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Article ; Online: Pre-COVID-19 cognitive social capital and peri-COVID-19 depression: A prospective cohort study on the contextual moderating effect of the COVID-19 pandemic in China, 2016-2020.

Han, Yang / Chung, Roger Yat-Nork

2023 Volume 82, Page(s) 103022

Abstract: Social capital could protect mental health. We examined whether the COVID-19 context and province-level COVID-19 situation altered the longitudinal association between cognitive social capital (generalized trust, trust in neighbors, trust in local ... ...

Abstract	Social capital could protect mental health. We examined whether the COVID-19 context and province-level COVID-19 situation altered the longitudinal association between cognitive social capital (generalized trust, trust in neighbors, trust in local government officials, and reciprocity) and depression. Results from multilevel mixed-effects linear regression models showed that trust in neighbors, trust in local government officials, and reciprocity were more crucial in longitudinally reducing depression in 2020 than in 2018. Also, as compared with provinces where the COVID-19 situation was less poor, trust in local government officials in 2018 was more crucial in reducing depression in 2020 in provinces with a worse COVID-19 situation. Therefore, cognitive social capital should be taken into account for pandemic preparedness and mental health resilience.
MeSH term(s)	Humans ; Pandemics ; Depression/epidemiology ; COVID-19/epidemiology ; Social Capital ; Prospective Studies ; Trust ; China/epidemiology ; Cognition ; Social Support
Language	English
Publishing date	2023-04-05
Publishing country	England
Document type	Journal Article
ZDB-ID	1262540-1
ISSN	1873-2054 ; 1353-8292
ISSN (online)	1873-2054
ISSN	1353-8292
DOI	10.1016/j.healthplace.2023.103022
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Article ; Online: The role of neighborhood social capital on health and health inequality in rural and urban China.

Han, Yang / Chung, Roger Yat-Nork

Preventive medicine

2022 Volume 156, Page(s) 106989

Abstract: Given the "community lost" vs. "community saved" debate on how neighborhood solidarity changes with urbanization, we compared the rural-urban difference in the association of individuals' neighborhood social capital with health and the interaction effect ...

Abstract	Given the "community lost" vs. "community saved" debate on how neighborhood solidarity changes with urbanization, we compared the rural-urban difference in the association of individuals' neighborhood social capital with health and the interaction effect between neighborhood social capital and income-poverty on health in China, where huge rural-urban disparities existed. Participants were 5014 Chinese adults (≥ 18 years) (rural: 2034; urban: 2980) from the 2012 cross-sectional Chinese General Social Survey. Health outcome was a factor score constructed by three items. Neighborhood social capital was divided into structural (neighborhood network size, frequency of socializing with neighbors, voting in neighborhood committee election, and participation in neighborhood voluntary activities) and cognitive (perceived neighborhood social cohesion) dimensions. Multivariable linear regression models showed positive associations between perceived neighborhood social cohesion and health in rural (β = 0.08, 95% CI: 0.03,0.14) and urban (β = 0.09, 95% CI: 0.05,0.12) areas. Only in rural but not urban areas was a neighborhood network of 10 or more persons (ref.: none) associated with better health (β = 0.25, 95% CI: 0.05,0.46). Interaction analysis showed that only in rural but not urban areas, with the increase of neighborhood network size, the health gap between the income-poor and the non-income-poor decreased generally. Our study suggested that cohesive neighborhoods benefit both rural and urban residents' health. Health interventions to improve neighborhood social cohesion should be designed to cope with the challenge of urbanization. Policymakers should avoid damaging neighborhood social capital when implementing other public policies, especially in rural areas where neighborhood network seems to matter more for health.
MeSH term(s)	Adult ; China ; Cross-Sectional Studies ; Health Status Disparities ; Humans ; Residence Characteristics ; Rural Population ; Social Capital ; Social Support
Language	English
Publishing date	2022-02-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2022.106989
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Zs.A 878: Show issues

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Article ; Online: Are both individual-level and county-level social capital associated with individual health? A serial cross-sectional analysis in China, 2010-2015.

