Displaying publications 741 - 760 of 2311 in total

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  1. Luo Z, Azam SMF, Wang L
    PLoS One, 2023;18(12):e0296100.
    PMID: 38109435 DOI: 10.1371/journal.pone.0296100
    The popularization of financial literacy has become a global trend, with governments across the world expressing commitment to continuously enhancing the financial literacy of their citizens to improve the country's overall financial well-being. However, there is a lack of research evaluating the actual effects of financial literacy on Chinese households. This study first investigated the micro impact of financial literacy on the household stock profit level using data from the 2019 China Household Finance Survey. As most existing studies use factor analysis to measure financial literacy from a single dimension of financial knowledge, our study additionally used the entropy method to construct a composite evaluation system of financial literacy from four dimensions: financial skills, knowledge, attitudes, and behaviors. The ordinary least squares model was utilized as the primary regression model to estimate the correlation, and the average financial literacy of other households in the same community was selected as an instrumental variable. Further instrumental variable regression analysis was conducted using the two-stage least squares method. Three robustness tests were performed to ensure the reliability of the research findings. The results demonstrate that financial literacy significantly enhances household stock profit levels. The mediation effect analysis indicates that financial literacy affects stock profit levels through financial information attention. Moreover, financial literacy has a more substantial promoting effect on stock profit levels for households with members working for state-owned enterprises and those living in first-tier cities. This study confirms the value of financial literacy; identifies important channels for residents to increase their property income; and provides important guidance for the government, educational organizations, and financial institutions. This also injects more vigor into market participation to improve the persistently sluggish Chinese stock market.
    Matched MeSH terms: China
  2. Liu JH, Choi SY, Lee IC, Leung AK, Lee M, Lin MH, et al.
    Sci Rep, 2023 Dec 04;13(1):21413.
    PMID: 38049436 DOI: 10.1038/s41598-023-47333-z
    While national parochialism is commonplace, individual differences explain more variance in it than cross-national differences. Global consciousness (GC), a multi-dimensional concept that includes identification with all humanity, cosmopolitan orientation, and global orientation, transcends national parochialism. Across six societies (N = 11,163), most notably the USA and China, individuals high in GC were more generous allocating funds to the other in a dictator game, cooperated more in a one-shot prisoner's dilemma, and differentiated less between the ingroup and outgroup on these actions. They gave more to the world and kept less for the self in a multi-level public goods dilemma. GC profiles showed 80% test-retest stability over 8 months. Implications of GC for cultural evolution in the face of trans-border problems are discussed.
    Matched MeSH terms: China
  3. Wong QYA, Lim JJ, Ng JY, Lim YYE, Sio YY, Chew FT
    J Physiol Anthropol, 2024 Jan 30;43(1):6.
    PMID: 38291494 DOI: 10.1186/s40101-024-00356-5
    BACKGROUND AND OBJECTIVE: Sleep disruption has been shown to affect immune function and thus influence allergic disease manifestation. The specific effects of sleep on allergic diseases, however, are less well-established; hence, in a unique population of young Chinese adults, we investigated the association between sleep and allergic disease.

    METHODS: Young Chinese adults recruited from Singapore in the Singapore/Malaysia Cross-Sectional Genetic Epidemiology Study (SMCGES) were analyzed. We used the International Study of Asthma and Allergies in Childhood (ISAAC) protocol and a skin prick test to determine atopic dermatitis (AD), allergic rhinitis (AR), and asthma status. Information regarding total sleep time (TST) and sleep quality (SQ) was also obtained.

    RESULTS: Of 1558 participants with a mean age of 25.0 years (SD = 7.6), 61.4% were female, and the mean total sleep time (TST) was 6.8 h (SD = 1.1). The proportions of AD, AR, and asthma were 24.5% (393/1542), 36.4% (987/1551), and 14.7% (227/1547), respectively. 59.8% (235/393) of AD cases suffered from AD-related sleep disturbances, 37.1% (209/564) of AR cases suffered from AR-related sleep disturbances, and 25.1% (57/227) of asthma cases suffered from asthma-related sleep disturbances. Only asthma cases showed a significantly lower mean TST than those without asthma (p = 0.015). Longer TST was significantly associated with lower odds of AR (OR = 0.905, 95% CI = 0.820-0.999) and asthma (OR = 0.852, 95% CI = 0.746-0.972). Linear regression analyses showed that lower TST was significantly associated with asthma (β =  - 0.18, SE = 0.076, p-value = 0.017), and AR when adjusted for AR-related sleep disturbances (β =  - 0.157, SE = 0.065, p-value = 0.016). Only sleep disturbances due to AR were significantly associated with a poorer SQ (OR = 1.962, 95% CI = 1.245-3.089).

