Xiyu Zhang

• Harbin Medical University

Objectives In the context of demographic structure and disease spectrum changes: to study the role of the medical insurance system in providing protection and risk resilience for middle-aged and elderly vulnerable groups who are prone to impoverishment by medical expenses (IME), identify the vulnerable points and propose recommendations for improvi...

Background In 2020, the World Federation Dental highlighted the importance of oral health in "Vision 2030," noting the widespread impact of oral disorders, which affected 3.5 billion people in 2019. Despite their prevalence, these disorders are often overlooked in healthcare due to their non-life-threatening nature. This study evaluates the global,...

Aims We aimed to assess changes in the burden of diabetes in the Western Pacific region (WPR) between 1990 and 2019, project future trends for 2020–2044, and identify the factors influencing these trends. Materials and Methods Data from the Global Burden of Disease Study 2019 were used to calculate the age‐standardised incidence rate (ASIR), age‐s...

Background Animal contact (AC) has emerged as a global public health concern, imposing a substantial disease burden with significant spatial and temporal disparities at global, regional, national and local levels. This issue poses a serious threat to harmonious coexistence between humans and nature. This study aims to analyze the Global Burden of D...

To explore impact of the propensity to coronavirus disease 2019 (COVID-19) vaccine/vaccination on influenza vaccination from willingness to behavior after COVID-19 pandemic among older adults in rural China. A combined study involving a cross-sectional survey for the willingness of influenza vaccination, a health education momentary intervention an...

Older adults in rural areas lack vaccination knowledge and health awareness, resulting in a low willingness to vaccinate. To examine the integration of health education with ecological momentary intervention (EMI) in rural older adults and develop strategies to increase vaccination rates and reduce the burden of respiratory infections in this vulne...

Infant hepatitis B vaccine coverage in China is high, with over 95% of infants immunized; however, high vaccine coverage can often mask low timeliness. The vaccination interval between the second and third doses is not clearly defined by immunization guidelines in China. This retrospective cohort study assessed the time interval distribution of hep...

Background Among the numerous comprehensive development bottlenecks caused by multidimensional poverty, health poverty is the most fundamental and fatal one. Therefore, the eradication of health poverty is the basis for achieving the United Nations Sustainable Development Goals(SDGs) of eradicating poverty and the World Health Organization's propos...

Introduction: Breast cancer (BC) is a malignant disease that occurs worldwide and poses serious health burden. Objectives: To assess the prevalence of BC burden in the Western Pacific region (WPR) from 1990 to 2019, and to predict trends from 2020 to 2044. The driving factors are analyzed and the region-oriented improvement measures are put forw...

Background: Light at night (LAN) is a physiological environmental factor related to thyroid cancer (TC). The spatial relationship between the number of TC incident cases, LAN, air pollution and other macro social factors and stationarity needs to be further examined to provide evidence for regional control of TC. Methods: Spatial econometrics me...

Background Air pollution has been identified as related to the diseases of susceptible population, but the spatial heterogeneity of its economic burden and its determinants are rarely investigated. The issue is of great policy significance, especially after the epidemic of COVID-19, when human are facing the joint crisis of health and environment,...

Background China’s medical insurance schemes and poverty alleviation policy at this stage have achieved population-wide coverage and the system's universal function. At the late stage of the elimination of absolute poverty task, how to further exert the poverty alleviation function of the medical insurance schemes has become an important agenda for...

Background Currently, breast cancer (BC) is ranked among the top malignant tumors in the world, and has attracted widespread attention. Compared with the traditional analysis on biological determinants of BC, this study focused on macro factors, including light at night (LAN), PM2.5, per capita consumption expenditure, economic density, population...

Background There are huge differences in female breast cancer mortality between urban and rural China. In order to better prevent breast cancer equally in urban and rural areas, it is critical to trace the root causes of past inequities and predict how future differences will change. Moreover, carcinogenic factors from micro-individual to macro-env...

Background The high incidence of catastrophic health expenditure (ICHE) among middle-aged and elderly population is a major deterrent for reducing the financial risk of disease. Current research is predominantly based on the assumption of spatial homogeneity of nationwide population characteristics, ignoring the differences in regional characterist...

Background As the fifth-largest global mortality risk factor, air pollution has caused nearly one-tenth of the world’s deaths, with a death toll of 5 million. 21% of China’s disease burden was related to environmental pollution, which is 8% higher than the US. Air pollution will increase the demand and utilisation of Chinese residents’ health servi...

Objective Middle-aged and older adults are more likely to suffer from chronic diseases because of their particular health characteristics, which lead to a high incidence of catastrophic health expenditure (CHE). This study plans to analyse the different factors affecting CHE in middle-aged and older adults with chronic diseases, target the vulnerab...

Facing with COVID-19 epidemic such a catastrophic health emergency, the mental health status of medical staff deserves attention. We conducted a two-stage of psychological status monitoring after the end of the assistance and 14 days of isolation, further targeted the vulnerable groups in need of intervention. The study is a cross-sectional survey...

Elite hospitals represent the highest level of Chinese hospitals in medical service and management, medical quality and safety, technical level and efficiency, which are also one of the important indicators reflecting high-quality medical resources in the region, and their spatial allocation is directly related to the fairness of health resource al...

Aims: Non-communicable diseases (NCD) drag the NCD patients' families to the abyss of poverty. Medical insurance due to weak control over medical expenses and low benefits levels, may have actually contributed to a higher burden of out-of-pocket payments. By making a multi-dimensional calculation on catastrophic health expenditure (CHE) in Heilongj...

Background To explore the psychological status and vulnerability characteristics of medical staff with the progress of the epidemic. Methods This study investigated the prevalence of mental problems of 2748 medical staff in four stages. The PHQ-9 (Patient Health Questionnaire), GAD-7 (Generalized Anxiety Disorder questionnaire), SSS (Somatization...

Background The vulnerability of cardiovascular disease (CVD) patients’ health abilities, combined with the severity of the disease and the overlapping risk factors, leads such people to bear the economic burden of the disease due to the medical services. We estimated the economic burden of CVD and identified the weak link in the design of the medic...

Background: In order to explore the psychological status and vulnerability characteristics of medical staff with the progress of the epidemic. Methods: This study investigated the prevalence of mental problems of 2748 medical staff in four stages. PHQ-9, GAD-7, SSS, Pittsburgh sleep quality index and PCL-C were used for the psychological evaluation...

Background: Facing the problems of unreasonable allocation of medical resources and health inequity, the layout of elite hospitals in China deserves further attention. This paper explores the unbalanced allocation of high-quality resources and its influencing factors in the development of China's health system , so as to provide reference for the r...

Background The vulnerability of cardiovascular disease (CVD) patients’ health abilities, combined with the severity of the disease and the overlapping risk factors, can cause such people to bear the economic burden of the disease due to the medical services.We estimated the economic burden of CVD，and identified the weak link in the design of the me...

Background: In light of the health poverty alleviation policy, we explore whether the New Rural Cooperative Medical System (NRCMS) has effectively reduced the economic burden of medical expenses on rural middle-aged and elderly people and other impoverished vulnerable groups. The study aims to provide evidence that can be used to improve the medic...