Han, Yang / Chung, Roger Yat-Nork

BMJ open

2021 Volume 11, Issue 8, Page(s) e044616

Abstract: Objectives: We aimed to examine the associations of both individual-level and county-level social capital with individual health in China during a period of rapid economic growth.: Design and setting: A serial cross-sectional study in China.: ... ...

Abstract	Objectives: We aimed to examine the associations of both individual-level and county-level social capital with individual health in China during a period of rapid economic growth. Design and setting: A serial cross-sectional study in China. Participants and methods: The participants were 42 829 Chinese adults (aged ≥18 years) from the 2010, 2012, 2013 and 2015 Chinese General Social Survey. The outcomes were self-rated physical and mental health in all time points. We assessed social capital by the individual-level and county-level indicators, including frequency of socialising, civic participation and trust. We conducted multilevel binary logistic regression models to examine the associations of individual-level and county-level social capital with self-rated physical and mental health. Results: At the individual level, high frequency of socialising (2010-OR: 1.49, 95% CI: 1.33 to 1.66; 2012-OR: 1.39, 95% CI: 1.26 to 1.54; 2013-OR: 1.28, 95% CI: 1.15 to 1.42; 2015-OR: 1.36, 95% CI: 1.23 to 1.50) and high trust (2010-OR: 1.34, 95% CI: 1.22 to 1.47; 2012-OR: 1.30, 95% CI: 1.18 to 1.42; 2013-OR: 1.21, 95% CI: 1.10 to 1.33; 2015-OR: 1.41, 95% CI: 1.28 to 1.55) was significantly associated with good physical health in all years. At the individual level, high frequency of socialising (2010-OR: 1.27, 95% CI: 1.14 to 1.42; 2012-OR: 1.21, 95% CI: 1.09 to 1.34; 2013-OR: 1.30, 95% CI: 1.17 to 1.45; 2015-OR: 1.35, 95% CI: 1.22 to 1.50) and high trust (2010-OR: 1.47, 95% CI: 1.34 to 1.61; 2012-OR: 1.42, 95% CI: 1.30 to 1.56; 2013-OR: 1.36, 95% CI: 1.24 to 1.49; 2015-OR: 1.43, 95% CI: 1.30 to 1.57) was also significantly associated with good mental health in all years. No evidence showed that the associations of individual-level frequency of socialising and trust with physical and mental health changed over time. There were no consistent associations of individual-level civic participation or any county-level social capital indicators with physical or mental health. Conclusion: The positive associations of individual-level social capital in terms of socialising and trust with physical and mental health were robust during a period of rapid economic growth. Improving individual-level socialising and trust for health promotion could be a long-term strategy even within a rapidly developing society.
MeSH term(s)	Adolescent ; Adult ; China/epidemiology ; Cross-Sectional Studies ; Health Status ; Humans ; Social Capital ; Social Support ; Socioeconomic Factors ; Trust
Language	English
Publishing date	2021-08-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2020-044616
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Article ; Online: Sense of control as a mediator of the association between social capital and health inequality in China.

Han, Yang / Chen, Xi / Chung, Roger Yat-Nork

Preventive medicine

2022 Volume 166, Page(s) 107382

Abstract: Social capital was shown to be associated with health. However, less is known about the pathways of the association and whether the mediating effect of the pathways varies across different income groups. Using adults (≥18 years) data from the 2010 ... ...

