Healthy China Initiative Research Articles

Key influences on dysglycemia across Fujian's urban-rural divide.

Screening and treatment of dysglycemia (prediabetes and diabetes) represent significant challenges in advancing the Healthy China initiative. Identifying the crucial factors contributing to dysglycemia in urban-rural areas is essential for the implementation of targeted, precise interventions. Data for 26,157 adults in Fujian Province, China, were collected using the Social Factors Special Survey Form through a multi-stage random sampling method, wherein 18 variables contributing to dysglycemia were analyzed with logistic regression and the random forest model. Investigating urban-rural differences and critical factors in dysglycemia prevalence in Fujian, China, with the simultaneous development of separate predictive models for urban and rural areas. The detection rate of dysglycemia among adults was 35.26%, with rates of 34.1% in urban areas and 35.8% in rural areas. Common factors influencing dysglycemia included education, age, BMI, hypertension, and dyslipidemia. For rural residents, higher income (OR = 0.80, 95% CI [0.74, 0.87]), average sleep quality (OR = 0.89, 95% CI [0.80, 0.99]), good sleep quality (OR = 0.89, 95% CI [0.80, 1.00]), and high physical activity (PA) (OR = 0.87, 95% CI [0.79, 0.96]) emerged as protective factors. Conversely, a daily sleep duration over 8 hours (OR = 1.46, 95% CI [1.03, 1.28]) and middle income (OR = 1.12, 95% CI [1.03, 1.22]) were specific risk factors. In urban areas, being male (OR = 1.14, 95% CI [1.02, 1.26]), cohabitation (OR = 1.18, 95% CI [1.02, 1.37]), and central obesity (OR = 1.35, 95% CI [1.19, 1.53]) were identified as unique risk factors. Using logistic regression outcomes, a random forest model was developed to predict dysglycemia, achieving accuracies of 75.35% (rural) and 76.95% (urban) with ROC areas of 0.77 (rural) and 0.75 (urban). This study identifies key factors affecting dysglycemia in urban and rural Fujian residents, including common factors such as education, age, BMI, hypertension, and dyslipidemia. Notably, rural-specific protective factors are higher income and good sleep quality, while urban-specific risk factors include being male and central obesity. These findings support the development of targeted prevention and intervention strategies for dysglycemia, tailored to the unique characteristics of urban and rural populations.

Blue paper on Alzheimer's disease in China(simplified version)

With the population aging in China, the prevalence and mortality rate of Alzheimer's disease (AD) have been rising in China. AD has become one of the major threats to people's health and social sustainable development. In order to support the Healthy China Initiative and promote health in China, "Chinese Alzheimer's Disease Blue Book (Simplified Edition)"(refer to as the Blue Book) was compiled by experts and scholars from the National Center for Neurological Disorders, Xuanwu Hospital, Capital Medical University; the National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention; the National Health Commission Capacity Building and Continuing Education Center; and the China Population and Development Research Center. The epidemiological characteristics, diagnosis and treatment status, prevention and treatment management of AD and related cognitive disorders in China were systematically reviewed in the Blue Paper, aiming to provide references for the prevention of AD, provide support for the standardized diagnosis and treatment of the disease, and provide a reference for the government to formulate relevant health policies. Specifically, the Blue Book covers the following topics of AD and related cognitive disorders: (1)epidemiology characteristics; (2)economic burden; (3)influencing factors; (4)China Brain Cognitive Health Index; (5) diagnosis status; (6)treatment status; (7)construction of national center for cognitive disorders;(8)community-based prevention and control; (9) AD patients care; (10)public health resources for prevention and control.

Effects of Organizational Support and Professional Identity on Job Satisfaction Among Medical Social Workers in China

The current status of job satisfaction among Chinese medical social workers and the impact of organizational support and professional identity on job satisfaction among Chinese medical social workers were investigated in the context of the Healthy China Initiative. This article used quantitative research methods, and the data were drawn from the China Social Work Longitudinal Study (CSWLS). The article’s sample comprises 218 medical social workers who participated in a medical social work module survey and who are directly engaged in social service practices in hospitals in China. The results showed that the job satisfaction score of Chinese medical social workers was 3.58, which was considered good. Professional identity can significantly and positively predict and impact job satisfaction, and as a dimension of professional identity, professional enthusiasm has a significant impact on job satisfaction. Organizational cultural support significantly affects job satisfaction and organizational support mediates this relationship between professional identity and job satisfaction among medical social workers. Together, these findings suggest that organizational support and professional identity significantly impact the job satisfaction of medical social workers in China. Future studies should aim to promote professional enthusiasm and enhance organizational culture support to improve job satisfaction among medical social workers.

