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Copyright of Journal of China Tourism Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Identities are not pre-given but are socially constructed with performative power. Taking a critical discursive approach, this study explores how the cultural understandings of deafness and the deaf community become intertwined with ideas of the 'state-home' (guo jia) in contemporary China. The paper analyzes forty award-winning biographical essays written by Chinese citizens with hearing disabilities in a 2016 national essay contest. The paper argues that the paradigmatic narratives from the essay contest correspond to the disability policy framework of the Chinese government in the market-reform era. The implications of these statist narratives of deaf identity need to be critically reflected as the human body becomes a central site of governance and governmentality in China during this stage. This study looks at autobiographical essays written by deaf people in China Essay contests organized for deaf people in China have opened up possibilities of expressing and sharing deaf experiences, but such events need to be analyzed critically. In China, the government plays an important role in orienting the disabled peoples' organization The individual's development and national development are inseparable in China's disability advocacy [ABSTRACT FROM AUTHOR]

How does power shape foreign policy attitudes? Drawing on advances in psychological research on power, I argue that the sense of relative state power explains foreign policy hawkishness. The intuitive sense that "our state" is stronger than "your state" activates militant internationalism, an orientation centered on the efficacy of force and deterrence to achieve state aims. Beyond general orientation towards the world, this sense of power explains discrete attitudes towards pressing security issues, from threat perception in the South China Sea to nuclear weapons use against Iran. Five original surveys across the US, China, and Russia, as well as an experiment fielded on the US public, lend support to these claims. The psychological effects of state power overshadow dispositional traits common in behavioral IR, like individuals' personalities and moral proclivities. More surprisingly, power changes individuals, making hawks of even the most dovish. Taken together, the paper presents a "first image reversed" challenge to standard bottom-up accounts of foreign policy opinion and offers unique explanatory leverage in a potential era of US decline, China's rise, and Russian belligerence. [ABSTRACT FROM AUTHOR]

Socio-psychological factors can influence efforts to conserve biodiversity. Despite numerous studies focused on giant panda (Ailuropoda melanoleuca) conservation, the intentions of farmers with respect to these conservation practices have received little attention. This paper uses an expanded version of the theory of planned behavior (TPB) as a framework to identify the socio-psychological factors that influence farmers' intentions to adopt conservation practices. The TPB hypothesizes that intention is determined by three psychological constructs: attitude, subjective norms, and perceived behavioral control. Perceived resources and some socioeconomic issues are also considered in the expanded TPB framework. A structured survey of 506 farmers was conducted, with farmers categorized into groups who received and did not receive subsidy payments. A principle components analysis was applied to check the structure of the latent TPB constructs. We used a logistic model to identify the impact of perceived resources, attitude, subjective norms, perceived behavioral control, and other socioeconomic characteristics on farmers' intentions to adopt conservation practices. Results show that the intentions of subsidized conservation participants were significantly influenced by perceived resources, behavioral control, attitude, and subjective norms. Non-subsidized conservation participants were significantly influenced by perceived resources, behavioral control, and subjective norms. Numerous socioeconomic factors were also significantly associated with intentions. To improve the adoption of sustainable conservation practices by farmers, attention should be paid to both psychological and socioeconomic issues that could improve the sustainability of A. melanoleuca conservation and the livelihoods of farmers in southwest China. [ABSTRACT FROM AUTHOR]

With the development of new financing methods in the networked society, and due to the underdeveloped social security system in China, more and more patients and their families have to choose crowdfunding as an important way to raise treatment funds. Using thematic narrative analysis, this paper studied 100 texts of medical crowdfunding on Easy Fundraising from February 27, 2018 to May 1. It is found that the requests used a series of strategies including: constructing the identity of the patient in order to build a disadvantaged image worthy of help; using tragic narration based on the traditional Chinese cultural elements such as "family concept" and "filial piety" and contrast of the patients' experience before and after the illness to mobilize the sympathy of potential donors; and downplaying the needs itself in order to maintain patients' self-esteem. [ABSTRACT FROM AUTHOR]

The context of mainland China remains under-researched in the bereavement literature. This article reports on a qualitative study on bereaved people's experience in mainland China in light of their relational beings, uncovering varied applications of cultural emphases on harmony in their ongoing lives. By collecting and analysing qualitative data from a sample of 31 bereaved people, a largely traditional but changing picture of the bereavement experience is captured. The findings highlight the predominant values of harmony and familism in shaping the Chinese bereaved people's identities in their ongoing lives. This article examines the idea of relational beings in the context of mainland China by shedding light on the reported experience of bereavement, and thus, furthers the ongoing debates on socio-cultural constructions of bereaved people's identities. Accordingly, this paper provides researchers and practitioners with an in-depth narrative of bereaved people's experience in this largely under-explored society, providing theoretical and empirical evidence to inform future studies, as well as bereavement support and policy-making in China. [ABSTRACT FROM AUTHOR]

Climate change poses a potential risk to coastal infrastructure, thus threatening the economics or even the safety of human beings. Thus, a better understanding of the attitude of port organizations toward climate adaptation and mitigation is essential. This paper addresses this research gap by investigating 18 port organizations in China. The questions include the impediments and the impact of context, systems, and other factors on the implementation of adaptation strategies. The results indicate that port organizations are generally aware of climate change impacts and agree that some further steps are needed. However, policy support serves as a key factor in implementing adaptation plans. Apart from offering important insight on the attitude of port organizations, the study also serves as a platform for further research on climate adaptation planning in China. [ABSTRACT FROM AUTHOR]

