To investigate the current status of sports equipment disinfection in kindergartens in the urban area of Yinchuan, as well as the awareness and regulations regarding disinfection, providing reference for improving hygiene and epidemic prevention in kindergartens.

Samples were collected from the surfaces of sports equipment, indoor air in sports equipment rooms, and the hands of sports staff, following the “Disinfection and Sanitation Standards for Nurseries and Kindergartens” (DB12/T447-2011) from Tianjin. A self-developed questionnaire was used to survey the usage of disinfectants, the awareness of disinfection practices among management personnel and sports staff, and the disinfection regulations in kindergartens. Statistical analysis of the testing and survey results was conducted using SPSS 18.0.

The average compliance rates for disinfection of sports equipment surfaces, indoor air in sports equipment rooms, and the hands of staff in kindergartens were 63.76%, 62.63%, and 55.29%,respectively, with no statistically significant differences across different types (public, inclusive) and scales (≥300 students large-scale, <300 students small-scale) of kindergartens (P values > 0.05). The average usage rates of disinfectants such as ultraviolet lamps, air disinfectants, hand sanitizers, disinfectant solutions, disinfectant spray bottles, and disinfectant cloths were 26.55%,15.66%, 54.88%, 52.17%, 56.06%, and 51.39%, respectively, with no statistically significant differences across different types and scales of kindergartens (P > 0.05). The average rates of good awareness regarding sports equipment disinfection among management personnel and sports staff were 57.18% and 50.91%, respectively, with statistically significant differences observed across different types of kindergartens (χ² values of 8.74 and 7.97, P < 0.05). The average rates of a well-established disinfection system for sports equipment were 42.58%, 43.57%, and 42.02%, with statistically significant differences noted among different types of kindergartens (χ² values of 7.95, 8.32, and 8.48, P < 0.05).

The compliance rates for sports equipment disinfection, the usage rates of disinfectants, and the rates of good awareness among management personnel and sports staff in kindergartens in Yinchuan are relatively low, and the disinfection system for sports equipment is inadequate, which impacts the hygiene and safety of sports equipment. Enhanced supervision, monitoring, and technical guidance are necessary.

To investigate the care service needs of disabled elderly individuals in Weifang city and analyze the influencing factors on the willingness to utilize care services among elderly individuals with varying degrees of disability, aiming to provide better care services for this population.

A care service needs questionnaire was developed based on the Anderson model as a theoretical framework. A convenience sampling method was employed to select 1 322 disabled elderly individuals in Weifang city, and a questionnaire survey was conducted to assess their care service needs. Logistic regression models were utilized to analyze the influencing factors affecting the care service needs of elderly individuals with mild, moderate, and severe disabilities.

Among the disabled elderly in Weifang city, those with mild and moderate disabilities had the highest demand for general care services (59.2%), while those with severe disabilities had the highest demand for medical care services (45.0%). Comprehensive analysis using three models revealed that factors such as “gender” (OR=0.778, 95%CI: 0.604-0.961), “educational level” (OR=0.598, 95%CI:0.511-0.701), “economic status” (OR=0.789, 95%CI: 0.640-0.961), “source of income” (OR=1.251, 95%CI: 1.084-1.444), “type of health insurance” (OR=1.870, 95%CI: 1.291-2.710), “number of chronic disease medications” (OR=0.767, 95%CI: 0.692-0.852),and “hearing status” (OR=0.833, 95%CI: 0.699-0.994) were significant factors influencing the care service needs of disabled elderly individuals.

Elderly individuals with varying degrees of disability have different demands for care service items, and these needs are influenced by factors such as gender, educational level, economic status, source of income, type of health insurance, number of chronic disease medications, and hearing status. Government, market, and societal sectors should play an active role in meeting the care service needs of disabled elderly individuals, aiming to ensure that high-quality care services genuinely benefit this population.

To explore the relationship between self-efficacy, belief perception, and pain coping strategies in community-dwelling elderly patients with chronic pain, providing a theoretical basis and guidance for targeted nursing interventions.

A stratified sampling method was used to select 363 community-dwelling elderly patients with chronic pain. The Chronic Pain Self-Efficacy Scale, Pain Beliefs and Perception Questionnaire, and Coping Strategies Questionnaire-Revised were employed for the survey. Pearson correlation analysis was conducted to analyze the correlations among variables, and multiple linear regression analysis was performed to identify factors influencing pain coping strategies.

