Prevalence rates

  • 文章类型: Journal Article
    背景:Hermansky-Pudlak综合征(HPS)是一种罕见的常染色体隐性遗传障碍,与多种临床表现相关,包括眼皮肤白化病,出血倾向,和全身性并发症。早期和准确的诊断对于医学干预和遗传咨询至关重要。我们旨在通过新生儿的遗传筛查来表征中国人群中HPS致病变异的患病率和谱。
    方法:使用下一代测序技术,对来自13个省的29,622名中国新生儿进行了HPS突变的遗传筛查。根据ACMG指南鉴定和分类病原变异。估计了患病率,并确定了潜在的热点变体。
    结果:在筛查的新生儿中,215个携带者与103个不同的致病变种被鉴定,包括两个带有其他错义变体的运营商。确定了七个基因的潜在热点变异,共同代表每个基因中超过20%的携带者。特别是,HPS3c.1838C>G变异只在中国人群中报道,暗示潜在的创始人效应。HPS在中国的患病率估计为2.84/1,000,000。
    结论:我们的研究为中国人群HPS的遗传景观提供了有价值的见解,协助遗传咨询,早期诊断,和管理策略。这些发现有助于提高中国对HPS的理解和管理。
    BACKGROUND: Hermansky-Pudlak Syndrome (HPS) is a rare autosomal recessive genetic disorder associated with varied clinical manifestations, including oculocutaneous albinism, bleeding tendency, and systemic complications. Early and accurate diagnosis is crucial for medical interventions and genetic counseling. We aimed to characterize the prevalence and spectrum of pathogenic variants of HPS in the Chinese population through genetic screening of newborns.
    METHODS: Genetic screening for HPS mutations was conducted in 29,622 Chinese newborns from 13 provinces using next-generation sequencing. Pathogenic variants were identified and classified according to ACMG guidelines. Prevalence rates were estimated, and potential hotspot variants were identified.
    RESULTS: Among screened newborns, 215 carriers with 103 distinct pathogenic variants were identified, including two carriers with additional missense variants. Potential hotspot variants in seven genes were identified, collectively representing over 20 % of carriers in each respective gene. Particularly, the HPS3 c.1838C>G variant was exclusively reported in the Chinese population, suggesting a potential founder effect. The estimated prevalence rate of HPS in China was 2.84/1,000,000.
    CONCLUSIONS: Our study provides valuable insights into the genetic landscape of HPS in the Chinese population, aiding in genetic counseling, early diagnosis, and management strategies. These findings contribute to enhancing the understanding and management of HPS in China.
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  • 文章类型: Journal Article
    很少有研究调查同一管辖范围内年轻人精神疾病的患病率。在目前的研究中,我们比较了新南威尔士州在押青年的三项大型调查数据,在2003年,2009年和2015年进行。我们检查了精神疾病的发病率,自我伤害和自杀行为,物质使用和童年创伤,发现随着时间的推移几乎没有一致的变化,尽管在某些精神疾病和药物使用方面观察到了一些波动。我们还将研究结果与普通人群的观察率进行了描述性比较,发现被拘留的年轻人在所有检查变量中表现出更高的水平。总之,这些数据表明,随着时间的推移,新南威尔士州被拘留的年轻人的福祉几乎没有改善。如果要防止年轻人陷入刑事司法系统,更好地识别和处理这些问题至关重要。
    Few studies have examined the prevalence of mental illness in young people over time within the same jurisdiction. In the current study, we compared data from three large surveys of youth in custody in New South Wales, conducted in 2003, 2009 and 2015. We examined rates of mental illness, self-harm and suicidal behaviours, substance use and childhood trauma and found little consistent change over time, though some fluctuations were observed regarding certain mental illnesses and substance use. We also descriptively compared findings with observed rates for the general population and found that young people in custody showed higher levels of all examined variables. In sum, these data suggest little improvement in the well-being of young people in custody in New South Wales over time. Better identification and treatment of these issues are vital if young people are to be prevented from becoming enmeshed in the criminal justice system.