    CONCLUSIONS: We found that sleep quality, but not sleep duration was significantly poorer among AD cases, although the exact direction of influence could not be determined. In consideration of the literature coupled with our findings, we posit that TST influences allergic rhinitis rather than vice versa. Finally, the association between TST and asthma is likely mediated by asthma-related sleep disturbances, since mean TST was significantly lower among those with nighttime asthma symptoms. Future studies could consider using objective sleep measurements coupled with differential expression analysis to investigate the pathophysiology of sleep and allergic diseases.

    Matched MeSH terms: China
  4. Wang Y, Li H, Teo BS, Jaharadak AA
    Occup Ther Int, 2022;2022:8199824.
    PMID: 36032183 DOI: 10.1155/2022/8199824
    This paper presents an in-depth study and analysis of the correlation between satisfaction with rural residents' income and mental health well-being in the context of industrial structure upgrading. Most of the studies on residents' subjective well-being from the perspective of relative income or income inequality have started from the happiness of rural residents and the satisfaction of rural residents' life, and few scholars have focused on the psychological health of rural residents. Subjective well-being is significantly related to external and internal goals in desire. Life satisfaction is significantly and positively correlated with external and internal goals, as well as the six dimensions of desire, except for social identity; positive emotions are significantly and positively correlated with internal goals; negative emotions are only negatively correlated with self-acceptance, and there is a significant positive correlation between income level and desire. In vertical income, there is also a process of judging whether the expected income is achieved. If the expected income growth level is achieved, the income satisfaction will increase. Desire mediates the effect of income level on subjective well-being. Income level influences subjective well-being through internal goals; income level influences life satisfaction and positive emotions through external goals. The relationship between income inequality and mental health is influenced by the characteristics of the population, with women and middle-aged people being the most negatively affected. This relationship is also influenced by income level, with the effect of income inequality on mental health showing a negative effect in the lower and middle-income groups but a positive effect in the higher income groups. Income inequality affects residents' mental health through the mediating effects of a sense of social justice, life stress, and trust in government. Inequality in household wealth can exacerbate the negative effects of income inequality on mental health.
    Matched MeSH terms: China
  5. Wu J, Liew CY
    Environ Sci Pollut Res Int, 2023 Nov;30(51):110499-110514.
    PMID: 37792189 DOI: 10.1007/s11356-023-30139-x
    In recent years, academics have paid more attention to green finance, and public companies have reached a broad consensus on the concept of timely environmental, social, and governance (ESG) disclosure. Due to the close relationship between green finance and ESG, this presents an opportunity to determine whether green finance compels companies to actively disclose ESG. The sample for this study consists of China's non-financial A-share listed companies from 2010 to 2021, and the empirical findings demonstrate that green finance can positively influence the ESG performance of listed companies. Through an analysis of heterogeneity, this study reaches the following conclusions: state-owned enterprises, heavy pollution companies, and companies in low-carbon pilot cities perform better in terms of green finance's role in promoting ESG scoring. This study also introduces market concentration and social trust as the moderating variables, enriching the green finance research framework. Through the analysis of moderating variables, the 'black box' effect of green finance on ESG is disclosed, providing theoretical support for the government and companies to better comprehend the policy effect as well as a reference for reform and experimental promotion of green finance.
    Matched MeSH terms: China
  6. Yan J, Huang T, Xiao Y
    Environ Sci Pollut Res Int, 2023 Feb;30(10):26292-26307.
