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儿童青少年主要健康问题“共病-共因-共防”机制建立与探索

宋逸 张秀红 马军

宋逸, 张秀红, 马军. 儿童青少年主要健康问题“共病-共因-共防”机制建立与探索[J]. 中国学校卫生, 2023, 44(9): 1281-1285. doi: 10.16835/j.cnki.1000-9817.2023.09.001
引用本文: 宋逸, 张秀红, 马军. 儿童青少年主要健康问题“共病-共因-共防”机制建立与探索[J]. 中国学校卫生, 2023, 44(9): 1281-1285. doi: 10.16835/j.cnki.1000-9817.2023.09.001
SONG Yi, ZHANG Xiuhong, MA Jun. Establishment and exploration of the mechanism of Co-morbidity, Shared Etiology, and Shared Prevention of major health problems of children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1281-1285. doi: 10.16835/j.cnki.1000-9817.2023.09.001
Citation: SONG Yi, ZHANG Xiuhong, MA Jun. Establishment and exploration of the mechanism of Co-morbidity, Shared Etiology, and Shared Prevention of major health problems of children and adolescents[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(9): 1281-1285. doi: 10.16835/j.cnki.1000-9817.2023.09.001

儿童青少年主要健康问题“共病-共因-共防”机制建立与探索

doi: 10.16835/j.cnki.1000-9817.2023.09.001
基金项目: 

首都卫生发展科研专项重点攻关项目 2022-1G-4251

详细信息
    作者简介:

    宋逸(1976-),女,北京市人,博士,副教授,主要研究方向为儿童青少年生长发育及影响因素

    通讯作者:

    马军,E-mail:majunt@bjmu.edu.cn

  • 利益冲突声明   所有作者声明无利益冲突。
  • 中图分类号: R179  G479  R193

Establishment and exploration of the mechanism of Co-morbidity, Shared Etiology, and Shared Prevention of major health problems of children and adolescents

  • 摘要: 近年来,近视、肥胖、心理健康等儿童青少年健康问题已引起全社会的关注,成为重要的公共卫生问题。中国儿童青少年主要健康问题的单病流行负担不容乐观,且同时面临着较高的共病患病率,共同的行为和环境影响因素使得通过相同的干预措施,改善儿童青少年共病问题成为可能。急需研究中国儿童青少年常见疾病“共病-共因-共防”机制,探索建立可以覆盖家庭、学校、社区和医疗机构不同场景的儿童青少年共病干预实施的标准化方案和流程,提升儿童青少年的健康水平。
    1)  利益冲突声明   所有作者声明无利益冲突。
  • [1] WELLS J C K, NESSE R M, SEAR R, et al. Evolutionary public health: introducing the concept[J]. Lancet, 2017, 390(10093): 500-509. doi: 10.1016/S0140-6736(17)30572-X
    [2] 徐荣彬, 温勃, 宋逸, 等. 1990-2016年中国青少年死亡率及主要死因变化[J]. 中华预防医学杂志, 2018, 52(8): 802-808. doi: 10.3760/cma.j.issn.0253-9624.2018.08.006

    XU R B, WEN B, SONG Y, et al. The change in mortality and major causes of death among Chinese adolescents from 1990 to 2016[J]. Chin J Prev Med, 2018, 52(8): 802-808. (in Chinese) doi: 10.3760/cma.j.issn.0253-9624.2018.08.006
    [3] 马军. 儿童青少年主要健康问题和研究热点[J]. 中国学校卫生, 2020, 41(9): 1281-1284. doi: 10.16835/j.cnki.1000-9817.2020.09.001

    MA J. Major health issues and research hotpots in child and adolescent health[J]. Chin J Sch Health, 2020, 41(9): 1281-1284. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.09.001
    [4] 钟盼亮, 马宁, 刘云飞, 等. 2010-2019年中国7~18岁汉族儿童青少年近视的流行趋势[J]. 中华预防医学杂志, 2023, 57(4): 20-26.