The self-efficacy score among the 363 patients was 73.70±8.92, the belief perception score was -4.69±13.67, and the pain coping strategies score was 73.96±8.60. Univariate analysis indicated statistically significant differences in coping strategy scores based on age, marital status, educational level, payment method for medical expenses, previous occupation, monthly income level, religious belief, physical exercise, duration of pain, number of comorbid chronic diseases, and primary caregiver (P<0.05). Correlation analysis showed a positive correlation between coping strategy scores and self-efficacy scores (r=0.517, P<0.01), and a negative correlation between coping strategy scores and belief perception scores (r=-0.443, P<0.01). Multiple linear regression analysis revealed that religious belief, educational level, belief perception scores, and self-efficacy scores were influencing factors for community-dwelling elderly patients with chronic pain.

Healthcare professionals should develop rational intervention strategies based on the study results to help patients enhance their self-efficacy, establish correct belief perceptions, and guide them in adopting proactive pain coping strategies, ultimately improving their quality of life.

To conduct a quantitative evaluation of China’s Huimin insurance policy texts, provide references for the formulation and improvement of future Huimin insurance policies, and promote the further improvement of the multi-level medical security system.

Based on the text mining method, 14 Huimin insurance policies issued at the national and provincial levels were processed. A PMC index model was constructed to conduct an overall and surface chart analysis of the 14 Huimin insurance policies, and a comparison was made between Policy P10 and Policy P7.

The results of the PMC index model showed that the average PMC index score of the 14 Huimin insurance policies was 6.98, all at an acceptable level or above. Among them, 6 policies were rated as excellent, and 8 policies were rated as acceptable. The policies scored relatively high in policy content (0.87) and policy nature (0.81), and relatively low in policy perspective (0.61), incentive and restraint (0.60), and policy timeliness (0.33).

China’s Huimin insurance policies are generally at an acceptable level. They can be improved by strengthening the top - level design of Huimin insurance policies, improving the incentive and restraint mechanism, and optimizing policy timeliness.

To develop a Fertility-Friendly Perception Scale for reproductive-aged women and to test its reliability and validity.

Based on the social ecological system theory, a preliminary scale was created through literature review, semi-structured interviews, expert consultations, and a pilot survey. A convenience sampling method was employed to select 608 reproductive-aged women for the reliability and validity testing.

The Fertility-Friendly Perception Scale consisted of 6 dimensions and 40 items. The split-half reliability of the total scale was 0.885, and the Cronbach’s α coefficient was 0.912. The overall content validity index of the scale was 0.85, with item-level content validity indices ranging from 0.80 to 1.00. Exploratory factor analysis revealed a total of 6 common factors, with a cumulative variance contribution rate of 60.766%.Confirmatory factor analysis indicated χ²/v=1.921, a root means square error of approximation of 0.055, IFI of 0.909, CFI of 0.908, and TLI of 0.900.

The Fertility-Friendly Perception Scale for reproductive-aged women demonstrates good reliability and validity, making it an effective tool for measuring the fertility-friendly perceptions of this population.

To investigate whether there are differences in anxiety status and influencing factors between health examination populations undergoing first-time and non-first-time low-dose spiral computed tomography (LDCT).

This retrospective study involved individuals who underwent health examinations at a tertiary health management center from January to December 2023 (including LDCT and anxiety self-assessment scales). Participants were divided into first-time LDCT examination group and non-first-time LDCT examination group based on whether it was their first examination at this hospital. Univariate analysis utilized independent two-sample t-tests or χ² tests. Four models were established for the overall population: Model 1 did not adjust for confounding factors; Model 2 adjusted for age, gender, examination type, occupation, education level, and alcohol history; Model 3 further adjusted for previous history of pulmonary nodules, diabetes, and hypertension; Model 4 included Body Mass Index (BMI) adjustments based on the same variables in Model 3.

A total of 19 892 participants were included in this study, with an overall anxiety detection rate of 12.31%. The anxiety detection rate in the non-first-time LDCT examination group (14.27%) was higher than that in the first-time LDCT examination group (8.9%), with a statistically significant difference (χ²=122.878, P<0.05). After adjusting for the aforementioned confounding factors, the anxiety risk for those undergoing non-first-time LDCT was 1.519 times that of those undergoing first-time LDCT (OR=1.519, 95%CI: 1.374-1.68, P<0.001).

The non-first-time LDCT examination is an independent risk factor for anxiety in health examination populations.

To explore the mediating role of depression symptoms in the relationship between bullying and suicide risk, and to analyze the moderating effect of emotional intelligence.

A stratified cluster sampling method was employed to select 16 388 students from 20 primary and secondary schools in the Pidu District of Chengdu, who completed self-administered questionnaires. Structural equation modeling was established to test the mediating and moderated mediating effects.