    PMID: 36357759 DOI: 10.1007/s11356-022-23878-w
    This study explores the relationship between Entrepreneurship Education (EE) and Entrepreneurial Intentions (EI) using the Theory of Planned Behavior (TPB). From January through May of 2022, students from 10 Chinese institutions were surveyed using an online questionnaire. According to the research, students' EI scores rose significantly after participating in EE. In addition, students in China had a more significant impact on EI regarding factors like perceived feasibility and desirability. This study extends the body of knowledge about the connection between prior exposure and early intervention (EI) by demonstrating the beneficial effects of PE on EI. In addition, the results suggest that girls have lower EI than males, which is good news for gender equality. Lastly, the behavioral entrepreneur attitude has a favorable correlation with EI. Policymakers and university administrators might use the findings to understand better how and when extracurricular activities (EE) improve students' emotional intelligence (EI). A pioneering empirical study in a developing South-Asian setting shows the relevance of EE on EI among students at private universities. According to the study, EE generates EI, and entrepreneurial enthusiasm is crucial.
    Matched MeSH terms: China
  7. Siddique S, Chaudhry MN, Ahmad SR, Nazir R, Javed R, Hafeez MR, et al.
    Sci Total Environ, 2024 Feb 20;912:169256.
    PMID: 38101629 DOI: 10.1016/j.scitotenv.2023.169256
    A pioneering study employed a holistic geostatistical approach to predict the spatial variability of a non sampled area in the Chenab River, Pakistan, using kriging interpolation for organochlorine pesticide (OCP)-polluted risk zones. The Present research intended to investigate the carcinogenic and non-carcinogenic human health risks, contamination levels, and spatial variation of OCPs in the Chenab River, Pakistan. The residual OCP content in sediment samples (n = 120) ranged from 0.056 to 32.14 ng/g. DDE and α-HCH were prevalent among all the samples analyzed, with mean concentrations of 15.84 ± 8.02 and 12.45 ± 6.72 ng/g, respectively. The order of magnitude of OCPs in sediment samples was DDTs > α-HCH > chlorothalonil > heptachlor > endosulfan > aldrin > dieldrin. The findings of the single (SPI) and Nemerow (Nel) pollution index of α-HCH, heptachlor, and aldrin depicted the Chenab River as a serious pollution risk zone. The outcomes of the Pearson correlation coefficient analysis represent the positive correlation among all OCPs, revealing the common origin. Distribution trends showed substantially higher (p 10-4 illustrated a substantial cancer health risk posed by α-HCH, heptachlor, aldrin, and dieldrin in the downstream zone. We recommend the urgent cessation of the ongoing discharge of OCPs into the Chenab River, which needs to be highlighted owing to the significant cancer risk to public health to ensure the good health and wellbeings.
    Matched MeSH terms: China
  8. Senadjki A, Bashir MJK, AuYong HN, Awal IM, Chan JH
    Environ Sci Pollut Res Int, 2024 Jan;31(1):1468-1487.
    PMID: 38041733 DOI: 10.1007/s11356-023-31132-0
    Africa faces significant economic and environmental challenges, including waste generation, food insecurity, and energy inefficiency, jeopardizing future generations. To address this, Africa has adopted the 10-year Sustainable Consumption and Production Framework for Africa (10-YFP), evident through national and local projects focusing on sustainable food and agriculture, technology transfer in water irrigation, and related initiatives. The Belt and Road Initiative (BRI) presents an opportunity for promoting green cooperation and sustainable development in Africa, though its impact on ethical production and consumption remains unexplored. This study evaluates the BRI's role in achieving Africa's Twelve Sustainable Development Goals (SDGs) and catalyzing responsible consumption and production. Through interviews and focus group discussions (FGDs) involving 42 participants from 19 African countries, thematic patterns emerged using the thematic inductive method. Findings indicate that BRI initiatives effectively integrate advanced technologies to enhance sustainable agriculture and industrial production. Notably, BRI investments in countries like Morocco, Algeria, Ethiopia, Kenya, and Zambia are fostering renewable energy projects to provide electricity to underserved communities. A stronger alignment between national sustainable development plans and the green BRI is essential to maximize the benefits without compromising BRI principles of inclusivity, coordination, coherence, and capacity building. This research fosters dialogue among academics, educators, government officials, business leaders, and investors about the transformative potential of China's BRI in African nations. By shedding light on the positive strides made by BRI programs, this study underscores the need for strategic synergy between international cooperation efforts and localized sustainability agendas, ultimately propelling Africa toward its long-term development goals.
