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Authors = Jiajia Long

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42 pages, 4687 KiB  
Review
A Review on Blockchain Applications in Operational Technology for Food and Agriculture Critical Infrastructure
by Chengliang Zheng, Xiangzhen Peng, Ziyue Wang, Tianyu Ma, Jiajia Lu, Leiyang Chen, Liang Dong, Long Wang, Xiaohui Cui and Zhidong Shen
Foods 2025, 14(2), 251; https://doi.org/10.3390/foods14020251 - 14 Jan 2025
Cited by 6 | Viewed by 3035
Abstract
The food and agriculture sector is a cornerstone of critical infrastructure (CI), underpinning global food security, public health, and economic stability. However, the increasing digitalization and connectivity of operational technologies (OTs) in this sector expose it to significant cybersecurity risks. Blockchain technology (BT) [...] Read more.
The food and agriculture sector is a cornerstone of critical infrastructure (CI), underpinning global food security, public health, and economic stability. However, the increasing digitalization and connectivity of operational technologies (OTs) in this sector expose it to significant cybersecurity risks. Blockchain technology (BT) has emerged as a transformative solution for addressing these challenges by enhancing network security, traceability, and system resilience. This study presents a comprehensive review of BT applications in OT security for food and agriculture CI, employing bibliometric and content analysis methods. A total of 124 relevant articles were identified from six databases, including the Web of Science Core Collection and MEDLINE®. Bibliometric analysis was conducted across five dimensions: publication year, literature type, journal distribution, country contributions, and keyword trends. The findings are meticulously organized through tables, charts, and graphs. The year 2018 marked a surge in research within this domain, with the IEEE Internet of Things Journal and IEEE ACESS emerging as the most prolific journals, each boasting nine publications. The United States, China, and India are at the forefront in terms of journal citation counts. Our analysis determined that a reference count of 37 serves as an appropriate threshold. Otoum Safa stands out as the author with the highest number of published articles, totaling four. Keywords such as “blockchain”, “internet of things”, “smart contract”, “security”, and “critical infrastructure” appear with significant frequency. The statistics, trends, and insights gleaned from this bibliometric analysis can guide researchers in the OTCI field to forge a coherent and logical research trajectory. Content analysis further identified six key research areas within this domain: identity authentication and data verification, secure access control, attack detection and perception, data security and protection, data backup and recovery, and attack assessment and attribution. Based on these insights, a general framework is proposed to guide future research and practical applications of BT in securing OT within food and agriculture CI. This study systematically analyzes the current research landscape, challenges, and opportunities for BT in securing the OT critical to food and agriculture CI. By bridging the gap between blockchain innovations and the operational needs of the food and agriculture sector, this work contributes to advancing strategic implementation and improving the security of CI systems. Full article
(This article belongs to the Section Food Security and Sustainability)
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18 pages, 11301 KiB  
Article
Integration of Optical Remote Sensing and Laser Point Cloud for Forest Stock Estimation in Karst Mountainous Areas
by Jiajia Zheng, Zhongfa Zhou, Meng Zhu, Jiale Wang, Jiaxue Wan and Yangyang Long
Forests 2024, 15(12), 2106; https://doi.org/10.3390/f15122106 - 28 Nov 2024
Viewed by 981
Abstract
This study addresses the challenges posed by the complex topography and forest structure in karst mountainous areas, as well as the difficulties in estimating forest stock using traditional methods. We propose a method that integrates optical remote sensing data from Sentinel-2 into airborne [...] Read more.
