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Jiahui Wang

Bio: Jiahui Wang is an academic researcher from Harbin Medical University. The author has contributed to research in topics: Medicine & Population. The author has an hindex of 6, co-authored 11 publications receiving 81 citations.

Papers
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Journal ArticleDOI
TL;DR: AHC remains a serious public health problem in Southern and Eastern China that mainly affects farmers and children younger than 9 years and it is recommended that the health administration strengthen the publicity and education regarding AHC prevention among farmers and accelerate the development of related vaccines and treatment measures.

48 citations

Journal ArticleDOI
TL;DR: The original poverty-promoting policies has not reached the maximum point of convergence with China’s current demand for health, so special health needs, age, and household capacity to pay should be comprehensively considered while strengthening the connection between the disease insurance scheme with supplementary insurance.
Abstract: We examined the physiological, household, and spatial agglomeration characteristics of the health poverty population in China. We identified weak links that affect the implementation of the medical insurance and further improve its effectiveness for health poverty alleviation. A national representative sample from the China Health and Retirement Longitudinal Study (CHARLS) was analyzed. The WHO recommended method was adopted to calculate catastrophic health expenditure (CHE) and impoverishment by medical expenses (IME). We created a binary indicator for IME as the outcome variable and applied the treatment-effect model to analyze the determinants of IME. The incidence of IME was 7.2% of the overall population, compared to 20.3% of the sample households trapped in CHE. The incidence of IME enrolled in insurance schemes was 7.4% higher than that of uninsured families (4.8%). Economic level, living area, family size, age of household head, having hospitalized members, and participating in insurance were statistically significant for the occurrence of IME. The original poverty-promoting policies has not reached the maximum point of convergence with China’s current demand for health. The overlapped health vulnerabilities exacerbated the risk of poverty among the elderly and households with high health needs and utilization. In addition, the medical insurance schemes have proven to be insufficient for protection against economic burden of poor households. So, special health needs, age, and household capacity to pay should be comprehensively considered while strengthening the connection between the disease insurance scheme with supplementary insurance.

33 citations

Journal ArticleDOI
TL;DR: The progress made in the integrated URRBMI on CHE equity deserves recognition, even though it did not reduce the overall CHE or the impoverishment rate effectively, and more targeted solutions should be considered, such as promoting more precise insurance intervention for the most vulnerable population.
Abstract: China’s fragmentation of social health insurance schemes has become a key obstacle that hampers equal access to health care and financial protection. This study aims to explores if the policy intervention Urban and Rural Residents Basic Medical Insurance (URRBMI) scheme, which integrates Urban Resident Basic Medical Insurance (URBMI) and New Rural Cooperative Medical Scheme (NCMS), can curb the persistent inequity of catastrophic health expenditure (CHE) and further analyses the determinants causing inequity. Data were derived from the Fifth National Health Service Survey (NHSS). A total of 11,104 households covered by URRBMI and 20,590 households covered by URBMI or NCMS were selected to analyze CHE and the impoverishment rate from medical expenses. Moreover, the decomposition method based on a probit model was employed to analyse factors contributing CHE inequity. The overall incidence of CHE under integrated insurance scheme was 15.53%, about 1.10% higher than the non-integrated scheme; however, the intensity of CHE and impoverishment among the poorest was improved. Although CHE was still concentrated among the poor under URRBMI (CI = -0.53), it showed 28.38% lower in the degree of inequity. For URRBMI households, due to the promotion of integration reform to the utilization of rural residents’ better health services, the factor of residence (24.41%) turns out to be a major factor in increasing inequity, the factor of households with hospitalized members (− 84.53%) played a positive role in reducing inequity and factors related to social economic status also contributed significantly in increasing inequity. The progress made in the integrated URRBMI on CHE equity deserves recognition, even though it did not reduce the overall CHE or the impoverishment rate effectively. Therefore, for enhanced equity, more targeted solutions should be considered, such as promoting more precise insurance intervention for the most vulnerable population and including costly diseases suitable for outpatient treatment into benefit packages. Additionally, comprehensive strategies such as favourable targeted benefit packages or job creation are required for the disadvantaged.

