公共卫生学院机构知识库

Institutional Repository, School of Public health

 

兰州大学机构库  > 公共卫生学院  > 期刊论文
题名: The Environment and Children's Health Care in Northwest China
作者: Trasande, L; Niu, JP(牛静萍); Li, JS; Liu, XR(刘兴荣); Zhang, BZ(张本忠); Li, ZL(李芝兰); Ding, GW(丁国武); Sun, YB(孙应彪); Chen, MC; Hu, XB; Chen, LC; Mendelsohn, A; Chen, Y; Qu, QS
收录类别: SCIE
出版日期: 2014-03-27
刊名: BMC PEDIATRICS
卷号: 14, 页码:-
出版者: BIOMED CENTRAL LTD
出版地: LONDON
英文摘要: Background: Industrialization in the northwest provinces of the People's Republic of China is accelerating rapid increases in early life environmental exposures, yet no publications have assessed health care provider capacity to manage common hazards. Methods: To assess provider attitudes and beliefs regarding the environment in children's health, determine self-efficacy in managing concerns, and identify common approaches to managing patients with significant exposures or environmentally-mediated conditions, a two-page survey was administered to pediatricians, child care specialists, and nurses in five provinces (Gansu, Shaanxi, Xinjiang, Qinghai, and Ningxia). Descriptive and multivariable analyses assessed predictors of strong self-efficacy, beliefs or attitudes. Results: 960 surveys were completed with <5% refusal; 695 (72.3%) were valid for statistical analyses. The role of environment in health was rated highly (mean 4.35 on a 1-5 scale). Self-efficacy reported with managing lead, pesticide, air pollution, mercury, mold and polychlorinated biphenyl exposures were generally modest (2.22-2.52 mean). 95.4% reported patients affected with 11.9% reporting seeing >20 affected patients. Only 12.0% reported specific training in environmental history taking, and 12.0% reported owning a text on children's environmental health. Geographic disparities were most prominent in multivariable analyses, with stronger beliefs in environmental causation yet lower self-efficacy in managing exposures in the northwestern-most province. Conclusions: Health care providers in Northwest China have strong beliefs regarding the role of environment in children's health, and frequently identify affected children. Few are trained in environmental history taking or rate self-efficacy highly in managing common hazards. Enhancing provider capacity has promise for improving children's health in the region.
关键词: Children's environmental health ; Practice ; Self-efficacy ; Survey ; Air pollution ; Industrializing world
作者部门: [Trasande, Leonardo ; Mendelsohn, Alan] NYU, Sch Med, Dept Pediat, New York, NY 10016 USA ; [Trasande, Leonardo ; Chen, Lung-Chi ; Chen, Yu ; Qu, Qingshan] NYU, Sch Med, Dept Environm Med, New York, NY 10016 USA ; [Trasande, Leonardo ; Mendelsohn, Alan ; Chen, Yu] Univ Sch Med, Dept Populat Hlth, New York, NY USA ; [Trasande, Leonardo] NYU, Wagner Sch Publ Serv, New York, NY 10016 USA ; [Trasande, Leonardo] NYU, Steinhardt Sch Culture Educ & Human Dev, Dept Nutr Food & Publ Hlth, New York, NY 10016 USA ; [Niu, Jingping ; Li, Juansheng ; Liu, Xingrong ; Zhang, Benzhong ; Li, Zhilan ; Ding, Guowu ; Sun, Yingbiao ; Chen, Meichi ; Hu, Xiaobin] Lanzhou Univ, Sch Publ Hlth, Lanzhou 730000, Gansu, Peoples R China
通讯作者: Trasande, L (reprint author), NYU, Sch Med, Dept Pediat, 227 East 30th St Rm 109, New York, NY 10016 USA.
学科分类: Pediatrics
文章类型: Article
所属项目编号: Fogarty International Center ; NIEHS [R24TW009562, R24TW009563]
语种: 英语
DOI: 10.1186/1471-2431-14-82
ISSN号: 1471-2431
WOS记录号: WOS:000335417000001
第一机构:
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.lzu.edu.cn/handle/262010/121818
Appears in Collections:公共卫生学院_期刊论文

Files in This Item:
File Name/ File Size Content Type Version Access License
The Environment and Children's Health Care in .pdf(521KB)----限制开放 联系获取全文

Recommended Citation:
Trasande, L,Niu, JP,Li, JS,et al. The Environment and Children's Health Care in Northwest China[J]. BMC PEDIATRICS,2014,14:-.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Altmetrics Score
 
Google Scholar
Similar articles in Google Scholar
[Trasande, L]'s Articles
[Niu, JP]'s Articles
[Li, JS]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Trasande, L]‘s Articles
[Niu, JP]‘s Articles
[Li, JS]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit
所有评论 (0)
暂无评论
 
评注功能仅针对注册用户开放,请您登录
您对该条目有什么异议,请填写以下表单,管理员会尽快联系您。
内 容:
Email:  *
单位:
验证码:   刷新
您在IR的使用过程中有什么好的想法或者建议可以反馈给我们。
标 题:
 *
内 容:
Email:  *
验证码:   刷新

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Email:
Passwd
验 证:
换一张
Have you forgotten your password? Log In
Copyright © 2007-2017  兰州大学 - Feedback
Powered by CSpace