立足研究与应用转化的统一  讲好中国学校卫生科研故事

陶芳标

doi:10.16835/j.cnki.1000-9817.2024020

立足研究与应用转化的统一讲好中国学校卫生科研故事

doi: 10.16835/j.cnki.1000-9817.2024020

陶芳标

安徽医科大学公共卫生学院儿少卫生与妇幼保健学系/出生人口健康教育部重点实验室/环境与人口健康安徽省重点实验室，合肥 200032

基金项目:

国家重点研发计划项目 2021YFC2702105

详细信息

作者简介:
陶芳标(1962-)，男，安徽枞阳人，博士，博士生导师，主要研究方向为儿童青少年发育与健康、生命早期环境暴露母婴健康效应

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G478 C01
计量
- 文章访问数: 255
- HTML全文浏览量: 133
- PDF下载量: 94
- 被引次数: 0
出版历程
- 收稿日期: 2023-01-03
- 网络出版日期: 2024-02-01
- 刊出日期: 2024-01-25

Science-driven application and transformation for telling better stories of school health research

TAO Fangbiao

Department of Maternal, Child & Adolescent Health, School of Public Health/MOE Key Laboratory of Population Health across Life Cycle/Anhui Provincial Key Laboratory of Environment and Population Health across the Life Course, Anhui Medical University, Hefei(230032), China

摘要

摘要: 儿童青少年健康问题普遍流行且疾病负担日趋严重，应加强和改进学校健康教育与卫生服务能力。坚持问题导向，可从讲好学校卫生科研的“两个故事”入手，即阐明健康问题的风险因素和实施干预性研究，以高质量的科学研究成果服务学校卫生实践，推进研究的政策转化，全面提高学校卫生服务能力，促进中国儿童青少年终生健康。
- 公共卫生 /
- 研究 /
- 干预 /
- 卫生政策
Abstract: The global disease burden of health problems among children and adolescents is becoming increasingly serious and more prominent worldwide, this calls for a more intergrated and effective school health education, and services and system education should be strengthened. This editorial highlights the importance of problem-oriented school health research by telling two stories of school health, including identification of risk factors for health problems and evidence-based interventions. Using high-quality scientific evidence to promote best practices in school health, improve science-driven application and transformation, enhance capacity for comprehensive school health services, and empower child and adolescent health and wellbeing across China.
- Public health /
- Research /
- Intervention /
- Health policy
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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图 1 学校卫生研究与服务的统一

Figure 1. Unification of school health research and services

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参考文献(39)

