Cross-sectional Research Articles

Burnout or not? Assessing the effect of digital employee resilience and its ef-fects on work stress

Purpose – The purpose of the study was to theoretically and empirically assess digital employee resilience and shed light on its antecedents and effect on work stress. Aims(s) – The study aimed to develop a conceptual framework for digital employee resilience. Furthermore, antecedents of both digital employee resilience and work stress were empirically analyzed, including the relationship between digital employee resilience and work stress. Design/methodology/approach— A thorough literature research was carried out to create a conceptual framework and definition for digital employee resilience and to derive hypotheses. Next, an online survey was conducted with a sample of 454 individuals. Hypotheses were tested using structural equation modeling (SEM), and a multigroup analysis was performed. Findings – The study found positive effects of positive affect, digital literacy, self-efficacy, and perceived organizational support (POS) on digital employee resilience. Moreover, a negative effect of digital employee resilience on work stress was found. Role conflict, role ambiguity, and work overload are positively related to work stress. Limitations of the study – Limitations include the nature of the sample since only cross-sectional data on individuals from Germany was obtained. Moreover, digital employee resilience was measured in a particular context, e.g., working from home. Thus, exploring digital employee resilience using different samples and other contexts offers promising avenues for future research. Practical implications – The study helps HRM practitioners nurture digital employee resilience and address causes of work stress in a targeted way. Originality/value – This study is among the first to investigate digital employee resilience theoretically and empirically. It enriches the discourse on digital resilience by integrating various existing definitions and conceptualizations into a newly developed framework for digital employee resilience.

Associations between regional adipose tissue distribution and skeletal muscle bioenergetics in older men and women.

The aim of this study was to examine associations of ectopic adipose tissue (AT) with skeletal muscle (SM) mitochondrial bioenergetics in older adults. Cross-sectional data from 829 adults ≥70 years of age were used. Abdominal, subcutaneous, and visceral AT and thigh muscle fat infiltration (MFI) were quantified by magnetic resonance imaging. SM mitochondrial energetics were characterized in vivo (31P-magnetic resonance spectroscopy; ATPmax) and ex vivo (high-resolution respirometry maximal oxidative phosphorylation [OXPHOS]). ActivPal was used to measure physical activity ([PA]; step count). Linear regression adjusted for covariates was applied, with sequential adjustment for BMI and PA. Independent of BMI, total abdominal AT (standardized [Std.] β = -0.21; R2 = 0.09) and visceral AT (Std. β = -0.16; R2 = 0.09) were associated with ATPmax (p < 0.01; n = 770) but not following adjustment for PA (p ≥ 0.05; n = 658). Visceral AT (Std. β = -0.16; R2 = 0.25) and thigh MFI (Std. β = -0.11; R2 = 0.24) were associated with carbohydrate-supported maximal OXPHOS independent of BMI and PA (p < 0.05; n = 609). Total abdominal AT (Std. β = -0.19; R2 = 0.24) and visceral AT (Std. β = -0.17; R2 = 0.24) were associated with fatty acid-supported maximal OXPHOS independent of BMI and PA (p < 0.05; n = 447). Skeletal MFI and abdominal visceral, but not subcutaneous, AT are inversely associated with SM mitochondrial bioenergetics in older adults independent of BMI. Associations between ectopic AT and in vivo mitochondrial bioenergetics are attenuated by PA.

Strengthening emotional intelligence intervention on behavior changes of mothers in stunting prevention

This study aimed to determine the effect of applying Emotional intelligence reinforcement to changes in stunting prevention behavior at the Kedung 2 Health Center, Jepara. This study employed a cross-sectional approach and data from participants at the Kedung 2 Public Health Center in Jepara. Public Health Center, Jepara. Participants were taken by purposive sampling according to predetermined maternal criteria, and 82 participants were obtained. Quasi-experimental research methods with two groups of emotional intelligence strengthening design, pre-intervention and post-intervention. Data collection used a questionnaire to measure the emotional intelligence of respondents and stunting prevention behavior. The data were then analyzed using the SPSS program. The correlation value shows that there is a strong relationship between the strengthening of emotional intelligence interventions and changes in maternal stunting prevention behavior, with a correlation value of 0.905 and a significance value of less than 0.001. The results of the T-test also showed significant behavioral changes in stunting prevention behavior before and after the application of strengthening emotional intelligence, with a significance value of 0.008. Strengthening emotional intelligence has a strong positive correlation with stunting prevention behavior, and the results of the T-test show that there is a significant effect on the results of stunting prevention behavior between before and after strengthening emotional intelligence. As a result, strengthening maternal emotional intelligence should be a priority to prevent stunting.

