School of Public Health, and Department of Geriatrics of the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. Clinical Laboratory Center, Wuyi First People's Hospital, Wuyi, China. School of Health Policy and Management, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Department of Obstetrics, Women's Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, China. Department of Gynecology, Wuyi First People's Hospital, Jinhua, Zhejiang, China. Department of Science and Education, Wuyi First People's Hospital, Jinhua, China. School of Public Health, and Department of Geriatrics of the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China chianyoung@zju.edu.cn. Community and Environmental Health, Old Dominion University, Norfolk, Virginia, USA.