lost rate (PYLLR),standardized potential years of life lost (SPYLL),average years of life lost (AYLL),etc.Results PYLL and SPYLL for overall cancer were 733 811.0 years and 540 794.4 years,respectively,while PYLLR and AYLL were 12.9‰ and 13.1 year/person respectively.The top 5 cancers by PYLL were liver cancer,lung cancer,stomach cancer,colorectal cancer,and leukemia accounting for 67.5％ of overall PYLLR.The disease burden of malignant cancer was higher among male than female subjects.The peak of disease burden occurred in middle-aged and elderly patients.PYLL rate,SPYLL rate,and AYLL from 2011 to 2015 were lower than those from 2006 to 2010,except for cervical cancer.Conclusion Comprehensive control measures should be carried out for the malignancies with a greater burden.%目的 评价2006至2015年杭州市恶性肿瘤的疾病负担,为恶性肿瘤防控工作提供信息.方法 2006至2015年杭州市恶性肿瘤死亡信息来自常规死因监测资料,通过计算潜在减寿年数(PYLL)、标化潜在减寿年数(SPYLL)和平均减寿年数(AYLL)等分析主要恶性肿瘤的疾病负担和人群分布特征.结果 2006至2015年恶性肿瘤造成杭州市居民的PYLL为733 811.0人年,SPYLL为540 794.4人年,减寿年率(PYLLR)为12.1‰,AYLL为13.1年/人.PYLL前5位恶性肿瘤依次为肝癌、肺癌、胃癌、结直肠和肛门癌以及白血病,占全部恶性肿瘤PYLLR的67.5％.男性的恶性肿瘤负担高于女性,中老年(40～64岁)的恶性肿瘤负担高.2011至2015年与2006至2010年相比,除女性宫颈癌外,恶性肿瘤的PYLL率、SPYLL率和AYLL总体呈下降趋势.结论 针对恶性肿瘤高死亡负担人群开展综合防治措施.
  • 摘要：心血管病是造成我国居民死亡和疾病负担的首要病因,心血管病防控形势严峻.心血管病风险评估和危险因素管理是预防心血管病的重要基础.根据国内外最新的流行病学和防治证据,本指南着重介绍了我国开展心血管病风险评估的指导方案,包括心血管病10年风险和终生风险评估的流程,风险分层依据和风险评估工具的使用.针对心血管病的一级预防,本指南进一步介绍了生活方式干预的基本措施,血压、血脂、血糖管理的基本原则等内容.本指南的实施有助于指导我国心血管病风险评估和相关危险因素管理,推进基层心血管病预防工作.
  • 摘要：Objective To investigate the prevalence characteristics for high risk adults of type 2 diabetes in Zhejiang. Methods From June to October in 2010, 19113 local residents aged≥18 years old were selected among 7571 families from fifteen counties in Zhejiang by a four stage stratified-random sampling method. A self-designed questionnaire was completed to collect information on demographic characteristics, risk factors, and physical activity. At the same time, physical examinations including measurements of height, weight, blood pressure, and blood lipid levels were carried out. The high-risk population was determined according to the 2017 edition of China′s Guidelines for the Prevention and Treatment of Type 2 Diabetes. Results Finally, 17437 people completed all the investigation projects. Among them, 14455 people were at high risk of type 2 diabetes [aged (49.3+15.1) years, 6902 men (47.75％) and 7553 women (52.25％)]. The crude prevalence rate of high risk type 2 diabetes was 82.90％(standardized rate:79.26％). A significantly higher prevalence rate of high risk type 2 diabetes was associated with the age group of 45 to 60 years (83.47％), men (84.49％), class 1 rural area (84.59％), primary school education level (87.04％), marital status (84.40％), and average annual family income less than 10000 yuan (all P<0.05). Among the eight high risk factors, the detection rate of ≥40 years old was the highest (78.12％) and the detection rate of history of cardiovascular disease was the lowest (1.54％). The detection rates of overweight/obesity/central obesity, dyslipidemia, hypertension, sedentary lifestyle, pre-diabetes, and family history of type 2 diabetes were 42.86％, 31.28％, 29.98％, 29.18％, 7.28％, and 3.81％, respectively. High risk of type 2 diabetes was dominated by 1 high-risk factor (31.75％) or 2 high-risk factors (31.39％) or 3 high-risk factors (22.13％). The adults with 4 high-risk factors (11.01％) and 5 or more high-risk factors (3.71％) were less in number. The detection rates of all the risk factors and aggregation distribution of various risk factors were significantly different between different genders, age groups, regions and educational levels, marital status, and family per capita annual income. Conclusion The epidemic level of high-risk type 2 diabetes in Zhejiang province is relatively high, and health management of high risk of type 2 diabetes in community should be actively taken as early as possible according to the population distribution characteristics.