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This study is about the role of consumers' personal values (Self-enhancement, Openness to change, Self-transcendence, and Conservation) in consumers' interest towards meat alternatives. In addition, the underlying role of two social motives, status and group affiliation are analysed. A conceptual model with hypotheses was developed and validated, and the hypotheses were tested through PLS-SEM with data from four European countries (Finland, the UK, Germany, and Sweden, total N = 3600). The results show that self-focused personal values (Self-enhancement and Openness to change) are not associated with consumers' interest towards meat alternatives. The case is different with other-focused values. Self-transcendence had a positive connection to interest while Conservation had a negative relationship. Finally, the data suggest an underlying role of social motive status between Self-enhancement and interest and the same for group affiliation between Self-transcendence and Conservation and interest. Based on the results, strategies to support meat alternative adoption such as value activation through priming, cognition and emotion-driven marketing are proposed.
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Cognição , Motivação , Humanos , Europa (Continente) , Finlândia , Carne , Comportamento do ConsumidorRESUMO
BACKGROUND: The link between public health spending (PHS) and population health outcomes (PHO) has been extensively studied. However, in sub-Saharan Africa (SSA), the moderating effects of governance in this relationship are little known. Furthermore, studies have focused on mortality as the main health outcome. This study contributes to this literature by investigating the moderating role of governance in the relationship by simultaneously assessing three dimensions of governance (corruption control, government effectiveness and voice accountability) using disability-adjusted life years (DALYs) as a measure of outcomes. METHODS: The study applies the two-stage moderation approach using partial least squares structural equation modelling (PLS-SEM) to panel data from 43 SSA nations from 2013 to 2019. The study also uses domestic general government health expenditure (DGGHE) as an independent variable and disability-adjusted life years (DALY) as the dependent variable in this relationship. RESULTS: The analysis reveals that DGGHE affects DALY negatively and that governance improves the effect of DGGHE on DALY, with bigger improvements among countries with worse governance. CONCLUSION: These findings provide evidence that good governance is crucial to the effectiveness of PHS in SSA nations. Sub-Saharan Africa (SSA) countries should improve governance to improve population health.
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Gastos em Saúde , Saúde Pública , Anos de Vida Ajustados por Qualidade de Vida , Humanos , África Subsaariana , Análise dos Mínimos Quadrados , Saúde da População , Governo , Análise de Classes Latentes , Pessoas com Deficiência , Mortalidade , Financiamento GovernamentalRESUMO
Changes in the air temperature tend to indirectly affect soil erosion by influencing rainfall, vegetation growth, economic development, and agricultural activities. In this study, the partial least squares-structural equation model (PLS-SEM) was used to decouple the impacts of temperature change on soil erosion in Northeast China from 2001 to 2019, and the indirect effect of temperature change on the pathways of natural and socioeconomic factors was analyzed. The results showed that temperature increase in Northeast China caused an increase in soil erosion by increasing rainfall and promoting economic development. Under the pathway of natural factors, in spring, the promoting effect on soil erosion under the influence of temperature change on rainfall was greater than the inhibiting effect on soil erosion under by the influence of temperature change on vegetation. In summer, the opposite effect was observed. Under the pathway of natural factors, over time, the promoting effect of temperature increase on soil erosion increased by 22.7%. Under the pathway of socioeconomic factors, temperature change not only aggravated soil erosion by promoting economic development, but also indirectly increased investments in agriculture and water conservation by improving the economy, thus inhibiting soil erosion to a certain extent. Over time, the contribution of temperature change to soil erosion through socioeconomic pathway was reduced by 44.4%. When the pathway of natural factors is compared with that of socioeconomics factors, temperature change imposed a more notable effect on the change in soil erosion through the socioeconomic pathway, indicating that human activities are the driving factors with a greater effect on soil erosion. Based on this, reasonable human intervention is an important means to alleviate soil erosion aggravation caused by rising temperatures.