Relationship between dietary knowledge, food preference, and long-short term health status among Chinese adults.

In recent years, with the improvement of people's living standards and changes in dietary patterns, dietary knowledge and food preference have been playing an increasingly crucial role in health. The aim of our study was to examine the relationship between dietary knowledge, food preference, and long-short term health status among Chinese adults aged 18-70. This study employed cross-sectional data from the 2015 China Health and Nutrition Survey obtained from 4822 adults. We utilized self-assessed health status as an indicator of long-term health status and utilized sickness in the last four weeks as a measure of short-term health status. Taking advantage of ordered probit regression, long-term health status was regressed on all predictors, while the binary logistic regression was used to analyze the factors influencing short-term health status. The propensity score matching is employed to account for potential selection bias in analysis, thereby increasing the robustness and credibility of results. The analysis revealed that dietary knowledge and food preference can improve an individual's long-term health status significantly. However, there is no evidence to show that short-term health status is affected by food preference. Furthermore, dietary knowledge is negatively associated with short-term health status. These findings highlight the importance of dietary education and healthy eating habits in improving the long-term health status of Chinese adults. The study suggests implications for public health strategies aimed at enhancing the health and well-being of Chinese adults.

Does Climate Change Affect Health? Beliefs from the Health Information National Trends Survey.

Climate change is currently and will continue impacting human health, however, beliefs about the level of threat vary by demographics, region, and ideology. The purpose of this study was to assess factors related to climate change and health beliefs using cross-sectional data from the Health Information National Trends Survey (HINTS). Data from 5,075 respondents in the 2022 iteration of HINTS was used for this study. Chi-square tests were used to evaluate demographic differences among those who believe climate change will harm health a lot compared to some, a little, or not at all. Generalized ordinal logistic regression models were used to examine the relationship between the belief that climate change will harm health and independent variables regarding trust in scientists, health recommendations from experts, and demographic characteristics. Female, Black, Hispanic, and college graduate respondents had higher odds and people in the Southern U.S. those aged 35-49, 50-64, and 75years or older had significantly lower odds of believing climate change would harm their health. Those who trust information about cancer from scientists and those that believe health recommendations from experts conflict or change had higher odds of believing climate change would harm health. Our analysis highlights factors that impact climate change and health beliefs, which may provide targets for tailoring public health messages to address this issue.

Students career interest and understanding of corporate governance education in Ghana

PurposeGiven the perceived weak corporate governance systems in Ghana, corporate governance education curriculum requires empirical investigations to ascertain factors that can enhance student knowledge in governance systems based on their career interests and programme of study. Therefore, we investigate whether students with a career interest in corporate governance exhibit a significantly different level of comprehension compared to those without such an interest. Furthermore, we explore whether the comprehension of course concepts differs across various business-related programmes, investigating potential variations in understanding among students from diverse programme backgrounds.Design/methodology/approachUsing a descriptive design, we adopt a quantitative approach and survey method to collect cross-sectional data from 1,050 undergraduate students in selected Ghanaian public universities. We analyse the data using t-test and Analysis of Variance (ANOVA).FindingsWe establish no statistically significant difference in comprehension levels of corporate governance concepts between students with a career interest in corporate governance and those with no career interest. However, we find statistically significant differences in the comprehension of corporate governance concepts among students pursuing different business-related programmes.Practical implicationsOur findings imply that the corporate governance course should be taught practically, giving students insights into what the course entails from an industrial viewpoint. This may entail engaging experts from industry as visiting lecturers at intervals to bridge the gap between theory and practice. Students could also benefit from mentorship programmes from industry, internships and related placements to ensure an understanding of theoretical concepts from practical perspectives.Originality/valueOur study is novel and contributes to extant literature because it is the first empirical study on corporation governance education that emphasizes on students career interests and programme of study from a developing country perspective.