Soil-Transmitted Helminth Infections in Shanghai, China: Surveillance from 2014 to 2023.

Soil-transmitted helminthiasis remains a notable health problem in developing countries. In 1990 in Shanghai, a city in eastern China, 47% of the population was affected. Due to a series of comprehensive approaches, the prevalence decreased to 0.5% in 2009. We collected 10-year surveillance data to assess the epidemic situation of soil-transmitted helminth (STH) infections in Shanghai. Stool samples and questionnaires from participants were collected. The Kato-Katz technique was used to detect infections with Ascaris lumbricoides, hookworm (Ancylostoma duodenale and Necator americanus), and Trichuris trichiura. From 2014 to 2023, a total of 77,685 participants were screened for parasitic infections, and the overall prevalence of STH infections decreased from 0.1% to 0% in Shanghai. Of 77,685 participants, 25 (0.03%) were positive for intestinal helminths, with the most common parasite being A. lumbricoides (72.0%). Generally, elderly participants from rural areas with lower education levels were more likely to be infected with STHs. A total of 2,914 questionnaires were collected, and most respondents (72.6%) had good knowledge about the transmission routes of STHs. However, 12.3% of participants did not know the damage to health caused by STHs, and 19.3% had no idea of how to prevent infection. These data demonstrate the current state of STH infections in Shanghai. The results suggest that various comprehensive measures should be encouraged, continuously implemented, and strengthened accordingly so that STH elimination can be integrated into the Healthy China initiative by 2030.

Application of Anderson model to analyze the influencing factors of lung function test behavior in middle-aged and elderly people in China.

Lung function tests are valuable in assessing respiratory health and disease, and the Healthy China Initiative clearly states that people over 40 years of age should have a lung function test once a year. To explore the influence of propensity factors, ability factors, and need factors on lung function detection behaviors of middle-aged and elderly Chinese, the following studies are conducted. A questionnaire was designed using Anderson's model, and multi-stage sampling was used to conduct a nationwide questionnaire survey based on geographical subdivisions and population distribution. Frequency and percentages were used for descriptive statistical analysis of lung function testing among middle-aged and elderly people in China, and chi-square tests and binary logistic regression analyses were used to investigate the factors influencing lung function testing behavior among middle-aged and elderly people in China. A total of 404 study participants were included in this study. Education level (relative to primary school and below, middle school and high school and secondary school OR=2.652, P=0.018; college and above OR=4.566, P=0.002), mode of health care affordability (relative to those who paid for the test, non-payers OR=2.205, P=0.004), dimensions of the European Five Dimensional Health Scale (mobility OR=4.571, P=0.006; pain or discomfort OR=0.397, P=0.003; anxiety or depression OR=0.511, P=0.028), and self-efficacy (medium group 0R=0.294, P<0.001; low group OR=0.162, P=0.003) had a significant impact on lung function testing behavior in our middle-aged and older adults. This study found that there is still room for improvement in the participation of middle-aged and elderly people in lung function testing. Among the propensity factors, the factor that affects the rate of lung function tests is the highest degree of education, which determines the degree of patients' attention to lung function tests. Among the need factors, the factors affecting the rate of lung function detection are the physical conditions of middle-aged and elderly people, and those with poor physical conditions need medical detection. Among the ability factors, the factor that affects the rate of lung function tests is the way of bearing medical expenses, and economic status is the key factor that determines whether patients can accept lung function tests.

Leisure and Rural Elders: China’s Leisure Education Programmes Under the Rural Revitalization Strategy

