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Nev
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[
4]
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W
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Am
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an
i
z
a
ti
o
n
a
l c
o
m
m
i
tm
en
t
d
u
e
t
o
m
en
ta
l
p
e
r
c
e
iv
e
d
m
en
t
a
l h
e
a
l
th
-
r
el
at
e
d
is
s
u
es
[
1
5
]
-
[
18]
o
r
h
ig
h
l
ev
el
s
o
f
e
n
t
r
e
p
r
en
eu
r
ia
l
o
r
i
en
t
at
i
o
n
[
1
9
]
,
[
20]
.
T
h
e
tw
o
f
ac
t
o
r
s
w
e
r
e
s
ig
n
if
i
ca
n
t
b
ec
a
u
s
e
th
e
m
i
l
le
n
n
i
a
ls
p
e
r
c
e
i
v
e
d
th
a
t
th
ey
d
es
e
r
v
e
a
b
e
t
t
e
r
w
o
r
k
-
lif
e
b
a
la
n
c
e
,
an
d
t
h
at
th
e
y
h
av
e
th
e
s
k
i
ll
s
r
eq
u
i
r
e
d
b
y
th
e
n
ew
c
o
m
p
an
i
es
;
f
u
r
th
e
r
m
o
r
e
,
m
an
y
s
t
a
r
tu
p
c
o
m
p
an
i
e
s
d
e
v
e
l
o
p
ed
b
y
m
il
l
en
n
i
al
s
w
o
u
l
d
p
r
ef
er
t
o
h
i
r
e
m
il
l
en
n
i
al
em
p
l
o
y
e
es
.
N
ev
e
r
t
h
e
l
es
s
,
d
u
r
in
g
th
e
p
an
d
em
i
c
,
ec
o
n
o
m
ic
d
o
w
n
tu
r
n
w
as
i
n
ev
i
t
a
b
l
e
a
n
d
t
h
e
o
p
p
o
r
t
u
n
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t
i
es
t
o
jo
b
-
h
o
p
a
r
e
n
o
l
o
n
g
e
r
o
p
en
ly
a
v
a
il
a
b
l
e
.
T
h
e
a
f
o
r
em
en
ti
o
n
e
d
l
i
t
er
a
t
u
r
e
in
d
i
ca
t
e
d
th
a
t
th
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ev
e
lo
p
m
en
t
o
f
tu
r
n
o
v
e
r
i
n
te
n
t
i
o
n
am
o
n
g
w
h
i
t
e
c
o
l
la
r
e
d
m
i
l
le
n
n
i
a
ls
is
t
ak
in
g
a
n
ew
f
o
r
m
,
a
n
d
th
is
cu
r
r
en
t
s
tu
d
y
a
im
s
t
o
p
r
o
p
o
s
e
a
n
o
v
el
m
o
d
e
r
a
t
e
d
m
e
d
i
a
t
i
o
n
m
o
d
e
l
o
f
t
h
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n
o
v
e
r
in
te
n
t
i
o
n
d
ev
e
l
o
p
m
en
t
am
o
n
g
m
il
l
en
n
i
al
s
.
I
n
th
e
co
n
te
x
t
o
f
th
is
c
u
r
r
en
t
s
tu
d
y
,
w
e
c
h
o
s
e
t
h
e
s
e
n
s
e
o
f
m
atter
i
n
g
as
o
u
r
m
ai
n
p
r
ed
icto
r
,
b
ec
au
s
e
p
r
ev
io
u
s
r
ec
en
t
s
tu
d
ie
s
h
ad
estab
lis
h
ed
its
r
o
b
u
s
t
n
ess
a
s
p
r
o
tectiv
e
f
ac
to
r
s
o
f
m
en
tal
h
ea
lth
at
w
o
r
k
.
Fo
r
in
s
ta
n
ce
,
d
u
r
in
g
th
e
p
an
d
e
m
ic
,
w
o
r
k
s
el
f
-
e
f
f
icac
y
(
t
h
e
b
elief
th
at
o
n
e
is
ca
p
ab
le
to
d
o
th
eir
w
o
r
k
w
e
ll)
w
a
s
r
ep
o
r
ted
to
b
e
p
r
e
d
icted
b
y
t
h
e
s
en
s
e
o
f
m
atter
i
n
g
[
2
1
]
.
