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Purpose: This paper aims to explore the relationship between body image, self-efficacy, self-esteem, and weight-loss intention among college students, offering insights to promote healthy and confident lifestyle habits. Methods: Undergraduate students from western China were selected using a stratified random sampling method. Data were analyzed using SPSS 19.0 and AMOS 21.0 statistical software. Results: (1) Body image showed a significantly positive correlation with self-efficacy and self-esteem but a negative correlation with weight-loss intention. Self-efficacy exhibited a significantly positive correlation with self-esteem and a negative correlation with weight-loss intention, while self-esteem was significantly negatively correlated with weight-loss intention. (2) Body image directly impacted weight-loss intention [Effect Size (ES) = -0.120]. Self-efficacy (ES = -0.069) and self-esteem (ES = -0.119) played significant mediating roles between body image and weight-loss intention, respectively. (3) The chained intermediary role of self-efficacy and self-esteem also reached significance (ES = -0.038). Conclusion: Body image conducts effect on the degree of weight-loss intention among college students through direct ways or indirect ways such as the intermediary role of self-efficacy and self-esteem, and also the chained intermediary role of self-efficacy and self-esteem. In addition, self-esteem is another key factors affecting college students' weight-loss intention.

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Prior research on the relationship between the taste, aroma and drinking utensils of beverages tends to focus on topics such as alcohol, sparkling beverages, juice, coffee, and hot chocolate. There is limited research focused on the interdependence between the perception of teacups and the tea taste. The literature has not yet found any research covering the impact of visual shape and the tactile sensation of teacups on the perception of tea flavor. Therefore, this study proposed six hypotheses related to the teacup shape and texture, teacup preference and taste and smell of tea. This study involved experimental design and questionnaire data collection, using a convenience sampling method to recruit 102 participants voluntarily. The research results are: (1) Age and gender have an impact on the taste and aroma perception of tea; (2) The width, height, rim thickness and smoothness of the teacup surface do have an impact on the perception of taste and fragrance of tea. (3) The preference of teacup played an intermediary effect between tea taste and the shape and texture of teacup. The implications of these findings on the perception of tea flavor are discussed.

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Objective: The aim of our study was to explore the relationship between changes in neural oscillatory power in the EEG, the severity of depressive-anxiety symptoms, and the risk of suicide in MDD. Methods: 350 MDD patients' demographic and clinical data were collected, and their depressive and anxious symptoms were evaluated using HDRS-17 and HAMA-14, along with a suicide risk assessment using the Nurses' Global Assessment of Suicide Risk (NGASR). EEG data were captured, processed, and analyzed to study brain activity patterns related to MDD. The participants were divided based on suicide risk levels, and statistical analyses, including chi-square, t-tests, Pearson's correlations were used to explore the associations between brain activity, symptom severity, and suicide risk. Closely related variables were identified and ultimately the optimal model was screened using stepwise regression analysis with a forward strategy, and mediation effects were further used to determine the possible interactions between the variables in the regression model. Results: The regression model showed a significant effect of HDRS-17 and alpha power of Medial Occipital Cortex (MOC) on suicide risk, with elevated HDRS-17 increasing suicide risk and elevated alpha power decreasing suicide risk. Mediation effect analyses showed that MOC alpha power partially mediated the effect of depression level on suicide risk, and that an increase in depression severity may lead to a decrease in MOC alpha power, while a decrease in MOC alpha power may lead to an increase in suicide risk. Conclusion: The severity of depression directly increases suicide risk, whereas higher alpha power in the MOC serves as a protective factor, reducing this risk. Notably, MOC alpha power not only directly impacts suicide risk but also mediates the effects of both depression severity and anxiety levels on this risk. Limitations: The relatively small sample size of this study may limit the representativeness of the overall MDD patient population and the detailed analysis of different subgroups. This study did not delve into the relationship between the severity of cognitive symptoms in MDD patients and suicide risk.

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In order to promote the sustainable economic development, it is critical employ the digital economy to solve the mismatch dilemma of land and marine factors in coastal areas. It analyzed the influencing mechanisms between the digital economy, land and labor factor mismatch and coastal economic sustainable development using network development and new economic growth theories. The intermediary and regulating effect models were used for empirical tests using panel data from 11 Chinese coastal provinces (city or district) between 2009 and 2018. Results found that: (1) Digital economy promoted the sustainable development of land and marine binary economies in coastal areas; (2) Digital economy improved the factor mismatch of land and marine binary economies, which further affected the sustainable economic development; (3) Market integration is conducive to alleviating land and marine factor mismatch and strengthening the optimization effect of the digital economy on the factor mismatch. This research provides a new perspective for clarifying the mechanism of the digital economy on sustainable economic development, as well as a reference for the realization of rational allocation of factor resources and sustainable economic development by taking factor mismatch of land and marine binary economies and market integration as the intermediary variables and regulatory variables.