The Resettlement Journey: Understanding The Role of Social Connectedness on Well-being and Life Satisfaction among (Im)migrants and Refugees: A Systematic Review.

In the context of rising global migration and/or forced displacement, there is a pressing need to consider the well-being and life satisfaction of (im)migrants and refugees during resettlement. Research highlights the importance of social connectedness for (im)migrants and refugees during the resettlement phase. Yet, a critical gap remains in our understanding of the key characteristics through which social connections exert their influence on well-being and life satisfaction. This systematic review provides a comprehensive overview of the existing international literature on social connectedness and its impact on the well-being and life satisfaction of (im)migrants and refugees in post-migration contexts. Our analysis of 43 studies finds that social connectedness, in the form of social support and social networks, is beneficial for well-being and life satisfaction during resettlement. In addition to social support from individual network ties, community engagement can also enhance well-being by facilitating a sense of belonging. All 43 studies focused on psychological well-being and 69.8% relied on cross-sectional data. The findings of this review emphasise the need for longitudinal studies and standardised measurement tools to capture the dynamic interplay between social connectedness and well-being across various domains (psychological, physical, general/subjective) in migrant populations. We draw on the findings to propose a new conceptual model of the dynamic association between social connectedness and well-being/life satisfaction that seeks to explore these relationships in future empirical studies.

Examining the Relationship Between E-Cigarette Status and Wearable Device Use on Physical Activity Levels in U.S. Adults.

The aim of this analysis is to investigate physical activity levels amongst e-cigarette users based on their wearable device use. Cross-sectional secondary data analysis using 2017 Behavioral Risk Factor Surveillance Survey (BRFSS). Data from the 2017 BRFSS were used. 5,562 U.S. adults (age 18+). Self-reported physical activity related variables from U.S. adults (age 18+). Separate unadjusted and adjusted linear regression models were performed for each of the dependent variables using survey analysis. Non-users of wearable devices and e-cigarettes account for 96.6% (95%CI [95.7, 97.6]) of the sample, whereas users of wearable devices and e-cigarettes account for 3.3% (95%CI [1.2, 5.4]) of the sample. Those who use e-cigarettes participate in almost 50% less vigorous physical activity minutes per week than nonusers, 46 (95%CI [0.43, 91.57]) and 93 (95%CI [80.59, 106.34]) minutes respectively. Individuals who use e-cigarettes and use wearable devices were found to spend significantly more time in total physical activity per week in both the unadjusted and adjusted linear regressions, P = =0.01 and P = =0.04 respectively. The use of e-cigarettes, wearable devices, or both technologies may influence the physical activity levels of its users. Additional research is needed to better understand the association between physical activity levels and the usage of these technologies.

Association Between Lifestyle Behaviors and Obesity Among Stroke Survivors.

The aim was to investigate factors influencing obesity among stroke survivors based on demographics and lifestyle behaviors. Stroke survivors are more likely to experience stroke recurrence within a few years. As obesity is a traditional risk factor for stroke, obesity should be managed in stroke survivors to prevent stroke recurrence. A cross-sectional secondary data analysis analyzed data from the 2017 United States Behavioral Risk Factor Surveillance System (BRFSS) survey. Demographics, frequency of vegetable and fruit intake, smoking, alcohol use, physical activity, and sleep were examined. Among 1032 stroke survivors, 57.8% were obese. Advanced age, female sex, veteran status, at least once-daily fruit intake, current smoking, and lack of physical activity were associated with obesity. Stroke survivors should be encouraged to pursue healthy behaviors to manage obesity. Appropriate transitional care, including diet education and tailored exercise, can be an effective strategy.

