RESUMEN
Prior studies reported excess rates (ERs) of cardiorespiratory events associated with short-term increases in PM2.5 concentrations, despite implementation of pollution-control policies. In 2017, Federal Tier 3 light-duty vehicle regulations began, and to-date there have been no assessments of population health effects of the policy. Using the NYS Statewide Planning and Research Cooperative System (SPARCS) database, we obtained hospitalizations and ED visits with a principal diagnosis of asthma or chronic obstructive pulmonary disease (COPD) for residents living within 15 miles of six urban PM2.5 monitoring sites in NYS (2014-2019). We used a time-stratified case-crossover design and conditional logistic regression (adjusting for ambient temperature, relative humidity, and weekday) to estimate associations between PM2.5, POC (primary organic carbon), SOC (secondary organic carbon), and rates of respiratory disease hospitalizations and emergency department (ED) visits from 2014 to 2019. We evaluated demographic disparities in these relative rates and compared changes in ERs before (2014-2016) and after Tier 3 implementation (2017-2019). Each interquartile range increase in PM2.5 was associated with increased ERs of asthma or COPD hospitalizations and ED visits in the previous 7 days (ERs ranged from 1.1%-3.1%). Interquartile range increases in POC were associated with increased rates of asthma ED visits (lag days 0-6: ER = 2.1%, 95% CI = 0.7%, 3.6%). Unexpectedly, the ERs of asthma admission and ED visits associated with PM2.5, POC, and SOC were higher during 2017-2019 (after Tier 3) than 2014-2016 (before Tier-3). Chronic obstructive pulmonary disease analyses showed similar patterns. Excess Rates were higher in children (<18 years; asthma) and seniors (≥65 years; COPD), and Black, Hispanic, and NYC residents. In summary, unanticipated increases in asthma and COPD ERs after Tier-3 implementation were observed, and demographic disparities in asthma/COPD and PM2.5, POC, and SOC associations were also observed. Future work should confirm findings and investigate triggering of respiratory events by source-specific PM.
Asunto(s)
Contaminantes Atmosféricos , Asma , Exposición a Riesgos Ambientales , Material Particulado , Material Particulado/análisis , Humanos , Contaminantes Atmosféricos/análisis , Persona de Mediana Edad , Exposición a Riesgos Ambientales/estadística & datos numéricos , Masculino , Anciano , Adulto , Femenino , Asma/epidemiología , Política Ambiental , Preescolar , Niño , Adolescente , Adulto Joven , Hospitalización/estadística & datos numéricos , Enfermedad Pulmonar Obstructiva Crónica/epidemiología , Contaminación del Aire/estadística & datos numéricos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Enfermedades Respiratorias/epidemiología , LactanteRESUMEN
Early victimization is associated with a range of psychological adaptation problems in young adulthood, including core self-evaluations. However, little is known about the mechanisms underlying the association between early victimization and young adults' core self-evaluations. This study examined the mediating role of negative cognitive processing bias and the moderating role of resilience in the relationship. A total of 972 college students were recruited to complete measures of early victimization, negative cognitive processing bias, resilience, and core self-evaluations. The results showed that early victimization significantly and negatively predicted the core self-evaluations in young adulthood. The negative association between early victimization and core self-evaluations was completely mediated by negative cognitive processing bias. Resilience moderated the relationship between early victimization and negative cognitive bias, and the relationship between negative cognitive processing bias and core self-evaluations. Resilience has both risk-buffering and risk-enhancing effects. In light of these results, in order to help victims maintain good mental health, we should intervene in individual cognitive factors. Notably, while resilience is a protective factor in most cases, the benefits of resilience should not be overstated. So, we should not only cultivate students' resilience but also provide them with more support and resources and intervene in risk factors at the same time.
Asunto(s)
Acoso Escolar , Víctimas de Crimen , Adulto Joven , Humanos , Adulto , Autoevaluación Diagnóstica , Autoevaluación (Psicología) , Acoso Escolar/psicología , Víctimas de Crimen/psicología , Instituciones AcadémicasRESUMEN
Previous research has revealed that parents' success-oriented response to children's performance promotes children's self-esteem, while failure-oriented response damages their self-esteem. However, the potential mediating mechanisms are unclear. Therefore, the present study investigated whether parent-child relationship and friendship quality mediated the relation between parents' response to children's performance and children's self-esteem. For this purpose, 859 children in Central China completed the Parents' Response to Children's Performance Scale, Buchanan Scale of Closeness to Parents (CPS), Friendship Quality Questionnaire (simplified version), and Self-Perception Profile tests. Structural equation modeling (SEM) revealed that: (1) parents' success-oriented response was positively associated with parent-child relationship, friendship quality, and children's self-esteem. Parents' failure-oriented response was negatively associated with parent-child relationship and children's self-esteem, but it was positively associated with friendship quality. (2) Parent-child relationship and friendship quality were identified as the serial mediators between parents' success- or failure-oriented response and children's self-esteem. These findings suggest that parents' failure-oriented response should be reduced and parents' success-oriented response should be increased to develop children's self-esteem and establish a sound social network system for children.