BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in childhood.There is growing evidence that both preterm birth and maternal education levels substantially affect the...BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in childhood.There is growing evidence that both preterm birth and maternal education levels substantially affect the likelihood of ADHD in children.However,there are limited systematic reviews and meta-analyses examining these associations.AIM To systematically review and conduct a meta-analysis on the association of preterm birth and maternal education level on the risk of ADHD in children.METHODS We conducted a comprehensive literature search across MEDLINE(PubMed),Web of Science,Embase,and the Cochrane Library,including studies published up to June 17,2024.Data synthesis was performed using random-effect models,and the quality of studies was assessed using the Newcastle-Ottawa Scale.RESULTS This study included twelve studies,which revealed a significant association between premature delivery and an increased risk of ADHD in children[odds ratio(OR)=2.76,95%confidence interval(CI):2.52-3.04,P<0.001,I^(2)=1.9%).Conversely,higher maternal education levels were significantly associated with a reduced risk of ADHD in children(OR=0.59,95%CI:0.48-0.73,P<0.001,I^(2)=47.1%).Subgroup analysis further indicated that maternal education levels significantly influenced ADHD risk,particularly in studies conducted in China(OR=0.59,95%CI:0.46-0.75,P<0.001,I^(2)=81.2%),while no significant association was observed in studies from other regions(OR=1.25,95%CI:0.66-2.40,P=0.495,I^(2)=92.3%).The sensitivity analysis confirmed the robustness of our findings,showing no significant publication bias.CONCLUSION This study found that preterm birth significantly increases the risk of ADHD in children,while a higher maternal education level serves as a protective factor against ADHD.To reduce the incidence of ADHD in children,public health policies should focus on early intervention for preterm infants and improving maternal education levels.展开更多
The cognition of low-carbon tourism among tourists is closely related to education level.In this study,the degree of coordination of low-carbon cognition with different educational levels is assessed by the coupling m...The cognition of low-carbon tourism among tourists is closely related to education level.In this study,the degree of coordination of low-carbon cognition with different educational levels is assessed by the coupling model in Wutai Mountain,and the effect of each factor on low-carbon cognition is analyzed by the geographical detector.The results show that:(1)The six cognition aspects of low-carbon tourism gradually transition from the level of intermediate coordination to good coordination with the advancement of the education level.Both the low-level and lower-level tourists belong to the lag type of low-carbon visiting cognition,and the higher-level tourists belong to the lag type of low-carbon shopping cognition,while the high-level tourists show the lag type of low-carbon food cognition.(2)According to the individual factors and interactive effects in the geographical detector,each impacting factor has a decisive effect on tourists’cognition of low-carbon tourism,and the effect of any two factors after interaction shows either a double-factor or nonlinear enhancement.The findings of this study provide valuable practical implications for helping tourism destinations to educate tourists and improve their low-carbon tourism options.At the same time,this study will provide theoretical standards for measuring tourists’cognition of low-carbon tourism,so as to enrich and improve the theoretical research related to low-carbon tourism.展开更多
Objective: This study aimed to clarify the death characteristics of esophageal cancer in Inner Mongolia and the population distribution with various education levels. Methods: The mortality rate of esophageal cancer w...Objective: This study aimed to clarify the death characteristics of esophageal cancer in Inner Mongolia and the population distribution with various education levels. Methods: The mortality rate of esophageal cancer was calculated using the monitoring point of Death Registry System in Inner Mongolia from 2009 to 2015. The gender, age, region, ethnicity at two education levels of percentage were calculated and the χ<sup>2</sup> test was executed. Result: The mortality rate of esophageal cancer was 10.10/105, China Adjustment Mortality was 10.97/10<sup>5</sup>, World Adjustment Mortality was 9.08/10<sup>5</sup> in Inner Mongolia. The death of esophageal cancer showed statistical significance at two educational levels (P < 0.05). High school and below accounted for 93.9% at the education level, and above high school accounted for 3.5%. In addition, there were significant differences in the percentage of death by gender, age and region at two educational levels (P < 0.05). Conclusion: Education level has a certain relation with the death of esophageal cancer. To improve the health level, health education plans can be formulated according to esophageal cancer prevention relevant policy with different education levels.展开更多
Objective:This study aims to determine the relationship between education level,memory function,and hippocampus functional and structural alterations in subjective cognitive decline(SCD).Methods:Seventy-five participa...Objective:This study aims to determine the relationship between education level,memory function,and hippocampus functional and structural alterations in subjective cognitive decline(SCD).Methods:Seventy-five participants with SCD were divided into high education(HE)and low education(LE)level groups.A Wechsler Memory Scale-Chinese Revision test and functional and structural MRI were performed within 1 week after participant recruitment.The bilateral hippocampus resting-state functional connectivity(rsF C),gray matter volume(GMV)of brain regions identified by rsF C analysis,and moderating and mediating effects were assessed.Results:Compared with the LE group,HE individuals showed 1)higher memory quotient(MQ)and Digit Span subscore,2)decreased hippocampal rs FC with the right medial prefrontal cortex(mPFC)and dorsolateral prefrontal cortex(DLPFC),and 3)increased GMV in the right mP FC and DLPFC.The bilateral hippocampus-right DLPFCrs FC significantly associated with the MQ and the bilateral hippocampus-right m PFCrs FC with the Digit Span subscore in each group.The bilateral hippocampus-right DLPFCrsFC moderated the relationship between the education level and MQ.The bilateral hippocampus-right mP FC rsF C mediated the relationship between the education level and Digit Span subscore in all subjects.Conclusion:The hippocampal rsF C with the right mP FC and DLPFC contributes to the education level effect on memory function in SCD.展开更多