A main purpose of the present study was to examine and compare attitudes toward inclusive education between parents of children with ASD, parents of typically developing children, and classroom teachers in China. The investigators also sought to explore factors influencing different stakeholders' perspectives. An attitude survey was distributed to 14 institutions in Shanghai and Anhui Province in China, including four kindergartens, two elementary schools, four special schools, and four private training agencies. Seven hundred and twelve responses were received, including 170 from parents of children with ASD, 337 from parents of typically developing children, and 197 from classroom teachers. Both multivariate and univariate analyses were conducted to compare differences in attitudes between groups. The results indicate that parents of children with ASD held the most positive attitudes toward inclusion, whereas classroom teachers held the least positive attitudes toward the inclusion of children with ASD. Further analyses revealed that not only were adults' attitudes influenced by their identities as parents or teachers, but their background may also influence how they perceive inclusive education. The findings of the study provided a comprehensive view on how different parties perceive inclusive education of ASD. It also provided empirical evidence that inclusion generally has a positive impact on people's attitudes toward ASD. Implications and suggestions for future research and practices were further discussed in the paper. [ABSTRACT FROM AUTHOR]

The logistics environment between China and Korea has been changing rapidly in line with the 'Go West' policy of international trade and logistics area. The policy includes the BRI, Western Development Strategy, and Korea–China FTA. Against this background, the Korea–China train ferry (KCTF) is being newly illuminated as an alternative mode to cope with the logistics environment between Korea and China. One of the key success factors of the KCTF depends on, among others, shippers' perception, which will affect the choice and the successful operation of the KCTF. From this perspective, this paper develops seven hypotheses based on the Theory of Reasoned Action (TRA) and Technology Acceptance Model (TAM). We test these hypotheses using Structural Equation Modeling (SEM) to explore the structural relationship between shippers' behavioral beliefs influencing the perceived usefulness, the attitude toward and intention to choose the KCTF. The test results confirm that among the behavioral beliefs, transport accessibility in association with an efficient network of inland roads and railway networks is an important prerequisite. In addition, we verified a high statistical significance in the structural relationships among perceived usefulness, the attitude toward and the intention to choose the KCTF. [ABSTRACT FROM AUTHOR]

The article comments on the paper "Shame: An Acute Stress Response to Interpersonal Traumatization," by Dianne Trumbull. Topics mentioned include the visual dimension, power, and pain of shame, distinction between shame and guilt, the role of shame in development and attachment emotion, the impact of shame on self-esteem, and the interaction of shame and culture.

Objective: The past decade has been marked by a significant increase in information on stigma associated with mental disorders, but these findings have yet to be applied extensively to mental health services in China. The objective of this study was to conduct a narrative review of studies relating to stigma toward mental illness in China. Methods: A critical search of scientific papers was conducted in the PubMed, CNKI, and WANFANG databases. The search included articles published from January 2001 to April 2016. Results: Forty-two studies were evaluated and arranged into the following category groups: general public, health professionals, medical students, family members and caregivers, and people with mental disorders. Conclusion:We identified some results similar to those reported in foreign settings. However, somenoteworthy findings concerning the stigma of health professionals, medical students, and family members towards people with mental disorders in China should be the focus of further research. Interventions designed to reduce mental health-related stigma may benefit from considering cultural influences exhibited by the Chinese population. [ABSTRACT FROM AUTHOR]

This paper highlights the interaction between intended human resource (HR) practices as perceived by supervisors and status similarity between supervisors and employees as a key source of variation in employee work engagement among 298 employees reporting to 54 supervisors at a luxury Chinese hotel. Using a multi-level, process-oriented approach to examine the relationship between intended HR practices by supervisors and engagement as perceived by employees, we show (1) that the interaction of supervisor perceptions of HR practices and supervisor–subordinate hukou (place of origin) status similarity is positively related to employee reports of Leader–member exchange (LMX), HR practices and work engagement; (2) that the interaction of supervisor perceptions of HR practices and hukou status similarity influences employee perceptions of HR practices through LMX; and (3) that the interaction of supervisor perceptions of HR practices and hukou status similarity influences work engagement through employee perceptions of LMX and HR practices. Theoretical and practical implications are discussed. [ABSTRACT FROM PUBLISHER]

Over the last three decades, China's legal framework and political attitude regarding fashion have faced several changes. Initially, the country lagged behind the international standard, but over time China has made a significant effort to improve the legal environment where the fashion industry operates. If China is now a top player in the global fashion market, it is due also to its commitment to building on a solid formal legal framework. While this consolidation is occurring, further transformations that will affect the fashion business are underway in China: in particular, one concerning the advent of digitalization, which is crucial in determining the future development of the industry and increasingly relevant due to the spread of COVID-19, and another concerning the undergoing social, political, and cultural changes being strongly pushed forward by President Xi's leadership. This paper aims to identify some features of the evolution of legal regulations relating to the fashion industry in China and to analyze its current trends and possible future developments. [ABSTRACT FROM AUTHOR]

This paper investigates how legal liability influences audit quality and audit fees, particularly in the presence of government intervention. Since 2010, all Chinese audit firms were required to transform from a structure of limited liability company (LLC) to limited liability partnership (LLP), which removes the cap on the liability exposure of negligent auditors. By adopting this natural experiment, we document the following findings: first, after audit firms reorganize as LLPs, auditors are more likely to (1) issue modified audit opinions and going-concern opinions, (2) constrain clients’ earnings management, and (3) charge a premium in audit fees, which suggest that exerting unlimited legal liability on negligent auditors improves both audit quality and audit fees. Second, the effect of the LLP adoption is more pronounced when auditors are from local audit firms, and clients are controlled by local governments. Further analyses suggest that the stock prices of clients positively react to the reform event, which indicates that LLP adoption improves the overall value of audits. In summary, our empirical findings are consistent with the argument that legal liability is able to effectively shape auditor behavior in emerging markets where the other institutional mechanisms are relatively weaker and government intervention is heavy. [ABSTRACT FROM PUBLISHER]