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Erosão do Solo , Solo , Humanos , Solo/química , Temperatura , Conservação dos Recursos Naturais , ChinaRESUMO
Incorporating Ecosystem Service Value (ESV) into land use planning provides a fresh perspective for informed land management decisions. ESV, influenced by socio-economic and natural factors, has complex driving mechanisms, particularly in China's southwestern karst regions. Studying mediating variables helps elucidate these mechanisms. Further research into ecosystem services interactions and effective land use policies in karst areas is needed. This study evaluates the ESV of Guizhou Province, located in southern China's karst region, using the benefit transfer approach. Combining the Guizhou Provincial Land Use Planning Outline (2006-2020) with the multi-objective programming (MOP) model optimized by genetic algorithm and the patch-generating land use simulation (PLUS) model, four future development scenarios were designed. The response of ESV to land use and land cover (LULC) changes at the county scale under four different development scenarios from 2000 to 2020 and in the future was analyzed. A partial least squares structural equation model (PLS-SEM) was used to decouple the driving mechanism affecting ESV. The results show that over the past two decades, with the implementation of various ecological restoration projects, the total ESV has increased. The ESV for natural development scenarios, ecological conservation scenarios, economic development scenarios, and sustainable development scenarios are CNY 238.278 billion, CNY 400.514 billion, CNY 283.201 billion, and CNY 323.615 billion, respectively. The direct impacts of karst surface characteristic factors (KSCF), meteorological factors (MF), socio-economic factors (SEF) and transportation location factors (TLF) on ESV are positive (0.098), negative (-0.098), positive (0.336), and positive (0.109) respectively. The total effect of KSCF on ESV through influencing socio-economic factors and LULC is (-0.738), with SEF playing a complete mediating role. MF indirectly affect ESV by influencing LULC, with LULC playing a complete mediating role in this process. The PLS-SEM model shows that under the dominant position of LULC, the interaction between natural environmental factors and socio-economic factors on ESV is very complex. This study offers valuable insights that can guide managers in this region, as well as in other karst regions globally, in the development of sustainable land use policies.
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Conservação dos Recursos Naturais , Ecossistema , Urbanização , Desenvolvimento Econômico , Desenvolvimento Sustentável , ChinaRESUMO
Replanting broadleaved trees in monoculture conifer plantations has been shown to improve the ecological environment. However, not much is known about the distribution properties of soil phosphate-mobilizing bacteria (PMB) under different mixed plantings or how PMB affects biometabolism-driven phosphorus (P) bioavailability. The phoD and pqqC genes serve as molecular markers of PMB because they regulate the mobilization of organic (Po) and inorganic (Pi) P. Differences in soil bioavailable P concentration, phoD- and pqqC-harboring PMB communities, and their main regulators were analyzed using biologically-based P (BBP) and high-throughput sequencing approaches after combining coniferous trees (Pinus massoniana) and five individual broadleaved trees (Bretschneidera sinensis, Michelia maudiae, Cercidiphyllum japonicum, Manglietia conifera, and Camellia oleifera). The findings revealed that the contents of litter P, soil organic carbon (SOC), available Pi (CaCl2-P), and labile Po (Enzyme-P) were significantly higher in conifer-broadleaf mixed plantations than those in the monospecific Pinus massoniana plantations (PM), especially in the mixed stands with the introduction of Cercidiphyllum japonicum, Michelia maudiae, and Camellia oleifera. Conifer-broadleaf mixing had little effect on the abundance of phoD and pqqC genes but significantly altered species composition within the communities. Conifer-broadleaf mixing improved soil microbial habitat mainly by increasing the pH, increasing carbon source availability and nutrient content, decreasing exchangeable Fe3+ and Al3+ content, and decreasing the activation degrees of Fe and Al oxides in acidic soils. A small group of taxa (phoD: Bradyrhizobium, Tardiphaga, Nitratireductor, Mesorhizobium, Herbaspirillum, and Ralstonia; pqqC: Burkholderia, Variovorax, Bradyrhizobium, and Leptothrix) played a key role in the synthesis of P-related enzymes (e.g., alkaline phosphomonoesterase, ALP) and in lowering the levels of mineral-occluded (HCl-P) and chelated (Citrate-P) Pi. Overall, our findings highlight that mixing conifers and broadleaves could change the PMB communities that produce ALP and dissolve Pi to make P more bioavailable.