This study addresses the challenges posed by the complex topography and forest structure in karst mountainous areas, as well as the difficulties in estimating forest stock using traditional methods. We propose a method that integrates optical remote sensing data from Sentinel-2 into airborne LiDAR data to estimate forest stock in karst areas. First, an Allometric Growth Model correlating tree height and diameter at breast height (DBH) in karst areas was developed based on field measurements. Tree height information extracted from LiDAR data was then combined with the binary wood volume model specific to fir trees in Guizhou Province to calculate the individual tree biomass of fir trees. In addition, this study evaluated the robustness of three machine learning methods, the Random Forest Regression Model, K-Nearest Neighbors Regression Model, and Backpropagation Neural Network Model, in estimating forest stock in karst mountainous areas. The results indicate the following: (1) The Allometric Growth Model based on field data showed strong predictive power for DBH and can be used for large-scale estimation. (2) The distribution characteristics of individual tree biomass and plot biomass under different site conditions revealed the distribution pattern of fir trees in the study area, providing important information for understanding the growth status of forest stock in the region. (3) The Random Forest Regression Model demonstrated exceptional accuracy, generalization capability, and robustness in the estimation of forest stock within karst mountainous regions. This study provides an effective technical tool for estimating forest stock in karst areas and under complex terrain conditions and has significant scientific value and practical implications for the monitoring and management of forest ecosystem carbon sinks. Full article
(This article belongs to the Section Forest Inventory, Modeling and Remote Sensing)
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12 pages, 1729 KiB  
Article
Dynamics Learning Rate Bias in Pigeons: Insights from Reinforcement Learning and Neural Correlates
by Fuli Jin, Lifang Yang, Long Yang, Jiajia Li, Mengmeng Li and Zhigang Shang
Animals 2024, 14(3), 489; https://doi.org/10.3390/ani14030489 - 1 Feb 2024
Cited by 1 | Viewed by 1671
Abstract
Research in reinforcement learning indicates that animals respond differently to positive and negative reward prediction errors, which can be calculated by assuming learning rate bias. Many studies have shown that humans and other animals have learning rate bias during learning, but it is [...] Read more.
Research in reinforcement learning indicates that animals respond differently to positive and negative reward prediction errors, which can be calculated by assuming learning rate bias. Many studies have shown that humans and other animals have learning rate bias during learning, but it is unclear whether and how the bias changes throughout the entire learning process. Here, we recorded the behavior data and the local field potentials (LFPs) in the striatum of five pigeons performing a probabilistic learning task. Reinforcement learning models with and without learning rate biases were used to dynamically fit the pigeons’ choice behavior and estimate the option values. Furthemore, the correlation between the striatal LFPs power and the model-estimated option values was explored. We found that the pigeons’ learning rate bias shifted from negative to positive during the learning process, and the striatal Gamma (31 to 80 Hz) power correlated with the option values modulated by dynamic learning rate bias. In conclusion, our results support the hypothesis that pigeons employ a dynamic learning strategy in the learning process from both behavioral and neural aspects, providing valuable insights into reinforcement learning mechanisms of non-human animals. Full article
(This article belongs to the Section Birds)
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19 pages, 4533 KiB  
Article
The Hippocampus in Pigeons Contributes to the Model-Based Valuation and the Relationship between Temporal Context States
by Lifang Yang, Fuli Jin, Long Yang, Jiajia Li, Zhihui Li, Mengmeng Li and Zhigang Shang
Animals 2024, 14(3), 431; https://doi.org/10.3390/ani14030431 - 29 Jan 2024
Cited by 1 | Viewed by 1590
Abstract
Model-based decision-making guides organism behavior by the representation of the relationships between different states. Previous studies have shown that the mammalian hippocampus (Hp) plays a key role in learning the structure of relationships among experiences. However, the hippocampal neural mechanisms of birds for [...] Read more.