Individual and community-level factors associated with repeat induced abortion among women in Ghana: a multivariable complex sample logistic regression analysis of 2017 Ghana maternal health survey

BackgroundRepeat induced abortion is a serious public health issue that has been linked to adverse maternal health outcomes. However, knowledge about repeat induced abortion and its associated factors among reproductive age women in Ghana is very scarce. The objective of this study is to examine individual and community factors associated with repeat induced abortion in Ghana which would be helpful to design appropriate programmes and policies targeted at improving the sexual and reproductive health of women.MethodsWe used secondary cross-sectional data from the 2017 Ghana Maternal Health Survey. The study included a weighted sample of 4917 women aged 15–49 years with a history of induced abortion. A multivariable complex sample logistic regression analysis was used to investigate individual and community factors associated with repeat induced abortion among women in Ghana. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) was used to measure the association of variables.ResultsOf the 4917 reproductive women with a history of abortion, 34.7% have repeat induced abortion. We find that, compared to women who experience single induced abortion, women who experience repeat abortion are age 25–34 years (AOR:2.16;95%CI = 1.66–2.79) or 35–49 years (AOR:2.95;95%CI:2.18–3.99), have Middle/JHS education (AOR:1.69;95%CI = 1.25–12.27), use contraceptive at the time of conception (AOR:1.48: 95%CI = 1.03–2.14), had sexual debut before 18 years (AOR:1.57; 95%CI: 1.33–1.85) and reside in urban areas (AOR:1.29;95%CI = 1.07–1.57). On the other hand, women who reside in Central (AOR:0.68;95%CI: 0.49–0.93), Northern (AOR:0.46;95%CI:0.24–0.88), Upper West (AOR:0.24; 95%CI: 0.12–0.50) and Upper East (AOR:0.49; 95%CI = 0.24–0.99) regions were less likely to have repeat induced abortion.ConclusionThe study showed that both individual and community level determinants were significantly associated with repeat induced abortion. Based on the findings, it is recommended to promote sexual and reproductive health education and more emphasis should be given to adult, those with early sexual debut, those with Middle/JHS education and those who live in urban centers.

Drivers of Rural Households’ Choices and Intensity of Sustainable Energy Sources for Cooking and Lighting in Ondo State, Nigeria

Poverty reduction and the promotion of sustainable human development are fundamentally dependent on having access to modern energy services. Energy supplies that are dependable, reasonably priced, and sustainable are vital to modern societies. In achieving the sustainable development goals (SDG7) and access to clean energy supplies, this study, using cross-sectional data from 180 randomly sampled rural households, analyzed the key factors determining the choice and intensity of energy sources used for lighting and cooking in rural Nigeria. Both descriptive and inferential statistics (multivariate probit (MVP) and zero-truncated Poisson (ZTP models)) were employed for the analyses. The result showed that there is evidence of fuel stacking in their choice of cooking and lighting energy, and it increases with rising income levels but is more pronounced for lighting than cooking. The result also revealed that reliable access to clean energy (9% of sampled households for LPG and 23% of the households for grid electricity) is very low, as these households still rely on fuelwood (70%) for cooking, but the predominant usage of kerosene (39%) for lighting, as reported in the literature, has drastically changed to dry cell battery (51%). The results using a multivariate probit model to capture the multiple fuel usage phenomenon among rural households show that access to clean energy, improvement in rural poverty, usage of indoor kitchens, household size, and an increase in the education of household heads’ spouses significantly influence the use of clean energy in the rural areas. In the same vein, the result of the ZTP model showed that income, access to energy sources, and occupation of the household head were the drivers of the intensity of cooking and lighting energy sources. Thus, it is recommended that any policy interventions that are targeted at encouraging rural households to use clean energy should start by improving rural access to these clean energy sources, improving their poverty status while also increasing the level of education and awareness of rural women concerning the risks of using dirty energy sources.

An exploratory study of stressors, mental health, insomnia, and pain in cisgender girls, cisgender boys, and transgender and gender diverse (TGD) youth.

