To analyze the relationship between parental academic upward social comparison perception(PAUSCP) and mobile phone dependence tendency(MPDT) among children, and explore the chain mediation of learning boredom(LB) and academic self-handicapping(ASH).

In October 2023,1 024 higher primary school pupils were tested with parental academic upward social comparison perception scale, academic self-handicapping scale, learning boredom scale, and mobile phone dependence tendency scale,and process 4.3were used to analyze mediation.

Not detected tendency accounted for 54.78%, potential Children’s MPDT accounted for 27.25%, and MPDT accounted for 17.97%.Boys(χ²=10.975,P=0.004), grade(χ²=47.055,P<0.001), relationship with parents(χ²=28.453,P<0.001) and residence(χ²=14.128,P=0.007)was correlation factors. Total indirect effect of PAUSCP → MPDT was 0.115(95%CI:0.090,0.142), effect size P_M=58.67%.Indirect effect of PAUSCP→LB→MPDTwas 0.064(95%CI:0.042,0.090).Indirect effect PAUSCP→ASH→MPDT was 0.024(95%CI:0.013,0.038).Indirect effect of PAUSCP→LB→ASH→MPDT was 0.027(95%CI:0.018,0.040).

Parental academic upward social comparison perception can indirectlyaffect mobile phone dependence tendencyamong childrenthrough learning boredom and academic self-handicapping.

To provide a reference for the health department and to improve the medical quality by analyzing and evaluating the medical quality of public traditional Chinese medicine hospitals in Shandong Province from 2019 to 2022 comprehensively.

Based on the survey data of public TCM hospitals participating in performance appraisal in Shandong Province, the medical quality of public TCM hospitals in Shandong Province was comprehensively evaluated by using the entropy-weighted TOPSIS method, RSR method and the fuzzy combination method of the two.

According to the entropy-weighted TOPSIS method, the evaluation results of medical quality were the best in 2019, followed by 2022, with C values of 0.594 4 and 0.548 6, respectively, the evaluation results of RSR method were the best in 2022, followed by 2021, with RSR values of 0.750 0 and 0.688 0, respectively, and the best evaluation results of the two fuzzy joint methods were in 2022 and followed by 2021, and the three evaluation methods showed that the evaluation results of medical quality in 2020 were the worst.

Although the evaluation results of the entropy-weighted TOPSIS and RSR methods and the fuzzy joint method are slightly different, the trend is basically the same, and the medical quality of public TCM hospitals in Shandong Province has been improving year by year from 2019 to 2022. The fuzzy combination method of the two can reflect the evaluation results more scientifically and reasonably, and has certain reference significance for the improvement of medical quality level and management standards.

To explore the current situation and influencing factors of the family burden of patients with severe mental disorders.

The main guardians of 715 patients with severe mental disorders in Qingyang City were selected as the research object by the multi-stage stratified cluster random sampling method. A self-made questionnaire was applied to investigate the guardian’s demographic data, family situation, health status, patient demographic data, and disease treatment. The current situation of family burden was investigated by the Family Burden Scale (FBS). Multiple linear regression analysis was applied to analyze the influencing factors of family burden for patients with severe mental disorders.

The total FBS score was 22.36±13.11, and the burden of medium and above accounted for 50.57%. The financial burden on the family was the heaviest. The results of multiple linear regression analysis revealed that the patient’s education level, marital status, monthly medication expenses, current condition, medication adherence, medical security, guardian’s health status, relationship with the patient, cohabitation time, and monthly family income were the influencing factors of family burden (P<0.05).

The family burden of patients with serious mental disorders in Qingyang City is relatively heavy. Families with unstable patient conditions, high monthly medication expenses, low household income, guardians in sub-health or suffering from chronic disease, and long-term living with the patient require further attention. Providing these families with assistance and support is essential to alleviating their burden.

To investigate the current status of fertility intentions among married women of childbearing age in Hebei Province under the background of the three-child policy, and to analyze the influencing factors of fertility support on married women of childbearing age’s fertility intention.