%目的 了解浙江省2型糖尿病高危人群流行特征.方法 于2010年6—10月,采用四阶段分层整群抽样方法,选取浙江省15个县(市、区)7571个调查家庭中年龄≥18周岁的常住人口作为调查对象,共19113人.采用自行设计的调查问卷,调查研究对象的一般情况以及行为和生活方式,同时,检测其身高、体重、血压及血脂等指标,并依据2017年版中国2型糖尿病防治指南判定高危人群.结果 最终17437人完成全部调查项目.其中2型糖尿病高危人群14455人,年龄(49.3±15.1)岁,男性6902人(47.75％),女性7553人(52.25％).2型糖尿病高危人群粗流行率为82.90％,标化流行率为79.26％,2型糖尿病高危人群流行率在45～岁组(83.47％)、男性(84.49％)、1类农村(84.59％)、小学(87.04％)、在婚婚姻状况(84.40％)、家庭人均年收入<10000元(83.66％)人群中较高(P均<0.05).纳入的8个2型糖尿病高危险因素中年龄≥40岁的检出率最高,为78.12％;心血管疾病史检出率最低,为1.54％;超重或肥胖或中心性肥胖、血脂异常、高血压、静坐生活方式、糖尿病前期、2型糖尿病家族史的检出率分别为42.86％、31.28％、29.98％、29.18％、7.28％、3.81％.2型糖尿病高危人群以1个高危因素(31.75％)、2个高危因素(31.39％)和3个高危因素(22.13％)为主,4个高危因素占11.01％,5个以上高危因素占3.71％.不同年龄组、地区、文化程度、婚姻状况、家庭人均年收入的2型糖尿病高危人群间,高危因素呈现出不同的聚集和分布特征.结论 浙江省2型糖尿病高危人群流行水平较高,应根据其人群分布特征尽早规范开展2型糖尿病人群的健康管理.
  • 摘要：Objective The present study aimed to establish a bone mineral density (BMD) reference database in China and to investigate the prevalence of osteoporosis in Chinese adults aged 50 years and older using dual energy X-ray absorptiometry (DXA). Method A total of 75321 examineers over 25 years old who underwent health checkups in 7 health check centers between 2008 and 2018 were included. All centers used a GE Lunar-DXA system to measure BMD of the lumbar spine (L1-L4), femoral neck, and total femur. The same European Spine Phantom (ESP) was used for scanning 10 times at every center, a regression equation was generated, and BMD data were cross-calibrated in each center. Peak BMD and standard deviation (SD) were identified according to 5-year age groups, and T scores were calculated based on the peak BMD and SD. Osteoporosis was defined according to the World Health Organization criteria. The prevalence of osteoporosis was standardized based on 2010 national census data for the Chinese population. Result The mean BMD values decreased with age, were highest in North China, followed by Northeast China, East China, and Southwest China, respectively, and increased with body mass index. Males aged 20-30 years and females aged 35-40 years had peak BMD values. Peak BMD values of the lumbar spine, femoral neck, and total femur were 1.09 g/cm2, 0.97 g/cm2, and 0.97 g/cm2 in males, and 1.11 g/cm2, 0.84 g/cm2, and 0.88 g/cm2 in females, respectively. Among all scanned sites, the prevalence of osteoporosis was highest in the femoral neck in males (4.58％) and in the lumbar spine in females (23.38％). The age-standardized prevalence of osteoporosis at any site was 6.46％ in males and 29.13％ in females aged 50 years and older. Based on the 2010 national census data, 10879115 males and 49286542 females currently have osteoporosis. Conclusion Mean BMD values varied according to geographic region, body mass index, age group, and sex in Chinese adults. The age-standardized prevalence of osteoporosis was 6.46％ in males and 29.13％ in females aged 50 years and older.%目的 采用双能X线骨密度仪(DXA)调查我国不同地区成年体检人群平均骨密度水平和50岁以上人群骨质疏松症患病率.方法 选取2008—2018年在全国7家三甲医院参加健康体检且年龄在20岁以上的受检者75321人,采用GE Lunar Prodigy或iDXA型号DXA扫描仪测量腰椎1～4、股骨颈和全髋骨密度,用同一欧洲脊椎体模(ESP)在每台DXA机器上重复扫描10次并分别构建每个中心的回归方程校正骨密度值.每5岁为一个年龄组,计算峰值骨量,以平均峰值骨量和标准差计算T值.骨质疏松症的诊断参考世界卫生组织推荐的诊断标准.骨质疏松症总患病率根据2010年全国人口普查数据进行年龄标准化.结果 最终纳入研究对象共75321人,其中男性40944人(54.36％),女性34377人(45.64％);总体年龄(51.8±10.9)岁,男性和女性年龄分别为(51.1±10.6)岁和(52.7±11.1)岁.各测量部位平均骨密度值随着年龄增长呈下降趋势,从东北地区、华北地区、华东地区到西南地区呈递减趋势,随着体质指数水平增加呈上升趋势(P均<0.001).男性峰值骨密度出现在20～30岁,腰椎1～4、股骨颈和全髋峰值骨密度分别为1.09 g/cm2、0.97 g/cm2和0.97 g/cm2;女性峰值骨密度值出现在35～40岁,腰椎1～4、股骨颈和全髋峰值骨密度分别为1.11 g/cm2、0.84 g/cm2和0.88 g/cm2.骨质疏松症患病率最高的部位男性为股骨颈(4.58％),女性为腰椎1～4(23.38％).50岁以上人群年龄标准化的骨质疏松症总患病率男性为6.46％,女性为29.13％.按照2010年全国人口普查数据,骨质疏松症患者男性10879115例,女性49286542例.结论 我国20岁以上体检人群骨密度水平与性别、年龄、地区和体重水平相关.全国50岁以上人群中男性和女性年龄标准化骨质疏松症患病率分别为6.46％和29.13％.