[1]	NCD Risk Factor Collaboration (NCD-RisC). Height and body-mass index trajectories of school-aged children and adolescents from 1985 to 2019 in 200 countries and territories: a pooled analysis of 2181 population-based studies with 65 million participants[J]. Lancet, 2020, 396(10261): 1511-1524. doi: 10.1016/S0140-6736(20)31859-6
[2]	ARMOCIDA B, MONASTA L, SAWYER S, et al. Burden of non-communicable diseases among adolescents aged 10-24 years in the EU, 1990-2019: a systematic analysis of the Global Burden of Diseases Study 2019[J]. Lancet Child Adolesc Health, 2022, 6(6): 367-383. doi: 10.1016/S2352-4642(22)00073-6
[3]	SCHUSTER A K, KRAUSE L, KUCHENBÄCKER C, et al. Prevalence and time trends in myopia among children and adolescents[J]. Dtsch Arztebl Int, 2020, 117(50): 855-860.
[4]	NORTH S, DOOLEY D G. School-based health care[J]. Prim Care, 2020, 47(2): 231-240. doi: 10.1016/j.pop.2020.02.003
[5]	NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults[J]. Lancet, 2017, 390(10113): 2627-2642. doi: 10.1016/S0140-6736(17)32129-3
[6]	NAGATA J M, IYER P, CHU J, et al. Contemporary screen time usage among children 9-10-years-old is associated with higher body mass index percentile at 1-year follow-up: a prospective cohort study[J]. Pediatr Obes, 2021, 16(12): e12827. doi: 10.1111/ijpo.12827
[7]	ROBINSON T N, BANDA J A, HALE L, et al. Screen media exposure and obesity in children and adolescents[J]. Pediatrics, 2017, 140(Suppl 2): S97-S101.
[8]	GRZYBOWSKI A, KANCLERZ P, TSUBOTA K, et al. A review on the epidemiology of myopia in school children worldwide[J]. BMC Ophthalmol, 2020, 20(1): 27. doi: 10.1186/s12886-019-1220-0
[9]	WEN L, CAO Y, CHENG Q, et al. Objectively measured near work, outdoor exposure and myopia in children[J]. Br J Ophthalmol, 2020, 104(11): 1542-1547.
[10]	WU P C, TSAI C L, WU H L, et al. Outdoor activity during class recess reduces myopia onset and progression in school children[J]. Ophthalmology, 2013, 120(5): 1080-1085. doi: 10.1016/j.ophtha.2012.11.009
[11]	JIN J X, HUA W J, JIANG X, et al. Effect of outdoor activity on myopia onset and progression in school-aged children in northeast China: the Sujiatun Eye Care Study[J]. BMC Ophthalmol, 2015, 15: 73. doi: 10.1186/s12886-015-0052-9
[12]	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
[13]	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
[14]	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
[15]	ZHOU X, PARDUE M T, IUVONE P M, et al. Dopamine signaling and myopia development: what are the key challenges[J]. Prog Retin Eye Res, 2017, 61: 60-71. doi: 10.1016/j.preteyeres.2017.06.003
[16]	LINGHAM G, MACKEY D A, LUCAS R, et al. How does spending time outdoors protect against myopia? A review[J]. Br J Ophthalmol, 2020, 104(5): 593-599. doi: 10.1136/bjophthalmol-2019-314675
[17]	SALMON J, ARUNDELL L, HUME C, et al. A cluster-randomized controlled trial to reduce sedentary behavior and promote physical activity and health of 8-9 year olds: the transform-Us! study[J]. BMC Public Health, 2011, 11: 759. doi: 10.1186/1471-2458-11-759
[18]	SALMON J, ARUNDELL L, CERIN E, et al. Transform-Us! cluster RCT: 18-month and 30-month effects on children's physical activity, sedentary time and cardiometabolic risk markers[J]. Br J Sports Med, 2023, 57(5): 311-319. doi: 10.1136/bjsports-2022-105825
[19]	GUO P, ZHOU Y, ZHU Y. Effects of a school-based lifestyle intervention on ideal cardiovascular health in Chinese children and adolescents: a national, multicentre, cluster-randomised controlled trial[J]. Lancet Glob Health, 2023(Suppl 1): S14.
[20]	黄哲, 宁佩珊, 成佩霞, 等. 移动健康技术干预研究进展[J]. 中华流行病学杂志, 2016, 37(10): 1430-1434. doi: 10.3760/cma.j.issn.0254-6450.2016.10.022 HUANG Z, NING P S, CHENG P X, et al. Progress in research of mobile health intervention[J]. Chin J Epidemiol, 2016, 37(10): 1430-1434. (in Chinese) doi: 10.3760/cma.j.issn.0254-6450.2016.10.022
[21]	LI Q, GUO L, ZHANG J, et al. Effect of school-based family health education via social media on children's myopia and parents' awareness: a randomized clinical trial[J]. JAMA Ophthalmol, 2021, 139(11): 1165-1172. doi: 10.1001/jamaophthalmol.2021.3695
[22]	CHAMPION K E, NEWTON N C, GARDNER L A, et al. Health4Life eHealth intervention to modify multiple lifestyle risk behaviours among adolescent students in Australia: a cluster-randomised controlled trial[J]. Lancet Digit Health, 2023, 5(5): e276-e287. doi: 10.1016/S2589-7500(23)00028-6
[23]	NI MHURCHU C, TE MORENGA L, TUPAI-FIRESTONE R, et al. A co-designed mHealth programme to support healthy lifestyles in Māori and Pasifika peoples in New Zealand (OL@-OR@): a cluster-randomised controlled trial[J]. Lancet Digit Health, 2019, 1(6): e298-e307. doi: 10.1016/S2589-7500(19)30130-X
