| Literature DB >> 34831661 |
Chao Wang1, Tao Zhang2, Wendong Xu3, Haibo Ruan4, Jiayi Tang5.
Abstract
In the post-pandemic era, the need for resilient and flexible COVID-19 prevention strategies in rural areas has become increasingly prominent. Based on a sample of 2229 rural residents nationwide, the Structural Equation Model was adopted to analyze the influence of social capital and technological empowerment on pandemic resilience in rural areas. The proportion of diversity, adequacy, and effectiveness of pandemic prevention measures taken by communities was about 57%. Social capital (0.667) and technological empowerment (0.325) had a significant positive impact on rural resilience and pandemic prevention. Social capital plays a mediating role between technological empowerment and pandemic resilience in rural areas. The risk of disease in society stimulates the inherent social capital factors in villages, with the individual social network generating strong social support. Technological empowerment can not only provide new methods for the connection of social capital, but also bring new means for rural authorities to improve their governance capabilities. Social trust in social capital plays an important role in rural resilience and pandemic prevention. The indirect effect of technological empowerment through social capital on pandemic resilience is greater than its direct effect. Social capital construction is the key to rural resilience and pandemic prevention.Entities:
Keywords: pandemic resilience; social capital; social trust; technological empowerment
Mesh:
Year: 2021 PMID: 34831661 PMCID: PMC8620006 DOI: 10.3390/ijerph182211883
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Village health settings.
| Year (year) | 2016 | 2017 | 2018 | 2019 | |
|---|---|---|---|---|---|
| Index (unit) | |||||
| Number of village clinics | 638,763 | 632,057 | 622,001 | 616,094 | |
| Number of village clinics run by villages | 351,016 | 349,025 | 342,062 | 339,525 | |
| Number of village clinics set up by township hospitals | 60,419 | 63,598 | 65,495 | 69,091 | |
| Number of village clinics run jointly | 29,336 | 28,687 | 28,353 | 27,626 | |
| Number of villages with health clinics in administrative villages (%) | 92.9 | 92.8 | 94.0 | 94.8 | |
Data source: Official website of the National Bureau of Statistics.
Figure 1Conceptual model.
Characteristics of respondents.
| Characteristics of the Indicators | Classification | Frequency | Proportion (%) | The Standard Deviation |
|---|---|---|---|---|
| Gender | Male | 1061 | 47.60 | 0.50 |
| Female | 1168 | 52.40 | ||
| Age | Under the age of 18 | 67 | 3.01 | 1.51 |
| 18~25 years old | 545 | 24.45 | ||
| 26~40 years old | 307 | 13.77 | ||
| 41~60 years old | 712 | 31.94 | ||
| More than 60 years of age | 598 | 26.83 | ||
| Identity and occupation | Farmers | 1204 | 54.02 | 0.76 |
| Workers | 764 | 34.28 | ||
| Private business owner | 211 | 9.47 | ||
| Village authorities | 43 | 1.93 | ||
| Other | 7 | 0.30 | ||
| Marital status | Single | 687 | 30.82 | 0.52 |
| Married | 1488 | 66.76 | ||
| Divorced | 44 | 1.97 | ||
| Widowed | 10 | 0.45 | ||
| Total | 2229 | 100 | ||
Construct measurement.
