Shuang Zhang, WeiWei Wang, Shan Wu, Hong Ye, LiXiao Dong, JingRu Wang, XiaoTong Ning, HuiXia Cui
Analysis of the mediating effect between ehealth literacy and health self-management of undergraduate nursing students' mental health literacy
BMC nursing
1 determine effect neighborhoodlevel socioeconomic status ses considers social physical environment person lives parental engagement neonatal intensive care unit nicu 2 compare relationships parental engagement individual versus neighborhoodlevel measures ses cohort study parents n45 premature neonates 34 weeks gestation assessed two six weeks birth december 2017 october 2019 neighborhoodlevel ses determined using census data per association maternal child health programs methodology parents selfreported education level individuallevel measure ses data frequency engagement nicu activities including telephone updates visitation providing expressed breastmilk participating kangaroo care collected electronic medical record parent psychosocial factors assessed using validated surveys statistical analysis performed using fishers exact test ttest logistic regression multivariate regression analysis disadvantaged neighborhoodlevel ses associated decreased odds kangaroo care 016 95 ci 003 089 visitation 014 95 ci 002087 lower individuallevel ses significantly associated kangaroo care visiting calling pumping p 005 parental engagement consistently significantly associated neighborhoodlevel ses individuallevel ses therefore neighborhoodlevel ses measures may explanatory individuallevel ses measures studies targeted interventions needed address disparities frequency kangaroo care visitation according ses