Indirect Factors Research Articles

ДИНАМИКА ОБЩЕСТВЕННОГО ЗДОРОВЬЯ В РОССИИ И ЕЕ РЕГИОНАХ В РУСЛЕ МЕТОДОЛОГИИ СОЦИАЛЬНОГО КАПИТАЛА

The dynamics of public health in Russia and the regions was studied within the framework of the methodology of social capital. It has been established that the relationship between social capital and public health is manifested in the sustainable functioning of the health care system as a social institution that ensures the protection of the health of citizens, as well as in the possibility of access for the population to social health resources, which are understood as the consumption of high-quality food, a healthy lifestyle, sports infrastructure, regulated mode of work and rest, safe work, access to highly qualified medical care. The study of trends in the development of public health was traced on the basis of a statistical analysis of indicators of primary morbidity of the population, maternal mortality and consumer spending on health care. The indicator of primary morbidity, which is a set of cases of diseases in patients not previously recorded anywhere and for the first time detected during the reporting year, for the surveyed period 2011-2020. decreased by 4.6%. At the same time, in such federal districts as in the Urals (838.0 per 1000 population), Privolzhsky (816.8) and Siberian (809.3) its level was quite high. During the surveyed period in the Republic of Bashkortostan, the primary incidence of the population increased by 6.5%. The relationship between primary morbidity rates and the lack of growth in consumer spending on health care was noted: in 2011 they amounted to 3.5%, in 2020 - 4.0%. Maternal mortality, as an indicator of public health, reflects the quality of women's reproductive health, the possibilities of maintaining and strengthening it, as well as the level of development of the obstetrics system and its accessibility to the population. This indicator showed a positive trend of decreasing the indicator over the surveyed period - 30.9%. Nevertheless, its value for 2019- 2020, due to the impact of the COVID-19 pandemic, increased by 24.4%. The increase in maternal mortality was an indirect factor in the stabilization of life expectancy for women.

Determination of low‐temperature stress during the vegetative stage as a tool to predict plant yield in rice genotypes with contrasting tolerance levels

AbstractIn this study, the first aim was to develop a rapid and non‐destructive method for analysing rice genotypes' tolerance to low temperatures (LT) during the seedling stage. Using a growth parameter and a physiological parameter, a discriminant formula was developed to differentiate between tolerant and sensitive genotypes based on their LT tolerance score. The study identified several benefits of the discriminant formula, including its low classification error rate, scalability, and ability to be used in controlled and reduced environments. Additionally, a second study was conducted, which found a strong correlation between the LT tolerance score during the seedling stage and plant yield at the ripening stage in plants grown under field LT during the vegetative stage. Panicle weight was the main mediator of the effect of the LT tolerance score on plant yield, but the number of panicles per plant also played a role. Overall, the results suggest that the LT tolerance score can serve as an indirect selection factor for plants for both LT tolerance and plant yield. This is especially relevant for rice‐growing regions with temperate climates and LT at the beginning of the cultivation season.

Drivers for enhancing job performance of prison officers in Slovenia: effects of job attitudes, organizational, and work-related factors.

Maintaining order and safety in a prison environment heavily depends on prison officers, who daily interact with prisoners and are constantly dealing with dangerous situations. Their task performance is vital for the organizational performance and the fulfillment of the prisons' mission. For managing prison officers' job performance efficiently, it is important to understand the associated factors; however, job performance in a prison environment remains completely unexplored in Slovenia. This article presents a study conducted among Slovenian prison officers (n = 201), which examined their task performance, its association with job attitudes, and the role of organizational and work-related factors. The study results showed that the prison officers' task performance is associated with their job satisfaction, but not with their job involvement. Moreover, their job satisfaction is associated with perceived organizational justice, job stress, and the dangerousness of the job. Based on these findings, we demonstrated that task performance depends on several direct and indirect factors that prison management should prioritize, the key ones being stress reduction, strengthening the feeling of organizational justice, and the ability to deal with the job-related dangers successfully. This article highlights organizational and work-related factors important for improving the prison officers' well-being at work.

The role of information in shaping sustainable human behaviour

Encouraging environmentally friendly behaviour in population is one of today's greatest sustainability challenges. Over the last decades, many scientists of environmental psychology, social psychology and behavioural economics studied the dependence of an individual's sustainable behaviour on stratification and various direct and/or indirect factors. External and internal factors determining the individual's behaviour are based on information sources and how, in what way, and at what level the initial data is perceived, as well as how the individual uses such sources. This article conducted in Lithuania aims to find out which information sources an individual is most likely to reach, and what factors would encourage the integration of sustainable natural resource-saving solutions into everyday life.