Model-based decision-making guides organism behavior by the representation of the relationships between different states. Previous studies have shown that the mammalian hippocampus (Hp) plays a key role in learning the structure of relationships among experiences. However, the hippocampal neural mechanisms of birds for model-based learning have rarely been reported. Here, we trained six pigeons to perform a two-step task and explore whether their Hp contributes to model-based learning. Behavioral performance and hippocampal multi-channel local field potentials (LFPs) were recorded during the task. We estimated the subjective values using a reinforcement learning model dynamically fitted to the pigeon’s choice of behavior. The results show that the model-based learner can capture the behavioral choices of pigeons well throughout the learning process. Neural analysis indicated that high-frequency (12–100 Hz) power in Hp represented the temporal context states. Moreover, dynamic correlation and decoding results provided further support for the high-frequency dependence of model-based valuations. In addition, we observed a significant increase in hippocampal neural similarity at the low-frequency band (1–12 Hz) for common temporal context states after learning. Overall, our findings suggest that pigeons use model-based inferences to learn multi-step tasks, and multiple LFP frequency bands collaboratively contribute to model-based learning. Specifically, the high-frequency (12–100 Hz) oscillations represent model-based valuations, while the low-frequency (1–12 Hz) neural similarity is influenced by the relationship between temporal context states. These results contribute to our understanding of the neural mechanisms underlying model-based learning and broaden the scope of hippocampal contributions to avian behavior. Full article
(This article belongs to the Section Birds)
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15 pages, 3698 KiB  
Article
Reusable and Practical Biocomposite Based on Sphingopyxis sp. YF1 and Polyacrylonitrile-Based Carbon Fiber for the Efficient Bioremediation of Microcystin-LR-Contaminated Water
by Tian Ma, Jiajia Zhang, Lili Yang, Shengyu Zhang, Xizi Long, Qingyi Zeng, Zhongyu Li, Xiaoya Ren and Fei Yang
Toxins 2024, 16(1), 20; https://doi.org/10.3390/toxins16010020 - 29 Dec 2023
Cited by 2 | Viewed by 2028
Abstract
Microbial degradation is a cost-effective and environmentally friendly method for removing microcystin-LR (MC-LR). However, the application of free bacteria has limitations due to low operational stability and difficulties in recovery. In a previous study, our group successfully isolated a highly efficient MC-LR-degrading bacterium, [...] Read more.
Microbial degradation is a cost-effective and environmentally friendly method for removing microcystin-LR (MC-LR). However, the application of free bacteria has limitations due to low operational stability and difficulties in recovery. In a previous study, our group successfully isolated a highly efficient MC-LR-degrading bacterium, Sphingopyxis sp. YF1, from Taihu. To enhance its practical potential in addressing MC-LR-contaminated water pollution, a novel biological material named polyacrylonitrile-based carbon fiber @Sphingopyxis sp. YF1 (PAN-CF@YF1) was synthesized. The immobilization conditions of strain Sphingopyxis sp. YF1 on PAN-CF surfaces were optimized using Box–Behnken design and response surface methodology (RSM), which turned out to be an optimal pH of 7.6 for the culture medium, a ratio of 0.038 g of supporting materials per 100 mL of culture media, and an incubation time of 53.4 h. The resultant PAN-CF@YF1 showed a great degradation effect both for low and high concentrations of MC-LR and exhibited satisfactory cyclic stability (85.75% after six cycles). Moreover, the application of PAN-CF@YF1 in the bioreactors demonstrated effective and sustainable MC-LR removal, with a removal efficiency of 78.83% after three consecutive treatments. Therefore, PAN-CF@YF1 with high degradation activity, environmental compatibility, straightforward preparation, and recyclability shows significant application potential for the bioremediation of MC-LR-contaminated water bodies. Full article
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14 pages, 3381 KiB  
Article
Spatio-Temporal Evolution and Driving Factors of Landscape Pattern in a Typical Hilly Area in Southern China: A Case Study of Yujiang District, Jiangxi Province
by Jiajia Zhang, Xiaomin Zhao, Jiaxin Guo, Yanru Zhao, Xinyi Huang and Miao Long
Forests 2023, 14(3), 609; https://doi.org/10.3390/f14030609 - 19 Mar 2023
Cited by 2 | Viewed by 2180
Abstract
As the most intuitive manifestation of land use/land cover change, the spatio-temporal evolution of landscape patterns has significant implications for optimizing regional landscape pattern and land use management. Based on multi-period remote sensing data, we selected an optimal scale (570 m) and used [...] Read more.
