Cities In Zhejiang Province Research Articles

Urban-rural disparity in risky sexual behavior, HIV knowledge, and healthy practices among men who have sex with men: A cross-sectional study in Southeast China.

To identify differences in human immunodeficiency virus (HIV) risky behavior and healthy practices between rural and urban men who have sex with men (MSM) in Southeast China, a cross-sectional study was conducted on MSM aged ≥ 18 years recruited from four community-based organizations (CBOs) in seven cities in Zhejiang Province between October 2022 and March 2023. An electronic survey questionnaire was completed by the study participants to collect HIV risky behavior and healthy practices. The chi-square test and multiple logistic regression were used for analysis. Among the 1,993 MSM participants, 21.1% (420) were rural MSM. Compared with urban MSM, rural MSM was more likely to have a low level of education (high school and below; 46.2% vs. 40.2%, p = 0.028) and a low annual income (≤ 90,000 RMB; 71.2% vs. 64.7%, p = 0.013). Multiple logistic regression showed that, compared with urban MSM in the past 6 months behaviors, rural MSM had lower odds of finding casual sex partners on the Internet (adjusted odds ratio [aOR]: 0.790, 95% confidence interval [CI]: 0.633-0.986), using stimulants with online casual sex partners (aOR: 0.688, 95% CI: 0.506-0.936), and high odds of ever having sex with a female (aOR: 1.460, 95% CI:1.036-2.058). Rural MSM reported lower odds of an HIV knowledge score of 2-3 (aOR: 0.586, 95% CI: 0.454-0.756), HIV testing more than twice (aOR: 0.583, 95% CI: 0.455-0.748), and obtaining four to five types of HIV information (aOR: 0.661, 95% CI: 0.529-0.826), as well as higher odds of high/very high awareness of HIV infection risk (aOR: 2.312, 95% CI: 1.638-3.263), compared to urban MSM. Rural MSM and urban MSM reported discrepancies in HIV risky behavior, HIV knowledge and HIV-related healthy practices. Paying more attention to HIV risky behavior and improving healthy practices in rural areas may help to prevent HIV transmission.

Research on Factors Influencing Housing Price based on Principle Component Analysis and Polynomial Regression

Housing price is influenced by natural, social, economic and other factors. Only by understanding and conducting specific research on these influencing factors can people grasp the laws of housing price movements. Focusing on this issue, this paper chooses the average unit housing prices and their influencing factors of 11 cities in Zhejiang Province in 2022 as the research objects, then establishes a model reflecting the quantitative relationship between housing price and influencing factors. Firstly, relevant data is collected from official websites, including housing prices and 10 main influencing factor indicators of above cities. Secondly, principal component analysis is used for data preprocessing, and five prominent indicators are selected by calculating the relative contribution rate of each factor. Then, by drawing functional images and solving correlation coefficients, a qualitative analysis is conducted on the basic algebraic structure of the regression model. The results indicate that all independent variables include independent terms and cross-terms. Subsequently, through polynomial regression, data matrices for both dependent variable and independent variables are set to solve the coefficients of constant term, linear terms, quadratic independent terms and quadratic cross-terms respectively. Therefore, a model of factors influencing housing price is established. Finally, residuals sum of squares, mean square error, regression sum of squares and determination coefficient are calculated in sequence for the regression model. It turns out that all the statistics are within the ideal range, indicating high precision of data fitting and verifying the accuracy and reliability of the model.

Effects of meteorological factors on tuberculosis and potential modifiers in Zhejiang Province, China