China's rapid economic growth over the last three decades has led to increased population wealth and the proliferation of entertainment centres where people can conduct business, relax and meet new people. Little is known about the sexual risk behaviours of employees at high-tier entertainment centres. This paper addresses this gap in knowledge by comparing HIV risk perception and sexual and reproductive health behaviours among female and male employees at three high-tier entertainment centres in two cities in China, comparing those who report a history of transactional sex to those who do not. In both cities, participants who reported a history of transactional sex were more likely than those without a history of transactional sex to report multiple sexual partnerships, more lifetime sexual partners, a history of sexually transmitted infections (STIs), having anal sex and/or recent abortions, and were more likely to perceive themselves to be at risk for STIs/HIV. However, risk behaviour was also high among those with no history of transactional sex. These findings highlight the need for targeted sexual and reproductive health initiatives for employees in these work settings. [ABSTRACT FROM PUBLISHER]

Background:Students’ daily-life experiences may render favorable effects on the students’ affective domain like interest, enthusiasm, motivation, joy, curiosity, awareness, and eagerness to learn science as not commonly found in the classroom environment. However, no rigorous research has been reported on those aspects in Mainland China despite many recent studies done in various Western countries. Purpose:This paper aims to report and compare the science-related experiences of ninth-graders from two places (in Urumqi City of Xinjiang province and Shanghai) in China through a large-scale survey of their junior secondary three students. Sample:The sample consists of 4115 students in Urumqi City (from 28 schools) and Shanghai (from 25 schools). Design and methods:This study adopted a Likert scale questionnaire instrument, as translated from the international Relevance Of Science Education (ROSE) Project. From a confirmatory factor analysis of the data, we identify and focus on six factors which are directly correlated with students’ science-related experiences outside school environment in Xinjiang and Shanghai and employ relevant factor scores to compare the gender, regional, and socioeconomic effects. Results:As revealed by thet-test, gender and regional differences were statistically significant in affecting (1) students’ outdoor living experience, (2) hands-on experience of transportation, and (3) their daily-life experience with do-it-yourself tools and models. In all three aspects, boys and Xinjiang students possessed richer experiences than girls and Shanghai students, respectively. Conclusions:Based on ANOVA tests, Shanghai students’ out-of-school science-related experiences were more often significantly affected by various socioeconomic variables (including their parents’ education and occupation and their family income) than Xinjiang students. From cross-regional comparison, Chinese students had much fewer science-related experiences than those of Greek and Finnish students. The limitations and educational implications of the present study are also discussed. [ABSTRACT FROM PUBLISHER]

Determining the factors that influence young adults’ engagement in environmental action is critical to further developing their active and important participation in environmental issues. In this paper, we designed two studies to identify life experiences of Chinese college students that foster environmental action. In Study 1, we used an open-ended survey to ask 34 young environmentally active citizens about the life experiences influencing their current engagement in environmental protection. In Study 2, we developed a significant life experience scale based on the results of Study 1 and recruited junior and senior students from seven universities to participate in an online questionnaire. We analyzed 606 valid questionnaires to understand whether the significant life experiences identified in Study 1 can distinguish environmentally committed students from other students and to what extent the significant life experiences can predict environmental action. Our results suggest that environmental organizations, college education, natural experiences and life principles could be important factors influencing the formation of environmental action, while other life experiences may also contribute to this process. [ABSTRACT FROM PUBLISHER]

As an epilogue to this special issue, this paper offers a brief critical review of Chinese-outbound-tourism literature, developed so far in conjunction with the articles accepted in this special issue. In doing so, we provide an overview of the state-of-the-art knowledge with regard to Chinese outbound tourism. Issues other than those presented in the special issue articles are also discussed and highlighted. These include the social and environment issues that could possibly prove not as positive as economic benefits in destination countries. [ABSTRACT FROM AUTHOR]

China has long resisted the naturalization of athletes, decrying foreign mercenaries and emphasizing self-sufficiency. Yet amid rising popular nationalism and hardening attitudes in Chinese foreign relations, the sporting authorities have recently adopted an active naturalization strategy for foreign football players. This article explores how official Chinese positions have evolved on the issue, even as suspicions of foreigners and the system for managing them remains intact. We show how China has sought to control and utilize its engagement with foreigners and present exploratory findings on the attitudes of Chinese fans to football player naturalization. We find that cultural appreciation and support for China are major explanatory factors, while much scepticism remains as to foreign players' motives, behaviours and contribution to longer term development of Chinese football. [ABSTRACT FROM AUTHOR]

Inclusive digital financial services should welcome older populations and make them beneficiaries of the digital and financial revolution. To understand older adults' experience of using digital financial tools, we conducted an online survey of 268 older internet users aged 60 or above from urban areas of 14 Chinese provinces after China's nationwide COVID-19 lockdown in 2021. Our results revealed that older internet surfers were active in digital financial activities and engaged most with activities that were highly compatible with their lifestyles. Active users significantly differed from inactive users in sociodemographics, confirming that a digital divide related to social stratification exists among older internet users. Digital finance active users were also distinguished from inactive users' attitudes and perceptions toward digital finance. Logistic regression results indicated that perceived usefulness, access to proper devices for digital finance, risk perceptions, and perceived exclusion if not using technology were associated with their adoption of these advanced tools. Older adults reported the perceived inconvenience of in-person financial services during the lockdown. They also expressed a willingness to participate in relevant training if provided. The findings of this study could help aging-related practitioners to understand older adults' engagement in digital finance and guide policy and project design in the area of financial inclusion of the aging population. [ABSTRACT FROM AUTHOR]