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Fósforo , Microbiologia do Solo , Solo , Traqueófitas , Árvores , Fósforo/metabolismo , Solo/química , Traqueófitas/metabolismo , Árvores/metabolismoRESUMO
Traffic noise is a major problem for urban residents, especially near intersections. In order to effectively manage and control traffic noise, there is a need for a better understanding of noise-influencing variables at intersections. In this way, the study aims to identify and distinguish the important and necessary conditions corresponding to the particular traffic noise level. Using 342 h of field data from 19 intersections in Kanpur, the current research has used the Partial Least Square-Structural Equation Modelling (PLS-SEM) and Necessary Condition Analysis (NCA). The study determines that traffic volume, honking, speed, and median width are important factors. Traffic volume and honking are positively affecting traffic noise level, while speed and median width have a negative effect. Further investigation reveals that only traffic volume and honking are necessary to achieve a particular traffic noise level. Policymakers can use these findings to manage and control traffic noise at intersections.
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Ruído dos Transportes , Cidades , Acidentes de TrânsitoRESUMO
BACKGROUND: Alcohol consumption among tribal male adolescents in India is a significant social concern. Tribal adolescents are particularly vulnerable and tend to lean toward alcohol addiction. Therefore, it is crucial to introduce some necessary footsteps to reduce alcohol consumption. The primary objective of this study is to investigate the association of various latent factors with the alcohol-drinking behavior of tribal adolescents. METHODS: The study collected data from 600 tribal adolescents from the Dooars region, with 241 of them reported consuming alcohol. The study aimed to confirm the theoretical development of hypotheses regarding peer pressure, parental discord, stress, attitude toward alcohol, and food insecurity as exogenous latent factors influencing the alcohol-drinking behavior of tribal adolescents. In this context, the study adopted both measurement and structural models using Partial Least Squares-Structural Equation Modeling (PLS-SEM). RESULTS: The findings revealed a significant path relationship between alcohol drinking behavior and various exogenous factors like peer pressure (ß = 0.214, p = .000), parental discord (ß = 0.121, p = .009), stress (ß = 0.170, p = .000), attitude toward alcohol (ß = 0.110, p = .004), and food insecurity (ß = 0.510, p = .000). This study developed a reflective measurement model, and the evaluation of reflective measurement models was conducted, assessing internal consistency, convergent validity, and discriminant validity, yielding satisfactory results. CONCLUSION: To tackle alcohol issues among tribal adolescents in the Dooars region, effective strategies should be employed. These include educating in schools, highlighting tribal role models, aiding peers with alcohol dependence, providing life skills training, and addressing parental discord and food insecurity through awareness campaigns, workshops, and better infrastructure.
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Veterinary antibiotics (VAs) are emerging contaminants in soils as they may pose high risks to the ecosystem and human health. Identifying VAs accumulation in soils is essential for assessing their potential risks. Therefore, we investigated the distribution of VAs in soils from vegetable fields and evaluated their potential ecological and antimicrobial resistance risks in the Chongqing region of the Three Gorges Reservoir area, China. Results indicated that twenty-six species of VAs, including nine sulfonamides (SAs), seven quinolones (QNs), four tetracyclines (TCs), four macrolides (MLs), and two other species of VAs were detected in soils, with their accumulative levels ranging from 1.4 to 3145.7 µg kg-1. TCs and QNs were the dominant VAs species in soils with high detection frequencies (100% TCs and 80.6% for QNs) and accumulative concentration (up to 1195 µg kg-1 for TCs and up to 485 µg kg-1 for QNs). Risk assessment indices showed that VAs (specifically SAs, TCs, and QNs) in most vegetable soils would pose a medium to high risk to the ecosystem and antimicrobial resistance. Mixture of VAs posed a higher risk to soil organisms, antimicrobial resistance, and plants than to aquatic organisms. Modeling analysis indicated that socioeconomic conditions, farmers' education levels, agricultural practices, and soil properties were the main factors governing VAs accumulation and environmental risks. Farmers with a high educational level owned large-scale farms and were more willing to use organic fertilizers for vegetable production, which eventually led to high VAs accumulation in vegetable soil. These findings would provide a reference for sustainable agricultural and environmental production under the current scenario of chemical fertilizer substitution by organic products and green agricultural development.