Among the participants, 28.5% were involved in bullying, and 29.2% exhibited a high risk of suicide. The direct effect between bullying and suicide risk was 0.154 (95%CI: 0.136-0.173, P < 0.001), while the mediating effect of depression symptoms was 0.164 (95%CI: 0.153-0.175, P < 0.001). Emotional intelligence negatively moderated the mediating pathway: at low levels of emotional intelligence, the mediating effect (bullying → depression symptoms → suicide risk) was 0.157 (95%CI: 0.144-0.169),whereas at high levels of emotional intelligence, the mediating effect was 0.114 (95%CI: 0.103-0.126).

There is a positive association between bullying and suicide risk among children and adolescents, with bullying indirectly influencing suicide risk through depression symptoms. Additionally, emotional intelligence negatively moderates the mediating effect of depression symptoms. Interventions aimed at alleviating depression symptoms and enhancing emotional intelligence may be effective strategies to mitigate the adverse effects of bullying on the psychological and behavioral health of children and adolescents.

To explore the comorbidity patterns in middle-aged and older adults and their relationship with subjective life expectancy, as well as to investigate the mediating role of depression.

Using data from the 2020 CHARLS, latent class analysis (LCA) was employed to identify comorbidity patterns in individuals aged 45 and older. Ordered logistic regression was used to analyze the association between comorbidity patterns and subjective life expectancy, while stepwise regression and the KHB method were utilized to assess the mediating effect of depression.

A total of 13 815 middle-aged and older participants were included, with a comorbidity rate of 48.17%. LCA identified four comorbidity patterns: relatively healthy, gastrointestinal-arthritis, cardiovascular-metabolic, and respiratory system. The gastrointestinal-arthritis (OR=0.652, 95%CI: 0.592 to 0.717), cardiovascular-metabolic (OR=0.727, 95%CI: 0.669 to 0.791), and respiratory system (OR=0.518, 95%CI: 0.592-0.717) patterns were negatively associated with subjective life expectancy. Depression acted as a mediator, with heterogeneity in the mediating effect across different comorbidity patterns; the strongest effect was observed in the gastrointestinal-arthritis group, with an indirect effect value of -0.110 (-0.144 to -0.076), accounting for 27.72% of the mediating effect, followed by the cardiovascular-metabolic group (18.05%).

Compared to the relatively healthy group, the other three comorbidity patterns were associated with more negative subjective life expectancy, with depression mediating the relationship between comorbidity patterns and subjective life expectancy.

To analyze the public health emergencies caused by infectious diseases in schools in Sichuan Province from 2014 to 2023 and provide references for the prevention and control of infectious diseases in schools.

The relevant information on public health emergencies caused by infectious diseases in schools in Sichuan Province from 2014 to 2023 was collected through the “Reporting and Management Information System for Public Health Emergencies”. Descriptive epidemiological methods were used to analyze the event categories, temporal distribution, regional distribution, school types, etc.,as well as the relationship between the duration of the epidemic and the time interval from discovery.

From 2014 to 2023,a total of 363 public health emergencies caused by infectious diseases were reported in various schools in Sichuan Province, with 21 597 reported cases, 3 deaths, and 1 041 433 affected or exposed people. The incidence rate was 2.07%. The top five infectious diseases in terms of the number of events were varicella, influenza, mumps, other infectious diarrhea diseases, and hand - foot -mouth disease, accounting for 91.46% of the total number of events. In terms of temporal distribution, more events were reported in March and November. In terms of school types, primary schools reported the most events (195 cases), followed by junior high schools (66 cases). The morbidity rates of infectious disease emergencies varied in different regions, with the highest morbidity rate in urban schools. The ways of event discovery included daily monitoring by epidemic management personnel of grass - roots disease prevention and control centers (224 cases, 61.71%), reports from medical institutions (84 cases, 23.10%), reports from schools (23 cases, 6.34%), and notifications from superior or peer departments (14 cases, 3.56%). There was a positive correlation between the time interval from epidemic discovery and the duration of the epidemic (r=0.57, P < 0.001).

Schools are high-risk places for public health emergencies caused by infectious diseases. Targeted prevention and control measures should be taken according to the epidemic characteristics of different schools. The discovery and reporting of epidemics are extremely important for epidemic disposal. The coordination and cooperation mechanism among multiple departments such as education and health should be strengthened to improve the timeliness of monitoring and reporting of public health emergencies caused by infectious diseases in schools and gain the initiative in epidemic disposal.