Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience ...Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.展开更多
Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress...Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress and insomnia.Methods:Through stratified sampling,720 nurses working in a tertiary A-level hospital in Shandong Province from March to May 2021 were surveyed using an effort-reward imbalance questionnaire,an organizational identification questionnaire,and the Athens Insomnia scale.Results:Organizational identification was negatively correlated with occupational stress and insomnia(r_(1)=-0.121,P_(1)<0.01;r_(2)=-0.144,P_(2)<0.01).Occupational stress was positively correlated with insomnia(r=0.379,P<0.01).Organizational identity significantly moderated nurses’occupational stress and insomnia(β=-0.192,t=-2.558,P<0.05).Conclusion:Occupational stress and organizational identification can predict insomnia.Organizational identification could negatively mediate the relationship between occupational stress and insomnia.Improving organizational identification may help alleviate insomnia symptoms by relieving occupational stress.展开更多
Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of br...Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of breast cancer on screening measures such as self-examination and,to a lesser extent,the perception of the threat of this disease.This research aims to assess according to the Health Belief Model(HBM),the moderating effect of perceived threat of breast cancer on the relation between knowledge and breast self-examination.A questionnaire survey was conducted among 517 Cameroonian women to assess their general knowledge about breast cancer(risk factors and screening measures),their level of the perceived threat of breast cancer through Perceived susceptibility and severity,and the prevalence of breast self-examination amongst them.A regression analysis using the Macro Process for moderation indicates the main effect of Perceived threat(b=0,29;t(517)=2,36;p=0,02)of breast cancer and knowledge(b=0,02;t(517)=4,29;p<0,001)on breast self-examination.Results also confirm that the perceived threat of breast cancer moderates the effect of knowledge on breast self-examination.While the low level of perceived threat highlights the effect of knowledge on breast self-examination(b=0,02;t(517)=3,49;p<0,001),the high level of perceived threat cancels that effect(b=0,01;t(517)=1,97;p=0,01).A woman who perceives severity and susceptibility to breast cancer is more inclined to perform breast self-examination.This result suggests the importance of taking into account,in a context where knowledge of breast cancer is limited,relevant factors of the health belief model in preventive measures against breast cancer in general and the practice of breast self-examination in particular.展开更多
The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes...The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.展开更多
The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and trans...The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and transformations.The sample selection for this study was conducted from 2013 to 2020.Data related to the digital economy and servitization of the industrial structure of 30 Chinese provinces,municipalities,and autonomous regions were collected.This study presents the human capital variable,based on which an econometric analysis was conducted,and examines its moderating effect.The findings indicate that even after the replacement variable indicator’s robustness test,the relationship between the digital economy and the servitization of industrial structures remains unchanged.This study demonstrats that the quality of human capital plays a positive role in this effect.Finally,a heterogeneity test demonstrated that there are different pathways for the impact of the digital economy on the servitization of industrial structures in the eastern,central,and western regions.This study provides evidence to help researchers understand the moderating utility of human capital.展开更多
Purpose： This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach： Based on the Theory of Reasoned Action, the Technology Ac...Purpose： This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach： Based on the Theory of Reasoned Action, the Technology Acceptance Model, and Sense-making theory, we propose two dimensions of problematic situations： urgency and severity of health issues being searched online. Data were collected through a questionnaire survey among 214 Wuhan University students and analyzed using hierarchical regression analysis.Findings： Perceived usefulness, perceived ease of use, and subjective norm can influence user intention to seek health information online. The urgency of problematic situations has a negative moderating effect on the relationship between perceived ease of use and user intention and the relationship between subjective norm and user intention. The severity of problematic situations has a negative moderating effect on the relationship between subjective norm and user intention.Research limitations： The respondents of the survey are limited to students in one Chinese university, so whether this study＇s results can be applied to another population or not remains to be verified. In addition, only two dimensions of problematic situations are considered in this study. Practical implications： The paper puts forward the moderating effect of problematic situations and verifies it, which is the compensation for online health information-seeking behavior research. Besides, our analyses have implications for professional design of health care systems and related consumer information searches, and improve their performance. Originality/value： Previous work has reported the effects of problematic situation on user intention to seek health information online, ignoring its influence on other factors. This empirical study extends that work to identify the influence of problematic situation when seeking intention-behavior data in two dimensions, urgency and severity.展开更多
Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the und...Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.展开更多