Discourse analysis of different languages of newspapers in Kazakhstan reveals that Kazakhstanis’ views towards China and the Chinese are divided. The official discourse in both state-sponsored Russian and Kazakh newspapers is in accordance with the country's policy towards further engagement with their rising Chinese neighbour. However, negative stereotypes of China and the Chinese, as well as sinophobia, are pervasive in private Kazakh language newspapers. Private Russian newspapers have a more nuanced view towards China, with a hidden inclination towards being critical of that country and its people. Although the majority of these societal voices do not have a direct impact on changing the national policies of Kazakhstan, they are important in the sense that Kazakhstan's ruling elite must continue to gauge social views and to placate differences in order to secure the stability and legitimacy of the regime. [ABSTRACT FROM PUBLISHER]

The coronavirus pneumonia 2019 epidemic has had a huge impact on the population, and medical students are no exception. The purpose of this study was to explore the correlation between the risk perception, adaptation, confidence, and risk response behavior of medical postgraduates. A cross-sectional survey on medical postgraduates was conducted in a medical school in China. A total of 712 students were investigated. Basic information and individual scores, including risk perception, adaptability, confidence, and risk response behavior, were collected. There was a significant positive correlation between risk perception and adaptability, confidence, and risk response behavior (P < 0.01). Not only did risk perception have a direct positive predictive effect on adaptability, but also affected adaptability through three indirect pathways. [ABSTRACT FROM AUTHOR]

Nonhuman animals are often abandoned and killed during non-epidemic and epidemic emergencies. However, the study of public attitudes toward animals during an epidemic outbreak and their antecedents and consequences is rare. The present study aimed to determine the individual and psychological variables associated with attitudes toward animals during the initial outbreak of the COVID-19 epidemic in China. Two groups of 990 adults completed an online survey: one group from the epicenter of the epidemic (Hubei Province); the other from other provinces in China. Attitudes toward animals were assessed by four scales: general attitudes toward animal protection, belief in animal mind, human–animal continuity, and psychological closeness between animals and self-concept. Results demonstrated that after the effects of demographics were controlled for, contact with companion animals positively predicted all aspects of the attitudes toward animals in both groups. The above associations tended to be weaker in the epicenter than the non-epicenter group, suggesting the potential modulating role of the localized severity of the epidemic. In addition, perceived continuity between humans and animals negatively predicted the prejudicial attribution to animals of causing the outbreak. The findings provide evidence for the importance of positive interactions with companion animals and people's attitudes toward animals to prevent mistreatment of other species when emergencies occur. The findings also expand the limited empirical research on human–animal relations in non-Western countries. [ABSTRACT FROM AUTHOR]

China's attitude towards the Responsibility to Protect (R2P) has evolved from resistance to acceptance with reservations. Having endorsed R2P, China reinterpreted the emerging norm and put forward four principles of implementing R2P, namely target state consent, regional consensus, non-coercive means or coercive means authorized by the UN Security Council, and no precedent-setting, which are followed when implementing R2P. This article explores China's change in attitude towards R2P and its different attitude on different R2P-related issues in the Middle East and North Africa (MENA) as the key target area of R2P, arguing that the combination of socialization mechanism and localization mechanism explains a series of China's behaviours including its change of attitude towards R2P, reinterpretation of R2P and stance on implementing R2P on specific issues. Through examining the Darfur issue, the Libyan crisis and the Syrian crisis, the article demonstrates how China supports or opposes the implementation of R2P under the combined influence of socialization and localization. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Hospitality Marketing & Management is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Literature suggests that organizational readiness for change (ORC) could facilitate adaptation and implementation of new projects or practices in clinical settings. Limited data are available regarding the longitudinal associations between ORC and psychosocial conditions of HCPs. Using six waves of longitudinal data collected between 2013 and 2016 from 357 HIV HCPs in Guangxi, China, we identify sociodemographic and occupational characteristics that impact ORC and examine how occupational stress and burnout affect ORC adjusting for potential cofounders. A mixed effect model was used to assess the associations of ORC with psychosocial variables controlling for key background variables, and within-cluster and within-subject correlation over time. The ORC level was stable over time. Ethnical minority HCPs reported lower ORC compared with those of Han ethnicity. HCPs with administrative responsibility reported significantly lower ORC compared with the ones without administrative responsibility. HCPs with high school education attainment showed lower ORC compared to those with some college education. The ORC level was negatively associated with occupational stress and burnout controlling all the background variables. It is important to integrate reducing stress and alleviating burnout in the workplace into efforts to promote the acceptance and adaptation of new intervention. [ABSTRACT FROM AUTHOR]

China's impact on the world has been increasing in the past few decades. How is the rest of the world reacting to China's rise? One way to answer this question is to study public attitudes toward China. This article examines the trends, patterns, and determinants of public attitudes toward China in other countries by analyzing data from opinion surveys in the years 2005 to 2018. Two motivating hypotheses guide this article's analyses. First, public attitudes toward China in developing or less-developed countries are economy-oriented, with China's involvement in a local economy leading to a more positive attitude toward the country. Second, public attitudes toward China in developed countries are ideology-oriented, with an emphasis on values and beliefs. The study concludes that public opinion on China has experienced a downward trend overall, especially in developed and democratic countries. Moreover, China's foreign direct investment in a given country is positively associated with favorable opinion, while Chinese exports to other countries are negatively associated with favorable opinion. [ABSTRACT FROM AUTHOR]