Ma
tter
in
g
w
a
s
al
s
o
r
ep
o
r
ted
to
b
e
th
e
p
r
o
tectiv
e
f
ac
to
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ag
a
in
s
t
d
ep
r
ess
io
n
s
y
m
p
to
m
s
a
n
d
s
u
icid
e
id
ea
tio
n
a
m
o
n
g
y
o
u
n
g
ad
u
lt
s
[
2
2
]
,
[
23]
.
T
h
e
d
ec
is
io
n
to
in
v
o
l
v
e
m
atter
i
n
g
as
o
u
r
m
ai
n
p
r
ed
icto
r
in
th
i
s
c
u
r
r
en
t
s
tu
d
y
is
also
co
n
f
ir
m
ed
b
ec
au
s
e
it
h
as b
ee
n
e
s
tab
lis
h
ed
th
at
e
m
p
lo
y
ee
s
w
i
th
h
i
g
h
er
le
v
els
o
f
m
at
ter
in
g
te
n
d
to
h
av
e
h
ig
h
er
j
o
b
s
atis
f
ac
tio
n
,
p
er
ce
iv
e
lo
w
er
j
o
b
s
t
r
ess
,
as
w
ell
as
p
er
ce
iv
e
h
i
g
h
er
w
o
r
k
-
lif
e
b
alan
ce
[4
]
,
[
24
]
,
[
25]
t
h
at
w
ill
lead
to
lo
w
er
tu
r
n
o
v
er
in
ten
tio
n
[
2
6
]
.
Ou
r
s
ec
o
n
d
ch
o
ice
as
t
h
e
p
r
ed
icto
r
o
f
tu
r
n
o
v
er
i
n
ten
tio
n
w
a
s
th
e
o
r
g
a
n
izatio
n
al
co
m
m
it
m
e
n
t.
Fro
m
t
h
e
af
o
r
e
m
e
n
tio
n
ed
liter
at
u
r
e
in
t
h
e
p
r
ev
io
u
s
p
ar
ag
r
ap
h
,
w
e
le
ar
n
ed
th
at
e
m
p
lo
y
ee
s
w
it
h
h
i
g
h
er
o
r
g
a
n
izatio
n
a
l
co
m
m
i
t
m
e
n
t
te
n
d
to
d
ev
elo
p
less
tu
r
n
o
v
er
in
ten
t
io
n
.
Nev
er
th
e
less
,
o
r
g
a
n
izatio
n
al
co
m
m
it
m
e
n
t
w
a
s
d
is
co
v
er
ed
w
as
al
s
o
d
is
co
v
er
ed
to
b
e
s
ig
n
if
ican
t
l
y
p
r
ed
icted
b
y
t
h
e
lev
el
s
o
f
m
atter
i
n
g
[
2
7
]
,
[
28]
,
th
er
ef
o
r
e
w
e
p
u
t
it
as
o
u
r
m
ed
iato
r
v
ar
iab
le.
I
n
o
th
er
w
o
r
d
s
,
w
e
h
y
p
o
th
esized
t
h
at
e
m
p
lo
y
ee
s
w
h
o
b
eliev
e
th
at
t
h
e
y
m
atter
to
t
h
eir
o
r
g
a
n
izatio
n
s
w
o
u
ld
li
k
el
y
to
b
e
m
o
r
e
co
m
m
itted
to
t
h
eir
o
r
g
a
n
izatio
n
,
a
n
d
th
er
e
f
o
r
e,
w
o
u
ld
less
li
k
el
y
to
d
ev
elo
p
tu
r
n
o
v
er
in
te
n
tio
n
.
