To analyze the quality of life (QOL) and its related factors among residents, and to explore the contribution of each factors to QOL by Shapley method, so as to provide references for health policy making.

Questionnaire survey was conducted in 5 cities of Hubei Province from July to August 2021 by stratified random sampling to measure the QOL of 1 387 residents according to SF-12 scale, multivariate regression model and Shapley decomposition method were applied to analyze the influencing factors and its contribution to QOL.

The scores of residents’ physical component summary (PCS) and mental component summary (MCS) were 71.04±17.43 and 75.70±12.51 respectively. Age≥60 (β=-6.073), employment status (retirement (β=-12.752), unemployed (β=-7.292)), annual income (50 000-100 000 Yuan (β=3.516), >100 000 Yuan (β=6.169)), no chronic disease history (β=9.202), and no physical exercise (β=-3.182) had significant effects on PCS (P<0.05), whereas married (β=2.106), employment status (retirement (β=-6.788),unemployed (β=-5.174)), personal annual income >100 000 Yuan (β=3.842), without medical insurance (β=-4.455), no chronic disease history (β=3.450) and no physical exercise (β=-2.056) had significant effects on MCS (P<0.05). Shapley decomposition results showed that employment, chronic medical history and income were the main influencing factors of residents’ quality of life. The variables contributing to PCS were chronic disease history (32%), age (25%), employment status (24%)，income (12%) and weekly exercise (7%). The factors mainly contributing to MCS were employment status (35%), chronic disease history (21%), income (18%), weekly exercise (12%).

The overall quality of life of residents in survey areas of Hubei is good. Employment status, chronic disease history, income and weekly exercise are main influencing factors of residents’ quality of life. Increasing income levels, strengthening chronic disease management, and improving health behaviors may improve residents’ quality of life.

To explore the impact of cultural activities (CA) and physical exercise (PE) on residents’ subjective well-being (SWB)and its mechanism.

Using the 2021 China Comprehensive Social Surveydata, the ordered logistic model and mediating effect model were used for empirical analysis.

CA and PE could significantly enhance residents’ SWB, and the effect of CA on enhancing SWB was greater than that of PE. CA had a relatively greater impact on SWB of women, elderly, and rural residents. PE had a relatively greater impact on SWB of young and urban residents. Health status, social networks, social trust and sense of fairness all played a mediating role in the relationship between CA and SWB. Social trust had the greatest mediating effect, followed by health status, social networks and sense of fairness. Health status, social networks, social trust and sense of fairness all played a mediating role in the relationship between PE and SWB. Health status had the greatest mediating effect, followed by social trust, social networks and sense of fairness.

The government should strengthen efforts to promote the development of culture and sports industry, so that the people can get better spiritual and cultural nourishment and physical and mental health improvement, and have bigger SWB.

To analyze the association between family functioning and primary school students’ emotion regulation strategies, and to provide a theoretical basis for promoting the development of primary school students’ psychological health.

A random cluster sampling method was used to select 9 868 students from six primary schools in a region of Xinjiang for the study, and questionnaires were administered using the Basic Information Questionnaire, the Family Functioning Scale (FAD), and the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA).

The total family functioning score of primary school students was (138.99±17.54), and multiple linear regression analyses showed that total family functioning (β=-1.03), problem-solving (β=-0.10), affective involvement (β=-0.09), communication (β=0.05), affective response (β=0.05), and age (β=0.50) had a predictive role in primary school students’ cognitive reassessment strategy effect (R²=0.101, all P<0.01). Total family functioning (β=0.22), problem-solving scores (β=0.18), emotional involvement scores (β=0.09), roles (β=0.04), and communication (β=-0.03) were predictive of primary schools’ children’s expressive inhibition strategies (R²=0.120, all P<0.05).

Elementary school students’ family functioning is at a moderately low level, and upper primary schools’ students are more inclined to use the emotion regulation strategy of expression inhibition, which can be improved by increasing the level of family functioning in each dimension.

To explore the association between HIV testing frequency and pre - / post-exposure prophylaxis (PrEP/PEP) use among individuals at risk of HIV.