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Background: Schizophrenia (SCZ) is a severe mental illness, Cognitive deficits and negative symptoms (NS) are prevalent in individuals with SCZ and are crucial indicators of functional recovery. It is well known that cognitive symptoms and negative symptoms are interrelated and that negative symptoms can affect the ability to take cognitive tests. However, the specific relationship between attention, working memory (WM), and NS in stable SCZ remains unclear. This study aims to explore these associations and provide valuable insights for the subsequent treatment of SCZ. Methods: We conducted a comprehensive assessment of 145 patients with stable SCZ using the Chinese Brief Neurocognitive Suite of Tests (C-BCT) and the Positive and Negative Symptom Scale (PANSS). Results: Patients with abnormal cognition exhibited significantly higher PANSS total scores, cognitive symptom scores, and NS than those with normal cognition (P<0.05). Pearson's correlation analysis revealed significant positive correlations between digital breadth(DB) and continuous operation(CO) (r=0.389, P<0.001), as well as a significant negative correlation between DB and NS (r=-0.291, P<0.001). Moreover, CO showed a negative correlation with NS (r=-0.173, P<0.05). However, no significant correlations were found between the digital breadth-anterograde score and CO or NS (r=0.148, P>0.05; r=-0.068, P>0.05). Notably, NS were identified as a mediator in the relationship between attention and WM (effect size=0.024). Conclusion: Our findings highlight significant associations between WM, attention, and NS in individuals with stable SCZ. Moreover, attention not only directly impacts WM but also indirectly influences it through NS. Addressing cognitive deficits and NS in the treatment of SCZ may lead to improved overall outcomes for affected individuals.

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Objective:To explore the mediating role of rumination thinking between demoralization and quality of life in malignant tumor patients, provide guidance and reference for helping tumor patients overcome rumination thinking and demoralization and improve quality of life.Methods:From February 2020 to June 2022, 189 patients with malignant tumors admitted to the Department of Oncology of the First Affiliated Hospital of Guangxi Medical University were selected by convenience sampling method as the research objects, and a cross-sectional survey was conducted using general information questionnaire, Demoralization Scale-Mandarin Version, Ruminative Responses Scale, Punctional Assessment of Cancer Therapy-General.Results:Among 189 malignant tumor patients, there were 102 males, 87 females, aged (43.54 ± 13.12) years old. The total score of loss of demoralization was (34.37 ± 10.34) points, the total score of rumination thinking was (41.01 ± 17.10) points, the total score of quality of life was (48.51 ± 15.41) points. The Pearson analysis results showed that the total score of demoralization in malignant tumor patients was negatively correlated with the total score of quality of life ( r = -0.502, P<0.01); the total score of rumination thinking was negatively correlated with the total score of quality of life ( r = -0.465, P<0.01), and the total score of demoralization was positively correlated with the total score of rumination thinking ( r = 0.628, P<0.01). Bootstrap mediation test results showed that ruminant thinking played a partial mediating effect between demoralization and quality of life of patients with malignant tumors, accounted for 30.9% of the total effect. Conclusions:Rumination plays a partially mediating role in the demoralization and quality of life of patients with malignant tumors, suggesting that clinical staff can improve the quality of life of patients with tumors by developing a systematic and comprehensive cognitive-behavioral intervention strategy to improve the demoralization and rumination.

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Using data from the 2018 Chinese General Social Survey (CGSS), this study investigates the impact of internet use on residents' happiness. Empirical results show that internet use significantly enhances residents' happiness. Considering the possible endogeneity problem, a two-stage tool variable estimation is carried out with ownership of a mobile phone as the tool variable. After overcoming the endogenous problem and conducting a series of robustness tests, the conclusion is still valid. The action mechanism finds that social interaction frequency and socioeconomic status (SES) play significant mediating effects in the process of internet use affecting happiness. Specifically, internet use significantly increases the social interaction frequency of residents and enhances their SES. The improvement of social interaction frequency and SES will significantly increase residents' happiness. Therefore, this paper gives policy recommendations from the perspectives of regulating and deepening internet use, increasing the frequency of communication among residents, and improving their SES to better enhance their happiness.