The World Leisure Organisation’s Charter for Leisure outlines the right to adequate time for rest and for the pursuit of leisure activity. The right to leisure time and to participate in the cultural life of the community are significant for the wellbeing of a person. Leisure time refers to the remaining disposable time after completing various social responsibilities such as labour and professional activities, mainly used for entertainment, rest, and to meet spiritual and cultural needs. For older adults, mastering their leisure time is an important component of their lifestyle. However, the current situation is that doing household chores and helping the next generation take care of their children occupy a large part of their leisure time. Older adults’ decline in leisure activity participation is related to occurrence of diseases such as Alzheimer’s disease. Therefore, with the acceleration of the aging population in the world, monitoring the participation level of older adults in leisure activities and timely intervention has become an urgent task. China has an aging population, with the rural elderly population growing faster than the urban one. Data from the seventh national census in 2021 show that the proportion of people aged 60 and 65 and above in rural areas has reached 23.81 percent and 17.72 percent respectively, which are 7.99 and 6.61 percentage higher than the corresponding figure in urban areas. With the migration of young people to urban areas, rural older adults are left alone causing serious social concerns. Through the Healthy China initiative, many proactive policy initiatives are formulated for the older adults. Initiation of policies to improve the mental and physical well-being of older adults especially in the rural areas show the significance China attaches to solve the challenges faced by rural elders. Since leisure directly determines the happiness of the people, the Chinese government is increasingly attaching importance to leisure education for the people, and paying attention to adult leisure education in rural areas has become an important part of the rural revitalization strategy. Promoting rural adults’ leisure is significant for creating an environment for them to live happily in their later years. This complements the rural revitalization strategy to construct a beautiful countryside. In this backdrop, this paper discusses the various aspects of aging and leisure of rural elders and how it is integrated into the rural revitalization strategy of China. Even though China has rightly identified the problem of rural elder adults’ need for leisure activities, the paper argues that integrating rural elderly leisure with rural revitalization strategy has opened a new path of development for rural China.

Decomposition and comparative analysis of health inequities between the male and female older adults in China: a national cross-sectional study

BackgroundThis study aimed to examine the factors influencing self-rated health (SRH) among Chinese older adults by gender differences and provide suggestions and theoretical references to help make policies for older adults’ health concerns by government agencies.MethodsChinese Longitudinal Health Longevity Survey (CLHLS) in 2018 was adopted, the chi-squared test and the logistic regression analysis were performed to analyse self-rated health reported by Chinese female and male older adults and its influencing factors. In addition, Fairlie decomposition analysis was performed to quantify the contribution level of different influencing factors.ResultsAmong older adults, males (48.0%) reported a significantly higher level of good self-rated health than females (42.3%). Residence, body mass index (BMI), self-reported income, smoking, drinking, exercise, and social activity were the factors that influenced SRH reported by male and female respondents, with age, marital status and education reaching the significance level only in women. The Fairlie decomposition model can explain the underlying reasons for 86.7% of the gender differences in SRH, with self-reported income (15.3%), smoking (32.7%), drinking (42.5%), exercise (17.4%), social activity (15.1%) and education (-14.6%) being the major factors affecting gender differences in SRH.ConclusionsThe study results can help promote the implementation of the Healthy China Initiative, inform intervention measures, and offer new proposals on creating policies for older adults’ health issues by the Chinese government to improve health equity.

The development and application of a two-step surveillance process for Healthy China Initiative based on wide coverage interagency data

BackgroundHealthy China is a nationwide health strategy aiming at improving health from diverse dimensions, and strengthening high-quality assessment is essential for its stimulation. However, there is limited evidence in the surveillance of the actual performance of the initiative at regional levels. This study innovatively proposes a two-step surveillance process which comprehensively monitors Healthy China Initiative based on regional realities, thus provides guidance for policymaking.MethodsA flexible indicator system was firstly developed basing on Delphi survey and focus group discussions. And then the Analysis Hierarchical Process and the TOPSIS method were used to determine the weights of indicators and calculate comprehensive indexes as the surveillance outcomes. A pilot study was conducted in a typical area in China to verify the applicability of the process.ResultsFollowing the surveillance process and basing on the implementation of Healthy China Initiative in the target region, an indicator system comprised of 5 domains and 23 indicators with weights was first developed specifically for the pilot area. Then 1848 interagency data of the study area were collected from 8 provincial institutions/departments to calculate the indexes and ranks of the five domains which were health level, healthy living, disease prevention and control, health service, and healthy environment. The outcomes showed that Healthy China Initiative in the pilot area had been constantly improved since the strategy proposed, while there were still issues to be tackled such as the deficient monitoring mechanisms and unevenly development progress.ConclusionsThis study proposed a pragmatic surveillance process with indicators which could be tailored for specific context of target regions and produce meaningful surveillance outcomes to inform decision-making for policymakers, and also provided a theoretical foundation as well as empirical evidence for further health strategies and plannings assessment studies.

Research on Knee Injuries and Preventive Measures for University Students in The Context of Healthy China

In recent years, with the continuous promotion of the Healthy China Initiative, the whole society has begun to pay general attention to and pay attention to health problems, and people's health awareness has gradually increased. Scientific and reasonable sports can improve physical fitness, but wrong sports posture and unreasonable sports intensity and methods will cause sports injury. On the basis of analyzing the anatomical structure and function of the knee joint, this study investigates the knee injuries that often occur in university students' sports through questionnaire survey method, comparative analysis method and interview method to find out the causes and characteristics of the injuries and put forward the relevant preventive countermeasures.

