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Community residents are important stakeholders in preserving historic districts. This paper introduces the extended theory of planned behavior to explore the intentions of residents to participate in heritage preservation, and further explains the influencing factors. Seven historic districts in Tianjin are selected as case studies. The results show that the residents' intentions to preserve heritage are positively influenced by three subjective perception factors of heritage preservation attitude, subjective norms, and perceived behavioral control, as well as two objective situational factors of environmental quality of historic district and policy guidance for heritage preservation. Furthermore, the objective situational factors indirectly influence heritage preservation intentions through the subjective perception factors. Based on these findings, this paper puts forward corresponding suggestions to enhance the heritage preservation intentions of community residents. [ABSTRACT FROM AUTHOR]

Objective: This study was to evaluate measurement properties of the Chinese version of the Brief Inventory of Perceived Stress (BIPS-C) and confirm possible solutions for measuring the constructs underlying perceived stress. Methods: A total of 1356 community residents enrolled and were randomly split into two halves. The first half was used to explore the underlying constructs of the BIPS-C by exploratory graph analysis (EGA) and the second half was used to compare and confirm the constructs by confirmatory factor analysis (CFA). Results: The EGA identified a one-factor model of the BIPS-C with an accuracy of 99.3%. One-factor, three-factor, second-order, and bifactor models were compared by CFAs. The bifactor model with one general and three specific factors was found to be the most adequate [comparative fit index (CFI) = 0.990; Tucker-Lewis index (TLI) = 0.979; root mean square error of approximation (RMSEA) = 0.058] and was superior to the other models. The related bifactor indices showed a stronger existence of the general factor. The bifactor model of the BIPS-C also showed adequate internal consistency with McDonald's omega and omega subscales ranging from moderate to strong (0.677–0.869). Conclusion: The BIPS-C demonstrates sufficient measurement properties for assessing general perceived stress. [ABSTRACT FROM AUTHOR]

Smart tourism destinations (STDs), driven by technological advancements, aim to increase travellers' experiences and residents' quality of life. However, the existing research primarily focuses on the perspectives of tourists while neglecting the attitudes of residents. Residents' attitudes will impact their support of local smart tourism development. Without residents' support, STD-related projects may face failure, as exemplified by the case of the Google smart city in Toronto. The present study fills this gap by exploring how residents perceive the impact of STD in their communities through the development and validation of an impact scale. Said scale is rigorously conceptualized as a formative multidimensional construct with 19 items across four dimensions: smart economy, smart travel/tourism, smart environment, and smart governance. This study offers a valuable measurement tool to recognize the perceptual determinants of STD on residents' overall life satisfaction and also provides a novel approach to evaluate the effectiveness of STDs. [ABSTRACT FROM AUTHOR]

Purpose: To investigate the associations among self-compassion, resilience and mental health of community residents. Design: Cross-sectional study. Setting: Voluntary survey of web-based, posters-based platform. Participants: 453 community residents. Methods: Participants living in Kaohsiung, Taiwan were recruited from posters, online advertisements based platforms and were assessed with the self-compassion scale (SCS), Connor-Davidson Resilience Scale (CD-RISC-25), Center for Epidemiological Studies Depression Scale (CES-D), The Satisfaction with Life Scale (SWLS) and The Positive Mental Health Scale (PMH-scale) measures during the period from March 1 to October 31, 2023. Results: After adjusting for age, gender and education, stepwise regression analysis revealed that isolation, self-judgment, and control accounted for 14% of the variance in depressive symptoms (CES-D) (adjusted R 2 =.149, P <.05). Over-identification, self-kindness and control accounted for 26% of the variance in satisfaction with life (SWLS) (adjusted R 2 =.263, P <.001). Over-identification, self-kindness, isolation, control and personal competence and tenacity accounted for 37% of the variance in positive mental health (PMH-scale) (adjusted R 2 =.375, P <.05). Conclusions: Findings suggested that components of self-compassion and resilience may be important factors that promote positive mental health and provide potential interventions for professionals to increase the well-being of community residents. [ABSTRACT FROM AUTHOR]

Ningning Xue, Yue Du Emergency Department of Beijing Tiantan Hospital, Capital Medical University, Beijing, 100007, People’s Republic of ChinaCorrespondence: Yue Du, Emergency Department of Beijing Tiantan Hospital, Capital Medical University, No. 119, South Fourth Ring West Road, Fengtai District, Beijing, 100007, People’s Republic of China, Tel +8613718565030, Email 13718565030@sina.cnBackground: Community health education is essential in combating obesity and cardiovascular diseases by addressing nutritional knowledge gaps and promoting healthier dietary habits in China. The aim of this study was to investigate the nutritional knowledge, attitudes, and needs of residents at Beijing Fengtai District.Methods: This cross-sectional study was conducted between October 2021 and January 2022, residents from 31 communities of the Fengtai District were given an online questionnaire, which was designed to assess their nutritional knowledge, attitudes, and needs.Results: From 420 distributed surveys, a total of 416 participants were enrolled for an effective recovery rate of 99.05%. Among them, 317 participants (76.20%) scored 80% or higher on the nutritional knowledge questionnaire, participants with higher nutritional knowledge scores were more likely to be aged over 60 years (OR = 0.21, 95% CI 0.06– 0.76, p = 0.02), female (OR = 0.40, 95% CI 0.22– 0.73, p < 0.01) and employed (OR = 2.31, 95% CI 1.04– 5.12, p = 0.04). While many community residents expressed a desire to receive guidance on dietary guidance (n = 303, 72.84%) dietary matching (n = 303, 72.84%), and preventive health care (n = 286, 68.75%). Residents were familiar with nutritional care clinics (55.05%) and believed that the nutritional care clinics should be increased (59.86%). In addition, 345 residents (83.41%) wanted nutritional care clinics to provide consultation on nutritious meal planning.Conclusion: Beijing residents need additional access to clinical nutritional resources as their needs are not fulfilled despite a relatively strong knowledge of nutrition.Keywords: Beijing, community residents, nutrition knowledge, education, questionnaire

Abstract Purpose To examine residents’ first-aid kit preparation and its influencing factors. Design Cross-sectional survey. Methods A questionnaire survey was conducted among 449 permanent residents in Sichuan Province using convenience sampling. We examined participants’ demographic characteristics, self-efficacy, health literacy, and personality. Findings Of the participants, 111 (24.7%) stocked a home first-aid kit. The most frequent supplies were disinfection supplies (91.9%), common medicines (86.5%), and dressing supplies (76.6%). Family per capita monthly income, medical expenses payment method, chronic diseases, general self-efficacy, and health literacy were influencing factors of family first-aid kit preparedness. Conclusion A multilevel and interactive emergency literacy education system should be established to improve residents’ abilities to prevent emergencies.

