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SummaryThis paper examines the changing nuptiality pattern of rural China, particularly rural Anhui in relation to the planned social changes since 1949 and their effect on fertility. The data are from the 1/1000 Fertility Survey of China, conducted by the Family Planning Commission in 1982. Before the family planning programme was introduced to rural Anhui (1972), the changing nuptiality pattern was indirectly affected by the planned social changes; after 1972, the substantial increase in age at first marriage was mainly due to the family planning programme. More recently, the centrally controlled social structure is loosening, due to the economic reform and the nuptiality pattern seems to join the 1972 trend, suggesting that the dramatic change of nuptiality pattern during the early 1970s to early 1980s was a temporary one. But its effect on fertility is clear, and the shortening interval between marriage and first birth may bring difficulties for future population control in rural China.

SummaryThis paper examines the level and trend of fertility in Huaibei Plain, Anhui province, China, since 1950 and considers some determinants of fertility decline. The data used are from the 1/1000 survey of China which was conducted by the Family Planning Commission in 1982.Fertility decline among younger women (aged under 30) is largely due to later age at marriage, the marriage pattern of Huaibei Plain having changed from early and universal marriage to later and universal marriage. Current use of contraception suggests that the family planning programme, in particular the one-child policy (1979), has been the major determinant in fertility decline. The greatest decline in marital fertility occurred among women aged 35+ and is primarily due to contraceptive practice and induced abortion.

<b><i>Introduction:</i></b> Family history is an established risk factor for both cardiovascular disease (CVD) and diabetes; however, no study has presented population-based prevalence estimates of family histories of CVD and diabetes and examined their joint impact on prevalence of diabetes, CVD, cardiometabolic risk factors, and mortality risk. <b><i>Methods:</i></b> We analyzed data from a representative sample of the US adult population including 29,440 participants from the National Health and Nutrition Examination Survey (2007–2018) and assessed self-reported first-degree family history of diabetes and CVD (premature heart disease before age of 50 years) as well as meeting criteria and/or having risk factors for CVD and diabetes. <b><i>Results:</i></b> Participants with joint family history exhibit 6.5 greater odds for having both diseases and are diagnosed with diabetes 6.6 years earlier than participants without family history. Healthy participants without prevalent CVD or diabetes but with joint family history exhibit a greater prevalence of diabetes risk factors compared to no family history counterparts. Joint family history is associated with an increase in all-cause mortality, but with no interactive effect. <b><i>Conclusion:</i></b> Over 44% of the US adult population has a family history of CVD and/or diabetes that is comparable in risk to common cardiometabolic risk factors. This wide presence of high-risk family history and its simplicity of ascertainment suggests that clinical and public health efforts should collect and act on joint family history of CVD and diabetes to improve population efforts in the prevention and early detection of these common chronic diseases.

IMPORTANCE: High salt intake is associated with hypertension, which is a leading modifiable risk factor for cardiovascular disease. OBJECTIVE: To assess the association of a government-led, multisectoral, and population-based intervention with reduced salt intake and blood pressure in Shandong Province, China. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used data from the Shandong–Ministry of Health Action on Salt and Hypertension (SMASH) program, a 5-year intervention to reduce sodium consumption in Shandong Province, China. Two representative samples of adults (aged 18-69 years) were surveyed in 2011 (15 350 preintervention participants) and 2016 (16 490 postintervention participants) to examine changes in blood pressure, and knowledge, attitudes, and behaviors related to sodium intake. Urine samples were collected from random subsamples (2024 preintervention participants and 1675 postintervention participants) for measuring sodium and potassium excretion. Data were analyzed from January 20, 2017, to April 9, 2019. INTERVENTIONS: Media campaigns, distribution of scaled salt spoons, promotion of low-sodium products in markets and restaurants, and activities to support household sodium reduction and school-based sodium reduction education. MAIN OUTCOMES AND MEASURES: The primary outcome was change in urinary sodium excretion. Secondary outcomes were changes in potassium excretion, blood pressure, and knowledge, attitudes, and behaviors. Outcomes were adjusted for likely confounders. Means (95% CIs) and percentages were weighted. RESULTS: Among 15 350 participants in 2011, 7683 (50.4%) were men and the mean age was 40.7 years (95% CI, 40.2-41.2 years); among 16 490 participants in 2016, 8077 (50.7%) were men and the mean age was 42.8 years (95% CI, 42.5-43.1 years). Among participants with 24-hour urine samples, 1060 (51.8%) were men and the mean age was 40.9 years (95% CI, 40.5-41.3 years) in 2011 and 836 (50.7%) were men and the mean age was 40.7 years (95% CI, 40.1-41.4 years) in 2016. The ...