11 results on '"Ruoling Chen"'
Search Results
2. Cohort profile: Anhui Maternal–Child Health Study in China
- Author
-
Jiaqian Yin, Yunxia Cao, Chunmei Liang, Xiaoqing Peng, Xiaofeng Xu, Weiju Zhou, Ranjit Khutan, Fang-Biao Tao, and Ruoling Chen
- Subjects
Abortion, Spontaneous ,Cohort Studies ,Reproductive Techniques, Assisted ,Pregnancy ,Child Health ,Humans ,Female ,General Medicine ,Child ,Maternal Age - Abstract
PurposeThe Anhui Maternal–Child Health Study (AMCHS) aims to examine determinants of reproduction, pregnancy and postpartum maternal and child health outcomes in Chinese women who received assisted reproductive technology (ART).Study design and participantsAMCHS is an ongoing cohort study starting from May 2017. AMCHS recruits participants from all couples who sought ART treatment in the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. The participants are interviewed to document baseline sociodemography, lifestyles, dietary intake and environmental exposure. Their clinical characteristics are obtained from hospital records. Samples of blood, follicular fluid and semen are collected at the clinic. Participants receive a standard long pituitary downregulation or a short protocol with an antagonist for the treatment. They are followed up from preconception to delivery, or discontinuation of ART treatment. Details of their children’s health are documented through a questionnaire focusing on developmental status and anthropometry measurement.Findings to dateUntil April 2021, AMCHS had recruited 2042 couples in the study. 111 women withdrew from the study and 19 failed to retrieve oocytes. Among the 1475 confirmed pregnancies, 146 had miscarriages or terminated their pregnancies, 9 had stillbirths and 263 were ongoing pregnancies. The implantation failure increased with maternal age; adjusted OR was 1.43 (95% CI 1.16 to 1.77) in the age of 31–35 years, 1.97 (95% CI 1.46 to 2.66) in 35–39 years and 6.52 (95% CI 3.35 to 12.68) in ≥40 years compared with those aged 20–30 years. Among the 1057 couples with successful ART who were followed up for delivering babies, 576 had their children examined at age 30–42 days, 459 at 6 months and 375 at 12 months.Future plansThe AMCHS will identify comprehensive risk factors for poor ART outcomes and explore potential interaction effects of multiple factors including sociopsychological aspects of environmental exposure, dietary intake and genetics on maternal and child health.
- Published
- 2022
3. Impacts of heart disease, depression and their combination on all-cause mortality in older people: a rural community-based cohort study in China
- Author
-
Xuguang Grant Tao, Weiju Zhou, Zhongqiang Cao, M Justin Zaman, Zhi Hu, Alex Hopkins, John J Copeland, Ying Ma, Ruoling Chen, Yuyou Yao, and Amanda Rodney
- Subjects
Rural Population ,China ,medicine.medical_specialty ,Heart Diseases ,Heart disease ,Epidemiology ,Population ,Psychological intervention ,Cohort Studies ,Humans ,Medicine ,coronary heart disease ,education ,Aged ,Aged, 80 and over ,education.field_of_study ,Depression ,business.industry ,Proportional hazards model ,Mortality rate ,General Medicine ,medicine.disease ,depression & mood disorders ,Cohort ,business ,Demography ,Cohort study - Abstract
ObjectiveTo assess the impact of heart disease (HD) combined with depression on all-cause mortality in older people living in the community.DesignA population-based cohort study.ParticipantsWe examined the data of 1429 participants aged ≥60 years recruited in rural areas in Anhui province, China. Using a standard method of interview, we documented all types of HD diagnosed by doctors and used the validated Geriatric Mental Status-Automated Geriatric Examination for Computer Assisted Taxonomy algorithm to diagnose any depression for each participant at baseline in 2003. The participants were followed up for 8 years to identify vital status.MeasurementsWe sought to examine all-cause mortality rates among participants with HD only, depression only and then their combination compared with those without these diseases using multivariate adjusted Cox regression models.Results385 deaths occurred in the cohort follow-up. Participants with baseline HD (n=91) had a significantly higher mortality (64.9 per 1000 person-years) than those without HD (42.9). In comparison to those without HD and depression, multivariate adjusted HRs for mortality in the groups of participants who had HD only, depression only and both HD and depression were 1.46 (95% CI 0.98 to 2.17), 1.79 (95% CI 1.28 to 2.48) and 2.59 (95% CI 1.12 to 5.98), respectively.ConclusionOlder people with both HD and depression in China had significantly increased all-cause mortality compared with those with HD or depression only, and without either condition. Psychological interventions should be taken into consideration for older people and those with HD living in the community to improve surviving outcome.