A random cluster sampling method was used to select married women of childbearing age in Hebei Province as the respondents in July 2023, and a self-designed questionnaire was used for the survey. Multinomial logistic regression was used to analyze the influencing factors of fertility intentions among married women of childbearing age.

A total of 1 200 questionnaires were distributed and 1104 valid questionnaires were collected, with a valid recovery rate of 92%. Among the survey subjects, 222 people (20.1%) had no intention of fertility/re-fertility, 263 people (23.8%) intended to have 1 child, 545 people (49.4%) intended to have 2 children, and 74 people (6.7%) intended to have 3 children or more. The results of multinomial logistic regression analysis showed that age, ethnicity, occupation, and residence area were influencing factors of fertility intentions. In terms of fertility support, time support, monthly childcare expenses, maternal care, and economic support were influencing factors of fertility intentions among married women of childbearing age.

The fertility intentions of married women of childbearing age are relatively low, and the intention of having three children is still at a low level. Actively providing fertility support and policies that encourage the fertility intentions of married women of childbearing age, and creating a good fertility environment, will help to enhance the fertility intentions of married women of childbearing age.

To explore the non-immunization vaccines hesitancy and associated factors among parents of 0-18 years old children in Karamay.

Based on the theory of planned behavior (TPB), we used a stratified sampling method to select parents of 0-18 years old children in 12 schools of Karamay for a questionnaire-based survey．The structural equation model was used to determine relationships between variables.

Of 1 258 parents included in the analysis, the incidence of vaccine hesitancy among those was 38.95%. Logistic regression analysis showed that parents with younger children, higher educated, higher income, and longer local residence were less likely to be hesitant. The indicators of model fit are in line with the theoretical requirements. The model explains 56% of the variance of parental hesitancy to vaccinate. Attitudes (β_standard=-0.36, P<0.01), subjective norms (β_standard=-0.23, P<0.01), perceived behavioral control (β_standard=-0.21, P<0.01), and perceived risk (β_standard=-0.12, P<0.01) were associated with non-immunization vaccines hesitancy.

The TPB model can better explain parents’ hesitancy to receive non-immunization vaccines. To increase parental willingness about vaccinate, it is essential to strengthen parents’ trust in vaccine quality and knowledge of vaccines. Furthermore, utilizing physicians and social media for health education is crucial.

To analyze the myopia of middle school students in Heilongjiang Province in 2022, and to provide scientific basis for the development of myopia prevention strategies and measures.

99 114 middle school students in Heilongjiang Province in 2022 were selected to carry out a special survey on health risk behaviors. Their visual acuity and diopter were examined by using a 5-meter standard logarithmic visual acuity chart and desktop optometer. Binary Logistic regression was used to analyze the factors affecting myopia of students.

The total myopia rate of middle school students was 72.44%, including 70.50% junior high school students, 76.91% senior high school students and 64.47% vocational high school students. The myopia rate of students in urban area was higher than that in suburban county. The myopia rate of girls was higher than that of boys. Binary logistic regression analysis showed that: female students (OR=1.38, 95%CI: 1.35-1.43), frequently or always switching seats(OR=1.20, 95%CI: 1.15-1.25), spending more than 2 hours reading and writing after school every day(OR=1.11, 95%CI: 1.07-1.14), spending more than 2 hours a week attending cultural tutoring classes(OR=1.07, 95%CI: 1.03-1.11), parents often or always reminding them to pay attention to their reading and writing posture(OR=1.14, 95%CI: 1.10-1.19), and spending more time using the computer every day(h)≥ 2(OR =1.19, 95%CI: 1.24-1.45), using of mobile electronic devices in the past week(OR=1.11, 95%CI: 1.06-1.16), how often close range eye rest occurs(h)≥ 1(OR=1.11, 95%CI: 1.08-1.15), average daily indoor sitting time(h)≥ 8(OR=1.15, 95%CI: 1.12-1.19) are risk factors for myopia; Suburban counties(OR=0.95, 95%CI: 0.92-0.98), frequently adjusting the height of desks and chairs according to one’s own height(OR=0.94, 95%CI: 0.91-0.97), engaging in outdoor activities during breaks(OR=0.91, 95%CI: 0.89-0.94), having eyes more than 33 cm away from books while reading and writing(OR=0.84, 95%CI: 0.81-0.88), watching TV for≥2(OR=0.84, 95%CI: 0.80-0.88), and having outdoor activity time during the day(h)≥ 2(OR=0.93, 95%CI: 0.90-0.97), average daily sleep time(h)≥ 8(OR =0.80, 95%CI: 0.78-0.83) are protective factors for myopia.