    Matched MeSH terms: China
  9. Sibuar AA, Zulkafflee NS, Selamat J, Ismail MR, Lee SY, Abdull Razis AF
    PMID: 35055550 DOI: 10.3390/ijerph19020731
    Rice is one of the major crops as well as the staple food in Malaysia. However, historical mining activity has raised a concern regarding heavy metal contamination in paddy plants, especially in Perak, a state with major tin mining during the late nineteenth century. Therefore, the objective of this study is to investigate the heavy metals (As, Cd, Pb, Cu, Cr) contamination in paddy soils and paddy plants in three districts in Perak. The content of heavy metals was determined using ICP-MS, while the absorption and transferability of heavy metals in the paddy plants were investigated through enrichment (EF) and translocation (TF) factors. Principal component analysis (PCA) was employed to recognize the pattern of heavy metal contaminations in different sampling areas. Health risk assessment was performed through calculation of various indices. The quantification results showed that root contained highest concentration of the studied heavy metals, with As exhibiting the highest concentration. The EF results revealed the accumulation of As, Cu, and Cr in the rice grains while PCA showed the different compositional pattern in the different sampling areas. The health risk assessment disclosed both noncarcinogenic and carcinogenic risks in the local adults and children. Overall, findings from this study show that heavy metal contamination poses potential health risks to the residents and control measure is required.
    Matched MeSH terms: China
  10. Wu H, Yu M, Huang J, Zhang Q, Yao R, Liu H, et al.
    Mar Pollut Bull, 2025 Jan;210:117317.
    PMID: 39579595 DOI: 10.1016/j.marpolbul.2024.117317
    Organophosphate esters (OPEs) are emerging pollutants and used extensively in industrial production as alternative to the traditional flame retardants. This study investigated the contamination characteristics and health risks of OPEs in 104 mollusks from 15 cities along the coastal region of South China. Σ8OPEs ranged from 48.2 to 1937 ng/g dw, with a mean value of 295 ng/g dw. TDCIPP, TCPP, and TCEP were the dominant OPEs. Different spatial distributions were observed, with higher concentrations in Guangdong Province. A statistically positive but non-significant linear correlation was found between the trophic level of mollusk and OPEs concentration. The trophic magnification factors were >1, suggesting that OPEs have the potential to biomagnify in mollusks. OPEs in mollusks pose low non-carcinogenic and carcinogenic risks to consumers. This study provides an important basis for managing the safety risks associated with OPEs in mollusks.
    Matched MeSH terms: China
  11. Mehmood K, Ullah U, Usman M, Abbas A, Han S
    BMC Psychol, 2024 Dec 05;12(1):728.
    PMID: 39639366 DOI: 10.1186/s40359-024-02242-2
    This research investigates how despotic leadership influences follower creativity within the hospitality context. Grounded in social exchange theory (SET), the research delves into the mediating role of psychological safety in the link between despotic leadership and follower creativity. Additionally, it explores how power distance moderates this relationship, potentially alleviating the adverse implications of despotic leadership. By analyzing data collected from 447 employees in China, our findings reveal that despotic leadership behaviors diminish follower creativity. The results emphasize the crucial role of psychological safety as a mediating factor in this relationship. Furthermore, the study uses moderated path analysis to reveal that high power distance intensifies the negative impact of despotic leadership on psychological safety, further reducing employees' creativity. The research concludes with a discussion of the implications of these findings for both theoretical and practical applications.
    Matched MeSH terms: China
  12. Saqib A, Hussain I, Mefteh-Wali S
    J Environ Manage, 2024 Dec;372:123303.