    ZHONG P L, MA N, LIU Y F, et al. Trend of the detection rate of myopia among Chinese Han children and adolescents aged 7-18 years from 2010 to 2019[J]. Chin J Prev Med, 2023, 57(4): 20-26. (in Chinese)
    [5] JAN C, XU R, LUO D, et al. Association of visual impairment with economic development among Chinese schoolchildren[J]. JAMA Pediatr, 2019, 173(7): e190914.
    [6] 李玲. 国民视觉健康报告[M]. 北京: 北京大学出版社, 2016.

    LI L. National visual health report[M]. Beijing: Peking University Press, 2016. (in Chinese)
    [7] 中华人民共和国国家卫生健康委员会宣传司. 国务院新闻办公室2020年12月23日新闻发布会文字实录[EB/OL]. (2020-12-23)[2023-06-01]. http://www.nhc.gov.cn/xcs/s3574/202012/bc4379ddf4324e7f86f05d31cc1c4982.shtml.

    Propaganda Department of National Health Commission of the PRC. Transcript of the press conference held by the Information Office of the State Council of the PRC on December 23, 2020[EB/OL]. (2020-12-23)[2023-06-01]. http://www.nhc.gov.cn/xcs/s3574/202012/bc4379ddf4324e7f86f05d31cc1c4982.shtml. (in Chinese)
    [8] 董彦会, 陈力, 刘婕妤, 等. 1985-2019年中国7~18岁儿童青少年超重与肥胖流行趋势及预测研究[J]. 中华预防医学杂志, 2023, 57(4): 461-469.

    DONG Y H, CHEN L, LIU J Y, et al. Epidemiology and prediction of overweight and obesity among children and adolescents aged 7-18 years in China from 1985 to 2019[J]. Chin J Prev Med, 2023, 57(4): 461-469. (in Chinese)
    [9] QIN X, PAN J. The medical cost attributable to obesity and overweight in China: estimation based on longitudinal surveys[J]. Health Econ, 2016, 25(10): 1291-1311. doi: 10.1002/hec.3217
    [10] LI J Y, LI J, LIANG J H, et al. Depressive symptoms among children and adolescents in China: a systematic review and Meta-analysis[J]. Med Sci Monit, 2019, 25: 7459-7470. doi: 10.12659/MSM.916774
    [11] LI F, CUI Y, LI Y, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17 524 individuals[J]. J Child Psychol Psychiatry, 2022, 63(1): 34-46. doi: 10.1111/jcpp.13445
    [12] WHO, UNICEF. Increase in child and adolescent mental disorders spurs new push for action by UNICEF and WHO[EB/OL]. (2019-11-05)[2023-05-10]. https://www.unicef.org/press-releases/increase-child-and-adolescent-mental-disorders-spurs-new-push-action-unicef-and-who.
    [13] Lancet Global Health. Mental health matters[J]. Lancet Glob Health, 2020, 8(11): e1352. doi: 10.1016/S2214-109X(20)30432-0
    [14] HARRINGTON S C, STACK J, O'DWYER V. Risk factors associated with myopia in schoolchildren in Ireland[J]. Br J Ophthalmol, 2019, 103(12): 1803-1809.
    [15] TIDEMAN J W L, POLLING J R, HOFMAN A, et al. Environmental factors explain socioeconomic prevalence differences in myopia in 6-year-old children[J]. Br J Ophthalmol, 2018, 102(2): 243-247. doi: 10.1136/bjophthalmol-2017-310292
    [16] CRESPO P A, NUNES B P, BARROS F C, et al. Multimorbidity and simultaneity of health risk factors, from adolescence to early adulthood: 1993 Pelotas Birth Cohort[J]. Prev Med, 2022, 155: 106932. doi: 10.1016/j.ypmed.2021.106932
    [17] FERRO M A, LIPMAN E L, VAN LIESHOUT R J, et al. Cohort profile: multimorbidity in children and youth across the life course (MY LIFE) study[J]. J Can Acad Child Adolesc Psychiatry, 2021, 30(2): 104-115.
    [18] LI D, CHAN V F, VIRGILI G, et al. Impact of vision impairment and ocular morbidity and their treatment on depression and anxiety in children: a systematic review[J]. Ophthalmology, 2022, 129(10): 1152-1170. doi: 10.1016/j.ophtha.2022.05.020
    [19] SMITH J D, FU E, KOBAYASHI M A. Prevention and management of childhood obesity and its psychological and health comorbidities[J]. Ann Rev Clin Psychol, 2020, 16: 351-378. doi: 10.1146/annurev-clinpsy-100219-060201
    [20] 宋逸, 马军. 纠正生长发育不平衡预防儿童青少年重要共病[J]. 中华预防医学杂志, 2023, 57(4): 451-456.