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Quinolonas , Poluentes do Solo , Humanos , Antibacterianos/análise , Solo/química , Verduras/química , Ecossistema , Poluentes do Solo/análise , Monitoramento Ambiental/métodos , Tetraciclinas/análise , Sulfanilamida/análise , China , Medição de Risco , Fertilizantes/análiseRESUMO
BACKGROUND: Fogging is a conventional technique used to combat Aedes mosquitoes and prevent dengue disease. It is often implemented in outbreak areas or areas harbouring a high density of Aedes mosquitoes. Currently, studies on stakeholders' attitudes towards fogging are still limited in number. Therefore, this study aims to assess Malaysian attitudes, and identify the predicting factors influencing such attitudes. METHODS: A validated instrument was used to interview 399 randomly selected respondents from the public (n = 202, 50.6%) and scientists (n = 197, 49.4%) in the Klang Valley region of Malaysia. The data were analysed using PLS-SEM involving Smart-PLS software. RESULTS: The results confirmed that stakeholder attitudes toward fogging should be viewed in terms of a multi-dimensional association. The stakeholders surveyed were highly positive with regard to the application of fogging to control dengue but professed moderate concerns as to associated risks. The PLS-SEM analyses demonstrated that the perceived benefit was the most important factor influencing attitudes, followed by trust in key players. CONCLUSIONS: This result provides a good insight from the perspective of education and unravels the underlying fundamentals of stakeholders' attitudes toward the fogging technique. The findings also provide a positive indicator to the responsible parties involved to continue the usage of this technique in conjunction with improvements with regard to its safety aspects, and possibly in combination with other environmental-friendly alternatives in order to achieve a healthy environment without dengue in Malaysia.
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Aedes , Atitude Frente a Saúde , Dengue , Fumigação , Animais , Humanos , Povo Asiático , Dengue/prevenção & controle , Malásia , Atitude , Distribuição Aleatória , Controle de Doenças Transmissíveis/métodos , Fumigação/efeitos adversos , Fumigação/métodos , Participação dos Interessados/psicologiaRESUMO
The aim of the study was to determine intention to receive Coronavirus disease-19 (COVID-19) vaccination in India. An integrated model of Theory of Planned behaviour (TPB) and Health Belief Model (HBM) was used. Online survey was conducted in Delhi NCR region to find out the intention to receive vaccination. Data was collected from 845 respondents during 15 February 2021-15 March 2021, just after COVID-19 vaccination became available in the India. Partial Least Square-Structural Equation Modelling was used to establish the relationships. The results of the analysis show that proposed framework is significant and explained 71% variance in intentions. Attitude, subjective norm, perceived behaviour control and self-efficacy from the TPB had direct (or significant independent) effects on intention and perceived benefits, perceived susceptibility from the HBM have indirect effect on the intentions through attitude. The present study can be used to maximise the uptake of vaccination in any future pandemic. This theoretically-driven model can be used to guide health policy makers and health care providers to increase the uptake of vaccination.
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COVID-19 , Intenção , Humanos , Vacinas contra COVID-19/uso terapêutico , Teoria do Comportamento Planejado , COVID-19/prevenção & controle , Modelo de Crenças de SaúdeRESUMO
Many soil and water conservation measures (SWCM) have been implemented in the Loess Plateau of China, and they have an impact on ecosystems all levels and involve complicated mechanisms. Previously, studies typically focused on a single factor's effect on diversity or productivity. With this background, the current investigation embarked on an extensive study, with vegetation survey conducted in the no measure plots (NM), vegetation measure plots (VM) and engineering measure plots (EM) in the Loess Plateau of China. We used structural equation models (SEM) to explain the mechanism by which SWCM affects plant productivity and diversity. VM have direct effects on plant diversity, and EM have direct effects on soil properties and community structure. The two measures also had indirect effects on plant functional traits and community structure. The results show that the changes in plant functional traits and community structure by SWCM decreased plant diversity, whereas the increase of productivity was primarily dominated by improvements in community structure, and we conclude that variability in plant diversity and productivity across different measures on the Loess Plateau was primarily due to the responses of different plants to variable soil properties and the community responses. It was also emphasized that vegetation measures were beneficial to the increase of biomass per plant, while engineering measures were more beneficial to the growth of dominant species. These findings provide a theoretical foundation for vegetation management and restoration after the application of different SWCM.