    中华健康管理学杂志的期刊信息

    • 创刊时间：2007
    • 地区：CN
    • 语言：中文
    • 热门主题：中华医学会
    • 学科分类：

    中华健康管理学杂志的获奖情况

    中华健康管理学杂志的收录情况

    • • 农业与生物科学研究中心文摘
    • • 化学文摘（网络版）
    • • 中国科学引文数据库（2019-2020）
    • • 日本科学技术振兴机构数据库
    • • 中国科技核心期刊

    中华健康管理学杂志的投稿信息

    • 投稿方式：中华医学会系列杂志不接收纸质来稿，稿件请经中华医学会远程稿件处理系统（http://www.cma.org.cn/ywzx/index.html)或中华医学会杂志社网站（http://www.medline.org.cn/） 投送，注册为作者后选择目标期刊，阅读本稿约，下载并填写《中华医学会系列杂志论文投送介绍信及授权书》寄至该杂志编辑部。来稿需经作者单位主管学术机构审核，并附单位推荐信。推荐信应注明对稿件的审评意见以及无一稿两投、不涉及保密、署名无争议等项
    • 投稿须知：点击查看
    • 期刊官方网站：点击前往
    • 通讯地址：北京市西城区东河沿街69号
    • 邮编：100052
    • 联系电话：010-51322331
    • 邮箱：cjhm@cmaph.org
    • 期刊栏目：专家论坛；标准与规范；论著；短篇论著；经验与信息交流；综述；学术动态
    免费订阅本刊

    客服邮箱：kefu@zhangqiaokeyan.com

    京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有 出版物经营许可证

    • 客服微信

    • 服务号