643例老干部健康体检患病情况分析

目的探讨影响老干部健康的主要疾病及预防策略。方法采用常规健康体检方法对我区643例老(≥60岁)干部进行全面体检及心电图、血液生化指标的检查,并以同时进行体检的1147例老年前期(50～59岁)干部作为对照。结果高脂血症、脂肪肝、高血糖、肾结石、高血压和前列腺增生为这些人群中患病率较高的前六位疾病。老年组中脂肪肝、高血压、高血糖和前列腺增生的患病率均高于老年前期组(P<0．05-0．005),高脂血症和肾结石的患病率在两组间均无显著性差异(P>0．05)。老年组心电图和超声心动图检查出现心肌缺血的改变均多于老年前期组(均P<0．005)。结论诸如高血压、高血糖等动脉硬化的高危因素在老年人中常见,定期健康体检是早期防治心血管疾病的有效方法。     

健康经济研究领域的潜在问题分析

从卫生服务的成本核算与定价、疾病负担与生命质量的测算、健康经济学技术分析方法的改进以及健康投资主体的微观化等六个方面阐述了当前健康经济研究领域的潜在问题。     

Mental load and work stress as two types of energy mobilization

A conceptual framework is presented in which mental load and stress are regarded as two distinct biobehavioural states in the work environment that differ in energy mobilization, mood and coping strategy. The framework combines two types of theory that are based on human performance research using laboratory tasks on the one hand and applied research in the work environment on the other. A high workload is regarded as an important but not a critical factor in the development of stress symptoms. Even under unfavourable conditions it is possible to work intensively and to be highly activated without feelings of strain or psychosomatic complaints. In contrast, working conditions that provide few possibilities for control and little social support or are associated with reduced well-being and increased health risks. The two states differ in activation, coping style and mood. A proper distinction is important not only for theory building but also for the reconstruction of the work environment. It may lead to recommendations that aim to enhance the work efficiency of employees while reducing the probability that stress responses will occur.     

Relationships among shiftworker eating habits, eating satisfaction, and self-reported health in a population of US miners

As part of a larger study on the health and safety of shiftworkers in the mining population by the US Bureau of Mines, the association between meal frequency, meal regularity, eating satisfaction and a self-reported health index was examined. Although the link between shiftwork and some health complaints, such as gastrointestinal disorders, has been established, the research needed to understand why this occurs has not been fully undertaken. Specifically, academic nutritional research has substantially ignored the question of how working irregular hours affects the eating behavior of industrial workers such as miners. In this study the eating habits of 101 surface mine workers were studied. It was found that working the day, afternoon/evening, and night-shifts was related to the number of meals eaten on those shifts and to the consistency of timing of those meals. The lowest eating satisfaction levels were reported by those who ate at different times on all shifts and who changed the number of meals eaten per day on each shift. Lowest self-reported health ratings were reported by those who changed the number of meals taken on each shift, rather than by those who ate one, two or three meals per day. These results are discussed in relation to the possible mechanisms contributing to gastrointestinal disorders and to coping mechanisms that could be adopted by shiftworkers.     

Evaluating employee assistance policy in an HMO-based alcoholism project.

One aspect of successful employee assistance program (EAP) implementation is the adoption of a formal, written policy, reflecting company commitment to EAP guidelines and goals. This study of criteria predictive of such policy adoption was conducted at the occupational alcoholism project of a New England health maintenance organization (HMO). Data on nearly 400 organizations contacted by occupational program consultants (OPCs) over a 20-month period were collected by questionnaire and interview. One third of these organizations adopted employee assistance policies and set about establishing formal programs. Stepwise multiple regression is the principal method used to pinpoint the correlates of policy adoption. Two of the most important of these are the attitudes of contact persons within the organization toward alcoholism and employee assistance programs, particularly their admission of alcohol problems within their social networks; and the consultants' persistence and marketing skills. The adopting organizations also had reputations for being progressive, and actively concerned about employee welfare; they tended to be large, their executives autonomous, and their union membership rates high. Inhibiting policy acceptance were fears that a written policy would jeopardize the reputation and image of the organization, and that an employee assistance program would remove internal control of personal procedures. The adequacy of the evaluative data and methods are discussed, and recommendations are offered in the interests of streamlining the efforts of OPCs and of achieving greater penetration of targeted organizations.     

A Group Approach to Fostering Self-Cohesion and Developmental Progression in Female Adolescent Group Home Residents

In this project, the applicability of David Wexler's (1991a,b) multi-model Program for Innovative Self Management (PRISM) to adolescent girls in group home placement was explored. The model is based on self-psychological and developmental theory. Originally developed for use in adolescent inpatient settings, PRISM utilizes cognitive-behavioral and relaxation techniques to equip the acting out adolescents with skills to better manage a wide array of emotions and behaviors. A modified version of PRISM was conducted in a group psychotherapeutic format with eighteen residents of two group homes, ages 14 to 18. The study reflected that the participants embraced the model and applied the skills with encouraging results. Recommendations for future research in this area are presented.     

健康与环境：人类未来的共同点——全球健康理事会第30届年会综述

全球健康理事会第30届年会侧重讨论了人类健康与生态环境的关系,尤其关注人口与城市化、妇女与儿童保健、生殖健康与艾滋病、卫生体制改革与资源整合等方面的国际研究新动向.     

鸡西市殡葬改革窥斑

殡葬改革,是移风易俗的重中之重,鸡西市从50年代至今,坚持不懈,取得了显著业绩。     

Empowering Patients Through Access to Information

The United States federal government is in the midst of an e- government revolution characterized by a shift from paper-based citizen-government interactions to electronic-based interactions. Driven by the demands of citizens and supported by the President and Congress, federal departments are redesigning the look and feel of their Internet presences, moving away from traditional bureaucracy- centred presentation of information to more usable citizen-centred presentations. The Department of Health and Human Services (HHS), the USA's principal federal agency tasked with protecting the health of all Americans and providing essential human services, has undertaken a massive reorganization of its e-health enterprise. The most publicly visible component of this reorganization is the hhs.gov portal website. This desperately needed portal - usability testing indicated that more than 60 per cent of visitors to the Department's original website failed to find the information they sought - provides easy access to the wealth of HHS information and links its diverse operating agencies. The new HHS portal simplifies citizen access to the Department by: decompartmentalizing information by removing content from bureaucratic silos² and rearranging it in a natural navigation scheme; tuning content and navigation features to ensure that all users have access to information tailored for them; presenting content in appropriate and citizen-preferred formats; and complying with federal accessibility regulations for blind and vision-impaired users. This paper presents a series of lessons learned during the development of the HHS portal, and results of usability testing to determine what common design features present accessibility problems particular to the blind and vision-impaired communities. These discussions of practical avenues to improving the accessibility and usability of e-health websites through appropriate and effective information designs are followed by our thoughts on the future of Internet architectures and the limitations of 'layering' technologies when striving for universal accessibility.     

Early Marriage in the United States

Despite drastic changes in the American family, a significant minority of Americans marry early. Using data from the National Longitudinal Study of Adolescent Health (N= 14,165), this study evaluates the prevalence and antecedents of early marriage in the United States. The results indicate 25% of women and 16% of men marry before age 23, and early marriage varies widely across a number of characteristics. Individuals who marry earlier are more likely to be from disadvantaged families, from conservative Protestant or Mormon families, to value their religious faith more highly, to have a high‐school diploma but a lower educational trajectory, and to cohabit before marriage. Scholars and policymakers interested in marriage should pay adequate attention to understanding and supporting these individuals’ marriages.