Transgender and gender-diverse (TGD) youth experience more stressors and are therefore at a higher risk of health problems compared with their cisgender peers. The aim of this study was to investigate the prevalence of TGD youth in a general population sample and to explore a wide variety of health-related factors. We investigate differences in stressors and health outcomes between TGD youth and cisgender girls and boys and the influence of stressors and demographic factors on health outcome in the whole group. Cross-sectional survey data from a Swedish school-based study were used (N = 3,067, M = 17.8 years). Those who had reported their gender identity as "other" or other than their assigned gender (N = 41) were compared with cisgendered girls (n = 1,544) and boys (n = 1,482). Regression models in the whole group explored if demographics and stressors statistically predicted health outcomes. In comparison with cisgender girls and boys, TGD youth (1.3% of the whole sample) reported a higher prevalence of self-harm and pain problems. Both TGD youth and cisgender girls more frequently reported insomnia, social anxiety, depressive symptoms, pain, and stressors compared with cisgender boys. When only demographic variables were entered, but not when stressors were added to the model, being TGD magnified the odds of depressive symptoms, sub-diagnostic social anxiety, and pain problems. Stressors magnified the odds of reporting health problems for the whole group. TGD youth generally reported more stressors, which negatively influence health outcomes. Results are important for professionals who meet TGD youth.

Does livestock-crop diversification improve food and nutrition security? Evidence from Eastern Ethiopia

ABSTRACT Pastoral and agro-pastoral households are the most vulnerable parts of the population to climate change-induced shocks and they are increasingly subject to acute food and nutrition insecurity. We identified drivers of livestock-crop diversification and examined its effects on improving households’ food and nutrition security using cross sectional data collected from 258 households across five districts in the East Hararghe zone in Ethiopia. Endogenous Switching Regression (ESR) analysis was used to identify factors associated with the households’ food and nutrition security outcomes and estimate the causal effects of livestock-crop diversification on the households’ food and nutrition security. Our results show that land certification, mobile phone ownership, and access to pastoral training centres were positively and significantly associated with livestock-crop diversification. In contrast, being located in Meyu Muluke and Kumbi districts were negatively and significantly associated with livestock-crop diversification, compared to Chinaksen district. The average treatment effect estimations suggest that livestock-crop diversification has positively and significantly improved diversified households’ nutritional security outcome. The findings also reveal that non-diversified households’ food insecurity would have reduced had they diversified. Nonetheless, livestock-crop diversification is neither enough to pull farm households fully out of food and nutrition insecurity nor the only factor influencing farm households’ food and nutrition security outcomes. Hence, there is also a need to strengthen access to physical infrastructure, credit facilities, extension services, provision of farm inputs, and pastoral training centres to reduce food and nutrition insecurity in the study area.

The Beneficial, Formative Role of Lifetime Exposures across Cognitive Domains in Barbados Using Data from the SABE Study.

This study tested the hypothesis that within older Barbadian adults, sex, education, and occupation type lessen age-related cognitive decline. The analyses used a cross-sectional data set from 1325 people collected in the 2006 SABE Study (Health, Well-being, and Aging). Cognition was assessed as scores in each subdomain of the Mini-Mental State Exam. The loss of a single point in each subdomain was predicted by sex, years of education, job type, and their interactions with age. Results demonstrated that age and protective factors affect each cognitive domain differently. High education combined with mentally complex employment helped maintain cognitive performance in later life. Beneficial lifetime exposures are additive, providing combined benefits. Findings provide insight into public policy aiming to minimize the number of adults with cognitive decline and dementia in Barbados and the Caribbean.

Vulnerability profiles of workers and the relation with burnout symptoms: results from the Netherlands working conditions survey.

