Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of br...Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of breast cancer on screening measures such as self-examination and,to a lesser extent,the perception of the threat of this disease.This research aims to assess according to the Health Belief Model(HBM),the moderating effect of perceived threat of breast cancer on the relation between knowledge and breast self-examination.A questionnaire survey was conducted among 517 Cameroonian women to assess their general knowledge about breast cancer(risk factors and screening measures),their level of the perceived threat of breast cancer through Perceived susceptibility and severity,and the prevalence of breast self-examination amongst them.A regression analysis using the Macro Process for moderation indicates the main effect of Perceived threat(b=0,29;t(517)=2,36;p=0,02)of breast cancer and knowledge(b=0,02;t(517)=4,29;p<0,001)on breast self-examination.Results also confirm that the perceived threat of breast cancer moderates the effect of knowledge on breast self-examination.While the low level of perceived threat highlights the effect of knowledge on breast self-examination(b=0,02;t(517)=3,49;p<0,001),the high level of perceived threat cancels that effect(b=0,01;t(517)=1,97;p=0,01).A woman who perceives severity and susceptibility to breast cancer is more inclined to perform breast self-examination.This result suggests the importance of taking into account,in a context where knowledge of breast cancer is limited,relevant factors of the health belief model in preventive measures against breast cancer in general and the practice of breast self-examination in particular.展开更多
Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience ...Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.展开更多
Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress...Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress and insomnia.Methods:Through stratified sampling,720 nurses working in a tertiary A-level hospital in Shandong Province from March to May 2021 were surveyed using an effort-reward imbalance questionnaire,an organizational identification questionnaire,and the Athens Insomnia scale.Results:Organizational identification was negatively correlated with occupational stress and insomnia(r_(1)=-0.121,P_(1)<0.01;r_(2)=-0.144,P_(2)<0.01).Occupational stress was positively correlated with insomnia(r=0.379,P<0.01).Organizational identity significantly moderated nurses’occupational stress and insomnia(β=-0.192,t=-2.558,P<0.05).Conclusion:Occupational stress and organizational identification can predict insomnia.Organizational identification could negatively mediate the relationship between occupational stress and insomnia.Improving organizational identification may help alleviate insomnia symptoms by relieving occupational stress.展开更多
BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To i...BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To investigate the moderating role of social support utilization in depression and NSSI among adolescents with MDD.METHODS This cross-sectional study enrolled 314 adolescents with MDD(258 with NSSI,56 without)from a Chinese tertiary psychiatric hospital(2021-2023).Participants completed validated scales,including the self-esteem scale,the Barratt impulsiveness scale,the self-rating depression scale,and the teenager social support rating scale.Logistic regression and hierarchical regression analyses were used to examine predictors of NSSI and the moderating effect of social support utilization.RESULTS Results showed that the NSSI group had higher depression levels,lower selfesteem,and greater impulsivity.While overall social support was higher in the NSSI group,social support utilization significantly moderated the depression-NSSI relationship.Specifically,higher utilization levels weakened the association between depression and NSSI(β=-0.001,P<0.05).CONCLUSION These findings suggest that effective utilization of social support,rather than its mere presence,is crucial in reducing NSSI risk among depressed adolescents.展开更多
This study investigates the impact of investor protection on corporate R&D investment using panel data from Chinese A-share listed companies spanning 2015 to 2022.By employing OLS regression,mediation,and moderati...This study investigates the impact of investor protection on corporate R&D investment using panel data from Chinese A-share listed companies spanning 2015 to 2022.By employing OLS regression,mediation,and moderation analyses,the results demonstrate that robust investor protection mechanisms significantly enhance corporate R&D expenditures.The mediation analysis reveals that investor protection alleviates financing constraints and improves information disclosure quality,both of which serve as key channels for fostering R&D investment.Furthermore,internal control systems and media attention are identified as positive moderators,amplifying the beneficial effects of investor protection on R&D.In contrast,the equity Herfindahl index(HHI)does not exhibit a significant moderating role.The study also highlights that financial leverage,profitability,and equity concentration negatively influence R&D,while revenue growth exerts a positive effect.These findings underscore the critical role of investor protection in driving corporate innovation and sustainable growth,offering valuable insights for policymakers and corporate managers aiming to optimize R&D strategies through improved governance frameworks.展开更多