    SONG Y, MA J. Correct the imbalance of growth and development and prevent important comorbidities of children and adolescents[J]. Chin J Prev Med, 2023, 57(4): 451-456. (in Chinese)
    [21] BOUMIZA S, BCHIR S, BEN NASR H, et al. Role of MMP-1 (-519A/G, -1607 1G/2G), MMP-3 (Lys45Glu), MMP-7 (-181A/G), and MMP-12 (-82A/G) variants and plasma MMP levels on obesity-related phenotypes and microvascular reactivity in a Tunisian population[J]. Dis Markers, 2017, 2017: 6198526.
    [22] BELO V A, LUIZON M R, CARNEIRO P C, et al. Effect of metabolic syndrome risk factors and MMP-2 genetic variations on circulating MMP-2 levels in childhood obesity[J]. Mol Biol Rep, 2013, 40(3): 2697-2704. doi: 10.1007/s11033-012-2356-7
    [23] HALL N F, GALE C R, YE S, et al. Myopia and polymorphisms in genes for matrix metalloproteinases[J]. Invest Ophthalmol Vis Sci, 2009, 50(6): 2632-2636. doi: 10.1167/iovs.08-2427
    [24] WOJCIECHOWSKI R, YEE S S, SIMPSON C L, et al. Matrix metalloproteinases and educational attainment in refractive error: evidence of gene-environment interactions in the Age-related Eye Disease Study[J]. Ophthalmology, 2013, 120(2): 298-305. doi: 10.1016/j.ophtha.2012.07.078
    [25] HE M, XIANG F, ZENG Y, et al. Effect of time spent outdoors at school on the development of myopia among children in China: a randomized clinical trial[J]. JAMA, 2015, 314(11): 1142-1148. doi: 10.1001/jama.2015.10803
    [26] WU P C, CHEN C T, LIN K K, et al. Myopia prevention and outdoor light intensity in a school-based cluster randomized trial[J]. Ophthalmology, 2018, 125(8): 1239-1250. doi: 10.1016/j.ophtha.2017.12.011
    [27] HE X, SANKARIDURG P, WANG J, et al. Time outdoors in reducing myopia: a school-based cluster randomized trial with objective monitoring of outdoor time and light intensity[J]. Ophthalmology, 2022, 129(11): 1245-1254. doi: 10.1016/j.ophtha.2022.06.024
    [28] DONG Y, JAN C, CHEN L, et al. The cumulative effect of multilevel factors on myopia prevalence, incidence, and progression among children and adolescents in China during the COVID-19 pandemic[J]. Transl Vis Sci Technol, 2022, 11(12): 9. doi: 10.1167/tvst.11.12.9
    [29] LIM L S, GAZZARD G, LOW Y L, et al. Dietary factors, myopia, and axial dimensions in children[J]. Ophthalmology, 2010, 117(5): 993-997. doi: 10.1016/j.ophtha.2009.10.003
    [30] MOUNTJOY E, DAVIES N M, PLOTNIKOV D, et al. Education and myopia: assessing the direction of causality by mendelian randomization[J]. BMJ, 2018, 361: k2022.
    [31] PAN C W, WU R K, LIU H, et al. Types of lamp for homework and myopia among Chinese school-aged children[J]. Ophthalmic Epidemiol, 2018, 25(3): 250-256. doi: 10.1080/09286586.2017.1420204
    [32] WEI C C, LIN H J, LIM Y P, et al. PM2.5 and NOx exposure promote myopia: clinical evidence and experimental proof[J]. Environ Pollut, 2019, 254(Pt B): 113031.
    [33] JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365.
    [34] PAN X F, WANG L, PAN A. Epidemiology and determinants of obesity in China[J]. Lancet Diabetes Endocrinol, 2021, 9(6): 373-392.
    [35] MIDEI A J, MATTHEWS K A. Interpersonal violence in childhood as a risk factor for obesity: a systematic review of the literature and proposed pathways[J]. Obes Rev, 2011, 12(5): e159-e172.
    [36] ZHANG Z, DONG B, CHEN G, et al. Ambient air pollution and obesity in school-aged children and adolescents: a multicenter study in China[J]. Sci Total Environ, 2021, 771: 144583.
    [37] DONG Y, GAO D, LI Y, et al. Effect of childhood phthalates exposure on the risk of overweight and obesity: a nested case-control study in China[J]. Environ Int, 2022, 158: 106886.
    [38] ZHANG J, LIU M W, YU H J, et al. Associations of health-risk behaviors with mental health among Chinese children[J]. Psychol Health Med, 2022, 27(3): 528-536.
    [39] LUO X, ZHENG R, XIAO P, et al. Relationship between school bullying and mental health status of adolescent students in China: a nationwide cross-sectional study[J]. Asian J Psychiatr, 2022, 70: 103043.
    [40] ADEMILUYI A, LI C, PARK A. Implications and preventions of cyberbullying and social exclusion in social media: systematic review[J]. JMIR Form Res, 2022, 6(1): e30286.
    [41] ZHANG Y Y, LEI Y T, SONG Y, et al. Gender differences in suicidal ideation and health-risk behaviors among high school students in Beijing, China[J]. J Glob Health, 2019, 9(1): 010604.
    [42] XUE T, ZHU T, ZHENG Y, et al. Declines in mental health associated with air pollution and temperature variability in China[J]. Nat Commun, 2019, 10(1): 2165.
    [43] LIU Z, GAO P, GAO A Y, et al. Effectiveness of a multifaceted intervention for prevention of obesity in primary school children in China: a cluster randomized clinical trial[J]. JAMA Pediatr, 2022, 176(1): e214375.
    [44] ARANGO C, DEAZ-CANEJA C M, MCGORRY P D, et al. Preventive strategies for mental health[J]. Lancet Psychiatry, 2018, 5(7): 591-604.
    [45] 中华人民共和国教育部等八部门联合印发《综合防控儿童青少年近视实施方案》[EB/OL]. (2018-08-30)[2023-06-01]. http://www.moe.gov.cn/jyb_xwfb/gzdt_gzdt/s5987/201808/t20180830_346673.html.

