The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences

This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to February 2022,620 participants(320 rural and 300 urban residents)from three provinces of China were selected by con-venience sampling.A general data questionnaire,mental health literacy scale,perceived social support scale and subjective well-being scale were administered.The mental health literacy scores of urban residents were 3.34±0.57 and those of rural residents were 2.73±0.79.The results of multiple regression analysis showed that the mental health literacy scores of rural residents were more significant than those of urban residents in terms of sex and age,while urban residents’mental health literacy scores were more significant than those of rural resi-dents in terms of monthly income.Mental health literacy,perceived social support and subjective well-being of young and middle-aged urban and rural residents were all positively correlated(P<0.01).While the level of mental health literacy is better among urban residents than rural residents,perceived social support plays a partial mediating role between mental health literacy and subjective well-being of both urban and rural residents,and should be the focus of researchers seeking to improve the level of well-being of residents.

Correlation between psychological traits and the use of smart medical services in young and middle-aged adults: An observational study

BACKGROUND Psychological problems affect economic development.However,there is a huge gap between mental health service resources and mental health service needs.Existing mental health service technology and platforms cannot meet all the diverse mental health needs of people.Smart medicine is a new medical system based online that can effectively improve the quality and efficiency of medical services and make mental health services accessible.AIM To explore the level of intelligent medical use among young and middle-aged people and its correlation with psychological factors.METHODS Convenience sampling was used to select 200 young and middle-aged patients with medical experience at the Third People's Hospital of Chengdu between January 2022 and January 2023 as the research subjects.The general condition Questionnaire,Eysenck Personality Questionnaire,Symptom Checklist-90,General Health Questionnaire,and Smart Medical Service Use Intention Questionnaire were used to collect data.Pearson’s correlation was used to analyze the correlation between the participants’willingness to use smart medical services and their personality characteristics,psychological symptoms,and mental health.RESULTS The results revealed that the mental health of young and middle-aged people was poor,and some had psycho-logical problems such as anxiety,depression,and physical discomfort.Familiarity,acceptance,and usage of smart healthcare in this population are at a medium level,and these levels correlate with psychological characteristics.Acceptance was positively correlated with E,and negatively correlated with P,anxiety,fear,anxiety/insomnia,and social dysfunction.The degree of use was negatively correlated with P,obsessive-compulsive symptoms,depression,anxiety,hostility,paranoia,and somatic symptoms.CONCLUSION The familiarity,acceptance,and usage of smart medical services among the middle-aged and young groups are related to various psychological characteristics.

Study on the association of multimorbidity with sleep and diet in young and middle-aged adults in Chongqing region,China

Background:The prevalence of multimorbidity is increasing,with a notable shift towards younger age groups.Methods:Convenience sampling was employed to select 15,988 young and middle-aged adults in Chongqing as the study population.The Apriori algorithm was used to identify the multimorbidity patterns within this population,while an unordered binary logistic regression model was applied to assess the association between sleep,diet and the risk of multimorbidity.Results:The study population had an average age of 39.2±10.1 years.Apriori association rules revealed that the most prevalent binary chronic disease multimorbidity pattern was dyslipidaemia+hypertension(14.78%),while the most common ternary chronic disease multimorbidity pattern was diabetes+dyslipidaemia+hypertension(9.66%).The logistic regression analysis revealed that a lower rating of sleep quality was associated with an elevated risk of multimorbidity(odds ratio(OR)=1.17,95%confidence interval(CI):1.01,1.36).Individuals who adhere to a meat-based diet(OR=1.45,95%CI:1.25,1.68)and those with elevated salt intake(OR=1.22,95%CI:1.01,1.47)were also observed to have an increased risk of multimorbidity.Additionally,a greater likelihood of multimorbidity was observed among those following a spicy diet(OR=1.3,95%CI:1.11,1.52)and consuming more oil(OR=1.16,95%CI:1.01,1.33).Conclusion:A poor sleep quality and a dietary preference for meat-based,salt,spicy and oils were found to be associated with an increased risk of multimorbidity progression among young and middle-aged populations.It is recommended that young and middle-aged adults should pay attention not only to sleep duration but also to sleep quality and improve dietary habits to reduce the likelihood of multimorbidity.

Factors associated with financial support in old age for young and middle-aged rural residents in China

This study examined the factors associated with financial support in old age from three primary mechanisms-personal savings,family support,and social insurance-to explore the implications for the future development of China's rural social welfare system.Cross-sectional surveys of 1392 young and middle-aged rural residents were conducted in July and August2012.The results showed that while social insurance was increasingly acceptable,personal savings and family support still had fundamental value.Combining the three mechanisms,the rural old-age welfare system presented nontraditional features.China's new rural endowment insurance is discussed as a means to address the need for financial support among the rural aging population.

