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This study assessed the association between accessibility of catering service venues and adolescents' alcohol use over the previous 30 days. The data were collected from cross-sectional surveys conducted in 2014, 2223 students at 27 high schools in Chaoyang and Xicheng districts, Beijing using self-administered questionnaires to collect the adolescents information on socio-demographic characteristics and recent alcohol experiences. The accessibility of, and proximity to, catering service venues were summarized by weights, which were calculated by multiplication of the type-weight and the distance-weight. All sampled schools were categorized into three subgroups (low, middle, and high geographic density) based on the tertile of nearby catering service venues, and a multi-level logistic regression analysis was performed to explore variance between the school levels. Considering the setting characteristics, the catering service venues weighted value was found to account for 8.6% of the school level variance of adolescent alcohol use. The odds ratios (OR) and 95% confidence intervals (CI) of drinking over the past 30-days among adolescents with medium and high accessibility of catering service venues were 1.17 (0.86, 1.57) and 1.47 (1.06, 2.02), respectively (p < 0.001 for trend test). This study addressed a gap in the adolescent drinking influence by the catering service venues around schools in China. Results suggest that the greater accessibility of catering service venues around schools is associated with a growing risk of recent drinking.

This study examined the impact of temporary air quality control measures on reducing pollutants during the 2022 Winter Olympics in China, utilizing real-time monitoring data from 2017 and 2022 to assess spatial and temporal variations in critical air pollutant concentrations. The results showed that concentrations of PM2.5, PM10, CO, SO2, and NO2 in the Beijing–Tianjin–Hebei region during the Olympic Games showed a marked decrease compared to the historical period, with reductions of 36.59%, 20.35%, 33.95%, 28.90%, and 22.70%, respectively. Significant north–south spatial differences were observed in Beijing, Tianjin, and Hebei Province during the Olympic period. The cities of Zhangjiakou, Chengde, Qinhuangdao, Beijing, and Tangshan showed the most significant pollution reduction. Based on assessments conducted during the Olympic period, it was noted that more than 95% of the daily average concentrations of pollutants are below the maximum values set by the World Health Organization for the interim target. Our research shows that provisional regulations effectively control the emission of air pollutants, providing a solid reference and basis for ensuring air quality during major international events. [ABSTRACT FROM AUTHOR]

Ground-level ozone ( O 3 ) is a well-known atmospheric pollutant aside from particulate matter. China as a global populous country is facing serious surface O 3 pollution. To detect the complex spatiotemporal transformation of the population exposure to ambient O 3 pollution in China from 2005 to 2019, the Bayesian multi-stage spatiotemporal evolution hierarchy model was employed. To insight the drivers of the population exposure to ambient O 3 pollution in China, a Bayesian spatiotemporal LASSO regression model (BST-LASSO-RM) and a spatiotemporal propensity score matching (STPSM) were firstly applied; then, a spatiotemporal causal inference method integrating the BST-LASSO-RM and STPSM was presented. The results show that the spatial pattern of the annual population-weighted ground-level O 3 ( P W G L O 3 ) concentrations, representing population exposure to ambient O 3 , in China has transformed since 2014. Most regions (72.2%) experienced a decreasing trend in P W G L O 3 pollution in the early stage, but in the late stage, most areas (79.3%) underwent an increasing trend. Some drivers on P W G L O 3 concentrations have partial spatial spillover effects. The P W G L O 3 concentrations in a region can be driven by this region's surrounding areas' economic factors, wind speed, and P W G L O 3 concentrations. The major drivers with six local factors in 2005–2014 changed to five local factors and one spatial adjacent factor in 2015–2019. The driving of the traffic and green factors have no spatial spillover effects. Three traffic factors showed a negative driving effect in the early stage, but only one, bus ridership per capita (BRPC), retains the negative driving effect in the late stage. The factor with the maximum driving contribution is BRPC in the early stage, but P M 2.5 pollution in the late stage, and the corresponding driving contribution is 17.57%. Green area per capita and urban green coverage rates have positive driving effects. The driving effects of the climate factors intensified from the early to the later stage. [ABSTRACT FROM AUTHOR]

