Zhongliang Zhou
Dados Biográficos
| ID | 3926379 |
|---|---|
| NOME | Zhongliang Zhou |
| PRENOMES | Zhongliang |
| SOBRENOME | Zhou |
| ASSINATURA | ZHOU Z |
| AFILIAÇÕES | Xi'an Jiaotong University |
| ORCID | 0000-0002-6564-6609 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 68 |
| TOTAL DE CITAÇÕES | 23 |
| TOTAL COMO AUTOR | 68 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Direct and Indirect Effects of Adolescent Motherhood on Under‐Five Mortality in Pakistan
Associations of workplace violence with depression and anxiety among health-care workers
BACKGROUND: Workplace violence (WPV) is a pervasive occupational hazard in health-care settings and has increasingly been recognized as a major threat to health-care workers' mental health. Previous studies have consistently shown that WPV is associated with a range of adverse psychological outcomes, including depression and anxiety. However, despite the growing body of evidence documenting these associations, the underlying mechanisms through wh…
Enhancing health professional clinical performance through supervision strategies
Background: Supervision remains a widely implemented strategy to improve clinical quality, but its independent impact and the means to enhance its effectiveness remain uncertain. We investigated the effectiveness of supervision alone and, in combination with feedback or training, on clinical quality in child healthcare, and explored the relationship between supervision alone and performance across different organisational contexts. Methods: Data …
A network analysis of mental, somatic health, and perceived social supports among Chinese pregnant and postpartum women
BACKGROUND: The mental burdens among pregnant and postpartum women were exacerbated by cultural expectations and policy shifts, which can be mitigated by social support. OBJECTIVE: To identify the networks of comorbid somatic and mental health, diverse sources of support (interpersonal and policy), and symptom-support interactions in pregnant and postpartum women. METHODS: Participants were recruited from seven Chinese tertiary hospitals. Health …
Child malnutrition in Pakistan
The Deepest Well
This study underscores the lasting impact of ACEs on SLE in later life. The moderating effects of wealth and depressive symptoms highlight the role of adult socioeconomic and psychological conditions in shaping this association. Reducing ACEs and promoting financial security and mental health in later life may enhance positive expectations of aging and support healthier aging trajectories
The relationship between healthcare professionals and under-five mortality
Prior researchers have established the association between Health Human Resources (HHR) and children’s healthcare outcomes. However, there has been limited focus on the distribution of both professional and non-professional healthcare workers, as well as their impact on under-five mortality, in the context of environmental hygiene, along with the influence of maternal education as a moderator. Our research applied the data from the Pakistan Demog…
The effect of overuse by primary healthcare institutions on medical expenses
Background: Overuse stands as an important factor in the unreasonable growth of healthcare expenditure in many countries, increasing the burden of both patients and national healthcare insurance. The heterogeneity of diseases results in significant differences in clinical manifestations and treatment sensitivity among different patients with the same illness, making it urgently necessary to explore and resolve the objective assessment and measure…
Spillover effects of military healthcare reform on civilian hospitals in China
Background: Military hospitals in China served a dual role, providing substantial healthcare to civilians alongside their primary mission of supporting military personnel. The 2015 military reform, which restricted military involvement in civilian services, may have unintentionally reshaped China's healthcare landscape. This study examined the reform's impact on civilian public hospitals, focusing on adjustments in service capacity. Methods: Usin…
Did the reform of the public hospitals' pay system increase the physicians' pay in China? A cross-sectional study
Background: In 2017, the government initiated a pilot program for the public hospitals' pay system (RPHPS) aimed at enhancing physician compensation. We investigated the extent to which the reform impacted the physicians' pay and analyzed the factors that determine their pay. Methods: This cross-sectional study utilized China Public Hospitals' Compensation Reform Survey from 2017, which included a sample of 178,622 physicians. Total annual pay an…
Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate
Background: Cleft lip and/or palate (CL/P) speech is a significant communication disorder with notable and enduring consequences. This study focused on developing an intervention mapping (IM)-based and parent-implemented early intervention to improve speech and language skills among infants and toddlers with CL/P in China. Methods: An IM procedure was used to develop a parent-implemented early intervention. First, parent-child interaction problem…
Strengthening financial protection through multitiered health coverage
INTRODUCTION: Low-income households face disproportionate out-of-pocket hardship when accessing healthcare, undermining equity and universal health coverage. To address these challenges, China implemented a three-tiered health coverage system-basic medical insurance, catastrophic medical insurance and medical assistance-but its comprehensive impact on the financial protection remains underexplored. METHODS: We analysed Shaanxi Province's Medical …
