To investigate the influence of social support, self-efficacy and coping style on job burnout of telecommunication employees, and to provide practical guidance for reducing job burnout of telecommunication employees.

This study used stratified random sampling to conduct a questionnaire survey among 8073 telecommunication employees, using Social Support Scale, Coping Style Scale, General Self-Efficacy Scale and Job Burnout Scale. Pearson correlation analysis and SPSS PROCESS model 6 were used to construct a chain mediating effect model to study the mediating path of social support on job burnout of telecommunication employees.

Self-efficacy and coping style had a significant mediating effect on social support and job burnout, and the effect sizes were -0.072 (95%CI: -0.08--0.608) and -0.204 (95%CI: -0.221--0.189), respectively. Self-efficacy and coping style played a significant chain mediating role in the effect of social support on job burnout of telecommunication employees, and the effect size was -0.034 (95%CI: -0.039 - -0.029).

Social support, self-efficacy and coping style are important factors affecting job burnout of telecommunication employees. Self-efficacy and coping style play a chain mediating role between social support and job burnout. The results of this study suggest that increasing social support for telecommunication employees, promoting them to form positive coping styles and improving their self-efficacy are important ways to alleviate their job burnout.

To show that the current situation and influencing factors of loneliness in the elderly under different chronic diseases, and propose targeted solutions.

This survey adopted the convenience sampling method, selecting elderly people from five communities in Harbin for physical examinations and distributing questionnaires to conduct statistical analysis of the survey data.

The loneliness scores of the elderly without chronic diseases, single chronic diseases and multiple chronic diseases were (42.83±9.08), (44.46±9.14) and (46.21±8.66), respectively. Age, education level, marital status, per capita monthly income of households, residence status, social support, and death anxiety were the common factors affecting loneliness in the three types of elderly (P<0.05). In terms of elderly people with multiple chronic diseases, those who worked as civil servants (95%CI:-11.515--3.602), employees of enterprises/institutions (95%CI: -6.117--2.443), and farmers(95%CI: -7.485--0.909) before retirement had lower levels of loneliness(P<0.05).

Elderly people with chronic diseases have a higher sense of loneliness and need to pay more attention to their mental health. It is necessary to reduce the level of loneliness by improving the level of social support, reducing death anxiety, improving social welfare and medical policies, reducing the financial burden, and improving family relations.

To understand the prevalence and trend incidence of neural tube defects (NTDs) in Chongqing from 2007 to 2022, and to provide evidence for comprehensive prevention and control measures.

Based on hospital monitoring data, 185 children with NTDs monitored by all birth defects monitoring institutions in Chongqing City from January 2007 to December 2022 were included in the study. They were grouped by year, perinatal gender, maternal permanent residence (urban/rural), maternal age, different regions, and other categories. Chisquare test was used to analyze the differences in the incidence of severe multiple disabling birth defects in different categories, and linear trend test and Joinpoint regression model were used to analyze the change trend.

From 2007 to 2022, a total of 1 316 934 perinatal births and 185 NTDs were monitored in Chongqing, with an incidence of 1.40/10,000, it was 0.36/10 000(0.00/10 000-2.45/10 000), 0.81/10 000(0.39/10 000-2.42/10 000) and 0.26/10 000(0.00/10 000-2.45/10 000) for anencephaly, spina bifidaand encephalocele respectively. The incidence in rural areas was higher than in urban areas (χ²=11.38, P<0.001). The total incidence of mothers of different age was statistical (χ²=81.71, P<0.001). The annual incidence of NTDs decreased by 84.64% from 2.93/10,000 to 0.45/10,000 during this period. There was a gentle decline from 2007 to 2019 (APC=-10.85) and a rapid decline from 2019 to 2022 (APC=-31.20).

Annual incidence of NTDs in Chongqing was decreasing over the year. NTDs is prevalent at a low level in Chongqing.

To analyze the epidemiological characteristics of injuries deaths among children and adolescents in Shaanxi Province from 2015 to 2022 and provide insight in formulating interventions to prevent accidental deaths among children and adolescents.

Analyze the distribution of gender, age groups, and cause of death in injury deaths among children and adolescents in Shaanxi Province from 2015 to 2022. χ² test was used to compare the mortality differences between genders, age groups and years. The Joinpoint regression method was used to analyze the trend of child and adolescent mortality. Average Annual Percent Change (AAPC) was used to describe trends.

The average mortality of children and adolescents aged 5—19 in Shaanxi Province from 2015 to 2022 was 10.86/100000, with a standardized mortality of 11.01/100000, which accounted for 53.86% of the total deaths among children and adolescents. The mortality of males is 2.00 times higher than that of females (χ²=76.77, P<0.001). During the past 8 years, there was no change in injuries mortality among children and adolescents in Shaanxi Province AAPC (95%CI) -4.21% (-11.06%— -2.66%) (P>0.05). The top two causes of death in injuries among children and adolescents are road injuries and drowning, which accounted for 57.87% of the total deaths among children and adolescents. The average annual death rate of road traffic accidents in the general population and men in 2015—2019 was higher than that in 2020-2022 (P<0.05). The average annual death rate from falls in the general population and women was lower in 2015—2019 than in 2020—2022 (P<0.05). The mortality of injuries increased with age groups, with the highest in 15—19 age group (χ²=21.12, P<0.001). The road traffic accident and suicide death rates were the highest in the 15—19 age group (P<0.05).

