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Xiong M, Xu W. Association of relative deprivation with loneliness and its underlying mechanisms: Evidence from Chinese migrant children. Front Psychol 2023; 14:1048164. [PMID: 36968703 PMCID: PMC10033546 DOI: 10.3389/fpsyg.2023.1048164] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 02/15/2023] [Indexed: 03/12/2023] Open
Abstract
Given the increase in the number of internal migrant children, the mental health problems (e.g., loneliness) of this population have received widespread attention. Relative deprivation is considered to be related to migrant children’s loneliness. However, the underlying mechanisms of this relationship remain unclear. Therefore, the present study tested the possible mediating role of self-esteem and the moderating role of belief in a just world in the association between relative deprivation and loneliness of migrant children. A total of 1,261 Chinese rural-to-urban migrant children (10–15 years old, Mage = 12.34 years, SD = 1.67; 52.0% males, 48.0% females; 23.55% fourth grade students, 16.49% fifth grade students, 19.59% sixth grade students, 15.54% seventh grade students, 13.80% eighth grade students, and 10.86% ninth grade students) were recruited to complete measures of relative deprivation, self-esteem, belief in a just world, loneliness, and demographic variables. Relative deprivation was significantly and positively correlated with migrant children’s loneliness, and this connection could be mediated by self-esteem. Moreover, the first part of the indirect effect of self-esteem on this link was moderated by belief in a just world. These effects were stronger for migrant children with higher levels of belief in a just world. This study reveals the potential mechanisms of relative deprivation affecting loneliness, while also providing insights into how to better help migrant children alleviate loneliness and improve their mental health.
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Affiliation(s)
- Meng Xiong
- School of Education and Sports Sciences, Yangtze University, Jingzhou, China
- Department of Psychology, University of Edinburgh, Edinburgh, United Kingdom
- *Correspondence: Meng Xiong,
| | - Wenxi Xu
- School of Education and Sports Sciences, Yangtze University, Jingzhou, China
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Steward WT, Srinivasan K, Raj T, Heylen E, Nyblade L, Mazur A, Devadass D, Pereira M, Ekstrand ML. The Influence of Transmission-Based and Moral-Based HIV Stigma Beliefs on Intentions to Discriminate Among Ward Staff in South Indian Health Care Settings. AIDS Behav 2023; 27:189-197. [PMID: 35776252 PMCID: PMC9805471 DOI: 10.1007/s10461-022-03755-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2022] [Indexed: 01/24/2023]
Abstract
HIV stigma is comprised of several beliefs, including transmission fears and moral judgments against affected communities. We examined the relationships among HIV-related stigma beliefs, endorsement of coercive measures for people living with HIV (PLWH), and intentions to discriminate. We sought to understand to what degree the different stigma beliefs shape support for restrictive policies and discriminatory intentions. Data were drawn from the baseline assessment of DriSti, a cluster randomized controlled trial of an HIV stigma reduction intervention in Indian healthcare settings (NCT02101697). Participants completed measures assessing transmission fears and moral judgments of HIV, endorsement of coercive measures against PLWH (public disclosure of HIV status, refusal of healthcare services, marriage and family restrictions, required testing, and sharing of HIV information in a clinic), and intentions to discriminate against PLWH in professional and personal settings. We utilized multivariate regression modeling with backward elimination to identify the coercive measures and behavioral intentions most strongly associated with moral judgments. 1540 ward staff members completed the assessment. Participants had relatively high perceptions of transmission fears (M = 1.92, SD = 0.79) and moral judgments (M = 1.69, SD = 0.83); endorsed more intentions to discriminate in professional (M = 6.54, SD = 2.28) than personal settings (M = 2.07, SD = 1.49), and endorsed approximately half of all coercive measures (M = 9.47, SD = 2.68). After controlling for transmission fears, perceptions of stronger moral judgments against PLWH were significantly associated with higher endorsement of coercive measures related to refusing services (β = 0.10, t = 4.14, p < 0.001) and sharing patients' HIV status in clinics (β = 0.07, t = 3.04, p = 0.002), as well as with stronger behavioral intentions to discriminate in professional settings (β = 0.05, t = 2.20, p = 0.022). HIV stigma interventions for hospital-based ward staff in India need to focus on both transmission fears and moral judgments that underlie prejudicial beliefs. While the moral judgments are not technically related to risk in a hospital setting, our findings suggest that personnel will continue to discriminate in their professional work so long as these beliefs bear on their decisions and actions.