To understand the challenges in delivering comprehensive care for patients recovering from stroke in Guangdong Province, China. A cross-sectional qualitative study was conducted in two tertiary hospitals with different socio-economic characteristics in Guangdong Province, Southern China. Interviews were conducted with 16 stroke care providers including doctors, nurses, rehabilitation therapists and care workers. The interviews were audiotaped, transcribed and translated from Mandarin to English. Thematic analysis was used to draw out descriptive and analytical themes relating to care providers' experiences of existing routine stroke care services and the perceptions of challenges in delivering comprehensive stroke care. The interviews with stroke care providers highlighted three key factors that hinder the capacity of the two hospitals to deliver comprehensive stroke care. First, expertise and knowledge regarding stroke and stroke care are lacking among both providers and patients; second, stroke care systems are not fully integrated, with inadequate coordination of the stroke team and inconsistency in care following discharge of stroke patients; third, stroke patients have insufficient social support. While comprehensive stroke care has become a priority in China, our study highlights some important gaps in the current provision of stroke care. Comprehensive integrated stroke care is essential to maximize the effectiveness of stroke services and in China it needs to be further improved. Multidisciplinary stroke care systems should strengthen collaborations across all relevant disciplines and should include a clear role for registered nurses. Follow-up care after discharge needs more engagement with family caregivers. [ABSTRACT FROM AUTHOR]

Innoculation of pneumococcal vaccines among the elderly is an effective public health policy to prevent pneumococcal diseases and it is widely promoted by many developed countries. The pneumococcal vaccination rate among the elderly in China was only 3.7% in 2019, it grew rapidly during the early stage of the COVID-19 pandemic. The purpose of this cross-sectional study was to investigate the psychological and demographic-economic factors related to the uptake behavior of pneumococcal vaccination among the Chinese elderly by using an integrated model based on the unified theory of acceptance and use of technology (UTAUT), and knowledge, attitudes and practices (KAP). The theoretical model was tested via structural equation modeling (SEM) with data collected from 516 Chinese older adults aged 60 years and older. Our results suggested that knowledge, performance expectancy, effort expectancy, attitude, and trust had a significant correlation with behavioral intention; behavioral intention and trust had a positive correlation with the uptake behavior, gender, and and education level and chronic obstructive pulmonary disease exerted significant moderating effects. To increase the coverage of pneumococcal vaccination among the elderly, it is necessary to provide effective health education by authoritative experts, thereby enhancing their knowledge and positive attitude towardthe vaccination. [ABSTRACT FROM AUTHOR]

Deepening the understanding of residents' attitudes and related influencing factors is integral to tourism destinations' long-term sustainable development. Given the transitional nature of residents' attitudes, longitudinal research on the topic – despite having been recommended – remains lacking. This study applied a longitudinal design over a 4-year period to assess the effects of residents' satisfaction with tourism development and quality of life (QOL) on their attitudes toward tourism development. The study used a sample of tourism communities within China's Yuntai Mountain area, a mature and stable destination with a relatively independent and closed economic system. Results reflected a significant and positive impact of residents' satisfaction with tourism development on their attitudes toward such development; however, the mediating effect of QOL between residents' satisfaction and their attitudes was weak and not significant throughout the study period. These findings enrich the literature by re-examining residents' attitudes and associated influencing factors over time. Targeted strategies are recommended to help local governors and policymakers engender greater resident support for tourism. [ABSTRACT FROM AUTHOR]

With adverse events and injuries recurring in residential aged care facilities (RACFs), older adults' safety in residential age care settings has attracted extensive attention from governments, researchers, and healthcare providers. Risk management is of utmost importance in reducing risks and improving the quality of care for older adults in long-term care. Although previous studies have made great efforts to explore risk management methods and technologies in RACFs, little is known about how managers identify and respond to risks in practice. This qualitative study aimed to elucidate the perceptions and experiences of managers involved in risk management in RACFs in China. This study used a phenomenological research design. We conducted semi-structured interviews with 13 managers across 11 RACFs in Changsha City, Hunan Province, China. Data were analysed using Colaizzi's seven steps and NVivo 12 plus software. "Facilitation of an error-free culture" emerged as a central theme of managers' perceptions of risk management. Four sub-themes were revealed, namely "creating an age-friendly physical environment," "paying close attention to frail older adults," "improving the competence of nursing staff," and "building effective management programs." Facilitation of an error-free culture was of prime importance in risk management. Managers' experiences can help RACFs to better manage risks, as well as provide new perspectives and approaches for RACFs to improve the quality and outcomes of care. This study developed initiatives for improving resident safety in RACFs and may foster interest in the developing these initiatives. [ABSTRACT FROM AUTHOR]

