[Parenting skills situation and need assessment among parents of primary school pupils].

OBJECTIVE: To investigate parenting skills and need among parents of primary school pupils and to explore influencing factors. METHODS: A total of 1 394 parents of rural and urban primary school pupils were recruited by multistage stratified random clustered sampling method. They were asked to complete a self-report questionnaire regarding demographic and socioeconomic backgrounds, parenting scale, parenting need assessment, parent-to-child interaction attitudes, social support, physical/mental maltreatment experiences in childhood and so forth. RESULTS: Apart from TV/film/broadcasting, rural parents' utilization of other parenting deliveries was less than that of urban parents. Urban and rural parents both had high needs for parenting skills. Parents' physical/mental maltreatment experiences in childhood were risk factors for dysfunctional parenting. Positive parent-to-child interaction attitudes and high social support were protective factors against dysfunctional parenting. Mothers, parents of boys, middle/low family incomes, and parents with positive parent-to-child interaction attitudes had higher demands for parenting skills. CONCLUSION: We should make full use of mass media, interpersonal communication to meet the needs of parenting for parents, especially rural parents. More attention should be paid to parents with childhood maltreatment experiences, low social support and less positive parent-to-child interaction attitudes.

Peer physical aggression and its association with aggressive beliefs, empathy, self-control, and cooperation skills among students in a rural town of China.

This study explored the prevalence of peer physical aggression (PPA) and its association with aggressive beliefs, empathy, self-control, and cooperation skills among 1,719 7th-to-9th-grade students in a rural town in the central China province of Henan. The data were collected by the self-administered questionnaire anonymously. Results showed that 17.9% of the students reported that they had one or more times of physical aggressive behaviors toward their peers in the past 12 months. The reported rate of PPA was significantly higher in boys (24.7%) than in girls (10.7%). After adjusting the factors of gender and grade, result of logistic regression analysis showed that having a higher level of aggressive beliefs was PPA risk factor; a higher level of self-control was protective factor, but there were no significant association between PPA and the factors of empathy and cooperation skills. These results indicated that helping students to decrease their aggressive beliefs and to improve their self-control skill would aid in the prevention of youth violence.

[A cross-sectional study on impaired fasting glycaemia and diabetes mellitus in residents from Nangang district, Harbin city].

OBJECTIVE: To investigate the detection rate of impaired fasting glycaemia (IFG), the prevalence of diabetes mellitus (DM) and related risk factors, the current situation on awareness, treatment and the rate of control on diabetes mellitus in residents living in Nangang district of Harbin city, Heilongjiang province. METHODS: A cross-sectional cluster sampling was carried out in residents aged over 35 years, living in Fendou community of Harbin city. RESULTS: Data from 3017 out of 3183 residents were analyzed. In men, women and overall residents, the detection rates of IFG were 5.38%, 2.44% and 3.75%, respectively. After standardization, the detection rates became 5.41%, 2.18% and 3.59%, respectively. The prevalence rates of DM were 12.40%, 8.46%, 10.21% and 11.80%, 8.20% and 9.77%, before and after standardization. Results showed statistical difference between age, sex and levels of fasting glycaemia. Data from single factor analysis revealed that smoking, BMI, hypertension and high triglyceride were risk factors on the levels of high fasting glycaemia. Results from multivariable stepwise analysis showed that sex, age, BMI, hypertension and high triglyceride were significant factors influencing the levels of high fasting glycaemia with the OR (95% CI) is 1.546 (1.250-1.912), 1.308 (1.171-1.461), 1.038 (1.010-1.066), 1.388 (1.106-1.741) and 1.700 (1.370-2.110), respectively. The rates on awareness, treatment and control in DM were 73.38%, 59.42% and 36.36% respectively. Among those who had knowledge on DM, the rates on treatment and on control were 80.97% and 61.20%. CONCLUSION: Our results showed that the prevalence of DM was high in the communities and it is essential to further increase the awareness, treatment and control rates on DM.

[Prevalence, awareness, treatment, and risk factors of hypertension in Harbin, Heilongjiang Province].

