Significant Mediator Research Articles

Examining the Influence of Locus of Control on Citizenship Behavior: The Mediating Role of Naturalistic Intelligence in Urban Sustainability

This study aims to examine the relationship between Locus of Control (LOC), Naturalistic Intelligence (NI), and Behavioral Citizenship (BC) in the context of sustainable cities in Indonesia. The primary objective is to investigate how LOC influences BC and the mediating role of NI in this relationship. The research was conducted in Tanjung Priok, North Jakarta, with a sample of 200 participants. Data were collected using a questionnaire with a 5-point Likert scale, and analysis was performed using Path Analysis with SmartPLS software. The key findings demonstrate that LOC positively impacts both NI and BC, with NI serving as a significant mediator between LOC and BC. Individuals with a high sense of control over their lives and strong naturalistic intelligence are more likely to engage in pro-environmental and community-oriented behaviors. These findings underscore the importance of psychological factors in promoting sustainable citizenship behaviors. The study contributes to the literature by highlighting the role of naturalistic intelligence as a crucial mediator in the relationship between personal control and active citizenship. It also offers practical insights for urban policymakers and community leaders, emphasizing the need to incorporate environmental education and psychological empowerment into urban sustainability programs to foster greater community engagement and responsibility.

Linking Accessibility, Easiness and Satisfaction of Users for Public Service Deliveries Through ICTs: Do Amenities Make Things Better?

This study explores the complex relationships between the accessibility of information and communication technologies (ICTs) in rural Haryana and user satisfaction with public services. The study explores how ‘easiness’ mediates the relationship between accessibility and satisfaction, putting forth a complex model of moderated mediation in which amenities play a key moderating role. Using a large dataset of 981 respondents, the study makes use of several advanced statistical techniques. The results show that there is a significant mediation impact of ease of use in the link between accessibility and satisfaction. Additionally, the study reveals that amenities have a moderating effect on this association, influencing its nature and degree of strength. Remarkably, the ease of use mediates the indirect effect of accessibility on satisfaction, which is strongest in areas with a lot of good or high-quality amenities. All things considered, this study makes a substantial contribution to our understanding of the complex interactions between accessibility, ease of use, conveniences and user satisfaction when it comes to ICT-based public service delivery in rural regions. The information gathered has important policy implications since it highlights how facilities and technology accessibility play a crucial role in increasing user satisfaction in rural development programs.

Perceived Social Support Mediates the Relationship Between Benefit Finding and Depressive Symptoms Among Young and Middle-Aged Stroke Survivors and Their Spouse Caregivers

Background Existing literature indicates that benefit finding and social support play protective roles against depressive symptoms. However, there is a lack of understanding regarding the interplay between benefit finding, social support, and depressive symptoms within the dyadic context of stroke survivor-spousal caregiver relationships. Objective The objective of this study is to investigate the relationships among benefit finding, social support, and depressive symptoms in young and middle-aged stroke survivors and their spouse caregivers. In addition, the mediating role of social support in the association between benefit finding and depressive symptoms is explored. Methods A total of 203 pairs of stroke survivor-spouse caregiver were included in the study. Depressive symptoms, social support, and benefit finding were measured using the Patient Health Questionnaire-9, the Perceived Social Support Scale, the Benefit Finding Scale, and the Caregiver Benefit Finding Scale. The Actor-Partner Interdependence Mediation Model was used to assess direct and indirect effect. Results The findings revealed a significant negative association between higher levels of benefit finding and lower depressive symptoms in both stroke survivors (actor effect, −0.126) and spousal caregivers (partner effect, −0.044). Perceived social support emerged as a significant mediator in the relationship between benefit finding and depressive symptoms in spousal caregivers (indirect effect, −0.024). Furthermore, spousal caregivers' perceived social support served as a mediating variable between caregiver benefit finding and depressive symptoms in stroke survivors (indirect effect, −0.023). Conclusion The study underscores the interdependence between stroke survivors and spousal caregivers, highlighting the mutual influence they have on each other. Consequently, targeted interventions addressing both members of the dyad, with a focus on enhancing benefit finding and social support, could prove beneficial in ameliorating depressive symptoms in stroke survivor-spousal caregiver.