Utilizing a follow-up cohort of men who have sex with men (MSM) conducted in five cities (Nanning, Liuzhou, Guilin, Yulin, and Beihai) in Guangxi Province, China, we employed a group-based trajectory model (GBTM) to analyze the developmental trajectories of HIV testing frequency among MSM. Furthermore, we conducted logistic regression analysis to examine the factors associated with different trajectory groups of HIV testing frequency and their relationship with the utilization of PrEP/PEP before and after HIV exposure.

The analysis included a total of 327 MSM participants, with an average age of 27.722±8.137 years. Based on evaluation criteria such as the Bayesian information criterion, GBTM identified three trajectory groups of HIV testing frequency: low-frequency group (73.87%), medium-frequency group (19.75%), and high-frequency group (6.37%). Comparing to the low-frequency group, MSM in the high-frequency group exhibited higher utilization rates of PrEP (9.49% vs. 55.56%) (χ²=32.02, P<0.001) and PEP (17.39% vs. 44.44%) (χ²=8.19, P<0.017). After controlling for relevant confounding factors, the low-frequency group and medium-frequency group showed of the used PrEP by OR=0.153 (95%CI:0.047-0.501, P=0.002) and OR=0.251 (95%CI:0.070-0.907, P=0.035), respectively, compared to the high-frequency group. Furthermore, regarding the frequency of HIV self-testing in the past year, as HIV testing frequency decreased, there was an increase in the frequency of HIV self-testing in the past year (low-frequency group OR=5.664, 95%CI:1.313-24.428, P=0.020) (medium-frequency group OR=5.087. 95%CI:1.082-23.926, P=0.039).

MSM who engage in higher-risk sexual behaviors are more likely to undergo regular and frequent HIV testing, and they are more proactive in using PrEP/PEP for HIV prevention. Compared with MSM with higher frequency of regular HIV testing, MSM with lower frequency of HIV testing showed higher rates of self-testing.

To analyze the influencing factors of bullying and suicide-related behaviors among primary and secondary middle school students in Hubei Province, and to summarize the high-risk groups of bullying and suicide-related behaviors (thoughts/plans/attempts).

A stratified random sampling method was used to select primary, middle, and high school/vocational high school students from 4 counties in Hubei Province for questionnaire survey. Multivariate logistic regression model was used to analyze the influencing factors of bullying and suicide-related behaviors. The interaction between bullying and related variables was by adding interaction terms.

A total of 1618 students were included in the survey. In the past 12 months, 33.9% of them had been bullied, 17.9%, 12.2%, and 7.8% of them had suicidal ideas, plans, and behavior. The RR values of suicide thoughts, plans, and attempts among bullies were 3.03(95%CI：2.24-4.12), 2.21(95%CI：1.57-3.12), and 2.28(95%CI：1.51-3.45). Middle school students, those with poor relationships with their parents, those who are not confident in their appearance, and those whose friends do not care about them are more likely to be bullied. Students who have been bullied, female students, ethnic minorities, and students who have heard of their classmates’ suicide-related behaviors are more likely to engage in suicide-related behaviors.

The main influencing factors of bullying and suicide-related behaviors among primary and middle school students in Hubei Province were summarized, which could provide a reference for future health interventions.

To analyze the pneumoconiosis mortality change trend, influencing factors and differences between Chinese residents from 2002 to 2021.

Using the Joinpoint model of crude pneumoconiosis mortalityrate and standardized mortalityrate, the annual percentage change (APC) and mean annual percentage change (AAPC) were calculated. The effect of three effects on pneumoconiosis mortality changes was analyzed by the age-period-cohort model.

The urban standardized mortality rate showed an overall downward trend (APC=-0.2%, P>0.05) and increased in rural areas from 2004 to 2021 (APC=7.9%, P<0.001). The age effect showed that both urban and rural pneumoconiosis mortality rate increased with increasing age. The period effect increased with time, and it was different between urban and rural areas, with the risk of urban death decreasing, and the risk of rural death increasing. The cohort effect showed that the risk of death decreased with later birth, and the rural resident birth cohort showed a fluctuating trend.

The increasing effect of age, period and cohort will affect rural pneumoconiosis mortality more than in urban areas.