    Ministry of Education of the PRC and other seven determents have issued the Implementation Plan for Comprehensive Prevention and Control of Myopia in Children and Adolescents[EB/OL]. (2018-08-30)[2023-06-01]. http://www.moe.gov.cn/jyb_xwfb/gzdt_gzdt/s5987/201808/t20180830_346673.html. (in Chinese)
    [46] 中华人民共和国教育部办公厅等十五部门关于印发《儿童青少年近视防控光明行动工作方案(2021-2025年)的通知[EB/OL]. (2018-08-30)[2023-06-01]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/202105/t20210511_530655.html.

    Circular of the General Office of Ministry of Education of the PRC and other fourteen departments on the issuance of the Bright Action Work Program for the Prevention and Control of Myopia in Children and Adolescents (2021-2025)[EB/OL]. (2018-08-30)[2023-06-01]. http://www.moe.gov.cn/srcsite/A17/moe_943/s3285/202105/t20210511_530655.html. (in Chinese)
    [47] 中华人民共和国国家卫生健康委员会. 关于印发儿童青少年肥胖防控实施方案的通知[EB/OL]. (2020-10-23)[2023-06-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=9357ae09af9f4ba8850dacac5093e250.

    National Health Commission of the PRC. Circular on the issuance of the implementation plan for the prevention and control of childhood and adolescent obesity[EB/OL]. (2020-10-23)[2023-06-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=9357ae09af9f4ba8850dacac5093e250. (in Chinese)
    [48] 中华人民共和国教育部等十七部门关于印发《全面加强和改进新时代学生心理健康工作专项行动计划(2023-2025年)》的通知[EB/OL]. (2023-04-27)[2023-06-01]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202305/t20230511_1059219.html.