Abstract	Social capital was shown to be associated with health. However, less is known about the pathways of the association and whether the mediating effect of the pathways varies across different income groups. Using adults (≥18 years) data from the 2010 Chinese General Social Survey (N = 3265), we examined the mediating effect of sense of control between social capital and health and whether income groups moderated the mediating effect in China. Health and sense of control were factor scores. Social capital measurements included frequency of socializing, civic participation, trust, and reciprocity. We categorized equivalized household income into quintiles (Q1 (lowest income) to Q5 (highest income)). Multivariable linear regression models showed that frequency of socializing (β: 0.07; 95% CI: 0.04, 0.11), trust (β: 0.06; 95% CI: 0.02, 0.09), and reciprocity (β: 0.07; 95% CI: 0.03, 0.11) were positively associated with health. Moderated mediation analysis further showed that sense of control mediated the association between frequency of socializing and health in all income groups, with the mediating effect decreasing when income increased (β (95% CI) from Q1 to Q5: 0.026 (0.015, 0.040); 0.022 (0.012, 0.036); 0.018 (0.009, 0.030); 0.013 (0.005, 0.024); 0.008 (0.000, 0.018)). Moderated mediation analysis also showed the same patterns for the mediating effect of sense of control on the association between trust and health and reciprocity and health. Our study suggested that employing social capital to promote sense of control could not only be beneficial for people's health but also be helpful to narrow the health gap on the income gradient.
MeSH term(s)	Adult ; Humans ; Health Status Disparities ; Social Capital ; Income ; Poverty ; China
Language	English
Publishing date	2022-12-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	184600-0
ISSN	1096-0260 ; 0091-7435
ISSN (online)	1096-0260
ISSN	0091-7435
DOI	10.1016/j.ypmed.2022.107382
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Zs.A 878: Show issues

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Article ; Online: People in Hong Kong Have the Longest Life Expectancy in the World: Some Possible Explanations.

Chung, Roger Yat-Nork / Marmot, Sir Michael

NAM perspectives

2020 Volume 2020

Language	English
Publishing date	2020-01-21
Publishing country	United States
Document type	Journal Article
ISSN	2578-6865
ISSN (online)	2578-6865
DOI	10.31478/202001d
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Article ; Online: Reopening Economies during the COIVD-19 Pandemic: Reasoning about Value Tradeoffs.

Li, Hon-Lam / Jecker, Nancy S / Chung, Roger Yat-Nork

The American journal of bioethics : AJOB

2020 Volume 20, Issue 7, Page(s) 136–138

MeSH term(s)	Humans ; Pandemics
Keywords	covid19
Language	English
Publishing date	2020-07-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	2060433-6
ISSN	1536-0075 ; 1526-5161
ISSN (online)	1536-0075
ISSN	1526-5161
DOI	10.1080/15265161.2020.1779406
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Zs.A 6814: Show issues

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Article ; Online: Socioeconomic gradient in health and the covid-19 outbreak.

Chung, Roger Yat-Nork / Dong, Dong / Li, Minnie Ming

BMJ (Clinical research ed.)

2020 Volume 369, Page(s) m1329

MeSH term(s)	Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Disease Outbreaks ; Health Literacy ; Health Status Disparities ; Healthcare Disparities ; Humans ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Public Health ; Quarantine ; SARS-CoV-2 ; Socioeconomic Factors ; Travel ; Vulnerable Populations
Keywords	covid19
Language	English
Publishing date	2020-04-01
Publishing country	England
Document type	Letter
ZDB-ID	1362901-3
ISSN	1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
ISSN (online)	1756-1833
ISSN	0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
DOI	10.1136/bmj.m1329
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Article ; Online: Anti-Chinese sentiment during the 2019-nCoV outbreak.

Chung, Roger Yat-Nork / Li, Minnie Ming

Lancet (London, England)

2020 Volume 395, Issue 10225, Page(s) 686–687

MeSH term(s)	COVID-19 ; China/epidemiology ; China/ethnology ; Coronavirus Infections/ethnology ; Coronavirus Infections/psychology ; Disease Outbreaks ; Humans ; Pneumonia, Viral/ethnology ; Pneumonia, Viral/psychology ; Racism
Keywords	covid19
Language	English
Publishing date	2020-02-12
Publishing country	England
Document type	Letter
ZDB-ID	3306-6
ISSN	1474-547X ; 0023-7507 ; 0140-6736
ISSN (online)	1474-547X
ISSN	0023-7507 ; 0140-6736
DOI	10.1016/S0140-6736(20)30358-5
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Ua VI Zs.5: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Socioeconomic inequalities in psychosocial well-being among adolescents under the COVID-19 pandemic: a cross-regional comparative analysis in Hong Kong, mainland China, and the Netherlands.