Although some studies have explored the role of meteorological factors in the development of tuberculosis (TB), the majority have been confined to single regions, leading to inconsistent findings. Consequently, we conducted a multi-city study not only to determine whether meteorological factors significantly influence the risk of developing TB but also to assess the magnitude of these effects and explore potential modifying factors. Data on daily reported TB cases and meteorological factors were collected from January 1, 2013, to December 31, 2022, across 11 cities in Zhejiang Province. A distributed lag non-linear model using a quasi-Poisson distribution was employed. Multivariate meta-regression was used to obtain overall pooled estimates and assess heterogeneity. From 2013 to 2022, 267,932 TB cases were reported in Zhejiang Province. Notably, a nonlinear relationship was observed between temperature and TB, with the relative risk (RR) peaking at 1.0 °C (RR = 1.882, 95% CI 1.173–3.020). The effect of low temperature was immediate and significant for a 13-day lag period, with the maximum effect at lag0 (RR = 1.014, 95% CI 1.008–1.021). The exposure-response curve between relative humidity (RH) and TB exhibited an M-shape, with the RR peaking at 47.7% (RR = 1.642, 95% CI 1.044–2.582). The lag effect of low RH was significant at lag 25–59, with the highest RR observed at lag 32 (RR = 1.011, 95% CI 1.001–1.022). Gross domestic product (GDP) per person, population density, and latitude demonstrated significant modification effects. Our study showed that low temperature and RH were associated with an increased risk of TB. Additionally, GDP per person, population density, and latitude may play important roles in explaining the association between RH and TB. These findings provide scientific evidence for the development of geographically specific public health policies.

Music Education Inequality: A Case Study in Zhejiang

Abstract: This article describes the inequality distribution of music education resources in Zhejiang Province, such as the difference in music classroom facilities and music teaching equipment, and makes a statistical analysis of the data. Zhejiang Province has a high level of economic development compare with other Chinese provinces and the music facilities in the urban areas are great. Compared with rural schools, students in the urban area have more music learning opportunities and resources. However, for students in rural areas, the venues and conditions for music activities are limited, and it is difficult to meet the needs of students' music education requirements, so their level of music training is relatively low. Based on the differences between urban and rural schools in Jiaxing and Haining cities in Zhejiang Province, the essay describes that there are certain differences between urban and rural schools. Urban schools have more perfect facilities and equipment, and they can invest a lot of money in education, while rural schools are relatively backward in facilities and lack of educational resources.

Long-Term Halocarbon Observations in an Urban Area of the YRD Region, China: Characteristic, Sources Apportionment and Health Risk Assessment

To observe the long-term variations in halocarbons in the Yangtze River Delta (YRD) region, this study analyzes halocarbon concentrations and composition characteristics in Shanxi from 2018 to 2020, exploring their origins and the health effects. The total concentration of halocarbons has shown an overall increasing trend, which is driven by both regulated substances (CFC-11 and CFC-113) and unregulated substances, such as dichloromethane, chloromethane and chloroform. The results of the study also reveal that dichloromethane (1.194 ± 1.003 to 1.424 ± 1.004 ppbv) and chloromethane (0.205 ± 0.185 to 0.666 ± 0.323 ppbv) are the predominant halocarbons in Shanxi, influenced by local and northwestern emissions. Next, this study identifies that neighboring cities in Zhejiang Province and other YRD areas are potentially affected by backward trajectory models. Notably, chloroform and 1,2-dichloroethane have consistently surpassed acceptable thresholds, indicating a significant carcinogenic risk associated with solvent usage. This research sheds light on the evolution of halocarbons in the YRD region, offering valuable data for the control and reduction in halocarbon emissions.

The influence factors on pit and fissure sealing behavior of 12-year-old children: a cross-sectional study in Zhejiang, China

