Venous Blood-Based Biomarkers in the China Health and Retirement Longitudinal Study: Rationale, Design, and Results From the 2015 Wave.

Blood biomarkers provide critical information about the health of older populations, especially in large developing countries where self-reports of health are often inaccurate due to lack of access to health care. However, it is very difficult to collect blood samples in representative population surveys in such countries. The China Health and Retirement Longitudinal Study (CHARLS), a nationally representative study of middle-aged and older Chinese, represents one of the first efforts to include blood biomarkers in a nationally representative survey of China. In the 2015 wave of CHARLS, 13,013 respondents located in 150 counties around China donated whole blood, which was assayed on a range of indicators. Here we describe the process of the sample collection, transportation, storage, and analysis and present basic statistics.

The Impact of Different Uses of the Internet on Farmers' Adoption of Soil Testing and Formulated Fertilization Technology in Rural China.

Soil testing and formulated fertilization technology can effectively solve the problem of the excessive and inefficient use of chemical fertilizers. Previous studies have found that the use of the Internet can increase the adoption of soil testing and formulated fertilization technology among farmers. However, they do not distinguish between the effects of the different uses of the Internet (with or without productive use) on the adoption of soil testing and formulated fertilization technology. This study investigates the Internet use of 5341 professional farmers in rural China in 2019, finding that 18.97% of them still use the Internet for only communication and entertainment and do not use any agricultural productive services on the Internet. The adoption rate of soil testing and fertilization technology among these farmers is only 23.77%, which is approximately 10 percentage points lower than that of farmers who use the Internet for productive purposes. The double robust model shows that the probability of the adoption of soil testing and formulated fertilization technology by farmers with productive use of the Internet increases by six percentage points, which is both statistically and economically significant. In the future, China should train more farmers to use the Internet for productive purposes; this will help more farmers, particularly those with low skills and low educational attainment, to use the Internet and play a positive role in promoting the Internet for green agricultural production techniques.

Accuracy of rural refractionists in western China.

PURPOSE: We assessed the prevalence and predictors of inaccurate refractive error among rural refractionists in western China. METHODS: A subset of primary school children with visual acuity (VA) ≤6/12 in ≥1 eye, undergoing subjective refinement by local refractionists after cycloplegic autorefraction in an ongoing population-based study, received repeat refraction by university optometrists for quality control. RESULTS: Among 502 children (mean age 10.5 years, 53.2% girls), independent predictors of poor (inaccurate by ≥1.0 diopter [D]) refraction by 21 rural practitioners (66.7% with high school or lower education) included hyperopia (odds ratio [OR], 4.2; 95% confidence interval [CI], 2.4-7.3, P < 0.001), astigmatism (OR = 3.8; 95% CI, 2.5-5.6; P < 0.001) and VA uncorrectable to >6/12 by the rural refractionist (OR = 4.7; 95% CI, 3.1-7.3; P = < 0.001). Among 201 children whose vision was uncorrectable in ≥1 eye by the rural refractionists, vision could be improved to >6/12 by the university optometrist in 110 (54.7%). We estimate vision could be so improved in 9.1% of all children refracted by these rural refractionists. A reason for inaccuracy in this setting is the erroneous tendency of rural refractionists to adjust instrument values for accommodation, even under cycloplegia. CONCLUSIONS: Rural refractionists in western China have little formal training and frequently fail to optimize VA among children, even when autorefractors are used. Training is needed emphasizing better use of automated refraction, particularly in children with astigmatism and hyperopia.