Exploring the critical risk factors in Covid-19 vaccination clinics aimed uncertainty
A cross-sectional study of individual- and poly-bullying victimization and suicidal ideation among Chinese university and high school students
The exploration-oriented study provided an intricate mechanism of gender-specific differences in SI related to poly-bullying victimization. Tailored, gender-sensitive interventions and support systems for adolescents and young adults should be designed and implemented
Association between psychological depression and physical health in Chinese empty-nesters during the Covid-19 pandemic
We found that among empty-nesters in China, depressive symptoms were negatively associated with good self-rated health and positively associated with chronic diseases and limitations in BADLs
Decomposing disparities in the utilization of basic public health services between locals and internal migrants in China
To reduce inequities in the utilization of basic public health services between locals and internal migrants, measures need to be taken to improve knowledge about the basic public health services and to help migrants integrate into the local community
Geographic disparities in inpatient service in primary care and patients' choice of first point of consultation
Our findings suggest that inpatient service in primary care enhancement exhibits heterogeneous effects on FPC rates across China's geographic and socioeconomic strata. Policy prioritization should focus on targeted interventions in underserved rural regions with medical resource scarcity, potentially yielding greater equity dividends in healthcare access. Improving the capacity of primary care services should remain a key direction of health syst…
The impact of physician-patient gender match on healthcare quality
Restricted health service utilization and subsequent positive self-care behavior during the early Covid-19 pandemic in China
Background The reallocation of health resources, epidemic prevention and control measures during the COVID-19 pandemic triggered widespread restricted health service utilization, some residents and patients tried positive self-care behavior to maintain their health, yet the efficacy of this intervention remains unclear. Object Based on the reasoned action approach (RAA) theory, this study aimed to investigate the correlation between self-care beh…
Factors associated with unplanned readmissions for patients with mental and behavioural disorders in China
BACKGROUND: Unplanned readmissions among patients with mental and behavioural disorders (MBDs) disrupt inpatient recovery and impose financial burdens on families and healthcare systems. OBJECTIVES: To estimate the 31-day unplanned inpatient readmission rates for MBDs in China and identify determinant profiles from the perspective of individual, hospital, and contextual levels. METHODS: Data from patients with MBDs were collected from the medical…
Catastrophic health expenditure of households with hypertension
Objectives: The aim of this study was to understand the impact of multimorbidity on catastrophic health expenditures for people with hypertension. Methods: Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS) in 2018, 8,342 adults were included in our analysis. Propensity score matching method was used to compare the risk of catastrophic health expenditures between the hypertension patients (treatment group) and tho…
Income loss and subsequent poor psychological well-being among the Chinese population during the early Covid-19 pandemic
Income loss during the pandemic has had detrimental consequences on psychological well-being, and the magnitude of the impact of income loss on psychological well-being varied according to previous income levels. Future policy efforts should be directed toward improving the psychological well-being of the economically vulnerable and helping them recover from lost income in the shortest time possible
Do Primary Healthcare Facilities in More Remote Areas Provide More Medical Services? Spatial Evidence from Rural Western China
Primary healthcare institutions (PHIs) in China have experienced a sizable decline in medical services in recent years. Despite the large regional disparities in China, there is a lack of evidence on the differential patterns of medical services offered by PHIs, especially from a spatial perspective. This study examines whether residents in more remote areas use more medical services offered by township healthcare centers (THCs), a main type of P…
Quantifying the financial impact of overuse in primary care in China
Social Engagement and Urban–Rural Disparity in Self-Management Behaviors
Background This study examines the effect of social engagement on urban–rural disparities in self-management behaviors (medication use, self-monitoring, physical activity, and tobacco and alcohol avoidance) among middle-aged and older Chinese patients with hypertension. Methods Data from 2011 to 2018 were extracted from the four latest waves of the China Health and Retirement Longitudinal Study. Chi-square tests and t -tests were performed to exa…
Evaluating the effect of hierarchical medical system on health seeking behavior
When more is less
Assessing Income-Related Health Inequality and Horizontal Inequity in China
Quantifying the financial impact of overuse in primary care in China
The impact of China’s Zero-Markup Drug Policy on county hospital revenue and government subsidy levels
