Current Situation and Prospect of Pediatric Medicine in China

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to which treatment met expectations), followed by item 5 (satisfaction with how quickly treatment works), item 6 (satisfaction with how long treatment lasts), and item 8 (overall satisfaction of partner). Most sildenafil 100-mg subjects endorsed most items, consistent with substantial improvement. The sildenafil 50-mg group was similar, although with smaller frequencies for endorsing improvement of more difficult items. By contrast, placebo subjects endorsed mostly the easiest items, with only small number of subjects endorsing difficult items.  Conclusions: EDITS is a single-factor measure of ED treatment satisfaction. A PIM is instructive for how a patient will respond, overall and by treatment, to endorsing an item on EDITS given his underlying level of treatment satisfaction.

arthritis/hypertension, adults with diabetes/heart disease and arthritis/heart disease/ hypertension had significantly higher missed work days, while adults with diabetes/hypertension had significantly lower missed work days.  Conclusions: Average missed work days was differed by chronic condition combinations. Adults with combinations of diabetes/heart disease, arthritis/heart disease/ hypertension and arthritis/diabetes/heart conditions have high burden of disease in terms of reduced productivity while at work. Workplace health programs that address multiple health conditions at the same time should be implemented to reduce missed work days.

PIH41 Does the Mother’s Level of Education Influence Immunization Coverage?

INDIVIDUAL’S HEALTH – Health Care Use & Policy Studies

Mogere DM Great Lakes University of Kisumu, Kisumu, Kenya

Objectives: Immunization of children against vaccine preventable diseases such as tuberculosis, diphtheria, whooping cough, tetanus, poliomyelitis and measles is critical in reducing infant and child mortality. Getting reliable and accurate information on immunization coverage is useful for program planning and resource mobilization. The objective of the study was to establish immunization coverage among under- five children in a rural setting in Kenya. The study examined the influence of formal education of the primary care taker of the under-five children on immunization coverage and presence of child immunization cards in the households with under-five children.  Methods: A household baseline survey involving 6060 household members was carried out in Gucha South sub-county in Kisii County where 1199 heads of households were interviewed on a range of health issues one of them being the status of immunization of the under five children in their households. Fifty one percent of the respondents (617/1199) were primary care-takers of the under fives in the household.  Results: The study showed that 80% (200/250) of the under one children were fully immunized. Eighty six per cent (202/235) of care takers had child immunization cards. Among the caretakers who did not have immunization cards 96% (130/135) had completed primary level of education and below.  Conclusions: Level of education of the mother or primary care-taker has significant influence on immunization status of the under-five children. There is need to scale up level of education among women in the rural settings in order to equip them with the necessary knowledge to enable them have a better understanding on the need to fully immunize their children. PIH42 A Quality-Of-Life Study for People Aged 65 Years and Older in Hungary Németh N1, Gyuró M2, Boncz I2, Vajda R2, Ágoston I2, Elmer D2, Horváthné Kívés Z3 1Zala County Government Office, Zalaegrszeg, Hungary, 2University of Pécs, Pécs, Hungary, 3University of Pécs, Pécs, Hungary

Objectives: The aim of the study was to assess the factors affecting the quality of life for people aged above 65.  Methods: A quantitative, cross-sectional study was conducted among people aged above 65 by using non-random sampling. The exclusion criteria involved a disease causing significant disability. The question groups of the self-edited questionnaire were the following: socio-demographic data, the presence of chronic diseases, and social support. Validated questionnaires were used, such as Older People Quality of Life Questionnaire (OPQOL-35), EQ-5D, Geriatric Depression Screening Scale, WHOQOL-OLD questionnaire. Descriptive statistics, χ 2-test, ANOVA, and Kruskal-Wallis test, Mann-Whitney test were used with 95% probability level (p< 0.05). SPSS version 22.0 program was applied for data analysis.  Results: According to GDS, 22.7% of the persons suffer from mild and 10% of them have severe depression. Among them, significantly more people live on their own (60.0%; p= 0.027). EQ-5D score: 0.773. Values of people with primary school education (p= 0.029) and singles (p= 0.011) were significantly lower. Dimension related to death and dying of WHOQOL-OLD showed the lowest value. By raising the scores of perceptual skills (r= 0.187, p= 0.022), autonomy (r= 0.360; p< 0.001), and social participation (r= 0.406; p< 0.001) the health status index also increased. By raising the scores of social participation, those of autonomy also increased (r= 0.727, p< 0.001). According to OPQOL-35, the quality of life is significantly worse of women (p= 0.024), people with only primary education (p= 0.043), singles (p< 0.001), and persons suffering from severe depression (p< 0.001).  Conclusions: According to the findings, quality of life of the elderly is determined by social participation and the existence of a family. Particular attention should be drawn on revealing depression and its treatment, support of autonomy and social participation for especially singles, women, and people with only primary education. PIH43 Chronic Condition Combinations and Productivity Loss among Employed Non-Elderly Adults (18-64 Years) Meraya AM1, Sambamoorthi U2 1West Virginia University, Morgantown, WV, USA, 2West Virginia University, School of Pharmacy, Morgantown, WV, USA