Effect of Age and Sex on Stroke Mortality of Young and Middle-aged Adults in China,2002–2019,and Predictions to 2030

Objective This study aimed to examine the trends in stroke mortality among young and middle-aged adults in China.Methods Data were obtained from the China national vital registration system.Significant changes in mortality were assessed by Joinpoint regression.Age-period-cohort analysis was used to explain the reasons for the changes.Future mortality and counts were predicted by the Bayesian age-period-cohort model.Results Between 2002 and 2019,a total of 6,253,951 stroke mortality in young and middle-aged adults were recorded.The age-adjusted mortality rates(AAMRs)of women showed a downward trend.The annual percent changes(APC)were-3.5%(-5.2%,-1.7%)for urban women and-2.8%(-3.7%,-1.9%)for rural women.By contrast,the AAMRs per 100,000 for rural men aged 25–44 years continued to rise from 9.40 to 15.46.The AAMRS for urban men aged 25–44 years and urban and rural men aged 45–64years did not change significantly.Between 2020 and 2030,the projected stroke deaths are 1,423,584 in men and 401,712 in women.Conclusion Significant sex and age disparities in the trends of stroke mortality among young and middle-aged adults were identified in China.Targeted health policy measures are needed to address the burden of stroke in the young generation,especially for rural men,with a focus on the prevention and management of high risk factors.

Influencing factors of fatigue in young and middle-aged patients with coronary heart disease:a cross-sectional study

Objective:To examine the present state of fatigue in young and middle-aged patients with coronary heart disease(CHD)and to identify the elements that may be affecting it.Methods:From December 2020 to June 2021,240 young and middle-aged patients with CHD who were being treated in the cardiology department of a tertiary care hospital in Suzhou were chosen using a convenience sampling method in order to gather data on the patients’sociodemographic status,fatigue,social support,and stress.Results:Of the 240 disseminated questionnaires,220 valid responses were returned,resulting in an effective recovery rate of 91.67%.The frequency of exhaustion was 51.8%,and the fatigue score was(5.27±2.77).The stress score was(11.15±3.36),while the overall social support score was(39.13±4.72).Binary logistic regression analysis indicated that age,exercise,staying up late,stress,social support,high-sensitivity troponin T,high-density lipoprotein,and ejection fraction were independent risk factors for fatigue in young and middle-aged patients with CHD(P<0.05).Conclusions:Fatigue is more prevalent in young and middle-aged patients with CHD.Clinical nurses can create a unique management plan for patients based on their lifestyle and behavioral patterns,stress levels,social support,and clinical signs to reduce fatigue.

Association of fatigue with short-term prognosis in young and middle-aged patients with coronary heart disease

Background:To investigate the effect of fatigue on the short-term prognosis of young and middle-aged patients with coronary heart disease(CHD).Methods:A cross-sectional,observational survey was distributed at a tertiary hospital in Suzhou,China.Patients were assessed for fatigue and their prognosis was assessed at 3 and 6 months after discharge.General Information Questionnaire,Fatigue Scale and Seattle Angina Questionnaire(SAQ)were used for the survey.The Cox proportional hazard model was used to analyze the impact of fatigue on the occurrence of major adverse cardiac events(MACEs)at 3 and 6 months after discharge.Multiple linear regression models were used to analyze the effect of fatigue on health-related quality of life(HRQoL)at 3 and 6 months after discharge.Results:199 patients were followed up with in the end.43 patients(21.6%)with MACE three months after discharge had a total SAQ score of(399.76±39.61).The overall SAQ score was(425.14±22.66)and 52 patients(26.1%)experienced MACE six months after discharge.Fatigue was identified as a risk factor for MACE 6 months after discharge by the Cox proportional hazard model(HR=2.939,95%CI:0.177~0.655,P=0.001)and as an independent risk factor for quality of life 3 and 6 months after discharge by multiple linear regression(P<0.001).Conclusions:In individuals who are young or middle-aged and have coronary heart disease,fatigue is a risk factor for the short-term prognosis.It is advised that clinical professionals prioritize patient fatigue assessment and improve management of fatigue symptoms.

Psychosocial Adaptation Level and Work Participation Rate of Young and Middle-aged Patients with Coronary Heart Disease after PCI

[Objectives]The research aimed to understand the psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI and their participation situation in work.[Methods]210 young and middle-aged patients aged 18-59 years with coronary heart disease treated by PCI in a tertiary hospital of Suzhou from July of 2020 to November of 2022 were selected,and general information of patients in three days after operation was registered.Self-report psychosocial adjustment to illness scale(PAIS-SR)was used to investigate the psychosocial adjustment to illness of patients in 1,3 and 6 months after operation and the participation rate of work.[Results]The psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI was different in gender,age,education level,marital status,hypertension,diabetes,postoperative cardiac color Doppler ultrasound results(left ventricular ejection fraction)and the number of stents(P<0.05).[Conclusions]The psychosocial adjustment to illness of young and middle-aged patients with coronary heart disease after PCI needs to be improved.The psychosocial adjustment to illness of men is higher than that of women.The older the age is,the lower the psychosocial adjustment to illness is.The psychosocial adjustment to illness of patients with high educational background is higher than those with low educational background,while the psychosocial adjustment to illness of married people is higher than unmarried people.The psychosocial adjustment to illness of patients with hypertension and/or diabetes is lower.