26 citations

Journal ArticleDOI
TL;DR: The medical insurance integration system in China is still at the exploratory stage; hence, its effects are of limited significance, even though the positive impact of this system on low-income residents is confirmed.
Abstract: By 2013, several regions in China had introduced health insurance integration policies. However, few studies addressed the impact of medical insurance integration in China. This study investigates the catastrophic health expenditure and equity in the incidence of catastrophic health expenditure by addressing its potential determinants in both integrated and non-integrated areas in China in 2013. The primary data are drawn from the fifth China National Health Services Survey in 2013. The final sample comprises 19,788 households (38.4%) from integrated areas and 31,797 households (61.6%) from non-integrated areas. A probit model is employed to decompose inequality in the incidence of catastrophic health expenditure in line with the methodology used for decomposing the concentration index. The incidence of catastrophic health expenditure in integrated areas is higher than in non-integrated areas (13.87% vs. 13.68%, respectively). The concentration index in integrated areas and non-integrated areas is − 0.071 and − 0.073, respectively. Average household out-of-pocket health expenditure and average capacity to pay in integrated areas are higher than those in non-integrated areas. However, households in integrated areas have lower share of out-of-pocket expenditures in the capacity to pay than households in non-integrated areas. The majority of the observed inequalities in catastrophic health expenditure can be explained by differences in the health insurance and householders’ educational attainment both in integrated areas and non-integrated areas. The medical insurance integration system in China is still at the exploratory stage; hence, its effects are of limited significance, even though the positive impact of this system on low-income residents is confirmed. Moreover, catastrophic health expenditure is associated with pro-poor inequality. Medical insurance, urban-rural disparities, the elderly population, and use of health services significantly affect the equity of catastrophic health expenditure incidence and are key issues in the implementation of future insurance integration policies.

23 citations

Journal ArticleDOI
TL;DR: Interventions specifically targeted to reduce hostility should be provided, including incorporating psychological service into HIV management guidelines, enhancing PLWHA’s trust-in-doctor, establishing comprehensive services forPLWHA, reducing the social stigma against PLWha, and paying more attention to PLW HA with financial problems.
Abstract: Hostility can result in negative outcomes in people living with HIV/AIDS (PLWHA); however, previous research on this topic is far from adequate. To contribute to existing knowledge on this aspect of PLWHA, the current study examined the prevalence of hostility and its potential influencing factors among PLWHA. A cross-sectional questionnaire survey was undertaken on 218 HIV patients in Heilongjiang Province of China between March and August in 2013. A multiple logistic regression analysis was performed to identify factors associated with hostility. The prevalence of hostility was 17.0% among the participants. The three most alarming types of hostility included desiring to kill the person who infected them, blaming the infection on the society, and abandoning themselves to despair. A multiple logistic regression model identified that depression (OR = 3.845, 95% CI = 1.309–9.229), perceived stigma (OR = 3.281, 95% CI = 1.109–7.711), and fear of dying (OR = 2.710, 95% CI = 1.068–6.881) were the risk factors for hostility, while higher levels of trust-in-doctor (OR = 0.176, 95% CI = 0.060–0.517) and per capita household income (OR = 0.344, 95% CI = 0.119–0.991) were protective factors. Our findings highlight the prominent influence of psychological, healthcare, and social factors on hostility among PLWHA. Interventions specifically targeted to reduce hostility should be provided, including incorporating psychological service into HIV management guidelines, enhancing PLWHA’s trust-in-doctor, establishing comprehensive services for PLWHA, reducing the social stigma against PLWHA, and paying more attention to PLWHA with financial problems. These interventions may improve the management and control of HIV/AIDS.

