Xueyang Zhou’s research while affiliated with First Affiliated Hospital of China Medical University and other places

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Publications (2)


Structural equation model
The Association between Home Environment and Quality of Life in Children and Adolescents in Hangzhou City, China
  • Article
  • Full-text available

June 2021

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82 Reads

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18 Citations

Xianhong Huang

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Le Hua

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Xueyang Zhou

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[...]

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XiaoHe Wang

To investigate the influence of the home environment, defined as family socioeconomic status (SES) (parent education level, household income), student resource-mediated SES (access to nutritional resources and cognitively stimulating experiences), reading ability, and difficulty with homework on quality of life in children and adolescents residing in urban and suburban areas in Hangzhou City, Zhejiang Province, China. This study included 3200 Grade 3–6 students from 8 elementary schools in Hangzhou City. Assessments included questionnaires that evaluated student quality of life, family SES, resource-mediated SES (dietary behavior and the home literacy environment), reading ability, and difficulty with homework. The effects of the home environment on student quality of life were analyzed by univariate analysis, multiple linear regression analysis, and structural equation modeling. Overall, 80.6% of students had a medium or better quality of life. Young age (Grade 3 or 4), female sex, household income of 10000–15000 RMB, high breakfast consumption, daily intake of fruit, a balanced diet, and good reading habits were positively correlated with student quality of life ( P < 0.05), while overuse of electronic devices was negatively correlated with quality of life ( P < 0.05). Dietary behaviors, home literacy environment, and student reading ability and difficulty with homework directly affected quality of life. Family SES indirectly affected student quality of life. Children and adolescents in China should have access to good nutrition and cognitively stimulating experiences to enhance their well-being and provide them with social and academic advantages.

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Patient satisfaction with prescribed medicines in community health services in China: A cross-sectional survey 6 years after the implementation of the national essential medicines policy

February 2018

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90 Reads

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5 Citations

The National essential medicines policy (NEMP) is promoted by the World Health Organization for affordable medicines that can meet the basic needs of communities. Patient acceptance is essential for achieving the policy goals of the NEMP. This study aimed to assess patient satisfaction with prescribed medicines in community health services under the NEMP context in China. A stratified random sampling strategy was adopted to select 1,037 participants in 40 community health centres from four provinces in China. Patient satisfaction was rated on a five-point Likert scale (from 1 = “very dissatisfied” to 5 = “very satisfied”) covering four domains: availability, affordability, effectiveness and safety. The results showed that the participants expressed a moderate degree of satisfaction, with a rating in the range of 66–82 out of a total of 100. Older people, those covered by insurance and those with a lower level of education tended to have higher ratings. While eastern (wealthy) residents were more likely to be concerned with “effectiveness,” western (poor) residents were more likely to be concerned with “affordability.” Awareness of the NEMP was negatively associated with patient satisfaction after control for other factors.

Citations (2)


... Among children, previous reports show that socio-economic inequalities in HRQoL could partially be explained by variations in parenting practices and parental mental health [24,25]. Finally, one study conducted in China found that dietary behaviours and the home literacy environment mediated the association between socio-economic conditions and quality of life among participants aged 9 to 14 years old [26]. However, to the best of our knowledge, research examining both psychosocial and behavioural mediators of socio-economic disparities in HRQoL specifically among children is lacking. ...

Reference:

Psychosocial factors mediate social inequalities in health-related quality of life among children and adolescents
The Association between Home Environment and Quality of Life in Children and Adolescents in Hangzhou City, China

... sample county, especially in primary care centers. This has become one of the nonnegligible concerns by the public (48), and could seriously hamper the sustainability of NEMP. Key obstacles to access essential medicines in undeveloped and remote areas are still to be overcome, including high transportation costs, low supplier profits, inadequate storage in PHFs, and a lack of motivation and confidence to provide medical or pharmaceutical services among primary care practitioners (24,49). ...

Patient satisfaction with prescribed medicines in community health services in China: A cross-sectional survey 6 years after the implementation of the national essential medicines policy