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  • 文章类型: Journal Article
    对于低患病率疾病,我们考虑使用分组测试数据估计两组特定个体的比值比.从广义上讲,这两组可以分为“暴露者”和“未暴露者”。“通常在观察性研究中,未正确记录曝光状态。此外,诊断测试很少是完全准确的。所提出的模型考虑了诊断测试的敏感性和特异性不完善以及暴露状态的错误分类。对于模型的可识别性,我们利用内部验证数据,其中,通过简单随机抽样从原始样本中选择一个规模相当小的子样本,无需替换。采用伪最大似然法估计模型参数。将组测试方法的性能与针对不同参数配置的单个测试进行比较。进行了与COVID-19患病率相关的有限数据研究来说明该方法。
    For low prevalence disease, we consider estimation of the odds ratio for two specified groups of individuals using group testing data. Broadly the two groups may be classified as \"the exposed\" and \"the unexposed.\" Often in observational studies, the exposure status is not correctly recorded. In addition, diagnostic tests are rarely completely accurate. The proposed model accounts for imperfect sensitivity and specificity of diagnostic tests along with the misclassification in the exposure status. For model identifiability, we make use of internal validation data, where a subsample of reasonably small size is selected from the original sample by simple random sampling without replacement. Pseudo-maximum likelihood method is employed for the estimation of the model parameters. The performance of group testing methodology is compared with individual testing for different parametric configurations. A limited data study related to COVID-19 prevalence is performed to illustrate the methodology.
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  • 文章类型: Journal Article
    在一般人群中,在过去的几十年中,网络欺凌受害的患病率不断增加。然而,这些越来越多的数字在多大程度上影响了在门诊服务中寻求治疗的临床人群,这仍然是一个悬而未决的问题。本研究试图检查网络欺凌受害的增加是否也反映在临床门诊人群中网络欺凌受害的报道增加。此外,我们评估了在控制儿童虐待和离线同伴受害的历史时,网络欺凌经验在预测心理症状方面的增量贡献。为此,我们分析了2012-2021年间在大学门诊寻求心理治疗的N=827例门诊患者的常规数据,这些患者采用横断面研究设计.分析表明,在1980年至2002年出生的患者中,有8.3%的患者表示在青春期遭受网络欺凌的经历。报告的网络欺凌受害率从1980年至1987年出生的患者的1%至3%增加到2000年出生的患者的24%。逻辑回归显示,1995-2002年出生的患者报告网络欺凌受害的可能性是1980-1982年出生的患者的19倍。此外,分层多元回归分析表明,在控制儿童虐待和离线同伴受害后,网络欺凌受害在预测心理症状困扰方面占方差的增量比例(1%)。总之,这项回顾性调查表明,网络欺凌受害的临床相关性在频率和对病因的潜在贡献方面都有所增加。在临床护理和研究中提高对网络欺凌的关注似乎是合理和合理的。
    In the general population, prevalence rates of cyberbullying victimization have continuously increased over the past decades. However, the extent to which these increasing numbers affect clinical populations seeking treatment in outpatient services remains an open question. The present study sought to examine whether the increase of cyberbullying victimization is also reflected by increased reports of cyberbullying victimization in a clinical outpatient population. In addition, we assessed the incremental contribution of experiences of cyberbullying in the prediction of psychological symptoms when controlling for histories of childhood maltreatment and offline peer victimization. For this purpose, we analyzed routine data from N = 827 outpatients who had sought treatment at a University outpatient clinic for psychotherapy between 2012 and 2021 in a cross-sectional study design. Analyses showed that 8.3% of the patients born in the years 1980 to 2002 indicated the experience of cyberbullying victimization in their adolescence. The rate of reported cyberbullying victimization increased from 1 to 3% in patients born in the years 1980 to 1987 to 24% in patients born in the year 2000. A logistic regression revealed that patients born in the years 1995-2002 were up to nineteen times as likely to report cyberbullying victimization as patients born in the years 1980-1982. In addition, hierarchical multiple regression analyses indicated that cyberbullying victimization significantly accounted for an incremental proportion of variance (1%) in the prediction of psychological symptom distress after controlling for child maltreatment and offline peer victimization. In conclusion, this retrospective survey indicates an increase of the clinical relevance of cyberbullying victimization both in frequency of and potential contribution to etiology. Raising attention to cyberbullying in clinical care and research seems to be justified and warranted.