21 citations


Cited by
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Journal ArticleDOI
TL;DR: The findings demonstrate the utility of HBM constructs in understanding COVID-19 vaccination intent and WTP and it is important to improve health promotion and reduce the barriers to CO VID-19 vaccine.
Abstract: Background This study attempts to understand coronavirus disease 2019 (COVID-19) vaccine demand and hesitancy by assessing the public’s vaccination intention and willingness-to-pay (WTP). Confidence in COVID-19 vaccines produced in China and preference for domestically-made or foreign-made vaccines was also investigated. Methods A nationwide cross-sectional, self-administered online survey was conducted on 1–19 May 2020. The health belief model (HBM) was used as a theoretical framework for understanding COVID-19 vaccination intent and WTP. Results A total of 3,541 complete responses were received. The majority reported a probably yes intent (54.6%), followed by a definite yes intent (28.7%). The perception that vaccination decreases the chances of getting COVID-19 under the perceived benefit construct (OR = 3.14, 95% CI 2.05–4.83) and not being concerned about the efficacy of new COVID-19 vaccines under the perceived barriers construct (OR = 1.65, 95% CI 1.31–2.09) were found to have the highest significant odds of a definite intention to take the COVID-19 vaccine. The median (interquartile range [IQR]) of WTP for COVID-19 vaccine was CNY¥200/US$28 (IQR CNY¥100–500/USD$14–72). The highest marginal WTP for the vaccine was influenced by socio-economic factors. The majority were confident (48.7%) and completely confident (46.1%) in domestically-made COVID-19 vaccine. 64.2% reported a preference for a domestically-made over foreign-made COVID-19 vaccine. Conclusions The findings demonstrate the utility of HBM constructs in understanding COVID-19 vaccination intent and WTP. It is important to improve health promotion and reduce the barriers to COVID-19 vaccination.