Capability choices in tourism and economic activities: The influence of human development

We applied Sen’s capabilities approach to examine how human development influences the association between tourism expansion and economic growth in different groups of developed, developing, and transitional countries. The mediation test explores the distinctive patterns of the Human Development Index as a mediator between tourism and per capita GDP. Developed nations exhibit a significant negative mediation effect, hinting at saturation and competition challenges, while developing and transition economies showcase a positive and considerable mediation effect, emphasizing the potential for tourism to fuel economic growth under favorable human development conditions. In addition, we conducted a convergent cross-mapping causality test highlighting the contextual nuances in the tourism-growth relationship.

Exacerbation of paranoia-like thoughts following exposure to common misophonia trigger sounds

Paranoia-like thoughts refer to heightened suspicions and unfounded beliefs about being watched or persecuted by others. Recent research has found a significant correlation between misophonia symptoms, a form of decreased sound tolerance, and paranoia-like thoughts, both of which are linked to heightened negative emotions in clinical and non-clinical populations. Notably, it has been observed that misophonia may also be associated with the tendency to attribute hostile intent to those producing triggering sounds, a feature consistent with paranoid ideation (i.e., perceptions of intentional harm). However, existing research is based on correlational data, limiting causal inference. Therefore, an online study involving a non-clinical sample (N = 487) employed an experimental approach to examine the relationship between misophonia symptoms, negative emotional response, and paranoia-like thoughts. Participants were randomly assigned to one of four task conditions, each related to exposure to different stimulus types: orofacial human-produced sounds, non-human sounds, sounds without visual context, or visuals devoid of sound. The results of mixed model ANOVA and mediation analysis revealed that exposure to common misophonia trigger sounds with a human-related visual context raised, but not significantly, the levels of paranoia-like thoughts. However, it did lead to a significant increase in negative emotions, which, in turn, proved to be a significant mediator of an increase in paranoia-like thoughts. Conversely, exposure to non-human sounds or to only audio/visual stimuli either decreased both negative emotions and paranoia-like thoughts or showed no significant change. This emphasized the role of context and the involvement of negative emotional response to human-made sounds in amplifying paranoia-like thoughts. Importantly, this effect was observed in individuals who do not meet the provisional diagnostic criteria for misophonia, suggesting that symptoms of misophonia may extend beyond clinical diagnoses, with milder manifestations potentially being present within the general population.

The associations between exposure to ambient air pollution and coagulation markers and the potential effects of DNA methylation

Previous studies have illustrated the pivotal role of coagulation biomarkers in the link between air pollution and cardiovascular disease (CVD). However, inconsistencies remain in the conclusions, with limited studies conducted in rural areas of China. We conducted a panel study in rural areas of Henan Province, China. Considering the potential effect modifications of atherosclerotic cardiovascular disease (ASCVD) risks, 104 participants were enrolled, comprising two matched groups: 52 with high ASCVD risks and 52 with low ASCVD risks. DNA methylation at CpG sites and coagulation indices were measured for all participants. Linear mixed-effect regression models were used to evaluate the associations between ambient air pollution, coagulation biomarkers, and DNA methylation. We observed that for every 5-day standard deviation (SD) increment of PM2.5 (11.91μg/m³) and PM10 (13.65μg/m³), fibrinogen increased by 7.70% (95%CI: 2.27, 13.12) and 8.50% (95%CI: 2.46, 14.55), respectively. SO2 (6.95μg/m³) was associated with 40.25% (95%CI: 14.83, 65.67) increase in plasminogen activator inhibitor-1 (PAI-1). Decreased methylation at CpG sites was associated with exposure to air pollution. However, DNA methylation did not mediate the association between ambient air pollution and coagulation. Our study revealed the harmful impact of ambient air pollution on coagulation function but found no significant mediation effects of DNA methylation.

Relationship Between Continuous Improvement and Organizational Performance in A European Bank: The Mediating Role of Organizational Learning

This study attempted to determine the relationship between continuous improvement and organizational performance, with organizational learning functioning as the mediating variable, among Data and Analytics professionals at a European Bank located in Manila. The descriptive-correlational research design was used to determine if there are existing relationship between continuous improvement and organizational performance as its independent and dependent variables, respectively. The components of continuous improvement were management empowerment and leadership and employee participation. The following were the parameters used for assessing organizational performance: cost-effectiveness, business objectives, customer satisfaction, employee satisfaction, and innovation. The survey containing Continuous Improvement Questionnaire, Dimensions of Learning Organization Questionnaire (DLOQ) and Organizational Performance Questionnaire were distributed among data and analytics professionals with the goal of gathering data. The study’s findings indicated a significant relationship between continuous improvement and organizational performance. Furthermore, there was a significant mediation influence with organizational learning; however, on a partial level, as continuous improvement positively influences organizational performance. The study concluded with an understanding of an implication and the development of recommendations for the organization and future researchers that could be useful in the study of continuous improvement, organizational learning, and organizational performance.