With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet u...With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet use has become a breeding ground for many acts that are contrary to public decency,and this study is conducted against this background.This study explored the impact of perceived anonymity on online transgressions and investigated the moderating effect of moral excuses.A total of 414 subjects,210 males and 204 females,participated in this experimental survey.The SPSS data analysis concluded that perceived anonymity played a significant positive predictive role on online deviance(p<0.01),and the moderating role of moral excuses was not significant.This study will be conducive to the better implementation of the action of clearing cyberspace and to the regulation of public behaviour in cyberspace.展开更多
The influence of organizational ambidexterity on innovation and the growth of enterprises has gradually become an important research topic in the field of strategic management and organization theory. This paper build...The influence of organizational ambidexterity on innovation and the growth of enterprises has gradually become an important research topic in the field of strategic management and organization theory. This paper builds up a theoretical framework of the relationship between organizational ambidexterity and innovation performance with regards to corporate entrepreneurship orientation. We select 175 companies from high and new technology industries in China＇s three large cities, Beijing, Tianjin and Dalian, as samples to carry out an empirical test. We find that the balance and complement of organizational ambidexterity are positively correlated with the innovation performance of enterprises; a corporate entrepreneurial orientation has a significantly moderating effect on the relationship between the balance dimension of organizational ambidexterity and innovation performance, yet it has no significant positive moderating effect on the relationship between the combined dimension oforganizational ambidexterity and innovation performance.展开更多
Purpose–The presentation of in-vehicle warnings information at risky driving scenarios is aimed to improve the collision avoidance ability of drivers.Existing studies have found that driver’s collision avoidance per...Purpose–The presentation of in-vehicle warnings information at risky driving scenarios is aimed to improve the collision avoidance ability of drivers.Existing studies have found that driver’s collision avoidance performance is affected by both warning information and driver’s workload.However,whether moderation and mediation effects exist among warning information,driver’s cognition,behavior and risky avoidance performance is unclear.Design/methodology/approach–This purpose of this study is to examine whether the warning information type modifies the relationship between the forward collision risk and collision avoidance behavior.A driving simulator experiment was conducted with waring and command information.Findings–Results of 30 participants indicated that command information improves collision avoidance behavior more than notification warning under the forward collision risky driving scenario.The primary reason for this is that collision avoidance behavior can be negatively affected by the forward collision risk.At the same time,command information can weaken this negative effect.Moreover,improved collision avoidance behavior can be achieved through increasing drivers’mental workload.Practical implications–The proposed model provides a comprehensive understanding of the factors influencing collision avoidance behavior,thus contributing to improved in-vehicle information system design.Originality/value–The significant moderation effects evoke the fact that information types and mental workloads are critical in improving drivers’collision avoidance ability.Through further calibration with larger sample size,the proposed structural model can be used to predict the effect of invehicle warnings in different risky driving scenarios.展开更多
An important limitation of the research literatures which study the effect on the export of the real effective exchange rates is the lack of application of interaction or moderator effect among the independent variabl...An important limitation of the research literatures which study the effect on the export of the real effective exchange rates is the lack of application of interaction or moderator effect among the independent variables. To remedy this lacuna, the authors developed a model in which real effective exchange rate moderated the effect of import and utilization of foreign capital on export. The sample comprised 11 years＇ data in Guangdong China. The result showed that real effective exchange rate of RMB affected the export by interacting with utilization of foreign capital. Moreover, to some degree, the real effective exchange rate can also act as moderator between import and export.展开更多
To study the effects of a chocolate bar supplementation before exercise on improving recovery of physiological and metabolic changes induced by exercise, 16 male students aged 18-20 years voluntarily served as subject...To study the effects of a chocolate bar supplementation before exercise on improving recovery of physiological and metabolic changes induced by exercise, 16 male students aged 18-20 years voluntarily served as subjects. A crossover design was employed. Each subject took part in two trials and ran an hour on a treadmill with the intensity of keeping heart rate at 148-150 min for each trial. Results showed that plasma glucose levels of subjects increased significantly (5.42±0.83 mmol/L) at 15 min after ingestion of a chocolate bar and maintained in moderate high levels (4.92 ±0.57 mmol/L) until 30 min after an hour's running while the glucose levels were low and dropped to under normal ranges (3.84 ± 0.31 mmol/L) at 30 min after exercise as they were with a supplement of placebo. Results of plasma FFA, blood lactate and plasma urea nitrogen levels and RPE all indicated that chocolate bar supplementation before exercise benefits to create the necessary prerequisite for exercise and recovery展开更多