Representing cervical cancer in a government social media health campaign in China: moralizing and abstracting women’s sexual health

This article analyses an award-winning film produced as part of the Chinese government’s ‘Healthy China Initiative’ to increase awareness of cervical cancer among young women. The film was designed to be social media friendly, using a more accessible popular style, and it achieved over 350 million views on Chinese social media. The aim had been to shift away from a tradition of more formal, authoritative public information content. Using multimodal critical discourse analysis in the broader tradition of critical health communication studies, the findings support other critics of Chinese public health information in relation to women’s reproductive health. Despite the accessible style, the authors find a highly conservative ideology of womanhood, where the actual nature of cervical cancer, caused by the very common Human Papillomavirus, is obscured in a highly moralized message about sexual abstinence. The film also represents a view of Chinese health services that glosses the difficulty of access for many, as well as public concerns about corruption and clientelism.

Construction and Exploration of Model for Training Excellent Nursing Professionals

The cultivation of excellent nursing professionals is an important guarantee of competent human resources essential to the implementation of the national strategy of Healthy China initiative. In the face of the health needs of the whole life cycle and the nursing development driven by emerging technologies, the training of excellence nursing professionals is confronted with new requirements and challenges. In order to cope with the new demands at home and abroad for the training of high-quality nursing staffs, meet the needs for health services that are based on precision, the whole population, the whole life cycle, and individualized care in the new era, and cultivate outstanding nursing staffs with clinical critical thinking skills, nursing decision-making skills, innovative research and practice ability, whole life cycle nursing knowledge and skills, and the ability to keep pace with the times, we wrote this paper to help clarify the needs and challenges of training excellent nursing staffs in China. Herein, taking "precision nursing of health and disease in the whole life cycle" as the core and utilizing the personnel training principle of emphasizing foundation, strengthening ability, improving quality, and promoting personality, we elaborated on the construction of the training model of excellent nursing staffs and suggested that efforts should be made in the following areas, setting up training objectives with a scientific orientation, setting up in a targeted way the knowledge system and the curriculum system, organizing the teaching mode reform into different types and implement them accordingly, making innovations in instructional methodology, and building up high-level teaching faculties. We explored for a path for training excellent nursing talents, a path that has Chinese characteristics and that can be further developed in a sustainable way, which will lay the foundation for attaining the strategic goal of Healthy China initiative.

Exploration and Practice of Health Communication in Hospital Under the Background of the Healthy China Initiative

Along with the increasing quality of human life, people pay more attention to healthcare. Public health and one's health have become daily issues. As a branch of communication, more and more scholars pay attention to health communication studies. Supported by the Healthy China Initiative, health communication study has ushered in a new development opportunity. This paper elaborates on the specific practices of health communication in a provincial hospital from three dimensions: (1) how to empower communication with the Healthy China Initiative; (2) the effects of health communication; (3) health communication strategy analysis.

Necessity and Strategies for Developing Food Education in China

Food education is an integrated education. From the three-dimensional perspective of implementing the Healthy China Initiative, residents’ nutritional status, and adolescents’ health data, the necessity of developing food education in China is analyzed, the main problems existing in food education are summarized, and strategies for developing food education are proposed in this paper.

Insights from COVID-19: Reflecting on the Promotion of Long-Term Health Policies in China.

China announced the Healthy China Initiative (2019-2030) in 2019, an action program aimed to support the country's current long-term health policy, Healthy China 2030, which focuses on public health promotion and health awareness. Following the implementation of the policy, China had the COVID-19 pandemic, which had an influence on both the public's degree of health awareness and the adoption of the HCI. This research examines whether the COVID-19 epidemic has increased public understanding and acceptance of China's long-term health policy. In addition, it analyzes whether the Chinese public's awareness of health policy has been impacted by China's usage of smart healthcare in its response to the pandemic. To correspond to these study aims, we used a questionnaire based on the research questions and recent relevant research. The results of the study, based on an examination of 2488 data, demonstrate that the Healthy China Initiative is still poorly understood. More than 70% of respondents were unfamiliar with it. However, the results imply that respondents are becoming more aware of smart healthcare and that public acceptance of official health policies can be aided by the sharing of knowledge about this. As a result, we examine the situation and draw the conclusion that the spread of cutting-edge health-related technology can enhance the communication of health policy and provide participants and policymakers with fresh insights. Finally, this study also can provide lessons for other countries in the early stages of policy dissemination, particularly health policy advocacy and promotion during epidemics.