This study investigates visitors' attitudes towards the reopening of the Chimelong Ocean Kingdom in China amid the global pandemic in 2020. The proposed framework utilizes the Push-Pull-Mooring model by adapting the THEMEQUAL dimensions. Seven perceptual variables are identified as a source of visitors' attitudes arising from their theme park experiences. The findings reveal that the pandemic is leading to a change in which PPM factors most influence visitors' decision to revisit a theme park. It proposes that the theme park industry should put these important factors together in order to develop a cohesive approach to cultivating safety and brand trust. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has brought immense challenges on the health system including HIV care service. Based on online survey data of 1,029 HIV care providers in Guangxi, China, we assessed their perspectives on the challenges for HIV service delivery and perceived impacts of such challenges on patient care during the COVID-19 outbreak. Multivariate regression analysis was conducted to test the association between specific challenges and patient care outcomes controlling for socio-demographics of HIV care providers. The prominent impacts of COVID-19 on patient care outcomes included "not being able to make follow-up visits on time", "not being able to get ARV refills timely", and "compromised ART adherence". Patient care outcome was significantly associated with "not being able to go to work due to quarantine and traffic restriction", "no overall arrangement", "no guideline for HIV service", "conflicts between HIV care and response to COVID-19", and "clinics were overwhelmed by COVID-19 care". In response to dual epidemics of COVID-19 and HIV, policy makers may consider the potential impact of large-scale preventive strategies (e.g., lockdowns) on HIV care, assist healthcare providers to navigate shifting tasks and resetting priorities effectively, and develop clear guidelines and clinic-level arrangements to best serve both COVID-19 and HIV patients. [ABSTRACT FROM AUTHOR]

Adolescence is a critical life stage when individuals further consolidate their gender role concepts, develop sexual beliefs, and likely begin to experiment with sexual behaviors. While there have been numerous studies on adolescents' gender role attitudes, sexual beliefs, and sexual behaviors, the bulk of this research has been based on Western samples. The current study aimed to expand our knowledge of adolescents' gender and sexuality by examining gender role attitudes, sexual beliefs, and sexual behaviors in an urban sample (n = 613) and a rural sample (n = 408) from China. Adolescent boys reported stronger identification with the negative male role, less sexual guilt, and stronger sexual intention than their female counterparts. Compared to the urban sample, adolescents in the rural sample were more likely to endorse both negative and positive male roles, hold the sexual double standard, and experience sexual guilt. Regression analyses yielded significant interaction effects between sex and negative male role on sexual guilt and sexual intention, suggesting that the negative male role was differentially associated with sexual guilt and sexual intention in boys versus in girls. Moreover, the negative male role was the only significant predictor of sexual behavior. Cultural implications of these findings were discussed. [ABSTRACT FROM AUTHOR]

In dialogue with the new gender ideology "egalitarian essentialism" which reveals uneven transformation of gender equity in public and private spheres, this study looks into the nuanced gender ideologies among Chinese youth, their antecedents and socio-psychological impacts on the young people. We apply latent class analysis to data on gender-role attitudes that were collected in 12 vocational colleges in China (N = 4,793). The three gender ideology profiles that we identify—egalitarian, essentialist, and neutral groups—demonstrate an alternative version of "egalitarian essentialism" in post-socialist China which highlights that a continuation of egalitarian attitudes in families co-exists with a growth of essentialist attitudes in employment. Furthermore, multivariate analysis shows that the three gender ideology profiles are structured primarily by sex and socio-economic backgrounds. We also find that the gender ideologies contribute to the prediction of the youth's subjective well-being, especially their future expectations and psychological distress—the relations that have been under-researched in previous studies in China. [ABSTRACT FROM AUTHOR]

Previous studies have provided mixed evidence on how parental migration might affect children who remain behind, highlighting the important role of contextual differences. Using newly collected data from the 2017 Survey of Migration and Children in western China and the Mexican Family Life Survey (2009–2012 waves), we compare the effects of different types of parental migration on boys and girls in two settings. The results show that boys with two migrant parents have lower educational aspirations in both settings; the aspirations of Mexican girls are more likely to be negatively influenced by maternal migration while girls in western China benefit from parents' previous migration experience. We argue that the impacts of parental migration are shaped by economic development, cultural attitudes toward education, and gender relations in broader contexts. [ABSTRACT FROM AUTHOR]

Although the emergence of a sense of national identity in daily narratives is common, little is known about how the Chinese older adults, particularly those living in rural districts, remember national events and construct a sense of belonging to their country. In this qualitative study, we investigate how Chinese rural older adults construct national identity by telling their life stories. Adopting a hermeneutic phenomenological approach, we interviewed 18 participants in a village located in southwest China. The explicitation of the data revealed that the older adults in this study recalled many national events in much detail while telling their personal stories as though these events formed an essential part of their self-concept and identity. Four themes were identified regarding the older adults' identification with their country: remembering Chinese history, emphasizing Chinese culture, praising the central government and national leaders, and national identity in negotiation. We discuss limitations of the study and the implications for both future research and practices in educational gerontology and suggest that professionals working with Chinese rural older adults aware that their clients' personal narratives might mix with national and governmental matters. [ABSTRACT FROM AUTHOR]

This study investigates local residents' attitudes toward shale gas exploitation in China through interviews of 730 residents of Sichuan Province and explores determinants of their support or opposition. It is the first study in China to explore local residents' attitudes on this subject and we identify underlying factors contributing to such attitudes, including energy poverty, environmental awareness, and risk and benefit perceptions. The results show that the respondents are generally supportive of shale gas development. Fewer than 20% of them report opposing such development. The respondents' supportive attitudes are significantly associated with their positive benefit perceptions, trust in public entities, perspectives on impacts and risks of shale gas exploitation, and knowledge of shale gas technology, while oppositional attitudes are significantly associated with risk perception, energy poverty, and environmental awareness. [ABSTRACT FROM AUTHOR]

This exploratory study examines the attitudes of tourism, civic and business stakeholders in Kazakhstan to China's proposed Belt and Road Initiative (BRI). It aims to determine the applicability of Social Exchange Theory (SET) in measuring local attitudes towards the likely impacts of the multi-sectoral, transboundary mega projects of the BRI on tourism development in the destination. In addressing this gap in research on attitudes to tourism development in this wider regional context, the study confirms the utility of SET as an explanatory framework in benchmarking stakeholders' attitudes towards the implications of the BRI for tourism development. The findings suggest that while there is a strong support for the economic value of China's BRI for the sector, there are some concerns that it may undermine local autonomy and Kazakhstan's distinctive brand as a tourist destination. [ABSTRACT FROM AUTHOR]