Tourism-oriented livelihoods represent a significant avenue for transforming traditional agricultural practices.Analyzing their environmental impacts offers a novel perspective for exploring the complex interplay amon...Tourism-oriented livelihoods represent a significant avenue for transforming traditional agricultural practices.Analyzing their environmental impacts offers a novel perspective for exploring the complex interplay among human production,consumption,and the ecological environment at a micro level.In this study,Shaanxi Province farmers were selected as field survey participants.Based on a quantitative assessment of farmers’ecological footprints within the study area,how their participation in rural tourism affected ecological footprints was analyzed using the propensity score matching model,and the heterogeneity of the impact and underlying mechanisms were further explored.Results indicate that the ecological footprint of farmers varies significantly across land-use types and consumption categories.Moreover,the spatial distribution of the ecological footprints exhibits a distinct“high at both ends and low in the middle”pattern.Participation in rural tourism significantly reduces the ecological footprint,particularly among farmers with higher levels of social trust or lower economic status.Further analysis shows that habitat quality and vegetation coverage are key ecological indicators that exert a significant positive moderating effect on the negative impact of rural tourism participation on farmers’ecological footprints.These findings highlight the importance of integrating ecological conservation with economic development.Accordingly,tailored policies,improved ecological service systems,and enhanced regional ecological quality are recommended to increase resource-use efficiency and promote a virtuous cycle between environmental sustainability and rural economic growth.展开更多
Urban vegetation plays a crucial role in regulating temperatures and heat waves in urban areas.However,the influence of vegetation coverage and its configuration on surface temperatures in different climate zones at a...Urban vegetation plays a crucial role in regulating temperatures and heat waves in urban areas.However,the influence of vegetation coverage and its configuration on surface temperatures in different climate zones at a national scale is unclear.To address this,we utilized high-resolution data to detect spatial patterns for 31 provincial capital cities in China.We integrated day and night surface temperatures to determine the influence of vegetative coverage and configuration on urban temperatures across different climate zones and city sizes.Our study revealed that a subtropical monsoon climate and medium-sized cities had the highest vegetative coverage and shape complexity.The best connectivity and agglomeration of vegetation were found in a temperate monsoon climate and large cities.In contrast,small cities,especially those under a temperate continental climate,had low vegetation coverage,high fragmentation,and weak agglomeration and connectivity.In addition,vegetative coverage had a negative impact on daytime surface temperatures,especially in large cities in a subtropical monsoon climate.However,an increase in vegetation coverage could result in warming at night in small cities in temperate continental climates.Although urban vegetation configuration also contributed to moderating surface temperatures,especially at night,they did not surpass the influence of vegetation coverage.The effect on nighttime temperatures of the configuration of vegetation increased by 3–6%relative to that of daytime temperatures,especially in large cities in a temperate monsoon climate.The contribution vegetation coverage and configuration interaction to cooling efficiency decreased at night,especially in medium-sized cities in a temperate continental climate by 3–5%.In addition,this study identified several moderating effects of natural and social factors on the relationship between urban vegetation coverage and surface temperatures.High duration of sunshine,low humidity and high wind speed significantly enhanced the negative impact of vegetation coverage on surface temperatures.In addition,the moderating effect of vegetation coverage was more pronounced in low population density cities and high gross domestic product.This study enhances understanding of the ecological functions of urban vegetation and provides a valuable scientific basis and strategic recommendations for optimizing urban vegetation and improving urban environmental quality.展开更多
A random sample of 535 children was selected by cluster random sampling.The shyness level and parenting style of parents and shyness level of children were investigated.The results indicated that there was a positive ...A random sample of 535 children was selected by cluster random sampling.The shyness level and parenting style of parents and shyness level of children were investigated.The results indicated that there was a positive correlation between parent shyness and child shyness,and there was a negative correlation between the child shyness and the authoritative parenting style.Mother shyness has a positive effect on different gender child shyness,but father shyness can only positively predict boy's shyness.The authoritarian parenting style has a negative predictive effect on boy's shyness.The authoritative parenting style could significantly enhance the influence of parent shyness on child shyness.展开更多
The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes...The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.展开更多
Purpose： This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach： Based on the Theory of Reasoned Action, the Technology Ac...Purpose： This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach： Based on the Theory of Reasoned Action, the Technology Acceptance Model, and Sense-making theory, we propose two dimensions of problematic situations： urgency and severity of health issues being searched online. Data were collected through a questionnaire survey among 214 Wuhan University students and analyzed using hierarchical regression analysis.Findings： Perceived usefulness, perceived ease of use, and subjective norm can influence user intention to seek health information online. The urgency of problematic situations has a negative moderating effect on the relationship between perceived ease of use and user intention and the relationship between subjective norm and user intention. The severity of problematic situations has a negative moderating effect on the relationship between