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The carbon-reducing effects of artificial intelligence (AI) will be a critical means of achieving carbon peak and carbon neutrality in China. However, in order to efficiently harness the power of AI, the relationship between AI and carbon reduction needs to be fully understood. In this study, we systematically investigated the impacts and mechanisms of action of AI on CO2 emissions by constructing econometric models using dynamic panel data from 30 provinces in mainland China from 2006 to 2019. The empirical results show that AI significantly reduces CO2 emissions. Further mediation effect tests found that in the western region, there are mediation effects of the quantity and quality of industrial structure advancedization and industrial structure ecology, while the mediation effect of industrial structure rationalization is not significant. In the eastern and central regions, the mediating effect of the quantity of industrial structure advanced is not significant, while the mediating effect of the quality of industrial structure advanced, industrial structure rationalization, and industrial structure ecology all exist. Our work provides evidence to support that AI reduces CO2 emissions in various regions of China. This can help regions formulate appropriate policies to promote the synergistic development of AI and the "dual-carbon" goal.

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Objective: To explore the relationship between non-suicidal self-injury (NSSI) and childhood abuse in transgender people and the mediating effect of emotional dysregulation traits in the association between childhood abuse and non-suicidal self-injury. Patients and methods: From May to October 2021, 296 female-to-male (FTM) and 675 male-to-females (MTF), with age of 24.5 ± 6.4 years, were recruited using peer-driven sampling and anonymous questionnaires in Guangdong Province. The Childhood Abuse Questionnaire (CTQ-SF), the Personality Diagnostic Questionnaire (PDQ-4+) emotion regulation ability scale and the DSM-5 Clinical Examination of Stereotypic Disorders were used to measure childhood abuse experiences, emotional dysregulation traits and self-injurious behaviour, respectively. Results: Childhood abuse scores were positively correlated with both emotional dysregulation traits scores and non-suicidal self-injury (NSSI) behaviours (p < 0.01), and emotional dysregulation traits scores were positively correlated with NSSI behaviours (p < 0.01); emotional dysregulation traits partially mediated the association between childhood abuse and NSSI behaviours, with the mediating effect accounting for 23.23% of the total effect. In addition, among the factors of childhood abuse, emotional dysregulation traits mediated the association between emotional abuse, emotional neglect, sexual abuse, physical abuse, physical neglect and NSSI behaviour significantly, with the mediating effect accounting for 22.48%-32.58% of the total effect. Conclusion: Transgender NSSI behaviours are associated with childhood abuse and emotional dysregulation traits, and emotional dysregulation traits partially mediates the association between childhood abuse and NSSI behaviours, and screening for emotional dysregulation traits in transgender people and timely interventions are needed to improve the current situation of discrimination against transgender people.

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OBJECTIVES: This study investigates the relationship between emotional symptoms and dental caries in adolescents and the role of dietary patterns as mediating variables. METHODS: This cross-sectional study used a multistage stratified random sample of schools, in Jiangsu, with a sample of 17,997 adolescents aged 11-19. Measures included emotional symptoms, dental caries, toothbrushing frequency, and dietary patterns. Logistic and Poisson regression models were conducted to test mediation hypotheses. RESULTS: The decayed, missing, and filled teeth index (DMFT) was related to depressive symptoms following adjustment for other variables (incidence rate ratios [IRR] = 1.09; p < 0.05), but not to anxiety symptoms level (IRR = 1.02; p > 0.05). The link between depressive symptoms and DMFT had a partial mediation impact on toothbrushing frequency (a, b, c' all p < 0.05). Sugary foods, but not fried foods, partially mediated the link between depressive symptoms and caries when toothbrushing frequency was adjusted. CONCLUSION: There are direct and indirect associations between emotional symptoms and caries; the latter may be due to changes in oral health behaviours that increase the risk of caries.