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  • 文章类型: Journal Article
    海湾合作委员会(GCC),在当地被称为Khaliji,是由六个阿拉伯国家组成的集团,包括沙特阿拉伯,巴林,科威特,阿曼,卡塔尔,阿拉伯联合酋长国(阿联酋)。亲密伴侣暴力(IPV)是上述地区的重大公共卫生问题,但是综合这一趋势的研究仍然很少。本叙事综述研究了居住在海湾合作委员会国家的Khaliji妇女中IPV患病率和频率的现有研究。这篇综述综合了关于身体暴力和性暴力的研究,情感虐待,控制亲密伴侣的行为。Khaliji妇女的IPV患病率很高:据报道,妇女面临伴侣的不同类型的虐待,即物理(7-71%),性(3.7-81%),财务(21.3-26%),和心理(7.5-89%),这是控制行为的高潮(36.8%),情感暴力(22-69%),社会暴力(34%)。GCC地区的现有研究表明,最受认可的IPV是心理虐待(89%),其次是性暴力(81%)。对相关因素内容的定性分析得出了四个显著的描述符,比如受害者的人口统计,社会文化因素,社会经济因素,与犯罪者有关的问题。对IPV的研究还处于起步阶段,很少有研究来自海湾合作委员会地区。前进的道路将需要制定文化上适当的干预措施,以解决Khaliji人群中IPV的独特风险因素,加强机构应对措施,提高对IPV受害者的认识和社会支持。
    The Gulf Cooperation Council (GCC), locally known as Khaliji, is a group of six Arab nations, including Saudi Arabia, Bahrain, Kuwait, Oman, Qatar, and the United Arab Emirates (UAE). Intimate partner violence (IPV) is a significant public health concern in the aforementioned region, but research that synthesises this trend has remained scarce. The present narrative review examines existing research on the prevalence and frequency of IPV among Khaliji women who inhabit the GCC nations. This review synthesised studies on physical and sexual violence, emotional abuse, and controlling behaviours perpetrated by an intimate partner. The prevalence rates of IPV among Khaliji women were observed to be high: women reported facing different types of abuse from their partners, namely physical (7-71%), sexual (3.7-81%), financial (21.3-26%), and psychological (7.5-89%), which is a culmination of controlling behaviour (36.8%), emotional violence (22-69%), and social violence (34%). Existing studies in the GCC region suggest that the most endorsed IPV was psychological abuse (89%), followed by sexual violence (81%). Qualitative analysis of the content of associated factors resulted in four significant descriptors, such as victim demographics, sociocultural factors, socioeconomic factors, and perpetrator-related issues. Research on IPV is still in its nascent stages, with very few studies emanating from the GCC region. The way forward will require developing culturally appropriate interventions that address the unique risk factors for IPV among the Khaliji population, strengthening institutional responses, and increasing awareness and social support for victims of IPV.
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  • 文章类型: Editorial
    饮酒前和饮酒游戏(DG)是世界各地许多不同国家的青少年和年轻人中常见的危险饮酒行为。然而,大多数关于这些行为的研究都是在少数国家的大学生样本中进行的。尽管与饮酒前和DGs相关的负面酒精相关后果的风险,这些活动在年轻人中相当普遍。在这个序言中,我们提供了预饮酒和DGs的定义,并广泛概述了全球年轻人中已知的预饮酒和DGs患病率。本特刊通过包括以下文章来解决文献中已知的空白:(a)使用不同的方法来检查饮酒前或DGs行为,(b)考虑影响这些行为的社会心理和环境因素,(c)检查年轻人对酒精政策和干预措施的看法。综合来看,本期特刊提供了关于世界各地年轻人如何以及为什么从事这些危险饮酒行为的国际观点,以及解决这些行为的潜在方法。
    Predrinking and drinking games (DGs) are common risky drinking practices among adolescents and young adults in many different countries around the world. However, most studies on these behaviors have been conducted with university student samples in a limited number of countries. Despite the risks of negative alcohol-related consequences associated with predrinking and DGs, these activities are quite prevalent among young people. In this prologue, we provide definitions for predrinking and DGs and an extensive overview of the known prevalence rates of predrinking and DGs among young people around the world. This special issue addresses known gaps in the literature by including articles which (a) use differing methodologies to examine predrinking or DGs behavior, (b) consider psychosocial and contextual factors that influence these behaviors, and (c) examine young people\'s perceptions of alcohol policies and interventions. Taken together this Special Issue offers an international view on how and why young people around the world engage in these risky drinking practices, and potential ways to address these behaviors.