subjective norm and user intention.Research limitations： The respondents of the survey are limited to students in one Chinese university, so whether this study＇s results can be applied to another population or not remains to be verified. In addition, only two dimensions of problematic situations are considered in this study. Practical implications： The paper puts forward the moderating effect of problematic situations and verifies it, which is the compensation for online health information-seeking behavior research. Besides, our analyses have implications for professional design of health care systems and related consumer information searches, and improve their performance. Originality/value： Previous work has reported the effects of problematic situation on user intention to seek health information online, ignoring its influence on other factors. This empirical study extends that work to identify the influence of problematic situation when seeking intention-behavior data in two dimensions, urgency and severity.展开更多
The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and trans...The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and transformations.The sample selection for this study was conducted from 2013 to 2020.Data related to the digital economy and servitization of the industrial structure of 30 Chinese provinces,municipalities,and autonomous regions were collected.This study presents the human capital variable,based on which an econometric analysis was conducted,and examines its moderating effect.The findings indicate that even after the replacement variable indicator’s robustness test,the relationship between the digital economy and the servitization of industrial structures remains unchanged.This study demonstrats that the quality of human capital plays a positive role in this effect.Finally,a heterogeneity test demonstrated that there are different pathways for the impact of the digital economy on the servitization of industrial structures in the eastern,central,and western regions.This study provides evidence to help researchers understand the moderating utility of human capital.展开更多
Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the und...Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.展开更多
With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet u...With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet use has become a breeding ground for many acts that are contrary to public decency,and this study is conducted against this background.This study explored the impact of perceived anonymity on online transgressions and investigated the moderating effect of moral excuses.A total of 414 subjects,210 males and 204 females,participated in this experimental survey.The SPSS data analysis concluded that perceived anonymity played a significant positive predictive role on online deviance(p<0.01),and the moderating role of moral excuses was not significant.This study will be conducive to the better implementation of the action of clearing cyberspace and to the regulation of public behaviour in cyberspace.展开更多
An important limitation of the research literatures which study the effect on the export of the real effective exchange rates is the lack of application of interaction or moderator effect among the independent variabl...An important limitation of the research literatures which study the effect on the export of the real effective exchange rates is the lack of application of interaction or moderator effect among the independent variables. To remedy this lacuna, the authors developed a model in which real effective exchange rate moderated the effect of import and utilization of foreign capital on export. The sample comprised 11 years＇ data in Guangdong China. The result showed that real effective exchange rate of RMB affected the export by interacting with utilization of foreign capital. Moreover, to some degree, the real effective exchange rate can also act as moderator between import and export.展开更多
To study the effects of a chocolate bar supplementation before exercise on improving recovery of physiological and metabolic changes induced by exercise, 16 male students aged 18-20 years voluntarily served as subject...To study the effects of a chocolate bar supplementation before exercise on improving recovery of physiological and metabolic changes induced by exercise, 16 male students aged 18-20 years voluntarily served as subjects. A crossover design was employed. Each subject took part in two trials and ran an hour on a treadmill with the intensity of keeping heart rate at 148-150 min for each trial. Results showed that plasma glucose levels of subjects increased significantly (5.42±0.83 mmol/L) at 15 min after ingestion of a chocolate bar and maintained in moderate high levels (4.92 ±0.57 mmol/L) until 30 min after an hour's running while the glucose levels were low and dropped to under normal ranges (3.84 ± 0.31 mmol/L) at 30 min after exercise as they were with a supplement of placebo. Results of plasma FFA, blood lactate and plasma urea nitrogen levels and RPE all indicated that chocolate bar supplementation before exercise benefits to create the necessary prerequisite for exercise and recovery展开更多
The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found th...The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found that payment technology promotes consumption capacity expansion and quality improvement(CEQI)through three pathways of alleviating liquidity constraints,reducing transaction costs and weakening the payment of pain.The parallel and serial mechanisms of the three are further explored.The effect of payment technology on the CEQI of residents’consumption shows obvious heterogeneity due to differences in urban and rural household registration and financial literacy.Based on the empirical research results and the national conditions of China,targeted policy recommendations are proposed from the demand side,the supply side and the technological side.展开更多