Description of Knowledge of Stunting Children about Animal Food, Attitude and Behavior in Feeding at Gunggungan Lor Village, Probolinggo District

Severe nutritional deficiencies, including growth retardation, are infant conditions caused by malnutrition that result in being smaller than their age indicates. Factors that influence stunting in young children include direct factors such as diet and infectious diseases, as well as indirect factors such as nutrition, parenting, food transmission, and family knowledge. This research is useful to know of mothers of stunted infants about animal foods and their attitudes and behaviors when providing such foods in the village of Gungungan Roll, Probolinggo Regency. is. The research method used was descriptive. The study involved 38 mothers with stunted children aged 12 to 60 months. Data were collected by questionnaire-based interviews. Studies show that most stunted infants are between 42 and 58 months of age. The results also indicate a lack of animal protein due to low consumption of animal food. Most mothers have good knowledge (23 or 60.5%), agreeable attitudes (33 or 86.8%), but exhibit inadequate behavior (22 or 57.9%) in providing animal-based dishes. Mothers of stunted toddlers with good knowledge are more receptive and respond well to explanations about the condition, influencing their attitudes towards it.

Effects of Direct and Indirect Factors on Attitude toward the COVID-19 Vaccine in Pregnant Women

Background: The administration of the COVID-19 vaccine is facing resistance from pregnant women, leading to a lower attitude toward vaccination uptake. Previous studies have explored several factors that contributed to the issue. However, no studies have investigated further the direct and indirect effects of factors that simultaneously influence attitudes toward the COVID-19 vaccine in pregnant women. Purpose: This study aimed to investigate the direct and indirect effects of factors that influence attitudes toward the COVID-19 vaccine (ACV) in pregnant women, particularly hesitancy, motivation, and history of COVID-19 infection (HCI), and to describe a pathway model that represents the effects.Methods: This cross-sectional study recruited 440 pregnant women living in Bekasi and Pandeglang, Indonesia, in May–June 2022 using consecutive sampling methods. This study employed the Motivations of Vaccination Questionnaire, the Reasons for Hesitation Questionnaire, and the Attitudes toward COVID-19 Vaccine Questionnaire. A path analysis was performed to calculate the data.Results: Hesitancy had a more indirect effect (β=-0.270; p=0.00) than the direct effect (β=-0.193; p=0.00) on ACV, whereas motivation had a more direct effect (β=0.092; p=0.04) than the indirect effect (β=0.074; p=0.00). HCI acted as the mediation variable because it could intercede with the effect of hesitancy on ACV (β=-0.449; p=0.00). It indicated that HCI in pregnant women would lead to a different approach to increasing ACV.Conclusions: All studied factors had significant impacts on ACV, both directly and indirectly. It is recommended that interventions be adjusted according to the program’s purpose, with the aim of increasing motivation or reducing hesitancy.

Multi-kernel support vector regression optimization model and indirect health factor extraction strategy for the accurate lithium-ion battery remaining useful life prediction

Multi-kernel support vector regression optimization model and indirect health factor extraction strategy for the accurate lithium-ion battery remaining useful life prediction

Dynamic monitoring of surface water areas of nine plateau lakes in Yunnan Province using long time-series Landsat imagery based on the Google Earth Engine platform