Myopia is related to various factors such as residential area, gender, lifestyle, and behavioral habits.

To analyze the association of 11 anthropometric indicators (AIs) with gastric cancer and precancerous lesions in people aged 40-69 years in Yangzhong City.

Using the cluster sampling method, 10 698 residents aged 40-69 years who participated in upper gastrointestinal cancer screening in Yangzhong City from November 2017 to December 2022 were selected for questionnaire survey, physical examination, endoscopy and pathological diagnosis. Multivariate logistic regression was used to analyze the association between AIs [body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), body fat percentage (BF%), conicity index (CI), body adiposity estimator (BAE), a body shape index (ABSI), body adiposity index (BAI), body roundness index (BRI) and abdominal volumetric index (AVI)] and gastric cancer and precancerous lesions.

The prevalence of gastric cancer and precancerous lesions was 39.37% among 10 115 residents. The results of multivariate logistic regression showed that compared with those in quartile 1 (Q1), the Q3 and Q4 populations of BMI had an 11.1% (OR=0.889, 0.791-0.999) and 12.4% (OR=0.876, 0.779-0.984) lower risk of gastric cancer and precancerous lesions, respectively. The Q2, Q3 and Q4 populations of BF% had 14.2% (OR=0.858, 0.756-0.974), 17.4% (OR=0.826, 0.689-0.991) and 26.6% (OR=0.734, 0.603-0.893) lower risk of gastric cancer and precancerous lesions risk, respectively. The Q2 and Q4 populations of the BAE had reduced the risk of gastric cancer and precancerous lesions by 13.2% (OR=0.868, 0.766-0.983) and 21.3% (OR=0.787, 0.648-0.957). The risk of gastric cancer and precancerous lesions in BAI’s Q2 and Q3 populations was reduced by 13.7% (OR=0.863, 0.767-0.970) and 13.1% (OR=0.869, 0.769-0.983), respectively. Stratified analysis showed that BMI, BF%, BAE and BAI were associated with a reduced risk of non-cardia gastric cancer and precancerous lesions (all P<0.05). However, only the Q2 level of BAE was associated with a reduced risk of cardia gastric cancer and precancerous lesions compared to the Q1 (P<0.05).

Increased levels of BMI, BF%, BAE, and BAI among residents aged 40-69 years in Yangzhong City are associated with a reduced risk of gastric cancer and precancerous lesions. However, most of this association apply to non-cardia but not cardia.

To understand the willingness to use pre-exposure prophylaxis (PrEP) among MSM in Guiyang, explore related factors, so as to provide reference for promoting PrEP in Guiyang and Guizhou Province.

Two social organizations in Guiyang were recruited among MSM from gay bars, WeChat groups and other social venues and the Internet by convenient sampling method from April to June, 2022. Questionnaires were collected using the “Wen Juan Xing” platform, the contents of the survey included demographic information, behavioral characteristics, knowledge of PrEP, the willingness to use PrEP and so on. Univariate analysis of the willingness to use PrEP was used Chi-square test, logistics regression was carried out to analyze the multiple-factors related to the willingness to use PrEP. Taking the willingness to use PrEP as the dependent variable, univariate and multivariate logistics regression was carried out to analyze the factors related to the willingness to use PrEP.