Purpose: To examine residents' first-aid kit preparation and its influencing factors. Design: Cross-sectional survey. Methods: A questionnaire survey was conducted among 449 permanent residents in Sichuan Province using convenience sampling. We examined participants' demographic characteristics, self-efficacy, health literacy, and personality. Findings: Of the participants, 111 (24.7%) stocked a home first-aid kit. The most frequent supplies were disinfection supplies (91.9%), common medicines (86.5%), and dressing supplies (76.6%). Family per capita monthly income, medical expenses payment method, chronic diseases, general self-efficacy, and health literacy were influencing factors of family first-aid kit preparedness. Conclusion: A multilevel and interactive emergency literacy education system should be established to improve residents' abilities to prevent emergencies. [ABSTRACT FROM AUTHOR]

Research has shown that social class is an important predictor of life satisfaction. However, the underlying mechanism for this relationship is yet to be fully elucidated. The study examined the underlying mechanism based on the social identity approach to health. Study 1 recruited 577 community residents to complete self-report questionnaires. Correlation analysis showed that social class, community identity, and life satisfaction were positively correlated with each other. Regression analysis showed that community identity mediated the relationship. To increase the replicability and derive causal inference of the results, Study 2 was a randomized control trial (N = 76) that used the resource-availability task to manipulate subjective social class, and found that life satisfaction in the lower-class group was significantly lower than that in the control group. Further analysis showed that social class predicted life satisfaction through the mediating role of community identity. The findings provide potential strategies to enhance community residents' life satisfaction. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to examine the perception, willingness to engage, and demand of community residents regarding the 'internet + nursing service' in a designated pilot area, aiming to offer insights for the widespread adoption of the 'internet + nursing service' throughout China. Methods: A survey pertaining to the 'internet + nursing service' was conducted from March to April 2022. The study specifically targeted residents within two sub-districts of a city in the Jiangsu province. The sampling technique employed in this study was stratified random sampling. Results: Out of a total of 400 community residents selected from two sub-districts in this region, 378 provided valid responses, resulting in an effective rate of 94.5%. Within the study cohort, 80 participants (21.16%) demonstrated familiarity with the concept of 'internet + nursing service.' Additionally, 231 participants (61.11%) conveyed their willingness to adopt such services. Regarding service preferences, the primary demands were for health guidance, vital sign monitoring, and basic care. Challenges in implementing the service were attributed to concerns related to medical risks, personal safety for both nurses and patients, and potential breaches of privacy. Conclusions: Residents in the pilot area exhibited a moderate awareness of the 'internet + nursing service,' with a relatively high willingness to embrace the program. There is a need for further refinement of pertinent laws, widespread dissemination of policies, and enhancements in the quality of nursing services. These measures aim to ensure that a greater number of community residents can avail themselves of improved home-based nursing services. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Central China Normal University is the property of Huazhong Normal University 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.)

Under the dual pressures of climate change and human activities, the restrictions imposed by conservation policies, along with the increasing overlap between wildlife protected areas (PAs) and community living areas, have intensified the contradictions and conflicts between PAs and surrounding communities. Effective governance of such conflicts is particularly crucial to reconciling the contradictions between conservation and development. This study takes the Mikumi–Selous areas in Tanzania, Africa, as a case study. Through questionnaires and semi-structured interviews, it explores the current state of conflicts between PAs and communities in the study area and summarizes conflict governance measures. Moreover, this research focuses on identifying various factors that influence the conservation willingness and action of community residents, further validating the relationships between residents' household characteristics, conservation costs and benefits, conservation cognition, willingness, and behaviors through empirical analysis methods. The results indicate that residents' conservation cognition significantly positively impacts their conservation willingness and behaviors, while conservation willingness also positively affects their conservation behaviors. Additionally, it was found that conservation costs inhibit residents' conservation willingness and behaviors. This study primarily explores, from a community governance perspective, the participation willingness and behaviors of core stakeholders in conflict governance, emphasizing the critical role of community involvement in achieving biodiversity conservation and coordinated community development and providing a new perspective for alleviating conservation and development issues. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the preference of primary HCWs and residents on vaccination consultation in community health services to provide evidence for vaccine hesitancy intervention strategies. Methods: A discrete choice model (DCM) was constructed to evaluate the preference difference between primary HCWs and residents on vaccination consultation in community health services in China during May–July 2022. Results: A total of 282 residents and 204 HCWs were enrolled in this study. The residents preferred consulting with an HCW-led approach (β = 2.168), with specialized content (β = 0.954), and accompanied by telephone follow-up (β = 1.552). In contrast, the HCWs preferred face-to-face consultation (β = 0.540) with an HCW-led approach (β = 0.458) and specialized content (β = 0.409), accompanied by telephone follow-up (β = 0.831). College residents and residents with underlying self-reported disease may be near-critically inclined to choose traditional consultation (an offline, face-to-face consultation with standardized content and more prolonged duration) rather than a new-media consulting group (an online consultation with specialized content within 5 min). Urban HCWs preferred long-term consultation groups (the resident-led offline consultation with follow-up lasting more than 5 min). In contrast, rural HCWs preferred efficient consultation (the HCW-led, short-duration, standardized offline consultation mode). Conclusion: The selection preference for vaccine consultation reveals a gap between providers and demanders, with different groups exhibiting distinct preferences. Identifying these targeted gaps can help design more acceptable and efficient interventions, increasing their likelihood of success and leading to better resource allocation for policymakers to develop targeted vaccination policies. [ABSTRACT FROM AUTHOR]

As crucial stakeholders in eco-tourism, community residents' perceptions of ecological tourism security directly impact their attitudes towards its development. Sustainable tourism entails safeguarding the natural, social, and economic ecosystems of destinations. This study analyzed how residents' perceptions of ecological security at the Xilamuren Grassland site influence their outlook on grassland eco-tourism. Based on survey data capturing perceptual dimensions and satisfaction levels, multiple regression modeling was conducted. Key findings were: (1) Overall ecological security perception among locals is currently subpar, with uncertainties persisting around aspects like guarantee systems, infrastructure, public culture, and economics; (2) Despite low eco-tourism satisfaction, residents maintain a supportive stance regarding prospective development; (3) Significant correlations exist between security perceptions and tourism attitudes. While perception levels positively predict optimism, public safety views do not. By identifying specific areas of concern amongst residents that dampen their participation, targeted interventions by authorities could mitigate adverse impacts and promote broader engagement in sustainable grassland eco-tourism. [ABSTRACT FROM AUTHOR]