This study explores the role of financial support in the digital transformation of Chinese A-share-listed companies from 2001 to 2020.By utilizing the moderating effect model and threshold regression model,this study ...This study explores the role of financial support in the digital transformation of Chinese A-share-listed companies from 2001 to 2020.By utilizing the moderating effect model and threshold regression model,this study finds the following results:(1)Digital transformation positively impacts innovation,and the support of banking and capital markets further strengthens this impact.(2)With the development of banking and capital markets,the impact of digital transformation on innovation changes from negative to positive,which is also reflected in the subsamples of Eastern companies,small and medium-sized companies(SMEs),and non-SMEs.(3)The study reveals that only the capital market in the non-Eastern region has no threshold,and capital market support is effective only for non-SMEs when it reaches a higher level.These findings have important implications for policymakers in promoting digital transformation through financial support and help companies understand how to use financial support to improve competitiveness.展开更多
The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only ...The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only child.This transition is associated with problematic behaviors,affecting their social adjustment,sibling relationships,and family harmony.Although several studies have examined the relationship between parent-child attachment and problem behaviors exhibited byfirstborn children during family transitions,thefindings have been inconsistent.Hence,a meta-analytic study was undertaken to elucidate the inconsistencies in this relationship and explore the moderating factors that may contribute to these discrepancies.Using a systematic literature retrieval and screening method,12 effect sizes were derived from the 10 eligible articles,encompassing a sample size of 5319.The meta-analysis demonstrated a low negative association between parent-child secure attachment and problem behaviors exhibited byfirstborn children during family transitions.Furthermore,the present study investigates potential moderator factors,such as children’s age and geographic region,to gain a more nuanced understanding of the relationship.Consequently,the establishment of parent-child attachment relationships has the potential to mitigate problem behaviors observed infirst-born children during family transitions.The implications of thesefindings indicate that parents can nurture secure attachment bonds with their children by demonstrating sensitive responsiveness,employing positive parenting practices,and fostering emotional availability.These efforts contribute to the cultivation of secure internal working models and positive behavioral manifestations withinfirst-born children,which in turn affect their relationships with siblings.展开更多
This article explored China’s urban employment dynamics with particular focus on the city size effect.Big data derived from the largest recruitment website were used to examine the direct and indirect impacts of city...This article explored China’s urban employment dynamics with particular focus on the city size effect.Big data derived from the largest recruitment website were used to examine the direct and indirect impacts of city size on employment demand by using mediating and moderating models.We also investigated the roles of the government and location factors which have seldom been considered in literature.Results showed that the concentration degree of new jobs is higher than that of stock employment and population across cities,implying a path dependency mechanism of job creation and employment expansion.Meanwhile,numerous job posts in inland central cities are probably a symptom of more even distribution of employment in future China.Econometric models further verified the significant correlation between city size and job creation.Moreover,industrial diversity,fixed asset investment,and spatial location have heterogeneous effects on employment demand in cities of different sizes and different levels of administration.These results can not only deepen our understanding of the crucial role of city size in urban employment growth but also demonstrate the future trend of labor and population geography of China.Policy implications are then proposed for job creation in cities of China and other developing countries.展开更多
文摘Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of breast cancer on screening measures such as self-examination and,to a lesser extent,the perception of the threat of this disease.This research aims to assess according to the Health Belief Model(HBM),the moderating effect of perceived threat of breast cancer on the relation between knowledge and breast self-examination.A questionnaire survey was conducted among 517 Cameroonian women to assess their general knowledge about breast cancer(risk factors and screening measures),their level of the perceived threat of breast cancer through Perceived susceptibility and severity,and the prevalence of breast self-examination amongst them.A regression analysis using the Macro Process for moderation indicates the main effect of Perceived threat(b=0,29;t(517)=2,36;p=0,02)of breast cancer and knowledge(b=0,02;t(517)=4,29;p<0,001)on breast self-examination.Results also confirm that the perceived threat of breast cancer moderates the effect of knowledge on breast self-examination.While the low level of perceived threat highlights the effect of knowledge on breast self-examination(b=0,02;t(517)=3,49;p<0,001),the high level of perceived threat cancels that effect(b=0,01;t(517)=1,97;p=0,01).A woman who perceives severity and susceptibility to breast cancer is more inclined to perform breast self-examination.This result suggests the importance of taking into account,in a context where knowledge of breast cancer is limited,relevant factors of the health belief model in preventive measures against breast cancer in general and the practice of breast self-examination in particular.