Estimating the risk of competing mortality is of importance in men with early prostate cancer to choose the most appropriate way of management and to avoid over- or under-treatment. In this study, we investigated the ...Estimating the risk of competing mortality is of importance in men with early prostate cancer to choose the most appropriate way of management and to avoid over- or under-treatment. In this study, we investigated the impact of the level of education in this context. The study sample consisted of 2630 patients with complete data on level of education （college, university degree, master craftsmen, comparable profession, or others）, histopathological tumor stage （organ confined or extracapsular）, lymph node status （negative or positive）, and prostatectomy specimen Gleason score （〈7, 7, or 8-10） who underwent radical prostatectomy between 1992 and 2007. Overall, prostate cancer-specific, competing, and second cancer-related mortalities were study endpoints. Cox proportional hazard models for competing risks were used to study combined effects of the variables on these endpoints. A higher level of education was independently associated with decreased overall mortality after radical prostatectomy （hazard ratio [HR]： 0.75, 95% confidence interval [95% CI]： 0.62-0.91, P = 0.0037）. The mortality difference was attributable to decreased second cancer mortality （HR： 0.59, 95% Ch 0.40-0.85, P = 0.0052） and noncancer mortality （HR： 0.73, 95% Ch 0.55-0.98, P = 0.0345） but not to differences in prostate cancer-specific mortality （HR： 1.16, 95% Ch 0.79-1.69, P = 0.4536 in the full model）. In conclusion, the level of education might serve as an independent prognostic parameter supplementary to age, comorbidity, and smoking status to estimate the risk of competing mortality and to choose optimal treatment for men with early prostate cancer who are candidates for radical prostatectomy.展开更多
The ability to speak two languages in the non-English-speaking countries is a remarkable achievement. There is a good reason to believe that bilingualism is the norm for the majority of people in the world, because 70...The ability to speak two languages in the non-English-speaking countries is a remarkable achievement. There is a good reason to believe that bilingualism is the norm for the majority of people in the world, because 70% of the earth＇s population are supposed to be bilingual or multilingual. Our purpose of the study was to determine the participants＇ awareness of using true and false cognate words of L 1 （the first language） ＆ L2 （the second language） in learning English. Three hundred and eighty-five selected people from 3,789 statistical population participated in 2014--2015 at three levels of A.D., B.A., and M.A. of Islamic Azad University as well as teachers of English in English educational institutions in Zanjan （Iran）. Each educational level was considered as one category with the total sample calculated by using Kokran Formula, and the amount of each category was determined by using appropriate proportion and randomized categorical sampling method. The participants＇ age was between from 18 to 52, with a mean age of 29 years. The materials were 45 words of true and false cognate＇s words from 500 words by doing CVR （content validity ratio） and CVI （content validity index） （Lawshe＇s table with the index of 88% and 82% respectively） for being reliable and valid. ANOVA （Analysis of variance） was used for studying the effect of educational level on the rate of awareness. In other words, the awareness level has been compared in different educational levels. The results of Dankan test show that： There is no significant difference between the awareness of A.D., B.A., and M.A. levels, but there is a significant difference between the level of awareness of teachers group and the other groups （in true cognate words） and for false cognate words, there is no significant difference between the level of awareness of the four groups in this regard.展开更多
A sudden outbreak of the current pandemic COVID-19 has switches the learning to online mode which leads to an increase in perceived academic stress and a serious threat to the mental well-being of the students across ...A sudden outbreak of the current pandemic COVID-19 has switches the learning to online mode which leads to an increase in perceived academic stress and a serious threat to the mental well-being of the students across the globe.The aim of the current study was therefore,to examine the impact of online learning on perceived academic stress and mental well being of the students with moderating effects of levels of education,during the current pandemic.Measures of the constructs were obtained by the online Google form which consists of the Perceptions of Academic Stress Scale(PASS)by Dalia Bedewy and Adel Gabriel(2015)and Warwick-Edinburg Mental Well-being Scale(2008),from a sample of 150 undergraduate students aged 19-25 years studying in different colleges of Bengaluru,India.Mental well-being constituted the criterion variable whilst academic stress and levels of education were treated as predictor variables.Two-way ANOVA were employed.Results show that academic stress is a significant negative predictor of mental wellbeing(r=-.083;p<0.05),there is a significant difference in the perceived academic stress(df=2;F=2.72;p<0.05)which increase in hierarchy(Third year&first year MD=-3.7;Third year&second year MD=-3.2)and mental well being(df=2,F=5.314 p<0.05)which decreases in hierarchy(Third year&first year MD=-5.8;Third year&second year MD=-5.860)of the students at different educational levels and a combination perceived academic stress and educational levels predicts variance in mental well being of the students(R2=0.052;p>0.05).It was concluded that combined academic stress and educational levels have an impact on mental wellbeing of students in online mode of learning during the current pandemic,but this impact is low(only 5.2%).展开更多