The main causes of death in injuries among children and adolescents aged 5—19 in Shanxi Province from 2015 to 2022 are road injuries and drowning. The mortality in injuries is higher in male than female. Targeted prevention and control measures should be taken based on the characteristics of mortality in injuries among children and adolescents in Shaanxi Province.

To understand the Prevalence of abnormal glucose metabolism and its influencing factors in Kunming, and to provide scientific basis for the prevention and treatment of diabetes.

From August to November 2020, 6332 eligible residents from 32 administrative villages/neighborhood committees in 4 counties (districts) of Kunming City were selected as survey subjects, physical examinations, and laboratory tests. Multivariate logistic regression was used to analyze the influencing factors of abnormal glucose metabolism.

The prevalence of abnormal glucose metabolism in adults in Kunming was 26.93% (PDM 12.86%, diabetes 14.07%). Multivariate logistic regression analysis showed that ≥60 years old (OR=2.408, 95%CI:1.468-3.951), overweight (OR=1.348, 95%CI:1.063-1.709), central obesity (OR=1.740, 95%CI:1.374-2.203), hypertension (OR=1.301, 95%CI:1.020-1.660) and dyslipidemia (OR=1.407, 95%CI:1.160-1.706) were associated with the risk of PDM. 40-49 years old (OR=3.230，95%CI:1.942-5.373), 50 - 59 years old (OR=5.229，95%CI：3.229-8.467),≥60 years old (OR=8.924，95%CI:5.515-14.438), low body weight (OR=1.065，95%CI：1.032-2.498), obesity (OR=1.540，95%CI:1.180-2.009), central obesity (OR=1.565, 95%CI:1.288-1.901), hypertension (OR=1.482, 95%CI:1.264-1.737) and dyslipidemia (OR=1.677, 95%CI:1.437-1.958). Family history of diabetes (OR=3.926, 95%CI:3.179-4.850) and insufficient physical activity (OR=1.473, 95%CI:1.259-1.725) were associated with the risk of diabetes. Physical labor (OR=0.581, 95%CI:0.387-0.873) was associated with a lower risk of diabetes mellitus. There were statistically significant.

The prevalence of abnormal glucose metabolism in adult residents of Kunming City is high. Age, overweight and obesity, history of hypertension and dyslipidemia, family history of diabetes, and lack of physical activity are risk factors for abnormal glucose metabolism. Prevention and control should be focused on these factors.

To understand the utilization of mental health education services and its influencing factors among the elderly floating population in China, and to provide reference for the effective development of mental health education for the elderly.

The data of 5 589 elderly migrants in the 2018 National Floating Population Health and Family Planning Dynamic Monitoring Questionnaire were analyzed, and the Anderson model was used as the theoretical framework, and the main analysis methods included statistical description, χ² test and binary logistic regression analysis.

The utilization rate of mental health education services for the elderly floating population in China was 16.84%, and the methods which wereused were mainly publicity materials, publicity columns, knowledge lectures and public health consultation activities, and the logistic regression results showed that the education level was college degree or above (OR=1.229, 95%CI: 0.901-1.676), the flow range was inter-city in the province (OR=1.219, 95%CI: 1.047-1.593), and the inflow area was Northeast China (OR=1.419, 95%CI: 1.159-1.737), central region (OR=1.980, 95%CI: 1.582-2.478) were the protective factors for the use of mental health education services in the elderly floating population, the migration duration was 10-20 years (OR=0.689, 95%CI: 0.521-0.913), the health records were not established and unknown (OR=0.473, 95%CI: 0.333-0.672), Unclear health record establishment (OR=0.683, 95%CI: 0.473-0.986), uncontracted and uninformed family contracted doctors (OR=0.537, 95%CI: 0.37-0.767), and unclear family doctor contract (OR=0.597, 95%CI: 0.423-0.844) were risk factors for the utilization of mental health education services in the elderly migrant population.

The utilization rate of mental health education services for the elderly floating population needs to be improved, the awareness of mental health of the elderly floating population should be strengthened, the mental health publicity of the elderly floating population should be increased, and the elderly floating population should be guided to actively receive mental health education.

To explore the impact of perceived HIV-related discrimination on antiretroviral therapy (ART) adherence among middle-aged and elderly individuals living with HIV/AIDS and the modifying effect of social support, so as to provide guidance for improving ART treatment success rates.

By using cluster random sampling method, a questionnaire survey was conducted among middle-aged and elderly HIV/AIDS patients in the city of Mianyang. The survey assessed their sociodemographic characteristics, social support, perceived discrimination, and treatment adherence. Logistic regression models were used to analyze the relationship between these factors and ART adherence.

