Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, China.
J Adolesc Health. 2020 Nov;67(5S):S14-S23. doi: 10.1016/j.jadohealth.2020.05.043. Epub 2020 Nov 24.
The purpose of the study was to propose a health indicator system responsive to current Chinese adolescent health needs and identify data gaps in current information systems.
We identified 186 keywords for adolescent health gathered from three sources: contributors to the burden of disease captured in the Global Burden of Diseases 2015, together with independent literature and expert desk reviews; major health-related policies released by the State Council of China; and global strategies issued by UN agencies over the past five years. All keywords were synthesized into indicators and ranked with core indicators identified through panel discussions and literature review. A further systematic review was conducted to identify data sources for each indicator.
We identified 100 indicators which we categorized into five dimensions: health outcomes including adolescent mortality and morbidity; health knowledge, skills and risk behaviors including smoking, physical activity; demographic and socioeconomic status including education or employment; responsiveness of the health service system including the provision of health education at school; and the physical and social environments including safe drinking water, secondhand smoke exposure, injuries, and bullying. In total, 72 indicators had nationally representative data, including 22 out of 24 core indicators (91.7%), 27 out of 33 potential core indicators (81.8%), and 23 out of 43 general indicators (53.5%). A large proportion of these indicators rely solely on data from school or household surveys.
The proposed health indicator system has the potential to rapidly identify shifting priorities for adolescent health in China but will require greater investment in primary data collection in neglected areas.
本研究旨在提出一个能响应当前中国青少年健康需求的健康指标体系，并确定当前信息系统中的数据空白。
我们从三个来源确定了 186 个青少年健康关键词：全球疾病负担 2015 年中捕获的疾病负担的贡献者，以及独立文献和专家桌面审查；中国国务院发布的主要卫生相关政策；以及过去五年内联合国机构发布的全球战略。所有关键词都被综合成指标，并通过小组讨论和文献综述确定核心指标进行排名。进一步进行了系统评价，以确定每个指标的数据来源。
我们确定了 100 个指标，将其分为五个维度：健康结果，包括青少年的死亡率和发病率；健康知识、技能和风险行为，包括吸烟、身体活动；人口和社会经济状况，包括教育或就业；卫生服务系统的反应能力，包括在学校提供健康教育；以及物理和社会环境，包括安全饮用水、二手烟暴露、伤害和欺凌。共有 72 个指标具有全国代表性数据，包括 24 个核心指标中的 22 个（91.7%）、33 个潜在核心指标中的 27 个（81.8%）和 43 个一般指标中的 23 个（53.5%）。这些指标中很大一部分仅依赖于来自学校或家庭调查的数据。
所提出的健康指标体系有可能快速确定中国青少年健康重点的变化，但需要在被忽视的领域投入更多资金进行初级数据收集。
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