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BACKGROUND: The HIV/AIDS (human immunodeficiency virus/acquired immune deficiency syndrome) remains a global threat to health. Suicidal ideation has been a serious public health problem among people living with HIV (PLWH). However, the suicide prevention mechanism among PLWH still unclear. This study aims to analyze the suicidal ideation and its related factors in PLWH, and further explore the relationships between suicidal ideation and depression, anxiety and perceived social support. METHODS: This is a cross-sectional study. A total of 1146 PLWH were investigated by the general information questionnaire, the perceived social support scale (PSSS), the Beck scale for suicide ideation of Chinese version (BSI-CV), the generalized anxiety disorder scale-2 (GAD-2) and the patient health questionnaire-2 (PHQ-2) though the WeChat in China in 2018. By using statistical description and the binary unconditional logistic regression, we assessed the incidence of suicidal ideation and its related factors in PLWH. Besides, the intermediary effect of social support between anxiety, depression and suicidal ideation were explored by the stepwise test and Bootstrap method. RESULTS: The incidence of suicide ideation was 54.0% (619/1146) among the PLWH in the last week or during the most serious depression. Binary logistic regression analysis results showed that the PLWH who with short time for HIV positive diagnosis (aOR (adjusted odd ratio) = 1.754, 95% CI (confidence interval):1.338-2.299), low monthly income (aOR = 1.515, 95%CI:1.098-2.092), other chronic diseases except HIV (aOR = 1.555, 95%CI:1.134-2.132), irregular lovers (aOR = 1.369, 95%CI:1.021-1.837), anxiety (aOR = 2.711, 95%CI:1.767-4.161), depression (aOR = 1.614, 95%CI:1.078-2.417), low PSSS (aOR = 2.139, 95%CI:1.345-3.399) had high risk of suicide ideation.The social support played a mediating role between the anxiety (the mediating effect accounted for 30.43% of the total effect), depression (the mediating effect accounted for 23.76% of the total effect) and the suicide ideation among PLWH. CONCLUSION: The incidence of suicide ideation of PLWH was high. Anxiety, depression, and social support are the key factors of suicide ideation of PLWH. Social support plays a partial mediating role between anxiety, depression and suicidal ideation, which provides a new approach for prevention of suicidal ideation in PLWH and should be known widely for people to prevent suicide.

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In order to evaluate the effect and mechanism of energy saving and carbon reduction of the Air Pollution Prevention and Control Action Plan (the Policy), on the basis of measuring the energy consumption and CO2 emissions of GDP per unit area in 281 prefecture-level cities and above from 2003 to 2017, the influence, intermediary effect of innovation, and urban heterogeneity of the Policy on energy saving and carbon reduction were explored by using a difference-in-difference model. The results showed that:① the Policy promoted a significant reduction of 17.60% in the energy consumption intensity and 19.99% in the carbon emission intensity in the whole sample city. Based on a series of robustness tests, such as the parallel trend test, overcomed endogenous and placebo, dynamic time window and counterfactual, difference-in-difference-in-differences, and PSM-DID estimation, the above conclusions were still valid. ② Mechanism analysis showed that the Policy achieved energy saving and carbon reduction through the direct innovation intermediary effect of green invention patents as the carrier, and the indirect innovation mediation effect of the industrial structure upgrading effect caused by innovation achieved an energy-saving effect. ③ Heterogeneity analysis showed that the energy saving and carbon reduction rate of the Policy for coal-consuming provinces was 0.86% and 3.25% higher than that of non-coal-consuming provinces. The carbon reduction in the old industrial base city was 36.43% higher than that in the non-old industrial base, but the energy saving effect was 8.93% lower than that of the non-old industrial base. The range of energy saving and carbon reduction in non-resource-based cities was 31.30% and 74.95% higher than that in resource-based cities, respectively. ④ The results showed that it was necessary to strengthen the innovation investment and industrial structure upgrading in key areas such as big coal-consumption provinces, old industrial base cities, and resource-based cities, so as to give full play to the energy saving and carbon reduction effect of the Policy.

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China has long exercised environmental control through the imposition of sewage charges. The start of the environmental protection tax on January 1, 2018, means that China has entered a new phase of environmental control. Unlike many previous studies on the role of environmental taxes at the firm level, this paper examines whether environmental taxes affect pollution emissions by influencing the behavioral choices of micro-actors. This paper first reviews the Pyrrhic tax, the Porter hypothesis, and the "double dividend effect." We then construct provincial panel data for 30 provinces in China from 2012 to 2019 as a sample, use the environmental protection tax as a natural experiment to evaluate the policy of this environmental protection tax using propensity score matching and difference-in-differences model, investigate the intermediate transmission mechanism of the policy implementation, and then analyze the differences in policy effects between provinces with different levels of economic development. The increased tax burden in 2018 led to a general reduction in provincial pollution emissions in which technological innovation by various groups, including firms and universities, had a mediating role.