AIM:To evaluate the prevalence of myopia and identify its associated risk factors among children and adolescents in Xi’an,China.METHODS:In a school-based cross-sectional design,students ranging from kindergarten to h...AIM:To evaluate the prevalence of myopia and identify its associated risk factors among children and adolescents in Xi’an,China.METHODS:In a school-based cross-sectional design,students ranging from kindergarten to high school across Xi’an were enrolled.Ophthalmic examinations were performed to assess refractive status via non-cycloplegic refraction.Myopia was defined as SE≤-0.5 D,with stratification into mild(SE:≤-0.5 to>-3.0 D),moderate(SE:≤-3.0 to>-6.0 D),and high myopia(SE≤-6.0 D).Data on potential risk factors such as age,gender,and educational level were obtained through structured questionnaires.RESULTS:The study included 156416 participants,with 81389 boys(52.0%)and 75027 girls(48.0%).The prevalence rates of myopia were 65.67%for boys and 68.83%for girls.Data collection occurred over two consecutive years,2021 and 2022,with 78849 and 77567 participants,respectively.The prevalence of myopia was 67.65%in 2021 and decreased slightly to 66.71%in 2022.The high myopia rates were 3.85%and 3.43%for these years,respectively.Analysis revealed significant risk factors including gender,age,and educational level,with a distinct positive correlation between increased educational level and higher myopia prevalence.Notably,both genders exhibited a significant decrease in moderate myopia over the study period,with reductions of 1.7%and 1.2%.CONCLUSION:This comprehensive study underscores the substantial prevalence of myopia among school-aged children and adolescents in Xi’an,marking it as a significant public health concern.The correlation with higher educational levels suggests the need for targeted interventions aimed at myopia prevention and management.These findings contribute critically to the body of knowledge necessary for formulating effective public health strategies in Xi’an and potentially other similar regions.展开更多
Spain became a net receiver country of a high number of foreigners entering the labour market in the first decade of the 21 st century. The ensuing economic crisis, beginning in 2007, led to the destruction of a large...Spain became a net receiver country of a high number of foreigners entering the labour market in the first decade of the 21 st century. The ensuing economic crisis, beginning in 2007, led to the destruction of a large number of companies and jobs. The objective of this paper is to analyze the relationship between educational level, employment and economic activity, in the Spanish and foreign working population in the Spanish labour market and the impact that the economic crisis is having on employment and self-employment. The hypotheses considered have been as followed--HI： The economic crisis mainly affects the less educated working population, both Spanish and foreign; H2： Self-employment is characterized by being an initiative of a working population with low educational levels for both population groups （Spanish and foreign）; H3： Employment is related to the productive economic structure. Micro-data from the Labour Force Survey 2009 （EPA in Spanish） has been used, compiled by Spains National Statistics Office （INE in Spanish）, and it has been applied Multiple Correspondence Analysis （MCA） to detect possible associations among the study variables （nationality, level of education, salaried employment, self-employment and economic activity）. The results show significant differences between both groups： Spanish and foreign working population. The study also shows how the crisis affects employment, and the important role played by the educational level of the working population, especially foreigners employed in certain economic activities.展开更多
An international survey of school-level geoscience education acquired data from 32 countries across the globe.Whilst the data is likely to be biased towards those countries which have geoscience educators active enoug...An international survey of school-level geoscience education acquired data from 32 countries across the globe.Whilst the data is likely to be biased towards those countries which have geoscience educators active enough to respond to the questionnaire survey,the data nevertheless shows that geoscience is taught in a wide variety of contexts across the world,linked to science,geography or both.The majority of children in the countries surveyed had compulsory geoscience education in their curricula,had national standards in geoscience education,and covered a reasonable level of geoscience terminology in their studies.展开更多
Online English learning as an outcome of the rapid development of the Internet has got a wider and wider market in China. However, problems of varieties have also occurred along its way. People never stop thinking of ...Online English learning as an outcome of the rapid development of the Internet has got a wider and wider market in China. However, problems of varieties have also occurred along its way. People never stop thinking of better strategies either in designing online course wares or tutorials to help smooth the learning process. My experience as a tutor is that interaction of affective domain and higher levels of cognitive domain of Bloom＇s Taxonomy plays an important role in face-to-face tutorials of online English learning.展开更多
Background: Smokeless tobacco is defined as a product that contains tobacco, is not smoked or burned at the time of use, and commonly consumed orally or nasally. These products can be placed in the mouth, cheek or the...Background: Smokeless tobacco is defined as a product that contains tobacco, is not smoked or burned at the time of use, and commonly consumed orally or nasally. These products can be placed in the mouth, cheek or the lip and are sucked or chewed. The Zambian government, in the 2019 country report, gave an estimated figure of 4.5% of females aged 15 years and above in 2017 used smokeless tobacco and by 31st December, 2018, there was an increase of smokeless tobacco users to 6.8% women of the same age group. This study aimed to explore the extent of smokeless tobacco use among women in Kasama district-Zambia. Methodology: An analytical cross-sectional quantitative study design was used to collect data using the modified structured interview schedule, adopted from Medicine for Global