Purpose We aimed to investigate mental health help-seeking intentions and preferences of rural Chinese adults and determine predictors of the intentions. Methods A total of 2052 representative rural residents aged 18–60 completed a cross-sectional survey by face-to-face interviews. The survey included seven questions asking about respondents' help-seeking intentions and preferences, and a series of internationally validated instruments to assess self-perceived health status, depression, anxiety, alcohol abuse, mental health literacy, and attitudes towards mental illness. Results Nearly 80% of respondents were willing to seek psychological help if needed, and 72.4% preferred to get help from medical organizations, yet only 12% knew of any hospitals or clinics providing such help. A multivariate analysis of help-seeking intention revealed that being female, having lower education, higher social health, higher mental health knowledge, and physical causal attribution for depression were positive predictors of help-seeking intention. Conclusion A huge gap exists between the relatively higher intention for help-seeking and significantly lower knowledge of helpful resources. Predictors of help-seeking intention for mental problems in the current study are consistent with previous studies. Interventions to increase help-seeking for mental problems by Chinese rural adults may be best served by focusing on increasing public awareness of help sources, as well as improving residents' mental health literacy and social health, with special focus on males and those more educated.
Abstract Understanding the watershed‐scale spatial distribution of soil salinity and its compositions is important for soil management. Here, we present the first study on the Manas River watershed in northwest China. In this study, we took soil samples in upper 20 cm of soil from 186 locations across the watershed and measured total salt concentration ( TSC ), salt ion composition and soil particle size distribution ( PSD ). We found that on average topsoil TSC tended to increase, from 3.55 g kg −1 in upstream regions to 19.40 g kg −1 in downstream regions. The stoichiometric analysis showed that the equivalence ratio of soil Cl ‐ to SO 4 2− increased from 0.53 in upstream regions to 2.12 in midstream regions, and further to 3.76 in downstream regions; thus, the soil types were classified into chloride–sulfate, sulfate–chloride and chloride soils types, respectively. Additionally, proportions of small (<2 μm in diameter) and large (>2,000 μm) soil particles increased, while that of medium sizes (2–50 μm) decreased from upstream to downstream, with an increasing coefficient of variance ( CV ) in PSD . Taken together, watershed‐scale topsoil salinity may be horizontally characterized by increased TSC and Na + & Cl − proportions, greater equivalence ratio of Cl − vs. SO 4 2− and more balanced distribution of PSD along with surface water flow. Results demonstrated that soil salinity and its ions compositions showed a great variation across the watershed scale, suggesting that soil management may consider the spatial heterogeneity of saline–alkaline soil types, and our results provided scientific guidance for local soil management and restoration.
Abstract Suicide is increasingly recognized as a major public health concern among migrant workers in China. Despite negative mental and negative coping styles being core themes found in suicide notes, there is scarce research addressing the theoretical framework of underlying mechanisms between these variables. The study was designed to examine the relationships of negative mental, negative coping styles, and suicide risk among migrant workers. It hypothesized that negative mental would exert a positive effect on suicide risk via increased negative coping. Using a cross-sectional design, the study was conducted using a sample of 3095 migrant workers from Shenzhen, China. Self-made Suicide Risk Scale (SRS), Short-form of the ULCA Loneliness Scale (USL-6), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Scale (GAD-7), Simplified Coping Style Questionnaire (SCSQ) were used to collect data. Structural equation modeling (SEM) was performed to quantitatively explore the path effects between negative mental, negative coping styles and suicide risk. Results showed that negative coping style had a positive association with suicide risk (β = 0.029, P < 0.001). Negative mental had both direct and indirect positive effects on suicide risk through negative coping styles (β = 0.109, β = 0.013, P < 0.001). Therefore, to prevent suicidal behaviors among migrant workers, targeted interventions focusing on improving their mental health and coping strategies are needed.
Objectives This study aimed to explore cut-off scores of the 9-item Patient Health Questionnaire (PHQ-9) and 2-item Patient Health Questionnaire (PHQ-2) for depression screening in Chinese rural elderly. Methods A cross-sectional study was conducted on 839 residents aged 60 years and above in rural areas of Liuyang County. PHQ-9 was adopted to evaluate depression. The Structured Clinical Interview for DSM Disorders (SCID-I) was adopted to diagnose major depressive disorder (MDD) as a golden standard. Sensitivity, specificity, positive and negative predictive value, positive and negative likelihood ratio, Youden's index and the receiver operating characteristic (ROC) curve were analyzed on PHQ-9 and PHQ-2. Results The Cronbach's alphas of PHQ-9 and PHQ-2 were 0.82 and 0.76, respectively. The score of 8 of the PHQ-9 showed the highest Youden's index of 0.85, with a sensitivity of 0.97 and specificity of 0.89 respectively, and the area under the ROC curve (AUC) was 0.97 (95% CI: 0.96–0.98). The score of 3 of PHQ-2 showed the highest Youden's index of 0.79, with both sensitivity and specificity were 0.90 and the AUC was 0.94 (95% CI: 0.90–0.97). Conclusions Both PHQ-9 and PHQ-2 are valid screening instruments for depression in the rural elderly in China, with recommended cut-off scores of 8 and 3 respectively.
The traditional coal‐gasification process has many problems, such as low yield, large loss of syngas, and large carbon emission. Herein, a novel dual‐regulation system is established. Natural gas is used as the supplemental feed to add hydrogen‐ to coal‐gasification syngas, which is the primary regulation process. Water–gas shift process with calcium looping is treated as the secondary regulation process to regulate the ratio of H 2 to CO and CO 2 subtly. The potential feasibility of the system is verified through thermodynamic perspective by Aspen Plus. Under the simulation condition, the final methanol product amount is 3485.12 kmol h −1 with 97.2% concentration and 33.47 MWe net electricity is generated. As a result, the methanol efficiency and net electricity efficiency are 60.55% and 3.22%, respectively. For investigating the effectiveness of regulation, the effects of mass ratio of natural to coal feedstock on materials and performances are discussed.
'/%3e%3cuse xlink:href='%23a' transform='rotate(23.036 .093 25.536)'/%3e%3cuse xlink:href='%23a' transform='rotate(45.87 1.273 16.18)'/%3e%3cuse xlink:href='%23a' transform='rotate(69.945 .996 12.078)'/%3e%3cuse xlink:href='%23a' transform='rotate(20.66 -19.689 31.932)'/%3e%3c/svg%3e)