Objectives: To examine the relationship between specific chronic condition combinations and productivity loss measure by missed work days among non-elderly employed adults.  Methods: Cross-sectional study design was implemented utilizing data from the Medical Expenditure Panel Survey (MEPS) for the years 2004, 2006, 2008, 2010 and 2012. Sample consisted of 5,190 employed non-elderly adults (18-64 years) with at least two of the following four chronic physical conditions: Arthritis, Diabetes mellitus, Heart disease, and Hypertension. Unadjusted and adjusted negative binomial regressions were conducted to examine the association between specific chronic condition combinations and missed work days. All analyses were conducted using survey procedures in Statistical Analysis System (SAS) 9.4.  Results: Adults with arthritis/diabetes/heart disease had the highest average missed work days (14.42). In the adjusted model, compared to adults with

PIH44 Current Situation and Prospect of Pediatric Medicine in China SHI H1, Xu L2, Huang L2 1Astrazeneca(China), Beijing, China, 2Astrazeneca (China), Beijing, China

Objectives: To provide advices for Chinese pharmaceutical companies by analyzing the current situation of international and Chinese pediatric medicine market and getting insight into Chinese market prospect.  Methods: Population and prevalence rate data of children disease were collected from National Health and Family Planning Commission of China. Children were divided into group 0-4 years old (group0-4) and group 5-14 years old (group5-14). Descriptive analysis was applied by Excel.  Results: There were 220 million children under 14, accounted for 16.4% of total population in China in 2013. The 2-week incidence of children diseases was 25.1%, and the number of sick children accounted for 20% of total sick patients in 2008. The analysis showed that respiratory system disease was the top disease in both groups. The total number of patients for both groups was 23.35 million and it accounted for more than 70% of total children diseases (79.8% for group0-4, 74.0% for group5-14). The prevalence rates of respiratory system disease were 16.1% for group0-4 and 7.4% for group5-14. The following disease was digestive system diseases which accounted for about 10% of total children disease (10.1% for group0-4, 9.1% for group5-14). The prevalence rates of digestive system diseases were 2.0% for group0-4 and 0.9% for group5-14,and the total number of patients for both groups was 2.9 million.  Conclusions: There was a large number of children and a high prevalence rate of children diseases in China. It would be prospective to develop pediatric medicine for Chinese pharmaceutical companies, especially in respiratory system disease and digestive system disease. PIH45 Assessment of Health System Productivity Change in Zambia, Using Malmquist Productivity Indices: A Focus on the Child Health Landscape Achoki T University of Washington, Seattle, WA, USA

Objectives: Zambia, like many other African countries has recently made steady efforts to address its pressing population health needs. This has been characterized by increased investment in health; decentralization of the health system and introduction of novel health technologies with a specific focus on child survival and other priority areas. We therefore sought to assess the productivity changes in the Zambian health system between 2004 and 2009.  Methods: We compiled a district level panel dataset comprising of under-five mortality rate, health intervention coverage and financial resources disbursed to the districts between 2004 and 2009. We used data envelopment analysis to calculate Malmquist indices of productivity and efficiency changes over time. Using regression techniques, we assessed the impact of socio-economic factors, such as educational attainment and household size on health system productivity.  Results: Overall, progress has been made in tackling under-five mortality and increasing health intervention coverage, but subnational trends reveal a deeply heterogeneous picture. On average, total factor productivity change increased by about 5%; largely driven by technology changes, at 4.3% and a marginal contribution from efficiency change at 0.6%. Within country comparisons, revealed a wide range in performance, with predominantly urban districts outperforming their rural peers. The capital city Lusaka, had the highest TFPCH of 2.03, in contrast to rural Katete, at a TFPCH of 0.77. Educational attainment impacted health system productivity positively, while household size had a negative impact.  Conclusions: Novel health technologies are essential in tackling the existing population health challenges. However, improvements in health system capacity to implement is a prerequisite for such health technologies to have the desired effect. Therefore, health systems stewards faced with pressing priorities and scarce resources are best served paying attention to innovative ways of increasing health system productivity without necessarily increasing resources. PIH46 Premature Birth and The Health Visitor Brantmüller É1, Szőke K1, Karácsony I2, Gyuró M3, Oláh A3, Boncz I3, Stromájer-Rácz T3, Pakai A4 1University of Pécs, Kaposvár, Hungary, 2University of Pécs, Szombathely, Hungary, 3University of Pécs, Pécs, Hungary, 4University of Pécs, Zalaegerszeg, Hungary

Objectives: The ratio for premature births in Hungary is higher compared to other members of the EU. The main objective of the study is to reveal some aspects of multifactorial background factors underlying premature birth, investigate the mental state of mothers before and after delivery and the analysis of the demand for support from the health visitor.  Methods: The target group was comprised of mothers with premature infants born in the last four years (n= 150). Convenience sampling was done within the target group. Self-edited and reported, anonymous questionnaires were distributed in February 2015. District health visitors collected 34 paper based questionnaires, 116 of them were received on Internet. SPSS v 13, descriptive statistics, Chi square and Fisher’s Exact test were used for data analysis.  Results: Planned pregnancy had a beneficial effect (p< 0.01), while