Health. Simple random sampling method using rotary technique was used to select 430 respondents after meeting the inclusion criteria. Informed consent to participate in the study was obtained. Data was analysed using version 26.0 of the Statistical Package for Social Sciences. Appropriate parametric or non-parametric statistical tests (Chi-squared or Fisher’s exact test) were adopted in testing for associations between variables. Univariable and multivariable binary logistic regression analysis were employed in identifying smokeless tobacco use among women using an investigator-led stepwise approach, guided by various fit statistics and the likelihood ratio test. All statistical analyses adopted a 5% significance level at 95% confidence interval. Results: The results showed that most of the respondents were aged between 18 and 25 years (45.6%), (53.7%) lived in urban settlements and the majority (80%) were unemployed. The majority of respondents (83.5%) had a friend/relative who used smokeless tobacco and over half (53.5%) thought smokeless tobacco was beneficial to them. The commonly mentioned benefits of smokeless tobacco included body warmth (13.6%) and vaginal tightening (7.9%). The results revealed that most of the respondents attained a secondary level of education (38.4%). According to the study, smokeless tobacco use among women of Kasama-Zambia was significantly associated with the following;age (p Conclusion: Based on these findings, the study recommends that efforts should be channeled towards the dissemination of information on the impacts of smokeless tobacco use in order to overcome cultural beliefs attached to smokeless tobacco use.展开更多
This paper presents a comparative analysis of the International Baccalaureate(IB)and the General Certificate of Education Advanced Level(A-Level),two international educational assessment systems.The study explores the...This paper presents a comparative analysis of the International Baccalaureate(IB)and the General Certificate of Education Advanced Level(A-Level),two international educational assessment systems.The study explores their similarities and differences in educational philosophy,curriculum design,assessment methods,and student experience.Findings indicate that the IB curriculum emphasizes holistic education and interdisciplinary learning,while the A-Level curriculum focuses more on subject depth and specialization.In terms of assessment methods,the IB combines internal and external evaluations,whereas the A-Level primarily relies on final examinations.Regarding student experience,IB students typically perceive a broader range of learning opportunities,while A-Level students gain in-depth knowledge in specific subject areas.The study offers valuable insights for educators and policymakers to improve educational practices and support the personalized development of students.展开更多
This research focuses on the impact of family＇s human capital on social mobility in China＇s rural community.Empirical research is conducted based on data from surveying a typical rural community in the past 20 yr.Th...This research focuses on the impact of family＇s human capital on social mobility in China＇s rural community.Empirical research is conducted based on data from surveying a typical rural community in the past 20 yr.The study indicates that social mobility in rural area is active in the past 20 yr,and the human capital of family,represented by primary labor＇s education level,has played an essential role in mobility of low social class.Meanwhile,socio-economic development and the change of supply and demand in labor market dims the signaling role of degree education,but the impact of occupational training is increasingly remarkable.Therefore,the change from sole degree education to multi-leveled education including occupational education and training is a main way for China＇s rural families in low class to realize social mobility.展开更多
AIM: To determine the extent of colorectal cancer (CRC) mortality and the association between demographic characteristics and CRC mortality in Inner Mongolia.
Focusing on the region of Yarlung Zangbo River and the middle reaches of itstwo tributaries of Nianchu River and Lhasa River in Tibet (Hereafter referred to as the 'One Riverand Two Tributaries' region), and b...Focusing on the region of Yarlung Zangbo River and the middle reaches of itstwo tributaries of Nianchu River and Lhasa River in Tibet (Hereafter referred to as the 'One Riverand Two Tributaries' region), and based on the data from China 3rd, 4th and5th population censuses,the article has analyzed change patterns of this region' s labor force. Major findings from thestudy are summarized as follows; (1) Compared with the data from the 3rd census, labor forcepopulation in 2000 has increased significantly. (2) Children dependency coefficient has dropped,while old people dependency coefficient has changed very slightly with an increase of 0. 047% only.(3) Compared 2000 with 1982, illiteracy and semi-illiteracy rate of the population above 15 yearsold have decreased significantly by 30. 69 percentage points, but still higher than the nationalaverage. (4) Women' s illiteracy rate has dropped faster than men's, but up to 2000 it was generallyquite high. The upgrading of the entire population's overall quality has a long way to go.展开更多
Although a well-established association between breast-feeding and a range of positive health outcomes in children has been demonstrated, less attention has been paid under China circumstance, especially what factors ...Although a well-established association between breast-feeding and a range of positive health outcomes in children has been demonstrated, less attention has been paid under China circumstance, especially what factors will influence breast-feeding behavior among Chinese women from empirical perspective has not been explored yet. In this paper, survival analysis with duration model is applied to find out the main determinants. The well-known China Health and Nutrition Survey （CHNS） dataset fits for this study since it has plenty information about breast-feeding and children. Family income, age, education level, and maternity leave are found to he the main determinants which have significant effects on the breast-feeding behavior, also the gender of infant plays an important role which is for Chinese-specific cases. The opportunity cost for women with higher education level and higher income, especially in urban areas is so high that they have to shorten the duration of breastfeeding their children. The probability of breast-feeding her child is decreasing with the aging of mother.展开更多