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Background: Psychiatric nurses need to keep close contact with patients suffering from mental illness. Because of the special nature of their profession, there is an increasing incidence of job burnout among psychiatric nurses. Aim: This study examined the relationship between psychiatric nurses' perceived organizational support, job burnout, and psychological capital. It also investigated the mediating role of psychological capital in the relationship between their perceived organizational support and job burnout. Methods: A total of 916 psychiatric nurses were recruited from 6 grade-III mental facilities in Shandong Province using the stratified sampling approach. Their data were collected and examined using a general demographic data questionnaire, The Maslach Burnout Inventory, the Perceived Organizational Support Scale, and the Psychological Capital Questionnaire. Results: The total score of job burnout was 53.71 ± 16.37. Specifically, 73.69% of the nurses had moderate to severe emotional exhaustion, 76.75% had moderate to severe job burnout pertaining to depersonalization, and 98.80% had moderate to severe job burnout pertaining to personal accomplishment. Spearman's correlation analysis showed that both psychological capital (r = -0.35, p < 0.01) and perceived organizational support (r = -0.31, p < 0.01) were adversely related to job burnout. Additionally, psychological capital somewhat mediated the relationship between perceived organizational support and job burnout. Its mediating impact accounted for 33.20% of the overall effect. Conclusion: This study's participants had a moderate to severe level of job burnout. However, organizational support and psychological capital can be crucial in alleviating this problem among psychiatric nurses. Therefore, nursing managers and medical institutions should undertake timely and positive interventions to improve psychiatric nurses' mental health and prevent job burnout. While exploring the impact of organizational support and psychological capital on job burnout, future studies should consider other effective influencing factors, and the relationship between the different factors should be explored in depth. This would provide a basis for developing a job burnout prevention mechanism.

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The input and deployment of human resources, such as senior executives and the core employees involved in different innovation processes, is key to developing enterprise innovation activities. Under the same framework, it is crucial to explore how employee equity incentive and senior executives' psychological capital affect enterprise innovation. This paper's research sample comprises listed companies that implemented equity incentives in the A-share market from 2010 to 2021, examining the relationship between executive psychological capital, and enterprise innovation. This study found that: (1) Employee equity incentive and executives' psychological capital can significantly improve the quality of innovation output while promoting enterprises to increase the quantity of innovation outputs; (2) Executive psychological capital contributes to the intermediary effect between employee equity incentive and enterprise innovation; (3) R&D investment has a positive moderating effect on employee equity incentive, senior executives' psychological capital and enterprise innovation; (4) The innovation incentive effect brought by the implementation of stock options by enterprises is more significant, which also makes the psychological capital of executives maintain a positive role in enterprise innovation; (5) In addition, the positive effects of employee equity incentive and executive psychological capital on enterprise innovation are affected by different property rights. The positive effects of employee equity incentive and executive psychological capital on enterprise innovation in state-owned enterprises are not high.

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Stimulating the shift to low-carbon energy and decreasing energy intensity are crucial strategies for green growth. Reducing energy intensity is an important measure to achieve the goal of "double carbon" and building a beautiful new China. Based on the provincial panel data of China from 2011 to 2020, this paper empirically tests the relationship among digital financial inclusion, industrial structure distortion, and energy intensity by using the spatial Durbin model and the intermediary effect method. The results show that the development of digital financial inclusion can promote the decline of energy intensity, and industrial structure distortion has a partial intermediary effect in the relationship between digital financial inclusion and energy intensity. Because of this, it is important to speed up the development of digital financial inclusion, increase the innovation of digital financial inclusion products and services, strengthen the supervision of digital financial inclusion, and reduce the distortion of the industrial structure so that digital finance can play its full role in reducing energy intensity.

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Family investment in education is an important variable influencing the educational attainment of children. Family investment in education is influenced by family income, and the increase in family income gap will aggravate the inequity of education and enhance the degree of intergenerational transmission of education. But the above theories need to be further tested in reality. This paper uses the 2018 China Family Panel Studies (CFPS) to verify the role of Chinese family income on intergenerational transmission of education through the education transition matrix and the mediating effect model, and examines the effect of college expansion policy on the mediating effect of family income on intergenerational transmission of education. The results show that: (1) The education level of parents has obvious transmissibility to the education level of children. The solidification rate of intergenerational transmission of education between parents and children is 25.72%, the upward mobility rate is 60.58% and the downward mobility rate is 13.70%. (2) The mediating effect model shows that the total effect of the parents' education level on children's education level is 0.279 and the direct effect is 0.272, and the family income plays a mediating effect in the intergenerational transmission of education, and the mediating degree reaches about 2.6%. (3) The expansion of higher education provides more opportunities for children of society, especially lower-middle-income families, to receive higher education, which weakens the mediating effect of family income in the intergenerational transmission of education. The findings of this paper provide support for policymakers to increase public investment in education.