基金supported by the National Natural Science Foundation of China (No.82203171)the Jiangsu Province Science and Technology Coordination Research Project (No.JSKXKT2023040).
文摘Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.
文摘Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress and insomnia.Methods:Through stratified sampling,720 nurses working in a tertiary A-level hospital in Shandong Province from March to May 2021 were surveyed using an effort-reward imbalance questionnaire,an organizational identification questionnaire,and the Athens Insomnia scale.Results:Organizational identification was negatively correlated with occupational stress and insomnia(r_(1)=-0.121,P_(1)<0.01;r_(2)=-0.144,P_(2)<0.01).Occupational stress was positively correlated with insomnia(r=0.379,P<0.01).Organizational identity significantly moderated nurses’occupational stress and insomnia(β=-0.192,t=-2.558,P<0.05).Conclusion:Occupational stress and organizational identification can predict insomnia.Organizational identification could negatively mediate the relationship between occupational stress and insomnia.Improving organizational identification may help alleviate insomnia symptoms by relieving occupational stress.
基金Jiangsu Province Social Development Project,No.BE2022735Jiangsu Innovative and Entrepreneurial Talent Programme,No.JSSCBS20211584+1 种基金Suzhou Clinical Key Disciplines for Geriatric Psychiatry,No.SZXK202116Suzhou Science and Technology Program Projects,No.SKY2023075,No.SYWD2024037 and No.MSXM2024032.
文摘BACKGROUND Adolescence is a period marked by physiological and psychological imbalances,which pose an increased risk for adolescents with major depressive disorder(MDD)to commit non-suicidal self-injury(NSSI).AIM To investigate the moderating role of social support utilization in depression and NSSI among adolescents with MDD.METHODS This cross-sectional study enrolled 314 adolescents with MDD(258 with NSSI,56 without)from a Chinese tertiary psychiatric hospital(2021-2023).Participants completed validated scales,including the self-esteem scale,the Barratt impulsiveness scale,the self-rating depression scale,and the teenager social support rating scale.Logistic regression and hierarchical regression analyses were used to examine predictors of NSSI and the moderating effect of social support utilization.RESULTS Results showed that the NSSI group had higher depression levels,lower selfesteem,and greater impulsivity.While overall social support was higher in the NSSI group,social support utilization significantly moderated the depression-NSSI relationship.Specifically,higher utilization levels weakened the association between depression and NSSI(β=-0.001,P<0.05).CONCLUSION These findings suggest that effective utilization of social support,rather than its mere presence,is crucial in reducing NSSI risk among depressed adolescents.
文摘This study investigates the impact of investor protection on corporate R&D investment using panel data from Chinese A-share listed companies spanning 2015 to 2022.By employing OLS regression,mediation,and moderation analyses,the results demonstrate that robust investor protection mechanisms significantly enhance corporate R&D expenditures.The mediation analysis reveals that investor protection alleviates financing constraints and improves information disclosure quality,both of which serve as key channels for fostering R&D investment.Furthermore,internal control systems and media attention are identified as positive moderators,amplifying the beneficial effects of investor protection on R&D.In contrast,the equity Herfindahl index(HHI)does not exhibit a significant moderating role.The study also highlights that financial leverage,profitability,and equity concentration negatively influence R&D,while revenue growth exerts a positive effect.These findings underscore the critical role of investor protection in driving corporate innovation and sustainable growth,offering valuable insights for policymakers and corporate managers aiming to optimize R&D strategies through improved governance frameworks.
