Counties Districts Research Articles

Analysis of active surveillance results of pneumoconiosis in Jiangsu Province in 2019

Objective: To conduct active surveillance of pneumoconiosis in Jiangsu Province in 2019, to understand the status quo of occupational health of dust-exposed workers, timely detect occupational health damage and occupational hazard factors, and provide scientific basis for the prevention and control of pneumoconiosis in the future. Methods: From January to December 2019, counties (cities and districts) with relatively concentrated dust hazard enterprises in Jiangsu Province were selected as monitoring points to carry out active surveillance of pneumoconiosis, and occupational health examination of dust workers (3540 people) in 255 enterprises were carried out, including chest radiographs and lung function examinations. SPSS 26.0 statistical software was used for statistical analysis of the data, and Chi-square test was used to analyze the difference level of the rate between different groups such as gender, age and service. Results: Among the 255 employers, small enterprises accounted for the highest proportion (186 enterprises, 72.94%), private economy accounted for the highest proportion (225 enterprises, 88.24%), and machinery manufacturing industry accounted for the highest proportion (44 enterprises, 17.25%). Among the 3540 workers exposed to dust, 6 suspected occupational diseases (0.17%), 50 occupational contraindications (1.41%), and 1469 other diseases or abnormalities (41.50%) were detected. Among the 3540 workers exposed to dust, 399 (11.27%) had abnormal chest radiography results, and 848 (23.95%) had abnormal lung function indicators. The abnormal detection rate of chest radiographs in males (12.25%, 359/2931) was higher than that in females (6.57%, 40/609), and the abnormal detection rate of lung function in females (32.18%, 196/609) was higher than that in males (22.24%, 652/2931), with statistical significance (P<0.05). The age of the workers exposed to dust ranged from 17 to 75 (41.78±10.39) years old, and the years of service in contact with dust of the workers ranged from 0.08 to 42 (6.72±7.47) years. There were statistically significant differences in the detection rate of abnormal chest radiography and abnormal lung function among different age and seniority workers (P<0.05). The abnormal rates of forced vital capacity (FVC), forced expiratory volume in the first second (FEV(1)) and FEV(1)/FVC were 13.79% (488/3540), 15.28% (541/3540) and 1.86% (66/3540), respectively. There were significant differences in the detection rate of abnormal chest radiography and abnormal lung function among workers exposed to different dust types (P<0.05) . Conclusion: There are few suspected occupational diseases detected by active surveillance of pneumoconiosis in Jiangsu Province in 2019, and there are differences in occupational health examination results among workers with different dust types, ages, genders and dust exposure years.

Prevalence of exposure to household cooking oil fumes in women aged 40 years and older in China, 2019

Objective: To understand the prevalence of exposure to household cooking oil fumes in women ≥40 years old. Methods: The data were from Chronic Obstructive Pulmonary Disease (COPD) Surveillance in China during 2019-2020, which selected permanent residents ≥40 years old from 125 counties (districts) in 31 provinces (autonomous regions and municipalities) across the country by multi-stage stratified cluster random sampling method. The relevant demographic information and cooking oil fumes were collected by face-to-face interview. Our study served 37 164 women with complete cooking practice information as the subject. After complex sample weighting, we analyzed the prevalence of cooking oil fumes exposure in women from cooking time, kitchen characteristics, and Self-reported cooking oil fumes exposure. Results: In 2019, 83.9% (95%CI: 82.1%-85.7%) and 4.5% (95%CI: 3.8%-5.2%) of Chinese women ≥40 years old cooked daily and often, respectively. The average daily cooking duration is 1.8 hours/day, 31.1% of women who cooked daily more than 2.0 hours, and the average cumulative cooking years of cooking women were 32.8 years. 79.3% of cooking women used ventilation devices, and 3.2% cooked in the living room. 8.9% and 7.2% of cooking women in south China and northwest China cooked in the living room, significantly higher than in other regions (P=0.036). The self-reported exposure rate to cooking oil fumes was 81.0% (95%CI: 79.3%-82.7%). Rural, older, lower education level and women engaged in agriculture had a higher proportion of cooking daily, average daily cooking duration, cumulative cooking years, the proportion of cooking in the living room, and rate of self-reported cooking oil fumes exposure, but a lower proportion of using ventilation devices during cooking (P<0.001). Conclusions: The exposure to household cooking oil fumes was serious in Chinese women, and some women still did not take any ventilation measures when cooking. More attention should be paid to the exposure to home cooking oil fumes and its health hazards in women, especially those with lower socioeconomic status.

