Author
Anwen Zhang
Other affiliations: London School of Economics and Political Science
Bio: Anwen Zhang is an academic researcher from University of Glasgow. The author has contributed to research in topics: Mental health & Health care. The author has an hindex of 4, co-authored 15 publications receiving 173 citations. Previous affiliations of Anwen Zhang include London School of Economics and Political Science.
Topics: Mental health, Health care, Religiosity, Population, Ambulatory care
Papers
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TL;DR: Future efforts to reduce the burden of hypertension, particularly through the work of primary health-care providers, will need to improve access to, and use of, antihypertensive medications, paying particular attention to those with high value.
98 citations
TL;DR: Exploration of mechanisms suggests that religiosity buffers against stressors in ways in which school activities and friendships do not, and that depression spreads among close friends rather than through broader peer groups that affect religiosity.
Abstract: Depression is the leading cause of illness and disability in adolescence. Many studies show a correlation between religiosity and mental health, yet the question remains whether the relationship is causal. We exploit within-school variation in adolescents’ peers to deal with selection into religiosity. We find robust effects of religiosity on depression that are stronger for the most depressed. These effects are not driven by the school social context; depression spreads among close friends rather than through broader peer groups that affect religiosity. Exploration of mechanisms suggests that religiosity buffers against stressors in ways in which school activities and friendships do not.
70 citations
TL;DR: The findings suggest that China's health insurance system has been effective in boosting healthcare utilization and lowering OOP hospitalization expenditure, but there still remain challenges due to the less generous rural scheme, shallow outpatient care coverage, lack of insurance portability, and an underdeveloped primary healthcare system.
64 citations
King's College London1, New York University2, National University of Singapore3, University of New South Wales4, University of Hong Kong5, The University of Nottingham Ningbo China6, University of Georgia7, Yale University8, London School of Economics and Political Science9, University of Glasgow10, Fudan University11
TL;DR: The results published here are a synthesis of the top four research areas that represent the perspectives from some of the leading researchers in the field.
Abstract: The second King’s College London Symposium on Ageing and Long-term Care in China was convened from 4 to 5th July 2019 at King’s College London in London. The aim of the Symposium was to have a better understanding of health and social challenges for aging and long-term care in China. This symposium draws research insights from a wide range of disciplines, including economics, public policy, demography, gerontology, public health and sociology. A total of 20 participants from eight countries, seek to identify the key issues and research priorities in the area of aging and long-term care in China. The results published here are a synthesis of the top four research areas that represent the perspectives from some of the leading researchers in the field.
43 citations
TL;DR: For instance, this paper found that individuals who have more extravert and open personality traits report a higher mental health deterioration, while those scoring higher in agreeableness are less affected.
Abstract: Several studies have been devoted to establishing the effects of the COVID-19 pandemic on mental health across gender, age, and ethnicity. However, much less attention has been paid to the differential effect of COVID-19 according to different personalities. We do this using the UK Household Longitudinal Study (UKHLS), a large-scale panel survey representative of the UK population. The UKHLS allows us to assess the mental health of the same respondent before and during the COVID-19 period based on their "Big Five" personality traits and cognitive skills. We find that during the COVID-19 period, individuals who have more extravert and open personality traits report a higher mental health deterioration, while those scoring higher in agreeableness are less affected. The effect of openness is particularly strong: One more SD predicts up to 0.23 more symptoms of mental health deterioration in the 12-item General Health Questionnaire (GHQ-12) test during the COVID-19 period. In particular, for females, cognitive skills and openness are strong predictors of mental health deterioration, while for non-British White respondents, these predictors are extraversion and openness. Neuroticism strongly predicts worse mental health cross-sectionally, but it does not lead to significantly stronger deterioration during the pandemic. The study's results are robust to the inclusion of potential confounding variables such as changes in physical health, household income, and job status (like unemployed or furloughed).
33 citations
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TL;DR: A study of the prevalence, awareness, treatment, and control of hypertension in China and assessed their variations across many subpopulations, finding that among Chinese adults aged 35-75 years, nearly half have hypertension, fewer than a third are being treated, and fewer than one in twelve are in control of their blood pressure.
695 citations
TL;DR: An increasing burden of atherosclerotic CVD, declining mortality from haemorrhage stroke, and regional variations in CVD are features of the evolving epidemic of CVD in China.
Abstract: Cardiovascular disease (CVD) is the leading cause of death in China. To develop effective and timely strategies to cope with the challenges of CVD epidemics, we need to understand the current epidemiological features of the major types of CVD and the implications of these features for the prevention and treatment of CVD. In this Review, we summarize eight important features of the epidemiology of CVD in China. Some features indicate a transition in CVD epidemiology owing to interrelated changes in demography, environment, lifestyle, and health care, including the rising burden from atherosclerotic CVD (ischaemic heart disease and ischaemic stroke), declining mortality from haemorrhage stroke, varied regional epidemiological trends in the subtypes of CVD, increasing numbers of patients with moderate types of ischaemic heart disease and ischaemic stroke, and increasing ageing of patients with CVD. Other features highlight the problems that need particular attention, including the high proportion of out-of-hospital death of patients with ischaemic heart disease with insufficient prehospital care; the wide gaps between guideline-recommended goals and levels of lifestyle indicators; and the huge number of patients with undiagnosed, untreated, or uncontrolled hypertension, hypercholesterolaemia, or diabetes mellitus.
575 citations
TL;DR: As China deepens its health-care reform, it has the opportunity to build an integrated, cooperative primary health- care system, generating knowledge from practice that can support improvements, and bolstered by evidence-based performance indicators and incentives.
515 citations
Journal Article•
412 citations
Peking Union Medical College1, Yale University2, Harvard University3, Peking University4, Ghent University5, London School of Economics and Political Science6, University of Edinburgh7, Sun Yat-sen University8, University of Birmingham9, University of Oxford10, Fudan University11, Centers for Disease Control and Prevention12, Central South University13, Sichuan University14
TL;DR: China has substantially increased financial investment and introduced favourable policies for strengthening its primary health care system with core responsibilities in preventing and managing chronic diseases such as hypertension and emerging infectious disease 2019 (COVID-19).
291 citations