As the most intuitive manifestation of land use/land cover change, the spatio-temporal evolution of landscape patterns has significant implications for optimizing regional landscape pattern and land use management. Based on multi-period remote sensing data, we selected an optimal scale (570 m) and used the geographic detector model to analyze the spatio-temporal changes in the landscape pattern of a typical hilly area (Yujiang District, Yingtan City, Jiangxi Province) in southern China. The results showed that from 2009 to 2018, the area of urban land, other construction land, rural residential land, and cultivated land expanded by 33.27%, 21.23%, 19.42%, and 1.07%, respectively. In contrast, the area of grassland, forest land, and water area shrank by 18.18%, 5.41%, and 2.19%, respectively, over the past 10 years. At the landscape level, the patch shape became more complex over time, with increased landscape fragmentation and diversity. At the class level, cultivated land, forest land, and grassland tended to be fragmented, whereas rural residential land exhibited an aggregation tendency. Slope gradient, gross regional product, and distance from major highways had a strong ability to explain the spatial differences in landscape pattern change. The results of this study enable a dynamic understanding of landscape pattern evolution in typical hilly areas in southern China and provide a reference for landscape pattern optimization in similar geomorphic settings. Full article
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15 pages, 3380 KiB  
Article
Research on Water Quality Assessment Using the Water Quality Index for the Eastern Route of the South-to-North Water Diversion Project
by Xiaochen Yang, Jinjin Li, Xiaobo Liu, Jijun Gao, Fei Dong, Aiping Huang, Yang Lei, Wei Wang, Zhiyuan Tong and Jiajia Long
Water 2023, 15(5), 842; https://doi.org/10.3390/w15050842 - 21 Feb 2023
Cited by 7 | Viewed by 4830
Abstract
The South-to-North Water Diversion Project’s Eastern Route (SNWDPC-ER) has drawn a lot of attention as one of China’s most significant water diversion projects. This study calculated the water quality index (WQI) to analyze the spatial and temporal characteristics of water quality in the [...] Read more.
The South-to-North Water Diversion Project’s Eastern Route (SNWDPC-ER) has drawn a lot of attention as one of China’s most significant water diversion projects. This study calculated the water quality index (WQI) to analyze the spatial and temporal characteristics of water quality in the study area as well as the effects of water diversion, and developed the minimum water quality index (WQImin) model based on stepwise multiple linear regression, using data from 56 monitoring stations along the delivery canal of the SNWDPC-ER (the SNWDPC-delivery ER’s canal) from 2014 to 2018. Here are the findings: (1) The water quality state was rated as “good” and the annual average value of WQI climbed year over year along with improvements in water quality. (2) There was a clear difference in water quality across time and space, with autumn having better water quality than other seasons and the south having better water quality than the north. (3) Water quality is impacted by water diversion; throughout the era of diversion, water quality was steadier. (4) The weighted WQImin model, which is a quick and inexpensive way to assess water quality, can be used to evaluate the water quality in the SNWDPC-delivery ER’s canal. The model’s parameters are DO, NH3-N, BOD5, and TN. Full article
(This article belongs to the Section Water Quality and Contamination)
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17 pages, 46993 KiB  
Article
RpS3 Is Required for Spermatogenesis of Drosophila melanogaster
by Yang Fang, Fengchao Zhang, Yunhui Zhan, Meina Lu, Di Xu, Jiajia Wang, Qiujun Li, Long Zhao and Ying Su
Cells 2023, 12(4), 573; https://doi.org/10.3390/cells12040573 - 10 Feb 2023
Cited by 11 | Viewed by 3306
Abstract
Ribosomal proteins (RPs) constitute the ribosome, thus participating in the protein biosynthesis process. Emerging studies have suggested that many RPs exhibit different expression levels across various tissues and function in a context-dependent manner for animal development. Drosophila melanogaster RpS3 encodes the ribosomal protein [...] Read more.
