Objective To explore the related factors of anxiety and gloomy mentality people aged 60-80 years and investigate the effectiue methods to intervention.Methods A follow-up study was proportional and carried out in Xicheng district of Beijing.Multi-phase,stratified,unequal cluster sampling was adopted to investigate old people in 2011 with WHO-QOL,Memorial University of Newfoundl and Scale of Happiness,Social Support Rating Scale,Self-Rating Anxiety Scale and Self-rating Depression Scale.2342 old people were randomly divided into control group and trial group.The trial group received health education,community social support,lightening the psychological stress in face to face,psychology guiding and group discussion.The control group received general observation only.Results Among 2342 old people,126 (5.3％) obtained anxiety and 201(8.6％) had gloomy mentality.The anxiety in the elderly was significantly related to age,marriment,culture,job,family type,family relationship,housing,income,medical insurance,retirement type,reading,keeping pets,character,training,feeling adjusting,life quality,subjective well-being,social support,depression (all P ＜ 0.05).The depression in the elderly was significantly related to gender,marriment,culture,job,family type,family relationship,housing,income,medical insurance,retirement type,reading,watching plays,character,feeling adjusting,drinking,training,life quality,subjective well-being,social support,anxiety (all P＜0.05).Scores of two groups had no significant difference before intervention.The change in scores of anxiety and depression in the trial group was obviously lower than in control group (P＜0.05).Conclusions The anxiety and gloomy mentality are common in old people aged 60-80 years in Xicheng District,which independently associated with related factors such as life quality,subjective well-being,social support and so on.After 6 months of treatment,the scores of anxiety and depression in the trial group is obviously lower than in control group.

Objective To investigate the impact of psychological intervention on Quality of Life(QOL) and to explore the suitable methods for the elderly in the community.Methods 2 342 community elderly aged 60~75 years old in Xicheng district,Beijng city were randomly divided into intervention group and control group.The former received psychological lecture,group psychological counseling and individual counseling while the latter received general observation only.Results Before intervention,the scores of two groups were not significant different.After intervention,the Phys,Psych,Ind,Socil,Envir and Overll of intervention group were significantly higher than those of the control group(P0.01).Conclusion psychological intervention can improve the QOL the elderly in community,psychological intervention for the elderly was strongly advocated.

Objective To describe the present situation of life quality among elderly people in urban communities,and to explore the related factors.Methods A survey on quality of life was carried out among elderly people aged 60-80 years old selected with stratified cluster random sampling in Xicheng district,by using WHO quality of life scale and Social Support Rating Scale.Results Of 2342 elderly people,91.9% might obtain the social support,and 6.3% with anxiety and 8.6% with mentality gloomy.The elderly people's life quality was significantly related to many related factors such as family types,family relationship,monthly income,retirement adjustment,emotion regulation,training,anxiety,gloomy and social support.(P0.05).Conclusion The elderly people aged 60-80 years old in Xicheng District have higher life quality and social support;the life quality is independently associated with some related factors.

BACKGROUND:In 2010 the Beijing Municipal Government promulgated a policy aimed at improving the quality of life and subjective well-being of elderly residents that included a component focused on mental health.AIM:Identify factors associated with subjective well-being in a representative sample of elderly residents of Xi Cheng District in Beijing.METHODS:This cross-sectional study administered a self-completion survey to a stratified random sample of 2342 residents of Xi Cheng District who were 60 to 80 years of age. The level of well-being was assessed using a validated Chinese version of the Memorial University of Newfoundland Scale of Happiness (MUNSH). Detailed socioeconomic variables were obtained using a questionnaire developed by the authors. Social support, anxiety, and depression were assessed using validated Chinese versions of the Social Support Rating Scale (SSRS), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS).RESULTS:Among the 2342 respondents, 1616 (69.0%) had a total MUNSH score of 32 or above, indicating a high level of happiness; 423 (18.1%) has a total SSRS score 32 or below, indicating poor social support; 201 (8.6%) had a total SDS score of 53 or above, indicating significant depression; and 126 (5.3%) had a total SAS score of 50 or above, indicating significant anxiety. In the multivariate regression analysis the self-reported level of depression was the most important factor related to well-being. Anxiety, social support, income level, the quality of family relationships, the ability to self-regulate emotions, and regular exercise were also significantly related to well-being; but gender, marital status, age and educational level were not associated with well-being.CONCLUSION:Among elderly urban residents in Beijing, self-reports of poor subjective well-being are closely associated with self-reports of depressive and anxiety symptoms and also associated with social factors such as social support, income level and family relationships. Prospective studies are needed to identify the causal relationships of these variables and, based on the findings, to develop targeted interventions aimed at improving the quality of life and well-being of elderly community members.