608 valid questionnaires were collected. A total of 146 people (24.0%) knew about PrEP, 216 people (35.5%) had used PrEP before, and 525 people (86.3%) were willing to use PrEP if they had high-risk behaviors. The results of multivariate analysis showed that non-Guiyang resident (OR=3.09, 95%CI:1.42-6.73), living in Guiyang for 7-12 months (OR=5.12, 95%CI:2.25-11.65) and more than 1 year (OR=4.19, 95%CI:1.85-9.49), employed (OR=17.05, 95%CI:4.14-70.26), unemployed (OR=6.29, 95%CI:1.18-33.59), tested for HIV in the last 1 year (OR=3.77, 95%CI:1.70-8.38), those who had previously used PrEP (OR=15.85, 95%CI: 5.12-49.11) and aware of PrEP (OR=4.82, 95%CI: 1.88-12.38) were more likely to use PrEP.

The MSM population surveyed in Guiyang has a low awareness rate of PrEP, higher willingness to use PrEP, and relative factors, develop targeted measures to promote knowledge about PrEP according to relative factors, so as to improve the knowledge of PrEP, confidence and willingness to use PrEP. Promote the use of PrEP in the context of comprehensive AIDS prevention and control, such as the use of condoms, to reduce the risk of HIV infection.

To investigate the knowledge of monkeypox among men who have sex with men (MSM) in Central Jiangsu Province in 2023, and to provide evidence for the prevention and treatment of monkeypox in this population.

The monkeypox questionnaire designed by Jiangsu Provincial Center for Disease Control and Prevention was used to investigate HIV Voluntary Counseling & Testing (VCT) clinic and social organizations in central Jiangsu Province. Excel 2010 and SPSS19.0 software were used to organize and analyze the data. Also, univariate and multivariate Logistic regressions were used to analyze the factors affecting the awareness rate of monkeypox knowledge. χ² test was used to compare the difference of concern degree of monkeypox among people with different characteristics.

A total of 1 290 valid questionnaires were collected. The majority were aged from 26 to 50 years, accounting for 65.04% (839/1 290). The majority of the students were college students, bachelor students or above, accounting for 64.26% (829/1 290). The awareness rate of monkeypox was 26.12%, and the complete awareness rate was 15.27%. The results of multivariate Logistic regression analysis showed that the related factors with higher awareness rate of monkeypox included Taizhou (OR=6.710, 95%CI: 4.309-10.447), high school/technical school (OR=2.461, 95%CI: 1.270-4.769), college (OR=2.515, 95%CI: 1.311-4.825), bachelor’s degree or above (OR=2.253, 95%CI: 1.184-4.288), concerned about monkeypox epidemic and related situation (OR=1.684, 95%CI: 1.188-2.387) (all P < 0.05). The correct rates of monkeypox symptoms, preventive measures and transmission routes were 30.78%, 42.25% and 27.75%, respectively. 1 186 people (91.94%) paid attention to monkeypox epidemic and prevention knowledge from WeChat, Weibo and other network new media. MSM with different regions (χ²=65.348, P<0.001), age groups (χ²=19.422, P=0.001), educational levels (χ²=31.447, P<0.001), marital status (χ²=11.162, P=0.025), results of the latest HIV test (χ²=37.793, P<0.001), sexual orientations (χ²=39.441, P<0.001), whether they had sexual contact with the same sex in the last 6 months (χ²=29.329, P<0.001), and whether they had sexual contact with overseas personnel (χ²=29.199, P<0.001), paid different attention to monkeypox information, and the differences were statistically significant.

The awareness rate of MSM monkeypox knowledge in central Jiangsu Province is low, and the accuracy rate of monkeypox symptoms, transmission routes and prevention and control measures are low. Therefore, it is necessary to publicize monkeypox symptoms and transmission routes through new media such as WeChat, Weibo, Douyin and Baidu in the later stage.