⑴ Background——In the context of social and economic progress and increasing awareness of environmental protection, forest tourism has received more and more attention. Despite the rapid development of forest tourism in China, it still faces challenges such as personnel shortage, inadequate infrastructure and limited product diversity. Therefore, the participation of community residents is essential to promote the sustainable development of forest tourism. ⑵ Methods——The research data came from the research group’s questionnaire survey of the community residents in 8 towns around Wuyishan National Park from September 2022 to July 2023, and a total of 1002 valid questionnaires were obtained. Then, cloud model, heterogeneity analysis and qualitative comparative analysis were used to analyze the influencing factors and conditions of the community residents’ willingness to participate in the value co-creation of forest tourism. ⑶ Results——First, the community residents had a complicated cognition about forest tourism. They recognized the positive impact of forest tourism on the economic development of rural communities, but also expressed concerns about the possible negative ecological impacts, such as the destruction of traditional culture and the encroachment of farmland. Second, there was heterogeneity in the willingness of the community residents to participate in the value co-creation of forest tourism. In families with relatives and friends involved in forest tourism projects or with village cadres, the willingness of the community residents to participate was often significantly negatively affected. However, larger cultivated land area and housing area had significant, although relatively small, positive effects on the willingness of the community residents to participate in the value co-creation of forest tourism. Third, there were three driving paths for the community residents to participate in the value co-creation of forest tourism: the neighborhood relationship and education level played a core role; the neighborhood relationship and cultivated land area played the core role, and the education level played the auxiliary role; the education level and housing area played a core role. In these three driving paths, higher education level and good neighborhood relations were conducive to enhancing the willingness of community residents to participate in the value co-creation of forest tourism. ⑷ Conclusions and Discussions——The development of forest tourism is a comprehensive plan, and it is very important to balance the positive and negative external effects of forest tourism. First, the government should limit excessive development through legislation and policy guidance, while protecting the ecological environment and traditional culture. The government should provide opportunities for education and training for the community residents to improve their literacy. Strengthen the publicity and education of forest tourism in order to enhance the understanding, recognition and support of the community residents for the value co-creation of forest tourism. Second, the community should actively participate in the planning and management of forest tourism, including project selection, design, operation and supervision, and ensure the broad participation of the community residents in the decision-making process. The community should be committed to establishing and maintaining good neighborhood relations, forming a supportive, mutual help and harmonious community atmosphere, so as to enhance community cohesion. Third, the community residents, as the direct participants and beneficiaries of forest tourism, should also actively participate in the planning and management of forest tourism. [ABSTRACT FROM AUTHOR]

Objective/background: Insomnia is prevalent and is a risk factor for the development of lifestyle-related diseases and early death. To improve insomnia, it is necessary to identify the factors that affect it. This study investigated the associations between insomnia symptoms and mental, physical, and environmental factors in the general Japanese population. Patients/methods: The study participants were 7,873 individuals who responded to the Health and Lifestyle Survey questionnaire that included sleep-related items between December 2021 and March 2022. Insomnia symptoms were defined as a score of 6 or higher on the Athens Insomnia Scale (AIS). A multivariate logistic regression analysis was performed to identify factors independently associated with insomnia symptoms. Results: Of all subjects, 23.4% had insomnia symptoms. Factors associated with insomnia symptoms were older age, female sex, very difficult living conditions on current income, pain/discomfort, anxiety, lack of happiness, frequent nocturia, long duration from bathing time to bedtime, bedroom lighting, and short walking duration. The subgroup analysis showed stronger associations between walking time in men, higher body mass index in women, time from bathing time to bedtime, and daily walking duration in older adults. Conclusions: Insomnia symptoms were common in community-based populations and were independently associated with three different factor groups including physical, psychological, and environmental factors. Improvements in insomnia symptoms require appropriate practical support tailored to an individual's situation.

ObjectiveTo examine the prevalence and associates of influenza vaccination among adult community residents in urban and rural Anhui province. MethodsWith stratified multistage sampling and a self-designed question-naire, we conducted an on-site self-administered survey with interviewer assistance among 978 residents aged 16 years and older in 8 urban and rural communities of Anhui province during July – December 2021. The participants′ information on demographics, influenza vaccination in past one year, cognition about coronavirus disease 2019 (COVID-19) epidemic, and history of COVID-19 vaccination were collected and analyzed using χ2 test; multivariate analysis was adopted to explore influencing factors of influenza vaccination. Results Among the 833 participants with valid responses, 232 (27.85%, 95% confidence interval [95%CI]: 24.73 – 31.14%) reported receiving influenza vaccination in past one year. Of the participants not receiving influenza vaccination, 57.57% reported being unaware of influenza vaccination. The results of multivariate logistic regression analysis showed that the participants with following characteristics were more likely to receive influenza vaccination: male gender (odds ratio [OR] = 1.43, 95%CI: 1.01 – 2.04), with the education of junior high school and above (OR = 1.81, 95%CI: 1.03 – 3.17), with a higher self-rated risk of COVID-19 infection (OR = 1.50, 95%CI: 1.02 – 2.20), ever receiving COVID-19 vaccination (OR = 9.20, 95%CI: 3.28 – 25.80), and being satisfied with community-based measures for prevention and control of COVID-19 epidemic (OR = 1.61, 95%CI: 1.06 – 2.47). ConclusionThe acceptance of influenza vaccination is mainly influenced by gender, education, knowledge about COVID-19 epidemic, and history of COVID-19 vaccination among urban and rural adult community residents in Anhui province.

Abstracts: The Sustainable Livelihoods Framework (SLF) serves as an integrated method and instrument that discerns the primary constraints and associated connections pertaining to the sustainable development of community residents. In this study, this framework has been enhanced through field investigations of the inhabitants within the “Three Parallel Rivers” World Heritage Site. Through these investigations, an empirical exploration of their livelihood capital was undertaken. It revealed that the collective livelihood capital of these residents within the World Heritage site was notably fragile, and characterized by a low degree of social integration.In the context of preserving the World Heritage Site, it was crucial for community residents to utilize ecological protection policies and compensation mechanisms to optimize and transform their livelihood capital. Additionally, it was important to focus on nurturing sustainable livelihood development, particularly in terms of human capital. This would lay the foundation for transitioning towards a sustainable livelihood model.

Abstract Aim To explore the physical and mental health status of community residents and to identify the risk factors of chronic diseases. Design A cross‐sectional, descriptive correlational study was conducted. Methods A total of 579 participants were recruited from 15 communities in Tianjin. The demographic information sheet, 7‐item Generalized Anxiety Disorder scale (GAD‐7) and Patient Health Questionnaire (PHQ‐9) were used. Data collection was undertaken based on the health management system on mobile phones from April to May 2019. Results Eighty‐four participants of the total number of surveyed were with chronic disease. The incidence of depression and anxiety in participants was 44.2% and 41.3%. Logistic regression analysis showed that age (OR = 4.905, 95%CI: 2.619–9.187), religious belief (OR = 0.445, 95%CI: 1.510–11.181) and working condition (OR = 0.161, 95%CI: 0.299–0.664) entered the regression equation. Old age is a risk factor for chronic diseases. No religious belief and working condition are protective factors for chronic diseases.