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We developed and tested the acceptability and utility of a novel HPV vaccination decision aid (DA) among Chinese young women aged 18–26 years and parents of adolescent girls aged 9–17 years. From March to May 2016, a total of 101 parents plus 109 young women completed baseline surveys assessing their HPV vaccination knowledge, decision self-efficacy, decision conflict, and HPV vaccination intention. Two weeks after receiving the DA, 84 (83.2%) parents and 92 (84.4%) young women completed re-assessments. Chi-square tests or t-tests were performed to compare the before-and-after differences. Cohen's d was calculated to indicate the effect size. After reading the DA, both participating young women's and parents' knowledge of HPV vaccination (Cohen's d = 0.62 among young women and d = 0.59 among parents) and decision self-efficacy (d = 0.38 among young women and d = 0.59 among parents) significantly increased. Both young women's and parents' decision conflict (d = −0 · 98 and −1.06) significantly decreased. The proportion of young women intending to receive HPV vaccination and parents deciding to vaccinate daughters against HPV significantly increased (p < 0 · 0001). The DA showed good acceptability and utility facilitating HPV vaccination decision-making for most Chinese young women and parents of adolescent girls. Further randomized controlled trials of this tool are essential. [ABSTRACT FROM AUTHOR]

Researchers have suggested that specific perceptions of online sexual activities (OSAs) are significant factors in our understanding of engagement in OSAs. In this study, we examined the influences of perceptions of OSAs on actual OSAs via perceived risk and infidelity of OSA among individuals in committed relationships. OSAs were classified as viewing sexually explicit material, seeking sexual partners, cybersex, and flirting. Perceived risk of OSA was defined as the possibility of the partner's awareness of an individual's OSAs and the consequences of that awareness. Perceived infidelity of OSA was defined as a person's view of whether one's own OSAs constituted infidelity. A questionnaire examining OSA experience, perceived risk of OSA, and perceived infidelity of OSA was administered to 347 heterosexual participants in committed relationships. The results showed that perceived risk and infidelity of OSA were positively correlated and negatively related to OSAs. Moreover, the perceived infidelity of OSA mediated the relationship between the perceived risk of OSA and OSAs. These findings suggest that specific perceptions of OSA are essential in our exploration of the mechanism underlying engagement in OSAs by people in committed relationships. [ABSTRACT FROM AUTHOR]

Appreciative joy refers to feeling happy for others with appreciative and unenvious attitudes, which is a strength-like construct emphasized much more in Chinese than in Western culture. The current study provides an initial exploration of appreciative joy's relationship with the strengths in the Values in Action (VIA) framework. Study 1 with 516 online participants showed that appreciative joy was positively correlated with the VIA strengths and provided an incremental explanation for subjective well-being and envy after controlling for the 24 VIA strengths. Study 2 recruited 559 readers of a Chinese novel (The Dream of the Red Chamber) and showed that appreciative joy was associated with the perception of the outstanding strength of characters in the novel after controlling for interpersonal strengths. These findings illustrate both similarities and differences between appreciative joy and strengths in VIA and hold multiple implications for research on appreciative joy, positive psychology and cultural diversity. [ABSTRACT FROM AUTHOR]

This qualitative study examined the benefits to children of family mediation for divorcing couples and the limitations of such mediation. To capture the perspectives of parents and their children, we invited 40 parents and 10 children to participate in the study. The parent informants reported that mediation improved the efficacy of their parenting and alleviated their children's stress about their divorce. In contrast, the child informants felt they were powerless when involved in the mediation process and that they received limited support from the mediators. Strategies are proposed for improving the cultural applicability of mediation services for children in a Chinese society. [ABSTRACT FROM AUTHOR]

Despite much ethical debate concerning non-invasive prenatal testing to abort or to detect genes, research on the experience of those who choose this new technology in China is limited, especially after the introduction of the Two-child Policy. In this article I analyse qualitative data from 25 interviews with pregnant women of advanced maternal age (pregnancy after 35) under the Two-child Policy, conducted in 2014 to 2016, as well as observational data from a 6-month, in-hospital participant observation in 2016. These data were collected with the aim to examine how non-invasive prenatal testing affects pregnant women's risk perceptions and why this technology is widely accepted by pregnant women of advanced maternal age in China. I conclude that the women in my study accepted their 'high-risk' identity within prenatal care, and that non-invasive prenatal testing was integrated in this care. Women's interactions with genetic counsellors, their husbands and close friends and community doctors produced anxieties, with women feeling responsible for the health of their foetuses. Consequently, the women in my study were willing to 'buy' this test for reassurance. The consumption of this new technology by pregnant women after the Two-child Policy lays a foundation for the market development of this technology in urban China. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to understand the awareness, riding behaviors, and legislative attitudes of electric bike (e-bike) users and non-e-bike road users toward e-bikes in Tianjin, a municipality in China.Methods: This cross-sectional investigation included 2 components. The field survey was conducted in 9 districts (4 urban and 5 rural) from 2015 to 2017. Adult participants were interviewed using a street intercept method. The online survey was conducted using the WeChat social platform. A series of questions related to awareness and practice of e-bike safety-related issues was asked.Results: A total of 16,859 interviews were completed, including 1,653 (794 e-bike users and 859 other road users) in-person interviews by field survey and 15,206 (4,426 e-bike users and 10,780 other road users) by online survey. Except for ignoring a red light when making a left turn (P = .000) and waiting across the white line at a red light (P = .000), which e-bike users were lower than other road users, there were no significant differences between e-bike users and other road users in regards to the correct awareness rate of riding in the opposite direction, riding in a motor vehicle lane, running red lights, jaywalking, speeding, carrying adult passengers, and riding on the expressway (P > .05). In addition, 74.2% of e-bike users considered helmet use necessary (P = .000) and 54.7% thought that installing a windshield is wrong (P = .000), which was higher than other road users (49.1 and 48.4%, respectively). Other road users had greater awareness than e-bike users regarding whether turning left at a red light is wrong (91.7 vs. 85.1%), waiting across the white line when the light is red is wrong (86.6 vs. 75.9%), lighs should be turned on at night (94.8 vs. 90.3%). Correct practices were far behind awareness in all kinds of violation behaviors (P = .000) among e-bike users in the field survey. The rate of public support for legislation including those who very much support and support legislation was 93.34% in the field survey and 87.68% in the online survey.Conclusions: E-bike users had lower correct awareness rate than other road users regarding e-bike violation behaviors but were more concerned about safety protection than other road users. E-bike users' correct practices were far behind their awareness for all kinds of violation behaviors. Public education on the traffic law needs to be strengthened among e-bike users. The public strongly supported special regulations for e-bike use, such as helmet use. [ABSTRACT FROM AUTHOR]