基金supported by the National Natural Science Foundation of China[Grant No.42171281,72442020]the Shaanxi Provincial Social Science Fund Project[Grant No.2024ES04]Shaanxi Province Postdoctoral Science Foundation[Grant No.2024BSHSDZZ013].
文摘Tourism-oriented livelihoods represent a significant avenue for transforming traditional agricultural practices.Analyzing their environmental impacts offers a novel perspective for exploring the complex interplay among human production,consumption,and the ecological environment at a micro level.In this study,Shaanxi Province farmers were selected as field survey participants.Based on a quantitative assessment of farmers’ecological footprints within the study area,how their participation in rural tourism affected ecological footprints was analyzed using the propensity score matching model,and the heterogeneity of the impact and underlying mechanisms were further explored.Results indicate that the ecological footprint of farmers varies significantly across land-use types and consumption categories.Moreover,the spatial distribution of the ecological footprints exhibits a distinct“high at both ends and low in the middle”pattern.Participation in rural tourism significantly reduces the ecological footprint,particularly among farmers with higher levels of social trust or lower economic status.Further analysis shows that habitat quality and vegetation coverage are key ecological indicators that exert a significant positive moderating effect on the negative impact of rural tourism participation on farmers’ecological footprints.These findings highlight the importance of integrating ecological conservation with economic development.Accordingly,tailored policies,improved ecological service systems,and enhanced regional ecological quality are recommended to increase resource-use efficiency and promote a virtuous cycle between environmental sustainability and rural economic growth.
基金supported by the National Natural Science Foundation of China(42171109,32130068)the Youth Innovation Promotion Association of Chinese Academy of Sciences(2020237)National Key R&D Program of China(2023YFF1304604).
文摘Urban vegetation plays a crucial role in regulating temperatures and heat waves in urban areas.However,the influence of vegetation coverage and its configuration on surface temperatures in different climate zones at a national scale is unclear.To address this,we utilized high-resolution data to detect spatial patterns for 31 provincial capital cities in China.We integrated day and night surface temperatures to determine the influence of vegetative coverage and configuration on urban temperatures across different climate zones and city sizes.Our study revealed that a subtropical monsoon climate and medium-sized cities had the highest vegetative coverage and shape complexity.The best connectivity and agglomeration of vegetation were found in a temperate monsoon climate and large cities.In contrast,small cities,especially those under a temperate continental climate,had low vegetation coverage,high fragmentation,and weak agglomeration and connectivity.In addition,vegetative coverage had a negative impact on daytime surface temperatures,especially in large cities in a subtropical monsoon climate.However,an increase in vegetation coverage could result in warming at night in small cities in temperate continental climates.Although urban vegetation configuration also contributed to moderating surface temperatures,especially at night,they did not surpass the influence of vegetation coverage.The effect on nighttime temperatures of the configuration of vegetation increased by 3–6%relative to that of daytime temperatures,especially in large cities in a temperate monsoon climate.The contribution vegetation coverage and configuration interaction to cooling efficiency decreased at night,especially in medium-sized cities in a temperate continental climate by 3–5%.In addition,this study identified several moderating effects of natural and social factors on the relationship between urban vegetation coverage and surface temperatures.High duration of sunshine,low humidity and high wind speed significantly enhanced the negative impact of vegetation coverage on surface temperatures.In addition,the moderating effect of vegetation coverage was more pronounced in low population density cities and high gross domestic product.This study enhances understanding of the ecological functions of urban vegetation and provides a valuable scientific basis and strategic recommendations for optimizing urban vegetation and improving urban environmental quality.
文摘A random sample of 535 children was selected by cluster random sampling.The shyness level and parenting style of parents and shyness level of children were investigated.The results indicated that there was a positive correlation between parent shyness and child shyness,and there was a negative correlation between the child shyness and the authoritative parenting style.Mother shyness has a positive effect on different gender child shyness,but father shyness can only positively predict boy's shyness.The authoritarian parenting style has a negative predictive effect on boy's shyness.The authoritative parenting style could significantly enhance the influence of parent shyness on child shyness.
文摘The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.