Lakes are sensitive to both climate change and human activities, especially in the Yungui Plateau zone. As the main supply of water sources, surface water has a significant impact on environment, ecological balance and socioeconomic development. However, it is unclear how the surface water areas (SWAs) of the nine Yunnan Plateau lakes (NYPLs) have changed over previous decades. In this study, the SWAs of the NYPLs were first extracted using the optimal water index (WI) based on Landsat remote sensing images and the Google Earth Engine (GEE). Then, a spatiotemporal variation analysis of the SWAs was carried out for the NYPLs from 1988 to 2021. Finally, the correlations between the SWA changes in each lake, climatic factors and human activities were analysed. We found that the total SWAs of the NYPL have remained stable over the past 30 years, reaching a maximum of 1,012.51 km2 in 2000 and a minimum of 972.94 km2 in 2015. From 1988 to 2015, the overall SWAs of the NYPLs fluctuated steadily within 1%. However, Lakes Qilu and Yilong shrunk significantly in 2015. Generally, the SWAs of the NYPLs during the rainy season were larger than during the dry season; however, there were some differences between each period. The seasonal change in the SWAs was approximately 10 km2 in 1991, 1994, and 2003, but was relatively less in other years. Precipitation was a direct factor, whereas temperature and evaporation were indirect factors influencing the intra- and inter-annual SWAs of the NYPLs. The changes in the SWAs of the NYPLs were consistent with the precipitation trend and were negatively correlated with changes in temperature and evaporation. Evaporation had more of an influence on shallow lakes than on deep-water lakes. Human activities led to significant changes in individual lakes (such as lakes Dianchi, Yilong, and Qilu). The NYPLs had a spatially heterogeneous response to regional climate change caused by both global climate change and human activities. The results of this study can provide a data reference and decision support for the scientific management of the ecological environment of the Yunnan Plateau lakes.

Sosialisasi Mengenai Gizi Seimbang Dan PHBS (Pola Hidup Bersih Dan Sehat) Guna Mengurangi Angka Stunting Di Desa Sumbersalak Kecamatan Ledokombo Kabupaten Jember

Stunting is a chronic nutritional problem due to lack of nutrition in the long term resulting in growth disturbance in children or what is called a condition of failure to thrive in the womb until the baby is 2 years old. Clean and healthy living behavior is one of the indirect factors that causes a person's nutritional and health status, especially in toddlers. Efforts to prevent and reduce stunting rates can be done by adopting a healthy and clean lifestyle and also getting used to eating a balanced diet. The purpose of holding community service with a focus on the Real Work Lecture work program with the theme of Stunting Free Village is so that people are more aware of the dangers of stunting and can help reduce stunting rates in the future. The method used was to hold socialization with the theme of balanced nutritional food and a clean and healthy lifestyle with the target of children through RA Nuruzzaman's guardians in Sumbersalak Village, Paluombo hamlet who attended the activity around 30 parents of students whose children attended RA Nuruzzaman's foundation. From the results of observations in Sumbersalak Village, there are still many people who still do not know how to process waste properly and lack self-awareness about the environment and lack of mother's knowledge about food management and balanced nutrition, especially in the first 1000 days of life.

Low-Light Image Contrast Enhancement with Adaptive Noise Attenuator for Augmented Vehicle Detection

The rapid progress in deep learning technologies has accelerated the use of object detection models, but most models do not operate satisfactorily in low-light environments. As a result, many studies have been conducted on image enhancement techniques aiming to make objects more visible by increasing contrast, but the process of image enhancement may negatively impact detection as it further strengthens unwanted noises due to indirect factors of light reflection such as overall low brightness, streetlamps, and neon signboards. Therefore, in this study, we propose a technique for improving the performance of object detection in low-light environments. The proposed technique inverts a low-light image to make it similar to a hazy image and then uses a haze removal algorithm based on entropy and fidelity to increase image contrast, clarifying the boundary between the object and the background. In the next step, we used the adaptive 2D Wiener filter (A2WF) to attenuate the noise accidentally strengthened during the image enhancement process and reinforced the boundary between the object and the background to increase detection performance. The test evaluation results showed that the proposed image enhancement scheme significantly increased image perception performance with the perception-based image quality evaluator being 12.73% lower than existing image enhancement techniques. In a comparison of vehicle detection performance, the proposed technique for enhancing nighttime images combined with the detection model proved its effectiveness by increasing the average precision by up to 18.63% against existing detection methods.

Epidemiological Characteristics of a COVID-19 Outbreak in a Psychiatric Hospital in Chung-buk.

This study investigated the causes and risks for infection spread in three psychiatric hospitals in Chung-buk, South Korea, to strategize measures to block transmission and prevent a large-scale epidemic. From December 2020 to January 2021, 358 inpatients of Psychiatric Hospitals A, B, and C were enrolled to identify the epidemiological characteristics of confirmed patients. Epidemic curves and propagation relationships were constructed and a genotype analysis was conducted. The index case inpatient from Hospital A transmitted the infection to patients in Hospitals B and C; the infection was confirmed in 47, 193, and 118 patients in Hospitals A, B, and C, respectively. The patient characteristics hampered communication and the close identification of symptom onset. The incidence rate was 10 (2.9%) among employees and 348 (35.8%) among inpatients. The relative risk was 12.1 (95% CI: 6.6-22.5) times higher among inpatients than employees. Next-generation sequencing confirmed the probable infection source as a genotype identical to that of two different outbreaks, although the infection spread was undetermined. Direct risk factors emerged from patient characteristics, wherein cohort isolation was meaningless due to uncontrolled communication. Indirect risk factors included hospital-specific problems due to external factors (non-patient system deficiencies or employee negligence). Prior inspections, a confirmation of non-infection, and institutional emergent measures are needed.

