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  1. Ahadzadeh AS, Rafik-Galea S, Alavi M, Amini M
    Health Psychol Open, 2018 06 10;5(1):2055102918774251.
    PMID: 29977587 DOI: 10.1177/2055102918774251
    This study examined the correlation between body mass index as independent variable, and body image and fear of negative evaluation as dependent variables, as well as the moderating role of self-esteem in these correlations. A total of 318 Malaysian young adults were conveniently recruited to do the self-administered survey on the demographic characteristics body image, fear of negative evaluation, and self-esteem. Partial least squares structural equation modeling was used to test the research hypotheses. The results revealed that body mass index was negatively associated with body image, while no such correlation was found with fear of negative evaluation. Meanwhile, the negative correlation of body mass index with body image was stronger among those with lower self-esteem, while a positive association of body mass index with fear of negative evaluation was significant only among individuals with low self-esteem.
  2. Zhao H, Rafik-Galea S, Fitriana M, Song TJ
    PLoS One, 2022;17(11):e0278092.
    PMID: 36445890 DOI: 10.1371/journal.pone.0278092
    BACKGROUND: Smartphone addiction is very prevalent among college students, especially Chinese college students, and it can cause many psychological problems for college students. However, there is no valid research instrument to evaluate Chinese college students' smartphone addiction.

    OBJECTIVE: This study aimed to translate the Smartphone Addiction Scale-Short Version (SAS-SV) into Chinese and evaluate the psychometric characteristics of the Smartphone Addiction Scale- Chinese Short version (SAS-CSV) among Chinese college students.

    METHODS: The SAS-SV was translated into Chinese using the forward-backward method. The SAS-CSV was completed by 557 Chinese college students (sample 1: n = 279; sample 2: n = 278). 62 college students were randomly selected from the 557 Chinese college students to be meas- ured twice, with an interval of two weeks. The reliability of the SAS-CSV was evaluated by internal consistency reliability and test-retest reliability, and the validity of the SAS-CSV was evaluated by content validity, structural validity, convergent validity, and discriminant validity.

    RESULTS: The SAS-CSV presented good content validity, high internal consistency (sample 1: α = 0.829; sample 2: α = 0.881), and good test-retest reliability (ICC: 0.975; 95% CI: 0.966-0.985). After one exploratory factor analysis, three components (tolerance, withdrawal, and negative effect) with eigenvalues greater than 1 were obtained, and the cumulative variance contribution was 50.995%. The results of confirmatory factor analysis indicated that all the fit indexes reached the standard of good model fit (χ2/df = 1.883, RMSEA = 0.056, NFI = 0.954, RFI = 0.935, IFI = 0.978, TLI = 0.969, CFI = 0.978). The SAS-CSV presented good convergent validity for the factor loading of all the items ranged from 0.626 to 0.892 (higher than 0.50), the three latent variables' AVE ranged from 0.524 to 0.637 (higher than 0.50), and the three latent variables' CR ranged from 0.813 to 0.838 (higher than 0.70). Moreover, the square roots of the AVE of component 1 (tolerance), component 2 (withdrawal) and component 3 (negative effect) were 0.724, 0.778, and 0.798, respectively, higher than they were with other correlation coefficients, indicating that the SAS-CSV had good discrimination validity.

    CONCLUSION: The SAS-CSV is a valid instrument for measuring smartphone addiction among Chinese college students.

  3. Zhao H, Rafik-Galea S, Fitriana M, Song T
    Front Psychol, 2023;14:1092893.
    PMID: 36818081 DOI: 10.3389/fpsyg.2023.1092893
    BACKGROUND: The fact that female college students are more addicted to smartphones than male college students has raised public concerns. However, previous studies have rarely explored the mechanism of female college students' smartphone addiction. Previous studies have shown that identity may affect the formation process of female college students' smartphone addiction, and the identity of female college students in different grades may be different. Nonetheless, few studies have explored the grade differences in the formation process of female college students' smartphone addiction.

    METHODS: The present study examined the relationship between meaning in life, school adjustment, and smartphone addiction among Chinese female college students using a moderated mediation model in which school adjustment played a mediating role and grade played a moderating role. A total of 1,076 Chinese female college students (Age: 19.83 ± 1.11; 369 freshmen, 379 sophomores, and 328 juniors) completed an online questionnaire regarding meaning in life, school adjustment, and smartphone addiction.

    RESULTS: (1) School adjustment mediated the relationship between meaning in life and smartphone addiction. (2) School adjustment had a partial mediating effect between meaning in life and smartphone addiction for female freshmen and sophomores, but it did not exist among female juniors. (3) The influence of school adjustment on female sophomores' smartphone addiction was significantly stronger than that of female freshmen.

    CONCLUSION: The findings of this study advance our understanding of the potential impacts of meaning in life on smartphone addiction and provide a grade perspective for targeted prevention or intervention with female college students' smartphone addiction.

  4. Maani N, Abdalla SM, Ettman CK, Parsey L, Rhule E, Allotey P, et al.
    Health Equity, 2023;7(1):192-196.
    PMID: 36960163 DOI: 10.1089/heq.2022.0169
    Many global health challenges are characterized by the inequitable patterning of their health and economic consequences, which are etched along the lines of pre-existing inequalities in resources, power, and opportunity. These links require us to reconsider how we define global health equity, and what we consider as most consequential in its pursuit. In this article, we discuss the extent to which improving underlying global equity is an essential prerequisite to global health equity. We conclude that if we are to improve global health equity, there is a need to focus more on foundational-rather than proximal-causes of ill health and propose ways in which this can be achieved.
  5. Zhao H, Song T, Rafik-Galea S, Dong J, Fitriana M, Ji Y, et al.
    Front Public Health, 2023;11:1202741.
    PMID: 37521981 DOI: 10.3389/fpubh.2023.1202741
    BACKGROUND: Previous cross-sectional studies have shown that meaning in life (MIL) is closely associated with college students' smartphone addiction (SA), but the causal relationship between MIL and college students' SA is uncertain. Therefore, conducting a longitudinal study to explore their relationship is very necessary. Furthermore, some studies have implied possible gender differences in the relationship between MIL and SA and the relationship between SA and MIL. Therefore, it is necessary to further examine whether there are gender differences in the above relationships.

    METHODS: The present study constructed a three-wave cross-lag panel model to explore the relationships between MIL and college students' SA. Three waves of data were collected from 705 college students (male: 338; female: 367) in China for three consecutive years, and the interval of data collection was 1 year. These college students completed the same online questionnaire regarding MIL and SA.

    RESULTS: (1) The MIL of male college students was significantly stronger than that of female college students at time 1, time 2, and time 3, (2) Female college students' SA at time 1, time 2, and time 3 was more serious than that of male college students, (3) There were reciprocal relationships between MIL and college students' SA, (4) The influence of MIL on female college students' SA was significantly stronger than that of male college students, and (5) The influence of SA on female college students' MIL was significantly stronger than that of male college students.

    CONCLUSION: This study showed reciprocal relationships between MIL and SA among male college students and female college students. The findings further deepen our understanding of the relationship between MIL and SA and provide a gender perspective for preventing or intervening with college students' SA.

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