Unfavorable working conditions may place workers in a vulnerable position in the labour market, but studies on the clustering of these factors and their relation to burnout symptoms are lacking. This study aims to identify subgroups of workers in potentially vulnerable positions in the labour market and examine whether burnout symptoms differ across the established subgroups. This study utilizes cross-sectional data from 2019 of the Netherlands Working Conditions Survey (n = 55,283). Working conditions included employment contracts, working hours, multiple jobs, tenure, physical strain, autonomy, and workload. Burnout symptoms were measured with five items on a 7-point Likert scale. Latent Class Analysis was used to identify vulnerability subgroups based on working conditions and educational level. Wilcoxon rank-sum tests were used to examine whether burnout symptoms differed between the identified subgroups. Three out of nine subgroups (i.e., classes 4, 6, and 7) presented combinations of multiple unfavourable working conditions. The vulnerability of class 4, characterized by low educational level, physically demanding work, low autonomy, and a high workload, was underscored by a significantly higher burnout symptom score (M = 2.91;SD = 0.97) compared to all other subgroups. Subgroups 3 (M = 2.69;SD = 1.43) and 8 (M = 2.41;SD = 1.41), without striking unfavourable conditions, had the second and third highest scores on burnout symptoms. Determining vulnerability in the labour market is not straightforward as not all profiles that presented clusters of unfavourable working conditions scored high on burnout symptoms, and vice versa. Future research should investigate whether findings are similar to other mental health outcomes.

Dimensional Accuracy of Two-Step Impressions Relined with Extra-Light Addition Silicone Material

Objectives: Some small defects may remain in the impression after making a two-step putty-light body impression. The aim of this study was to evaluate and compare the dimensional accuracy of 2-step and relined 2-step (3-step) putty-light body impressions. Materials and Methods: In this in vitro study, 30 impressions were made with putty, light body, and extra-light body addition silicone materials using the 2-step and 3-step impression techniques (N=15). An epoxy resin master model was made duplicating a maxillary typodont with left first premolar and first molar teeth prepared with a shoulder finish line and truncated pyramidal-shaped indices in the mid-palate and third molar sites. In addition to creating a reference digital model by scanning the master model, 30 master casts were scanned to produce digital models. The anteroposterior (AP) and cross-sectional (CS) dimensional accuracy of the models were compared with the master model using linear measurements. Moreover, tooth size measurements were made and compared using the root mean square (RMS). Two-sample t-test was applied to analyze the data (α=0.05). Results: The mean AP and RMS differences between the two study groups were not significant (P&gt;0.05). However, the CS difference between the two groups was significant (P&lt;0.001), and the 3-step impression technique showed smaller discrepancies in comparison to the master model. Conclusion: There was no significant difference in accuracy of the two techniques for single-unit and multiple-unit preparations. The 3-step impression technique had a higher CS dimensional accuracy.

Sex Differences in Children with Uncomplicated Attention Deficit/Hyperactivity Disorder and Sleep Problems

Background: Approximately 7.6% of children are diagnosed with attention deficit/hyperactivity disorder (ADHD), and sleep impairments affect 25–85%. There is a noticeable lack of research on girls and sex differences. The aim of this study was to examine sex differences in children with uncomplicated ADHD and sleep problems. Methods: Cross-sectional baseline data were retrieved from a randomized controlled trial with weighted blankets (55 boys and 41 girls, 6–14 years) on a cohort recently diagnosed with uncomplicated ADHD and sleep problems. Differences between boys and girls in ADHD symptoms, objectively and subjectively measured sleep, anxiety, and functioning were examined via parent- or self-reported validated instruments. Results: Girls reported significantly lower (worse) satisfaction with well-being, life overall, and school, but not for family. Parents reported more sleep anxiety and night-time wakings among boys, but no sex differences in other measures and also not in self-reported measures or objective sleep measures. Children who reported worry, sadness, or unhappiness had more sleep problems. Conclusions: Boys with ADHD and sleep problems may need support with sleep-related anxiety and night-time wakings, while girls may require support with overall functioning. Additionally, children who express feelings of worry, sadness, or unhappiness alongside their ADHD symptoms should have attention given to their sleep.