The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only ...The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only child.This transition is associated with problematic behaviors,affecting their social adjustment,sibling relationships,and family harmony.Although several studies have examined the relationship between parent-child attachment and problem behaviors exhibited byfirstborn children during family transitions,thefindings have been inconsistent.Hence,a meta-analytic study was undertaken to elucidate the inconsistencies in this relationship and explore the moderating factors that may contribute to these discrepancies.Using a systematic literature retrieval and screening method,12 effect sizes were derived from the 10 eligible articles,encompassing a sample size of 5319.The meta-analysis demonstrated a low negative association between parent-child secure attachment and problem behaviors exhibited byfirstborn children during family transitions.Furthermore,the present study investigates potential moderator factors,such as children’s age and geographic region,to gain a more nuanced understanding of the relationship.Consequently,the establishment of parent-child attachment relationships has the potential to mitigate problem behaviors observed infirst-born children during family transitions.The implications of thesefindings indicate that parents can nurture secure attachment bonds with their children by demonstrating sensitive responsiveness,employing positive parenting practices,and fostering emotional availability.These efforts contribute to the cultivation of secure internal working models and positive behavioral manifestations withinfirst-born children,which in turn affect their relationships with siblings.展开更多
This study examined the moderating effects of parent-child,same-sex,opposite-sex and teacher-student relation-ships between sibling status and loneliness during COVID-19.A total of 1,591 adolescents in China completed...This study examined the moderating effects of parent-child,same-sex,opposite-sex and teacher-student relation-ships between sibling status and loneliness during COVID-19.A total of 1,591 adolescents in China completed the study questionnaires which assessed the aforementioned variables.The results showed that same-sex and teacher-student relationships moderated the association between sibling status and loneliness.The results indicated that among participants with good same-sex relationships during COVID-19,compared to non-only-children parti-cipants,the only-children participants were more likely to experience a lower level of loneliness.However,parti-cipants with poor same-sex relationships experienced similar level of loneliness regardless of whether they had siblings.Thesefindings would be helpful for parents,teachers,and other stakeholders to take effective measures to reduce loneliness feelings among Chinese adolescents.展开更多
This paper selects China's A-share listed companies from 2012 to 2021 as the research sample and explores the impact of digital transformation on corporate green technology innovation and the moderating role of co...This paper selects China's A-share listed companies from 2012 to 2021 as the research sample and explores the impact of digital transformation on corporate green technology innovation and the moderating role of corporate competitive position in this relationship.The research findings are as follows:Digital transformation plays a significant role in promoting corporate green technology innovation.The improvement of corporate competitive position weakens the promoting effect of digital transformation on corporate green technology innovation.The moderating effect of the corporate competition position is more pronounced in the enterprises of the eastern and western regions,as well as in the listed companies in the manufacturing industry.The promoting effect of digital transformation on utility model patent innovation is dramatically attenuated when the corporate competitive position is strengthened.However,the weakening effect on invention patent innovation is not statistically significant.展开更多
The occurrence of missed appointments from online outpatient bookings significantly hinders the operational efficiency of outpatient services.This study aimed to investigate various factors influencing patients’misse...The occurrence of missed appointments from online outpatient bookings significantly hinders the operational efficiency of outpatient services.This study aimed to investigate various factors influencing patients’missed appointments from online outpatient bookings.Drawing on attribution theory,an empirical analysis was conducted using 382,004 authentic online outpatient appointments.The empirical findings revealed that appointment lead-time,appointment time,weekday appointments,online doctor rating,appointment doctor’s expertise,patient distance,and previous outpatient visit experience significantly influenced patients’missed appointment behaviors from online outpatient bookings.Importantly,previous outpatient experience positively moderated the relationship between the appointment doctor’s expertise and patients’missed-appointment behavior.This study provides insights into the factors influencing patients’missed-appointment behavior from online outpatient bookings.It further offers a theoretical foundation for medical institutions in China to mitigate the likelihood and adverse effects of patients’missed-appointment behavior from online outpatient bookings.展开更多
This article explored China’s urban employment dynamics with particular focus on the city size effect.Big data derived from the largest recruitment website were used to examine the direct and indirect impacts of city...This article explored China’s urban employment dynamics with particular focus on the city size effect.Big data derived from the largest recruitment website were used to examine the direct and indirect impacts of city size on employment demand by using mediating and moderating models.We also investigated the roles of the government and location factors which have seldom been considered in literature.Results showed that the concentration degree of new jobs is higher than that of stock employment and population across cities,implying a path dependency mechanism of job creation and employment expansion.Meanwhile,numerous job posts in inland central cities are probably a symptom of more even distribution of employment in future China.Econometric models further verified the significant correlation between city size and job creation.Moreover,industrial diversity,fixed asset investment,and spatial location have heterogeneous effects on employment demand in cities of different sizes and different levels of administration.These results can not only deepen our understanding of the crucial role of city size in urban employment growth but also demonstrate the future trend of labor and population geography of China.Policy implications are then proposed for job creation in cities of China and other developing countries.展开更多
基金supported by the National Natural Science Foundation of China (No.82203171)the Jiangsu Province Science and Technology Coordination Research Project (No.JSKXKT2023040).