Objective: To evaluate the preference of primary HCWs and residents on vaccination consultation in community health services to provide evidence for vaccine hesitancy intervention strategies. Methods: A discrete choice model (DCM) was constructed to evaluate the preference difference between primary HCWs and residents on vaccination consultation in community health services in China during May–July 2022. Results: A total of 282 residents and 204 HCWs were enrolled in this study. The residents preferred consulting with an HCW-led approach (β = 2.168), with specialized content (β = 0.954), and accompanied by telephone follow-up (β = 1.552). In contrast, the HCWs preferred face-to-face consultation (β = 0.540) with an HCW-led approach (β = 0.458) and specialized content (β = 0.409), accompanied by telephone follow-up (β = 0.831). College residents and residents with underlying self-reported disease may be near-critically inclined to choose traditional consultation (an offline, face-to-face consultation with standardized content and more prolonged duration) rather than a new-media consulting group (an online consultation with specialized content within 5 min). Urban HCWs preferred long-term consultation groups (the resident-led offline consultation with follow-up lasting more than 5 min). In contrast, rural HCWs preferred efficient consultation (the HCW-led, short-duration, standardized offline consultation mode). Conclusion: The selection preference for vaccine consultation reveals a gap between providers and demanders, with different groups exhibiting distinct preferences. Identifying these targeted gaps can help design more acceptable and efficient interventions, increasing their likelihood of success and leading to better resource allocation for policymakers to develop targeted vaccination policies.

Under the dual pressures of climate change and human activities, the restrictions imposed by conservation policies, along with the increasing overlap between wildlife protected areas (PAs) and community living areas, have intensified the contradictions and conflicts between PAs and surrounding communities. Effective governance of such conflicts is particularly crucial to reconciling the contradictions between conservation and development. This study takes the Mikumi–Selous areas in Tanzania, Africa, as a case study. Through questionnaires and semi-structured interviews, it explores the current state of conflicts between PAs and communities in the study area and summarizes conflict governance measures. Moreover, this research focuses on identifying various factors that influence the conservation willingness and action of community residents, further validating the relationships between residents’ household characteristics, conservation costs and benefits, conservation cognition, willingness, and behaviors through empirical analysis methods. The results indicate that residents’ conservation cognition significantly positively impacts their conservation willingness and behaviors, while conservation willingness also positively affects their conservation behaviors. Additionally, it was found that conservation costs inhibit residents’ conservation willingness and behaviors. This study primarily explores, from a community governance perspective, the participation willingness and behaviors of core stakeholders in conflict governance, emphasizing the critical role of community involvement in achieving biodiversity conservation and coordinated community development and providing a new perspective for alleviating conservation and development issues.

BackgroundHealth literacy is crucial for managing pandemics such as COVID-19 and maintaining the health of the population; our goal was to investigate the impact of cultural capital on health literacy during the COVID-19 pandemic among community residents and to further examine the mediating role of social capital in the relationship between cultural capital and health literacy.MethodsA cross-sectional study was conducted among 1,600 community residents selected in Chongqing, China using a stratified random sampling method. Data were gathered through a questionnaire survey, including sociodemographic characteristics, cultural capital, social capital, and health literacy. Chi-square analysis, one-way ANOVA, t-test, and hierarchical linear regression were used to analyze the level of health literacy among community residents and the related elements; the structural equation model (SEM) was used to explore the influential mechanisms of health literacy and explore whether social capital acted as a mediator in the relationship between cultural capital and health literacy.ResultsCultural capital, community participation, community trust, reciprocity, and cognitive social capital had a significant positive effect on health literacy. In addition, the results of SEM indicated that cultural capital not only directly influences health literacy (β = 0.383, 95% CI = 0.265–0.648), but also indirectly influences health literacy through three types of social capital (β = 0.175, 95% CI = 0.117–0.465; β = 0.191, 95% CI = 0.111–0.406; β = 0.028, 95% CI = 0.031–0.174); its mediating effect accounting for 50.7% of the overall effect.ConclusionsOur results highlight the empirical link between cultural capital and health literacy, and suggest that social capital mediates this connection. These findings suggest that governments and communities should focus on the construction of community cultural capital and provide residents with better social capital to improve their health literacy to prepare for future pandemics.

Aim: To explore the physical and mental health status of community residents and to identify the risk factors of chronic diseases. Design: A cross‐sectional, descriptive correlational study was conducted. Methods: A total of 579 participants were recruited from 15 communities in Tianjin. The demographic information sheet, 7‐item Generalized Anxiety Disorder scale (GAD‐7) and Patient Health Questionnaire (PHQ‐9) were used. Data collection was undertaken based on the health management system on mobile phones from April to May 2019. Results: Eighty‐four participants of the total number of surveyed were with chronic disease. The incidence of depression and anxiety in participants was 44.2% and 41.3%. Logistic regression analysis showed that age (OR = 4.905, 95%CI: 2.619–9.187), religious belief (OR = 0.445, 95%CI: 1.510–11.181) and working condition (OR = 0.161, 95%CI: 0.299–0.664) entered the regression equation. Old age is a risk factor for chronic diseases. No religious belief and working condition are protective factors for chronic diseases. [ABSTRACT FROM AUTHOR]

Background: India's industries produce nearly 9,000,000 metric tons of disposable plastic annually. Government of Puducherry implemented a ban on single-use plastics from 1st August 2019. This study aimed to evaluate the knowledge, attitude, and practice (KAP) levels concerning the use and legislation of single-use plastics among rural Puducherry's community residents. Methods: A 6-month community-based observational study was conducted in rural Puducherry using multistage random sampling among 450 households. A semi-structured questionnaire was administered to an adult member (aged > 18 years) in each household before and after the plastic ban. Data collection utilized the Epi-collect 5 application, and SPSS v16 was used for statistical analysis, employing paired t-test and chi-square test (p-value < 0.05) Results: Mean age of study participants was 39.64 (13.23) years, nearly 57% of them were female. Before ban, 80.4% of the subjects were carrying their shopping contents using plastic bags provided by the seller in the rural area, whereas after ban implementation, it has reduced to 16.4%. Mean KAP score before ban was 8 +2.8 (95% CI: 7.7-8.2) and after ban, it increased to 15.2 +1.8 (95% CI: 15-15.4). The pre- and post-ban KAP scores differences were found to be statistically significant (p-value < 0.05). The perception of the law banning the use of plastic bags was found to be significantly higher in younger age group, female gender, and groups with higher educational and occupational status (p = 0.01) Conclusion: The study results will be useful for planning future needs and Information, Education Communication strategies for effective implementation and plastic use reduction in future.