Investigation and analysis on knowledge, attitude and behavior about adult vaccination of the residents in Shandong Province

Objective: To understand the knowledge, attitude and behavior of adult residents on influenza, pneumococcus, human papillomavirus (HPV), herpes zoster (HZ), COVID-19, hepatitis B and rabies vaccination in Shandong Province. Methods: From August to September 2022, a multi-stage stratified random sampling method was used to investigate community-dwelling residents aged 18 years old and above in 12 counties (cities and districts) of Shandong Province. A questionnaire survey was used to collect the basic information of the respondents, such as knowledge, attitude and vaccination behavior of influenza, pneumococcus, HPV, HZ, COVID-19, hepatitis B and rabies vaccine. Analysis of variance was used to compare the differences in the respondents' knowledge and attitude scores of different vaccines. The Chi-square test was conducted to compare the differences in vaccination reasons among different characteristics, and a logistic regression model was used to analyze the influencing factors of vaccination behavior. Results: The median age (Q1, Q3) of the 2 754 respondents was 39 (29, 57) years ranging from 18 to 94 years, with a number of 1 234 (44.81%) males. The average score of the respondents' understanding of various knowledge about adult vaccines was less than 4 points, with the highest score for understanding which diseases can be prevented by adult vaccines. The average score of consent and necessity for adult vaccines to prevent diseases was greater than 3.6 points. In terms of knowledge demand and trust in information channels, there was a high level of trust in the recommendations of vaccination outpatient staff and clinical doctors [with scores of (4.15±0.79) and (4.02±0.80), respectively]. The highest demand for information on vaccination safety knowledge was (4.18±0.84) points. In recent two years, 52.11% of the population had been vaccinated with other vaccines in addition to the COVID-19 vaccine and rabies vaccine, and 45.44% of the population felt it was necessary to be vaccinated through media publicity. Women, age growth, high education level, and high-income level were the promoting factors for adopting vaccination behavior. Conclusion: Adult residents in Shandong Province have a basic understanding and supportive attitude towards vaccination, but the vaccination behavior rate is still relatively low, with significant differences in sex, age, education level, and income level. It is necessary to further increase efforts in the breadth and depth of adult vaccination promotion and education, as well as promotion strategies targeting different populations.

Distribution characteristics of emerging and reemerging Oncomelania hupensis in China from 2015 to 2021

To analyze the distribution characteristics of emerging and reemerging Oncomelania hupensis snails after the criteria for transmission control of schistosomiasis were achieved in China, so as to provide insights into assessment of schistosomiasis transmission risk and formulation of snail control strategies during the elimination phase. O. hupensis survey data in China from 2015 to 2021 were collected from the National Schistosomiasis Pevention and Control Information Management System, and the distribution characteristics of emerging and reemerging O. hupensis snails were descriptively analyzed. Emerging and reemerging O. hupensis snails were identified in China each year from 2015 to 2021, with relatively larger areas with emerging and reemerging O. hupensis snail habitats in 2016 and 2021, and relatively higher numbers of counties (districts) where emerging and reemerging O. hupensis snails were detected in 2016 and 2021. A total of 4 586.30 hm2 of emerging O. hupensis snail habitats were found in 10 schistosomiasis-endemic provinces of China (except Fujian and Yunnan Provinces) from 2015 to 2021, with 96.80% in Anhui, Hunan and Hubei provinces, where marshland and lake endemic foci were predominant. A total of 21 023.90 hm2 of reemerging O. hupensis snail habitats were found in 12 schistosomiasis-endemic provinces of China from 2015 to 2021, with 97.67% in six provinces of Hubei, Sichuan, Jiangxi, Jiangsu, Yunnan and Anhui, where marshland and lake and hilly endemic regions were predominant. Emerging snail habitats were found in 15.08% of all schistosomiasisendemic counties (districts) in China from 2015 to 2021, and 78.75% of all emerging snail habitats were identified in 11 schistosomiasis-endemic counties (districts), with the largest area of emerging snail habitats found in Lixian County, Hunan Province (645.00 hm2). Reemerging snail habitats were found in 47.67% of all schistosomiasis-endemic counties (districts) in China from 2015 to 2021, and 43.29% of all reemerging snail habitats were identified in 11 schistosomiasis-endemic counties (districts), with the largest area of reemerging snail habitats found in Weishan Li and Hui Autonomous County of Hunan Province (1 579.70 hm2). Emerging and reemerging O. hupensis snails were identified in China each year from 2015 to 2021, with much larger areas of reemerging snail habitats than emerging snail habitats, and larger numbers of schistosomiasis-endemic provinces and counties (districts) with reemerging snails were found that those of provinces and counties (districts) with emerging snails. Specific snail control interventions are required tailored to the causes of emerging and reemerging snail habitats. Both emergence and reemergence of O. hupensis snails should be paid attention to in marshland and lake endemic areas, and Guangxi Zhuang Autonomous Region, Shanghai Municipality and Zhejiang Province where schistosomiasis had been eliminated, and reemergence of O. hupensis snails should be given a high priority in hilly areas. In addition, monitoring of O. hupensis snails should be reinforced in snail-free areas after flooding.