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Conservação dos Recursos Hídricos , Ecossistema , Solo , Plantas , Biomassa , ChinaRESUMO
The distribution and dynamics of antibiotic resistance genes (ARGs) in water-diversion lakes are poorly understood. In this study, two comparative in situ investigations of ARG profiles targeting water diversion (DP) and non-diversion periods (NDP) were conducted in Luoma Lake, a vital transfer node for the eastern route of the South-to-North Water Diversion Project in China. The results demonstrated significant spatiotemporal variations in ARG contamination and notable differences in the co-occurrence patterns of ARGs and bacterial communities between DP and NDP. Correlations among ARGs with the 16 S rRNA, and mobile genetic elements indicate that horizontal gene transfer (HGT) and vertical gene transfer (VGT) in NDP, but only HGT in DP, were the primary mechanisms of ARG proliferation and spread, implying that water diversion could be an essential control of the transfer pattern of ARGs in a lake environment. The null model analysis indicated that stochastic processes, with predominant driver of ecological drift in the lake mainly drove the assembly of ARGs. Partial least squares structural equation modeling was developed to analyze the causal effects of the factors in shaping ARG dynamics and identify the major driving forces in the DP and NDP.
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Antibacterianos , Genes Bacterianos , Antibacterianos/farmacologia , Água , Resistência Microbiana a Medicamentos/genética , ChinaRESUMO
Understanding the main driving factors of oasis river nutrients in arid areas is important to identify the sources of water pollution and protect water resources. Twenty-seven sub-watersheds were selected in the lower oasis irrigated agricultural reaches of the Kaidu River watershed in arid Northwest China, divided into the site, riparian, and catchment buffer zones. Data on four sets of explanatory variables (topographic, soil, meteorological elements, and land use types) were collected. The relationships between explanatory variables and response variables (total phosphorus, TP and total nitrogen, TN) were analyzed by redundancy analysis (RDA). Partial least squares structural equation modeling (PLS-SEM) was used to quantify the relationship between explanatory as well as response variables and fit the path relationship among factors. The results showed that there were significant differences in the TP and TN concentrations at each sampling point. The catchment buffer exhibited the best explanatory power of the relationship between explanatory and response variables based on PLS-SEM. The effects of various land use types, meteorological elements (ME), soil, and topography in the catchment buffer were responsible for 54.3% of TP changes and for 68.5% of TN changes. Land use types, ME and soil were the main factors driving TP and TN changes, accounting for 95.56% and 94.84% of the total effects, respectively. The study provides a reference for river nutrients management in arid oases with irrigated agriculture and a scientific and targeted basis to mitigate water pollution and eutrophication of rivers in arid lands.
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Rios , Poluentes Químicos da Água , Análise dos Mínimos Quadrados , Rios/química , Monitoramento Ambiental , Poluentes Químicos da Água/análise , Análise de Classes Latentes , Solo , China , Fósforo/análise , Nitrogênio/análise , NutrientesRESUMO
Global land surface air temperature data show that in the past 50 years, the rate of nighttime warming has been much faster than that of daytime, with the minimum daily temperature (Tmin) increasing about 40% faster than the maximum daily temperature (Tmax), resulting in a decreased diurnal temperature difference. The Qinghai-Tibet Plateau (QTP) is known as the "roof of the world", where temperatures have risen twice as fast as the global average warming rate in the last few decades. The factors affecting vegetation growth on the QTP are complex and still not fully understood to some extent. Previous studies paid less attention to the explanations of the complicated interactions and pathways between elements that influence vegetation growth, such as climate (especially asymmetric warming) and topography. In this study, we characterized the spatial and temporal trends of vegetation coverage and investigated the response of vegetation dynamics to asymmetric warming and topography in the QTP during 2001-2020 using trend analysis, partial correlation analysis, and partial least squares structural equation model (PLS-SEM) analysis. We found that from 2001 to 2020, the entire QTP demonstrated a greening trend in the growing season (April to October) at a rate of 0.0006/a (p < 0.05). The spatial distribution pattern of partial correlation between NDVI and Tmax differed from that of NDVI and Tmin. PLS-SEM results indicated that asymmetric warming (both Tmax and Tmin) had a consistent effect on vegetation development by directly promoting greening in the QTP, with NDVI values being more sensitive to Tmin, while topographic factors, especially elevation, mainly played an indirect role in influencing vegetation growth by affecting climate change. This study offers new insights into how vegetation responds to asymmetric warming and references for local ecological preservation.
