Urinary incontinence(UI)is a disease that quietly yet seriously impacts women's health and represents a global health burden that is often neglected.This study aims to systematically assess the prevalence and dyna...Urinary incontinence(UI)is a disease that quietly yet seriously impacts women's health and represents a global health burden that is often neglected.This study aims to systematically assess the prevalence and dynamics of female UI in China,and can inform further policies and have international implications.This study used three nationwide investigations:A national cross-sectional survey in 2021;another nationwide cross-sectional survey in 2006;and data regarding the institutions and physicians providing pelvic floor rehabilitation services from 2005 to 2019.The weighted prevalence of female UI and its subtypes,including stress UI(SUI),urgency UI(UUI),and mixed UI(MUI),were estimated as primary outcomes.Knowledge,attitude and care-seeking behaviors of UI were evaluated.It was found that the weighted prevalence of female UI was 16.0%(95%CI,13.3%–19.1%)with SUI remaining the predominant subtype(7.0%)in 2021,followed by MUI(6.5%)and UUI(1.9%).The estimated absolute number of Chinese adult women with UI was 85.8 million in 2021.52.7%(95%CI,45.9%–59.4%)of women were aware that UI was a medical condition,and only 10.1%of women with UI sought health care.After 15 years of development,there were 8400 pelvic floor rehabilitation institutions and nearly 10,000 relevant physicians in ChinaDthey were found to be associated with UI prevalence.The UI prevalence in China was significantly lower in 2021 compared to that in 2006.Despite the achievement,UI remains a public health problem,especially given China's fast aging and three-child policy.More innovations,especially those that can facilitate care seeking,are needed to address this prevalent yet treatable condition.展开更多
Plastic offers a new niche for microorganisms,the plastisphere.The everincreasing emission of plastic waste makes it critical to understand the microbial ecology of the plastisphere and associated effects.Here,we pres...Plastic offers a new niche for microorganisms,the plastisphere.The everincreasing emission of plastic waste makes it critical to understand the microbial ecology of the plastisphere and associated effects.Here,we present a global fingerprint of the plastisphere,analyzing samples collected from freshwater,seawater,and terrestrial ecosystems.The plastisphere assembles a distinct microbial community that has a clearly higher heterogeneity and a more deterministically dominated assembly compared to natural habitats.New coexistence patterns—loose and fragile networks with mostly specialist linkages among microorganisms that are rarely found in natural habitats—are seen in the plastisphere.Plastisphere microbiomes generally have a great potential to metabolize organic compounds,which could accelerate carbon turnover.Microorganisms involved in the nitrogen cycle are also altered in the plastisphere,especially in freshwater plastispheres,where a high abundance of denitrifiers may increase the release of nitrite(aquatic toxicant)and nitrous oxide(greenhouse gas).Enrichment of animal,plant,and human pathogens means that the plastisphere could become an increasingly mobile reservoir of harmful microorganisms.Our findings highlight that if the trajectory of plastic emissions is not reversed,the expanding plastisphere could pose critical planetary health challenges.展开更多
基金supported by the National Key Research and Development Program of China(2021YFC2701300,2023YFC2706000 and 2018YFC2002201)the National Natural Science Foundation of China(72104247)the National High Level Hospital Clinical Research Funding(2022-PUMCH-B-087,2022-PUMCH-A-023)。
文摘Urinary incontinence(UI)is a disease that quietly yet seriously impacts women's health and represents a global health burden that is often neglected.This study aims to systematically assess the prevalence and dynamics of female UI in China,and can inform further policies and have international implications.This study used three nationwide investigations:A national cross-sectional survey in 2021;another nationwide cross-sectional survey in 2006;and data regarding the institutions and physicians providing pelvic floor rehabilitation services from 2005 to 2019.The weighted prevalence of female UI and its subtypes,including stress UI(SUI),urgency UI(UUI),and mixed UI(MUI),were estimated as primary outcomes.Knowledge,attitude and care-seeking behaviors of UI were evaluated.It was found that the weighted prevalence of female UI was 16.0%(95%CI,13.3%–19.1%)with SUI remaining the predominant subtype(7.0%)in 2021,followed by MUI(6.5%)and UUI(1.9%).The estimated absolute number of Chinese adult women with UI was 85.8 million in 2021.52.7%(95%CI,45.9%–59.4%)of women were aware that UI was a medical condition,and only 10.1%of women with UI sought health care.After 15 years of development,there were 8400 pelvic floor rehabilitation institutions and nearly 10,000 relevant physicians in ChinaDthey were found to be associated with UI prevalence.The UI prevalence in China was significantly lower in 2021 compared to that in 2006.Despite the achievement,UI remains a public health problem,especially given China's fast aging and three-child policy.More innovations,especially those that can facilitate care seeking,are needed to address this prevalent yet treatable condition.
基金This work was supported by the Strategic Priority Research Program of the Chinese Academy of Sciences(XDB40020102)the National Natural Science Foundation of China(22193063,32071523,and 42007229)+3 种基金the State Key Laboratory of Marine Pollution Collaborative Research Fund(SKLMP/CRF/0004 and SKLMP/SCRF/0030)the Hong Kong Branch of the Southern Marine Science and Engineering Guangdong Laboratory(Guangzhou)Open Collaborative Research Fund(SMSEGL20SC02)the Hong Kong LNG Terminal Marine Conservation Enhancement Fund(MCEF20030)the Start-up Funds of The Hong Kong Polytechnic University(P0036173 and P0038311).C.L.acknowledges support from the Distinguished Postdoctoral Fellowship of The Hong Kong Polytechnic University(1-YWCE).We are grateful to all of the principal investigators for uploading sequencing data as an open access resource.We also thank Mr.Lifei Wang of Shandong University for his contribution in the sampling process,Miss Yanfei Wang of Shanghai University of Electric Power for her input in programming,Prof.Beat Frey of Snow and Landscape Research(WSL)for kindly providing information on the samples,and Prof.Huijun Xie of Shandong University,Prof.Yong-Xin Liu of the Chinese Academy of Agricultural Sciences,and Dr.Robyn J.Wright of Dalhousie University for their constructive comments on the manuscript.
文摘Plastic offers a new niche for microorganisms,the plastisphere.The everincreasing emission of plastic waste makes it critical to understand the microbial ecology of the plastisphere and associated effects.Here,we present a global fingerprint of the plastisphere,analyzing samples collected from freshwater,seawater,and terrestrial ecosystems.The plastisphere assembles a distinct microbial community that has a clearly higher heterogeneity and a more deterministically dominated assembly compared to natural habitats.New coexistence patterns—loose and fragile networks with mostly specialist linkages among microorganisms that are rarely found in natural habitats—are seen in the plastisphere.Plastisphere microbiomes generally have a great potential to metabolize organic compounds,which could accelerate carbon turnover.Microorganisms involved in the nitrogen cycle are also altered in the plastisphere,especially in freshwater plastispheres,where a high abundance of denitrifiers may increase the release of nitrite(aquatic toxicant)and nitrous oxide(greenhouse gas).Enrichment of animal,plant,and human pathogens means that the plastisphere could become an increasingly mobile reservoir of harmful microorganisms.Our findings highlight that if the trajectory of plastic emissions is not reversed,the expanding plastisphere could pose critical planetary health challenges.