    PMID: 39561456 DOI: 10.1016/j.jenvman.2024.123303
    This study examines how stock market returns in emerging BRICS economies respond to growing physical and transition climate risks. To capture the physical climate risk, we use the frequency of natural disasters, the number of people affected by natural disasters, temperature anomaly, and precipitation anomaly. For transition risk, we included two climate-policy uncertainty measures. First, we conduct a panel-level analysis using a cross-sectionally augmented autoregressive distributed lag model. Second, for country-level analysis, we applied the augmented autoregressive distributed lag model to the monthly dataset from January-2000 to March-2023. The empirical results show that an increase in transition climate risk causes a significant and negative shock to stock returns, both in the short- and long-term in the panel and across each BRICS country. Second, we find that physical climate risk indicators have a significant and negative impact on stock returns in China, India, and South Africa, but not in Brazil or Russia. We conclude that the impact of physical climate risk on stock returns is country-specific, and that the impact of transition climate risk is widespread. These findings provide important insights for investors, regulators, hedgers, portfolio managers, and policymakers regarding policy formulation and future investment strategies.
    Matched MeSH terms: China
  13. Nikitina L, Su LL, Furuoka F
    J Psycholinguist Res, 2024 Dec 10;54(1):2.
    PMID: 39656353 DOI: 10.1007/s10936-024-10119-z
    Motivational drivers and emotions that students experience play an important role in the process of learning a new language (L2). This has been recognised by researchers and educators, and extensive research has been conducted in recent decades to examine the psychological and emotional factors involved in L2 learning. However, two ubiquitous epistemic emotions, namely, boredom and curiosity, remain underexplored in the L2 research literature. This study addresses this gap. It performed a series of statistical tests to examine the relationship between these two epistemic emotions and L2 motivation. Specifically, it assessed whether epistemic curiosity plays a mediating role in the nexus of L2 motivation, epistemic curiosity, and epistemic boredom. Data were collected from adolescent learners of English in China (N = 312). The findings from the correlation analysis indicated that epistemic boredom had statistically significant negative relationships with epistemic curiosity and L2 motivation, except for the ought-to L2 self variable, where the relationship was not statistically significant. Conversely, epistemic curiosity had a positive and statistically significant relationship with L2 motivation, except for the ought-to L2 self variable, where the relationship was not statistically significant. Next, the path analysis examined the influence of L2 motivation on epistemic boredom without considering the mediating effect of epistemic curiosity. Its findings indicated that epistemic boredom had a statistically significant negative relationship with the general motivation/attitude and general motivation/effort variables. The subsequent path analysis, which focused solely on two goal-oriented L2 motivation constructs from the Gardnerian framework, detected the mediating role of epistemic curiosity. Some pedagogical implications are drawn from these findings.
    Matched MeSH terms: China
  14. Shunnmugam B, Ng CJ, Aishah Mohd Taib N, Chinna K
    Asia Pac J Public Health, 2021 11;33(8):914-922.
    PMID: 34467767 DOI: 10.1177/10105395211036625
    This study aims to test the psychometric properties of the Malay, English, and Chinese 9-Item Shared Decision Making Questionnaire (SDM-Q-9) in breast cancer patients making treatment decisions. The original German SDM-Q-9 was translated to Malay using the back-translation method. A total of 222 newly diagnosed breast cancer patients making treatment decisions were sampled conveniently from three breast clinics between August 2015 and February 2016. A total of 66 patients answered the SDM-Q-9 in Malay, 87 in English, and 69 in Chinese. Data were analyzed using SPSS and AMOS software. SDM-Q-9 demonstrated good reliability in the three translations. All the items correlated well except for Item 1 in English. The factor loadings were within acceptable range except for Item 1 in Malay, Items 1 and 2 in English, and Items 7 and 9 in Chinese SDM-Q-9. However, no items were deleted in accordance with experts' opinions and the previous SDM-Q-9 validation studies. The Malay, English, and Chinese SDM-Q-9 demonstrated good reliability and validity.
    Matched MeSH terms: China
  15. Huang X, Tey NP, Lai SL
    Asia Pac J Public Health, 2024 May;36(4):352-357.