The mediating role of health literacy for COVID-19 between preventive behaviors and quality of life

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic rapidly developed around the world. Plenty of health information about the virus was available from multiple media platforms, but such information was not always accurate. Identifying misinformation depends on an individual's health literacy. AimsThe purposes of this study were to explore sociodemographic factors affecting health literacy in terms of COVID-19 and preventive behaviors, and relationships among health literacy, preventive behaviors, and quality of life by path modeling. MethodsA cross-sectional study design was conducted in July to November 2020. Participants were healthy adults aged over 20 years in the United States. Data collection used self-developed questionnaires designed by our research team and the World Health Organization-Quality of Life Scale. Descriptive analyses, independent t-tests, a one-way analysis of variance, and a partial least squares path model were performed for the statistical analyses. ResultsIn total, 467 people responded. Results showed significant differences in health literacy and preventive behavior scores in terms of age, gender, alcohol consumption, smoking status, being a health professional, and having been tested for COVID-19. A significant path model was developed with satisfactory to good composite reliability, good convergent validity and discriminant validity, and an acceptable model fit. ConclusionsHealth literacy was a significant mediator between preventive behaviors and quality of life in the path model. Individuals can improve their health literacy to reinforce engaging in preventive behaviors and promoting quality of life during the pandemic.

Moderating effect of entrepreneurial self-efficacy on the strength of the mediated relationship between networking capabilities and SME performance via entrepreneurial competencies

The purpose of this study was determine the effect of networking capabilities on firm performance while controlling for entrepreneurial competencies, to determined the moderating effect of entrepreneurial self-efficacy on the relationship between entrepreneurial competencies and SME performance and ultimatrely to establish the moderating effect of entrepreneurial self-efficacy on the strength of the mediated relationship between networking capabilities and Small and Mediam Enterprises (SME) performance via entrepreneurial competencies. The study sdopted the positivist research philosophy asserting the existence of an objective reality that can be quantified, offering both explanatory and predictive capabilities. The research adopted an explanatory research design. Hayes Model 4 and 59 process Macro approach was used to analyse data and test the hypotheses. The results showed that networking capabilities had a significant direct effect on firm performance. The study also revealed that the interaction of entrepreneurial self- efficacy between the entrepreneurial competencies and firm performance was significant. Ultimately, the study determined the conditional indirect effect of Entrepreneurial Self-Efficacy (ESE) on the strength of the mediated relationship between networking capabilities and SME performance via entrepreneurial competencies. The study concluded that positive and significant moderated mediation analysis was evident. More importantly, the conditional indirect effect was much stronger with firms having lower levels of ESE. The study concluded that entrepreneurial self-efficacy has significant conditional indirect effect on the strength of the mediated relationship between networking capabilities and SME performance via entrepreneurial competencies. These findings emphasise the importance of self-efficacy, networking capabilities and competencies of the entrepreneurs as a predictor to improved firm performance.

Does sleep quality mediate the association between post-traumatic stress disorder symptom severity and pain interference in trauma-affected refugees?

Poor sleep quality is well recognised in both post-traumatic stress disorder (PTSD) and pain conditions. Comorbid chronic pain is prevalent in populations with PTSD and is believed to maintain symptoms of PTSD and increase the complexity of the condition. Ongoing diminished sleep quality may serve to maintain pain and PTSD symptoms, and thus affect the efficacy of first-line PTSD treatment. This study examined the mechanisms underlying the PTSD-pain relationship over time by investigating if perceived sleep quality mediates the relationship between PTSD symptom severity and levels of pain interference. Furthermore, we considered whether the interrelation between these three variables could in fact be linked in an alternative model where the causality was reversed, with pain interference mediating the relation between PTSD severity and perceived sleep quality. Relationships among our variables were assessed within a path analysis framework, conducted and controlled for covariates using structural equation modelling and mediation analysis. The analysis of our hypothesised model revealed that improvement in perceived sleep quality was a significant partial mediator of the association between reduction in PTSD severity and pain interference. Approximately 28% of the effect of PTSD severity on pain interference was mediated by improvement in perceived sleep quality. Evaluation of our alternative model revealed a non-significant mediation effect. Sleep thus represents a modifiable mechanism that contributes to the mutual maintenance of PTSD and pain. The study is the first to investigate these relationships in trauma-affected refugees and thus contributes new knowledge and clinical implications for the treatment of poor sleep quality and pain symptomatology in trauma-affected refugees.