In 2009, the Chinese government passed the Zero-Markup Drug Policy, which strives to contain the costs of medicines and ultimately reduce the financial burden to the public, especially those in low-income settings. This study aims to evaluate the impact of the Zero-Markup Drug Policy on health care provision, revenue structures in county hospitals, and demand for fiscal compensation from the government. Our study employs a difference-in-differenc…
Assessing equity of healthcare utilization in rural China
Utilization of both outpatient and inpatient services was pro-rich in rural China with the exception of outpatient service in 2008. With the same needs for healthcare, rich rural residents utilized more healthcare service than poor rural residents. Compared to utilization of outpatient service, utilization of inpatient service was more inequitable. Inequity of utilization of outpatient service reduced gradually from 1993 to 2008; meanwhile, inequ…
The effects of China’s urban basic medical insurance schemes on the equity of health service utilisation
The implementation of UEBMI increased the pro-rich inequity of outpatient utilisation (rich people utilise outpatient facilities more than the poor people) and the implementation of URBMI increased the pro-poor inequity of outpatient utilisation. Both of these two health insurance schemes reduced the pro-rich inequity of inpatient utilisation
The impact of China’s Zero-Markup Drug Policy on county hospital revenue and government subsidy levels
In 2009, the Chinese government passed the Zero-Markup Drug Policy, which strives to contain the costs of medicines and ultimately reduce the financial burden to the public, especially those in low-income settings. This study aims to evaluate the impact of the Zero-Markup Drug Policy on health care provision, revenue structures in county hospitals, and demand for fiscal compensation from the government. Our study employs a difference-in-differenc…
Decomposing socioeconomic inequalities in depressive symptoms among the elderly in China
The prevalence of depressive symptoms in the elderly was considerably high in China. There was also a pro-rich inequality in depressive symptoms amongst elderly Chinese. It is suggested that some form of policy and intervention strategies, such as establishing the urban-rural integrated medical insurance scheme, enhancing the medical assistance system, and promoting health education programs, is required to alleviate inequitable distribution of d…
The role of parental health care utilization in children’s unnecessary utilization in China
Chinese children whose parents were high health care users were more likely to overuse health care services, holding other factors constant. Parents can play an important role in reducing children's unnecessary outpatient visits, infusion use, and inpatient visits. The results suggest that interventions aimed at affecting patterns of parental use may be helpful in improving appropriate health care utilization for children
An economy-related equity analysis of health service utilization by women in economically underdeveloped regions of western China
Health service utilization was different between women with different social demographic characteristics, and unequal health service utilization is evident among women in Shaanxi
Catastrophic healthcare expenditure and its inequality for households with hypertension
The proportion of households incurring CHE in the rural areas of Shaanxi Province was considerably high in all three types of households and households with hypertension were at a higher risk of incurring CHE. Furthermore, there existed a strong pro-poor inequality of CHE in all three types of households and the results implied more inequality in households with non-chronic diseases compared with two other groups. Our study suggests that more con…
Exploring status and determinants of prenatal and postnatal visits in western China
This study showed the utilization of prenatal and postnatal visits met the requirement of the WHO, higher than other areas in China and other developing countries after the new health system reform. The new health system reform increased the utilization of postnatal visits in poor urban women and improved the frequency of prenatal and postnatal visits in rural women
Assessing Income-Related Health Inequality and Horizontal Inequity in China
Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China
Background: In China, tobacco consumption is a leading risk factor for non-communicable diseases, and understanding the pattern of socio-economic inequalities of tobacco consumption will, thus, help to develop targeted policies of public health control. Methods: Data came from the China Health and Retirement Longitudinal Study in 2013, involving 17,663 respondents aged 45 and above. Tobacco use prevalence and tobacco use quantities were defined f…
Unequal distribution of health human resource in mainland China
There was inequality of health human resource distribution which was pro-rich in mainland China in 2014. Economic status of the cities accounted for most of the existing inequality, followed by the Southwest China, urbanization level, revenue, party secretaries with Master degree, and mayors who were 60 years old or above in respective importance. Besides, the party secretaries and mayors also had certain influence on the allocation of health hum…
Comparing the income-related inequity of tested prevalence and self-reported prevalence of hypertension in China
This study revealed self-reported prevalence of hypertension was much lower than tested prevalence in China, while a larger gap between self-reported and tested prevalence was found in rural areas. Our study suggested social strategies aiming at narrowing economic gap and regional disparities, reducing educational inequity, and facilitating health conditions of the elderly should be implemented. Finally, awareness raising campaigns to test hypert…