Ribosomal proteins (RPs) constitute the ribosome, thus participating in the protein biosynthesis process. Emerging studies have suggested that many RPs exhibit different expression levels across various tissues and function in a context-dependent manner for animal development. Drosophila melanogaster RpS3 encodes the ribosomal protein S3, one component of the 40S subunit of ribosomes. We found that RpS3 is highly expressed in the reproductive organs of adult flies and its depletion in male germline cells led to severe defects in sperm production and male fertility. Immunofluorescence staining showed that RpS3 knockdown had little effect on early germ cell differentiation, but strongly disrupted the spermatid elongation and individualization processes. Furthermore, we observed abnormal morphology and activity of mitochondrial derivatives in the elongating spermatids of RpS3-knockdown testes, which could cause the failure of axoneme elongation. We also found that RpS3 RNAi inhibited the formation of the individualization complex that takes charge of disassociating the spermatid bundle. In addition, excessive apoptotic cells were detected in the RpS3-knockdown testes, possibly to clean the defective spermatids. Together, our data demonstrated that RpS3 plays an important role in regulating spermatid elongation and individualization processes and, therefore, is required for normal Drosophila spermatogenesis. Full article
(This article belongs to the Section Tissues and Organs)
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21 pages, 4658 KiB  
Article
COL5A1 Promotes the Progression of Gastric Cancer by Acting as a ceRNA of miR-137-3p to Upregulate FSTL1 Expression
by Ming Yang, Zhixing Lu, Bowen Yu, Jiajia Zhao, Liang Li, Kaiyu Zhu, Min Ma, Fei Long, Runliu Wu, Gui Hu, Lihua Huang, Jing Chou, Ni Gong, Kaiyan Yang, Xiaorong Li, Yi Zhang and Changwei Lin
Cancers 2022, 14(13), 3244; https://doi.org/10.3390/cancers14133244 - 1 Jul 2022
Cited by 12 | Viewed by 3394
Abstract
MicroRNAs (miRNAs) and their target genes have been shown to play an important role in gastric cancer but have not been fully clarified. Therefore, our goal was to identify the key miRNA–mRNA regulatory network in gastric cancer by utilizing a variety of bioinformatics [...] Read more.
MicroRNAs (miRNAs) and their target genes have been shown to play an important role in gastric cancer but have not been fully clarified. Therefore, our goal was to identify the key miRNA–mRNA regulatory network in gastric cancer by utilizing a variety of bioinformatics analyses and experiments. A total of 242 miRNAs and 1080 genes were screened from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO), respectively. Then, survival-related differentially expressed miRNAs and their differentially expressed target genes were screened. Twenty hub genes were identified from their protein–protein interaction network. After weighted gene co-expression network analysis was conducted, we selected miR-137-3p and its target gene, COL5A1, for further research. We found that miR-137-3p was significantly downregulated and that overexpression of miR-137-3p suppressed the proliferation, invasion, and migration of gastric cancer cells. Furthermore, we found that its target gene, COL5A1, could regulate the expression of another hub gene, FSTL1, by sponging miR-137-3p, which was confirmed by dual-luciferase reporter assays. Knockdown of COL5A1 inhibited the proliferation, invasion, and migration of gastric cancer cells, which could be rescued by the miR-137-3p inhibitor or overexpression of FSTL1. Ultimately, bioinformatics analyses showed that the expression of FSTL1 was highly correlated with immune infiltration. Full article
(This article belongs to the Section Molecular Cancer Biology)
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10 pages, 329 KiB  
Article
Factors Influencing Medication Non-Adherence among Chinese Older Adults with Diabetes Mellitus
by Ningze Xu, Shiyu Xie, Yingyao Chen, Jiajia Li and Long Sun
Int. J. Environ. Res. Public Health 2020, 17(17), 6012; https://doi.org/10.3390/ijerph17176012 - 19 Aug 2020
Cited by 20 | Viewed by 4822
Abstract
Objectives: This study aimed to examine the prevalence of medication non-adherence among older adults with diabetes mellitus (DM) in Shandong province, China and to identify its influencing factors. Methods: A sample of 1002 older adults aged 60 or above with DM was analyzed. [...] Read more.