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  • 文章类型: Journal Article
    背景:人们对这种流行病是否导致针对儿童的暴力和性虐待增加表示了相当大的关注。
    目的:本研究的目的是提供大流行前一年针对青少年的暴力和性虐待发生率,与大流行后一年相比。
    方法:对挪威12-16岁的两个样本进行了研究。9240名青少年的代表性大流行前样本(M年龄(SD)=14.11(0.88),在大流行一年后招募了一个样本,导致3540个应答(M年龄(SD)=14.5(0.96))。
    方法:在上课时间进行了一项在线调查,包括既定的暴力和性虐待暴露措施。评估了社会人口统计学特征。
    结果:成年人的性虐待增加了1.4个百分点,与大流行前一年相比,大流行期间父母的心理暴力减少了3.9个百分点。否则,在这两个时间段内,暴力和性虐待率保持稳定。在大流行期间,暴力和性虐待的风险因素被放大。
    结论:挪威,一个高收入的福利国家,采取措施抵消青少年大流行缓解行动的负担。这可能部分解释了对青少年的暴力行为没有增加的担忧。然而,一些青少年群体遭受暴力和性虐待的风险不成比例,令人担忧。随着时间的推移,应该跟进。
    Considerable concern is raised as to whether the pandemic has led to an increase in violence and sexual abuse against children.
    The present study objective is to provide rates of violence and sexual abuse against adolescents the year before the pandemic compared to one year into the pandemic.
    Two samples of Norwegian 12-16-year-olds were approached. A representative pre-pandemic sample of 9240 adolescents (M age (SD) = 14.11(0.88), and a sample recruited one year into the pandemic resulting in 3540 responses (M age (SD) = 14.5 (0.96)).
    An online survey was administered during school hours including established measures of violence and sexual abuse exposure. Sociodemographic characteristics were assessed.
    There was 1.4 percentage point increase in sexual abuse by an adult, and a 3.9 percentage point decrease in psychological violence by a parent during the pandemic compared to the year before the pandemic. Otherwise, violence and sexual abuse rates remained stable across these two time periods. Risk factors for violence and sexual abuse were amplified during the pandemic.
    Norway, a high-income welfare state, imposed measures to counteract the burden of the pandemic mitigation actions for adolescents. This might partly explain the absence of the feared increase in violence towards adolescents. The disproportionate risk for violence and sexual abuse for some groups of adolescents is however concerning, and should be followed up over time.
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  • 文章类型: Journal Article
    The COVID-19 pandemic has disrupted sexual health services among those most vulnerable to HIV acquisition, such as adolescent men who have sex with men (AMSM). We sought to characterize the changes in sexual-risk behaviors, HIV and other STI testing, and pre-exposure prophylaxis (PrEP) use among a longitudinal cohort of AMSM aged 13 to 18 years before and during the COVID-19 pandemic. We observed a significant decline in HIV testing and a marginal decrease in other STI testing since the pandemic began in March 2020. Outreach efforts and innovative remote delivery of sexual health services are needed to support access to healthcare services among AMSM as the pandemic persists.