- Published
- 2020
4. Impacts of undetected and inadequately treated hypertension on incident stroke in China
- Author
-
Harry H.X. Wang, Ruoling Chen, Yu Wang, Pankaj Sharma, Li Wei, Thang S. Han, Jiaji Wang, Yuesong Pan, Zhi Hu, and Ying Ma
- Subjects
Male ,cardiovascular risk ,Pediatrics ,medicine.medical_specialty ,China ,Delayed Diagnosis ,Population ,030204 cardiovascular system & hematology ,Cardiovascular Medicine ,Cohort Studies ,socioeconomic status ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,medicine ,Humans ,030212 general & internal medicine ,Longitudinal Studies ,education ,Stroke ,Antihypertensive Agents ,Aged ,education.field_of_study ,business.industry ,Incidence ,Research ,blood pressure ,General Medicine ,Middle Aged ,medicine.disease ,Stroke in China ,health care ,Blood pressure ,Cohort ,Hypertension ,Female ,business - Abstract
ObjectivesChina carries the greatest burden of stroke given its largest volume of people with hypertension. This study assessed the impacts of suboptimal controls of hypertension on incident stroke and projected the number of patients with stroke saved after the control of blood pressure improved in population.SettingAnhui, China.ParticipantsWe examined data from the Anhui cohort of 2001–2011, consisting of 3336 participants aged ≥60 years who were randomly recruited from the urban and rural Anhui. 2852 participants had hypertensive status measured and no stroke at baseline, and were followed up until 2011 in three surveys using a standard method of interview.ResultsAt baseline, 1646 participants (57.7%) were identified to have hypertension, among whom 912 (55.4%) were previously undetected, 115 (7.0%) detected but not treated, 452 (27.5%) treated but not controlled and only 127 (7.7%) controlled. During the 10-year follow-up, 211 incident stroke cases (12.8/1000 person-years) occurred. Compared with normotensive individuals at baseline, multivariate adjusted HR for having stroke increased in those with undetected hypertension by 1.63 (95%CI 1.15 to 2.32), untreated by 2.21 (1.26–3.85) and uncontrolled hypertension by 3.34 (2.28–4.88), but did not differ from those with controlled hypertension (1.34; 0.60–2.99). Based on a two-fold increase in the detection and management of current levels of hypertension and algorithms on the current situation in China, approximately 250 000 incident stroke cases could be prevented annually.ConclusionsIn China, hypertension is frequently undetected or inadequately treated. With appropriate management of hypertension, a substantial number of people could be saved form stroke.
- Published
- 2017
5. Relationship between occupational stress and job burnout among rural-to-urban migrant workers in Dongguan, China: a cross-sectional study
- Author
-
Liecheng Hong, Xiujuan Xu, Longmei Xu, Yuting Chen, Hui Yang, Lin Yun, Hairong Liang, Jiaxian Liu, Ling Chen, Huanwen Tang, Yali Zhuang, Linhua Liu, Ruoling Chen, Hao Luo, and Jinping Yang
- Subjects
Adult ,Male ,China ,Adolescent ,Epidemiology ,Cross-sectional study ,Rural Health ,Burnout ,Logistic regression ,job burnout ,Occupational Stress ,Young Adult ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Nursing ,Environmental health ,Humans ,Medicine ,030212 general & internal medicine ,Emotional exhaustion ,Burnout, Professional ,Transients and Migrants ,Analysis of Variance ,Job strain ,business.industry ,Research ,Rural health ,Urban Health ,General Medicine ,Middle Aged ,030210 environmental & occupational health ,Cross-Sectional Studies ,Rural-to-urban Migrant Workers ,Socioeconomic Factors ,Female ,Occupational stress ,business - Abstract
Objectives In China, there have been an increasing number of migrant workers from rural to urban areas, and migrant workers have the highest incidence of occupational diseases. However, few studies have examined the impact of occupational stress on job burnout in these migrant workers. This study aimed to investigate the relationship between occupational stress and job burnout among migrant workers. Design This study used a cross-sectional survey. Setting This investigation was conducted in Dongguan city, Guangdong Province, China. Participants 3806 migrant workers, aged 18–60 years, were randomly selected using multistage sampling procedures. Primary and secondary outcome measures Multistage sampling procedures were used to examine demographic characteristics, behaviour customs and job-related data. Hierarchical linear regression and logistic regression models were constructed to explore the relationship between occupational stress and burnout. Results Demographics, behaviour customs and job-related characteristics significantly affected on burnout. After adjusting for the control variable, a high level of emotional exhaustion was associated with high role overload, high role insufficiency, high role boundary, high physical environment, high psychological strain, high physical strain, low role ambiguity, low responsibility and low vocational strain. A high level of depersonalisation was associated with high role overload, high role ambiguity, high role boundary, high interpersonal strain, high recreation, low physical environment and low social support. A low level of personal accomplishment was associated with high role boundary, high role insufficiency, low responsibility, low social support, low physical environment, low self-care and low interpersonal strain. Compared to the personal resources, the job strain and personal strain were more likely to explain the burnout of rural-to-urban migrant workers in our study. Conclusions The migrant workers have increased job burnouts in relation to occupational stress. Relieving occupational stress and maintaining an appropriate quantity and quality of work could be important measures for preventing job burnout among these workers.