Chung, Gary Ka-Ki / Liu, Xiaoting / Massar, Karlijn / Schelleman-Offermans, Karen / Bosma, Hans / Chan, Yat-Hang / Chan, Siu-Ming / Chen, Ji-Kang / Wong, Hung / Chung, Roger Yat-Nork

Social psychiatry and psychiatric epidemiology

2024

Abstract: Background: Despite evidence on socioeconomic inequalities in psychosocial well-being of adolescents under the COVID-19 pandemic, the explanatory factors and their potential variations across contexts remained understudied. Hence, this cross-regional ... ...

Abstract	Background: Despite evidence on socioeconomic inequalities in psychosocial well-being of adolescents under the COVID-19 pandemic, the explanatory factors and their potential variations across contexts remained understudied. Hence, this cross-regional study compared the extent of inequalities and the mediating pathways across Hong Kong, Mainland China, and the Netherlands. Methods: Between July 2021 and January 2022, 25 secondary schools from diverse socioeconomic background were purposively sampled from Hong Kong, Zhejiang (Mainland China), and Limburg (the Netherlands). 3595 junior students completed an online survey during class about their socioeconomic position, psychosocial factors, and well-being. Socioeconomic inequalities were assessed by multiple linear regressions using the Slope Index of Inequality (SII), whereas the mediating pathways through learning difficulty, overall worry about COVID-19, impact on family' financial status, resilience, trust in government regarding pandemic management, and adaptation to social distancing were examined by mediation analyses moderated by regions. Results: The adverse psychosocial impact of COVID-19 was stronger in the Netherlands and Hong Kong compared with Mainland China. The greatest extent of socioeconomic inequalities in the change in psychosocial well-being was observed among students in the Netherlands (SII = 0.59 [95% CI = 0.38-0.80]), followed by Hong Kong (SII = 0.37 [0.21-0.52]) and Mainland China (SII = 0.12 [0.00-0.23]). Learning difficulty and resilience were the major mediators in Mainland China and Hong Kong, but to a lesser extent in the Netherlands. Conclusion: Socioeconomic inequalities in psychosocial well-being were evident among adolescents under the pandemic, with learning difficulty and resilience of students as the key mediators. Differences in the social contexts should be considered to better understand the variations in inequalities and mediating pathways across regions.
Language	English
Publishing date	2024-04-04
Publishing country	Germany
Document type	Journal Article
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-024-02649-7
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Zs.A 327: Show issues

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Article ; Online: Public Rental Housing and Obesogenic Behaviors among Adults in Hong Kong

Ting Zhang / Bo Huang / Hung Wong / Samuel Yeung-shan Wong / Roger Yat-Nork Chung

International Journal of Environmental Research and Public Health, Vol 19, Iss 2960, p

Mediator Role of Food and Physical Activity Environment

2022 Volume 2960

Abstract: Public rental housing (PRH) for low-income families has been shown in several studies to be associated with poor health status and obesity. However, the causes of this health disparity are controversial, and the associations and pathways between PRH and ... ...

Abstract	Public rental housing (PRH) for low-income families has been shown in several studies to be associated with poor health status and obesity. However, the causes of this health disparity are controversial, and the associations and pathways between PRH and obesogenic behaviors remain unknown. Using cross-sectional survey data of 1977 adults living in Hong Kong (aged or over 18) together with multi-source GIS-based environmental data, we examined the associations between PRH and obesogenic behaviors and the extent to which those associations can be explained by neighborhood food and physical environment. The unhealthy food environment, which relates with infrequent fruit and vegetables consumption, was calculated based on the relative density of fast food restaurants and convenience stores to grocery stores. The physical activity environment, which relates to physical inactivity and prolonged sitting, was assessed in terms of density of sports facilities and street greenery, separately. Regressions and mediation analyses show that PRH was negatively associated with physical inactivity directly and also indirectly via higher sports facilities density; however, PRH was positively associated with unhealthy diet largely directly and positively associated with prolonged sitting indirectly via less street greenery. We advanced the international literature of PRH health impact assessment and its environmental health pathways by providing evidence from the least housing-affordable city in the world. The findings provide planning implications in formulating a healthier PRH community for these low-income PRH households and mitigating health disparities induced by housing type.
Keywords	physical inactivity ; prolonged sitting ; unhealthy diet ; sports facilities ; street greenery ; Medicine ; R
Subject code	796
Language	English
Publishing date	2022-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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