BackgroundIn the 21st century, dental caries remains a global burden, particularly severely affecting the growth and quality of life of 12-year-old children. Fortunately, pit and fissure sealing (PFS) procedures can effectively prevent molars from caries. Hence, this study focused on the relationship between PFS and oral epidemiological factors in 12-year-old children.MethodsA cross-sectional survey was conducted in 12-year-old children from 11 cities in Zhejiang Province. Their dental conditions were collected through questionnaires, as well as basic information such as relevant family information, oral health knowledge and behavior. Then, logistic regression analysis was used to identify the influencing factors associated with PFS.ResultsA total of 1204 children were included, with 252 in the PFS group and 952 in the non-PFS group. There were significant differences between the two groups in terms of decayed, missing and filled teeth (DMFT) score, first permanent molar DMFT score, residential area, educational level of parents, tooth-brushing frequency, use of dental floss, oral examination in a medical institution, having taken courses on oral health care, as well as having knowledge that tooth brushing could effectively prevent gingival inflammation, PFS could protect teeth, and oral disease may affect general health. According to further logistic regression analysis, the independent factors influencing PFS included use of dental floss [odds ratios (OR) = 1.672, 95% confidence intervals (CI) = 1.235–2.263, P = 0.001], having taken courses on oral health care (OR = 0.713, 95% CI = 0.515–0.988, P = 0.042), having knowledge that tooth brushing is effective in preventing gingival inflammation (OR = 0.627, 95% CI = 0.389–0.987, P = 0.044) and having knowledge that PFS can protect teeth (OR = 0.589, 95% CI = 0.438–0.791, P < 0.001).ConclusionPFS can reduce the mean DMFT score of 12-year-old children. Independent influencing factors of PFS consist of use of dental floss, having taken courses on oral health care, oral health behavior and knowledge level.

Knowledge, attitude, and practice toward sarcopenia among older adults in two cities in Zhejiang province, China

ObjectiveTo explore the knowledge, attitudes, and practice (KAP) towards sarcopenia among older adults in Zhejiang province, China. MethodsThis cross-sectional study was conducted between April 2023 and January 2024 among older community residents who participated in a physical examination in Shaoxing People’s Hospital Physical Examination Center, Shaoxing Yuecheng District Fushan Street Community Health Service Center, Shaoxing Yuecheng District Beihai Street Community Health Service Center, Shaoxing City, and Outpatient Department of Yongkang First People’s Hospital. Their demographic characteristics and KAP towards sarcopenia were collected by a self-designed questionnaire. Structural equation modeling (SEM) was used to explore the relationship among KAP dimensions. ResultsA total of 1092 valid questionnaires were included. The median knowledge, attitude, and practice scores were 0 (0, 0) (possible range: 0–22), 31 (30, 31) (possible range: 8–40), and 17 (15, 21) (possible range: 6–30), respectively. The SEM showed that knowledge directly positively influenced attitude (β = 0.121, P < 0.001) and practice (β = 0.171, P < 0.001). Attitude directly positively influenced practice (β = 0.116, P < 0.001); therefore, the knowledge showed an indirect influence on practice via attitude. ConclusionOlder adults in two cities in Zhejiang province, China, showed insufficient knowledge but moderate attitude and practice towards sarcopenia. It is imperative to design interventions to improve knowledge about sarcopenia and improve self-management and patient outcomes.

Parental perceptions and experiences of kangaroo care for preterm infants in neonatal intensive care units in China: a qualitative study

Backgroundkangaroo care (KC), endorsed by the World Health Organization, is an evidence-based intervention that plays a pivotal role in mitigating preterm infant mortality and morbidity. However, this intervention has not been fully integrated into healthcare systems in China. This study aimed to gain insight into parents’ perceptions and experiences of KC for preterm infants to contribute to the KC implementation on a larger scale.MethodsThis study employed a descriptive qualitative design, using face-to-face, semi-structured, in-depth interviews. Fifteen parents participating in KC for preterm infants in the neonatal intensive care units (NICUs) were purposively sampled from four hospitals across four cities in Zhejiang Province, China. Thematic analysis was employed to analyze the data.ResultsFour themes and twelve subthemes regarding the parents’ perceptions and experiences about KC were identified. The four themes included: (1) Low motivation upon initial engagement with KC, (2) Dynamic fluctuations of emotional states during KC, (3) Unexpected gains, and (4) Barriers to participation.ConclusionsParents’ perceptions and experiences of KC was a staged process, with parents exhibiting distinct cognitive patterns and unique experiences at each stage. Overall, as KC progresses, parents’ experiences tended to become increasingly positive, despite potential obstacles encountered along the way. To enhance the implementation of KC, healthcare providers could utilize prenatal and postnatal education programs. These programs aim to enhance the understanding of KC among parents of preterm infants, fostering sustained engagement in KC practices.