- Published
- 2016
6. Socioeconomic deprivation and survival after stroke in China: a systematic literature review and a new population-based cohort study
- Author
-
Zhi Hu, Long Xu, Dongmei Zhang, Li Wei, Ruoling Chen, Ruoli Chen, and Jingjing Wang
- Subjects
Male ,Gerontology ,China ,Global Health ,Cohort Studies ,Humans ,Medicine ,Poverty ,Socioeconomic status ,Stroke ,Survival analysis ,Aged ,Aged, 80 and over ,business.industry ,Research ,Hazard ratio ,General Medicine ,Middle Aged ,medicine.disease ,R1 ,Survival Analysis ,Stroke in China ,Socioeconomic Factors ,Relative risk ,Cohort ,Female ,business ,RA ,SOCIAL MEDICINE ,Demography ,Cohort study - Abstract
Objective To assess the association of socioeconomic deprivation (SED) with survival after stroke in China. Design A systematic literature review and a new population-based cohort study. Setting and participants In urban and rural communities in Anhui, China, 2978 residents aged ≥60 years took part in baseline investigation and were followed up for 5 years; five published studies were identified for a systematic review. Primary and secondary outcome measures 167 of 2978 participants (5.6%) had doctor-diagnosed stroke at baseline or 1 year later. All-cause mortality in the follow-up. Results In the Anhui cohort follow-up of 167 patients with stroke, 64 (38.3%) died. Multivariate adjusted hazard ratio (HR) of mortality in patients with educational level of less than or equal to primary school was 1.88 (95% CI 1.05 to 3.36) compared to those having more than primary school education. Increased HR of mortality in patients living in a rural area was at borderline significant (1.64, 0.97 to 2.78), but the HR in patients with lower levels of occupation and income was not significant. Published studies showed a significant increase in stroke mortality in relation to some SED indicators. Pooled relative risk (RR) of mortality in patients with low education was 3.07 (1.27 to 7.34), in patients with low income 1.58 (1.50 to 1.65) and in patients living in rural areas 1.47 (1.37 to 1.58). Conclusions The evidence suggests the presence of a mortality gradient after stroke for material as well as social forms of deprivation in China. Inequalities in survival after stroke persist and need to be taken into account when implementing intervention programmes.
- Published
- 2015
7. Beliefs about medicines and nonadherence in patients with stroke, diabetes mellitus and rheumatoid arthritis: a cross-sectional study in China.