Correlation of blood uric acid level with the degree of anxiety as well as the neurotransmitter and cytokine secretion in young and middle-aged patients with anxiety disorder

Objective:To study the correlation of blood uric acid level with the degree of anxiety as well as the neurotransmitter and cytokine secretion in young and middle-aged patients with anxiety disorder.Methods: The young and middle-aged patients diagnosed with generalized anxiety disorder in our hospital between March 2015 and February 2018 were selected as the anxiety group, and the healthy subjects receiving physical examination during the same period were selected as the control group. Peripheral blood was collected to determine the contents of uric acid, neurotransmitters and cytokines, and Hamilton Anxiety Scale (HAMA) was adopted to judge the degree of anxiety.Results: The blood uric acid level of anxiety group was obviously higher than that of control group and the higher the HAMA scores, the more significant the rising of blood uric acid levels;serum 5-hydroxytryptamine (5-HT), norepinephrine (NE), dopamine (DA), interleukin-1α (IL-1α), IL-17 and interferon-γ (IFN-γ) contents of anxiety group were significantly higher than those of control group whereas neuropeptide Y (NPY), IL-4 and transforming growth factor-β (TGF-β) contents were significantly lower than those of control group;blood uric acid level of the anxiety group was positively correlated with 5-HT, NE, DA, IL-1 , IL-17 and IFN-γ contents, and negatively correlated with NPY, IL-4 and TGF-β contents.Conclusion: The rise of blood uric acid level in young and middle-aged patients with anxiety disorder is related to the aggravation of anxiety degree as well as the abnormal secretion of neurotransmitters and cytokines.

Experience of Treating Hypertension from Liver and Spleen Among Middle-Aged and Young Patients:A Summary

Qi deficiency of the spleen and stomach,transportation,phlegm and dampness generate endogenous and turbid phlegm that violates the position of yang clearance.As a result,dizziness cis resulted.The author believes that the incidence of middle-aged and young patients with hypertension is mostly related to the dysfunction of liver and spleen.Liver depression and qi stagnation is the beginning of the onset;spleen deficiency and dyskinesia is the norm of the onset;and liver and spleen imbalance is the origin of the onset.It is advocated that regulating the liver and spleen to restore the rise and fall,harmonizing qi and blood and preventing lesions are the main treatment methods for the treatment of middle-aged and young people’s hypertension,which is conducive to the development of more clinical diagnosis and treatment ideas for hypertension amomg middle-aged and young people.

基于SERVQUAL模型的佛山外来青年工作居住地选择满意度及诉求研究

对来到广东佛山青年工作居住地选择满意度及诉求展开研究,多重维度探究青年选择居住地的影响因素,探索青年选择佛山居住的满意度以及相关诉求。通过问卷调查和SERVQUAL模型分析,研究结果显示:医疗资源充足、教育水平程度、工资收入是青年选择佛山工作居住的主要考虑因素。但房价与收入水平相对合理性、第三产业的发展潜力和创新创业政策扶持力度是佛山有待加强的因素。因此,吸引外来青年的对策主要集中在优化第二产业结构、提升政府服务的便利程度、提高医疗水平服务、打造核心竞争力等方面。

推拉因素对北京市流动青年居住证申领意愿的影响——以城市归属感为中介变量

居住证是城市管理的重要依据和抓手,然而,北京市居住证的申领率并不理想,严重制约其功能发挥。基于推拉理论,以城市归属感为中介变量研究北京市流动青年居住证申领意愿的影响因素。研究表明,收入水平、公共服务满意度、居住方式、北京户口对后代的重要性以及流动青年对政策的了解程度均显著正向影响流动青年居住证申领意愿;申领条件、程序和思乡情感会显著降低申领意愿;城市归属感在流入地拉力、流出地推力、流出地拉力三方面起部分中介作用。相应的解决对策有:促进流动人口就业与提升其收入;解决流动人口住房问题;降低居住证申领门槛,简化申领程序;拓展居住证功能,构建阶梯式赋权体系;加大政策宣传力度;促进家庭化迁移;缩短社会距离。