L
iter
at
u
r
e
also
s
u
g
g
es
ted
th
e
in
v
o
lv
e
m
e
n
t
o
f
en
tr
ep
r
en
eu
r
ial
o
r
ien
tatio
n
,
b
ec
au
s
e
it
i
s
co
m
m
o
n
a
m
o
n
g
m
il
len
n
ial
e
m
p
lo
y
ee
s
an
d
it
w
a
s
r
ep
o
r
ted
to
b
e
a
s
ig
n
i
f
ica
n
t
p
r
ed
icto
r
o
f
tu
r
n
o
v
er
i
n
te
n
tio
n
[
1
9
]
,
[
20
]
,
[
29
]
,
[
3
0
]
.
T
h
e
h
y
p
o
th
etica
l
m
o
d
el
is
i
llu
s
tr
a
ted
i
n
Fi
g
u
r
e
1
.
Fig
u
r
e
1
.
Mo
d
er
ated
m
ed
iatio
n
h
y
p
o
th
es
is
2.
RE
S
E
ARCH
M
E
T
H
O
D
Su
r
v
e
y
d
esi
g
n
w
as
e
m
p
lo
y
ed
in
t
h
is
e
m
p
ir
ical
s
t
u
d
y
.
P
u
r
p
o
s
iv
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s
a
m
p
li
n
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et
h
o
d
w
a
s
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tili
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it
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Ma
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izatio
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s
.
L
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n
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e
q
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e
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tio
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ib
u
t
ed
th
r
o
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g
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ed
ia
w
i
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p
r
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ess
io
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al
h
elp
o
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a
m
ar
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s
tit
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tio
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a
n
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o
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ed
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t
f
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w
as
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t
h
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ir
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t
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ag
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o
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th
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u
r
v
e
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.
T
h
e
p
ar
ticip
an
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w
er
e
r
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w
ar
d
ed
w
it
h
f
i
v
e
Ma
la
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ian
R
i
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it
Gr
ab
Fo
o
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Vo
u
ch
er
s
if
t
h
e
y
r
esp
o
n
d
to
t
h
e
o
n
lin
e
s
u
r
v
e
y
.
Data
f
r
o
m
4
0
0
in
d
iv
id
u
als
w
as
co
llected
,
b
u
t
d
u
e
to
ag
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l
i
m
it
a
n
d
n
atio
n
ali
t
y
i
s
s
u
es,
o
n
l
y
3
5
4
ar
e
in
clu
d
ed
.
Scale
s
u
tili
ze
d
i
n
th
e
s
u
r
v
e
y
to
w
er
e
Ge
n
er
al
Ma
tter
in
g
Scale
[
3
1
]
,
Or
g
an
iz
atio
n
al
C
o
m
m
it
m
en
t
Scale
[
3
2
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,
I
n
d
iv
id
u
al
E
n
tr
ep
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en
eu
r
ial
Or
ien
ta
tio
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Scale
[
3
3
]
,
an
d
T
u
r
n
o
v
er
in
te
n
tio
n
s
c
ale
[
3
4
]
;
C
r
o
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b
ac
h
A
lp
h
a
o
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ea
ch
s
ca
le
w
as
.
8
7
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8
6
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9
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an
d
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7
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r
esp
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y
.
Data
w
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e
a
n
al
y
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d
b
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s
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z
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r
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T
ab
le
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ex
p
lain
th
a
t
m
at
ter
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g
d
id
n
o
t
h
av
e
a
n
y
d
ir
ec
t
s
ig
n
i
f
ican
t
e
f
f
ec
t
to
th
e
t
u
r
n
o
v
er
in
t
en
tio
n
.
O
n
th
e
o
th
er
h
a
n
d
,
a
s
i
g
n
i
f
ica
n
t,
y
et
w
ea
k
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ir
ec
t
e
f
f
ec
t
w
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s
s
h
o
w
n
b
y
o
r
g
an
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n
al
co
m
m
it
m
en
t,
an
d
th
e
d
ir
ec
tio
n
w
a
s
n
e
g
ati
v
e.
E
n
tr
e
p
r
en
eu
r
ial
o
r
ien
tatio
n
in
d
icat
ed
a
s
tr
o
n
g
er
n
eg
a
tiv
e
s
ig
n
i
f
ican
t
ef
f
ec
t
o
n
t
h
e
o
r
g
an
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n
al
co
m
m
it
m
e
n
t.