Online Self-Presentation, Self-Concept Clarity, and Depressive Symptoms: A Within-Person Examination.

Although social media provides a crucial platform for self-development in emerging adulthood, the link between online self-presentation and mental health outcomes remains unclear. Thus, the associations among real self, ideal self, different types of false self-presentations, and depressive symptoms were examined over time (T1-T3) in the present study, along with the mediating role of self-concept clarity. Participants (N = 1,217, Mage = 18.14, 71% female-identifying) completed a survey three times over one year. Random-intercept cross-lagged panel modelling indicated that individuals presenting themselves authentically tended to demonstrate stronger self-concept clarity and fewer depressive symptoms. Those engaging in false-deceptive, compare/impress, and ideal self-presentation tended to have weaker self-concept clarity and more depressive symptoms. A within-person bidirectional association was found between false-deceptive self-presentation and depressive symptoms. Within-person increases in false-explore self-presentation predicted increases in depressive symptoms, whereas increases in compare/impress self-presentation predicted decreases in depressive symptoms. Self-concept clarity was not a significant mediator. The findings suggest that promoting authentic online self-presentation may support self-concept clarity and reduce risk of mental health challenges in emerging adults. However, engaging in false-deceptive online self-presentation (both greater than typical levels and compared to others) may increase risk of mental health challenges, and vice versa.

Examination of perception of threat from emotion as mechanisms underlying the relationship between obsessive compulsive symptom dimensions and anxiety symptoms

BackgroundThe present study examined the mediating role of perceived threats from anxiety in the relationships among trait anxiety, state anxiety, and the obsessive–compulsive symptom dimension in obsessive–compulsive disorder (OCD).MethodsPatients with OCD (N = 170) completed scales assessing trait and state anxiety, OCD dimensions symptom severity, and perceived threat from anxiety with mediation analyses.ResultsPerceived threat from anxiety appears to be a significant mediator between trait anxiety and harm and unacceptable thoughts symptom dimensions; perceived threat from anxiety had minimal power as a mediator in the relationship between trait anxiety and in the contamination or symmetry dimensions. However, there were no significant relationships between state anxiety and harm and mistakes, unacceptable thoughts or symmetry dimensions except for the contamination dimension.ConclusionsThe findings from our study indicate the significance of perceived threats of anxiety as a mediator function between trait anxiety and OCD symptom dimensions, which may be a maintenance factor. Enhancing the recognition of the role of cognitive mechanisms in the association between trait anxiety rather than state anxiety and different obsessive–compulsive symptom dimensions could contribute to the development of dimension-specific interventions.

STUDENTS' INQUIRY AND SCIENCE-RELATED ATTITUDE AS MEDIATED BY SELF-CONCEPT

<p>The study determined the mediating effect of self-concept on the relationship between students’ inquiry and science-related attitudes of students. This study used a quantitative research design that covered mediation analysis and descriptive survey methods. A stratified random sampling technique was used in this study, with a sample of 300 students drawn from the STEM and GAS senior high school departments of chosen public schools in the Davao Oriental division. To gather data, the researcher used an adapted survey questionnaire, which was modified to suit the context of the research study. Results showed that students’ inquiry, self-concept, and science-related attitudes were high or often manifested. There was also a significant relationship between students’ inquiry and science-related attitudes, students' inquiry and self-concept, and self-concept and science-related attitudes. Further, there was a significant but partial result of the Medgraph using the Sobel z-test of self-concept on the relationship between students' inquiry and science-related attitudes. There was a significant partial mediation between these variables. The study demonstrated a significant partial mediation of self-concept on the relationship between students' inquiry toward science-related attitudes of senior high school students.</p><p>UN’s Sustainable Development Goals (SDG) No. 4 Quality Education.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0909/a.php" alt="Hit counter" /></p>

Influence of Brand Promotion on The Reputation of Private Universities with Co-Creation as a Mediating Variable

This study evaluates the influence of private universities' brand promotion, co-creation, and reputation on the purchase intention of prospective students in Palembang. The variables studied include brand promotion as the independent variable, private university reputation as the dependent variable, and co-creation as the mediator variable. This study used quantitative analysis with hypothesis testing and involved eleven randomly selected alumni of private universities in Palembang. The results showed that brand promotion positively and significantly influences private university reputation and co-creation. In addition, co-creation also has a positive and significant influence on private college reputation and acts as a significant mediator in the relationship between brand promotion and college reputation. These findings confirm that brand promotion and co-creation play an essential role in enhancing the reputation of private colleges and attracting prospective students.