Objectives: This study aimed to examine the prevalence of medication non-adherence among older adults with diabetes mellitus (DM) in Shandong province, China and to identify its influencing factors. Methods: A sample of 1002 older adults aged 60 or above with DM was analyzed. Medication adherence was measured using the Morisky–Green–Levine (MGL) Medication Adherence Scale. Descriptive statistical analysis, chi-square test, univariate and multivariate logistic regression analyses were employed. Results: The prevalence of self-reported medication non-adherence among older adults with DM was 19.9%. Female respondents (adjusted odds ratio (AOR) = 1.56, 95% CI: 1.09–2.24) and respondents who perceived medication adherence to be unimportant (AOR = 1.69, 95% CI: 1.05–2.74) were more likely to experience medication non-adherence. Respondents with 5 years of disease duration or longer were less likely (AOR = 0.63, 95% CI: 0.46–0.87) to experience medication non-adherence. Conclusions: This study showed that about one out of five older adults with DM in Shandong province, China, experienced medication non-adherence, and that gender, disease duration and perceived importance of medication adherence were associated with medication non-adherence in this population group. Provision of counseling and health education programs could be the future priority to raise patients’ awareness of the importance of medication adherence and improve patients’ self-management of DM. Full article
9 pages, 282 KiB  
Article
The Relationship between Self-Rated Economic Status and Falls among the Elderly in Shandong Province, China
by Zhuang Hong, Lingzhong Xu, Jinling Zhou, Long Sun, Jiajia Li, Jiao Zhang, Fangfang Hu and Zhaorong Gao
Int. J. Environ. Res. Public Health 2020, 17(6), 2150; https://doi.org/10.3390/ijerph17062150 - 24 Mar 2020
Cited by 11 | Viewed by 3493
Abstract
(1) Background: Older people are more vulnerable and likely to have falls and the consequences of these falls place a heavy burden on individuals, families and society. Many factors directly or indirectly affect the prevalence of falls. The aims of this study were [...] Read more.
(1) Background: Older people are more vulnerable and likely to have falls and the consequences of these falls place a heavy burden on individuals, families and society. Many factors directly or indirectly affect the prevalence of falls. The aims of this study were to understand the prevalence and risk factors of falls among the elderly in Shandong, China; the relationship between economic level and falls was also preliminary explored. (2) Methods: Using a multi-stage stratified sampling method, 7070 elderly people aged 60 and over were selected in Shandong Province, China. General characteristics and a self-rated economic status were collected through face to face interviews. Chi-square tests, rank sum tests and two logistic regression models were performed as the main statistical methods. (3) Results: 8.59% of participants reported that they had experienced at least one fall in the past half year. There was a significant difference in experienced falls regarding gender, residence, marital status, educational level, smoking, drinking, hypertension, diabetes, coronary disease, and self-reported hearing. The worse the self-rated economic status, the higher the risk of falling, (poor and worried about livelihood, OR = 3.60, 95%; CI = 1.76–7.35). (4) Conclusions: Women, hypertension, diabetes and self-reported hearing loss were identified as the risk factors of falls in the elderly. The difference of economic level affects the falls of the elderly in rural and urban areas. More fall prevention measures should be provided for the elderly in poverty. Full article
19 pages, 607 KiB  
Article
The Relationship between Socioeconomic Status, Mental Health, and Need for Long-Term Services and Supports among the Chinese Elderly in Shandong Province—A Cross-Sectional Study
by Fanlei Kong, Lingzhong Xu, Mei Kong, Shixue Li, Chengchao Zhou, Jiajia Li, Long Sun and Wenzhe Qin
Int. J. Environ. Res. Public Health 2019, 16(4), 526; https://doi.org/10.3390/ijerph16040526 - 13 Feb 2019
Cited by 26 | Viewed by 5871
Abstract
This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system [...] Read more.