文摘Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.
文摘Objective:To explore the relationship between organizational identification,occupational stress,and insomnia among nurses and to analyze the moderating role of organizational identification between occupational stress and insomnia.Methods:Through stratified sampling,720 nurses working in a tertiary A-level hospital in Shandong Province from March to May 2021 were surveyed using an effort-reward imbalance questionnaire,an organizational identification questionnaire,and the Athens Insomnia scale.Results:Organizational identification was negatively correlated with occupational stress and insomnia(r_(1)=-0.121,P_(1)<0.01;r_(2)=-0.144,P_(2)<0.01).Occupational stress was positively correlated with insomnia(r=0.379,P<0.01).Organizational identity significantly moderated nurses’occupational stress and insomnia(β=-0.192,t=-2.558,P<0.05).Conclusion:Occupational stress and organizational identification can predict insomnia.Organizational identification could negatively mediate the relationship between occupational stress and insomnia.Improving organizational identification may help alleviate insomnia symptoms by relieving occupational stress.
文摘Estimated at more than 2.2 million cases worldwide,most breast cancer cases and deaths from breast cancer occur in low and middle-income countries.In Cameroon,many studies have underlined the effect of knowledge of breast cancer on screening measures such as self-examination and,to a lesser extent,the perception of the threat of this disease.This research aims to assess according to the Health Belief Model(HBM),the moderating effect of perceived threat of breast cancer on the relation between knowledge and breast self-examination.A questionnaire survey was conducted among 517 Cameroonian women to assess their general knowledge about breast cancer(risk factors and screening measures),their level of the perceived threat of breast cancer through Perceived susceptibility and severity,and the prevalence of breast self-examination amongst them.A regression analysis using the Macro Process for moderation indicates the main effect of Perceived threat(b=0,29;t(517)=2,36;p=0,02)of breast cancer and knowledge(b=0,02;t(517)=4,29;p<0,001)on breast self-examination.Results also confirm that the perceived threat of breast cancer moderates the effect of knowledge on breast self-examination.While the low level of perceived threat highlights the effect of knowledge on breast self-examination(b=0,02;t(517)=3,49;p<0,001),the high level of perceived threat cancels that effect(b=0,01;t(517)=1,97;p=0,01).A woman who perceives severity and susceptibility to breast cancer is more inclined to perform breast self-examination.This result suggests the importance of taking into account,in a context where knowledge of breast cancer is limited,relevant factors of the health belief model in preventive measures against breast cancer in general and the practice of breast self-examination in particular.
文摘The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.
基金funded by the National Natural Science Foundation of China(Grant No.:72074035)the Fundamental Research Funds for the Central Universities(Grant No.:2022CDSKXYGG006)the Graduate Research and Innovation Foundation of Chongqing,China(Grant No.:CYB22057).
文摘The digital economy,which was born during the late third technological revolution,has caused significant economic and societal changes.Amid sluggish global economic growth,China’s economy is facing upgrades and transformations.The sample selection for this study was conducted from 2013 to 2020.Data related to the digital economy and servitization of the industrial structure of 30 Chinese provinces,municipalities,and autonomous regions were collected.This study presents the human capital variable,based on which an econometric analysis was conducted,and examines its moderating effect.The findings indicate that even after the replacement variable indicator’s robustness test,the relationship between the digital economy and the servitization of industrial structures remains unchanged.This study demonstrats that the quality of human capital plays a positive role in this effect.Finally,a heterogeneity test demonstrated that there are different pathways for the impact of the digital economy on the servitization of industrial structures in the eastern,central,and western regions.This study provides evidence to help researchers understand the moderating utility of human capital.