Food and Nutrient Intake in Children and Adolescents with or without Overweight/Obesity.

To explore the food and nutrient characteristics of children and adolescents with or without overweight/obesity and to provide scientific basis for the development of prevention strategies on overweight/obesity. This study included children and adolescents aged 6-17 years who participated in provincial nutrition surveillance which included 90 counties (cities and districts) in Zhejiang Province with a provincial representative. Food consumption was assessed using three consecutive days of 24 h dietary recall, and nutrient intake was calculated using dietary recall in conjunction with the China Food Composition Table. Overweight/obesity was also investigated. Associations were evaluated using ordinal regression models. The analysis included a total of 1827 children and adolescents. The overweight prevalence was 14.0% and the obesity prevalence was 10.1%. Children and adolescents with overweight/obesity were observed to have a higher intake of carbohydrates, iron, sodium, potassium, and magnesium (F = 3.464, 5.232, 5.619, 3.469, 3.934, p < 0.05), as well as having a higher intake of the food group of cereals, tubers and beans, snacks, and salt (F = 7.348, 6.797, 3.413, p < 0.05) compared to children and adolescents without overweight/obesity. After adjusting for potential confounders via ordinal regression models, children and adolescents with overweight/obesity were observed to have a higher intake of carbohydrates (Wald χ2 = 4.325, p < 0.05). There were significant differences concerning the daily energy provided by snacks, the daily carbohydrate intake provided by snacks, the daily sodium intake provided by snacks, and the proportion of snacks to the food group of cereals, tubers, and beans (F = 8.305 6.316, 13.955, 3.692, p < 0.05). Children and adolescents with overweight/obesity have presented a high consumption of carbohydrates, which is associated with the food group of cereals, tubers, and beans. Snacks are the main factor leading to the high intake of the food group of cereals, tubers, and beans among children and adolescents with overweight/obesity.

Long-term terrace change and ecosystem service response in an inland mountain province of China

The exploration of terrace change and its associated ecosystem services (ESs) provides invaluable insights into the intricate interplay between engineering initiatives and environmental conditions. This understanding is crucial in designing strategic plans for environmental management. However, how terraced fields area change and influence ESs over an extended period at a regional scale remain relatively unknown. To bridge this knowledge gap, this study focused on terraces in Gansu Province (a typical inland mountain province), Northwestern China, by dividing the study area into seven regions, the quality and value benefits of unit area, the overall and cumulative of terraces were calculated for each region in Gansu province based on remote-sensing data, meteorological data, terraced area and benefits data. In this regard, the distribution, spatiotemporal changes and ESs associated with terraced fields in Gansu were examined from 1990 to 2020. The results show that: (i) terraces with the area of 2.20 × 104 km2 accounts for 81.34 % of counties(districts) of Gansu province in 2020, mainly located in the loess hilly and gully region (82.72 %). (ii) From 1990 to 2020, the terrace area in Gansu expanded from 8.13 × 103 to 2.20 × 104 km2, peaking at 636.73 km2/yr during 1990–2000, with notable spatial heterogeneity. (iii) In terms of ESs’ quality benefits, soil conservation benefits of terraces were the most significant, reaching 91.30–98.32 % per unit area, the cumulative benefits (1990–2020) were 1.82 × 109 t, followed by water conservation benefits (42.12–89.20 % and 2.36 × 1010 m3). (iv) Terraces expansion have increased the ecosystem service value by 815.10 million Dollar ($), with regulating services and habitat services accounting for 34.92 % and 31.92 %, respectively. These results indicate that the enormous potential value of terraces in ecological environment governance and ecological economic benefits, and provide a scientific support for understanding terraces and leveraging their ecosystem functions, while also offering valuable insights for the conservation of global mountain ecosystems and the improvement of human well-being.