The study of population dynamics and their socioeconomic implications for a country or region fundamentally relies on continuous and complete demographic data disaggregated by age group and education level.However,lim...The study of population dynamics and their socioeconomic implications for a country or region fundamentally relies on continuous and complete demographic data disaggregated by age group and education level.However,limitations inherent in population survey frameworks often impede direct access to such data during non-census years or compromise its reliability.To address this gap,this study,harnessing the data from 2000,2010,and 2020 national censuses,employs a forward-backward iterative fitting approach utilizing the Discrete Population Equation to enable the reconstruction of age-and education-specific population counts for the years spanning 2000 to 2020.The reconstructed total population figures for non-census years show minimal discrepancy from the adjusted figures released by the National Bureau of Statistics,while the reconstructed age-specific population counts have successfully rectified discrepancies present in the officially published age structure demographics.Additionally,the study yields a sequential series of working-age population estimates,disaggregated by education level for individuals aged 15 to 64.展开更多
基金Supported by Henan Medical Science and Technology Research Joint Construction Project,No.LHGJ20190360。
文摘BACKGROUND Attention deficit hyperactivity disorder(ADHD)is a prevalent neurodevelopmental disorder in childhood.There is growing evidence that both preterm birth and maternal education levels substantially affect the likelihood of ADHD in children.However,there are limited systematic reviews and meta-analyses examining these associations.AIM To systematically review and conduct a meta-analysis on the association of preterm birth and maternal education level on the risk of ADHD in children.METHODS We conducted a comprehensive literature search across MEDLINE(PubMed),Web of Science,Embase,and the Cochrane Library,including studies published up to June 17,2024.Data synthesis was performed using random-effect models,and the quality of studies was assessed using the Newcastle-Ottawa Scale.RESULTS This study included twelve studies,which revealed a significant association between premature delivery and an increased risk of ADHD in children[odds ratio(OR)=2.76,95%confidence interval(CI):2.52-3.04,P<0.001,I^(2)=1.9%).Conversely,higher maternal education levels were significantly associated with a reduced risk of ADHD in children(OR=0.59,95%CI:0.48-0.73,P<0.001,I^(2)=47.1%).Subgroup analysis further indicated that maternal education levels significantly influenced ADHD risk,particularly in studies conducted in China(OR=0.59,95%CI:0.46-0.75,P<0.001,I^(2)=81.2%),while no significant association was observed in studies from other regions(OR=1.25,95%CI:0.66-2.40,P=0.495,I^(2)=92.3%).The sensitivity analysis confirmed the robustness of our findings,showing no significant publication bias.CONCLUSION This study found that preterm birth significantly increases the risk of ADHD in children,while a higher maternal education level serves as a protective factor against ADHD.To reduce the incidence of ADHD in children,public health policies should focus on early intervention for preterm infants and improving maternal education levels.
基金Supported by Program for the Philosophy and Social Sciences Research of Higher Learning Institutions of Shanxi(2023W064)。
文摘The cognition of low-carbon tourism among tourists is closely related to education level.In this study,the degree of coordination of low-carbon cognition with different educational levels is assessed by the coupling model in Wutai Mountain,and the effect of each factor on low-carbon cognition is analyzed by the geographical detector.The results show that:(1)The six cognition aspects of low-carbon tourism gradually transition from the level of intermediate coordination to good coordination with the advancement of the education level.Both the low-level and lower-level tourists belong to the lag type of low-carbon visiting cognition,and the higher-level tourists belong to the lag type of low-carbon shopping cognition,while the high-level tourists show the lag type of low-carbon food cognition.(2)According to the individual factors and interactive effects in the geographical detector,each impacting factor has a decisive effect on tourists’cognition of low-carbon tourism,and the effect of any two factors after interaction shows either a double-factor or nonlinear enhancement.The findings of this study provide valuable practical implications for helping tourism destinations to educate tourists and improve their low-carbon tourism options.At the same time,this study will provide theoretical standards for measuring tourists’cognition of low-carbon tourism,so as to enrich and improve the theoretical research related to low-carbon tourism.
文摘Objective: This study aimed to clarify the death characteristics of esophageal cancer in Inner Mongolia and the population distribution with various education levels. Methods: The mortality rate of esophageal cancer was calculated using the monitoring point of Death Registry System in Inner Mongolia from 2009 to 2015. The gender, age, region, ethnicity at two education levels of percentage were calculated and the χ<sup>2</sup> test was executed. Result: The mortality rate of esophageal cancer was 10.10/105, China Adjustment Mortality was 10.97/10<sup>5</sup>, World Adjustment Mortality was 9.08/10<sup>5</sup> in Inner Mongolia. The death of esophageal cancer showed statistical significance at two educational levels (P < 0.05). High school and below accounted for 93.9% at the education level, and above high school accounted for 3.5%. In addition, there were significant differences in the percentage of death by gender, age and region at two educational levels (P < 0.05). Conclusion: Education level has a certain relation with the death of esophageal cancer. To improve the health level, health education plans can be formulated according to esophageal cancer prevention relevant policy with different education levels.