基金supported in part by the Key Projects of Philosophy and Social Sciences Research supported by the Ministry of Education of the People’s Republic of China(Grant No.:15JJD870001)Luo Jia Youth Scholar of Wuhan University
文摘Purpose： This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach： Based on the Theory of Reasoned Action, the Technology Acceptance Model, and Sense-making theory, we propose two dimensions of problematic situations： urgency and severity of health issues being searched online. Data were collected through a questionnaire survey among 214 Wuhan University students and analyzed using hierarchical regression analysis.Findings： Perceived usefulness, perceived ease of use, and subjective norm can influence user intention to seek health information online. The urgency of problematic situations has a negative moderating effect on the relationship between perceived ease of use and user intention and the relationship between subjective norm and user intention. The severity of problematic situations has a negative moderating effect on the relationship between subjective norm and user intention.Research limitations： The respondents of the survey are limited to students in one Chinese university, so whether this study＇s results can be applied to another population or not remains to be verified. In addition, only two dimensions of problematic situations are considered in this study. Practical implications： The paper puts forward the moderating effect of problematic situations and verifies it, which is the compensation for online health information-seeking behavior research. Besides, our analyses have implications for professional design of health care systems and related consumer information searches, and improve their performance. Originality/value： Previous work has reported the effects of problematic situation on user intention to seek health information online, ignoring its influence on other factors. This empirical study extends that work to identify the influence of problematic situation when seeking intention-behavior data in two dimensions, urgency and severity.
基金funded by the National Natural Science Foundation of China(Grant No.:72074035)the Fundamental Research Funds for the Central Universities(Grant No.:2022CDSKXYGG006)the Graduate Research and Innovation Foundation of Chongqing,China(Grant No.:CYB22057).
文摘The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and transformations.The sample selection for this study was conducted from 2013 to 2020.Data related to the digital economy and servitization of the industrial structure of 30 Chinese provinces,municipalities,and autonomous regions were collected.This study presents the human capital variable,based on which an econometric analysis was conducted,and examines its moderating effect.The findings indicate that even after the replacement variable indicator’s robustness test,the relationship between the digital economy and the servitization of industrial structures remains unchanged.This study demonstrats that the quality of human capital plays a positive role in this effect.Finally,a heterogeneity test demonstrated that there are different pathways for the impact of the digital economy on the servitization of industrial structures in the eastern,central,and western regions.This study provides evidence to help researchers understand the moderating utility of human capital.
文摘Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.
文摘With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet use has become a breeding ground for many acts that are contrary to public decency,and this study is conducted against this background.This study explored the impact of perceived anonymity on online transgressions and investigated the moderating effect of moral excuses.A total of 414 subjects,210 males and 204 females,participated in this experimental survey.The SPSS data analysis concluded that perceived anonymity played a significant positive predictive role on online deviance(p<0.01),and the moderating role of moral excuses was not significant.This study will be conducive to the better implementation of the action of clearing cyberspace and to the regulation of public behaviour in cyberspace.
文摘An important limitation of the research literatures which study the effect on the export of the real effective exchange rates is the lack of application of interaction or moderator effect among the independent variables. To remedy this lacuna, the authors developed a model in which real effective exchange rate moderated the effect of import and utilization of foreign capital on export. The sample comprised 11 years＇ data in Guangdong China. The result showed that real effective exchange rate of RMB affected the export by interacting with utilization of foreign capital. Moreover, to some degree, the real effective exchange rate can also act as moderator between import and export.
文摘To study the effects of a chocolate bar supplementation before exercise on improving recovery of physiological and metabolic changes induced by exercise, 16 male students aged 18-20 years voluntarily served as subjects. A crossover design was employed. Each subject took part in two trials and ran an hour on a treadmill with the intensity of keeping heart rate at 148-150 min for each trial. Results showed that plasma glucose levels of subjects increased significantly (5.42±0.83 mmol/L) at 15 min after ingestion of a chocolate bar and maintained in moderate high levels (4.92 ±0.57 mmol/L) until 30 min after an hour's running while the glucose levels were low and dropped to under normal ranges (3.84 ± 0.31 mmol/L) at 30 min after exercise as they were with a supplement of placebo. Results of plasma FFA, blood lactate and plasma urea nitrogen levels and RPE all indicated that chocolate bar supplementation before exercise benefits to create the necessary prerequisite for exercise and recovery
基金Foundation items:National Natural Science Foundation of China(No.71874027)Ministry of Education Humanities and Social Sciences Research Youth Fund Project(No.23YJC760028)。
文摘The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found that payment technology promotes consumption capacity expansion and quality improvement(CEQI)through three pathways of alleviating liquidity constraints,reducing transaction costs and weakening the payment of pain.The parallel and serial mechanisms of the three are further explored.The effect of payment technology on the CEQI of residents’consumption shows obvious heterogeneity due to differences in urban and rural household registration and financial literacy.Based on the empirical research results and the national conditions of China,targeted policy recommendations are proposed from the demand side,the supply side and the technological side.