Spatial distribution of Oncomelania hupensis spread in Hubei Province from 2020 to 2022

To identify the spatial distribution pattern of Oncomelania hupensis spread in Hubei Province, so as to provide insights into precision O. hupensis snail control in the province. Data pertaining to emerging and reemerging snails were collected from Hubei Province from 2020 to 2022 to build a spatial database of O. hupensis snail spread. The spatial clustering of O. hupensis snail spread was identified using global and local spatial autocorrelation analyses, and the hot spots of snail spread were identified using kernel density estimation. In addition, the correlation between environments with snail spread and the distance from the Yangtze River was evaluated using nearest-neighbor analysis and Spearman correlation analysis. O. hupensis snail spread mainly occurred along the Yangtze River and Jianghan Plain in Hubei Province from 2020 to 2022, with a total spread area of 4 320.63 hm2, including 1 230.77 hm2 emerging snail habitats and 3 089.87 hm2 reemerging snail habitats. Global spatial autocorrelation analysis showed spatial autocorrelation in the O. hupensis snail spread in Hubei Province in 2020 and 2021, appearing a spatial clustering pattern (Moran's I = 0.003 593 and 0.060 973, both P values < 0.05), and the mean density of spread snails showed spatial aggregation in Hubei Province in 2020 (Moran's I = 0.512 856, P < 0.05). Local spatial autocorrelation analysis showed that the high-high clustering areas of spread snails were mainly distributed in 50 settings of 10 counties (districts) in Hubei Province from 2020 to 2022, and the high-high clustering areas of the mean density of spread snails were predominantly found in 219 snail habitats in four counties of Jiangling, Honghu, Yangxin and Gong'an. Kernel density estimation showed that there were high-, secondary high- and medium-density hot spots in snail spread areas in Hubei Province from 2020 to 2022, which were distributed in Jingzhou District, Wuxue District, Honghu County and Huangzhou District, respectively. There were high- and medium-density hot spots in the mean density of spread snails, which were located in Jiangling County, Honghu County and Yangxin County, respectively. In addition, the snail spread areas negatively correlated with the distance from the Yangtze River (r = -0.108 9, P < 0.05). There was spatial clustering of O. hupensis snail spread in Hubei Province from 2020 to 2022. The monitoring and control of O. hupensis snails require to be reinforced in the clustering areas, notably in inner embankments to prevent reemerging schistosomiasis.

Exploring the mechanism of coordinated development with multi-source data fusion: a case study in Beijing-Tianjin-Hebei Region, China

Measuring the degree of regional coordinated development and analyzing the factors affecting regional coordinated development are of great significance for assessing the status of regional coordinated development and formulating regional coordinated development strategies. The advancement of remote sensing data and big data provide the possibility to measure the degree of regional coordinated development on a more precise scale. The aim of this study is to use multiple sources of data to construct the evaluation indicator system of coordinated development level and to analyze the mechanism of regional development. All the 200 counties (districts) in Beijing-Tianjin-Hebei Region are selected as the study area. By measuring the level of coordinated development of 200 county units in Beijing-Tianjin-Hebei region from 2012 to 2017, it is found that although the synergy degree at the county level of Beijing, Tianjin and Hebei is increased, the overall regional synergy degree is still at a low level. The spatial panel model is further used to analyze the factors that influence the coordinated development of all counties. The conclusion is that with the promotion of the Beijing-Tianjin-Hebei coordinated development policy, the excessive government intervention, and the imbalance of market allocation in the past in Beijing-Tianjin-Hebei region have been alleviated. However, the weaknesses in the process of the Beijing-Tianjin-Hebei coordinated development are still obvious. The population density and urban size have become the constraints in the process of coordinated development. The degree of opening to the outside world and the investment in the ecological environment construction is still far from enough. These findings enable us to have a clearer assessment of the level of coordinated development and a deeper understanding of the influence mechanism of the regional development in Beijing-Tianjin-Hebei region. Furthermore, this study might benefit regional development strategy research.

Analysis of the spatial-temporal distribution characteristics of hepatitis E in Jiangsu province from 2005 to 2020.

This study attempts to analyze the spatial clustering and spatial-temporal distribution characteristics of hepatitis E (HE) at the county (city and district) level in Jiangsu province to provide a scientific basis for the prevention and control of HE. The information on HE cases reported in the Chinese Center for Disease Control and Prevention Information System from 2005 to 2020 was collected for spatial autocorrelation analysis and spatial-temporal clustering analysis. From 2005 to 2020, 48,456 HE cases were reported in Jiangsu province, with an average annual incidence rate of 3.87/100,000. Male cases outnumbered female cases (2.46:1), and the incidence was highest in the 30-70 years of age group (80.50%). Farmers accounted for more than half of all cases (59.86%), and in terms of the average annual incidence, the top three cities were all in Zhenjiang city. Spatial autocorrelation analysis showed that Global Moran's I of HE incidence varied from 0.232 to 0.513 for the years. From 2005 to 2020, 31 counties (cities and districts) had high and statistically significant HE incidence, and two clustering areas were detected by spatial-temporal scanning. HE incidence in Jiangsu province from 2005 to 2020 was stable, with age and gender differences, regional clustering, and spatial-temporal clustering. Further investigation of HE clustering areas is necessary to formulate corresponding targeted prevention and control measures.