OBJECTIVE: To investigate the prevalence, rates of awareness, treatment, and control, and risk factors of hypertension among the residents in Harbin, Heilongjiang Province. METHODS: 5523 residents, 2325 males and 3198 females, aged 15 and over, underwent questionnaire survey to understand their general conditions, history of present disease, awareness of disease, treatment, working condition, etc, and measurement of blood pressure (BP), height, body mass, and serum glucose and triglyceride. RESULTS: The no-standardized prevalence of hypertension was 31.30% in general (1674/5348), 38.52% in the males (829/2152), and 26.44% in the females (845/3196). The corresponding standardized prevalence rates of hypertension were 24.91%, 37.72%, and 20.75% respectively. The rates of awareness, treatment, and control of hypertension were 57.41%, 32.74%, and 5.85% respectively. Multiple logistic regression analysis revealed that employment condition, family history of hypertension, alcohol consumption, body mass index, level of triglyceride and serum glucose were risk factors of hypertension. CONCLUSION: Hypertension is highly prevalent is highly prevalent and the rates of awareness, treatment, and control of hypertension are still rather low in Harbin.

[A cross-sectional study of impaired fasting glycaemia and diabetes mellitus in rural residents of Lanxi, Heilongjiang].

OBJECTIVE: To investigate the current status of impaired fasting glycaemia (IFG), diabetes mellitus (DM) and correlated factors, as well as on the awareness, treatment and control rate of diabetes mellitus in rural residents of Lanxi, Heilongjiang. METHODS: Cross-sectional and cluster sampling method was carried out on 3480 residents over 35 years of age, in rural residents of Lanxi Pingshan, Heilongjiang province. RESULTS: To male, female and all, the detecting rate of IFG were 5.06%, 4.38% and 4.68% respectively, and the standardization rate of IFG became 4.71%, 4.24% and 4.47% respectively. The prevalence rates of DM were 7.85%, 6.57% and 7.15% but after standardization, they became 7.22%, 6.62% and 6.80% respectively. Results did not show statistical difference between sex and the level of fasting glycaemia (chi2 = 2.725, P = 0.256). The prevalence rates of IFG and DM increased with age and difference was seen between age and fasting glycaemia level (chi2 = 58.115, P= 0.000). Data from multivariable stepwise analysis showed that age, smoking, BMI and high triglyceride were the significant factors in fasting glycaemia level, and the ORs (95% CI) were 1.518 (1.360-1.694), 1.277 (1.134-1.439), 1.187 (1.014-1.391) and 1.754 (1.385-2.220) respectively. The rates of awareness, treatment and control rate in DM were 12.74%, 9.43% and 4.72% respectively while the treatment rate among those who knew the disease was 74.07%. CONCLUSION: Our result showed that the isolating rate of IFG and the prevalence rate DM were high in this region, but the awareness, treatment and control rate in DM were low. It is essential to strengthen health promotion program on diabetic knowledge and to elevate the primary and secondary prevention in the rural of Heilongjiang, so as to raise the rate of control.

[Prevalence and risk factors of prehypertensive status in people from the rural area of Lanxi county, Heilongjiang province].

OBJECTIVE: To access the prevalence of prehypertensive stage and its associated risk factors in rural inhabitants from Lanxi county in Heilongjiang province. METHODS: Through cluster multistage and random sampling methods, local people aged > or = 15 years old in Lanxi county were selected. A survey on blood pressure and associated risk factors was carried out. Overnight fasting blood specimen of people aged > or = 35 years old was collected. Chi-square test, t-test and logistic regression analyses were then performed. RESULTS: 5272 residents were surveyed including 2539 male and 2733 female subjects. The overall prevalence of prehypertension was 36.34%. The prevalence of prehypertension appeared to be higher in males (39.50%) than in females (33.41%) (chi2 = 58.9887, P < 0.0001). The prevalence of prehypertension decreased with increasing age in men > or = 25 years old (chi2 = 96.0698, P < 0.0001), and in women > or = 35 years old (chi2 = 11.5784, P = 0.0208). Data from multivariable logistic regression showed that being male, aged (> or = 55 years old), with waist circumference as > or = 85 cm for men and > or = 80 cm for women, BMI > or = 25.0 kg/m2 and fasting plasma glucose > or = 7.0 mmol/L were risk factors of prehypertension while high-density lipoprotein cholesterol < 0.9 mmol/L was shown as a protective factor (OR = 0.740, P = 0.0036). Dose-response relationships were seen between prehypertension and age, BMI and FPG. CONCLUSION: Prehypertension was popular in the rural area, with high prevalence seen in teenagers. Programs on prehypertension prevention should start from teenagers. Risk factors of prehypertension increased when people became age 55 or older. There was a need to monitor BP more often and to control BP through non-drug methods.