基金supported in part by the Key Projects of Philosophy and Social Sciences Research supported by the Ministry of Education of the People’s Republic of China(Grant No.:15JJD870001)Luo Jia Youth Scholar of Wuhan University
文摘Purpose： This study investigates how online user intention in searching health information is affected by problematic situations.Design/methodology/approach： Based on the Theory of Reasoned Action, the Technology Acceptance Model, and Sense-making theory, we propose two dimensions of problematic situations： urgency and severity of health issues being searched online. Data were collected through a questionnaire survey among 214 Wuhan University students and analyzed using hierarchical regression analysis.Findings： Perceived usefulness, perceived ease of use, and subjective norm can influence user intention to seek health information online. The urgency of problematic situations has a negative moderating effect on the relationship between perceived ease of use and user intention and the relationship between subjective norm and user intention. The severity of problematic situations has a negative moderating effect on the relationship between subjective norm and user intention.Research limitations： The respondents of the survey are limited to students in one Chinese university, so whether this study＇s results can be applied to another population or not remains to be verified. In addition, only two dimensions of problematic situations are considered in this study. Practical implications： The paper puts forward the moderating effect of problematic situations and verifies it, which is the compensation for online health information-seeking behavior research. Besides, our analyses have implications for professional design of health care systems and related consumer information searches, and improve their performance. Originality/value： Previous work has reported the effects of problematic situation on user intention to seek health information online, ignoring its influence on other factors. This empirical study extends that work to identify the influence of problematic situation when seeking intention-behavior data in two dimensions, urgency and severity.
文摘Objective:To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.Methods:A cross-sectional study was conducted;272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire,Perceived Social Support Scale(PSSS),Connor-Davidson Resilience Scale(CD-RISC),and the University of California at Los Angeles Loneliness Scale(UCLA)with a stratified random cluster sampling method.Results:The loneliness score of the left-behind elderly in rural areas was 52.54±7.25,the psychological resilience score was 78(68.87),and the perceived social support score was 57(51.62).The perceived social support and psychological resilience were negatively correlated with loneliness,while the perceived social support was positively correlated with psychological resilience.The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was−0.102(P<0.001).Conclusions:Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness.Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.
文摘With the development of science and technology,the use of the Internet is becoming more and more widespread.However,with the popularity of the Internet,some problems have gradually surfaced.The anonymity of Internet use has become a breeding ground for many acts that are contrary to public decency,and this study is conducted against this background.This study explored the impact of perceived anonymity on online transgressions and investigated the moderating effect of moral excuses.A total of 414 subjects,210 males and 204 females,participated in this experimental survey.The SPSS data analysis concluded that perceived anonymity played a significant positive predictive role on online deviance(p<0.01),and the moderating role of moral excuses was not significant.This study will be conducive to the better implementation of the action of clearing cyberspace and to the regulation of public behaviour in cyberspace.
基金Acknowledgements This research is supported by the National Social Science Fund Major Project, ＂The New Organization Theory And Organizational Governance Research＂ （11 ＆ ZD153） National Natural Science Foundation Project ＂ The Effects of Corporate Entrepreneurial Orientation and Organizational Learning on the Continuous Growth of Mature Firms from an Organizational Inertia Perspective.＂ （71372067）+2 种基金 China Scholarship Council Project Humanities and Social Sciences general project of the Education Ministry ＂The Research of Organizational Inertia based on Entrepreneurial Orientation and Organizational Learning＂ （11YJC630001） Guangzhou Municipal Colleges and Universities social science project ＂The Formation and Implementation Mechanism Study of Independent Innovation Ability from the Perspective of Organization Inertia＂ （08B061）.
文摘The influence of organizational ambidexterity on innovation and the growth of enterprises has gradually become an important research topic in the field of strategic management and organization theory. This paper builds up a theoretical framework of the relationship between organizational ambidexterity and innovation performance with regards to corporate entrepreneurship orientation. We select 175 companies from high and new technology industries in China＇s three large cities, Beijing, Tianjin and Dalian, as samples to carry out an empirical test. We find that the balance and complement of organizational ambidexterity are positively correlated with the innovation performance of enterprises; a corporate entrepreneurial orientation has a significantly moderating effect on the relationship between the balance dimension of organizational ambidexterity and innovation performance, yet it has no significant positive moderating effect on the relationship between the combined dimension oforganizational ambidexterity and innovation performance.
