The Mediating Role of Sleep Quality in Relationship between Workload and Physical and Mental Health among Nurses

Background Studies have explored the relationship between social class and health for decades. However, the underlying mechanism between the two remains not fully understood. This study aimed to explore whether health self-management had a mediating role between social class and health under the framework of Socio-cultural Self Model. Methods 663 adults, randomly sampled from six communities in Southwest China, completed the survey for this study. Social class was assessed using individuals’ income, education, occupation. Health self-management was assessed through evaluation of the health self-management behavior, health self-management cognition, health self-management environment. Physical health and mental health were measured by the Chinese version of Short-Form (36-item) Health Survey, which contains Physical Functioning, Role-Physical, Role-Emotional, Vitality, Mental Health, Social Function, Bodily Pain and General Health. Pearson’s correlation was used to examine the associations between major variables. Mediation analyses were performed to explore the mediating role of health self-management. Results Social class positively predicted self-rated health. The lower the social class, the lower the self-reported physical and mental health. Health self-management partially mediated the relationship between social class and self-rated health. That is, the health self-management ability of the lower class, such as access to healthy and nutritious food and evaluate their own health status, is worse than that of the higher class, which leads to physical and mental health inequality between the high and the low classes. Conclusion Health self-management mediated the relationship between social class and health. Promoting health self-management abilities are conducive to improving both physical and mental health.

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Perceived stress and insomnia under the period of COVID-19: The mediating role of sense of security and the moderating role of family cohesion

10.31234/osf.io/6q78h ◽

2020 ◽

Author(s):

Baojuan Ye ◽

Jing Hu ◽

Hohjin Im ◽

Mingfan Liu ◽

Xinqiang Wang ◽

...

Keyword(s):

Mental Health ◽

College Students ◽

Perceived Stress ◽

Family Cohesion ◽

Physical And Mental Health ◽

Chinese College Students ◽

Mediating Role ◽

Sense Of Security ◽

Moderating Role

Although perceived stress has been shown to play an important role in insomnia, little is known about the mediating and moderating mechanisms underlying this relation. In particular, the outbreak of COVID-19 has undoubtedly had a significant impact on the physical and mental health of college students. The present study focused on Chinese college students during the COVID-19 pandemic and examined the mediating role of sense of security between perceived stress and insomnia and the moderating role of family cohesion. Chinese college students (N = 1,187) completed the measures of perceived stress, sense of security, insomnia, and family cohesion. The results indicated that perceived stress was significantly and positively associated with insomnia, and sense of security partially mediated this relation. Moderated mediation analysis further indicated that family cohesion moderated the relation between perceived stress and sense of security. This relation became weaker for college students with higher levels of family cohesion. Results highlight the significance of identifying the mechanisms that moderate the mediate paths between perceived stress and college students’ insomnia.

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