Background As one of its Millennium Development Goals (MDGs), China has achieved a dramatic reduction in the maternal mortality ratio (MMR), although a distinct spatial heterogeneity still persists. Evidence of the quantitative effects of determinants on MMR in China is limited. A better understanding of the spatiotemporal heterogeneity and quantifying determinants of the MMR would support evidence-based policymaking to sustainably reduce the MMR in China and other developing areas worldwide. Methods and findings We used data on MMR collected by the National Maternal and Child Health Surveillance System (NMCHSS) at the county level in China from 2010 to 2013. We employed a Bayesian space-time model to investigate the spatiotemporal trends in the MMR from 2010 to 2013. We used Bayesian multivariable regression and GeoDetector models to address 3 main ecological determinants of the MMR, including per capita income (PCI), the proportion of pregnant women who delivered in hospitals (PPWDH), and the proportion of pregnant women who had at least 5 check-ups (PPWFC). Among the 2,205 counties, there were 925 (42.0%) hotspot counties, located mostly in China's western and southwestern regions, with a higher MMR, and 764 (34.6%) coldspot counties with a lower MMR than the national level. China's westernmost regions, including Tibet and western Xinjiang, experienced a weak downward trend over the study period. Nationwide, medical intervention was the major determinant of the change in MMR. The MMR decreased by 1.787 (95% confidence interval [CI]: 1.424-2.142, p < 0.001) per 100,000 live births when PPWDH increased by 1% and decreased by 0.623 (95% CI 0.436-0.798, p < 0.001) per 100,000 live births when PPWFC increased by 1%. The major determinants for the MMR in China's western and southwestern regions were PCI and PPWFC, while that in China's eastern and southern coastlands was PCI. The MMR in western and southwestern regions decreased nonsignificantly by 1.111 (95% CI -1.485-3.655, p = 0.20) per 100,000 live births when PCI in these regions increased by 1,000 Chinese Yuan and decreased by 1.686 (95% CI 1.275-2.090, p < 0.001) when PPWFC increased by 1%. Additionally, the western and southwestern regions showed the strongest interactive effects between different factors, in which the corresponding explanatory power of any 2 interacting factors reached up to greater than 80.0% (p < 0.001) for the MMR. Limitations of this study include a relatively short study period and lack of full coverage of eastern coastlands with especially low MMR. Conclusions Although China has accomplished a 75% reduction in the MMR, spatial heterogeneity still exists. In this study, we have identified 925 (hotspot) high-risk counties, mostly located in western and southwestern regions, and among which 332 counties are experiencing a slower pace of decrease than the national downward trend. Nationally, medical intervention is the major determinant. The major determinants for the MMR in western and southwestern regions, which are developing areas, are PCI and PPWFC, while that in China's developed areas is PCI. The interactive influence of any two of the three factors, PCI, PPWDH, and PPWFC, in western and southwestern regions was up to and in excess of 80% (p < 0.001)., Author(s): Junming Li 1, Juan Liang 2, Jinfeng Wang 3,4,*, Zhoupeng Ren 3, Dian Yang 3, Yanping Wang 2, Yi Mu 2, Xiaohong Li 2, Mingrong Li 2, Yuming Guo [...]

Rationale: Evidence for the association between fine particulate matter (PM2.5) and mortality among patients with tuberculosis (TB) is limited. Whether greenness protects air pollution-related mortality among patients with multidrug-resistant tuberculosis (MDR-TB) is completely unknown.Methods: 2305 patients reported in Zhejiang and Ningxia were followed up from MDR-TB diagnosis until death, loss to follow-up or end of the study (31 December 2019), with an average follow-up of 1724 days per patient. 16-day averages of contemporaneous Normalised Difference Vegetation Index (NDVI) in the 500 m buffer of patient's residence, annual average PM2.5 and estimated oxidant capacity Ox were assigned to patients regarding their geocoded home addresses. Cox proportional hazards regression models were used to estimate HRs per 10 μg/m3 exposure to PM2.5 and all-cause mortality among the cohort and individuals across the three tertiles, adjusting for potential covariates.Results: HRs of 1.702 (95% CI 1.680 to 1.725) and 1.169 (1.162 to 1.175) were observed for PM2.5 associated with mortality for the full cohort and individuals with the greatest tertile of NDVI. Exposures to PM2.5 were stronger in association with mortality for younger patients (HR 2.434 (2.432 to 2.435)), female (2.209 (1.874 to 2.845)), patients in rural (1.780 (1.731 to 1.829)) and from Ningxia (1.221 (1.078 to 1.385)). Cumulative exposures increased the HRs of PM2.5-related mortality, while greater greenness flattened the risk with HRs reduced in 0.188-0.194 on average.Conclusions: Individuals with MDR-TB could benefit from greenness by having attenuated associations between PM2.5 and mortality. Improving greener space and air quality may contribute to lower the risk of mortality from TB/MDR-TB and other diseases. [ABSTRACT FROM AUTHOR]