基金sponsored by the Chinese National Science Foundation(61803283)the“Chen Guang”project supported by ShanghaiMunicipal Education Commission and Shanghai Education Development Foundation(18CG17)the Shanghai Municipal Science and Technology Major Project(No.2021SHZDZX0100)and the Fundamental Research Funds for the Central Universities.
文摘Purpose–The presentation of in-vehicle warnings information at risky driving scenarios is aimed to improve the collision avoidance ability of drivers.Existing studies have found that driver’s collision avoidance performance is affected by both warning information and driver’s workload.However,whether moderation and mediation effects exist among warning information,driver’s cognition,behavior and risky avoidance performance is unclear.Design/methodology/approach–This purpose of this study is to examine whether the warning information type modifies the relationship between the forward collision risk and collision avoidance behavior.A driving simulator experiment was conducted with waring and command information.Findings–Results of 30 participants indicated that command information improves collision avoidance behavior more than notification warning under the forward collision risky driving scenario.The primary reason for this is that collision avoidance behavior can be negatively affected by the forward collision risk.At the same time,command information can weaken this negative effect.Moreover,improved collision avoidance behavior can be achieved through increasing drivers’mental workload.Practical implications–The proposed model provides a comprehensive understanding of the factors influencing collision avoidance behavior,thus contributing to improved in-vehicle information system design.Originality/value–The significant moderation effects evoke the fact that information types and mental workloads are critical in improving drivers’collision avoidance ability.Through further calibration with larger sample size,the proposed structural model can be used to predict the effect of invehicle warnings in different risky driving scenarios.
文摘An important limitation of the research literatures which study the effect on the export of the real effective exchange rates is the lack of application of interaction or moderator effect among the independent variables. To remedy this lacuna, the authors developed a model in which real effective exchange rate moderated the effect of import and utilization of foreign capital on export. The sample comprised 11 years＇ data in Guangdong China. The result showed that real effective exchange rate of RMB affected the export by interacting with utilization of foreign capital. Moreover, to some degree, the real effective exchange rate can also act as moderator between import and export.
文摘To study the effects of a chocolate bar supplementation before exercise on improving recovery of physiological and metabolic changes induced by exercise, 16 male students aged 18-20 years voluntarily served as subjects. A crossover design was employed. Each subject took part in two trials and ran an hour on a treadmill with the intensity of keeping heart rate at 148-150 min for each trial. Results showed that plasma glucose levels of subjects increased significantly (5.42±0.83 mmol/L) at 15 min after ingestion of a chocolate bar and maintained in moderate high levels (4.92 ±0.57 mmol/L) until 30 min after an hour's running while the glucose levels were low and dropped to under normal ranges (3.84 ± 0.31 mmol/L) at 30 min after exercise as they were with a supplement of placebo. Results of plasma FFA, blood lactate and plasma urea nitrogen levels and RPE all indicated that chocolate bar supplementation before exercise benefits to create the necessary prerequisite for exercise and recovery
基金Funding of this research work is generously supported by the University Malaya Community Campus Grant-RUU2022-LL016Private Grant PV086-2022(University Poly-Tech MARA-UPTM),Kuala LumpurUniversitas Negeri Malang,Indonesia.
文摘The implementation of China’s three-child fertility policy has led to a notable increase in multiple-child families.Notably,firstborn children experience a significant transition from being an only child to a non-only child.This transition is associated with problematic behaviors,affecting their social adjustment,sibling relationships,and family harmony.Although several studies have examined the relationship between parent-child attachment and problem behaviors exhibited byfirstborn children during family transitions,thefindings have been inconsistent.Hence,a meta-analytic study was undertaken to elucidate the inconsistencies in this relationship and explore the moderating factors that may contribute to these discrepancies.Using a systematic literature retrieval and screening method,12 effect sizes were derived from the 10 eligible articles,encompassing a sample size of 5319.The meta-analysis demonstrated a low negative association between parent-child secure attachment and problem behaviors exhibited byfirstborn children during family transitions.Furthermore,the present study investigates potential moderator factors,such as children’s age and geographic region,to gain a more nuanced understanding of the relationship.Consequently,the establishment of parent-child attachment relationships has the potential to mitigate problem behaviors observed infirst-born children during family transitions.The implications of thesefindings indicate that parents can nurture secure attachment bonds with their children by demonstrating sensitive responsiveness,employing positive parenting practices,and fostering emotional availability.These efforts contribute to the cultivation of secure internal working models and positive behavioral manifestations withinfirst-born children,which in turn affect their relationships with siblings.
