Search

Xin-Yu Duan,1 Tao Sun,2 Feng Lu,1 Xiao-Jing Yang,1 Hong-Yan Yin,3 De-Pin Cao,1,&ast; Shu-E Zhang1,&ast; 1Department of Health Management, School of Health Management, Harbin Medical University, Harbin, People’s Republic of China; 2Department of Health Policy and Management, School of Public Health, Hang Zhou Normal University, Harbin, People’s Republic of China; 3Department of Humanities and Social Sciences, Harbin Medical University (Daqing), Daqing, Heilongjiang, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: De-Pin Cao; Shu-E Zhang, Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China, Tel +86 13351113008; +86 15104694354, Email caodp211@126.com; hydzhangshue@163.comBackground: Depressive symptoms and multimorbidity are global public health concerns, the relationship between the two variables remains unclear. This study was an intervention attempt through the lens of regional relational culture to identify and reduce adverse consequences of this relationship. We aimed to explore the prevalence of multimorbidity and depressive symptoms among older Chinese adults, the association between the two variables, and the underlying moderating mechanism.Methods: This study extracted data from the China Health Retirement Longitudinal Study (CHARLS) of 8356 older adults aged 60 years and older and analyzed the correlation between multimorbidity and depressive symptoms in this population using Stata 16.0. Moreover, the correlation between multimorbidity and depressive symptoms was verified using logistic regression analysis, and a hierarchical multiple regression analysis was used to test the existence of moderating effects between the two variables.Results: The prevalence of multimorbidity and depressive symptoms among seniors aged 60 years and older was 66.16 and 36.85%, respectively. Multimorbidity was positively associated with depressive symptoms (p< 0.001), and relationship satisfaction, social activity, and information isolation moderated this association (p < 0.05).Conclusion: Older adults with multimorbidity are more likely to develop depressive symptoms, and regional relational culture can play a moderating role between them. The government, as well as aging-related sectors, can reduce the risk of depressive symptoms by improving relationship satisfaction, increasing social activity, and decreasing information isolation among older adults.Keywords: depressive symptoms, multimorbidity, older adults, relationship satisfaction, social activity, information isolation

Zi-Jiao Wang,1,&ast; Xiao-Ning Liu,1,&ast; Jia-Jun He,1 Yan-Ping Wang,1 Chen-Xi Zhao,2 Xiao-Jing Yang,1 Hong-Yan Yin,3 De-Pin Cao,1,&ast; Shu-E Zhang1,&ast; 1Department of Health Management, School of Health Management, Harbin Medical University, Harbin, People’s Republic of China; 2Academic Affairs Office, First Affiliated Hospital of Harbin Medical University, Harbin, People’s Republic of China; 3Department of Humanities and Social Sciences, Harbin Medical University (Daqing), Daqing, Heilongjiang, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: De-Pin Cao; Shu-E Zhang, Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China, Tel +86 13351113008 ; +86 15104694354, Email caodp211@126.com; hydzhangshue@163.comPurpose: The COVID-19 pandemic sets specific circumstances that may accelerate academic procrastination behavior of medical students. Career calling is a protective factor that fights against academic procrastination and may further improve medical students’ mental health and academic achievement. This study aims to determine the status of Chinese medical students’ academic procrastination during controlled COVID-19 pandemic. Moreover, the study investigates the relationships and mechanisms among career calling, peer pressure, a positive learning environment, and academic procrastination.Patients and Methods: Data were collected from several Chinese medical universities through an anonymous cross-sectional survey of 3614 respondents (effective response rate = 60.0%). Using online questionnaires to collect the data and IBM SPSS Statistics 22.0 for statistical analysis.Results: The average score of academic procrastination of Chinese medical students was 2.62± 0.86. This study proved the usage of peer pressure and positive learning environment as moderating roles of relationship between career calling and academic procrastination. Career calling was negatively correlated with academic procrastination (r = − 0.232, p < 0.01), while it was positively correlated with peer pressure (r = 0.390, p < 0.01) and a positive learning environment (r = 0.339, p < 0.01). Moreover, academic procrastination was negatively correlated with peer pressure (r = − 0.279, p < 0.01) and a positive learning environment (r = − 0.242, p < 0.01). Peer pressure was positively correlated with a positive learning environment (r = 0.637, p < 0.01).Conclusion: The findings emphasize the importance of constructive peer pressure and a positive learning environment that discourages academic procrastination. Educators should highlight medical career calling education by offering related courses to fight against academic procrastination.Keywords: career calling, academic procrastination, peer pressure, positive learning environment, medical students, moderating effects

Shu-E Zhang,1 Hui Wu,2 Xiao-He Wang,3 Chen-Xi Zhao,1 Tao Sun,3,&ast; De-Pin Cao1,&ast; 1Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China; 2Department of Social Medicine, School of Public Health, China Medical University, Shenyang, 110122, People’s Republic of China; 3Department of Health Management to School of Medicine, Hang Zhou Normal University, Hangzhou, 311121, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Tao SunDepartment of Health Management, School of Medicine, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of ChinaTel +86 1 376 688 2425Email hydsuntao@126.comDe-Pin CaoDepartment of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of ChinaTel +86 1 335 111 3008Email caodp211@126.comBackground: Chaxu atmosphere refers to the degree of differences, like the ripple effects in water, of the association between group members and the leader of the group resource. Unlike Western culture, China’s nurses have been working in Chaxu atmosphere, which may boost their negative emotion and influence their workplace behavior.Purpose: This study aimed to clarify the chain-mediating role of envy and silence in the association between Chaxu atmosphere and organizational responsibility behavior.Methods: A cross-sectional online survey was conducted, and a multistage stratified sampling method was employed to collect data. The study was conducted from September to October 2020 in China. Totally, 1740 nurses were recruited, and 1221 valid responses were collected. Socio-demographic factors, Chaxu atmosphere, employee envy, employee silence, and organizational responsibility behavior were assessed using questionnaires that included the Chaxu Atmosphere Scale, Employee Envy Scale, Employee Silence Scale, and Organizational Responsibility Behavior Scale. Hierarchical multiple regression was used to identify clusters of interrelationships among Chaxu atmosphere, envy, silence, and organizational responsibility behavior in nursing settings.Results: Though the Chaxu atmosphere did not directly influence the organizational responsibility behavior of Chinese nurses, its effect is mediated by a chain of envy and silence. First, Chaxu atmosphere evoked envy in the nurses (β=− 0.040, P< 0.001), thereby leading to decreased organizational responsibility behavior. Second, the Chaxu atmosphere promoted silence toward organizational issues (β=− 0.057, P< 0.001), resulting in decreased organizational responsibility behavior. Third, the Chaxu atmosphere evoked envy in the nurses, which contributed to the formation of silence (β=− 0.025, P< 0.001), resulting in a further decrease in organizational responsibility behavior.Conclusion: Nurses working in a high-level Chaxu atmosphere are prone to remaining silent on critical organizational issues due to increased envy, which subsequently reduces their organizational responsibility behavior. A better understanding of the association between the Chaxu atmosphere and workplace behavior will help nursing managers to foster harmonious relationships between nurses and their teams and to improve each individual’s organizational responsibility behaviorKeywords: nurses, Chaxu atmosphere, organizational responsibility behavior, chain-mediating