| Construct | Item | Coding | Measurement |
|---|---|---|---|
| Pandemic resilience | Community initiatives and timely implementation of community pandemic prevention | R1 | Very poor = 1; |
| The situation of community to enter villagers’ house and check their health conditions | R2 | ||
| Community monitoring of health conditions of key groups | R3 | ||
| The community took the initiative to learn about the villagers’ living difficulties during the pandemic | R4 | ||
| Community pandemic prevention work responds to the living needs of villagers | R5 | ||
| Communities are fully informed about potential risks during the pandemic | R6 | ||
| Community leading cadres stick to their posts and command from the front | R7 | ||
| Diversity of community immunization measures | R8 | ||
| Adequacy of community preventive measures | R9 | ||
| Effectiveness of community vaccination measures | R10 | ||
| Social capital | Communication between villagers and relatives | SW1 | |
| Communication between villagers and village cadres | SW2 | ||
| Communication between villagers and various friends | SW3 | ||
| Trust in relatives | SX1 | ||
| Community residents trust the village cadres | SX2 | ||
| Community trust in the community during the pandemic | SX3 | ||
| Residents’ participation in community pandemic prevention | SC1 | ||
| Clear information on the relationship between various participants in community pandemic prevention work | SC2 | ||
| Division of responsibilities among participants in community pandemic prevention work | SC3 | ||
| Technological empowerment | Application of modern information technology in community pandemic prevention and control | JN1 | |
| Community establishment of villagers’ physical condition information database | JN2 | ||
| Community network communication | JN3 | ||
| Community WeChat group communication | JN4 |
Descriptive analysis of pandemic resilience, N (%).
| Pandemic Resilience | Very Poor | Poor | General | Good | Very Good |
|---|---|---|---|---|---|
| R1 | 0.49 | 2.33 | 8.93 | 28.22 | 60.03 |
| R2 | 0.85 | 3.36 | 11.75 | 27.23 | 56.81 |
| R3 | 0.45 | 3.23 | 7.76 | 25.71 | 62.85 |
| R4 | 0.67 | 3.77 | 14.13 | 27.68 | 53.75 |
| R5 | 0.54 | 3.41 | 12.07 | 29.03 | 54.95 |
| R6 | 0.72 | 3.32 | 11.93 | 29.07 | 54.96 |
| R7 | 0.67 | 2.33 | 9.56 | 27.41 | 60.03 |
| R8 | 0.63 | 2.87 | 11.62 | 27.59 | 57.29 |
| R9 | 0.54 | 2.69 | 10.50 | 29.03 | 57.24 |
| R10 | 0.45 | 2.42 | 10.45 | 28.89 | 57.79 |
| Respondent | 2229 | ||||
Figure 2Structural model for PR. PR, Pandemic resilience; SC, Social Capital; TE, Technological of Empowerment.
Summary of the fit indices.
| The Evaluation Index | Optimal Standard Value | Model Values | Results |
|---|---|---|---|
| Absolute fit index | |||
| Chi-square value (CMIN) | 2716.160 | ||
| Chi-square degree of freedom ratio (CMIN/DF) | Greater than 1 and less than 3 | 11.965 | fair |
| Residual mean square and square root exponent RMR | <0.05 | 0.013 | ideal |
| Progressive residual mean square and square root RMSEA | <0.08 | 0.070 | ideal |
| Goodness of fit index GFI | >0.9 | 0.896 | fair |
| Adjust the goodness of fit AGFI | >0.9 | 0.873 | fair |
| Value-added fit index | |||
| Standard fit index NFI | >0.9 | 0.961 | ideal |
| Relative fit index RFI | >0.9 | 0.957 | ideal |
| Incremental fit index IFI | >0.9 | 0.964 | ideal |
| Nonstandard adaptation index TLI | >0.9 | 0.960 | ideal |
| Comparison of fit index CFI | >0.9 | 0.964 | ideal |
| Reduced fit index | |||
| Pared-down fit index PGFI | >0.5 | 0.737 | ideal |
| Simplified adjustment of the regulation alignment index PNFI | >0.5 | 0.862 | ideal |
| Pared-down comparison fitting index PCFI | >0.5 | 0.865 | ideal |
| CN values | >200 | 216 | ideal |
Path coefficients for the hypothetic model towards PR.