基金supported by the National Natural Science Foundation of China(Grant No.81904270)Natural Science Foundation of Fujian Province(Grant No.2019J01362)+1 种基金Science and Technology Platform Construction Project of Fujian Science and Technology Department(Grant No.2015Y2001)Educational Department of Fujian Province Outstanding Youth Scientific Research Talent Cultivation Program(Grant No.Min Jiao Ke[2018]47)
文摘Objective:This study aims to determine the relationship between education level,memory function,and hippocampus functional and structural alterations in subjective cognitive decline(SCD).Methods:Seventy-five participants with SCD were divided into high education(HE)and low education(LE)level groups.A Wechsler Memory Scale-Chinese Revision test and functional and structural MRI were performed within 1 week after participant recruitment.The bilateral hippocampus resting-state functional connectivity(rsF C),gray matter volume(GMV)of brain regions identified by rsF C analysis,and moderating and mediating effects were assessed.Results:Compared with the LE group,HE individuals showed 1)higher memory quotient(MQ)and Digit Span subscore,2)decreased hippocampal rs FC with the right medial prefrontal cortex(mPFC)and dorsolateral prefrontal cortex(DLPFC),and 3)increased GMV in the right mP FC and DLPFC.The bilateral hippocampus-right DLPFCrs FC significantly associated with the MQ and the bilateral hippocampus-right m PFCrs FC with the Digit Span subscore in each group.The bilateral hippocampus-right DLPFCrsFC moderated the relationship between the education level and MQ.The bilateral hippocampus-right mP FC rsF C mediated the relationship between the education level and Digit Span subscore in all subjects.Conclusion:The hippocampal rsF C with the right mP FC and DLPFC contributes to the education level effect on memory function in SCD.
文摘Estimating the risk of competing mortality is of importance in men with early prostate cancer to choose the most appropriate way of management and to avoid over- or under-treatment. In this study, we investigated the impact of the level of education in this context. The study sample consisted of 2630 patients with complete data on level of education （college, university degree, master craftsmen, comparable profession, or others）, histopathological tumor stage （organ confined or extracapsular）, lymph node status （negative or positive）, and prostatectomy specimen Gleason score （〈7, 7, or 8-10） who underwent radical prostatectomy between 1992 and 2007. Overall, prostate cancer-specific, competing, and second cancer-related mortalities were study endpoints. Cox proportional hazard models for competing risks were used to study combined effects of the variables on these endpoints. A higher level of education was independently associated with decreased overall mortality after radical prostatectomy （hazard ratio [HR]： 0.75, 95% confidence interval [95% CI]： 0.62-0.91, P = 0.0037）. The mortality difference was attributable to decreased second cancer mortality （HR： 0.59, 95% Ch 0.40-0.85, P = 0.0052） and noncancer mortality （HR： 0.73, 95% Ch 0.55-0.98, P = 0.0345） but not to differences in prostate cancer-specific mortality （HR： 1.16, 95% Ch 0.79-1.69, P = 0.4536 in the full model）. In conclusion, the level of education might serve as an independent prognostic parameter supplementary to age, comorbidity, and smoking status to estimate the risk of competing mortality and to choose optimal treatment for men with early prostate cancer who are candidates for radical prostatectomy.
文摘The ability to speak two languages in the non-English-speaking countries is a remarkable achievement. There is a good reason to believe that bilingualism is the norm for the majority of people in the world, because 70% of the earth＇s population are supposed to be bilingual or multilingual. Our purpose of the study was to determine the participants＇ awareness of using true and false cognate words of L 1 （the first language） ＆ L2 （the second language） in learning English. Three hundred and eighty-five selected people from 3,789 statistical population participated in 2014--2015 at three levels of A.D., B.A., and M.A. of Islamic Azad University as well as teachers of English in English educational institutions in Zanjan （Iran）. Each educational level was considered as one category with the total sample calculated by using Kokran Formula, and the amount of each category was determined by using appropriate proportion and randomized categorical sampling method. The participants＇ age was between from 18 to 52, with a mean age of 29 years. The materials were 45 words of true and false cognate＇s words from 500 words by doing CVR （content validity ratio） and CVI （content validity index） （Lawshe＇s table with the index of 88% and 82% respectively） for being reliable and valid. ANOVA （Analysis of variance） was used for studying the effect of educational level on the rate of awareness. In other words, the awareness level has been compared in different educational levels. The results of Dankan test show that： There is no significant difference between the awareness of A.D., B.A., and M.A. levels, but there is a significant difference between the level of awareness of teachers group and the other groups （in true cognate words） and for false cognate words, there is no significant difference between the level of awareness of the four groups in this regard.
文摘A sudden outbreak of the current pandemic COVID-19 has switches the learning to online mode which leads to an increase in perceived academic stress and a serious threat to the mental well-being of the students across the globe.The aim of the current study was therefore,to examine the impact of online learning on perceived academic stress and mental well being of the students with moderating effects of levels of education,during the current pandemic.Measures of the constructs were obtained by the online Google form which consists of the Perceptions of Academic Stress Scale(PASS)by Dalia Bedewy and Adel Gabriel(2015)and Warwick-Edinburg Mental Well-being Scale(2008),from a sample of 150 undergraduate students aged 19-25 years studying in different colleges of Bengaluru,India.Mental well-being constituted the criterion variable whilst academic stress and levels of education were treated as predictor variables.Two-way ANOVA were employed.Results show that academic stress is a significant negative predictor of mental wellbeing(r=-.083;p<0.05),there is a significant difference in the perceived academic stress(df=2;F=2.72;p<0.05)which increase in hierarchy(Third year&first year MD=-3.7;Third year&second year MD=-3.2)and mental well being(df=2,F=5.314 p<0.05)which decreases in hierarchy(Third year&first year MD=-5.8;Third year&second year MD=-5.860)of the students at different educational levels and a combination perceived academic stress and educational levels predicts variance in mental well being of the students(R2=0.052;p>0.05).It was concluded that combined academic stress and educational levels have an impact on mental wellbeing of students in online mode of learning during the current pandemic,but this impact is low(only 5.2%).