A mediation study of appreciation culture with academic backgrounds, parents’ involvement, absorption capacity and academic performance

PurposeThe aim of the study is to test the relationship between academic backgrounds, parents’ involvement and absorption capacity with academic performance through the mediation effect of appreciation culture.Design/methodology/approachThe study was conducted on university students from Pakistan. Data were collected through personal visits using self-administered questionnaires. A total of 394 students participated in this study. The data analysis for this study was conducted using Smart-PLS 4.FindingsThe findings of the study confirmed a significant association between academic backgrounds, parents’ involvement and absorption capacity with academic performance. Results also confirmed a significant mediation of appreciation culture between independent variables’ academic backgrounds, parents’ involvement and absorption capacity with dependent variable academic performance.Originality/valuePresently, there is a shortage of comprehensive studies that investigate the collective influence of appreciating culture, academic backgrounds, parental involvement and absorption capacity on academic performance. Moreover, there is a lack of exploration of the implementation of the theory of reasoned action (TRA) along with the theory of academic performance (TAP) in this particular setting. This research aims to fill these gaps by investigating these aspects within an integrated framework, providing significant insights into the existing body of literature.

Comprehending self-compassion manifestations and their relationships among adults diagnosed with ADHD: A foundation for recovery-based interventions

Background: Enhancing self-compassion ( SC) was found to enhance Quality of Life ( QoL). There is a need to comprehend SC manifestations among adults with attention deficit hyperactivity disorder (ADHD) who experience low QoL to provide a foundation for Recovery-based interventions aiming to enhance SC and QoL among adults with ADHD. Objective: To explore SC manifestations and their relationships with ADHD symptoms and ADHD related QoL. Methods: A cross-sectional survey used self-rated questionnaires for ADHD symptoms, QoL and SC among 32 adults with ADHD, recruited by a volunteer community sampling. Results: Moderate overall SC was noted. Negative SC means were found to be higher than the positive SC means. The positive SC subscale common humanity had the lowest mean while the negative SC subscale overidentification had the highest mean. Overall SC level was found to significantly contribute to ADHD symptoms in predicting QoL variance. Overidentification was found to be a significant partial mediator between ADHD symptoms and QoL. Conclusion: Recovery-based interventions aiming to decrease the tendency of adults with ADHD to overidentify with their negative thoughts and feelings and to enhance their realization that their difficulties are shared by others, may have the potential to enhance SC and QoL.

Positive cascades effect in care leavers resilience processes: the association of self-compassion, SRH, self-efficacy and readiness for independent living

Young adults transitioning from out-of-home placements to independent living face numerous challenges, navigating a pivotal shift without familial support and while facing diminishing care resources. Research on protective factors for care leavers in independent living is limited, necessitating an expansion of theoretical knowledge to enhance their readiness for independent living. This study aimed to investigate the association between self-compassion, self-rated health (SRH), and self-efficacy in explaining the readiness of care leavers for independent living. A sample of 171 Israeli care leavers residing in transitional housing programs participated in the study using a self-reported questionnaire. Path analysis was employed to explore the direct and indirect effects of self-compassion, SRH, and self-efficacy on readiness for independent living. The study variables collectively explained 47% of the variance in readiness for independent living. Mediation analyses indicated that self-efficacy significantly mediated the association between self-compassion and readiness for independent living. Both self-efficacy and self-rated health served as mediators in the relationship between self-compassion and independent living readiness. Moreover, SRH emerged as a significant mediator in the association between self-efficacy and readiness for independent living. The study’s findings highlight the possible positive cascades initiated by self-compassion in resilience pathways, shaping internal experiences and leading to tangible outcomes in the capacity of care leavers to navigate independent living post-discharge from care. These findings can contribute to interventions that facilitate a successful transition to independence among care leavers.