Healthcare providers' perceptions and experiences of kangaroo mother care for preterm infants in four neonatal intensive care units in China: a qualitative descriptive study.

Kangaroo mother care (KMC) is an evidence-based intervention that can effectively reduce morbidity and mortality in preterm infants, but it has yet to be widely implemented in health systems in China. Most qualitative studies on KMC for preterm infants focused on the experiences and influencing factors from the perspective of preterm infant parents, while neglecting the perspective of healthcare providers, who played a critical role in guiding KMC practice. Therefore, this study aimed to explore the perceptions and experiences of healthcare providers regarding their involvement in KMC implementation for preterm infants to promote the contextualized implementation of KMC. A descriptive qualitative approach was adopted. A purposive sampling was used to select healthcare providers involved in KMC implementation in the neonatal intensive care units (NICUs) as participants from four tertiary hospitals across four cities in Zhejiang Province, China. Face-to-face semi-structured interviews were conducted to collect information. Thematic analysis was employed to analyze the data. Seventeen healthcare professionals were recruited, including thirteen nurses and four doctors in the NICUs. Four themes and twelve subthemes emerged: different cognitions based on different perspectives (acknowledged effects and benefits, not profitable economically), ambivalent emotions regarding KMC implementation (gaining understanding, gratitude and trust from parents, not used to working under parental presence, and concerning nursing safety issues), barriers to KMC implementation (lack of unified norms and standards, lack of systematic training and communication platform, insufficient human resources, and inadequate parental compliance) and suggestions for KMC implementation (improving equipment and environment, strengthening collaboration between nurses and doctors, and support from hospital managers). Despite acknowledging the clinical benefits of KMC, the lack of economic incentives, concerns about potential risks, and various barriers hindered healthcare providers' intrinsic motivation to implement KMC in NICUs in China. To facilitate the effective implementation of KMC, hospital managers should provide bonuses and training programs for healthcare providers, while giving them recognition and encouragement to enhance their motivation to implement KMC.

Coupled Climate–Environment–Society–Ecosystem Resilience Coordination Analytical Study—A Case Study of Zhejiang Province

The aim of this paper is to evaluate the coupled coordination degree of climate, environmental, socio-economic, and ecosystem resilience in Zhejiang Province from 2010 to 2022 and to propose optimization strategies. With the increasing impact of global climate change, the need to explore the construction of resilient cities and sustainable development models has become increasingly pressing. Assessing the coupled coordination among climate, environment, socio-economic, and ecosystem resilience aids in suggesting more precise and effective social and ecological recovery strategies in the context of climate change. Zhejiang Province, serving as a model for China’s urbanization development, demonstrates a balance between the natural environment, economic growth, and social development but still suffers from ecological and environmental pollution problems. In this study, an evaluation system was constructed utilizing the entropy weight method (EWM), and the coupled coordination among climate, environmental, socio-economic, and ecosystem resilience in Zhejiang Province was empirically analyzed over the period from 2010 to 2022. The results show that (1) the climatic-environmental, socio-economic, and ecological subsystems of cities in Zhejiang Province generally show an upward trend, despite fluctuations over different periods. (2) The climatic-environmental-social-ecological system resilience of the cities in Zhejiang Province increased as a whole, and six cities (Hangzhou: 0.805, Quzhou: 0.811, Huzhou: 0.827, Taizhou: 0.829, Wenzhou: 0.856, and Jinhua: 0.857) reached the “well-coordinated” level by 2022; however, the coupling coordination of Jiaxing City and Lishui City decreased from good to intermediate coordination. (3) The coupled coordination degree of climatic-environmental-social-ecological system resilience generally stagnated in each city during 2020–2022. Thus, the climate change adaptation strategy proposed in this study aims to enhance urban adaptive capacity to climate change impacts by controlling pollutant emissions, restoring ecosystems, optimizing industrial structures, and designing urban green spaces.