To investigate the pollution status of lead, cadmium, total mercury, total arsenic, total chromium, manganese, nickel, aluminum, copper on sale vegetables in Taizhou City, and to assess the health risks to people.

According to the requirements of relevant national standards, detect the contents of metals and metalloids in four types of commercial vegetable samples collected from 2019 to 2023. The pollution status evaluated by single factor pollution index (P_i) and Nemerow composite pollution index (P_M) method, the health risks were evaluated by both target hazard quotient (THQ)and total target hazard quotient (TTHQ).

A total of 419 samples of four types of vegetables were collected, manganese and copper had the highest detection rate with both of 100.0%, the others from high to low were nickel (89.17%)>aluminum (87.26%)>cadmium (85.20%)>total arsenic (52.03%)>lead (35.32%)>total chromium (30.55%)>total mercury (2.39%). The overall cadmium exceeding rate was 2.63% and all concentrated in root vegetables, the other elements did not exceed the limit. The P_i and P_M of lead, cadmium, total mercury, total arsenic, total chromium in different types of vegetables were all did not exceed 0.7. The TTHQ of four types of vegetables for adults were all less than 1.0, but the TTHQ were more than 1.0 while children consumed root and leafy vegetables.

The overall pollution levels of nine metals and metalloids in four categories of vegetables in Taizhou city were low, and the health risk level of these metals and metalloids in residents was acceptable. However, intake of root and leafy vegetables may have negative effects on human health in children.

To analyze the spatial compatibility between maternal and child health beds and the needs of women and children in Jiangsu at the county scale.

Spatial autocorrelation was used to analyze the spatial distribution of bed resources and maternal and child population in maternal and child health institutions in Jiangsu Province, and the adaptability of bed resources to the supply and demand of maternal and child population was analyzed by clustering degree.

The population of women and children of childbearing age showed obvious spatial aggregation in all districts and counties of Jiangsu Province, mainly concentrated in Suzhou and Xuzhou.There were 122 maternal and child health care institutions in Jiangsu, including 12 tertiary institutions and 29 secondary institutions, with a total of 11 878 beds. It was worth noting that there were 41 districts and counties with 0 beds, of which Suzhou City accounts for 7 districts and counties. The number of beds per 1 000 women and children in Zhonglou District of Changzhou City was the highest, 2.7 per 1 000 women and children. From the perspective of concentration degree, the bed resources of 17 districts (17.89%) were adequate geographically, while those of 76 districts (80%) were scarce geographically.After considering the demand population, it was found that the supply was greater than the demand in 21 districts (22.11%) and that the supply was less than the demand in 74 districts (77.89%).

There are regional differences in the supply and demand adaptation of maternal and child health care resources in Jiangsu Province, so it is necessary to adjust the service scope of the region where the supply exceeds the demand, and increase the service capacity building.

To assess the disease burden of migraine in China from 1990 to 2019 and predict the changing trends in disease burden from 2020 to 2030, which may provide reliable data support for public health decision-making.

The study utilized data from the Global Burden of Disease 2019 (GBD2019) database and analyzed the age-standardized incidence rate (ASIR) and age-standardized DALY rate of migraine in China from 1990 to 2019. Estimation of annual percentage change (EAPC) models and Bayesian age-period-cohort (BAPC) analysis methods were employed to reveal changes and trends.

From 1990 to 2019, both the ASIR and age-standardized DALY rate of migraine in China showed an upward trend, with EAPCs of 0.24% (95%CI: 0.20%-0.29%) and 0.27% (95%CI: 0.22%-0.32%), respectively. The highest ASIR for migraine was observed in the age group of 10-15 years, followed by a fluctuating decline, and then an increase in ASIR in the 25-30 age group. The age-standardized DALY rate peaked in the 40-45 age group. Disease burden indicators for females exceeded those for males during the same period. According to the BAPC model predictions, the ASIR for migraine in the entire population of China was expected to increase from 2020 to 2030, with an annual growth rate of 0.88%. The annual growth rates of ASIR for males and females were projected to be 1.21% and 0.64%, respectively.

The burden of migraine in China remains quite severe, and there should be a focus on adolescents and young to middle-aged populations. Customized prevention and intervention strategies are crucial for high-risk populations of different ages and genders.