Two common public models of community health centres (CHCs) exist in China, i.e. the ‘government-owned and government-managed’ CHCs (G-CHCs) and the ‘government-owned and hospital-managed’ CHCs (H-CHCs). Shanghai and Shenzhen are two Chinese megacities that lead the primary care development on the G-CHC and H-CHC models, respectively. Using a qualitative case study design, this study compares the management of the G-CHC model in Shanghai and H-CHC model in Shenzhen, through perspectives of a range of health providers. In each city, we randomly selected four CHCs and in total conducted 31 interviews with officers from the municipal health authorities, directors, GPs, nurses and public health doctors of the CHCs. When comparing with the H-CHC model in Shenzhen, the G-CHC model in Shanghai, a model with more simplified but accountable structure tended to present better management conditions, in terms of financial transparency, recruitment autonomy, community health workforce development (CHC staffing and family medicine training), funding and priority for public health. However, regardless of the models, staff retention remained a challenge. While our study tends to suggest that the G-CHC model in Shanghai presents better management conditions, future study can test whether and to what extent the model itself can lead to such differences. [ABSTRACT FROM AUTHOR]

This ethnographic study examines the forms and functions of ritualizing in migrant families, using Chinese rural-urban migrant workers’ annual Spring Festival family reunions as a case study. In-depth interviews with migrant workers and participant observations of family reunions in rural China reveal that both celebratory and non-celebratory family activities are ritualized. In particular, the study suggests that the Spring Festival family reunion has transformed into a meta-ritual comprised of five categories of ritual activities: festival rituals, reunion rituals, patterned interactions, reunions with friends, and communal rituals. These rituals constitute both the internal and external identities of migrant families, but may also remind them of the traumatic reality of family separation or trigger hidden tensions within the family. Implications for studying family communication in times of mobility and family diversity are discussed. [ABSTRACT FROM AUTHOR]

The purpose of this study was to understand cervical cancer prevention-related knowledge and attitudes among female undergraduate students from different ethnic groups within China. We conducted a survey among ethnically diverse female students from the Minzu University of China, in Beijing in October, 2014. Results: Questionnaires from 493 participants aged from 16 to 26 years were included in the final database. The seven ethnic groups included in the final analysis were Han, Korean, Mongolian, Uyghur, Tibetan, Hui, and Tujia. Compared to the Han Chinese, the members of the other six ethnic groups had lower cervical cancer knowledge levels. The knowledge scores of Mongolian and Korean students were significantly lower than those of the Han Chinese. The willingness to accept cervical cancer prevention efforts also differed across different ethnic groups. After adjusting for age and place of residence, the acceptance of cervical cancer screening among the Tibetan, Uyghur, and Korean groups was significantly lower than among the Han Chinese, with different related decision-making factors in each group. Cervical cancer prevention-related public education is an urgent need in China. Extra consideration of ethnic differences should be taken into account when designing and improving new current cervical cancer prevention programs. [ABSTRACT FROM AUTHOR]

Resilience literature has suggested the context-specific nature of resilience while such framework has yet to be expanded to health psychology research among HIV serodiscordant couples. Conceptualizing a couple affected by chronic diseases using a "we-ness" framework rather than two separate individuals is important for stress coping of the couple. Considering this social-cognitive context of couple coping would be helpful to facilitate resilience of both the patient and the spouse. It is not clear whether couple identity serves as a protective factor for HIV serodiscordant couples and whether stigma, a prevalent contextual risk in this population, will alter the strength of such a protective effect on well-being. This longitudinal study examined the protective effect of couple identity in predicting the psychological and physical well-being of HIV discordant couples and the moderating role of stigma in such associations. A total of 160 Chinese HIV serodiscordant couples completed the baseline survey and follow-up one year later. Results showed that couple identity predicted fewer depressive symptoms at both the within- and between-couple level and better self-rated physical health at the between-couple level one year later. These protective effects were diminished when HIV stigma was high. This study highlights the importance of examining resources with consideration of contextual factors. It also calls for the sensitivity of stigma in developing a couple-based intervention for HIV serodiscordant couples. [ABSTRACT FROM AUTHOR]