scholarly journals Health Risk Assessment Indicators for the Left-Behind Elderly in Rural China: A Delphi Study

2020 ◽  
Vol 17 (1) ◽  
pp. 340 ◽  
Author(s):  
Ruzhen Luo ◽  
Chunmei Zhang ◽  
Yanhui Liu
Keyword(s):  
Risk Assessment ◽  
Health Risk ◽  
Health Risk Assessment ◽  
Delphi Study ◽  
Index System ◽  
Urban Areas ◽  
Health Management ◽  
Assessment Index ◽  
Left Behind ◽  
Assessment Index System

In China, many young and middle-aged rural residents move to urban areas each year. The rural elderly are left behind. The number of the rural left-behind elderly is increasing with urbanization, but it is unclear which indicators can be used to assess their health condition. The health risk assessment index system was developed to improve the health level of the rural left-behind elderly. A two-round web-based Delphi process was used to organize the recommendations from fifteen Chinese experts in geriatrics, health management, social psychology who participated in this study. Meaningfulness, importance, modifiability, and comprehensive value of the health risk assessment indicators in the index system were evaluated. The effective recovery rates of the two-round Delphi were 86.67% and 92.31%, respectively. The judgement coefficient and the authority coefficient were 0.87 and 0.82, respectively. The expert familiarity was 0.76. Ultimately, the health risk assessment index system for the rural left-behind elderly consisted of five first-level indicators, thirteen second-level indicators, and sixty-six third-level indicators. The final indicators can be used to evaluate the health of the rural left-behind elderly and provide the basis for additional health risk interventions.

scholarly journals Construction of health risk assessment index system for  assessing the risk of  chronic diseases based on the concept of massive health

2020 ◽  
Author(s):  
Ran Hao ◽  
Meng Zhang ◽  
Nan Zhao ◽  
Peng Zhang ◽  
Rumeng Zhao ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Chronic Disease ◽  
Health Risk ◽  
Chronic Diseases ◽  
Health Risk Assessment ◽  
Index System ◽  
Evaluation Methods ◽  
Family Doctors ◽  
Assessment Index ◽  
Assessment Index System

Abstract Background : Massive health, a national strategy in China, calls for maintaining people’s health in an all-round way. This puts forward a new challenge for family doctors (FDs) to improve the ability of chronic diseases management. As the main service force in the community, FDs need to change the service concept and improve their management level of chronic diseases. In the background of massive health, we aimed to construct the health risk assessment index system (HRAIS), with the hope of helping FDs to carry out chronic disease management, especially to identify and monitor main chronic diseases and their risk factors in the community. Methods : Available health indexes, national health databases and chronic disease surveillance systems were reviewed to identify potential indexes and evaluation methods of the indexes. Delphi method was performed to establish the HRAIS, and the analytic hierarchy process was used to calculate the indexes weight. Results : The final HRAIS included 4 first-level indexes and 38 second-level indexes. We also determined the evaluation methods for the 38 indexes. The authority coefficient was 0.86. The Kendall’s W for the two rounds of Delphi consultation were 0.202 and 0.210, respectively ( p < 0.001). The weights of the first-level indexes from high to low were physiological health (0.4094), psychosocial health (0.2895), health-related behaviors (0.2047) and environment (0.0965). Conclusion : The HRAIS is a multi-dimension and multi-index tool, which can be used as a guideline for FDs in early screening, early intervention and classified management of main chronic diseases. Keywords : Chronic diseases, Health risk assessment, Index system, Family doctors, Massive health

Pollution levels and health risk assessment of particulate phthalic acid esters in arid urban areas

2017 ◽  
Vol 8 (1) ◽  
pp. 188-195 ◽  
Author(s):  
He-Hua Zeng ◽  
Hong-Xi Zhang ◽  
Xia Wu ◽  
Hong-Xin Gu ◽  
Li-Zhong Zhang ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Risk ◽  
Health Risk Assessment ◽  
Urban Areas ◽  
Phthalic Acid ◽  
Phthalic Acid Esters ◽  
Pollution Levels ◽  
Acid Esters

Analytical model for assessing collapse risk during mountain tunnel construction

2016 ◽  
Vol 53 (2) ◽  
pp. 326-342 ◽  
Author(s):  
Guo-Hua Zhang ◽  
Yu-Yong Jiao ◽  
Li-Biao Chen ◽  
Hao Wang ◽  
Shu-Cai Li
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Index System ◽  
Assessment Model ◽  
Tunnel Construction ◽  
Assessment Index ◽  
Assessment Index System ◽  
Geological Prediction ◽  
Tunnel Collapse ◽  
Mountain Tunnel

Risk management for safety in mountain tunnel construction is of great significance. However, existing research lags behind engineering applications. In this paper, the risk of mountain tunnel collapse is used as an example to illustrate a new assessment method based on case-based reasoning, advanced geological prediction, and rough set theory. First, the risk surroundings and risk factors involved in tunnel collapse are integrated and summarized, and a risk assessment index system is established for tunnel collapse. At the same time, because the dynamic response parameters obtained by the advanced geological prediction usually indicate a typical geological structure, sensitive response parameters are introduced in the assessment index system. Advanced risk assessment can be performed for tunnel sections at a certain distance ahead of the tunnel face. Second, the major risk surroundings and the advanced geological prediction results are analyzed for the tunnel under assessment. Cases with similar attribute characteristics are selected via comparison with previous cases. Attribute reduction and calculation of weights are subsequently performed for the risk surroundings and risk factors of similar cases based on the attribute significance theory of rough sets. Finally, index screening and objective weights are applied in the fuzzy comprehensive assessment model. The results of this paper can be used to improve the theoretical level and reliability of risk assessment in tunnel safety and serve as a reference for tunnel construction.

Application of the Evidence Theory in the Safety Evaluation of Tower Cranes

2012 ◽  
Vol 446-449 ◽  
pp. 2162-2167
Author(s):  
Su Ping Huang
Keyword(s):  
Risk Assessment ◽  
Index System ◽  
Safety Management ◽  
Evidence Theory ◽  
Safety Evaluation ◽  
Safety Risk ◽  
Assessment Index ◽  
Assessment Index System ◽  
Improved Algorithm

The safety management of tower cranes is a systematic engineering. Focused on the complexity and uncertainty of the safety evaluation of tower cranes, D-S evidence theory is applied to evaluate the the safety conditions of tower cranes in service, the safety risk assessment index system of tower cranes is built and the specific and improved algorithm of the evidence theory is given. through example calculation, this method is proved is feasible, effective and applicable in the safety evaluation of tower cranes.

Spatial variation and health risk assessment of fluoride in drinking water in the Chongqing urban areas, China

2020 ◽  
Vol 42 (9) ◽  
pp. 2925-2941 ◽  
Author(s):  
Dongsheng Zheng ◽  
Yonglin Liu ◽  
Lili Luo ◽  
Muhammad Zeeshaan Shahid ◽  
Dongming Hou
Keyword(s):  
Risk Assessment ◽  
Drinking Water ◽  
Health Risk ◽  
Spatial Variation ◽  
Health Risk Assessment ◽  
Urban Areas
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