    RESULTS: La pandemia de COVID-19 ha afectado la prestación de servicios de salud sexual para los más vulnerables, tales como los hombres adolescentes que tienen relaciones sexuales con hombres (AMSM; por sus siglas en ingles). En una cohorte longitudinal de AMSM de 13 a 18 años, examinamos los cambios en comportamientos sexuales de alto riesgo, la prueba de VIH, las pruebas de otras enfermedades de transmisión sexual, y el uso de Profilaxis Preexposición (PrEP) para el VIH antes y durante la pandemia. Desde el inicio de la pandemia en marzo de 2020, observamos una disminución significativa en la frecuencia de pruebas de VIH y una disminución marginal en la frecuencia de pruebas de otras enfermedades de transmisión sexual. Mientras persista la pandemia, serán necesarios más esfuerzos de divulgación e innovaciones en la prestación remota de servicios de salud sexual para apoyar el acceso a dichos servicios por parte de AMSM.
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  • 文章类型: Journal Article
    目前的研究旨在确定智能手机成瘾的水平和比例,鉴于电晕大流行,大学生的学业拖延;确定智能手机成瘾的差异,学术拖延,和生活质量的性别和研究阶段;并揭示了智能手机成瘾的学术拖延和生活质量的预测能力。方法:来自沙特大学的556名男女学生参加了这项研究,年龄从18岁到52岁不等。使用了学业拖延和生活质量的衡量标准,除了意大利智能手机成瘾的规模,它被翻译并检查了有效性和可靠性。结果:结果显示,37.4%的样本对智能手机使用上瘾,7.7%的人有很高的拖延症,平均拖延程度为62.8%。结果显示,根据性别和教育阶段,智能手机成瘾和生活质量没有统计学上的显着差异,虽然在学业拖延方面根据性别有统计学上的显著差异,有利于男性,并根据教育阶段有利于本科生。结果还显示,学术拖延和智能手机成瘾之间存在统计学上显著的正相关关系,智能手机成瘾与生活质量之间存在统计学上显著的负相关关系。发现生活质量与学业拖延之间存在负相关关系。结果还表明,可以通过学术拖延和生活质量来预测对智能手机的成瘾。
    The current study aims to identify the level and proportions of smartphone addiction, and academic procrastination among university students in the light of the Corona pandemic; identify the differences in smartphone addiction, academic procrastination, and quality of life according to gender and stage of study; and revealing the predictive ability of academic procrastination and quality of life for smartphone addiction. Methods: 556 male and female students from Saudi universities participated in the study, whose ages ranged from 18 to 52 years. Measures of academic procrastination and quality of life were used, in addition to the Italian scale of smartphone addiction, which was translated and checked for validity and reliability. Results: The results revealed that 37.4% of the sample were addicted to smartphone use, while 7.7% had a high level of procrastination, and 62.8% had an average level of procrastination. The results did not show statistically significant differences in smartphone addiction and quality of life according to gender and educational stage, while there were statistically significant differences in academic procrastination according to gender in favor of males, and according to stage of education in favor of undergraduate students. The results also revealed a statistically significant positive relationship between academic procrastination and smartphone addiction, and a statistically significant negative relationship between smartphone addiction and quality of life. A negative relationship between quality of life and academic procrastination was found. The results also revealed that addiction to smartphones could be predicted through academic procrastination and quality of life.
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  • 文章类型: Journal Article
    OBJECTIVE: To determine prevalence rates of non-partner and partner violence (IPV) in men and women from a population-based study.
    METHODS: We recruited 2,887 randomly selected respondents (1,464 women and 1,423 men) from three regions of New Zealand between 2017 and 2019. Face-to-face interviews using a questionnaire adapted from the WHO multi-country study on violence against women was used for data collection.
    RESULTS: Physical violence by non-partners was most commonly experienced by men (39.9% lifetime exposure) compared with 11.9% of women. More women (8.2%) experienced lifetime non-partner sexual violence compared with men (2.2%). About 29% of men and women reported at least one act of physical-IPV in their lifetime, and about 12.4% of women and 2.1% of men reported at least one act of lifetime sexual IPV. More women than men reported serious injuries, fear, and physical and mental health impacts following IPV experience.
    CONCLUSIONS: These findings indicate high prevalence of interpersonal violence exposure in the population, with marked gender differences in the types and impacts of violence reported.
    CONCLUSIONS: Study results call for the urgent implementation of violence prevention programs, and funding for both services to rehabilitate people who have perpetrated violence and services to support recovery of those affected.
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