基金Supported by Key R&D Plan of Shaanxi Province:Key Industrial Innovation Chain(Cluster)-Social Development Field(No.2022ZDLSF03-10)the 2025 Youth Training Project of the Xi’an Municipal Health Commission(No.2025qn05)+1 种基金Xi’an Medical Research-Discipline Capacity Building Project(No.23YXYJ0002)Research Incubation Fund of Xi’an People’s Hospital(Xi’an Fourth Hospital)(No.LH-13).
文摘AIM:To evaluate the prevalence of myopia and identify its associated risk factors among children and adolescents in Xi’an,China.METHODS:In a school-based cross-sectional design,students ranging from kindergarten to high school across Xi’an were enrolled.Ophthalmic examinations were performed to assess refractive status via non-cycloplegic refraction.Myopia was defined as SE≤-0.5 D,with stratification into mild(SE:≤-0.5 to>-3.0 D),moderate(SE:≤-3.0 to>-6.0 D),and high myopia(SE≤-6.0 D).Data on potential risk factors such as age,gender,and educational level were obtained through structured questionnaires.RESULTS:The study included 156416 participants,with 81389 boys(52.0%)and 75027 girls(48.0%).The prevalence rates of myopia were 65.67%for boys and 68.83%for girls.Data collection occurred over two consecutive years,2021 and 2022,with 78849 and 77567 participants,respectively.The prevalence of myopia was 67.65%in 2021 and decreased slightly to 66.71%in 2022.The high myopia rates were 3.85%and 3.43%for these years,respectively.Analysis revealed significant risk factors including gender,age,and educational level,with a distinct positive correlation between increased educational level and higher myopia prevalence.Notably,both genders exhibited a significant decrease in moderate myopia over the study period,with reductions of 1.7%and 1.2%.CONCLUSION:This comprehensive study underscores the substantial prevalence of myopia among school-aged children and adolescents in Xi’an,marking it as a significant public health concern.The correlation with higher educational levels suggests the need for targeted interventions aimed at myopia prevention and management.These findings contribute critically to the body of knowledge necessary for formulating effective public health strategies in Xi’an and potentially other similar regions.
文摘Spain became a net receiver country of a high number of foreigners entering the labour market in the first decade of the 21 st century. The ensuing economic crisis, beginning in 2007, led to the destruction of a large number of companies and jobs. The objective of this paper is to analyze the relationship between educational level, employment and economic activity, in the Spanish and foreign working population in the Spanish labour market and the impact that the economic crisis is having on employment and self-employment. The hypotheses considered have been as followed--HI： The economic crisis mainly affects the less educated working population, both Spanish and foreign; H2： Self-employment is characterized by being an initiative of a working population with low educational levels for both population groups （Spanish and foreign）; H3： Employment is related to the productive economic structure. Micro-data from the Labour Force Survey 2009 （EPA in Spanish） has been used, compiled by Spains National Statistics Office （INE in Spanish）, and it has been applied Multiple Correspondence Analysis （MCA） to detect possible associations among the study variables （nationality, level of education, salaried employment, self-employment and economic activity）. The results show significant differences between both groups： Spanish and foreign working population. The study also shows how the crisis affects employment, and the important role played by the educational level of the working population, especially foreigners employed in certain economic activities.
文摘An international survey of school-level geoscience education acquired data from 32 countries across the globe.Whilst the data is likely to be biased towards those countries which have geoscience educators active enough to respond to the questionnaire survey,the data nevertheless shows that geoscience is taught in a wide variety of contexts across the world,linked to science,geography or both.The majority of children in the countries surveyed had compulsory geoscience education in their curricula,had national standards in geoscience education,and covered a reasonable level of geoscience terminology in their studies.
文摘Online English learning as an outcome of the rapid development of the Internet has got a wider and wider market in China. However, problems of varieties have also occurred along its way. People never stop thinking of better strategies either in designing online course wares or tutorials to help smooth the learning process. My experience as a tutor is that interaction of affective domain and higher levels of cognitive domain of Bloom＇s Taxonomy plays an important role in face-to-face tutorials of online English learning.
文摘Background: Smokeless tobacco is defined as a product that contains tobacco, is not smoked or burned at the time of use, and commonly consumed orally or nasally. These products can be placed in the mouth, cheek or the lip and are sucked or chewed. The Zambian government, in the 2019 country report, gave an estimated figure of 4.5% of females aged 15 years and above in 2017 used smokeless tobacco and by 31st December, 2018, there was an increase of smokeless tobacco users to 6.8% women of the same age group. This study aimed to explore the extent of smokeless tobacco use among women in Kasama district-Zambia. Methodology: An analytical cross-sectional quantitative study design was used to collect data using the modified structured interview schedule, adopted from Medicine for Global Health. Simple random sampling method using rotary technique was used to select 430 respondents after meeting the inclusion criteria. Informed consent to participate in the study was obtained. Data was analysed using version 26.0 of the Statistical Package for Social Sciences. Appropriate parametric or non-parametric statistical tests (Chi-squared or Fisher’s exact test) were adopted in testing for associations between variables. Univariable and multivariable binary logistic regression analysis were employed in identifying smokeless tobacco use among women using an investigator-led stepwise approach, guided by various fit statistics and the likelihood ratio test. All statistical analyses adopted a 5% significance level at 95% confidence interval. Results: The results showed that most of the respondents were aged between 18 and 25 years (45.6%), (53.7%) lived in urban settlements and the majority (80%) were unemployed. The majority of respondents (83.5%) had a friend/relative who used smokeless tobacco and over half (53.5%) thought smokeless tobacco was beneficial to them. The commonly mentioned benefits of smokeless tobacco included body warmth (13.6%) and vaginal tightening (7.9%). The results revealed that most of the respondents attained a secondary level of education (38.4%). According to the study, smokeless tobacco use among women of Kasama-Zambia was significantly associated with the following;age (p Conclusion: Based on these findings, the study recommends that efforts should be channeled towards the dissemination of information on the impacts of smokeless tobacco use in order to overcome cultural beliefs attached to smokeless tobacco use.
