The location of the Altai Mountains at the limits of both the Pacific and Atlantic influences implies that this mountain range is an important climatic boundary. Based on pollen data of 188 samples of a 390-cm core from Narenxia Peat in the southern Altai with a chronologic support of 11 accelerator mass spectrometry (AMS) dates, we reconstructed the Holocene climatic change at Narenxia Peat. The reconstruction revealed five stages of climatic change: a cold and dry latest deglacial (prior to ~11,500 cal. yr BP), a warm and wet early-Holocene (~11,500 to ~7000 cal. yr BP), a considerably cooled and dried middle Holocene (~7000 to ~4000 cal. yr BP), a resumed warm and wet late-Holocene (~4000 to ~1200 cal. yr BP), and a relatively cool and dry latest Holocene (past ~1200 years). The reconstructions of mean annual temperature (MAT) and mean annual precipitation (MAP) from Narenxia Peat well resemble the reconstructions of North Atlantic Oscillations (NAO) and El Niño–Southern Oscillations (ENSO). The resemblance implies that the Holocene millennial-scale changes in MAT and MAP in the Altai might have been causally associated with the variations in NAO and ENSO.
BackgroundLower health literacy is associated with poor quality of life (QOL) among patients with chronic disease; little is known about this relationship among the general population, especially for child and adolescent. To fill this gap, this paper aimed to investigate the association between health literacy and QOL in junior middle school students, and explore how QOL varies by health literacy.MethodsAn anonymous cross-sectional survey was conducted among junior middle school students (aged 12–15) from Shapingba district, Chongqing in China, and participants were recruited using stratified cluster sampling. Health literacy and QOL were measured using two validated scales, and quantified using a five-point Likert scale with health literacy classified as low, medium, or high. We used multivariable logistic regression to test adjusted association between health literacy and QOL.ResultsA total of 1774 junior middle school students were evaluated, with the mean age was 13.8 ± 1.0 and of whom 905 (51.0%) were male. About 25.5% of the research subjects had a low health literacy. When controlling for age, grade, family structure and other covariates, highest discrimination was found among participants with low to high health literacy. Overall, Students who equipped with higher health literacy was associated with greater QOL (P < 0.01), and this discrimination remained significant in subscales: physiological well-being (P < 0.01), mental well-being (P < 0.01), social well-being (P < 0.01) and pubertal well-being (P < 0.01).ConclusionsThe prevalence of low health literacy among junior middle school students in Chongqing area was relatively high, and inadequate health literacy may contribute to poorer QOL among junior middle school students. It merits further longitudinal studies to confirm the impact of health literacy on QOL. Overall, to improve students’ QOL, public health efforts for further improving awareness and enhancing effective promotion and education are urgently needed in junior middle school students, especially for low health literacy populations.
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