Purpose This study aimed to examine the associations between multidimensional body image and quality of life (QoL) and test whether the associations between body image and QoL are moderated by rural-urban residence in Chinese breast cancer survivors. Methods A cross-sectional design was adopted. Breast cancer survivors were recruited via a convenience sampling method. Two validated questionnaires (Body Image Self-Rating Questionnaire for Breast Cancer and SF-36) and questions assessing demographic and clinical covariates were administered. Results In our sample of 354 breast cancer survivors, half (50.28%) lived in rural areas. After adjusting for demographic and clinical variables, better perception of body image-related sexual activity change, role change, and psychological change was significantly associated with better physical and mental well-being. Better perception of body image-related social and behavior change domains was only significantly associated with better mental well-being. The association between body image and mental well-being was much stronger in urban subjects (b = -0.38, p < 0.001) than in rural subjects (b = -0.20, p < 0.001). Conclusions Our findings suggest that multidimensional body image is associated with physical and mental well-being in Chinese breast cancer survivors. Body image appears to play a larger role in urban breast cancer survivors’ mental well-being. Our findings indicate that incorporating interventions that address body image issues would be advantageous for survivorship care programs focused on enhancing QoL in breast cancer survivors. Considering the rural-urban differences supports strategic design of the care programs in rural and urban settings.
Faced with the goal of deepening reform and transformation of China's armed forces, China's military academies need to make more efforts in order to achieve a scientific and advanced management, so as to construct a management culture style with its own characteristics. This paper holds that through strengthening the construction of college management culture, the connotation of college culture can be enriched, valuable experience can be provided for the overall construction of colleges, and a platform can also be offered for the mutual learning between the culture of military academies and that of the troops. Meantime, the management culture of academies can be explored and innovated materially, behaviorally and systematically. The comprehensive construction and integration development of the management culture in military academies can be carried out from the following aspects: the top-level designing, clarifying the responsibilities of different institutions and departments, learning from the management cultures of local universities and colleges, and remaining consistent with the developing goals of our own academies.
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