- Author
-
Li Wei, Sarah Champman, Xiaomei Li, Xin Li, Sumei Li, Ruoling Chen, Nie Bo, Angel Chater, and Robert Horne
- Abstract
Objectives To investigate beliefs about medicines and their association with medicine adherence in patients with chronic diseases in China. Design A cross-sectional questionnaire-based study Setting Two large urban hospitals in Hefei and Tianjin, China Participants Hospital inpatients (313 stroke patients) and outpatients (315 diabetic patients and 339 rheumatoid arthritis (RA) patients) were recruited between January 2014 and September 2014. Outcome measures The Beliefs about Medicines Questionnaire (BMQ), assessing patients' beliefs about the specific medicine (Specific-Necessity and Specific-Concerns) prescribed for their conditions (stroke/diabetes/RA) and more general background beliefs about pharmaceuticals as a class of treatment (BMQ-General Benefit, Harm and Overuse); the Perceived Sensitivity to Medicines scale (PSM) assessed patients' beliefs about how sensitive they were to the effects of medicines and the Medication Adherence Report Scale. The association between non-adherence and beliefs about medicines was assessed using a logistic regression model. Results Patients with diabetes mellitus had a stronger perceived need for treatment (mean (SD) Specific-Necessity score, 3.75 (0.40)) than patients with stroke (3.69 (0.53)) and RA (3.66 (0.44)) (p=0.049). Moderate correlations were observed between Specific-Concerns and General-Overuse, General-Harm and PSM (Pearson correlation coefficients, 0.39, 0.49 and 0.49, respectively, p<0.01). Three hundred and eleven patients were nonadherent to their medicine (159 (51.0%) in the stroke group, 60 (26.7%) in the diabetes mellitus group and 62 (19.8%) in the RA group, p<0.01). Across the whole sample, after adjusting for demographic characteristics, non-adherence was associated with patients who had higher concerns about their medicines (OR, 1.35, 95% CI 1.07 to 1.71) and patients who believed that they were personally sensitive to the effects of medications (OR 1.44, 95% CI 1.16 to 1.85). Conclusion The BMQ is a useful tool to identify patients at risk of non-adherence. In the future, adherence intervention studies may use the BMQ to screen for patients who are at risk of non-adherence and to map interventional support. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
8. Impacts of undetected and inadequately treated hypertension on incident stroke in China.
- Author
-
Thang S Han, Harry Hao-Xiang Wang, Li Wei, Yuesong Pan, Ying Ma, Yu Wang, Jiaji Wang, Zhi Hu, Sharma, Pankaj, and Ruoling Chen
- Abstract
Objectives China carries the greatest burden of stroke given its largest volume of people with hypertension. This study assessed the impacts of suboptimal controls of hypertension on incident stroke and projected the number of patients with stroke saved after the control of blood pressure improved in population. Setting Anhui, China. Participants We examined data from the Anhui cohort of 2001-2011, consisting of 3336 participants aged ≥60 years who were randomly recruited from the urban and rural Anhui. 2852 participants (89.2%) had hypertensive status measured and no stroke at baseline, and were followed up until 2011 in three surveys using a standard method of interview. Results At baseline, 1646 participants (57.7%) were identified to have hypertension, among whom 912 (55.4%) were previously undetected, 115 (7.0%) detected but not treated, 452 (27.5%) treated but not controlled and only 127 (7.7%) controlled. During the 10-year followup, 211 incident stroke cases (12.8/1000 person-years) occurred. Compared with normotensive individuals at baseline, multivariate adjusted HR for having stroke increased in those with undetected hypertension by 1.63 (95%CI 1.15 to 2.32), untreated by 2.21 (1.26-3.85) and uncontrolled hypertension by 3.34 (2.28-4.88), but did not differ from those with controlled hypertension (1.34; 0.60-2.99). Based on a two-fold increase in the detection and management of current levels of hypertension and algorithms on the current situation in China, approximately 250 000 incident stroke cases could be prevented annually. Conclusions In China, hypertension is frequently undetected or inadequately treated. With appropriate management of hypertension, a substantial number of people could be saved form stroke. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
9. Prevalence and determinants of undetected dementia in the community: a systematic literature review and a meta-analysis.
- Author
-
Linda Lang, Clifford, Angela, Li Wei, Dongmei Zhang, Daryl Leung, Augustine, Glenda, Danat, Isaac M., Weiju Zhou, Copeland, John R., Anstey, Kaarin J., and Ruoling Chen
- Abstract
Objectives: Detection of dementia is essential for improving the lives of patients but the extent of underdetection worldwide and its causes are not known. This study aimed to quantify the prevalence of undetected dementia and to examine its correlates. Methods/setting/participants: A systematic search was conducted until October 2016 for studies reporting the proportion of undetected dementia and/or its determinants in either the community or in residential care settings worldwide. Random-effects models calculated the pooled rate of undetected dementia and subgroup analyses were conducted to identify determinants of the variation. Primary and secondary outcome measures: The outcome measures of interest were the prevalence and determinants of undetected dementia. Results: 23 studies were eligible for inclusion in this review. The pooled rate of undetected dementia was 61.7% (95% CI 55.0% to 68.0%). The rate of underdetection was higher in China and India (vs Europe and North America), in the community setting (vs residential/nursing care), age of <70 years, male gender and diagnosis by general practitioner. However, it was lower in the studies using Mini-Mental State Examination (MMSE) diagnosis criteria. Conclusions: The prevalence of undetected dementia is high globally. Wide variations in detecting dementia need to be urgently examined, particularly in populations with low socioeconomic status. Efforts are required to reduce diagnostic inequality and to improve early diagnosis in the community. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
10. Relationship between occupational stress and job burnout among rural-tourban migrant workers in Dongguan, China: a cross-sectional study.