Fu
r
t
h
er
m
o
r
e,
th
e
i
n
ter
ac
ti
o
n
b
et
w
ee
n
o
r
g
a
n
izatio
n
a
l
co
m
m
i
t
m
e
n
t
a
n
d
en
tr
ep
r
en
eu
r
ial
o
r
ien
tatio
n
p
o
s
ed
a
w
ea
k
er
,
y
e
t
s
i
g
n
i
f
ica
n
t,
p
o
s
itiv
e
ef
f
ec
t
o
n
t
u
r
n
o
v
er
in
t
en
tio
n
.
T
h
e
in
d
ir
ec
t
r
elatio
n
s
h
i
p
,
o
r
th
e
m
o
d
er
ated
-
m
ed
iatio
n
h
y
p
o
th
e
s
is
w
a
s
tes
ted
,
an
d
th
e
r
esu
lt
s
ar
e
d
ep
icted
in
T
ab
le
2
.
T
ab
le
2
.
T
h
e
in
d
ir
ec
t e
f
f
ec
t a
n
d
th
e
m
o
d
er
ated
-
m
ed
iat
io
n
W
Ef
f
e
c
t
B
o
o
t
S
E
B
o
o
t
L
L
C
I
B
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a
t
l
o
w
W
3
0
.
0
0
.
0
2
.
0
1
-
.
0
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X
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t
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t
e
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0
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t
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t
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;
t
h
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s
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b
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w
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t
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a
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d
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p
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s o
f
b
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st
r
a
p
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r
v
a
l
A
s
s
h
o
w
n
in
T
a
b
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2
,
m
o
d
er
a
t
e
d
m
e
d
ia
t
i
o
n
o
c
c
u
r
r
e
d
.
T
h
e
i
n
d
i
r
e
ct
e
f
f
ec
t
o
f
m
at
t
e
r
in
g
th
r
o
u
g
h
o
r
g
an
i
z
at
i
o
n
a
l
c
o
m
m
itm
en
t
s
ig
n
if
ic
an
t
ly
p
r
e
d
i
ct
e
d
tu
r
n
o
v
e
r
in
t
e
n
t
i
o
n
o
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ly
in
t
h
e
c
o
n
d
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t
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o
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o
f
m
o
d
e
r
a
te
an
d
h
ig
h
e
n
t
r
e
p
r
en
eu
r
ia
l
o
r
i
en
t
a
t
i
o
n
,
w
h
e
r
e
th
e
r
e
is
n
o
z
e
r
o
a
l
o
n
g
th
e
r
an
g
e
b
etw
e
en
l
o
w
e
r
l
im
it
a
n
d
u
p
p
e
r
l
im
it
o
f
b
o
o
t
s
t
r
a
p
c
o
n
f
i
d
en
c
e
in
t
e
r
v
al
.
T
h
i
s
r
an
g
e
c
o
n
t
a
in
s
z
e
r
o
w
h
en
t
h
e
l
ev
e
l
o
f
en
t
r
e
p
r
en
eu
r
i
al
o
r
ie
n
t
at
i
o
n
w
as
l
o
w
.
I
n
o
t
h
e
r
w
o
r
d
,
r
esu
lt
s
o
f
t
h
e
s
t
a
t
is
t
i
c
a
l
a
n
a
ly
s
e
s
s
u
p
p
o
r
t
o
u
r
m
o
d
e
r
a
t
e
d
m
e
d
i
a
ti
o
n
h
y
p
o
th
es
is
.
I
t c
a
n
b
e
s
u
m
m
a
r
iz
e
d
t
h
at
am
o
n
g
em
p
l
o
y
e
es
w
ith
m
o
d
e
r
a
t
e
t
o
h
ig
h
en
t
r
e
p
r
en
eu
r
i
al
o
r
i
e
n
t
a
t
i
o
n
,
t
h
e
m
o
r
e
th
ey
f
e
el
t
h
a
t
th
ey
m
at
t
e
r
t
o
t
h
e
o
r
g
an
i
za
t
i
o
n
,
th
e
h
ig
h
e
r
th
ei
r
c
o
m
m
itm
en
t
w
o
u
l
d
b
e
,
an
d
th
ey
w
il
l
d
ev
e
l
o
p
h
ig
h
e
r
in
te
n
t
io
n
t
o
l
e
av
e
.