Causal effects and functional mechanisms of the Internet on residents' physical fitness-An empirical analysis based on China family panel survey.

Physical fitness is an essential part of a healthy lifestyle that concerns the overall health of the nation. Research on the relationship between the Internet and physical fitness has long been caught in the dilemma of "media mobilization" and "media suppression," and previous studies have rarely examined the causal relationship and functional mechanism. This study selected the data of 23,989 samples successfully followed in all three surveys of the China Family Panel Survey (CFPS) from 2014 to 2018 to explore the correlation and causal inference between the Internet and physical fitness by using the Time Fixed Effects Model and cross-lagged models, respectively; meanwhile, the data of 24,687 samples in CFPS 2020 to examine the functional mechanism of the Internet's effect on residents' physical fitness behavior by the KHB method. We obtained three valuable conclusions as follows: First, there is a significant correlation between the Internet and physical fitness behavior. Second, the Internet use is the cause for the increase in fitness frequency, and there is a rival relationship between Internet duration and fitness time. Third, under regular prevention and control of the COVID-19 epidemic, social capital and health risk perceptions are the functional mechanisms of the Internet influencing fitness behavior, and the mediating effect of psychological health risk perceptions is higher than that of social capital. It's necessary to create an intelligent, informative, and digital sports public service system by enriching and optimizing sports media and facilitating the Internet to serve residents' physical fitness better. The new concept of "Internet plus Fitness" will be of great significance in the implementation of the "Healthy China Initiative."

Inverted U-shaped relationship between education and family health: The urban-rural gap in Chinese dual society.

The Healthy China Initiative emphasizes family health. Education is an upstream determinant of health, which can both achieve upward mobility and cause class solidification. Using nationwide large-scale data collected in 2021, the present study explored the relationship between education and family health in the urban-rural dual society via Oaxaca-Blinder decomposition and propensity score matching. Our data revealed disparities in family health, educational attainment, household income, healthcare coverage, and job type between urban and rural China. An inverted U-shaped relationship existed between increasing years of education and family health. The upper limit was 17.1 years for urban residents and 13.7 years for rural residents, with limited health benefits from higher education obtained by rural residents. Mediated by work-family conflict, highly-educated people received gradually diminishing health returns. The results of the Oaxaca-Blinder decomposition showed that 25.8% of the urban-rural gap in family health could be explained by the disparity in education. Urban residents could translate cultural capital and economic capital into health capital to a greater extent. After propensity score matching, a robust, inverted U-shaped relationship was found between education and family health. The inverted U-shaped relationship was found to replace family health with self-rated health and quality of life. Family-centered public health and education programs, policies, and goals should be developed to break urban-rural dual structure barriers and advance social equity in China.

Strengthening public health systems in China

Strengthening public health systems in China

Estimating disability-adjusted life years for breast cancer and the impact of screening in female populations in China, 2015–2030: an exploratory prevalence-based analysis applying local weights

BackgroundMost cancer disability-adjusted life year (DALY) studies worldwide have used broad, generic disability weights (DWs); however, differences exist among populations and types of cancers. Using breast cancer as example, this study aimed to estimate the population-level DALYs in females in China and the impact of screening as well as applying local DWs.MethodsUsing multisource data, a prevalence-based model was constructed. (1) Overall years lived with disability (YLDs) were estimated by using numbers of prevalence cases, stage-specific proportions, and local DWs for breast cancer. Numbers of females and new breast cancer cases as well as local survival rates were used to calculate the number of prevalence cases. (2) Years of life lost (YLLs) were estimated using breast cancer mortality rates, female numbers and standard life expectancies. (3) The prevalence of and mortality due to breast cancer and associated DALYs from 2020 to 2030 were predicted using Joinpoint regression. (4) Assumptions considered for screening predictions included expanding coverage, reducing mortality due to breast cancer and improving early-stage proportion for breast cancer.ResultsIn Chinese females, the estimated number of breast cancer DALYs was 2251.5 thousand (of 17.3% were YLDs) in 2015, which is predicted to increase by 26.7% (60.3% among those aged ≥ 65 years) in 2030 (2852.8 thousand) if the screening coverage (25.7%) stays unchanged. However, if the coverage can be achieved to 40.7% in 2030 (deduced from the “Healthy China Initiative”), DALYs would decrease by 1.5% among the screened age groups. Sensitivity analyses found that using local DWs would change the base-case values by ~ 10%.ConclusionEstimates of DALYs due to breast cancer in China were lower (with a higher proportion of YLDs) than Global Burden of Disease Study numbers (2527.0 thousand, 8.2% were YLDs), suggesting the importance of the application of population-specific DWs. If the screening coverage remains unchanged, breast cancer-caused DALYs would continue to increase, especially among elderly individuals.