    Circular of Ministry of Education of the PRC and other sixteen departments on the issuance of the Special Action Plan for Comprehensively Strengthening and Improving the Mental Health of Students in the New Era (2023-2025)[EB/OL]. (2023-04-27)[2023-06-01]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202305/t20230511_1059219.html. (in Chinese)
    [49] 袁雯, 杨田, 宋逸, 等. 儿童青少年精神健康为核心的共病负担和病因机制研究进展[J]. 中国学校卫生, 2023, 44(9): 1423-1427. doi: 10.16835/j.cnki.1000-9817.2023.09.032

    YUAN W, YANG T, SONG Y, et al. Research progress on burden and etiological mechanism of mental health as the core comorbidity in children and adolescents[J]. Chin J Sch Health, 2023, 44(9): 1423-1427. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.032
    [50] 袁雯, 蒋家诺, 秦阳, 等. 内蒙古地区学生网络成瘾与抑郁症状的共发趋势及关联[J]. 中国学校卫生, 2023, 44(9): 1294-1298. doi: 10.16835/j.cnki.1000-9817.2023.09.004

    YUAN W, JIANG J N, QIN Y, et al. Co-occurrence trend and association study of Internet addiction and depressive symptoms among students in Inner Mongolia Autonomous Region[J]. Chin J Sch Health, 2023, 44(9): 1294-1298. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.004
    [51] 张依航, 袁雯, 党佳佳, 等. 内蒙古地区2021年中小学生近视与肥胖共患现状及生活方式的调节作用[J]. 中国学校卫生, 2023, 44(9): 1299-1303. doi: 10.16835/j.cnki.1000-9817.2023.09.005

    ZHANG Y H, YUAN W, DANG J J, et al. Co-morbidity of myopia and obesity and the moderating role of lifestyle among primary and secondary school students in Inner Mongolia Autonomous Region in 2021[J]. Chin J Sch Health, 2023, 44(9): 1299-1303. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.005
    [52] 蒋家诺, 杨田, 袁雯, 等. 内蒙古地区学生超重肥胖与血压偏高及其共病状况的生活方式影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1313-1318. doi: 10.16835/j.cnki.1000-9817.2023.09.008

    JIANG J N, YANG T, YUAN W, et al. Co-occurrence trend of overweight, obesity and elevated blood pressure and its association with lifestyle factors among students in Inner Mongolia Autonomous Region[J]. Chin J Sch Health, 2023, 44(9): 1313-1318. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.008
    [53] 马彩霞, 马军, 宋逸, 等. 内蒙古地区学生超重肥胖与抑郁共患影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1308-1312, 1318. doi: 10.16835/j.cnki.1000-9817.2023.09.007

    MA C X, MA J, SONG Y, et al. Co-morbidity of overweight, obesity and depression and its influencing factors among students in Inner Mongolia Autonomous Region[J]. Chin J Sch Health, 2023, 44(9): 1308-1312, 1318. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.007
    [54] 张秀红, 宋逸, 董彦会, 等. 内蒙古地区2021年中学生校园欺凌与抑郁共发趋势及与饮食方式的相关性[J]. 中国学校卫生, 2023, 44(9): 1304-1307. doi: 10.16835/j.cnki.1000-9817.2023.09.006

    ZHANG X H, SONG Y, DONG Y H, et al. Co-occurrence trend of school bullying and depression and its correlation with dietary patterns among middle school students from Inner Mongolia Autonomous Region in 2021[J]. Chin J Sch Health, 2023, 44(9): 1304-1307. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.006
    [55] 马鑫悦, 张秀红, 宋逸, 等. 内蒙古地区2019—2022年中小学生脊柱侧弯与近视共患流行趋势及相关因素分析[J]. 中国学校卫生, 2023, 44(9): 1289-1293. doi: 10.16835/j.cnki.1000-9817.2023.09.003

    MA X Y, ZHANG X H, SONG Y, et al. Prevalence trend and related factors of scoliosis and myopia co-morbidities among primary and middle school students in Inner Mongolia Autonomous Region from 2019 to 2022[J]. Chin J Sch Health, 2023, 44(9): 1289-1293. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.003
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  • 收稿日期:  2023-08-17
  • 修回日期:  2023-08-23
  • 网络出版日期:  2023-09-28
  • 刊出日期:  2023-09-25

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