基金supported by Key Laboratory of Ethnic Languages and Information Technology of Ministry of Education of China,Northwest Minzu University,Lanzhou,Gansu,730030,China(KFKT202013,KFKT202016,KFKT202012,and 1001161310)The Young Doctor Foundation of Higher Education in Gansu Province“Research on the educational effect mechanism of the socialist core value‘unity of knowing and doing’of college students for nationalities in the new era”(No.2021QB-071)The 14th Five-Year Planning Project of Education Science in Gansu Province 2021“A study on the core behavior of patriotism of children in the new era”.Fundamental Research Funds for the Central Universities“Research on influencing factors of online education in post-epidemic era”(No.31920210125).
文摘This study examined the moderating effects of parent-child,same-sex,opposite-sex and teacher-student relation-ships between sibling status and loneliness during COVID-19.A total of 1,591 adolescents in China completed the study questionnaires which assessed the aforementioned variables.The results showed that same-sex and teacher-student relationships moderated the association between sibling status and loneliness.The results indicated that among participants with good same-sex relationships during COVID-19,compared to non-only-children parti-cipants,the only-children participants were more likely to experience a lower level of loneliness.However,parti-cipants with poor same-sex relationships experienced similar level of loneliness regardless of whether they had siblings.Thesefindings would be helpful for parents,teachers,and other stakeholders to take effective measures to reduce loneliness feelings among Chinese adolescents.
文摘This paper selects China's A-share listed companies from 2012 to 2021 as the research sample and explores the impact of digital transformation on corporate green technology innovation and the moderating role of corporate competitive position in this relationship.The research findings are as follows:Digital transformation plays a significant role in promoting corporate green technology innovation.The improvement of corporate competitive position weakens the promoting effect of digital transformation on corporate green technology innovation.The moderating effect of the corporate competition position is more pronounced in the enterprises of the eastern and western regions,as well as in the listed companies in the manufacturing industry.The promoting effect of digital transformation on utility model patent innovation is dramatically attenuated when the corporate competitive position is strengthened.However,the weakening effect on invention patent innovation is not statistically significant.
文摘The occurrence of missed appointments from online outpatient bookings significantly hinders the operational efficiency of outpatient services.This study aimed to investigate various factors influencing patients’missed appointments from online outpatient bookings.Drawing on attribution theory,an empirical analysis was conducted using 382,004 authentic online outpatient appointments.The empirical findings revealed that appointment lead-time,appointment time,weekday appointments,online doctor rating,appointment doctor’s expertise,patient distance,and previous outpatient visit experience significantly influenced patients’missed appointment behaviors from online outpatient bookings.Importantly,previous outpatient experience positively moderated the relationship between the appointment doctor’s expertise and patients’missed-appointment behavior.This study provides insights into the factors influencing patients’missed-appointment behavior from online outpatient bookings.It further offers a theoretical foundation for medical institutions in China to mitigate the likelihood and adverse effects of patients’missed-appointment behavior from online outpatient bookings.
基金Major Project of National Social Sciences Foundation of China,No.20&ZD173。
文摘This article explored China’s urban employment dynamics with particular focus on the city size effect.Big data derived from the largest recruitment website were used to examine the direct and indirect impacts of city size on employment demand by using mediating and moderating models.We also investigated the roles of the government and location factors which have seldom been considered in literature.Results showed that the concentration degree of new jobs is higher than that of stock employment and population across cities,implying a path dependency mechanism of job creation and employment expansion.Meanwhile,numerous job posts in inland central cities are probably a symptom of more even distribution of employment in future China.Econometric models further verified the significant correlation between city size and job creation.Moreover,industrial diversity,fixed asset investment,and spatial location have heterogeneous effects on employment demand in cities of different sizes and different levels of administration.These results can not only deepen our understanding of the crucial role of city size in urban employment growth but also demonstrate the future trend of labor and population geography of China.Policy implications are then proposed for job creation in cities of China and other developing countries.