上海市某三级专科医院青年医师医德医风教育的调查与思考

目的在目前医德医风教育常规形式和途径的基础上,探索对于以住院医师为代表的青年医师开展有针对性、可行性的医德医风教育有效形式和途径。方法2021年1—6月,通过问卷调查58名上海市口腔医院住院医师对医德医风教育的看法,分析总结以住院医师为代表的青年医师医德医风教育的现存问题,并提出解决方案。结果88%的住院医师认为良好的医德医风对医患沟通的影响最大。83%的住院医师表示在院轮转期间没有接受过医德医风教育,仅34%的住院医师对医德医风教育现状表示满意,其中,本科学历的住院医师对医德医风教育现状的满意率为11%,硕博为45%,差异有统计学意义(P=0.001)。个人从医理念是医德医风养成的最重要因素,小组讨论、网络课程和团建活动是最受青年医师欢迎的医德医风教育方式。结论医德医风教育对医患之间的良好沟通具有重要促进作用,学历层次越高的住院医师对上海市口腔医院医德医风教育的满意度越高。以住院医师为代表的青年医师的医德医风教育工作是全面推进青年医师党建工作的重要组成部分,对培养更多德才兼备的医学人才,提升医疗服务质量,构建和谐医患关系具有重要意义。

共享经济背景下的青老共居空间设计思考

将青年居住问题和社会养老问题结合考虑,为两者实现共享居住提出具有一定可行性的设计思路。从青老共居模式的产生背景、类型分析到居住人群的深入研究,尝试系统地探讨青老共居的可行性,按照多层次的空间设计思路,分别从共居单元-共居组团-共享居住社区三个层级提出设计策略。

Sun Fengyan, a model for young and middle-aged professionals

APOPLEXY is generally acknowledgedin medical circles as a forceful killer.It resultsin ischemic damage of the nerve cells(a lackof blood supply).some of which die andothers of which survive.Can we stop thedeath ot these cells by medical means,or atleast raise the survival rate and rehabilitatethem?That is what Professor Sun Fengyanwith the Shanghai Medical SciencesUniversity is working on. Sun Fengyan was conferred a Doctor ofnerve pharmacologia in 1987 and three

青年住院医师导师制实施效果分析

目的:通过对参加青年住院医师导师制培养的青年住院医师进行调查分析,以评价实行效果。方法:参加导师制学习的青年住院医师的实践技能、理论知识、科研能力和执业医师考试通过率等方面的成绩进行定量分析。结果:参加导师制学习的住院医师在实践技能、理论知识、科研能力和执业医师考试等方面成绩提高均有统计学意义。结论:实行青年住院医师导师制后,住院医师在临床技能、理论知识、科研能力以及执业医师考试通过率等方面均有显著的进步。

人口结构、居民可支配收入和社会基本养老保险基金收入

利用VAR模型从实证的角度考虑人口结构和居民可支配收入增长对于社会基本养老保险基金收入增长的影响,试图解释社会基本养老保险基金收入增长的原因,并认为中国应该适当修改当前人口生育政策和加强基本养老保险金的依法缴纳以缓解未来社会养老压力。

地下水环境示踪剂的解译研究

利用环境示踪剂分析地下水滞留时间,获得水文地质信息,是一种新颖的水文地质调查方法。国内应用于该方法的软件很少,而国外的解译软件又非常庞杂。本文在查阅国内外相关文献的基础上,简要阐述了解译软件所涉及的常见环境示踪剂和模型,对几种具有代表性的解译软件进行比较,并阐述各自的特点、应用及其局限性。最后,总结了这类解译软件普遍存在的问题,并指出其发展趋势。

以发展保障性租赁住房为突破口破解大城市住房突出问题

加快发展保障性租赁住房,帮助新市民、青年人等群体缓解住房困难,促进解决好大城市住房突出问题,是党中央、国务院作出的重大决策部署。从2020年10月党的十九届五中全会首次提出保障性租赁住房,到2021年6月24日国务院办公厅印发《关于加快发展保障性租赁住房的意见》,明确保障性租赁住房的基础制度和支持政策。本文回顾了保障性租赁住房的提出,概括了保障性租赁住房的基本特征,深入分析了加快发展保障性租赁住房的重要性,在此基础上,提出了加快发展保障性租赁住房的着力点。

人口结构转变、农业经济增长与农村居民消费

利用2001至2012年中国农村省级面板数据,考察了人口结构转变、农业经济增长以及它们的交互作用对农村居民消费的影响。研究结论表明:少儿抚养比下降对农村居民消费产生显著负向影响,而老人抚养系数升高对农村居民消费具有不显著的正向影响,当前农村人口结构转变将有助于提升农村居民消费;农业经济的增长将有利于提升农村居民消费水平,其对居民消费上升的贡献会随着少儿抚养比的下降而被强化,但随着老人抚养比的上升逐步被弱化。