This study aims to clarify the association between socioeconomic status (SES), mental health, and the need for long-term services and support (NLTSS) of the Chinese elderly, and further, to provide evidence-based suggestions for the development of the long-term services and support (LTSS) system in China. A cross-sectional survey using a multi-stage random sampling method was conducted in Shandong Province, China, in 2017. Data were collected from seniors aged over 60 years old through questionnaires by face-to face interviews. A total of 7070 subjects were included in the final database (40.3% male and 59.7% female). A chi-square test analysis and structural equation modeling (SEM) were employed to explore the relationship between SES, mental health, and NLTSS for both male and female elderly people. The SEM analysis showed that mental health was significantly and negatively associated with NLTSS for both male elderly and female elderly, and it was slightly stronger among the male elderly. A significant and negative relationship was observed between SES and NLTSS for both genders, and the association was stronger among the female elderly. SES exerted a positive effect on mental health for both male and female elderly people, and a slightly stronger effect was found among the male elderly. Advice for the development of a LTSS system in China was given based on the above results. Full article
(This article belongs to the Special Issue Recent Advances in Healthcare Services in China)
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10 pages, 857 KiB  
Article
Chronic Disease, Disability, Psychological Distress and Suicide Ideation among Rural Elderly: Results from a Population Survey in Shandong
by Jing Zhu, Lingzhong Xu, Long Sun, Jiajia Li, Wenzhe Qin, Gan Ding, Qian Wang, Jiao Zhang, Su Xie and Zihang Yu
Int. J. Environ. Res. Public Health 2018, 15(8), 1604; https://doi.org/10.3390/ijerph15081604 - 28 Jul 2018
Cited by 23 | Viewed by 5405
Abstract
Objective: Suicide is a major public health and social problem in contemporary societies. Previous studies showed that the older the seniors were, the more likely it was that they would experience disability, chronic disease, or both. The objective of this study was to [...] Read more.
Objective: Suicide is a major public health and social problem in contemporary societies. Previous studies showed that the older the seniors were, the more likely it was that they would experience disability, chronic disease, or both. The objective of this study was to examine the joint effects of chronic disease and physical disability on suicide ideation while controlling for psychological distress among the rural elderly living in Shandong Province, China. Method: A total of 5514 rural elderly individuals (60+) living in Shandong Province, China were included in this study. Suicidal ideation was assessed by using questions from the National Comorbidity Survey (NCS). Multiple logistic analyses were performed to examine the factors associated with suicide ideation. A path analysis was conducted to test the direct and indirect effects of chronic disease and of activity of daily living (ADL) limitation on suicide ideation while controlling for psychological distress. Results: The prevalence of suicide ideation among the rural elderly in Shandong, China was 11.0%. Psychological distress had the strongest direct (β = 0.392) and total effect (β = 0.392), chronic disease (β = −0.034; β = −0.063) had both direct and indirect impacts, and ADL (β = 0.091) had indirect impacts on suicide ideation. Psychological distress was a mediator between chronic disease, ADL limitation, and suicide ideation. Conclusions: Psychological distress was the greatest influencing factor of suicide ideation among the rural elderly, followed by chronic disease and disability. Effective intervention measures should be taken to facilitate the early detection of psychological distress in clinical practice among the rural elderly. Full article
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11 pages, 288 KiB  
Article
Loneliness and Health Service Utilization among the Rural Elderly in Shandong, China: A Cross-Sectional Study
by Jiao Zhang, Lingzhong Xu, Jiajia Li, Long Sun, Gan Ding, Wenzhe Qin, Qian Wang, Jing Zhu, Zihang Yu and Su Xie
Int. J. Environ. Res. Public Health 2018, 15(7), 1468; https://doi.org/10.3390/ijerph15071468 - 11 Jul 2018
Cited by 63 | Viewed by 6119
Abstract
Objectives: To examine the prevalence of loneliness and to explore the association between loneliness and health service utilization among the rural elderly in Shandong Province, China. Methods: A total of 5514 rural people aged 60 and above from Shandong Province, China, were enrolled [...] Read more.