The distribution of benefits under China’s new rural cooperative medical system
Our study suggests that the benefits of NCMS are concentrated toward economically affluent groups. Although any trade-off between policy feasibility and equity has become a challenge for the formulation of social health insurance funding and benefit packages in developing countries, inequality can be gradually reduced through continuous adjustment of the medical insurance scheme, thus effectively targeting economically disadvantaged enrollees
Financial transfers from adult children and depressive symptoms among mid-aged and elderly residents in China - evidence from the China health and retirement longitudinal study
Financial transfers from non-co-resident children are associated with depressive symptoms among mid-aged and elderly residents in the China situation. Taxation and other policy measures should encourage and facilitate these type of financial transfers and prevent a decrease of support from children to parents
Years of health-care reform in China
Mothers’ Subjective Well-Being after Having a Second Child in Current China
The introduction of the two-child family planning policy in China calls for a study of the response of mothers' subjective well-being after the birth of a second child. Generally focusing on Western countries, previous studies suggested that a series of factors could influence the response, but insufficient attention has been paid to the relative importance of these factors so far. Based on survey data from mothers of two children in the Xi'an me…
New Health Care Reform and Impoverishment among Chronic Households in China
High out-of-pocket (OOP) payments for chronic disease care often contribute directly to household poverty. Although previous studies have explored the determinants of impoverishment in China, few published studies have compared levels of impoverishment before and after the New Health Care Reform (NHCR) in households with members with chronic diseases (hereafter referred to as chronic households). Our study explored this using data from the fourth…
Socioeconomic inequalities in the prevalence of chronic diseases and preventive care among adults aged 45 and older in Shaanxi Province, China
Our study suggests that the existence of clear inequities in the prevalence of chronic diseases and preventive care among adults aged 45 and older in Shaanxi Province, China. These inequalities in chronic diseases could be as much a cause as a consequence of socioeconomic inequalities
Urban-rural-specific trend in prevalence of general and central obesity, and association with hypertension in Chinese adults, aged 18–65 years
Both WC and BMI should be considered measures of obesity and targeted in hypertension prevention. More attention should be paid to the incidence of central obesity in adults in rural China
When more is less
The Influence of Left-Behind Experience on College Students’ Mental Health
China's rapid development and urbanization have created large numbers of migrant laborers, with increasing numbers of young adults and couples migrating from rural areas to large cities. As a result, a large number of children have become left-behind children (LBC), who were left behind in their hometown and cared for by one parent, grandparents, relatives or friends. Some of these LBC have a chance to be college students, who are called college …
Health Disparity between the Older Rural-to-Urban Migrant Workers and Their Rural Counterparts in China
Background: China's older rural-to-urban migrant workers (age 50 and above) are growing old, but comparative health research on older rural-to-urban migrants in China is still in its infancy. The aim is to explore the health status of older rural-to-urban migrant workers in China; as well as to identify health disparity between older rural-to-urban migrant workers and older rural dwellers. Methods: This study employed self-assessed health status …
Explaining Income-Related Inequalities in Dietary Knowledge
Lack of adequate dietary knowledge may result in poor health conditions. This study aims to measure income-related inequality in dietary knowledge, and to explain the sources of the inequality. Data were from the China Health and Nutrition Survey (CHNS) conducted in 2015. A summary of the dietary knowledge score and dietary guideline awareness was used to measure the dietary knowledge of respondents. The concentration index was employed as a meas…
The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China
A package of free informational text messages, including advice for good household prenatal practices and care seeking, may prevent the inappropriate weight for gestational age through a protective effect on macrosomia. Advice to encourage care seeking in pregnancy may prevent macrosomia among neonates in rural China as well
Changing Income-Related Inequality in Daily Nutrients Intake
Because of economic reform, dietary pattern in China changed rapidly during the past two decades. Meanwhile, the changes of income and nutrients intake had the same trend. This study aims to measure the income-related inequality in daily nutrients intake and its health-related income mobility over time. Data was sourced from four waves of China Health and Nutrition Survey. Concentration indexes and health-related income mobility indexes were empl…
Medicine (54 obras) · China (37 obras) · Healthcare Systems and Reforms (35 obras) · Environmental health (34 obras) · Public health (28 obras) · Health care (27 obras) · Geography (25 obras) · Global Health Care Issues (21 obras) · Population (21 obras) · Psychology (21 obras)