    PMID: 38590147 DOI: 10.1177/10105395241244960
    China's aging population has witnessed a surge in widowed older adults, raising concerns about their mental health. Losing a spouse is a profoundly distressing experience with enduring effects on well-being. Despite the proverbial belief in time's healing power, existing studies often neglect the potential decline in depressive symptoms during widowhood. Drawing data from the 2015 and 2018 China Health and Retirement Longitudinal Study, this study delved into the impact of widowhood duration on depression among 8370 older adults and uncovered significantly higher depression scores among widowed individuals, particularly in the initial three years. This study revealed that widowhood contributes to heightened depression levels even after accounting for sociodemographic factors. Although the depressive impact lessens over time, it persists beyond three years, underscoring the need for heightened awareness and support for this vulnerable population.
    Matched MeSH terms: China
  16. Chen Z, Si W, Johnson VC, Oke SA, Wang S, Lv X, et al.
    J Environ Manage, 2025 Jan;373:123815.
    PMID: 39721385 DOI: 10.1016/j.jenvman.2024.123815
    The accumulation of plastic waste from various sources into marine and inland water is considered a global problem due to its serious impacts on aquatic ecosystems and human health. In the past decade, remote sensing has played an important role in monitoring of plastic pollution in marine and inland water sources and has achieved a series of research results in this field. In this study, a comprehensive review was conducted on the development, opportunities, and challenges of datasets and methods in Marine and Inland Water Plastics Remote Sensing (MIWPRS) monitoring over the past decade, based on the Web of Science (WOS) core database. The results indicated that compared with traditional methods, remote sensing has attracted the attention of scholars due to its advantages. Since 2014, the number of related publications has been increasing year by year, especially in China and the United States, which have achieved tremendous development. The MIWPRS research focus mostly on the use of different satellite remote sensing data and related algorithms to obtain the distribution of plastics in marine and inland water. However, it faces the challenge of lacking subsequent systematic impact assessment models and key pollution prevention measures. In terms of data acquisition, there is a lack of continuous observation models due to the fluidity of marine and inland water. Therefore, MIWPRS has great development opportunities in developing specialized sensors and combining multi-source data with interdisciplinary knowledge such as artificial intelligence (AI) and GIS. It is necessary for us to improve the seasonal migration model of plastics in water and promote the development of MIWPRS towards broader and deeper fields.
    Matched MeSH terms: China
  17. Zhou J, Johnson VC, Shi J, Tan ML, Zhang F
    PLoS One, 2025;20(1):e0316255.
    PMID: 39854555 DOI: 10.1371/journal.pone.0316255
    Influenced by urban expansion, population growth, and various socio-economic activities, land use in the Yangtze River Delta (YRD) area has undergone prominent changes. Modifications in land use have resulted in adjustments to ecological structures, leading to subsequent fluctuations in carbon storage. This study focuses on YRD region and analyzes the characteristics of land use changes in the area using land use data from 2000 to 2020, with a 10-year interval. Utilizing InVEST Model's Carbon Storage module in combination with PLUS model (patch-generating land use simulation), we simulated and projected future land use patterns and carbon storage across YRD region under five scenarios including natural development (ND), urban development (UD), ecological protection (EP), cropland protection (CP), and balanced development (BD). Upon comparing carbon storage levels predicted for 2030 under the five scenarios with those in 2020, carbon stocks decrease in the initial four scenarios and then increase in the fifth scenario. In the initial four declining scenarios, CP scenario had the least reduction in carbon storage, followed by EP scenario. The implementation of policies aimed at safeguarding cropland and preserving ecological integrity can efficaciously curtail the expansion of developed land into woodland and cropland, enhance the structure of land use, and mitigate the loss of carbon storage.
    Matched MeSH terms: China
  18. Liu H, Lbrahim H, Song M
    PLoS One, 2025;20(1):e0314589.