Survey of prevalence of hepatitis C in people aged 1-69 years in Henan Province, 2020

Objective: To understand the infection status and epidemiological characteristics of hepatitis C in people aged 1-69 years in Henan Province in 2020. Methods: The estimated sample size was 5 827. From August to December 2020, multistage sampling was used to select 8 counties (districts) in Henan, and two survey sites were selected in each county (district), and a questionnaire survey was conducted in local people aged 1-69 years, blood samples were collected from them for anti-HCV, HCV RNA and genotype detections. Results: A total of 5 165 people aged 1-69 years completed the questionnaire survey. Men accounted for 44.76% (2 312/5 165), women accounted for 55.24% (2 853/5 165). In the people aged 1-69 years, the overall prevalence rates of anti-HCV and HCV RNA were 0.69% (95%CI: 0.68%-0.70%) and 0.20% (95%CI: 0.19%-0.21%) respectively. The prevalence rates of anti-HCV and HCV RNA were 0.48% (95%CI: 0.46%-0.50%), 0.09% (95%CI: 0.08%-0.10%) in men and 0.86% (95%CI: 0.85%-0.87%), 0.30% (95%CI: 0.28%-0.32%) in women. The prevalence rates of anti-HCV and HCV RNA increased with age. The prevalence rates of anti-HCV and HCV RNA were 0.87% (95%CI: 0.86%-0.88%), 0.28% (95%CI: 0.26%-0.30%) in urban residents and 0.53% (95%CI: 0.51%-0.55%), 0.14% (95%CI: 0.13%-0.15%) in rural residents. The genotyping results of 10 HCV RNA positive samples ware genotype 1b (4/10), genotype 2 (3/10), genotype 1b/3 (1/10), genotype 1b/3/6 (1/10) and genotype 2/6 (1/10). Conclusions: The prevalence of hepatitis C was low in Henan in 2020. It is necessary to strengthen hepatitis C surveillance in people aged 40 years and above. The major HCV genotypes were 1b and 2, and mixed genotype infection existed.

Research on the cumulative effect of multiscale ecological compensation in river basins: A case study of the Minjiang River Basin, China

A program of ecological compensation (EC) is an effective means to solve the potential unfairness caused by the difference in environmental quality between the upper, middle, and lower reaches of river basins, alleviate the conflict of economic interests between regions. By constructing an EC accounting model, this study defines the carbon emissions of construction land as the consumption of ecological services to avoid the problem of lower EC in the upper reaches than the middle and lower reaches when only the ecosystem service value (ESV) is used as the compensation basis. We calculate the cumulative EC standards in the basin from 2000 to 2018 at the county, major functional oriented zone, and basin section scales, divide the subjects unto those provide EC and the subjects receiving EC, and finally introduce the comparative ecological radiation force to simulate the direction and scale of the ecosystem service flow (ESF) of the subjects receiving EC. The findings of this study are as follows: (1) The ESV of the Minjiang River Basin shows a downward trend in time and a spatial distribution pattern of high in the north and southwest parts and low in the middle and southeast parts. (2) Carbon emissions from construction land in all counties (cities and districts) in the Minjiang River Basin show an upward trend in time and a spatial distribution pattern of high in the middle part and low in the north and south parts. (3) The cumulative EC standard in the Minjiang River Basin from 2000 to 2018 is 279.401 billion CNY, which indicates ESV spillover. On the county scale, 22 subjects receive EC and 23 subjects providing EC. The subjects receiving EC are generally located in the southwestern parts of the upper and lower reaches, and the subjects providing EC are concentrated in the national key development zone in the middle reaches. (4) The ESF goes from north to south in the upper reaches, towards the north and south sides in the middle reaches, and towards the east and north in the lower reaches. Our findings provide an important reference for EC practices in the Minjiang River Basin.

The Evolution of the Collaborative Environmental Governance Network in Guizhou Province, China

China has successively set goals of carbon peaking and carbon neutrality, aiming to transform to a green and low-carbon economy. Collaborative environmental governance (CEG) is an important way to achieve this transformation. To improve collaborative environmental governance, the study of the evolution of the collaborative environmental governance network (CEGN) is necessary. In this study, the CEGNs in different periods in Guizhou Province, China are established based on social network analysis. Then, the evolution of environment governance policy implementers’ functions in the network is investigated by two-dimensional (breadth and intensity) matrices. Moreover, the evolution of core implementers’ functions and its impacts on the operation of the network are analyzed based on the network stability. The results show that the network size, frequency of collaboration, and cohesion have gradually increased, and the network structure has changed from a loose pattern to an expanded and balanced system. Implementers such as the governments of municipalities (prefectures) (MGs) and counties (districts) (CGs), urban management committee (UMCs), and municipal (prefecture) ecological environment bureaus (MBEEs) have played leading and coordinating roles at different phases. However, the cohesion of the network is low, indicating a low level of collaboration. This study integrates the collaborative governance theory and social network analysis, which provides a new way for the study of CEG. In addition, the CEG effect is evaluated by analyzing the evolution of the CEGN, which provides a reference for the CEG policy making in developing regions.