467 citations

Book
01 Jan 2015
TL;DR: A review of the field of Organizational Ethnography and Anthropological Studies can be found in this article, with a focus on qualitative analysis of organizational behavior and the role of women in such research.
Abstract: VOLUME ONE: CLASSICAL AND CONTEMPORARY STUDIES Banana Time: Job Satisfaction and Informal Interaction - Donald Roy Perceptions and Methods in Men Who Manage - Melville Dalton Men and Women of the Corporation - Rosabeth Kanter Manufacturing Consent - Michael Burawoy Breakfast at Spiro's: Dramaturgy and Dominance - Michael Rosen The World of Corporate Managers - Robert Jackall Engineering Humour: Masculinity Joking and Conflict in Shop-Floor Relations - David Collinson Extract from Crafting Selves: Power Gender and Discourses of Identity in a Japanese Workplace - Dorinne Kondo Engineering Culture: Control and Commitment in a High-Tech Corporation - Gideon Kunda Theorizing Managerial Work: A Pragmatic Pluralist Approach to Interdisciplinary Research - Tony Watson Rational Choice Situated Action and the Social Control of Organizations: The Challenger Launch Decision - Diane Vaughan Strategizing as Lived Experience and Strategists - Dalvir Samra-Fredericks Power Control and Resistance in 'The Factory that Time Forgot' - Mahmoud Ezzamel et al. Extract from Talking about Machines: An Ethnography of a Modern Job - Julian Orr Extract from The Business of Talk: Organizations in Action - Diedre Boden Extract from Investigating Small Firms: Nice Work? - Ruth Holliday Narrative Interviewing and Narrative Analysis in a Study of a Cross-Border Merger - Anne-Marie Soderberg Speech Timing and Spacing: The Phenomenon of Organizational Closure - Francois Cooren and Gail T. Fairhurst, VOLUME TWO: METHODS APPROACHES TECHNIQUES: GUIDES AND EXEMPLARS The Infeasibility of Invariant Laws in Management Studies: A Reflective Dialogue in Defence of Case Studies - Tsuyoshi Numagami The Interview: From Neutral Stance to Political Involvement - Andrea Fontana and James Frey Rethinking Observation: From Method to Context - Michael Agrosino et al. Notes on (Field) notes - James Clifford The Textual Approach: Risk and Blame in Disaster Sensemaking - Robert Gephart Triangulation in Organizational Research: A Re-presentation - Julie Wolfram Cox and John Hassard The Storytelling Organization: A Study of Performance in an Office Supply Firm - David Boje Semiotics and the Study of Occupational and Organizational Cultures - Stephen Barley The Use of Grounded Theory for the Qualitative Analysis of Organizational Behaviour - Barry Turner Reflecting on the Strategic Use of CAQDAS to Manage and Report on the Qualitative Research Process - Mark Wickham and Megan Woods Longitudinal Field Research on Change - Andrew Pettigrew Historical Perspectives in Organization Studies: Factual Narrative and Archeo-Genealogical - Michael Rowlinson Action Research: Explaining the Diversity - Cathy Cassell and Phil Johnson Photography and Voice in Critical Qualitative Management Research - Samantha Warren Moments Mixed Methods and Paradigm Dialogues - Norman Denzin VOLUME THREE: PRACTICES AND PREOCCUPATIONS Extract from The Discipline and Practice of Qualitative Research - Norman Denzin and Yvonna Lincoln Learning to Be a Qualitative Management Researcher - Catherine Cassell et al. Getting In Getting On Getting Out and Getting Back - David Buchanan et al. Reflections on the Researcher-Researched Relationship: A Woman Interviewing Men - Terry Arendell Real-Time Reflexivity: Prods to Reflection - Karl Weick Towards an Integrative Reflexivity in Organizational Research - Leah Tomkins and Virginia Eatough Appealing Work: An Investigation of How Ethnographic Texts Convince - Karen Golden-Biddle and Karen Locke The Philosophy and Politics of Quality in Qualitative Organizational Research - John Amis and Michael Silk Objectivity and Reliability in Qualitative Analysis: Realist Contextualist and Radical Constructionist Epistemologies - Anna Madill et al. Whatever Happened to Organizational Ethnography: A Review of the Field of Organizational Ethnography and Anthropological Studies - S.P. Bate Working with Pluralism: Determining Quality in Qualitative Research - Mark Easterby-Smith, Karen Golden-Biddle and Karen Locke The Role of the Researcher: An Analysis of Narrative Position in Organisation Theory - Mary Jo Hatch The Professional Apprentice: Observations of Fieldwork Roles in Two Organizational Settings - John Van Maanen and Deborah Kolb In Defense of Being "Native": The Case for Insider Academic Research - Teresa Brannick and David Coghlan Ethics and Ethnography - Robert Dingwall Extract from Qualitative Methods in Management Research - Evert Gummesson Making Sense as a Personal Process - Judi Marshall My Affair with the "Other": Identity Journeys across the Research-Practice Divide - Laura Empson VOLUME FOUR: CHALLENGES AND PROSPECTS Secrecy and Disclosure in Fieldwork - Richard Mitchell Organization Science as Social Construction: Postmodern Potentials - Kenneth Gergen and Tojo Joseph Thatchenkerry Farewell to Criteriology - Thomas Schwandt Reflexive Inquiry in Organizational Research: Questions and Possibilities - Ann Cunliffe The Action Turn: Towards a Transformational Social Science - Peter Reason and William Torbert Signing My Life Away? Researching Sex and Organization - Joanna Brewis Evaluating Qualitative Management Research: Towards a Contingent Criteriology - Phil Johnson et al. Postcolonialism and the Politics of Qualitative Research in International Business - Gavin Jack and Robert Westwood Organization Studies and Epistemic Coloniality in Latin America: Thinking Otherness from the Margins - Eduardo Ibbaro-Colado Fitting Oval Pegs into Round Holes: Tensions in Evaluating and Publishing Qualitative Research in Top-Tier North American Journals - Michael Pratt Hegemonic Academic Practices: Experiences of Publishing from the Periphery - Susan Merilainen et al., Case Study as Disciplinary Convention: Evidence from International Business Journals - Rebecca Piekkari, Catherine Welsh and Eriikka Paavilainen Managerialism and Management Research: Would Melville Dalton Get a Job Today? - Emma Bell Ways of constructing research questions: gap-spotting or problematization? - Jorgen Sandberg and Mats Alvesson