Evaluation of Ecological Efficiency and Analysis of Its Influencing Factors in Provincial Coastal Regions Using Integrated Super-Efficiency DEA and Tobit Models

Abstract With the rapid development of the Chinese economy, the demand for resources has increased significantly, putting the environment under increasing pressure. Effectively using various resources has become crucial. This study employs the Super-Efficiency Data Envelopment Analysis to assess ecological efficiency during the same period and conducts a residual analysis on cities with high efficiency but not efficiently analyzed by Data Envelopment Analysis. The primary objective of this approach is to investigate the potential ecological development of these regions. The dynamic assessment of ecological efficiency is done using the Malmquist index, which takes into account changes in the total factor output growth rate. To investigate factors that affect ecological efficiency and their magnitudes, a Tobit model is being established using panel data. From 2017 to 2022, there were changes in ecological benefits among cities in Zhejiang Province due to intense competition between high-efficiency cities and frequent position changes, as evidenced by the results. The gap between cities with middle to low efficiency is narrowing, which suggests that ecological benefits are being balanced in the province despite a decreasing trend. Both the degree of openness and the proportion of asset investment have a significant and positive impact on ecological efficiency. Enhancing interregional communication, optimizing resource allocation, increasing openness, and adjusting industrial layout is essential to sustain technological innovation and progress.

Factors associated with casual sexual behavior among college students in Zhejiang Province, China: A cross-sectional survey.

This study aimed to analyze the characteristics and risk factors associated with casual sexual behavior among sexually active college students and to contribute to AIDS prevention and control efforts among this demographic. A cross-sectional survey was conducted using a stratified cluster sampling technique. Self-reported sexually active college students were selected as respondents from 11 cities in Zhejiang Province from October 8 to November 30, 2018. A questionnaire was used to collect variables such as demographic information, sexual attitudes, intervention acceptance, and self-efficacy of condom use. Univariate and multivariate analyses were performed. Among 3,771 college students who reported engaging in sexual activity, 675 (17.90%) reported engaging in casual sexual encounters. The multivariate analysis revealed multiple factors associated with casual sexual behavior among students: being male, originating from a city/town, having pursued HIV testing education in the last year, seeking HIV risk self-assessment within the last year, accepting to engage in one-night stand behavior, accepting to partake in commercial sexual activity, having conducted HIV antibody tests within the last year, homosexual partner or homosexual/heterosexual partner, demonstrating self-efficacy in condom usage, and monthly living expenses falling within the range of 1001-1500 yuan. Additionally, students with knowledge that appearance does not determine HIV infection, a proclivity for seeking HIV counseling and testing following high-risk sexual behavior and awareness that the centers for disease control provides HIV diagnosis were found to have significant associations with casual sexual activity. Casual sex is significantly prevalent among college students, with male, students from urban areas, those who accepted to engage in one-night stand behavior and partook in commercial sexual activity demonstrating a higher propensity for such behavior. This tendency can be attributed to several factors including a more liberal sexual attitude, a rudimentary understanding of HIV risk, and a low adoption rate of HIV testing. Therefore, it is imperative to enhance HIV prevention and education among college students.

The Closed Loop Between Parental Upbringing and Online Game Addiction: A Narrative Study of Rural Children's Growth in China.

With the rapid development of information, digital networks, and artificial intelligence technologies, the new generation of children growing up with electronic products faces the dilemma of addiction to online games. There is a significant correlation between the addiction of rural children to online games and the lack of proper parental upbringing. Based on purposive sampling, the research selected 41 sixth-grade rural children, 20 parents, and 14 teachers from three cities in Zhejiang Province, China. Three rounds of semi-structured, in-depth interviews were conducted. The research portrayed that the parental upbringing styles of rural children addicted to online games could be categorized into four types: conflict and chaos type, indulgent and permissive type, disciplinary neglect type, and coercive and brutal type. All four parenting styles were related to emotional involvement and value guidance. Both the parenting styles of rural parents and the children's addiction to online games were difficult to self-update and change, and they mutually "affirmed" and even reinforced each other. Insufficient cultural capital was found in rural families, resulting in a closed loop between parental upbringing and online game addiction. Introducing professional expertise, increasing cultural capital, and promoting improvement in rural parenting styles are crucial.