Response of Soil Organic Carbon Accumulation in Paddy Fields in Fujian Province to Future Temperature Increases

Understanding the effect of the soil carbon "source-sink" in cropland in China under future warming scenarios is the basis for making reasonable carbon neutralization policies. This study focused on the paddy soil in Fujian Province, a typical subtropical region in China including 84 counties (cities and districts). We employed the 1:50000 soil database and biogeochemical process model (DNDC) to simulate the dynamic changes in paddy soil organic carbon under different warming scenarios for the period of 2017-2053. The results indicated that in the context of normal temperature (control run) and 2, 4, and 6℃ of warming, the total amounts of carbon sequestration of paddy soil in Fujian Province were 11.56,9.44, 7.08, and 4.91 Tg, respectively; accordingly, the average annual carbon sequestration rates (expressed by C) were 173, 141, 106, and 74 kg·(hm2·a)-1, indicating that the rate of carbon sequestration was decreasing with the increase in future temperature. However, overall, the paddy field soil in the province was still a "carbon sink" under the warming of 6 (C. We also found that the gleyed paddy soil was mostly affected by the increase in temperature, and the decrease in carbon sequestration rate ranged from 20% to 69% using different treatments. In contrast, the salinized paddy soil was slightly affected, with a 14%-43% decrease in carbon sequestration rates. As for the different administrative regions, Sanming City was the most affected by temperature increase, with the rate of carbon sequestration decreasing by 27%-83% using different treatments. However, it was reduced by only 10%-41% and 14%-42% in Quanzhou and Putian (coastal areas), respectively. Overall, due to different soil properties, fertilization management, and climatic environment, there was a strong variability in the carbon sequestration rates of paddy soil for different soil subtypes and administrative regions in Fujian in response to future climatic warming.

Evaluation of Green Development Level of Mianyang Agriculture, Based on the Entropy Weight Method

Achieving the “dual carbon” objective is contingent upon the ecological development of agriculture. As the only Science and Technology City in China, evaluating the level of green agricultural development in Mianyang during the 13th Five-Year Plan is of considerable practical importance. Using the entropy weight comprehensive evaluation method, this paper determines the level of green agricultural development in Mianyang by selecting panel data from 2016 to 2020 for Mianyang and its counties (cities and districts) and constructing 15 agricultural green development evaluation indicators from three levels: socioeconomic, scientific and technological progress, and resources and environment. The results indicate that the overall level of green agricultural development in the city of Mianyang is satisfactory, and that the level of green development increased each year from 2016 to 2020, with clear differences in the level of green agricultural development between counties (cities and districts) and numerous factors influencing the development of green agriculture. On this basis, it is proposed that local conditions-specific green agricultural development policies be formulated and implemented in accordance with local conditions to promote the ecological and high-quality development of agriculture by capitalizing on the benefits of a science and technology city, and to assist in achieving the “dual carbon” objective.

Evaluation and spatial-temporal evolution of ecosystem service value of cascade hydropower project reservoir area in the Jinsha River, China

The Jinsha River basin, full of hydropower resources, is the largest hydropower energy base in China. From 2005 to 2018, four giant cascade hydropower stations (Wudongde, Baihetan, Xiluodu, and Xiangjiaba) were built along the Jinsha River. The reservoir area of four hydropower stations involves 26 counties (districts). The ecological environment of the reservoir area has a close relationship with hydropower projects, and ecosystem service value is an important standard to measure the quality of the ecological environment. Taking the reservoir area formed by four cascade hydropower stations in Jinsha River (Jinsha River Reservoir Area, JRRA) as the research object, the essay analyzed the spatial and temporal pattern of ecosystem service value in the reservoir area in 2005, 2010, 2015, and 2018. The results showed that (1) The ecosystem service value of JRRA reached 94 billion yuan in 2018, and the forestland took the largest proportion of ecosystem service value, accounting for 46.93%, followed by grassland, water area, cropland, and unused land. (2) From 2005 to 2018, the total ecosystem service value in JRRA increased by 3.374 billion yuan, and the spatial pattern of ecosystem service value showed a spatial distribution characteristic of high in the middle and low on both sides, and the spatial distribution had significant positive autocorrelation. (3) Because the area of water increased a lot, the ecosystem service value of JRRA showed a trend of overall increase which mainly occurred in the 3-km buffer zone along the river. The results further proved that the implementation of hydropower projects could improve the ecosystem service function in the reservoir area and provide technical support for the sustainable utilization of land resources and ecological compensation in the reservoir area.