Impact of the Sloping Land Conversion Program on Rural Household Income in China

As the largest Payment for Environmental Services (PESs) program in China, the Sloping Land Conversion Program (SLCP) has exerted a profound impact on both the ecosystems and rural households’ livelihoods. However, the direct impact and indirect impact mechanism of the SLCP on income remain poorly understood. To bridge this research gap, a unique dataset was used in this study, comprising more than 1200 sampled rural households from 1995 to 2016. An estimation was conducted regarding the direct impact of the SLCP and its subsidy changes in different implementation stages on rural household income, as well as the indirect impact mechanism of the SLCP on income. Our results provided twofold findings. First, participation in the first round of the SLCP increased rural household’s income by 4.63% compared with non-participation. However, in the transition period, the SLCP had no significant effect on the total income of rural households. In the subsidy extension and subsidy expiration stages, participation in the SLCP increased rural household total income by 12.53% and 11.77%, respectively. Second, the variables, including farmland area, forestland area, land-based production expenditure, land-based labor input, and off-farm labor input, had significant mediation effects on the impact of the SLCP on rural household income. To improve the implementation of the SLCP, policymakers could pay attention to more integrative approaches, such as forestland transfer, reduction in forestland fragmentation, and promotion of off-farm job opportunities.

Perceived school climate, collective teacher efficacy, self-compassion, and subjective well-being in Chinese university teachers: a mediation analysis

This research investigates the relationships between perceived school climate, collective teacher efficacy, teacher self-compassion, and their combined impact on the subjective well-being of Chinese university teachers (n = 617). Utilizing a social-ecological framework, we employed structural equation modeling (SEM) to examine these relationships. Our findings reveal direct positive associations between perceived school climate and collective teacher efficacy with teacher subjective well-being. Furthermore, teacher self-compassion emerged as a significant mediator in these relationships, highlighting its role as a crucial personal resource that links the school environment to individual well-being. These results underscore the importance of fostering positive school climates, enhancing collective efficacy, and cultivating self-compassion to support teacher well-being in the context of Chinese higher education. The implications of these findings for educational policies and practices aimed at promoting a more sustainable and flourishing academic environment are discussed.

Government Digital Transformation and the utilization of Basic Public Health Services by China’s migrant population

BackgroundThis research delves into the ramifications of Government Digital Transformation (GDT) on Basic Public Health Services (BPHS) utilization among China’s migrant populace. Within the framework of escalating digital incorporation into public services, it becomes imperative to assess how GDT initiatives could ameliorate healthcare access for migrants, a group habitually confronted with systemic obstacles. Such scrutiny is crucial for the formulation of evidence-based policies that harness digital innovations to mitigate healthcare disparities.MethodsThe analysis employs data from the 2018 China Migrants Dynamic Survey, matched with details on the National Pilot Cities for Information Benefit to the Public policy at the prefecture city level, yielding a dataset comprising 113,905 observations. To gauge BPHS utilization among migrants, two indicators were developed: the establishment of health records and registration with family doctors. The influence of GDT on BPHS access was estimated utilizing Ordinary Least Squares regression for the initial analysis, incorporating a comprehensive array of individual and household attributes, alongside province fixed effects, to ensure a thorough evaluation.ResultsBaseline regression analyses revealed that GDT is significantly correlated with an enhanced probability of migrants establishing health records and registering with family doctors, with increases of 7.53% and 2.75%, respectively. Subsequent robustness checks, including sensitivity analyses with alternate dependent variables, the Propensity Score Matching method, Double/Debiased Machine Learning method, and placebo tests, further substantiated these findings. Additionally, the analysis explored mechanisms through which GDT facilitates BPHS access, identifying health information accessibility as a significant mediator in promoting healthcare engagement among migrants. Notably, both individual and regional heterogeneity were observed in GDT’s impact: female migrants, those with lower educational levels, older individuals, and rural hukou holders experienced more pronounced benefits, while the effects of GDT were also stronger in cities with lower GDP and smaller populations. These findings suggest that GDT is particularly effective in bridging healthcare access gaps in economically or demographically constrained areas.ConclusionsThe outcomes underscore that GDT significantly enhances BPHS utilization among migrants, positioning digital governance as an instrumental mechanism in bridging healthcare access gaps. The observed differential impacts across various subgroups and regions emphasize the importance of customized digital health strategies that cater to the diverse needs of migrant communities. For instance, targeted interventions in lower-GDP or smaller cities could maximize the benefits of GDT in under-resourced areas. Contributing to the body of empirical evidence on digital governance and public health, this research advocates for the expanded deployment of GDT initiatives to foster more equitable health service provision for migrant demographics, promoting inclusivity within a rapidly urbanizing society.