4.
DIS
CU
SS
I
O
N
AND
I
M
P
L
I
CATI
O
N
B
ef
o
r
e
d
is
cu
s
s
i
n
g
an
y
f
u
r
t
h
er
o
n
o
u
r
f
i
n
d
in
g
s
,
w
e
w
o
u
ld
li
k
e
to
s
tate
th
at
t
h
is
s
tu
d
y
w
a
s
n
o
t
w
it
h
o
u
t
li
m
ita
tio
n
.
First
o
f
all,
th
e
d
ata
w
as
co
llected
in
t
h
e
m
id
s
t
o
f
n
atio
n
al
lo
ck
d
o
w
n
s
i
tu
at
io
n
in
Ma
la
y
s
ia,
w
h
er
e
m
o
s
t
e
m
p
lo
y
ee
s
h
ad
to
w
o
r
k
f
r
o
m
th
eir
h
o
m
es.
Mo
r
eo
v
er
,
th
e
p
an
d
e
m
ic
s
it
u
atio
n
also
a
l
ter
ed
th
e
la
n
d
s
ca
p
e
o
f
en
tr
ep
r
en
eu
r
ial
la
n
d
s
ca
p
e
b
y
ad
d
in
g
th
e
u
n
ce
r
tai
n
t
y
i
n
m
o
s
t
b
u
s
in
e
s
s
ar
ea
s
;
th
is
m
i
g
h
t
s
er
io
u
s
l
y
a
f
f
ec
t
o
u
r
p
ar
ticip
an
ts
i
n
r
esp
o
n
d
in
g
to
an
y
q
u
esti
o
n
s
r
eg
ar
d
i
n
g
e
n
t
r
ep
r
en
eu
r
s
h
ip
.
F
u
r
t
h
er
m
o
r
e,
o
r
g
an
izatio
n
s
w
er
e
s
h
r
i
n
k
in
g
d
u
e
to
th
e
ec
o
n
o
m
i
c
u
n
ce
r
tai
n
t
y
r
elate
d
to
th
e
p
an
d
e
m
ic,
w
h
ich
m
i
g
h
t
af
f
ec
t
th
e
o
r
g
an
izat
io
n
a
l
co
m
m
i
t
m
e
n
t
a
m
o
n
g
o
u
r
p
ar
tic
ip
an
ts
.
T
h
u
s
,
r
es
u
lt
s
o
f
t
h
i
s
c
u
r
r
en
t
s
t
u
d
y
m
ig
h
t
n
o
t
b
e
g
e
n
e
r
alize
d
to
d
if
f
er
en
t
s
etti
n
g
s
.
Seco
n
d
l
y
,
th
e
p
ar
tic
ip
an
ts
w
er
e
li
m
ited
to
w
h
ite
co
llar
ed
em
p
lo
y
ee
s
in
u
r
b
an
ar
ea
o
f
Ma
la
y
s
ia,
w
it
h
o
u
t
an
y
j
o
b
s
p
ec
if
icatio
n
o
r
o
th
er
s
p
ec
if
icatio
n
r
elate
d
to
th
eir
lin
es
o
f
i
n
d
u
s
tr
y
;
t
h
er
ef
o
r
e,
o
u
r
f
in
d
in
g
s
m
i
g
h
t
o
n
l
y
b
e
ap
p
licab
le
to
g
en
er
al
p
o
p
u
latio
n
,
in
s
tead
o
f
s
p
ec
if
ic
f
ield
s
o
f
in
d
u
s
tr
y
.