312 citations

Journal ArticleDOI
30 Dec 2020
TL;DR: The TPB is a useful framework to guide the development of future campaigns promoting COVID-19 vaccination targeting parents, and Transparency in communicating about the vaccine development process and vaccine safety testing is important.
Abstract: Background: It is expected that COVID-19 vaccines will become available in China by the end of 2020. Vaccinating children against COVID-19 would contribute to the control of the pandemic and the recovery of the global economy. For children under the age of 18 years, parents are usually the decision makers regarding their children’s vaccination. Objective: The goal of this study was to investigate parental acceptability of free COVID-19 vaccination for children under the age of 18 years in China. Methods: This is a secondary analysis of a cross-sectional, closed online survey among 2053 factory workers in Shenzhen, China, implemented from September 1 to 7, 2020. Participants of the online survey were full-time employees aged 18 years or over who had resumed work in factories in Shenzhen. Factory workers in Shenzhen are required to receive physical examinations once a year. Eligible workers attending six designated physical examination sites were invited to complete an online survey. This study was based on a subsample of those who had at least one child under the age of 18 years (N=1052). After being briefed that COVID-19 vaccines developed by China are likely to be available by the end of 2020, participants were asked about their likelihood of having their children under the age of 18 years take up free COVID-19 vaccination provided by the government, if it existed. Multivariate logistic regression models were fitted to examine the associations of perceptions related to COVID-19 vaccination based on the theory of planned behavior (TPB) and exposure to information related to COVID-19 through social media with parental acceptability, after controlling for significant background characteristics. Results: The prevalence of parents’ acceptability of COVID-19 vaccination for their children was 72.6% (764/1052). After adjusting for significant background characteristics, positive attitudes toward COVID-19 vaccination (adjusted odds ratio [AOR] 1.70, 95% CI 1.50-1.91), the perception that a family member would support them in having their children take up COVID-19 vaccination (ie, perceived subjective norm) (AOR 4.18, 95% CI 3.21-5.43), and perceived behavioral control to have the children take up COVID-19 vaccination (AOR 1.84, 95% CI 1.49-2.26) were associated with higher parental acceptability of COVID-19 vaccination. Regarding social media influence, higher exposure to positive information related to COVID-19 vaccination was associated with higher parental acceptability of COVID-19 vaccination (AOR 1.35, 95% CI 1.17-1.56). Higher exposure to negative information related to COVID-19 vaccination was negatively associated with the dependent variable (AOR 0.85, 95% CI 0.74-0.99). Conclusions: Parents’ acceptability of COVID-19 vaccination for their children under 18 years of age was high in China. The TPB is a useful framework to guide the development of future campaigns promoting COVID-19 vaccination targeting parents. Transparency in communicating about the vaccine development process and vaccine safety testing is important. Public health authorities should also address misinformation in a timely manner.