An in-person survey of the influence of the COVID-19 pandemic on physical function, functional capacity, cognitive function, and mental health among community-dwelling older adults in Japan from 2016 to 2022

BackgroundThe COVID-19 outbreak might have had several effects on older adults; however, much of the previous research only included self-report, cross-sectional, and online-survey data in the early stage of the pandemic. We conducted a face-to-face survey before and after the COVID-19 pandemic and investigated the influence of the pandemic on several functions to distinguish between changes due to aging and changes due to the pandemic using a linear mixed model.MethodsA total of 8 longitudinal surveys were conducted from 2016 to 2022. Physical function was assessed by weight, body mass index, body fat percentage, skeletal muscle mass index, calf circumference, grip strength, knee extension strength, the 5-times chair stand test, the timed up & go test and 5-m walking test. Functional capacity was measured using the Tokyo Metropolitan Institute of Gerontology index of competence, cognitive function was measured using the Trail Making Test - A, and mental health was measured using the Geriatric Depression Scale.ResultsOf a total of 73 participants, 51 (69.9%) were female. The mean age at first participation was 71.82 years (SD = 4.64). The results of the linear mixed model showed that lower-limb muscle strength and body fat percentage and cognitive function changed significantly before and after the pandemic, while grip strength, functional capacity, and mental health did not.ConclusionsThe changes in these functions between before and after the pandemic might be attributed to the diminished opportunities for the independent older individuals to go out and engage in activities. Although functional capacity did not change, lower-limb muscle strength is important for functional independence. This decline might influence the functional capacity of these individuals in the future.

Military sexual trauma, combat trauma, and disordered eating among United States veterans: An exploration of underlying mechanisms

ABSTRACT Military sexual trauma (MST) and combat trauma (CT) survivors experience disproportionate risk for disordered eating. A survey of MST, CT, disordered eating, trauma-related self-blame, emotion regulation challenges, body dissatisfaction, and dissociation among military personnel with a history of military-related trauma was conducted. These survey-based cross-sectional data were analyzed via parallel mediation analyses and Analyses of Covariance (ANCOVA). Six parallel mediation analyses were conducted examining trauma-related self-blame, emotion regulation challenges, body dissatisfaction, and dissociation as mediators linking MST and CT, separately, with purging, restricting, and bingeing. ANCOVAs were also performed to examine differences in levels of bingeing, restriction, and purging among people exposed to MST, CT, both MST and CT, and neither. MST and CT exposure was indirectly related to bingeing via emotion regulation challenges. MST and CT was also indirectly related to both restriction and purging via emotion regulation challenges and trauma-related self-blame. Dissociation and body dissatisfaction were not significant mediators in any model. Participants endorsed high levels of disordered eating. Individuals exposed to both MST and CT reported greater bingeing, restricting, and purging than individuals exposed to either CT, MST, or neither. Findings highlight the nuanced symptoms that may increase risk for disordered eating among MST and/or CT survivors. Future treatment research should explore how addressing emotion regulation and trauma-related self-blame among individuals with MST and/or CT may help address disordered eating. Implications and future directions for this area of research are discussed.

An Analysis Method of System Coupling and Spatio-Temporal Evolution of County New Urbanization and Logistics Industry

New urbanization in counties and the logistics industry are closely related and are essential in promoting regional economic and social development. There are specific challenges and obstacles to revealing the interaction mechanism and system state measurement between the two. This paper explains the two coupling mechanisms and constructs the evaluation index system. It proposes a new analysis method based on the coupling coordination degree model, the spatio-temporal evolution analysis, and the grey prediction model. The goal is to learn more about and fully realize the coordinated development mechanisms of the two. It then uses the Hebei province of China as an example to empirically analyze its systematic cross-sectional data from 2013 to 2022. Research findings: (1) In Hebei province, the new urbanization in counties and the logistics industry have a systematic coupling relationship. However, the logistics industry’s comprehensive development level is relatively lagging. The two systems have been at a high-level coupling stage for the last decade and maintain a high coupling status. The coupling coordination has shown significant improvement. (2) Although the geographical distribution of the coupling and coordination degree of the new urbanization in counties and logistics industry system has short-term volatility, it is still stable in the long term and presents economic-related spatial characteristics. (3) Over the next five years, the coupling coordination of 11 cities in Hebei province will steadily grow. There will be greater harmonization between the two systems. (4) From the analysis results, the evaluation index system of the coupled system constructed is scientific and reasonable. The analysis method can not only measure the system’s coupling degree, but it can also predict the development trend and analyze the spatial evolution. The technique has novelty and validity, which can be used as a reference for analyzing and making decisions about similar systems.