Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China.
Institute of Child and Adolescent Health of Peking University, School of Public Health, Peking University Health Science Center, Beijing, China.
J Adolesc Health. 2020 Nov;67(5S):S24-S31. doi: 10.1016/j.jadohealth.2020.07.023. Epub 2020 Nov 24.
This article explores differences between the current health status of adolescents and the targets set in Healthy China 2030 (HC2030).
Global and domestic policies and strategies relating to adolescent health were reviewed. Data from the Global Burden of Disease Study (1990-2016) and the Chinese National Survey on Students' Constitution and Health (1985-2014) were used to analyze time trends and geographical distributions of health indicators for adolescents aged 10-19 years in China.
The Chinese government has released many health policies over the past 3 decades. In this context, there has been a major decline in all-cause mortality and stunting. However, gaps between the current health status of adolescents and the targets set in HC2030 were numerous. The prevalence of obesity and poor vision increased rapidly, and few adolescents meet the physical activity and fitness targets set in HC2030. Urban/rural differences were marked for some indicators such as obesity, whereas for other indicators (e.g., stunting), there remained notable differences across provinces.
Many long-standing health problems of adolescents have improved, but new problems related to noncommunicable disease risks have emerged and should be a prominent focus for policy action under HC2030.
本文探讨了当前青少年健康状况与《健康中国 2030 规划纲要》（HC2030）目标之间的差异。
综述了全球和国内与青少年健康相关的政策和战略。利用全球疾病负担研究（1990-2016 年）和中国学生体质与健康调研（1985-2014 年）的数据，分析了中国 10-19 岁青少年健康指标的时间趋势和地理分布。
中国政府在过去 30 年发布了多项卫生政策。在此背景下，青少年全死因死亡率和发育迟缓率均大幅下降。然而，当前青少年的健康状况与 HC2030 目标之间仍存在许多差距。肥胖和视力不良的患病率迅速上升，很少有青少年达到 HC2030 设定的身体活动和健康目标。一些指标（如肥胖）存在城乡差异，而其他指标（如发育迟缓）在各省之间仍存在显著差异。
许多长期存在的青少年健康问题有所改善，但与非传染性疾病风险相关的新问题已经出现，应成为 HC2030 政策行动的重点。