文摘This paper presents a comparative analysis of the International Baccalaureate(IB)and the General Certificate of Education Advanced Level(A-Level),two international educational assessment systems.The study explores their similarities and differences in educational philosophy,curriculum design,assessment methods,and student experience.Findings indicate that the IB curriculum emphasizes holistic education and interdisciplinary learning,while the A-Level curriculum focuses more on subject depth and specialization.In terms of assessment methods,the IB combines internal and external evaluations,whereas the A-Level primarily relies on final examinations.Regarding student experience,IB students typically perceive a broader range of learning opportunities,while A-Level students gain in-depth knowledge in specific subject areas.The study offers valuable insights for educators and policymakers to improve educational practices and support the personalized development of students.
基金the Youth Project (2012) "Elements of Discrimination, economic the Overflow and Sustainable Growth" (71203129)the National Natural Science Foundation of China and Shanghai Education Science 2012 (B12019)
文摘This research focuses on the impact of family＇s human capital on social mobility in China＇s rural community.Empirical research is conducted based on data from surveying a typical rural community in the past 20 yr.The study indicates that social mobility in rural area is active in the past 20 yr,and the human capital of family,represented by primary labor＇s education level,has played an essential role in mobility of low social class.Meanwhile,socio-economic development and the change of supply and demand in labor market dims the signaling role of degree education,but the impact of occupational training is increasingly remarkable.Therefore,the change from sole degree education to multi-leveled education including occupational education and training is a main way for China＇s rural families in low class to realize social mobility.
基金Supported by Inner Mongolia Autonomous Region Colleges and Universities of Science and Technology Research Projects,No.NJZY13415Inner Mongolia Medical University Technology Million Project,No.NY2011BW006Natural Science Foundation of Inner Mongolia in China,No.2013MS1124
文摘AIM: To determine the extent of colorectal cancer (CRC) mortality and the association between demographic characteristics and CRC mortality in Inner Mongolia.
文摘Focusing on the region of Yarlung Zangbo River and the middle reaches of itstwo tributaries of Nianchu River and Lhasa River in Tibet (Hereafter referred to as the 'One Riverand Two Tributaries' region), and based on the data from China 3rd, 4th and5th population censuses,the article has analyzed change patterns of this region' s labor force. Major findings from thestudy are summarized as follows; (1) Compared with the data from the 3rd census, labor forcepopulation in 2000 has increased significantly. (2) Children dependency coefficient has dropped,while old people dependency coefficient has changed very slightly with an increase of 0. 047% only.(3) Compared 2000 with 1982, illiteracy and semi-illiteracy rate of the population above 15 yearsold have decreased significantly by 30. 69 percentage points, but still higher than the nationalaverage. (4) Women' s illiteracy rate has dropped faster than men's, but up to 2000 it was generallyquite high. The upgrading of the entire population's overall quality has a long way to go.
文摘Although a well-established association between breast-feeding and a range of positive health outcomes in children has been demonstrated, less attention has been paid under China circumstance, especially what factors will influence breast-feeding behavior among Chinese women from empirical perspective has not been explored yet. In this paper, survival analysis with duration model is applied to find out the main determinants. The well-known China Health and Nutrition Survey （CHNS） dataset fits for this study since it has plenty information about breast-feeding and children. Family income, age, education level, and maternity leave are found to he the main determinants which have significant effects on the breast-feeding behavior, also the gender of infant plays an important role which is for Chinese-specific cases. The opportunity cost for women with higher education level and higher income, especially in urban areas is so high that they have to shorten the duration of breastfeeding their children. The probability of breast-feeding her child is decreasing with the aging of mother.
文摘The study of population dynamics and their socioeconomic implications for a country or region fundamentally relies on continuous and complete demographic data disaggregated by age group and education level.However,limitations inherent in population survey frameworks often impede direct access to such data during non-census years or compromise its reliability.To address this gap,this study,harnessing the data from 2000,2010,and 2020 national censuses,employs a forward-backward iterative fitting approach utilizing the Discrete Population Equation to enable the reconstruction of age-and education-specific population counts for the years spanning 2000 to 2020.The reconstructed total population figures for non-census years show minimal discrepancy from the adjusted figures released by the National Bureau of Statistics,while the reconstructed age-specific population counts have successfully rectified discrepancies present in the officially published age structure demographics.Additionally,the study yields a sequential series of working-age population estimates,disaggregated by education level for individuals aged 15 to 64.