This study aimed to assess health literacy (HL), preventive behaviors (PBs), and the factors associated with PBs toward COVID-19 among village health volunteers (VHVs) and residents in urban and rural areas in the upper south of Thailand. A cross-sectional study was conducted using valid questionnaires administered using an online platform. Data were analyzed using descriptive statistics, t-tests, and binary logistic regression analysis. A total of 846 people participated in this study, and 62.8% of participants had an adequate level of HL. Furthermore, 55.0% of participants had an adequate level of PBs. Among VHVs, PB levels were adequate, whereas among residents, they were inadequate. Moreover, among VHVs, underlying diseases (adjusted odds ratio (OR): 1.77, 95% CI: 1.13–2.76), access to HL (adjusted OR: 4.28, 95% CI: 1.42–12.88), appraisal of HL (adjusted OR: 3.09, 95% CI: 1.90–5.02), and application of HL (adjusted OR: 2.51, 95% CI: 1.52–4.12) were associated with COVID-19 PB. Additionally, among residents, only marital status (adjusted OR: 1.59, 95% CI: 1.04–2.44), appraisal of HL (adjusted OR: 1.78, 95% CI: 1.18–2.84), and application of HL (adjusted OR: 3.85, 95% CI: 2.39–6.20) were associated with PBs towards COVID-19. Furthermore, individuals with inadequate HL demonstrated noteworthy significance in all dimensions of PBs. To prioritize and optimize preventive programs aimed at enhancing PBs, the government must take proactive initiatives in implementing robust health communication strategies across diverse media platforms, both in the present and future. [ABSTRACT FROM AUTHOR]

Copyright of Tourism Tribune / Lvyou Xuekan is the property of Tourism Institute of Beijing Union University 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.)

Human activities such as deforestation, farming, and uncontrolled construction have had a negative impact on mangrove areas in the Reserve. This paper explores how the mangrove area and space have changed since the establishment of the Dongzhaigang Mangrove Nature Reserve, as well as the relationship between this change and the community residents around the Reserve. Six remote sensing images, from 1976 to 2021, were used to obtain wetland data of different ages in the Dongzhaigang Mangrove Forest Nature Reserve in Haikou City. Using the transfer matrix, a questionnaire survey, and principal component analysis, we analyzed the changes in mangrove forests in protected areas and their relationship with surrounding communities over the past 45 years. The results show that: (1) From 1976 to 2021, the area of mangroves in the reserve has increased from 1,395.84 hm2 in 1976 to 1,589.28 hm2 in 2021, showing a trend of "suddenly slowing and rising" during this period, and the proportion of mangrove area has increased from 28.6% in 1976 to 32.6% in 2021, becoming the main wetland type. The largest decline (250 hm2) in the mangrove area was from 1976 to 1985. The largest growth occurred from 2005 to 2018, when the mangrove area increased by 190.08 hm2. (2) From 1976 to 2021, 91.77 hm2 of mangrove wetlands in the study area were converted into other wetlands, 10.71 hm2 were converted into non-wetlands, and 267.71 hm2 of other wetlands and 28.21 hm2 of non-wetlands were converted into mangrove wetlands. In the same period, the transfer targets of mangrove forests in the reserve were muddy beaches (34.32 hm2), rivers (25.81 hm2), marine aquaculture farms (21.06 hm2), other land (10.58 hm2) and flooded wetlands/interiors. Land flats (8.26 hm2); silt beaches (177.41 hm2), rivers (38.18 hm2), other land (28.21 hm2), deltas/sands/sand islands (22.15 hm2), flooding Wetlands/inland tidal flats (21.79 hm2), and paddy fields (6.34 hm2) are the most common areas transferred into mangroves. (3) Fishing income from surrounding community-dwelling individuals was significantly associated with farming, disfiguring forest-digging pond areas, conservation awareness, and mangrove area variation. The factor quality of fishing practices (cos2), values of fishing practices and income, months of fishing, fishing volume, and conservation attitude in the surrounding community residents accounted for more than 0.6 in the principal component analysis of area change of mangrove forests, where the factor quality of fishing practices and fishing income were more than 0.8. The decline in residential fishing frequency corresponds with the shift in household income sources, the occupational move from fishing to wage and service industries, the obvious increase in conservation awareness and the conservation attitude of residents, and the transformation of the mangrove area away from serious destruction to less fragmentation. The contributions of freshwater farms, resident population, number of secondary schools, and village to mangrove distance factors were all greater than 10 and negatively correlated with mangrove area change. Therefore, it is necessary to explore the relationship between mangroves and community residents to obtain a scientific reference for the utilization, protection, restoration, and management of mangroves in the Dongzhaigang Mangrove Nature Reserve.

Human activities such as deforestation, farming, and uncontrolled construction have had a negative impact on mangrove areas in the Reserve. This paper explores how the mangrove area and space have changed since the establishment of the Dongzhaigang Mangrove Nature Reserve, as well as the relationship between this change and the community residents around the Reserve. Six remote sensing images, from 1976 to 2021, were used to obtain wetland data of different ages in the Dongzhaigang Mangrove Forest Nature Reserve in Haikou City. Using the transfer matrix, a questionnaire survey, and principal component analysis, we analyzed the changes in mangrove forests in protected areas and their relationship with surrounding communities over the past 45 years. The results show that: (1) From 1976 to 2021, the area of mangroves in the reserve has increased from 1, 395.84 hm2 in 1976 to 1, 589.28 hm2 in 2021, showing a trend of "suddenly slowing and rising" during this period, and the proportion of mangrove area has increased from 28.6% in 1976 to 32.6% in 2021, becoming the main wetland type. The largest decline (250 hm2) in the mangrove area was from 1976 to 1985. The largest growth occurred from 2005 to 2018, when the mangrove area increased by 190.08 hm2. (2) From 1976 to 2021, 91.77 hm2 of mangrove wetlands in the study area were converted into other wetlands, 10.71 hm2 were converted into non-wetlands, and 267.71 hm2 of other wetlands and 28.21 hm2 of non-wetlands were converted into mangrove wetlands. In the same period, the transfer targets of mangrove forests in the reserve were muddy beaches (34.32 hm2), rivers (25.81 hm2), marine aquaculture farms (21.06 hm2), other land (10.58 hm2) and flooded wetlands/interiors. Land flats (8.26 hm2); silt beaches (177.41 hm2), rivers (38.18 hm2), other land (28.21 hm2), deltas/sands/sand islands (22.15 hm2), flooding Wetlands/inland tidal flats (21.79 hm2), and paddy fields (6.34 hm2) are the most common areas transferred into mangroves. (3) Fishing income from surrounding community-dwelling individuals was significantly associated with farming, disfiguring forest-digging pond areas, conservation awareness, and mangrove area variation. The factor quality of fishing practices (cos2), values of fishing practices and income, months of fishing, fishing volume, and conservation attitude in the surrounding community residents accounted for more than 0.6 in the principal component analysis of area change of mangrove forests, where the factor quality of fishing practices and fishing income were more than 0.8. The decline in residential fishing frequency corresponds with the shift in household income sources, the occupational move from fishing to wage and service industries, the obvious increase in conservation awareness and the conservation attitude of residents, and the transformation of the mangrove area away from serious destruction to less fragmentation. The contributions of freshwater farms, resident population, number of secondary schools, and village to mangrove distance factors were all greater than 10 and negatively correlated with mangrove area change. Therefore, it is necessary to explore the relationship between mangroves and community residents to obtain a scientific reference for the utilization, protection, restoration, and management of mangroves in the Dongzhaigang Mangrove Nature Reserve. [ABSTRACT FROM AUTHOR]