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This research measures energy-based carbon intensity based on energy consumption of 30 Chinese provinces and investigates the impact of digital finance. First, the baseline results were examined through panel data model. Second, we reveal the "black box" system of digital finance and energy-based carbon intensity through mediating effects model. Third, by employed panel quantile regression model, we examine the heterogeneity of the effects of various factors under different carbon intensity quantile. The main quantitative results are as follows: (1) Digital finance shows significant sustainable effect, and its growth of 1% will reduce the carbon intensity by about 0.092%. (2) The intermediary effects of technological innovation and energy structure are -0.0663 and 0.007, respectively, accounting for 41.88% and 19.36% of the total effects. Both are significant transmission mechanisms. (3) When the carbon intensity in >0.9 quantile, digital finance shows a positive coefficient. On the contrary, the coefficient at <0.75 quantile is negative and its absolute value increases with the decrease of quantile. It shows that with the reduction of carbon intensity, the positive impact of digital finance gradually increases. (4) In the eastern, central and western regions, a 1% increase in digital finance will reduce the carbon intensity by 0.147%, 0.096% and 0.089% respectively. This research provides a reference for regional governments to use digital finance tools to promote sustainable development.

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The Chinese government has proposed a "double carbon" target as a response to climate change and has been incorporated in the vision 2035. Agriculture's green development is intrinsically related to financial support, but conventional financial mechanisms fall short in their efforts to foster economic growth and curb environmental degradation. The current research examines the theoretical effects of green finance on agricultural green total factor productivity in the context of "double carbon." The mediating effect and moderating effect models are used to empirically examine this mechanism based on the panel data (2015-2019) of 30 provinces in China. The estimated results suggest that green finance development can significantly increase agricultural green total factor productivity, with an inverted U effect and an apparent regional heterogeneity. The eastern region has a stronger promotional effect than the central and western regions. The advanced industrial structure plays a mediating effect on the impact of green finance on agricultural green total factor productivity. Rural human capital can effectively mediate the mediating effect of advanced industrial structure on the impact of green finance on agricultural green total factor productivity. The aforementioned results offer fresh perspectives and empirical evidence for China's green finance policy improvement, harmonizing regional green finance development, promotion of industrial structure improvement, and rural human capital optimization.

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Background: Vulnerability to health-related poverty can predict the probability of families falling into poverty due to health risk impact. In this study, we measured the vulnerability to health-related poverty and examined the mediation path of physical multimorbidity on the vulnerability to health-related poverty of rural aging families in Ningxia, China. Methods: This cross-sectional study was conducted in Ningxia, China, in February 2019. A multi-stage stratified cluster-randomized design was used to obtain a representative sample in each county. We included participants aged 60 years and older, who had lived there for more than 1 year. A total of 3,653 rural residents older than 60 years old were selected as the research subjects. The three-stage generalized least square method was used to calculate the expected vulnerability to poverty. We used mediating effect model to test the mediation path of poverty vulnerability related to the physical multimorbidity. Results: Under different poverty line standards, i.e., $1.9/day as low vs. $3.1/day as the high poverty line, the proportion of families that could fall into poverty in the future was 5.3 and 53.7%, respectively. The prevalence of chronic diseases and physical multimorbidity among rural residents >60 years old was 64.62 and 21.24%, respectively. The results of mediating effect test showed that self-rated health status (indirect effect a × b = -0.0052), non-agricultural employment (a × b= -0.0046), household cattle production (a × b = 0.0004), housing type (a × b = -0.0008), gift expenses (a × b = 0.0006) and loan for illness (a × b = 0.0034) were the mediation paths of poverty vulnerability related to the physical multimorbidity. Conclusions: Concerted efforts are needed to reduce poverty vulnerability related to the physical multimorbidity. The strategy of alleviating poverty should emphasis on promoting non-agricultural employment of vulnerable groups sustainability and developing rural economy, which are important paths to reduce family's vulnerability to health-related poverty.

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