The Characteristics and Impact Factors of Sulfate and Nitrate in Urban PM2.5 over Typical Cities of Hangzhou Bay Area, China

PM2.5 pollution over Hangzhou Bay area, China has received continuous attention. In this study, PM2.5 samples were collected simultaneously in six typical cities in Zhejiang Province from 15 October 2019 to 15 January 2020 (autumn and winter) and from 1 June to 31 August 2020 (summer), and major water-soluble ions were analyzed. Average concentrations of NO3− and SO42− in the six cities were 3.93–15.64 μg/m3 and 4.61–7.58 μg/m3 in autumn and winter, with mass fractions of NO3− and SO42− in PM2.5 up to 19.6–34.2% and 13.6–26.3%, respectively, while in summer, they were 1.23–2.64 μg/m3 and 2.22–4.14 μg/m3, with mass fractions of 7.0–15.0% and 14.7~25.1%. Both NO3− and SO42− were mostly from gas-to-particle transformation of precursors. High relative humidity in the six cities was suggested to significantly promote the formation of NO3− and SO42−, particularly in autumn and winter, while enhanced atmospheric oxidation favored the formation of SO42− in summer. However, the formation of NO3− was inhibited under a high temperature of &gt;15 °C. The concentrations of SO42− and NO3 were mostly correlated with each other among the six cities. Potential source contribution function analysis indicated that both SO42− and NO3− were mostly from local pollution of Hangzhou Bay area in Zhejiang Province and also transported from Shanghai and the southern region of Jiangsu Province. This study contributed to the understanding of regional characteristics of SO42− and NO3− in Hangzhou Bay area and suggested that joint prevention and control efforts should be strengthened to reduce regional PM2.5 pollution.

INFLUENCING FACTORS AND IMPROVING COUNTERMEASURES OF CAREER HAPPINESS OF YOUTH KINDERGARTEN TEACHERS IN Z PROVINCE

Young teachers are an important factor in the development of the early childhood education industry. Their physical and mental health is not only about themselves but also about children's spiritual and future growth. The standard of kindergarten development should pay attention not only to the growth index of children but also to the happiness index of teachers. It is the common goal of the country, the school, and the teacher to improve the professional happiness sense of the young teachers. This research sampled 273 participants through 3 samplings. The participants of this sample are 35-year-old young teachers in Z province, and questionnaires were conducted on first-line kindergarten teachers in 7 cities of Zhejiang Province. Non-experimental quantitative research was used in this study. The results showed that the nature of kindergartens in Z province had a significant positive effect on the psychological well-being and emotional well-being of young teachers (p&lt;0.01). Private kindergartens felt more satisfied or happier than private kindergartens and married kindergartens felt more satisfied or happier than unmarried kindergartens. The performance of career happiness of young preschool teachers aged 25 is significantly lower than that of beginning teachers in other teaching age stages, and countermeasures are proposed according to the analysis results.

Cultural Common Prosperity: A Empirical Study on the Practice and Governance of “Rural Spring Festival Gala”in the Developed Area of Eastern China

“Rural Spring Festival Gala” is the epitome of Chinese rural cultural construction. Based on the analysis framework of Bourdieu’s field theory, this study distributed 1,175 questionnaires to 47 villages in 12 prefecture-level cities in Zhejiang Province. On the basis of the questionnaire data, 94 in-depth interview reports of 10 villages were coded and counted by the qualitative data analysis software, Nvivo12plus. It is found that the Rural Spring Festival Gala has difficulties in terms of institutional, economic, social and cultural capital, such as difference between grass-roots’ initiative, uneven distribution of economic resources, rural hollowing and unbalanced cultural pattern. It is suggested to build a scientific policy guarantee, assist in the subsidization and distribution of Rural Spring Festival Gala funds, build a “Great Wall” of talents for the Rural Gala, cultivate the cultural confidence of rural entities, and promote the transformation and development of rural culture.

Driving impact and spatial effect of the digital economy development on carbon emissions in typical cities: a case study of Zhejiang, China.