Objective:To investigate prevalence of dementia and related factors among people aged 65 and over in an urban of Beijing City based on two surveys carried out in the same area both in 1986 and 1997, and to analyze the dynamic change of dementia prevalence in the past two decades. Methods: Using cluster sampling, 1562 elderly aged 65 orand overabove were interviewed by a set of fully structured assessments in a one-stage process developed by the 10/66 group for dementia in an urban district of Beijing City. Dementia patients were diagnosed in accordance with ICD-10 criteria. Results:The prevalence rate of dementia among the elderly people in 2004 was 4.1%, which was similar to 1997's result (3.2%, ). There were no statistical differences among the three surveys on prevalence of moderate and severe dementia(2.8%,1.9%,and 1.8% respectively,P=0.192). The prevalence rates of dementia were increased with age.In 2004, the patients with AD were much more than those with VD (47.9%/45.8%). Conclusions:The three surveys in the same district during two decades show that the level of dementia prevalence is rather stable. The prevalence of dementia increased with age.

Objective: To evaluate feasibility of informant questionnaire of the Community Screening Instrument for Dementia(CSID) and related factors in a sample of community elderly population, and to investigate prevalence of suspectable dementia in the sampled people.Method: A total of 2267 people aged 65 and above in one rural area and one urban area in Beijing were recruited and their informants were assessed by the CSID informant questionnaire.Validity of CSID were evaluated according to the computerized diagnosis of 10/66 project and ICD-10.Result:The split-half reliability of CSID informant questionnaire was 0.85 and the consistency was more than 0.8.When the cutoff point of CSID was 6 or more, sensitivity was 86.2% and specificity was 93.2%.At meantime, the prevalence of suspectable dementia was 9.1%.Logistic regression analysis showed that the information obtained from informant as a spouse and from informant who lived in urban area was correlated with positive diagnosis of dementia.Conclusion:CSID informant questionnaire is valid as a screening instrument of dementia.Information from spouse is useful to identify the change of cognitive function of the elderly.

沙眼衣原体感染是最常见的性传播疾病之一.孕妇感染沙眼衣原体危害严重,除引起宫颈炎、尿道炎、子宫内膜炎等疾病外,还会发生早产、胎膜早破等不良妊娠结局,严重影响孕妇和新生儿健康[1,2].我国目前还没有将沙眼衣原体检测列入孕妇产前常规检查项目,因而有必要在进行产前检查的孕妇中开展有重点的筛检.为了解孕妇沙眼衣原体感染的危险因素,为产科医生在工作中对孕妇进行有重点的沙眼衣原体筛检提供参考,我们自2000年1月至2002年12月采用直接免疫荧光法,对825例孕妇进行沙眼衣原体检测,其中67例为阳性,报告如下.

目的了解北京市西城区社区居民非传染性疾病(慢性病)患病率以及相关行为因素的流行水平.方法按照分级系统抽样的方法,在北京市西城区抽取25岁以上常住人口进行问卷调查,共计调查社区居民2109人.结果在被调查者中,患心血管疾病568例(26.9%),患高血压和高脂血症分别为506例(24.2%)和377例(18.1%).515例(24.4%)吸烟,253例(12.0%)经常饮酒,1001例(47.9%)超重或肥胖,1251例(60.3%)规律地进行体育锻炼.结论北京市西城区社区居民慢性病患病率较高,行为危险因素较常见,应该有针对性地开展健康教育和健康促进活动.

精神疾病已成为我国疾病分类中较为严重的一类疾病,精神卫生问题也已作为突出问题引起社会广泛关注,现就精神卫生工作面临的形势和发展策略进行探讨.