ObjectiveTo investigate the prevalence and influencing factors of subclinical infection of hepatitis E virus (HEV) in Shanghai community residents for providing evidences to comprehensive prevention and treatment of hepatitis E.MethodsWith multistage probability proportional-to-size random sampling, we conducted a seroepidemiological survey among 4 661 permanent residents (aged 1 – 69 years) in 32 urban communities/rural villages in 16 districts of Shanghai city during May – December 2018. The participants had face-to-face interviews with a self-designed questionnaire and detections of serum HEV immunoglobulin G (IgG) and immunoglobulin M (IgM) by enzyme-linked immunosorbent assay (ELISA). Binary multivariate logistic regression analysis was adopted to explore influencing factors of subclinical HEV infection.ResultsOf all the participants, 26.11% (1 217) were positive for HEV-IgG or HEV-IgM antibody. The results of regression analysis revealed that the risk factors of subclinical HEV infection included male gender, five years old and above, drinking unboiled water occasionally, being retired, having hepatitis related detection during past six months, and consuming fresh sashimi during past six months; the results also showed that with a non-local registered residence, being not sure about a history of having HEV vaccination, and washing hands before eating and after using bathroom were protective factors against HEV infection.ConclusionAmong urban and rural community residents of Shanghai city, the prevalence of HEV subclinical infection was relatively high and influenced mainly by gender, age, occupation, registered residence, whether drinking unboiled water, history of HEV vaccination, and the status of having hepatitis-related test/consuming fresh sashimi during past six months.

The cultivation of community residents' ecological concept has an important impact on the construction of human ecological civilization. In this paper, the ecological footprint (EF) of community residents' food consumption was calculated and studied by using the theories and methods of biocapacity and EF. The per capita annual EF of the selected three typical communities was high-income community (1.72gha) > ordinary community (1.55gha) > pilot ecological community (1.51gha). As for the components of annual EF of community residents, the carbon footprint accounted for the largest proportion (0.8gha/person), followed by farmland (0.39gha/person) and grassland, and those of construction land, woodland and grassland were relatively small. As for the components of residents' consumption activities in the whole year, food accounted for the largest part of the EF (0.79gha/person), followed by housing (0.49gha/person), and the other components accounted for a relatively small proportion. The per capita carbon footprint of typical communities was high-income community (0.9gha) > ordinary community (0.88gha) > pilot ecological community (0.61gha), which was likely due to the differences in energy consumption-ability of residents in these three communities. Thus it is clear that the consumption-ability of different groups and their preferences for food, clothing, housing and transportation should be considered in the process of community ecological construction. [ABSTRACT FROM AUTHOR]

China announced its first policy framework for the construction of a protected areas system centered on national parks in 2019. It is increasingly recognized that the intentions of local community residents to engage in environmentally responsible behaviors are essential to achieving biodiversity goals in area-based conservation. Using an extended theory of planned behavior that incorporates the emotional factors of "Awe" and "place attachment," this research tested hypotheses and constructed a theoretical model regarding the environmentally responsible behavioral intentions of community residents within and outside Potatso National Park, a pilot park in the new Chinese protected area system. A quantitative questionnaire survey of residents yielded 503 valid responses, and structural equation modeling was used to test the theoretical hypotheses. The results show that Awe has a significantly positive effect on environmentally responsible behavioral intentions. It also has a significantly positive effect on Place Attachment and subjective norms, which also strengthen environmentally responsible behavioral intentions. In addition, Place Attachment was found to be an important mediating factor for the influence of Awe on environmentally responsible behavioral intentions. According to the general model, both rational and emotional factors drive the behavioral intentions of local residents. Moreover, the findings reveal that the regulating effect of Place Attachment plays a greater role among those whose livelihoods are more dependent on the natural environment, while subjective norms play a greater role among those whose livelihoods are less dependent on the natural environment. The results provide a useful theoretical basis and practical reference for the use of rational and emotional factors to drive environmentally responsible behaviors among residents in and surrounding national parks, and for the promotion of the role of protected areas in nature preservation and community development. [ABSTRACT FROM AUTHOR]

This study aimed to assess health literacy (HL), preventive behaviors (PBs), and the factors associated with PBs toward COVID-19 among village health volunteers (VHVs) and residents in urban and rural areas in the upper south of Thailand. A cross-sectional study was conducted using valid questionnaires administered using an online platform. Data were analyzed using descriptive statistics, t-tests, and binary logistic regression analysis. A total of 846 people participated in this study, and 62.8% of participants had an adequate level of HL. Furthermore, 55.0% of participants had an adequate level of PBs. Among VHVs, PB levels were adequate, whereas among residents, they were inadequate. Moreover, among VHVs, underlying diseases (adjusted odds ratio (OR): 1.77, 95% CI: 1.13–2.76), access to HL (adjusted OR: 4.28, 95% CI: 1.42–12.88), appraisal of HL (adjusted OR: 3.09, 95% CI: 1.90–5.02), and application of HL (adjusted OR: 2.51, 95% CI: 1.52–4.12) were associated with COVID-19 PB. Additionally, among residents, only marital status (adjusted OR: 1.59, 95% CI: 1.04–2.44), appraisal of HL (adjusted OR: 1.78, 95% CI: 1.18–2.84), and application of HL (adjusted OR: 3.85, 95% CI: 2.39–6.20) were associated with PBs towards COVID-19. Furthermore, individuals with inadequate HL demonstrated noteworthy significance in all dimensions of PBs. To prioritize and optimize preventive programs aimed at enhancing PBs, the government must take proactive initiatives in implementing robust health communication strategies across diverse media platforms, both in the present and future.

BackgroundAlthough community health education has drawn lots of attention from the public, evidence on resident satisfaction is still sparse. This study aims to explore the relationships among five dimensions (perceived quality, perceived value, public expectation, public trust, and public satisfaction) of satisfaction with community health education among Chinese residents.MethodsWe constructed a theoretical public satisfaction model for community health education based on the American Customer Satisfaction Index (ACSI) model. There are five dimensions in the theoretical model, including public expectation, perceived quality, perceived value, public satisfaction, and public trust. We recruited 474 respondents from a quota sampling based on gender and age, and collected information on five dimensions of satisfaction with community health education. The relationships of the five dimensions were examined using structural equation model.ResultsThe mean scores of public expectation, perceived quality, perceived value, public satisfaction, and public trust for the participants were 11.44 (total 15), 123.89 (total 170), 14.18 (total 20), 10.19 (total 15), and 15.61 (total 20), respectively. We obtained a structural equation model with a good fitting degree. There was a direct effect of perceived quality on perceived value (γ = 0.85, P < 0.01), public trust (γ = 0.81, P < 0.01) and public satisfaction (γ = 0.58, P < 0.01), and a direct effect of public expectation on public satisfaction (γ = 0.36, P < 0.01) and perceived value (γ = 0.25, P < 0.01).ConclusionsWe provide a good tool to measure public satisfaction with community health education, which can be potentially used to measure public satisfaction and improve the effectiveness of health education.