The study included 401 middle-aged and elderly HIV/AIDS patients receiving ART. Good adherence was observed in 69.82% of participants, while 30.18% had poor adherence. Univariate analysis revealed that patients with effective viral suppression (viral load ≤20) demonstrated better adherence compared to treatment failure patients (viral load >20). Adherence was also higher among those following single or dual antiretroviral drug regimens. Logistic regression results indicated that fear of disclosure (OR=1.116, 95% CI: 1.023–1.217), public discrimination (OR=1.105, 95% CI: 1.008–1.211), and internal shame (OR=1.119, 95% CI: 1.022–1.225) significantly influenced treatment adherence. Stratified analysis further revealed that fear of disclosure (OR=1.159, 95% CI: 1.034–1.299), public discrimination (OR=1.128, 95% CI: 1.004–1.267), and internal shame (OR=1.150, 95% CI: 1.021–1.297) were associated with adherence.

Enhancing social support, particularly at the individual and family levels, is crucial to mitigate the impact of fear of disclosure, public discrimination, internal shame, and treatment regimens on HIV/AIDS treatment adherence. Public education and support programs should aim to reduce discrimination, strengthen viral load monitoring, and adjust personalized treatment plans promptly.

To explore the level and influencing factors of dietary recommendation knowledge among residents aged 18-64 years in Hunan Province in 2021, and to provide a reference for targeted dietary nutrition education.

In 2021, a total of 4351 adult residents from 13 districts (counties) survey sites of Hunan Province were surveyed using the Nutrition and Health Knowledge Questionnaire. The total score of the questionnaire was 100. The knowledge dimension of dietary recommendation included 19 knowledge points, with a total score of 30, the total score of this dimension ≥ 22.5 was considered to be aware of dietary recommendation related knowledge. Binary logistic regression was used to analyze the influencing factors of adult residents’ knowledge level of dietary recommendation.

A total of 4 010 adults were included in the survey, with an average age of (38.6±12.0) years. The average score of dietary recommendation knowledge dimension was (17.7±4.4) points, and the awareness rate of knowledge about dietary recommendations was 13.6%. The results showed that there were significant differences in the scores and awareness rates of dietary recommendation related knowledge among residents with different genders, age groups, education levels, work units and specific situation of chronic diseases (P<0.05). Logistic regression analysis showed that compared with the corresponding reference group, the awareness rate of dietary recommendation related knowledge was relatively higher in female residents (OR=1.267, 95%CI=1.051 - 1.526) and residents with education level of junior high school and above [junior high school (OR=1.528, 95%CI=1.042-2.242), seniorhigh school (OR=2.123, 95%CI=1.421 - 3.172), college/professional college (OR=3.653, 95%CI=2.386-5.593),bachelor’s degree and above (OR=3.385, 95%CI=2.120 - 5.405)]. Compared with those working in medical and health institutions, those working in education-related institutions had a lower awareness rate of dietary recommendation knowledge (OR=0.547, 95%CI: 0.322-0.930). Compared with those without chronic diseases, the awareness rate of dietary recommendation was lower in adults who did not know their specific situation of chronicdiseases (OR=0.613, 95%CI=0.487-0.772).

There is significant room for improvement in the knowledge level of diet recommendation among adult residents in Hunan Province. In the future, more attention should be paid to the dietary nutrition education of adult males, middle-aged and elderly people, patients with chronic diseases, and residents who do not work in medical and health institutions.

To analyze the epidemiological characteristics of severe acute respiratory syndrome corona virus 2 (referred to as SARS-CoV-2) and influenza viruses in Inner Mongolia Autonomous Region in 2023, and to provide a scientific basis for the prevention and control of acute respiratory infectious diseases in the region.

Collect the ILI surveillance data and nucleic acid detection data of influenza virus and SARS-CoV-2 from the first to 52nd week of 2023 in the whole district and describe and statistically analyze the percentage of ILI among outpatient cases and the epidemiological data of influenza virus and SARS-CoV-2, statistical methods used were χ² test.

A total of 166 307 cases of ILI were reported in sentinel hospitals from weeks 1 to 52 in 2023, and the total number of cases attended was 6 143 210, and the percentage of ILI in the number of cases attending outpatient emergency departments (ILI%) was 2.71%. ILI% was statistically different in different weeks (χ²=35 246.742, P<0.05) and different regions (χ²=71 475.341, P<0.05)were statistically different. A total of 25 680 ILI specimens were collected in the sentinel hospitals, and the nucleic acid positivity rate of SARS-CoV-2 was 11.75%, and the positivity rate was statistically different in different weeks (χ²=2 272.239, P<0.05), different age groups (χ²=1 012.19, P<0.05), different regions (χ²=114.624, P<0.05), and different genders (χ²=26.464, P<0.05) were statistically different. Influenza virus nucleic acid positivity rate was 12.77%, and the positivity rate was statistically different in different weeks (χ²=9 606.493, P<0.05), different age groups (χ²=717.307, P<0.05), and different regions (χ²=41.406, P<0.05).

COVID-19 infection and influenza are alternately prevalent in Inner Mongolia Autonomous Region from week 1 to 52 in 2023, and continuous monitoring of SARS-CoV-2 and influenza virus is needed to obtain more monitoring data to provide scientific data support for effective prevention and control of acute respiratory infectious diseases.