- Author
-
Hao Luo, Hui Yang, Xiujuan Xu, Lin Yun, Ruoling Chen, Yuting Chen, Longmei Xu, Jiaxian Liu, Linhua Liu, Hairong Liang, Yali Zhuang, Liecheng Hong, Ling Chen, Jinping Yang, and Huanwen Tang
- Abstract
Objectives: In China, there have been an increasing number of migrant workers from rural to urban areas, and migrant workers have the highest incidence of occupational diseases. However, few studies have examined the impact of occupational stress on job burnout in these migrant workers. This study aimed to investigate the relationship between occupational stress and job burnout among migrant workers. Design: This study used a cross-sectional survey. Setting: This investigation was conducted in Dongguan city, Guangdong Province, China. Participants: 3806 migrant workers, aged 18-60 years, were randomly selected using multistage sampling procedures. Primary and secondary outcome measures: Multistage sampling procedures were used to examine demographic characteristics, behaviour customs and jobrelated data. Hierarchical linear regression and logistic regression models were constructed to explore the relationship between occupational stress and burnout. Results: Demographics, behaviour customs and jobrelated characteristics significantly affected on burnout. After adjusting for the control variable, a high level of emotional exhaustion was associated with high role overload, high role insufficiency, high role boundary, high physical environment, high psychological strain, high physical strain, low role ambiguity, low responsibility and low vocational strain. A high level of depersonalisation was associated with high role overload, high role ambiguity, high role boundary, high interpersonal strain, high recreation, low physical environment and low social support. A low level of personal accomplishment was associated with high role boundary, high role insufficiency, low responsibility, low social support, low physical environment, low self-care and low interpersonal strain. Compared to the personal resources, the job strain and personal strain were more likely to explain the burnout of rural-to-urban migrant workers in our study. Conclusions: The migrant workers have increased job burnouts in relation to occupational stress. Relieving occupational stress and maintaining an appropriate quantity and quality of work could be important measures for preventing job burnout among these workers. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
11. Socioeconomic deprivation and survival after stroke in China: a systematic literature review and a new population-based cohort study.
- Author
-
Ruoling Chen, Zhi Hu, Ruo-Li Chen, Dongmei Zhang, Long Xu, Jingjing Wang, and Li Wei
- Abstract
Objective: To assess the association of socioeconomic deprivation (SED) with survival after stroke in China. Design: A systematic literature review and a new population-based cohort study. Setting and participants: In urban and rural communities in Anhui, China, 2978 residents aged ≥60 years took part in baseline investigation and were followed up for 5 years; five published studies were identified for a systematic review. Primary and secondary outcome measures: 167 of 2978 participants (5.6%) had doctor-diagnosed stroke at baseline or 1 year later. All-cause mortality in the follow-up. Results: In the Anhui cohort follow-up of 167 patients with stroke, 64 (38.3%) died. Multivariate adjusted hazard ratio (HR) of mortality in patients with educational level of less than or equal to primary school was 1.88 (95% CI 1.05 to 3.36) compared to those having more than primary school education. Increased HR of mortality in patients living in a rural area was at borderline significant (1.64, 0.97 to 2.78), but the HR in patients with lower levels of occupation and income was not significant. Published studies showed a significant increase in stroke mortality in relation to some SED indicators. Pooled relative risk (RR) of mortality in patients with low education was 3.07 (1.27 to 7.34), in patients with low income 1.58 (1.50 to 1.65) and in patients living in rural areas 1.47 (1.37 to 1.58). Conclusions: The evidence suggests the presence of a mortality gradient after stroke for material as well as social forms of deprivation in China. Inequalities in survival after stroke persist and need to be taken into account when implementing intervention programmes. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.