Background: Non-communicable diseases (NCDs) are becoming major challenges for health professionals. Health-promoting lifestyles (HPL) are one of the main criteria for determining health and recognized as the main factor affecting the development of chronic NCDs. This study aimed to determine factors affecting HPL practices among community residents. Methods: A cross-sectional descriptive study was conducted in Insein Township, Yangon, Myanmar. A total of 194 participants were recruited by using systematic sampling method, and self-administered questionnaires for sociodemographic characteristics and Health-Promoting Lifestyle Profile II were used for data collection. Independent sample t-test and one-way analysis of variance were employed in the data analysis. Results: The overall mean score for HPL was 126.67 ± 21.29. The participants performed best in the spiritual growth subscale (25.1 ± 5.08) but worst in the physical activity subscale (14.23 ± 4.46). More than half (56.70%) of them had moderate HPL level. Participants’ HPL showed significant associations with education level, occupation, total family income per month, perception of health status, smoking, and drinking alcohol status (p < 0.05). Conclusions: This study highlights the needs for redesigning health promotion programs to increase awareness of community residents on HPL, to empower them in developing HPL, and to apply them in their everyday lives.

Copyright of Tourism Tribune / Lvyou Xuekan is the property of Tourism Institute of Beijing Union University 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.)

Background: It remains unknown what the impacts of multiple dimensions of contact (e.g. level, quantity and quality) are on the stigma of mental illness. Aims: To explore the relationship between the multiple dimensions of contact and stigma of mental illness among family members (FM), mental health workers (MHW) and community residents (CR) in Hong Kong. Methods: The stigma, contact and knowledge were measured in FM, MHW and CR in Hong Kong. Multiple regression analyses were used. Results: MHW (n = 141) had higher knowledge, more contact and lower stigma of mental illness than CR (n = 95) or FM (n = 62). Knowledge and contact quality were significantly associated with lower stigma of mental illness in the three groups. However, contact level and contact quantity were not significantly associated with most stigma components. The contact level was positively associated with stigma of mental illness among FM and CR. Conclusions: The results of this study highlight the differences in knowledge, contact and stigma of mental illness among different stakeholder groups. This study suggests that positive contact (e.g. equal, supportive, voluntary and pleasant contact) reduces stigma of mental illness, while negative contact (e.g. unfriendly, unsupportive, unpleasant contact) may increase stigma. The Enhancing Contact Model (ECM) should be tested in future anti-stigma interventions. [ABSTRACT FROM AUTHOR]

Although community empowerment is an important component of sustainable tourism, few studies have examined how empowerment influences residents' support for sustainable tourism at nature-based destinations. We formed a conceptual framework to investigate the moderating effect of Chinese cultural values in the relationship between residents' perceived empowerment and their support for sustainable tourism. We collected 794 survey responses from residents of communities at a nature-based tourism destination in China. Results show there was a significant relationship between empowerment and support for sustainable tourism. The moderating role of cultural values was partially supported. Our findings provide implications on how to better empower residents with an East Asian cultural background, to make sustainable tourism achievable and maintainable. [ABSTRACT FROM AUTHOR]

Copyright of West China Journal of Stomatology is the property of Sichuan University, West China College of Stomatology 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.)

Objective To assess the effect of intervention on community prevention for osteoporosis. Methods Twenty community service centers in Shanghai were divided into control and interventional groups, in which community health education for osteoporosis were carried out relatively. A total of 2000 residents were investigated before and after intervention, respectively, by questionnaire with convenience sampling method. PSM method was applied to match the data before and after the intervention by grouping to assess the intervention effect. Results After intervention, the average marks of interventional group’s osteoporosis knowledge, osteoporosis efficacy, and self-management behavior of osteoporosis prevention increased by 7. 72,11.62 and 3.53 scores, respectively （P<0.001), which were also higher than those in control group （P<0.001). Conclusion It is not enough to change the residents’ behavior to prevent osteoporosis by merely knowledge education. It should be supplemented by psychological counseling and behavioral intervention to form a comprehensive community intervention form. [ABSTRACT FROM AUTHOR]

Abstract Background The high morbidity, mortality, and disability rates of stroke constitute a heavy burden to the society. The level of understanding about stroke warning symptoms and first aid systems among community residents was generally low. The aim of our work is to investigate stroke-related knowledge in community residents of Jinjiang district of Chengdu and to raise public awareness about stroke through an intensive educational program. Methods Nine communities in Jinjiang district were sampled and a questionnaire about stroke-related knowledge was applied before and after stroke educational activities. We analyzed the impact of such activities in stroke recognition and management. Results We collected 1685 valid questionnaires. The awareness about stroke risk before educational activities was 11.4%. The recognition of stroke warning signs among community residents was 29.8–59.5%. Among them, the recognition of major signs, such as limb weakness, language disorder, and imbalance was more than 50%. When faced with five stroke warning signs, the proportion of participants who chose to make an emergency call was 41.5%. Less than 10% of the participants chose to consult a doctor, take medicine, or wait. After strengthening publicity and educational activities regarding stroke, there was a significant improvement in the identification of stroke risk factors, warning signs, and stroke management. The percentage of participants who chose to make an emergency call increased from 53.2 to 82.7%. Conclusions The knowledge about stroke among community residents in Jinjiang District of Chengdu was low. Strengthening publicity and educational activities may raise awareness about stroke prioritizing call emergency after the onset of stroke signs.

China announced its first policy framework for the construction of a protected areas system centered on national parks in 2019. It is increasingly recognized that the intentions of local community residents to engage in environmentally responsible behaviors are essential to achieving biodiversity goals in area-based conservation. Using an extended theory of planned behavior that incorporates the emotional factors of “Awe” and “place attachment,” this research tested hypotheses and constructed a theoretical model regarding the environmentally responsible behavioral intentions of community residents within and outside Potatso National Park, a pilot park in the new Chinese protected area system. A quantitative questionnaire survey of residents yielded 503 valid responses, and structural equation modeling was used to test the theoretical hypotheses. The results show that Awe has a significantly positive effect on environmentally responsible behavioral intentions. It also has a significantly positive effect on Place Attachment and subjective norms, which also strengthen environmentally responsible behavioral intentions. In addition, Place Attachment was found to be an important mediating factor for the influence of Awe on environmentally responsible behavioral intentions. According to the general model, both rational and emotional factors drive the behavioral intentions of local residents. Moreover, the findings reveal that the regulating effect of Place Attachment plays a greater role among those whose livelihoods are more dependent on the natural environment, while subjective norms play a greater role among those whose livelihoods are less dependent on the natural environment. The results provide a useful theoretical basis and practical reference for the use of rational and emotional factors to drive environmentally responsible behaviors among residents in and surrounding national parks, and for the promotion of the role of protected areas in nature preservation and community development.

