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2026 Vol. 8, No. 15

Preplanned Studies
Prevalence and Distribution of Diarrhea and Constipation Among Older Adults Aged 65 Years and Older — 31 PLADs, China, 2024
Chi Zhang, Ying Liu, Yushan Zhang, Ji Shen, Yingchen Sang, Youjiao Wang, Houguang Zhou, Lei Wang, Shiwei Liu, Hong Shi
2026, 8(15): 429-435. doi: 10.46234/ccdcw2026.069
Abstract(1659) HTML (15) PDF 352KB(16)
Abstract:
What is already known about this topic?

Diarrhea and constipation are common gastrointestinal disorders among older adults that significantly impact quality of life and increase healthcare burden.

What is added by this report?

Using nationally representative data from the 2024 China Survey of Aging and Health (CAHS), this study found that the weighted prevalence of diarrhea and constipation among adults aged ≥65 years in China was 14.2% and 16.4%, respectively, with notable regional and demographic variations.

What are the implications for public health practice?

This study provides an epidemiological profile of gastrointestinal disorders in older Chinese adults and identifies high-risk populations and regions to inform targeted prevention and management strategies.

Intraocular Pressure and Its Association with Ocular Biometrics in Children and Adolescents — 10 PLADs, China, 2020–2024
Ran Qin, Yang Liu, Yan Chen, Hongtian Li, Jianmeng Liu, Xin Guo
2026, 8(15): 436-441. doi: 10.46234/ccdcw2026.070
Abstract(1359) HTML (17) PDF 454KB(4)
Abstract:
What is already known about this topic?

Intraocular pressure (IOP) is essential for ocular homeostasis and glaucoma prevention. However, its developmental patterns and associations with refractive errors in children remain incompletely understood.

What is added by this report?

This study identifies a biphasic IOP trajectory peaking in grade 6 (approximately age 12 years) (18.2±2.9 mmHg) and a pubertal reversal in sexual dimorphism, with higher IOP in prepubertal girls vs. in boys from grade 10 onward, significant by grade 12 [mean difference –0.5 mmHg; 95% confidence interval (CI): –0.9, –0.1], while challenging uniform IOP–myopia causality through grade-stratified analyses.

What are the implications for public health practice?

Findings support the implementation of grade- and sex-specific pediatric IOP monitoring to improve targeted prevention of pediatric glaucoma and promote overall ocular health. They also underscore the need for further research on IOP dynamics to better inform myopia management strategies.

Unintentional Injury Incidence Among Children Aged 0–5 Years — Changsha City, Hunan Province, China, 2024–2025
Yuying Jing, Yang Yuan, Danrui Liu, Li Li, Guoqing Hu
2026, 8(15): 442-447. doi: 10.46234/ccdcw2026.071
Abstract(1371) HTML (32) PDF 341KB(6)
Abstract:
What’s already known about this topic?

Unintentional injuries are a leading cause of morbidity and mortality in children. However, recent large population-based surveys in China remain limited.

What is added by this report?

This population-based survey reported a 12-month unintentional injury incidence of 9.12% [95% confidence interval (CI): 8.47, 9.81] among children aged 0–5 years. The incidence rates were higher in boys, preschoolers, and urban children than in girls, younger children, and rural children. Falls accounted for 69.2% of reported injuries, most of which occurred at home during play.

What are the implications for public health practice?

Home-based prevention efforts should prioritize boys and preschoolers.

Cigarette and E-Cigarette Use Among Adolescents Based on a Nationwide Survey — China, 2021
Kaiyuan Min, Ziyan Meng, Runping Ma, Qing Li, Juntao Yang
2026, 8(15): 448-453. doi: 10.46234/ccdcw2026.072
Abstract(1392) HTML (15) PDF 1036KB(1)
Abstract:
What is already known about this topic?

Adolescent cigarette and e-cigarette use remains common in China. Previous studies identified multiple individual-, family-, and school-related risk factors. However, national-level evidence distinguishing dual use from exclusive cigarette or e-cigarette use is limited.

What is added by this report?

A nationally representative survey of high-school students in 31 provincial-level administrative divisions in China produced updated estimates of tobacco use in 2021: dual (6.9%), cigarette (24.6%), e-cigarette (9.5%). Socio-ecological factors differed across statuses, and some preventive measures, including school-based tobacco education, had no associated use reduction.

What are the implications for public health practice?

Adolescent tobacco control should adopt differentiated strategies for dual/exclusive tobacco use, strengthen family/peer involvement, and improve school-based education program effectiveness.

Methods and Applications
National and Regional Lifetime Risk of Developing and Dying from Lung Cancer — China, 2023
Qian Mao, Zhenping Zhao, Maigeng Zhou
2026, 8(15): 454-459. doi: 10.46234/ccdcw2026.073
Abstract(1966) HTML (30) PDF 577KB(2)
Abstract:
Introduction

Lung cancer is the most commonly diagnosed malignancy and the leading cause of cancer-related mortality in China. However, the lifetime risk (LTR) of lung cancer in China remains poorly understood. This study aimed to provide national and regional estimates of LTR of lung cancer in China in 2023.

Methods

Lung cancer incidence and mortality data were sourced from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023. Population data were obtained from the China Statistical Yearbook and national census records. The lung cancer LTR was calculated using a standardized approach that accounts for multiple primary cancers.

Results

In 2023, the LTR of developing lung cancer in China was 6.52% [95% uncertainty interval (UI): 6.28, 6.56], while the LTR of dying from lung cancer was 5.98% (95% UI: 5.57, 6.26). Sex-specific analysis indicated that males had a higher risk, with 8.28% (95% UI: 7.74, 8.38) for developing and 7.61% (95% UI: 6.71, 8.19) for death, compared to 4.52% (95% UI: 4.30, 4.74) and 4.14% (95% UI: 3.81, 4.51), respectively, in females. The remaining LTR of lung cancer declined as the age at diagnosis increased. Marked geographic disparities were observed; the highest LTR was found in the northeastern region, followed by the eastern, northern, south–central, and southwestern regions, while the northwestern region had the lowest risk.

Conclusion

The estimated LTR of lung cancer in China is approximately one in 15 individuals and one in 17 deaths. The substantial regional variations in lung cancer risk highlight the need for targeted cancer control strategies and tailored healthcare planning.

Notifiable Infectious Diseases Reports