145 citations

Journal ArticleDOI
TL;DR: Wang et al. as discussed by the authors investigated the prevalence of and factors associated with behavioral intention to receive self-financed or free COVID-19 vaccinations among Chinese factory workers who resumed work during the pandemic.
Abstract: Background: COVID-19 vaccines will become available in China soon. Understanding communities’ responses to the forthcoming COVID-19 vaccines is important. We applied the theory of planned behavior as the theoretical framework. Objective: This study investigates the prevalence of and factors associated with behavioral intention to receive self-financed or free COVID-19 vaccinations among Chinese factory workers who resumed work during the pandemic. We examined the effects of factors including sociodemographics, perceptions related to COVID-19 vaccination, exposure to information about COVID-19 vaccination through social media, and COVID-19 preventive measures implemented by individuals and factories. Methods: Participants were full-time employees 18 years or older who worked in factories in Shenzhen. Factory workers in Shenzhen are required to receive a physical examination annually. Eligible workers attending six physical examination sites were invited to complete a survey on September 1-7, 2020. Out of 2653 eligible factory workers, 2053 (77.4%) completed the online survey. Multivariate two-level logistic regression models and ordinal logistic regression models were fitted. Results: The prevalence of behavioral intention to receive a COVID-19 vaccination was 66.6% (n=1368, conditional on 80% vaccine efficacy and market rate) and 80.6% (n=1655, conditional on 80% vaccine efficacy and free vaccines). After adjusting for significant background characteristics, positive attitudes toward COVID-19 vaccination (adjusted odds ratio [AOR] 1.20, 95% CI 1.15-1.25 and AOR 1.24, 95% CI 1.19-1.30), perceived support from significant others for getting a COVID-19 vaccination (AOR 1.43, 95% CI 1.32-1.55 and AOR 1.37, 95% CI 1.25-1.50), and perceived behavioral control to get a COVID-19 vaccination (AOR 1.51, 95% CI 1.32-1.73 and AOR 1.28, 95% CI 1.09-1.51) were positively associated with both dependent variables (conditional on 80% vaccine efficacy and market rate or free vaccines, respectively). Regarding social media influence, higher frequency of exposure to positive information related to COVID-19 vaccination was associated with a higher intention to receive a COVID-19 vaccination at market rate (AOR 1.53, 95% CI 1.39-1.70) or a free vaccination (AOR 1.52, 95% CI 1.35-1.71). Higher self-reported compliance with wearing a face mask in the workplace (AOR 1.27, 95% CI 1.02-1.58 and AOR 1.67, 95% CI 1.24-2.27) and other public spaces (AOR 1.80, 95% CI 1.42-2.29 and AOR 1.34, 95% CI 1.01-1.77), hand hygiene (AOR 1.21, 95% CI 1.00-1.47 and AOR 1.52, 95% CI 1.19-1.93), and avoiding social gatherings (AOR 1.22, 95% CI 1.01-1.47 and AOR 1.55, 95% CI 1.23-1.95) and crowded places (AOR 1.24, 95% CI 1.02-1.51 and AOR 1.73, 95% CI 1.37-2.18) were also positively associated with both dependent variables. The number of COVID-19 preventive measures implemented by the factory was positively associated with the intention to receive a COVID-19 vaccination under both scenarios (AOR 1.08, 95% CI 1.04-1.12 and AOR 1.06, 95% CI 1.01-1.11). Conclusions: Factory workers in China reported a high behavioral intention to receive a COVID-19 vaccination. The theory of planned behavior is a useful framework to guide the development of future campaigns promoting COVID-19 vaccination.

71 citations

01 Jan 2005
TL;DR: In this paper, the authors examined the presence and severity of the fear of dying and acute distress in 184 patients with acute coronary syndrome (ACS) and analyzed its correlates and consequences.
Abstract: Experiencing an acute coronary syndrome (ACS) may provoke a range of negative emotional responses, including acute distress and fear of dying. The frequency of these emotional states has rarely been assessed. This study examined the presence and severity of the fear of dying and acute distress in 184 patients with ACS and analyzed its correlates and consequences. Intense distress and fear of dying was reported by 40 patients (21.7%) and moderate fear and distress by 95 patients (51.6%). Intense distress and fear was associated with female gender (odds ratio [OR] 2.49, 95% confidence interval [CI] 1.07 to 2.49), lower levels of education (OR 2.44, 95% CI 1.02 to 5.87), greater chest pain (OR 5.33, 95% CI 1.40 to 20.4), and emotional upset in the 2 hours before onset of ACS (OR 2.70, 95% CI 1.13 to 6.45). Having no acute distress or fear was more common in patients who exercised regularly (OR 3.32, 95% CI 1.35 to 8.18) and who did not initially attribute the chest pain to cardiac causes (OR 2.67, 95% CI 1.10 to 6.47). No association was found with cardiovascular disease history, objective measures of clinical severity, or with clinical presentation of ACS. Acute distress and fear of dying predicted greater depression and anxiety 1 week after ACS (p=0.006), and elevated levels of depression at 3 months (p=0.009), after adjustment for age, gender, and negative affect. In conclusion, distress and fear during the initial stages of an ACS may trigger subsequent depression and anxiety, thereby promoting poorer prognosis and greater morbidity with time.

53 citations