[24]	HENRIKSSON H, HENRIKSSON P, TYNELIUS P, et al. Cardiorespiratory fitness, muscular strength, and obesity in adolescence and later chronic disability due to cardiovascular disease: a cohort study of 1 million men[J]. Eur Heart J, 2020, 41(15): 1503-1510. doi: 10.1093/eurheartj/ehz774
[25]	HUVINEN E, LAHTI J, KLEMETTI M M, et al. Genetic risk of type 2 diabetes modifies the effects of a lifestyle intervention aimed at the prevention of gestational and postpartum diabetes[J]. Diabetologia, 2022, 65(8): 1291-1301. doi: 10.1007/s00125-022-05712-7
[26]	OJANEN X, CHENG R, TÖRMÄKANGAS T, et al. Towards early risk biomarkers: serum metabolic signature in childhood predicts cardio-metabolic risk in adulthood[J]. EBioMedicine, 2021, 72: 103611. doi: 10.1016/j.ebiom.2021.103611
[27]	HAMOEN M, WELTEN M, NIEBOER D, et al. Development of a prediction model to target screening for high blood pressure in children[J]. Prev Med, 2020, 132: 105997. doi: 10.1016/j.ypmed.2020.105997
[28]	DE SOUSA MACIEL I, PⅡRONEN A K, AFONIN A M, et al. Exploring plasma biomarker candidates for mental health risk assessment in adolescents[J]. Nat Mental Health, 2023, 8(1): 532-533.
[29]	LI S M, RAN A R, KANG M T, et al. Effect of text messaging parents of school-aged children on outdoor time to control myopia: a randomized clinical trial[J]. JAMA Pediatr, 2022, 176(11): 1077-1083. doi: 10.1001/jamapediatrics.2022.3542
[30]	HALL A, LANE C, WOLFENDEN L, et al. Evaluating the scaling up of an effective implementation intervention (PACE) to increase the delivery of a mandatory physical activity policy in primary schools[J]. Int J Behav Nutr Phys Act, 2023, 20(1): 106. doi: 10.1186/s12966-023-01498-y
[31]	李学靖, 杨丹, 尹依依, 等. 《2021 NICE医患共同决策指南》要点解读[J]. 中华现代护理杂志, 2022, 28(4) : 421-425. LI X J, YANG D, YIN Y Y, et al. Interpretation of key points of 2021 NICE Guidelines for Shared Decision-Making[J]. Chin J Mod Nurs, 2022, 28(4): 421-425. (in Chinese)
[32]	World Health Organization. Global accelerated action for the health of adolescents (AA-HA!): second edition[EB/OL]. (2023-10-11)[2023-12-28]. https://www.who.int/publications/i/item/9789240081765.
[33]	National Institute for Health and Care Excellence. Behaviour change: digital and mobile health interventions[EB/OL]. (2020-10-07)[2023-12-28]. https://www.nice.org.uk/guidance/ng183.
[34]	KEEL S, GOVENDER-POONSAMY P, CIEZA A, et al. The WHO-ITU MyopiaEd programme: a digital message programme targeting education on myopia and its prevention[J]. Front Public Health, 2022, 10: 881889. doi: 10.3389/fpubh.2022.881889
[35]	World Health Organization. Be he@lthy, be mobile: a toolkit on how to implement myopiaed[EB/OL]. (2022-03-14)[2023-12-28]. https://www.who.int/publications/i/item/9789240042377
[36]	中华人民共和国教育部, 中华人民共和国国家发展和改革委员会, 中华人民共和国财政部, 等. 关于全面加强和改进新时代学校卫生与健康教育工作的意见[EB/OL]. (2021-08-02)[2023-12-28]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202108/t20210824_553917.html. Ministry of Education of the PRC, National Development and Reform Commission, Ministry of Finance of the PRC, et al. Opinions on comprehensively strengthening and improving school hygiene and health education in the new era[EB/OL]. (2021-08-02)[2023-12-28]. http://www.moe.gov.cn/srcsite/A17/moe_943/moe_946/202108/t20210824_553917.html. (in Chinese)
[37]	中华人民共和国国家卫生健康委员会, 中华人民共和国中宣部, 中央文明办, 等. 关于印发健康中国行动—儿童青少年心理健康行动方案(2019—2022年)的通知[EB/OL]. (2019-12-18)[2023-12-28]. http://www.nhc.gov.cn/jkj/tggg1/201912/6c810a8141374adfb3a16a6d919c0dd7.shtml. National Health Commission of the PRC, Publicity Department of the CPC Central Committee of the PRC, Office of the Central Steering Committee for the Construction of Spiritual Civilization of the CPC Central Committee, et al. Circular on the issuance of the Healthy China Initiative-action programme for the mental health of children and adolescents[EB/OL]. (2019-12-18)[2023-12-28]. http://www.nhc.gov.cn/jkj/tggg1/201912/6c810a8141374adfb3a16a6d919c0dd7.shtml. (in Chinese)
[38]	中华人民共和国教育部, 中华人民共和国最高人民检察院, 中央宣传部, 等. 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)[EB/OL]. (2023-04-20)[2023-12-20]. https://www.gov.cn/zhengce/zhengceku/202305/content_6857361.htm. Ministry of Education of the PRC, Supreme People's Court of the PRC, Propaganda Department of Central Committee, et al. Special action plan to comprehensively strengthen and improve students' mental health in the new era (2023-2025)[EB/OL]. (2023-04-20)[2023-12-20]. https://www.gov.cn/zhengce/zhengceku/202305/content_6857361.htm. (in Chinese)
[39]	陶芳标. 《儿童青少年近视防控公共卫生综合干预技术指南》专题解读[J]. 中国学校卫生, 2023, 44(10): 1445-1449. doi: 10.16835/j.cnki.1000-9817.2023.10.002 TAO F B. Expert interpretation of Comprehensive Public Health Intervention Technical Guideline for Prevention and Control of Myopia among Children and Adolescents[J]. Chin J Sch Health, 2023, 44(10): 1445-1449. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.10.002