Objectives: To examine the prevalence of loneliness and to explore the association between loneliness and health service utilization among the rural elderly in Shandong Province, China. Methods: A total of 5514 rural people aged 60 and above from Shandong Province, China, were enrolled in this study. Loneliness was used as a binary variable based on a single-item question. Health service utilization was measured by recent two-week physician visits and annual hospitalizations rates. Multiple logistic regression analysis was performed to examine the association between loneliness and health service utilization. Results: The prevalence of loneliness among the rural elderly in Shandong, China, was 25.0%. Loneliness was associated with higher rates of recent two-week physician visits (OR = 1.260, p < 0.01) and annual hospitalizations (OR = 1.183, p < 0.05). The regression results also showed that self-rated health status and chronic conditions were significant and positively associated with both physician visits and hospitalizations rates. Conclusions: Loneliness had a significant association with higher odds of health service utilization among the elderly. The independent contribution of loneliness on health service utilization was smaller than self-rated health status and chronic conditions. Thus, healthcare policies need to shift from an emphasis on controlling health utilization and cost to a greater focus on enabling lonely older people to get more social support. Full article
(This article belongs to the Special Issue Mental Health and its Social and Cultural Implications)
14 pages, 761 KiB  
Article
Association of Anthropometric Indices of Obesity with Hypertension in Chinese Elderly: An Analysis of Age and Gender Differences
by Qian Wang, Lingzhong Xu, Jiajia Li, Long Sun, Wenzhe Qin, Gan Ding, Jing Zhu, Jiao Zhang, Zihang Yu and Su Xie
Int. J. Environ. Res. Public Health 2018, 15(4), 801; https://doi.org/10.3390/ijerph15040801 - 19 Apr 2018
Cited by 22 | Viewed by 5377
Abstract
This study aims to explore the association of anthropometric indices of obesity with hypertension in Chinese elderly and its possible gender and age differences. A total of 7070 adults age 60 or older were interviewed in a cross-sectional study conducted in 2017. Anthropometric [...] Read more.
This study aims to explore the association of anthropometric indices of obesity with hypertension in Chinese elderly and its possible gender and age differences. A total of 7070 adults age 60 or older were interviewed in a cross-sectional study conducted in 2017. Anthropometric indices for each participant were measured by using standard methods of trained doctoral/master students. We performed two binary logistic regression models to examine the association of the nine different anthropometric indices and hypertension by gender. Lastly, analyses were performed in two steps stratified for age. Comparing individuals with and without hypertension, there were statistically significant differences in anthropometric indices except height, a body shape index (ABSI), and hip index (HI) in males; and except height in females. There were gender differences in the relationship between anthropometric indices and the prevalence of hypertension in Chinese older adults. After stratification by age, the associations of all anthropometric indices became weaker, disappeared, or even went in the opposite direction. Furthermore, body mass index (BMI) in men (except individuals older than 80) and hip circumference (HC) in women showed a significant impact on the risk of hypertension. The association of anthropometric indices of obesity with hypertension in Chinese elderly differ by gender and age. These findings indicate a need to develop gender-specific strategies for the male and female elderly in the primary and secondary prevention of hypertension. Full article
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