Coccidiosis infection and growth performance of broilers in experimental trials: insights from a meta-analysis including modulating factors

An infection by protozoa Eimeria spp. can cause coccidiosis, which negatively affects broiler chicken performance and causes economic and production losses. To understand the effect of coccidiosis on broilers' performance, we evaluated the independent variables and their interactions on the severity of coccidiosis in broilers that cause variation (Δ) of average daily feed intake (ADFI), average daily gain (ADG), and gain per feed (G:F) of broiler chicks using a meta-analysis approach. A database of 55 papers describing 63 experiments was gathered; broilers were challenged by Eimeria species (E. acervulina, E. maxima, E. tenella, and mixed) and at least 2 variables among ADFI, ADG, and feed conversion ratio (FCR) were studied. The variation induced by the challenge was calculated relative to the control group of each experiment. The indirect factors evaluated were days postinfection (DPI), Eimeria type and dose, infection age (IA), bird's mean age in the analyzed period, genetic line, sex, and whether they were raised in a cage or a pen. Graphical, correlation, and variance analyses were performed to evaluate the form of the responses. Then, a linear plateau model was adjusted for each response variable as a function of DPI to determine the consequences of the disease on the variation of performance over time after infection. The impact of the infection challenge on the variation of performance vs. nonchallenge broilers was only impacted by DPI (P < 0.05). The adjustment of the data with the linear plateau model allows us to determine the host response to the coccidiosis disease at different stages. At 5 DPI (acute phase), ΔADFI, ΔADG, ΔG:F were of -19.0; -39.8, and -25.5, respectively. After almost 13 DPI birds achieved the recovery phase for all variables with Δ varying from -19 to -3.75% for ADFI, from -39.8 to -10.5% for ADG, and from -25.5 to -7.24% for G:F. The Eimeria impact was higher in ADG than ADFI in all periods due to Eimeria aggressive action form causing lesions in gut epithelial reducing the use of nutrients and energy. The results can be used as a quantitative approach to determine the consequences of Eimeria spp. on broiler performance.

Potential factors promoting the natural regeneration of Larix principis-rupprechtii in North China.

Natural regeneration plays an important role in species diversity and evolution. Exploring the causes of variation in regeneration dynamics can provide key insights into the factors affecting regeneration. However, the relationship between the regeneration of Larix principis-rupprechtii and environmental factors in North China has remained unexplored. In this study, 14 plots were established based on the three extents of regenerated plant numbers in Shanxi Province. Redundancy analysis determined that environmental factors (topography, stand structure, soil property, and litter) affected natural regeneration. Structural equation modeling identified the most important direct and indirect factors that affected L. principis-rupprechtii natural regeneration. Litter thickness, canopy density, and adult tree diameter at breast height were positively correlated with natural regeneration. Aspect and total nitrogen volume were negatively associated with natural regeneration. Additionally, there was no significant correlation between natural regeneration and other environmental factors (altitude, slope, adult tree height, stand density, soil water content, SOC, total P, available N, available P, or soil enzyme). Further artificial intervention measures should be considered to promote plantation regeneration. These findings provide an effective basis for future forest restorations and sustainable management.

Research on GGDP Accounting Systems Based on The Entropy Weight Method and Coefficient of Variation Method

GDP is a standard indicator of economic development. However, it ignores resource consumption and other factors and does not effectively reflect the inherent defects of the economic growth level. To comprehensively measure the sustainability of economic and environmental conditions, this paper, based on the GDP accounting system, considers resource consumption and environmental pollution in the development process and establishes the GGDP accounting system reflecting sustainable development. Specifically, this paper defines GGDP and analyzes four direct and three indirect influences of GGDP on environmental consumption cost. It uses the entropy weight method - coefficient of variation method to build the GGDP optimization model and finally gets the direct factor weight of 0.522 and indirect factor weight of 0.478.