Spatial Distribution Characteristics of Public Fitness Venues in the Main Urban Area of Dalian from the Perspective of Urban Accessibility

In the context of the Healthy China initiative, studying the spatial distribution characteristics of urban sports venues will benefit sports venue planning in cities and promote the health of urban residents. Therefore, considering the main urban area of Dalian City as the study area, in this study, we investigated the spatial distribution characteristics of fitness venues and their accessibility through spatial and buffer zone analyses using data of public fitness venues, school sports venues, and the traffic road network. The conclusion is as follows: (1) In Zhongshan, Xigang, and Shahekou Districts, public fitness venues are more densely distributed in non-coastal areas. (2) Within 0–15 min, Xigang District showed the highest ratio of the public fitness venue service area (24.42%), which was followed by Shahekou (19.02%), Zhongshan (17.13%), and Ganjingzi Districts (4.82%). (3) The number of sports venues increased from 272 to 1117 when school sports venues were considered. Due to this, the service area ratio of fitness venues in all districts was increased, and the ranking was also changed. After this, Shahekou District had the highest ratio of the sports and fitness venue service area (55.65%), which was followed by Xigang (48.43%), Zhongshan (35.68%), and Ganjingzi Districts (11.91%). Therefore, solutions to introduce more school sports venues should be investigated to ensure a uniform spatial distribution of urban fitness venues. This study provides a reference to plan and develop fitness venues in cities.

Blood glucose measurement in Chinese adults, 2018

Objective: To analyze the status of measuring the blood glucose among Chinese residents aged 18 years and above and to provide a scientific basis for evaluating the Healthy China Initiative. Methods: China Chronic Disease and Risk Factor Surveillance were conducted in 298 counties/districts in China in 2018, covering 31 provinces (autonomous regions, municipalities). A multi-stage stratified cluster random sampling method selected permanent residents aged 18 years and above. Questionnaires collected demographic characteristics, blood glucose measurements, and significant chronic disease prevalence. Body measurements were conducted to collect body height, weight, and waist circumference; Fasting venous blood was collected from participants to measure FPG before OGTT-2 h was obtained among participants without a self-reported history of diagnosed diabetes. The analysis included 177 904 residents aged 18 and above. After being weighed, the blood glucose measurement rates of adults in different groups were compared. Results: Among adults who had not been diagnosed with diabetes, The blood glucose measurement rates of regular, prediabetes, and newly detected elevated blood glucose within 12 months were 32.0% (95%CI: 30.5%-33.5%), 39.5% (95%CI: 37.4%-41.6%) and 43.8% (95%CI: 41.0%-46.4%), respectively. The measurement rates were higher in females than males; urban was higher than rural. The blood glucose rates increased with age, education, and BMI. These differences were significant (P<0.05). Among the adults with diabetes, the blood glucose measurement rate within six months was 89.6% (95%CI: 88.4%-90.8%); the measurement rate was higher in females than in males and higher in the west than in east and central regions of China, with statistical significance (P<0.05). Among adults in the study who did not have 1 or 2 or ≥3 major chronic diseases, the blood glucose measurement rates within six months were 19.6% (95%CI: 18.4%-20.7%), 41.8% (95%CI: 40.1%-43.5%), 58.9% (95%CI:57.0%-60.7%),71.9% (95%CI: 69.0%-74.9%), respectively. The blood glucose measurement rate was on the rise and increased with the number of comorbidities (P<0.001). The blood glucose measurement rate of adults who did not have 1 or 2 major chronic diseases was higher in urban areas than in rural areas. The blood glucose rates increased with age, education, and BMI and the differences were significant (P<0.05). The blood glucose measurement rate of adults with ≥3 major chronic diseases was higher in females than in males (P<0.001), and there was no difference among other groups (P>0.05). Conclusion: It is necessary to promote blood glucose measurement in residents aged 18 years and above in China. Relevant departments should strengthen the publicity and education to promote regular blood glucose measurement for high-risk populations to improve the efficiency of preventing and treating diabetes and its complications.