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Mudança Climática , Aquecimento Global , Tibet , Temperatura , Estações do Ano , EcossistemaRESUMO
Recently, a study compared the effect size and statistical power of covariance-based structural equation modeling (CB-SEM) and path analysis using various types of composite scores (Deng, L., & Yuan, K.-H., Behavior Research Methods, 55, 1460-1479, 2023). This comparison uses nine empirical datasets to estimate eleven models. Based on the meta-comparison, that study concludes that path analysis via weighted composites yields "path coefficients with less relative errors, as reflected by greater effect size and statistical power" (ibidem, p. 1475). In our paper, we object to this central conclusion. We demonstrate that the justification these authors provided for comparing CB-SEM and path analysis via weighted composites is not well grounded. Similarly, we explain that their employed study design, i.e., a meta-comparison, is very limited in its ability to compare the effect size and power delivered across these methods. Finally, we replicated Deng and Yuan's (ibidem) meta-comparison and show that CB-SEM using the normal-distribution-based maximum likelihood estimator does not necessarily deliver smaller effect sizes than path analysis via composites if a different scaling method is employed for CB-SEM.
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BACKGROUND: Dengue vaccine is a promising alternative for protecting communities from dengue. Nevertheless, public acceptance of the dengue vaccine must be considered before the authorities decide to carry out intensified research and recommend the vaccine adoption. This study aimed to assess the stakeholders' acceptability of the dengue vaccine and determine the factors that influence their intentions to adopt it. METHODS: Survey data collected from 399 respondents who represented two primary stakeholder groups: scientist (n = 202) and public (n = 197), were analysed using the partial least squares-structural equation modelling (PLS-SEM) technique. RESULTS: The findings revealed that the stakeholders claimed to have a highly positive attitude and intention to adopt the vaccine, perceived the vaccine as having high benefits, and displayed a high degree of religiosity and trust in the key players. The results also demonstrated that attitude and perceived benefits significantly influenced the intention to adopt the dengue vaccine. Furthermore, the perceived benefit was the most significant predictor of attitude to the dengue vaccine, followed by religiosity, attitudes to technology, and trust in key players. CONCLUSION: The findings showed that the stakeholders in Malaysia were optimistic about the dengue vaccine with a positive attitude and perceived benefits as significant predictors of intention to adopt the vaccine. Hence, ongoing research can be intensified with the end target of recommending the vaccine for public adoption in hotspot areas. This finding contributes to the consumer behaviour literature while also providing helpful information to the government, policymakers, and public health officials about effective strategies for driving dengue vaccine acceptance in Malaysia and other countries with a history of severe dengue transmission.