Analisis Kepemilikan Jamban dan Pengelolaan Sampah dengan Kejadian Stunting

Stunting is a global concern and is a target of the Sustainable Development Goals (SDGs). Stunting is caused by direct factors such as nutritional intake and infectious diseases as well as indirect factors such as sanitation, hygiene, food security and parenting styles. Where ownership of latrines and waste handling are part of sanitation. This study aims to analyze latrine ownership and waste handling with stunting incidents. This type of research is a quantitative study with a cross-sectional design. The population of this study were all children under five aged 0-59 months from the working area of the 11 Ilir Public Health Center, Palembang City, with a total of 301 people. Sampling was carried out by accidental random sampling and obtained a total sample of 102 respondents. Data collection was carried out using questionnaires, observation sheets to measure latrine ownership and waste handling and microtois to measure stunting. Data processing was carried out by univariate and bivariate analysis.Relationship between latrine ownership and the incidence of stunting (p value = 0.000) and the relationship between waste handling and stunting (p value = 0.000). There is a relationship between latrine ownership and waste handling with the incidence of stunting.&#x0D;

Impact of climate change on SARS-CoV-2 epidemic in China.

The outbreak and prevalence of SARS-CoV-2 have severely affected social security. Physical isolation is an effective control that affects the short-term human-to-human transmission of the epidemic, although weather presents a long-term effect. Understanding the effect of weather on the outbreak allow it to be contained at the earliest possible. China is selected as the study area, and six weather factors that receive the most attention from January 20, 2020 to April 30, 2020 are selected to investigate the correlation between weather and SARS-CoV-2 to provide a theoretical basis for long-term epidemic prevention and control. The results show that (1) the average growth rate (GR) of SARS-CoV-2 in each province is logarithmically distributed with a mean value of 5.15%. The GR of the southeastern region is higher than that of the northwestern region, which is consistent with the Hu Line. (2) The specific humidity, 2-m temperature (T), ultraviolet (UV) radiation, and wind speed (WS) adversely affect the GR. By contrast, the total precipitation (TP) and surface pressure (SP) promote the GR. (3) For every 1 unit increase in UV radiation, the GR decreases by 0.30% in 11 days, and the UV radiation in China is higher than that worldwide (0.92% higher per day). Higher population aggregation and urbanization directly affect the epidemic, and weather is an indirect factor.

Bridging the knowledge gap of biomedical HIV prevention tools among sub-saharan african immigrants in France. Results from an empowerment-based intervention

IntroductionBiomedical HIV prevention tools are available in France to prevent new infections. However, evidence suggests a lack of knowledge of these tools among sub-Saharan African immigrants, who are particularly affected by HIV due to social hardship, an indirect factor of HIV acquisition. We analysed the impact of an empowerment-based intervention on the knowledge of treatment as prevention (TasP), pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) in a population of precarious sub-Saharan African immigrants. MethodsData were collected throughout the MAKASI project. Following an outreach approach, participants were recruited in public places based on their precarious situations and followed for six months (0, 3, 6 months) between 2018 and 2021. Participants were randomized into two groups and received an empowerment intervention sequentially (stepped wedge design). We used random-effects logistic regression models to evaluate the intervention effect on the knowledge of biomedical HIV prevention tools. ClinicalTrials.gov Identifier: NCT04468724. ResultsThe majority of the participants were men (77.5%), and almost half of them had arrived in France within 2 years prior to inclusion (49.3%). At baseline, 56% of participants knew about TasP, 6% knew about PEP and 4% knew about PrEP. Receiving the intervention increased the odds of knowing about PEP (aOR = 2.02 [1.09–3.75]; p < 0.026). Intervention effects were observed for TasP and PrEP only after 6 months. We found significant time effects for PEP (at 3 months, aOR = 4.26 [2.33–7.80]; p < 0.001; at 6 months, aOR = 18.28 [7.39–45.24]; p < 0.001) and PrEP (at 3 months, aOR = 4.02 [2.10–7.72]; p < 0.001; at 6 months, aOR = 28.33 [11.16–71.91]; p < 0.001). ConclusionsWe showed that the intervention increased the knowledge of biomedical HIV prevention tools. The effect of the intervention was coupled with an important time effect. This suggested that exposure to the intervention together with other sources of information contributed to increased knowledge of biomedical HIV prevention tools among precarious sub-Saharan African immigrants.

