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Although the relationship between socio‐economic status (SES) and prosocial practices has been extensively studied, little is known about the role that social capital plays in this relationship. This study examines the mediating effect of different forms of social capital, including informal neighbourhood capital, membership in voluntary associations, and professional connection, on the relationship between SES and prosocial practices. A total of 3,300 urban samples and 2,170 rural samples from the Chinese General Social Survey (CGSS) 2012 were selected to conduct two‐group structural equation modelling. Our results suggested that (a) all three forms of social capital mediated the effect of SES on donating, but only informal neighbourhood capital and membership mediated the effect of SES on volunteering, and (b) SES had a different relationship with social capital in urban China than in rural China. SES had a weak positive correlation with informal neighbourhood capital in rural areas but a negative one in urban areas. SES also had a stronger relationship with membership in voluntary associations in rural areas. Our analyses support the notion that higher SES promotes prosocial practices through social capital. [ABSTRACT FROM AUTHOR]

Children from single‐parent families are at risk for problems related to social–emotional development (SED). This study investigated the associations between familial care types and single‐parent children's SED, and the possible pathways through the mediation of parent–child relationship. This study analysed 431 single‐parent children (50.0% girls) drawn from a local database with a total of 2507 children studying in Grades 4 to 8. We compared the SED of single‐parent children in multigenerational care and those in parental care. We then tested the possible mediating effect of parent–child relationship between familial care types and children's SED. The study found that there were no deficits in the SED of single‐parent children in multigenerational care compared with those in parental care. Multigenerational care had no direct relationship with the SED of single‐parent children after the mediator of the parent–child relationship was entered. The parent–child relationship mediated the associations between familial care types and four dimensions of the single‐parent children's SED. These findings provided support for multigenerational and parental care, and also directions for family care strategies and developing social service programmes to promote the SED of single‐parent children in China. [ABSTRACT FROM AUTHOR]

Aim: This study analyses the effects of surgical indicators and clinical efficacy of different surgical methods for uterine cesarean section scar diverticulum. Methods: This retrospective cohort study included 65 patients who underwent surgery and postoperative follow‐up at Gansu Provincial Maternity and Child‐care Hospital from 1 January 2013 to 31 February 2019. Results: All participants were treated surgically. Among them, patients in Group A underwent combined laparoscopic and hysteroscopic surgery (n = 45), Group B underwent transvaginal surgery (n = 11), Group C underwent laparotomy (n = 9). The primary outcomes were surgical indicators. The secondary outcomes were clinical efficacy. Bleeding, operation time and hospitalization expenses were significantly different among the three groups (P < 0.05). There was no difference in the hospital stay among the three groups P = 0.22). The menstrual period before and after surgery was significantly different among the groups (P < 0.05). The recurrence outcome was no significantly different (P = 0.16), but the pregnancy outcome was not (P = 0.78). Conclusion: The three surgical methods are effective for treating cesarean section scar diverticulum with favorable effects. Laparoscopic combined with hysteroscopic surgery is minimally invasive with less bleeding compared with the other two techniques and it is easier for patients to accept. It is the most widely used surgical method. [ABSTRACT FROM AUTHOR]

Aim: To describe changed epidemiological features of advanced maternal age (AMA) and to examine the effect of AMA on the risk for Cesarean section (CS) in a Chinese pregnant population. Methods: This retrospective single‐center cohort study investigated the changes of epidemiological features of AMA parturients with respect to the revised reproductive policy in China in 43 702 singleton deliveries with live birth at ≥28 weeks managed from January 2005 to December 2016. We also evaluated the pregnancy outcomes in different age groups and risk factors of CS with multivariate analysis. Results: In this 12‐year study period, the average maternal age increased from 28.5 to 30.2 years, and the proportion of AMA raised from 6.5% to 17.2%. AMA was significantly associated with increased risk of adverse pregnancy outcomes, and after adjustment for confounding factors, AMA remained a significant independent risk factor for CS. Furthermore, the effect of AMA in nulliparous women on the risk of CS was more significant than in multiparous women, while the history of previous CS (adjusted odds ratio 39.85) and interdelivery interval ≥10 years (adjusted odds ratio 1.52) also increased the risk of CS in multiparous women. Conclusion: AMA increased the risk of a number of adverse pregnancy outcomes, and was independently associated with increased risk for CS. The increasing number of AMA parturients with risk factors is likely to increase CS rate in China in the near future, thus it is imperative to reduce the rate of primary CS as a matter of policy. [ABSTRACT FROM AUTHOR]