Cohort Profile: The China Health and Nutrition Survey-monitoring and understanding socio-economic and health change in China, 1989-2011
Cohort Profile: The China Health and Nutrition Survey-monitoring and understanding socio-economic and health change in China, 1989-2011
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DOI：
10.1093/ije/dyp322
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发表时间：
2010-12-01
影响因子：
7.7
通讯作者：
Zhang, Bing
中科院分区：
文献类型：
--
作者：
Popkin, Barry M.;Du, Shufa;Zhang, Bing
这项研究始于北卡罗来纳州（UNC）大学、查佩尔山（CH）首席研究员（PI）的愿望，希望能够跨空间和时间研究经济和社会变化如何影响一系列健康行为在一个大国。中国之所以被选中，是因为其经济和社会制度的独特开放。1986年，中国没有纵向调查，所有调查都是非常狭窄的健康、经济或人口调查。此外，任何调查的原始数据都不允许出境。自中国实行改革和开放政策以来，中国正在从一个面临饥荒和粮食极度短缺的国家转变为一个粮食供应满足基本需求的国家，粮食分配和销售系统正在发生重大转变的初步状态。在此背景下，两名哈佛大学的教员，巴里波普金和盖尔亨德森，一位中国学者，于1986年开始了会见一系列大学和政府官员讨论这项工作的过程。中国疾病预防控制中心（CCDC）（原中国预防医学科学院，CAPM）入选。在陈春明女士的领导下，CCDC非常热衷于通过这种方法来理解社会经济变化与健康之间的相互作用，并决定将学院的自有资金投入到这一倡议中，并达成了一项协议，重点是结果的出版，数据所有权和数据传播。没有一个供资机构认为可以采取这样的举措，美国机构获得了数据库以供使用和传播。因此，卡罗莱纳人口中心（CPC）提供的6万美元的小额赠款是启动第一次调查的唯一可用资金。中国健康与营养调查（CHNS）。目标是制定一项多用途的纵向调查，使该小组能够审查CAPM和这些学者感兴趣的一系列经济、社会、人口和健康问题。约翰·阿金教授加入了波普金和亨德森的初步工作。一旦该小组证明能够收集数据并将原始数据文件带出中国，就向国家儿童健康和人类发展研究所（NICHD）提交了一份项目申请，其中包括两波额外的CHNS数据收集。这是由NICHD资助的R01资助的，随后的所有调查波都是由NICHD资助的。直到后来，中国卫生部才认为这些调查很重要，并指示合作省份优先考虑长期合作。卫生部长和卫生部其他人员的积极参与为CHNS提供了重要的政治保护，并提供了持续的对口部分财政支持。
This study began with the desire of the University of North Carolina (UNC), Chapel Hill (CH) Principal Investigator (PI) to be able to examine across space and time the ways economic and social change affected a range of health behaviours in a large country. China was selected because of its unique opening up of its economic and social system. In 1986 no longitudinal surveys existed in China and all surveys were either very narrow health, economic or demographic surveys. Furthermore, no raw data from any survey had been allowed out of the country. Since China’s reform and open policy, the country was being transformed from one facing famine and extreme food shortages to one where the food supply addressed basic needs and the initial states of a major transformation of the food distribution and marketing system was occurring. With this as background, two UNC faculty members, Barry Popkin and Gail Henderson, a China scholar, began the process in 1986 of meeting a range of University and government officials to discuss this work. The Chinese Center for Disease Control and Prevention (CCDC)(formerly the Chinese Academy of Preventive Medicine, CAPM) was selected. The CCDC, under the leadership of Madame Chunming Chen, was very enthusiastic about the challenges of such an approach to understanding the interplay of socio-economic change and health and decided to invest the academy’s own funds to collaborate on this initiative.An agreement that focused on publication, data ownership and data dissemination of the results was established. No funding agencies thought such an initiative could be undertaken and the data base obtained by the US institution for use and dissemination. As a result, a small grant of $60000 from the Carolina Population Center (CPC) was the only available funding to initiate the first survey. The China Health and Nutrition Survey (CHNS) was established. The goal was to develop a multipurpose longitudinal survey that would allow the group to examine a series of economic, sociological, demographic and health questions of interest to the CAPM and these scholars. Professor John Akin joined Popkin and Henderson in work on the initial effort. Once the group proved able to collect the data and to get the raw data files out of China, a program project application was submitted to National Institute of Child Health and Human Development (NICHD) that included two additional waves of CHNS data collection. This was funded and all subsequent survey waves were funded by NICHD-funded R01s. Only later did the Chinese Ministry of Health decide the surveys were important, and the ministry instructed the collaborating provinces to place priority on longterm collaboration. The active involvement of the Minister of Health and others in the ministry has provided important political protection for the CHNS and also has provided continued counterpart partial financial support.