The digital economy (DE) not only drives economic innovation and development but also has significant environmental effects by promoting lower carbon emissions. To investigate the spatial effects of DE on urban carbon emissions, this study comprehensively measures the level of DE development based on the panel data from 11 typical cities in Zhejiang Province from 2011 to 2020, by comparing analysis using different regression models. The following conclusions are obtained: (1) The total carbon emissions (TC) of Zhejiang cities in general show a fluctuating change trend of first increasing and then slowly decreasing, while carbon emission intensity and carbon emission per capita in general show a fluctuating change trend of decreasing. Cities with high TC are primarily concentrated in the Hangzhou Bay city cluster, accounted for 62 ~ 65% of the province's carbon emissions. The development of the DE in Zhejiang cities shows steady growth, but there are large differences among cities, with Hangzhou and Ningbo standing out as particularly prominent. (2) There is a significant inverted U-shaped relationship between the DE and the level of carbon emissions in Zhejiang Province. The influence coefficient of the DE on the primary term of TC is 0.613, and the influence coefficient of the quadratic term of TC is - 1.008. (3) In terms of the spatial spillover effect of the DE on carbon emissions, the study finds that compared to the direct effect, the spatial spillover effect is not significant. However, the allocation of transport resources shows a positive spatial spillover effect (increasing carbon emissions, coefficient value is 0.138), while technological progress shows a somewhat negative spatial spillover effect (decreasing carbon emissions, coefficient value is - 0.035). (4) The study also finds that the smart city pilot policy significantly reduces urban carbon emissions. Moreover, the effect of the DE on carbon emissions is confirmed through the significance test of the quadratic term when replacing the geographical and economic distance weight matrices. This indicates that the empirical findings are robust to these tests. Finally, several countermeasures to reduce carbon emissions are proposed from the perspective of DE development.

Prevalence of mental disorders among middle school students in Shaoxing, China

BackgroundIn China, adolescents account for about a quarter of those treated for mental disorders each year, and adolescent mental health issues have become a social hotspot. Although several epidemiological surveys of mental disorders have been conducted in China, no study has yet focused on the prevalence of mental disorders among adolescents in a certain region of Zhejiang.MethodsIn the first stage, 8219 middle school students aged 12–18 years in a city of Zhejiang Province (Shaoxing) were screened with the mental health screening checklist. In the second stage, participants who screened positive were tested with the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Then, the prevalence of mental disorders were calculated.ResultsThe overall prevalence in this population was 12.4%, with prevalence rates exceeding 20% in both the 17- and 18-year-old age groups. The most common mental disorders were obsessive–compulsive disorder (OCD) (9.1%) and major depressive disorder (MDD) (8.9%).ConclusionsMental disorders are common among middle school students, and girls are at higher risk than boys. As the most prevalent mental disorders, OCD and MDD should receive timely attention, especially for upper grade students.

Timely assessment of 5-year relative survival of esophageal cancer patients in Taizhou, Zhejiang province.

Timely assessment of 5-year relative survival of esophageal cancer patients in Taizhou, Zhejiang province.

RURAL RESIDENTIAL ENVIRONMENT EDSIGN IN CHINA BASED ON THE CONCEPT OF HAPPINESS

The objective of the study is to create a model of the design of rural residential environment based on the concept of happiness and explore the ways to practice it. The analysis of the study was done by using quantitative and qualitative research designs. The data was collected by questionnaire investigation with 486 respondents and in-depth interviews with 30 interviewees. The 30 villages surveyed are widely distributed in ten counties and cities in Zhejiang Province and have good specimen significance. The finding shows that there are seven dimensions, namely residence happiness, family happiness, health happiness, social intercourse happiness, belonging happiness, employment happiness, and esthetic happiness, in the design model of rural residential environment based on happiness. Each level has its corresponding content of the residential environment. The position and role of different dimensions are different. The paper also proposes principles and methods for practicing the design model of rural residential environment based on happiness, namely villagers' demands first, coordination of the interests of all parties, guiding and educating villagers, in-depth investigation, and scientific design.