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Affiliation(s)
- Wayne T Steward
- Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | | | - Tony Raj
- St. Johns Research Institute, Bangalore, India
| | - Elsa Heylen
- Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Laura Nyblade
- International Development Group, Global Health Division, RTI International, DC, Washington, USA
| | - Amanda Mazur
- Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | | | | | - Maria L Ekstrand
- Center for AIDS Prevention Studies, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
- St. Johns Research Institute, Bangalore, India.
- Center for AIDS Prevention Studies, Division of Prevention Science, University of California, San Francisco, 550 16th Street, 3rd Floor, San Francisco, CA, 94143, USA.
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Xiong M, Hu Z. Relative deprivation and depressive symptoms among Chinese migrant children: The impacts of self-esteem and belief in a just world. Front Public Health 2022; 10:1008370. [PMID: 36339152 PMCID: PMC9631309 DOI: 10.3389/fpubh.2022.1008370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 10/04/2022] [Indexed: 01/27/2023] Open
Abstract
Background Studies have shown that relative deprivation is a risk factor for depressive symptoms, but the underlying mechanisms are not yet clarified. Thus, this study formulated a moderated mediation model to investigate the mediating role of self-esteem and the moderating role of belief in a just world between relative deprivation and depressive symptoms among rural-to-urban migrant children. Methods A sample of 1,076 Chinese migrant children (M age = 12.25 years, SD = 1.66) completed measurements of relative deprivation, self-esteem, belief in a just world, and depressive symptoms. Furthermore, the mediating mechanism and moderating effect of the study were explored with the SPSS PROCESS macro (Models 4 and 7). Results The results showed a significant positive association between relative deprivation and depressive symptoms, with self-esteem partially mediating this association. Moreover, belief in a just world moderated the association between relative deprivation and self-esteem. Namely, the indirect effect of self-esteem was moderated by belief in a just world. Specifically, the mediating effect was stronger for migrant children with higher levels of belief in a just world. Conclusion These findings broaden our knowledge of how and when relative deprivation influences depressive symptoms among migrant children. Therefore, appropriate measures should be taken to prevent and manage migrant children' depression and provide them with corresponding guidance. Some measures could be taken by schools and educators to help migrant children with high relative deprivation in improving their self-esteem and belief in a just world, such as self-reference tasks and psychological intervention programs.
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Affiliation(s)
- Meng Xiong
- School of Education and Sports Sciences, Yangtze University, Jingzhou, China,Department of Psychology, University of Edinburgh, Edinburgh, United Kingdom,*Correspondence: Meng Xiong
| | - Zhiqin Hu
- School of Education and Sports Sciences, Yangtze University, Jingzhou, China
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Belief in a just world, health-related quality of life, and mental health among Chinese patients with chronic obstructive pulmonary disease. Qual Life Res 2020; 30:157-167. [PMID: 32865697 DOI: 10.1007/s11136-020-02619-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Personal belief in a just world (PBJW) has been demonstrated to protect mental health. However, whether general belief in a just world (GBJW) serves adaptive functions for mental health across different groups and cultures remains unclear. This study explored the effects of PBJW and GBJW on mental health and moderating effects of PBJW and GBJW on the relation between health-related quality of life and mental health among patients with chronic obstructive pulmonary disease (COPD) in China. METHODS A total of 147 patients with COPD (90.5% male; mean age = 64.44 years) completed measures of health-related quality of life, depression, anxiety, PBJW, and GBJW and provided pulmonary function data. RESULTS Younger age and female sex were related to higher depression; female sex, living with others, and high financial burden were associated with higher anxiety. Worse health-related quality of life and lower PBJW were associated with higher depression and anxiety. An interaction between health-related quality of life and BJW was revealed. For patients with low PBJW, lower health-related quality of life was correlated with higher depression. For patients with stronger endorsement of GBJW, worse health-related quality of life was associated with higher depression and anxiety, but the variance of anxiety caused by interaction was insignificant. CONCLUSIONS The findings suggest that for patients with COPD experiencing health deterioration, holding strong PBJW but weak GBJW may be beneficial for mental health. Our study advances our understanding of the different functions of PBJW and GBJW in mental health across different groups and cultures.
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