| Path Constructs | SF | NSC | S.E. | C.R. |
| Assuming That | ||
|---|---|---|---|---|---|---|---|---|
| SW1 | <-- | Social capital | 0.878 | 1.000 | *** | |||
| SW2 | <-- | Social capital | 0.862 | 1.039 | 0.018 | 58.093 | *** | |
| SW3 | <-- | Social capital | 0.846 | 0.926 | 0.017 | 55.885 | *** | |
| SX1 | <-- | Social capital | 0.906 | 1.065 | 0.016 | 64.849 | *** | |
| SX2 | <-- | Social capital | 0.916 | 1.079 | 0.016 | 66.628 | *** | |
| SX3 | <-- | Social capital | 0.870 | 1.029 | 0.017 | 59.182 | *** | |
| SC1 | <-- | Social capital | 0.917 | 1.089 | 0.016 | 66.766 | *** | |
| SC2 | <-- | Social capital | 0.873 | 1.042 | 0.017 | 59.674 | *** | |
| SC3 | <-- | Social capital | 0.868 | 0.986 | 0.017 | 59.007 | *** | |
| JN1 | <-- | Technological empowerment | 0.926 | 1.000 | *** | |||
| JN2 | <-- | Technological empowerment | 0.747 | 0.762 | 0.016 | 46.945 | *** | |
| JN3 | <-- | Technological empowerment | 0.919 | 1.022 | 0.013 | 76.465 | *** | |
| JN4 | <-- | Technological empowerment | 0.919 | 0.985 | 0.013 | 76.657 | *** | |
| R1 | <-- | Pandemic resilience | 0.898 | 1.000 | *** | |||
| R2 | <-- | Pandemic resilience | 0.878 | 1.084 | 0.017 | 63.687 | *** | |
| R3 | <-- | Pandemic resilience | 0.878 | 0.998 | 0.016 | 63.777 | *** | |
| R4 | <-- | Pandemic resilience | 0.881 | 1.109 | 0.017 | 64.289 | *** | |
| R5 | <-- | Pandemic resilience | 0.904 | 1.092 | 0.016 | 68.617 | *** | |
| R6 | <-- | Pandemic resilience | 0.914 | 1.114 | 0.016 | 70.760 | *** | |
| R7 | <-- | Pandemic resilience | 0.885 | 1.010 | 0.016 | 64.916 | *** | |
| R8 | <-- | Pandemic resilience | 0.905 | 1.079 | 0.016 | 68.897 | *** | |
| R9 | <-- | Pandemic resilience | 0.918 | 1.062 | 0.015 | 71.475 | *** | |
| R10 | <-- | Pandemic resilience | 0.923 | 1.048 | 0.014 | 72.511 | *** | |
| Social capital | <-- | Technological empowerment | 0.885 | 0.743 | 0.014 | 53.060 | *** | is |
| Pandemic resilience | <-- | Social capital | 0.667 | 0.691 | 0.021 | 33.301 | *** | is |
| Pandemic resilience | <-- | Technological empowerment | 0.325 | 0.283 | 0.016 | 18.047 | *** | is |
SF, standardization factor; NSC, non-standardized coefficient; S.E., standard error; C.R., critical ratio (B/S.E.); ***, p < 0.001.
Standardized direct, indirect, and total effects of the hypothesized model.
| Path | Point Estimate | Product of Coefficients | Bootstrapping | Two-Tailed Significance | ||||
|---|---|---|---|---|---|---|---|---|
| Percentile 99% CI | Bias-Corrected Percentile 99% CI | |||||||
| SE | Z | Lower | Upper | Lower | Upper | |||
| Standardized | ||||||||
| PR<--TE | 0.325 | 0.029 | 11.207 | 0.272 | 0.386 | 0.271 | 0.385 | 0.002 (**) |
| Standardized | ||||||||
| PR<--TE | 0.590 | 0.025 | 23.6 | 0.538 | 0.638 | 0.539 | 0.639 | 0.002 (**) |
| Standardized | ||||||||
| PR<--TE | 0.915 | 0.007 | 130.714 | 0.901 | 0.929 | 0.899 | 0.929 | 0.002 (**) |
Standardized estimating of 10,000 bootstrap samples; **, p < 0.01
Results of hypotheses testing.
| Hypothesis | Results |
|---|---|
| H1: Social capital → Pandemic Resilience (positive). | Supported |
| H2: Technological Empowerment → Pandemic Resilience (positive). | Supported |
| H3: Social capital plays an intermediary effect between technological empowerment and pandemic resilience. | Supported |