Depression status of elderly patients with metabolic syndrome in three provinces of China

Objective: To understand the depression status and its influencing factors in elderly patients with MS in China and to explore the correlation between various components of elderly MS and depression. Methods: This study is based on the "Prevention and Intervention of Key Diseases in Elderly" project. We used a multi-stage stratified cluster random sampling method to complete 16 199 elderly aged 60 years and above in 16 counties (districts) in Liaoning, Henan, and Guangdong Provinces in 2019, excluding 1 001 missing variables. Finally, 15 198 valid samples were included for analysis. The respondents' MS disease was obtained through questionnaires and physical examinations, and the respondents' depression status within the past half month was assessed using the PHQ-9 Depression Screening Scale. The correlation between elderly MS and its components and depression and its influencing factors were analyzed by logistic regression. Results: A total of 15 198 elderly aged 60 years and above were included in this study, with the prevalence of MS at 10.84% and the detection rate of depressive symptoms in MS patients at 25.49%. The detection rates of depressive symptoms in patients with 0, 1, 2, 3, and 4 MS abnormal group scores were 14.56%, 15.17%, 18.01%, 25.21%, and 26.65%, respectively. The number of abnormal components of MS was positively correlated with the detection rate of depressive symptoms, and the difference between groups was statistically significant (P<0.05). The risk of depression symptoms in patients with MS, overweight/obesity, hypertension, diabetes, and dyslipidemia was 1.73 times (OR=1.73, 95%CI:1.51-1.97), 1.13 times (OR=1.13, 95%CI:1.03-1.24), 1.25 times (OR=1.25, 95%CI:1.14-1.38), 1.41 times (OR=1.41, 95%CI:1.24-1.60), 1.81 times (OR=1.81,95%CI:1.61-2.04), respectively, more than those without the disease. Multivariate logistic regression analysis showed that the detection rate of depressive symptoms in patients with sleep disorders was higher than that with normal sleep (OR=4.89, 95%CI: 3.79-6.32). The detection rate of depressive symptoms in patients with cognitive dysfunction was 2.12 times higher than that in the average population (OR=2.12, 95%CI: 1.56-2.89). The detection rate of depressive symptoms in patients with impaired instrumental activities of daily living (IADL) was 2.31 times (OR=2.31, 95%CI: 1.64-3.26) higher than that in the average population. Tea drinking (OR=0.73, 95%CI: 0.54-0.98) and physical exercise (OR=0.67, 95%CI: 0.49-0.90) seemed to be protective factors for depression in elderly MS patients (P<0.05). Conclusions: Older patients with MS and its component abnormalities have a higher risk of depression than the average population. Sleep disorders, cognitive impairment, and IADL impairment are important influencing factors for depression in elderly MS patients, while tea drinking and physical exercise may help to reduce the risk of the disease.

Research on the Slope Gradient Effect and Driving Factors of Construction Land in Urban Agglomerations in the Upper Yellow River: A Case Study of the Lanzhou–Xining Urban Agglomerations

Analyses of the scale and structural characteristics of construction land serve as the basis for optimizing the spatial pattern of territorial planning. Existing studies have focused mainly on the horizontal expansion of urban construction land. Therefore, based on the Google Earth Engine (GEE) platform, in this paper, we use high-precision land-use cover data, DEM data and socioeconomic data to construct the standard dominant comparative advantage index (NRCA) using the geological mapping analysis method and we systematically analyze the horizontal scale, slope spectrum characteristics, gradient effects and driving factors of construction land in the Lanzhou–Xining urban agglomeration (LXUA) from 1990 to 2020 at four scales: the urban agglomeration, provincial area, typical city and county (district) scales. The results of the study show that urban construction land, rural settlement land and other construction land in the LXUA show “linear”, inverted-“U” and “J” growth patterns, respectively. Three types of construction land show different spatial transfer characteristics. The scale and extent of climbing of urban construction land in the LXUA is gradually decreasing over time, and the number of climbing rural settlement lands in 2000–2010 was as high as 34 counties (districts), while the number of counties (districts) with strong climbing degrees of other construction land rose to 12 from 2010 to 2020. The relative hotspots of the slope-climbing phenomenon of the three types of construction land have gradually expanded spatially, with Lanzhou city and Xining city as the center, and the overall spatial characteristics are “more in the east and less in the west”. The population and GDP are the main factors influencing the slope-climbing phenomenon of urban construction land, while rural settlements are influenced mainly by natural conditions, and accessibility is the key factor affecting other construction land.