基金the funding support from Research on Confidential Computing and Data Governance of China Financial Technology(2021XWK03)Research on the Road of Chinese Open Cooperation and High Quality Economic Development(2022CXTD04)+1 种基金Research on the Impact of Information Disclosure Quality on Corporate Financing Constraints from the Perspective of Digital transformation(2023CX012)supported financially by the China Scholarship Council(No.202306170119).
文摘This study explores the role of financial support in the digital transformation of Chinese A-share-listed companies from 2001 to 2020.By utilizing the moderating effect model and threshold regression model,this study finds the following results:(1)Digital transformation positively impacts innovation,and the support of banking and capital markets further strengthens this impact.(2)With the development of banking and capital markets,the impact of digital transformation on innovation changes from negative to positive,which is also reflected in the subsamples of Eastern companies,small and medium-sized companies(SMEs),and non-SMEs.(3)The study reveals that only the capital market in the non-Eastern region has no threshold,and capital market support is effective only for non-SMEs when it reaches a higher level.These findings have important implications for policymakers in promoting digital transformation through financial support and help companies understand how to use financial support to improve competitiveness.
基金Funding of this research work is generously supported by the University Malaya Community Campus Grant-RUU2022-LL016Private Grant PV086-2022(University Poly-Tech MARA-UPTM),Kuala LumpurUniversitas Negeri Malang,Indonesia.
文摘The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only child.This transition is associated with problematic behaviors,affecting their social adjustment,sibling relationships,and family harmony.Although several studies have examined the relationship between parent-child attachment and problem behaviors exhibited byfirstborn children during family transitions,thefindings have been inconsistent.Hence,a meta-analytic study was undertaken to elucidate the inconsistencies in this relationship and explore the moderating factors that may contribute to these discrepancies.Using a systematic literature retrieval and screening method,12 effect sizes were derived from the 10 eligible articles,encompassing a sample size of 5319.The meta-analysis demonstrated a low negative association between parent-child secure attachment and problem behaviors exhibited byfirstborn children during family transitions.Furthermore,the present study investigates potential moderator factors,such as children’s age and geographic region,to gain a more nuanced understanding of the relationship.Consequently,the establishment of parent-child attachment relationships has the potential to mitigate problem behaviors observed infirst-born children during family transitions.The implications of thesefindings indicate that parents can nurture secure attachment bonds with their children by demonstrating sensitive responsiveness,employing positive parenting practices,and fostering emotional availability.These efforts contribute to the cultivation of secure internal working models and positive behavioral manifestations withinfirst-born children,which in turn affect their relationships with siblings.
基金Major Project of National Social Sciences Foundation of China,No.20&ZD173。
文摘This article explored China’s urban employment dynamics with particular focus on the city size effect.Big data derived from the largest recruitment website were used to examine the direct and indirect impacts of city size on employment demand by using mediating and moderating models.We also investigated the roles of the government and location factors which have seldom been considered in literature.Results showed that the concentration degree of new jobs is higher than that of stock employment and population across cities,implying a path dependency mechanism of job creation and employment expansion.Meanwhile,numerous job posts in inland central cities are probably a symptom of more even distribution of employment in future China.Econometric models further verified the significant correlation between city size and job creation.Moreover,industrial diversity,fixed asset investment,and spatial location have heterogeneous effects on employment demand in cities of different sizes and different levels of administration.These results can not only deepen our understanding of the crucial role of city size in urban employment growth but also demonstrate the future trend of labor and population geography of China.Policy implications are then proposed for job creation in cities of China and other developing countries.