Atmospheric PM2.5-bound metals have been widely addressed, but research on the exposure levels and sources of personal PM2.5-bound metals among urban community residents is limited. The aim of this study is to explore the exposure levels and sources of 24-h personal PM2.5-bound metals among community inhabitants in Wuhan, China. We conducted a penal study of 216 observations with measurements of 16 metals bounded to 24-h personal PM2.5 samples in April–May, 2014, 2017. Analyses of covariance were used to compare PM2.5-bound metal levels across different living habits and ambient conditions. Principal component analysis (PCA) with varimax rotation was performed to explore PM2.5-bound metal sources. Personal PM2.5-bound aluminum (Al) (113.41 ng/m3) showed the highest geometric mean (GM) concentration, followed by lead (Pb) (90.89 ng/m3), zinc (Zn) (67.71 ng/m3), and iron (Fe) (51.85 ng/m3). The elevated levels of PM2.5-bound Al, vanadium (V), manganese (Mn), arsenic (As), rubidium (Rb), cadmium (Cd), and thallium (Tl) were found in participants with cigarette smoke exposure, compared with those without. The concentrations of Rb and strontium (Sr) were positively associated with the time spent outdoors. The increased concentration of nickel (Ni) was found in individuals who spent > 30 min/day in traffic. The elevated levels of V, Mn, and cobalt (Co) were associated with a short distance from dwellings to the main road. The results of PCA showed that PM2.5-bound metals might come from five sources: As, selenium (Se), Rb, Cd, Tl, and Pb from cigarette smoke exposure; Al, V, Mn, Fe, and Sr from crustal dust; copper (Cu) and antimony (Sb) from industrial activities; Ni and Co from traffic emission; and Zn from coal combustion. The concentrations of PM2.5-bound metals in this study were at moderate levels. Cigarette smoke exposure, industrial activities, traffic emission, and coal combustion might be major anthropogenic sources of personal PM2.5-bound metal exposures in Wuhan, China. [ABSTRACT FROM AUTHOR]

Background: Non-communicable diseases (NCDs) are becoming major challenges for health professionals. Health-promoting lifestyles (HPL) are one of the main criteria for determining health and recognized as the main factor affecting the development of chronic NCDs. This study aimed to determine factors affecting HPL practices among community residents. Methods: A cross-sectional descriptive study was conducted in Insein Township, Yangon, Myanmar. A total of 194 participants were recruited by using systematic sampling method, and self-administered questionnaires for sociodemographic characteristics and Health-Promoting Lifestyle Profile II were used for data collection. Independent sample t-test and one-way analysis of variance were employed in the data analysis. Results: The overall mean score for HPL was 126.67 ± 21.29. The participants performed best in the spiritual growth subscale (25.1 ± 5.08) but worst in the physical activity subscale (14.23 ± 4.46). More than half (56.70%) of them had moderate HPL level. Participants' HPL showed significant associations with education level, occupation, total family income per month, perception of health status, smoking, and drinking alcohol status (p < 0.05). Conclusions: This study highlights the needs for redesigning health promotion programs to increase awareness of community residents on HPL, to empower them in developing HPL, and to apply them in their everyday lives. [ABSTRACT FROM AUTHOR]

Objective/background: Insomnia is prevalent and is a risk factor for the development of lifestyle-related diseases and early death. To improve insomnia, it is necessary to identify the factors that affect it. This study investigated the associations between insomnia symptoms and mental, physical, and environmental factors in the general Japanese population., Patients/methods: The study participants were 7,873 individuals who responded to the Health and Lifestyle Survey questionnaire that included sleep-related items between December 2021 and March 2022. Insomnia symptoms were defined as a score of 6 or higher on the Athens Insomnia Scale (AIS). A multivariate logistic regression analysis was performed to identify factors independently associated with insomnia symptoms., Results: Of all subjects, 23.4% had insomnia symptoms. Factors associated with insomnia symptoms were older age, female sex, very difficult living conditions on current income, pain/discomfort, anxiety, lack of happiness, frequent nocturia, long duration from bathing time to bedtime, bedroom lighting, and short walking duration. The subgroup analysis showed stronger associations between walking time in men, higher body mass index in women, time from bathing time to bedtime, and daily walking duration in older adults., Conclusions: Insomnia symptoms were common in community-based populations and were independently associated with three different factor groups including physical, psychological, and environmental factors. Improvements in insomnia symptoms require appropriate practical support tailored to an individual's situation., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors. Published by Elsevier Ltd.)

Migrant relocation is an important measure for the scenic spot to effectively protect the ecological environment. The problem of migrant relocation of Wulingyuan World Heritage Site is the most serious and difficult problem in the development of Wulingyuan, and it is a very representative case of migrant relocation in tourist attractions of China. Based on the community participation theory, this paper made a detailed analysis of the panel data on the relocation of residents in Wulingyuan World Heritage Site. Combining the first-hand information obtained from the field interviews, starting from the reasons for the relocation, the resettlement plan, and the effects of the relocation, it also analyzed the problems existing in the relocation of residents in Wulingyuan World Heritage Site. Finally, it came up with recommendations in line with the interests of residents from the perspective of community participation. [ABSTRACT FROM AUTHOR]

Social well-being in communities has received little research attention, particularly regarding the impact of community satisfaction on social well-being. Thus, we examined the link between community satisfaction and social well-being in the Chinese cultural context, and investigated whether sense of community mediates this relationship. We collected survey data from 572 residents living in various communities in Wuhan, Hubei Province, China, and used regression analysis to test the hypotheses. Results reveal that community satisfaction was positively related to social well-being, and sense of community played a mediating role in this relationship. Our findings provide a culture- and location-specific perspective of community satisfaction and social well-being in China and highlight the importance of social well-being in community studies. [ABSTRACT FROM AUTHOR]

Objectives: Previous studies have suggested that prolonged electrocardiogram QTc duration was independent risk factor for both increased cardiovascular and all-cause mortality, but there was no dating about the relationship between central aortic systolic blood pressure (CASP) and QTc duration. The aim of this study was to analyze the relationship between CASP and QTc duration, and assess whether CASP can predict prolonged QTc duration more than BSBP. Methods: A total of 500 patients were enrolled in this study, central and brachial aortic blood pressure and electrocardiogram QTc duration were measured. Pearson correlation was assessed for determining the associations of QTc duration with clinical conditions. Multivariate logistic regression analyses were performed to determine the independent predictor of prolonged QTc duration. Receiver operating characteristic (ROC) curve was used to evaluate the utility of blood pressure for prolonged QTc duration. Results: We found QTc durations were significantly positive with CASP (r = 0.308, p