Construction of an integrated framework for assessing ecological security and its application in Southwest China

Ecological security is a prerequisite for the sustainable development of a region. The question of how to carry out a scientific and accurate ecological security assessment is therefore of great significance. Southwest China faces the dual challenges of maintaining ecological security and advancement of the economy. Thus, an evaluation of its ecological security status is essential. In this study, ecosystem services, ecological sensitivity, and landscape patterns were used to construct an integrated framework for assessing ecological security. The ecological security status of 549 counties (cities and districts) in Southwest China were evaluated for the years 2000, 2020, 2015, and 2018. Levels of ecological security in northern Guangxi, the western part of the Chengdu Plain, and the western and southern parts of Yunnan Province were generally higher than those in other areas. Conversely, levels of ecological security in western Sichuan Province, in metropolitan areas of Yunnan Province, and in the cities of Chengdu, and Chongqing were consistently low. From 2000 to 2018, the ecological security index (ESI) values of 52.82% of the study units concentrated in central and western Sichuan, eastern and southern Yunnan, and central and southern Guangxi increased, whereas those of 47.18% of study units concentrated in northeastern Sichuan, Chongqing, Guizhou, and northern Guangxi decreased. The level of ecological security in Southwest China is affected by the climate and by human activities. The following recommendations emerged from the study’s findings for maintaining the region’s ecological security. Local governments should strengthen the construction of cleaner industries, continue to return farmland to forests and promote crop rotation and fallow management, increase investments in and the development of nature reserves, implement outmigration schemes for ecologically fragile regions, and improve land conservation and intensive land use.

Research on the Effect of Digital Economy on Agricultural Labor Force Employment and Its Relationship Using SEM and fsQCA Methods

The development of the digital economy has alternative and complementary effects on employment in the agricultural labor force. While replacing a large part of the agricultural labor force, digital agricultural technology is also expected to create new jobs and multiply the economic development effect. Finally, it will have a large number of positive spillover effects on rural development. To better understand the effects and relationships of digital agriculture on agricultural labor employment in this process, we gathered microdata from 1098 agricultural laborers in 122 counties (cities and districts) of 16 cities in Shandong Province, China. Compared with previous research, the advantage of our study is that structural equation modeling (SEM) and fuzzy-set qualitative comparative analysis (fsQCA) are jointly applied to assess the effects of digital agriculture on agricultural labor force employment and the combinatorial path of inter-effect relationships. The analysis results demonstrate that the effects of digital agriculture on agricultural labor force employment mainly include substitution, complementary, flywheel, agglomeration, structural, synergistic, and spillover effects. Through substitution and complementing effects in a chain reaction, which have effects through intermediate links, the first six effects can lead to spillover effects. We determine two modes with a total of eight configurations that can trigger the spillover effect of digital agriculture on agricultural labor force employment. Therefore, it is necessary to choose an effective combination of paths to improve the utilization rate of agricultural resources and promote the diffusion of improved agricultural technologies. If the positive effects of digital agriculture on agricultural labor force employment are reasonably exerted, the development of sustainable agriculture could be accelerated. This would promote the overall development of the agricultural labor force and lead to the revitalization of rural areas and the integration of urban and rural areas.

Analysis of blood carnitine profile and SLC22A5 gene variants in 17 neonates with Primary carnitine deficiency

To analyze the blood free carnitine (C0) level and SLC22A5 gene variants in 17 neonates with Primary carnitine deficiency (PCD) and to determine its incidence in local area and explore the correlation between C0 level and genotype. 148 043 newborns born in 9 counties (cities and districts) of Ningde city from September 2016 to June 2021 were selected as study subjects. Blood free carnitine and acyl carnitine of 148 043 neonates were analyzed. Variants of the SLC22A5 gene were screened in those with blood C0 < 10 µmol/L, or C0 between 10 ∼ 15 µmol/L. Correlation between the free carnitine level and genetic variants was analyzed. In total 17 neonates were diagnosed with PCD, which yielded a prevalence of 1/8 707 in the region. Twelve variants of the SLC22A5 gene were identified, with the common ones including c.760C>T, c.1400C>G and c.51C>G. Compared with those carrying other variants of the gene, children carrying the c.760C>T variant had significantly lower C0 values (P < 0.01). The prevalence of PCD is relatively high in Ningde area, and intervention measures should be taken to prevent and control the disease. The c. 760C>T variant is associated with lower level of C0, which can provide a clue for the diagnosis.