    PMID: 39823423 DOI: 10.1371/journal.pone.0314589
    This study investigates the impact of low-carbon economic policies on Corporate Environmental Responsibility (CER) in Chinese A-share listed companies, with a particular focus on the role of financing constraints as a mediating factor. Despite a decrease in environmental pollution incidents in 2022, the economic and social impacts of such incidents remain significant, highlighting the need for stronger environmental governance. Building upon previous research, this study utilizes data from the Shanghai and Shenzhen stock exchanges (2010-2020) and employs a Difference-in-Differences (DID) model to assess the effects of low-carbon economic policies introduced in 2016 on CER. The findings reveal that these policies positively influence CER and that financial constraints act as a mediator. The study finds how low-carbon policies indirectly promote environmental commitments by alleviating financial barriers. The research provides valuable insights for policy formulation, advocating for intensified reforms on the financial supply side to foster a sustainable economic framework. Additionally, it underscores the importance of implementing robust low-carbon policies to elevate corporate environmental responsibility. However, the study also notes limitations related to data scope and potential external factors influencing the results. These findings contribute to the broader discourse on sustainable development, offering a blueprint for harmonizing economic growth with environmental preservation and informing future research in this area.
    Matched MeSH terms: China
  19. Peters R, Li B, Swinburn B, Allender S, He Z, Lim SY, et al.
    Bull World Health Organ, 2023 Nov 01;101(11):690-706F.
    PMID: 37961057 DOI: 10.2471/BLT.23.289973
    OBJECTIVE: To identify and analyse ongoing nutrition-related surveillance programmes led and/or funded by national authorities in countries in South-East Asian and Western Pacific Regions.

    METHODS: We systematically searched for publications in PubMed® and Scopus, manually searched the grey literature and consulted with national health and nutrition officials, with no restrictions on publication type or language. We included low- and middle-income countries in the World Health Organization South-East Asia Region, and the Association of Southeast Asian Nations and China. We analysed the included programmes by adapting the United States Centers for Disease Control and Prevention's public health surveillance evaluation framework.

    FINDINGS: We identified 82 surveillance programmes in 18 countries that repeatedly collect, analyse and disseminate data on nutrition and/or related indicators. Seventeen countries implemented a national periodic survey that exclusively collects nutrition-outcome indicators, often alongside internationally linked survey programmes. Coverage of different subpopulations and monitoring frequency vary substantially across countries. We found limited integration of food environment and wider food system indicators in these programmes, and no programmes specifically monitor nutrition-sensitive data across the food system. There is also limited nutrition-related surveillance of people living in urban deprived areas. Most surveillance programmes are digitized, use measures to ensure high data quality and report evidence of flexibility; however, many are inconsistently implemented and rely on external agencies' financial support.

    CONCLUSION: Efforts to improve the time efficiency, scope and stability of national nutrition surveillance, and integration with other sectoral data, should be encouraged and supported to allow systemic monitoring and evaluation of malnutrition interventions in these countries.

    Matched MeSH terms: China
  20. Tan KC, Chan GC, Eric H, Maria AI, Norliza MJ, Oun BH, et al.
    Malays Fam Physician, 2015;10(2):9-21.
    PMID: 27099657 MyJurnal
    Background: The incidence of diabetes mellitus is ever increasing. Individuals with diabetes mellitus may have concurrent mental health disorders and are shown to have poorer disease outcomes. The objectives of this study were to determine the prevalence of depression, anxiety and stress (DAS) in diabetes patients aged 20 years or more in the primary care setting.
    Methods: This was a cross-sectional study involving the use of self-administered questionnaire conducted in eight primary care private and government clinics in Pulau Pinang and Melaka, Malaysia. The validated DASS-21 questionnaire was used as a screening tool for the symptoms of DAS. Prior permission was obtained from the patients and, clearance from ethical committee was obtained before the start of the study. Data analysis was done using SPSS statistical software.
    Results: A total of 320 patients with diabetes from eight centres were enrolled via convenience sampling. Sample size was calculated using the Kish’s formula. The prevalence of DAS among patients with diabetes from our study was 26.6%, 40% and 19.4%, respectively. Depression was found to be significantly associated with marital status and family history of DAS; anxiety was significantly
    associated with monthly household income, presence of co-morbidities and family history of DAS; and stress was significantly associated with occupation and family history of DAS.
    Conclusions: The prevalence of DAS was higher in patients with diabetes compared with the general community. We recommend to routinely screen all patients with diabetes using the DASS-21 questionnaire because it is easy to perform and inexpensive.
    Matched MeSH terms: China/ethnology
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