Fast cultural evolution of Crossbill (Loxia spp.) calls in the Palaearctic

Learned vocal signals of birds provide one of the most comprehensive sources of evidence for culture in animals. Such vocal signals often vary spatially and temporally. Signal variation can be driven by direct factors such as cultural drift and selection or by indirect factors such as changes in the environment, which may affect morphology and therefore acoustic capability. In this study we analysed flight and excitement calls of several call types of the Red Crossbill Loxia curvirostra and other crossbill species. Calls were recorded between 1962 and 2019 across the Palaearctic region. We measured acoustic similarity within flight and excitement calls and modelled the size of the effect attributed to temporal and geographical distance. Geographical distance between different sampling locations explained less call variation compared with temporal distance, and temporal variation within the excitement calls was smaller than in the flight calls. We conclude that calls of most call types of Red, Scottish and Parrot Crossbill are an example of cultural evolution. We suggest that excitement calls are less modifiable because they can serve better in dangerous situations when they are stable in time and space. In addition, we found no clear support for increasing or decreasing flight call similarity of call types while or after being in contact, as found in another study from North America. The reasons for the cultural evolution in calls of Palaearctic crossbills remain unclear.

Identifying barriers and facilitators to the inclusion of older adults living in UK care homes in research: a scoping review

BackgroundWith an ageing population, older adults will have more complex health and social care needs and many of these older adults will be living in care homes. Despite the growth in care home populations, care home residents are often excluded from research that could potentially benefit their care. The purpose of this scoping review is to explore resident-related barriers and facilitators to including older people living in UK care homes in research and to identify potential approaches to modify such barriers.MethodThe 6-stage scoping review methodology framework proposed by Arksey and O’Malley guided this review. Five electronic databases (MedLine, PsychINFO, Scopus, Web of Science, CINAHL) and grey literature were searched. Identified articles went through two levels of screening, and those deemed relevant were collated, summarised and reported using a thematic analysis approach.Results90 reports were eligible for inclusion and were synthesised into 7 themes and related subthemes: (1) research design; (2) understanding and beliefs about research (resident and care home staff); (3) communication; (4) relationships; (5) eligibility criteria (resident and care home); (6) preference-based decisions; and (7) care home staff and environment. Given the complex interplay of the factors identified, both direct and indirect factors were included.ConclusionsA number of recurring barriers and facilitators to the inclusion of care home residents in research are reported. However, isolating resident-related barriers was complex as both direct and indirect factors must be considered as influential. Understanding the barriers and facilitators to inclusion will enable these factors to be addressed and increase the evidence-base for care provided to older people living in care homes.

Factors Affecting the Quality of Sleep and Social Participation of Stroke Patients.

(1) Background: Stroke patients are exposed to various psychosocial factors, such as depression, anxiety, and stress, which can cause problems with respect to their quality of sleep and social participation. (2) Objectives: We analyzed the causal relationships between the factors affecting sleep quality and social participation in hospitalized and community-based stroke patients using a path analysis model. (3) Methods: A questionnaire survey was administered to stroke patients from June to November 2020 using the Pittsburgh Sleep Quality Index to assess sleep quality; the Beck Depression Inventory to assess depression; the Beck Anxiety Inventory to assess anxiety; the Stress Scale to assess stress; and the Reintegration to Normal Living Index to assess participation. The data thus obtained were subjected to descriptive statistics, frequency analysis, and Pearson correlation analysis. In addition, anxiety, stress, and spasticity were set as exogenous variables to perform path analysis of their causal effects on depression (parameter), sleep quality, and social participation (final endogenous variables). (4) Results: In total, 145 people participated in this study, and the data of 129 people, excluding 16 insincere respondents, were analyzed. The general characteristics of the subjects comprised 84 males (65.1%) and 45 females (34.9%). Poor sleep quality comprised 54.3%, and good sleep quality comprised 45.7%, where the average age was 58.29 ± 15.46 years and the duration from onset was 39.73 ± 51.49 months. This study confirmed correlations between social participation and sleep quality, spasticity, depression, anxiety, and stress. Path analysis also revealed that anxiety and stress led to depression and that depression is a risk factor for sleep quality and social participation. (5) Conclusions: Sleep quality and social participation in stroke patients play an important role in rehabilitation. By carrying out this study, direct and indirect factors that affect sleep quality and social participation were analyzed, and the quality level in rehabilitation treatment should be improved from a structural point of view when approaching psychosocial factors.