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Vacinas contra Dengue , Atitude , Humanos , Intenção , Análise de Classes Latentes , Análise dos Mínimos Quadrados , Malásia , Inquéritos e QuestionáriosRESUMO
BACKGROUND: Quality is the most important factor in satisfaction. However, the existing satisfaction index model of urban and rural resident-based basic medical insurance scheme (SIM_URRBMI) lacks the segmentation of perceived quality elements, it couldn't provide a reference for quality improvement and satisfaction promotion. This study aims to construct a revised SIM_URRBMI that can accurately and detailly measure perceived quality and provide feasible and scientific suggestions for improving the satisfaction of urban and rural residents' basic medical insurance scheme (URRBMI) in China. METHODS: Based on the theoretical framework of the American Customer Satisfaction Index, the elements of perceived quality were refined through literature review and expert consultation, and a pool of alternative measurement variables was formed. A three-stage randomized stratified cluster sampling was adopted. The main decision makers of URRBMI in the families of primary school students in 8 primary schools in Changsha were selected. Both the classic test theory and the item response theory were used for measurement variables selection. The reliability and validity of the model were tested by partial least squares (PLS)-related methods. RESULTS: A total of 1909 respondents who had URRBMI for their children were investigated. The SIM_URRBMI1.0 consists of 11 latent variables and 28 measurement variables with good reliability and validity. Among the three explanatory variables of public satisfaction, perceived quality had the largest total effect (path coefficient) (0.737). The variable with the greatest effect among the five first-order latent variables on perceived quality was the quality of the medical insurance policy (0.472). CONCLUSIONS: The SIM_URRBMI1.0 consists of 28 measurement variables and 11 latent variables. It is a reliable, valid, and standard satisfaction measurement tool for URRBMI with good prediction ability for public satisfaction. In addition, the model provides an accurate evaluation of the perceived quality, which will greatly help with performance improvement diagnosis. The most critical aspects of satisfaction improvement are optimizing the scope and proportion of reimbursement as well as setting appropriate level of deductible and capitation of URRBMI.
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Seguro Saúde , Satisfação Pessoal , Criança , China , Humanos , Reprodutibilidade dos Testes , População RuralRESUMO
This research establishes a theoretical framework for evaluating antecedents of the information seeking behaviors of online forum participants with chronic obstructive pulmonary disease (COPD). We evaluated the proposed framework using partial least squares structural equation modeling (PLS-SEM) after gathering data using a cross-sectional survey. We subsequently assessed the framework using importance-performance map analysis (IPMA). Findings suggest that perceived ease of use does not singularly influence COPD forum users' information seeking behavior. IPMA analysis reveals that the opportunity to interact with other forum members creates the greatest impact on COPD forum users' mindsets, among all the indicators. For healthcare professionals, the results of this study provide a blueprint in terms of utilizing COPD online forums to foster recurrent associations among forum administrators and users and by creating a strong social and informational resource for COPD information seekers.
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Comportamento de Busca de Informação , Doença Pulmonar Obstrutiva Crônica , Estudos Transversais , Humanos , InternetRESUMO
This study establishes a theoretical framework for assessing antecedents of cyberchondria, which is a process of amplified anxiety about one's health because of excessive online health information seeking. We examined the framework through partial least squares structural equation modeling after collecting data through a cross-sectional online survey. This research contributes to the literature by (i) evaluating the roles of health anxiety (HA) and affective responses (AR) on cyberchondria; (ii) equipping health strategists with understanding about ways to tailor their educational and communication strategies to specific segments by importance-performance map analysis and necessary condition analysis. Finally, by (iii) providing strategic tactics to curb cyberchondria so that it becomes possible to attain a better patient outcome. Findings suggest that the existing association between intolerance of uncertainty and cyberchondria is serially mediated by HA and AR. For healthcare educators and practitioners, the findings of this research deliver a blueprint for effectively controlling cyberchondria.
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Ansiedade , Hipocondríase , Ansiedade/psicologia , Transtornos de Ansiedade , Estudos Transversais , Humanos , Hipocondríase/psicologia , Internet , IncertezaRESUMO
Wearable robots (WRs) might interact with humans in a similar manner to teammates to accomplish specific tasks together. However, the available data on WR user experience (UX) studies are limited, especially during the prototyping phase. Therefore, this study aims to examine the overall experience of WRs during the prototyping phase based on an exploratory research model. This theoretical model considered usability, hedonic quality, and attitude toward using WRs as key factors in explaining and predicting overall experience. To test the hypotheses inherent in the research model, quantitative empirical research was conducted and the data were analyzed by partial least squares structural equation modeling (PLS-SEM). The results from the PLS-SEM analysis revealed the significance level of correlations between the latent variables in the research model. The exploratory research model was able to explain up to 53.2% of the variance in the overall experience of using WRs, indicating medium predictive power. This research develops a new quantitative empirical research model that can be used to explain and predict the overall experience of interactive products such as WRs. Meanwhile, the model is needed during WR testing in the prototype phase.