T
h
ir
d
,
a
p
ar
t
f
r
o
m
m
atter
i
n
g
,
v
ar
iab
les
w
it
h
i
m
m
ed
iate
li
n
k
to
m
en
ta
l
h
ea
lt
h
,
s
u
c
h
as
s
tr
ess
o
r
s
,
s
tr
e
s
s
,
o
r
b
u
r
n
o
u
t
m
ig
h
t
b
e
r
eq
u
ir
ed
to
ex
p
lain
t
h
e
s
t
u
d
i
ed
p
h
en
o
m
e
n
o
n
b
etter
.
T
h
e
r
ef
o
r
e,
w
e
s
u
g
g
ested
f
o
r
th
e
f
u
tu
r
e
r
esear
c
h
to
co
n
s
id
er
th
e
a
f
o
r
e
m
en
tio
n
ed
li
m
itatio
n
s
.
T
h
e
f
o
llo
w
i
n
g
p
ar
a
g
r
ap
h
s
d
is
c
u
s
s
th
e
f
i
n
d
in
g
s
o
f
th
is
c
u
r
r
en
t s
tu
d
y
.
O
u
r
h
y
p
o
t
h
e
s
i
s
w
a
s
s
u
p
p
o
r
t
e
d
b
y
t
h
e
d
a
t
a
w
e
h
a
v
e
c
o
l
l
e
c
t
e
d
.
T
h
i
s
i
n
d
i
c
a
t
e
d
t
h
a
t
s
o
m
e
e
l
e
m
en
t
s
o
f
o
u
r
f
i
n
d
i
n
g
s
a
r
e
c
o
n
s
i
s
t
e
n
t
t
o
t
h
e
p
r
e
v
i
o
u
s
s
t
u
d
i
e
s
,
a
n
d
s
o
m
e
o
t
h
e
r
s
a
r
e
n
o
t
.
F
o
r
i
n
s
t
a
n
c
e
,
o
u
r
d
a
t
a
s
u
g
g
e
s
t
e
d
t
h
a
t
Evaluation Warning : The document was created with Spire.PDF for Python.
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1
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2
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J
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n
e
20
21
:
445
–
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[5
]
,
[
35
]
-
[
37]
.
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r
in
g
[
2
7
]
,
[
28]
.
O
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1
5
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1
6
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1
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a
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r
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[
1
8
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.
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[
2
0
]
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x
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2
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[
1
9
]
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[
4
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,
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elate
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m
m
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t
[
3
8
]
.
T
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h
er
tu
r
n
o
v
er
i
n
te
n
tio
n
a
m
o
n
g
th
o
s
e
w
i
th
m
o
d
er
ate
to
h
ig
h
lev
e
ls
o
f
e
n
tr
ep
r
en
eu
r
i
al
o
r
ien
tatio
n
.
4
.
1
.
I
m
pl
ica
t
io
n
I
t
is
im
p
o
r
t
an
t
t
o
n
o
t
e
,
h
o
w
ev
e
r
,
th
a
t
tu
r
n
o
v
e
r
in
t
en
ti
o
n
d
o
es
n
o
t
a
lw
ay
s
c
o
m
e
h
an
d
-
to
-
ha
n
d
w
ith
t
h
e
a
c
t
u
a
l
tu
r
n
o
v
e
r
;
tu
r
n
o
v
e
r
i
n
t
en
t
i
o
n
is
s
ig
n
if
ic
an
t
ly
p
r
e
d
i
c
t
e
d
b
y
p
o
o
r
m
en
ta
l
h
ea
l
th
a
t
w
o
r
k
,
s
u
ch
a
s
s
t
r
e
s
s
f
u
l
s
i
tu
at
i
o
n
,
w
h
i
l
e
th
e
a
c
tu
a
l
tu
r
n
o
v
e
r
i
s
p
r
e
d
i
c
t
e
d
b
y
th
e
s
o
u
r
c
e
o
f
t
h
e
s
t
r
e
s
s
,
s
u
ch
a
s
w
o
r
k
l
o
ad
o
r
s
o
c
i
a
l
t
r
e
a
tm
e
n
t
[
2
6
]
.
I
n
t
h
e
c
o
n
t
ex
t
o
f
o
u
r
s
tu
d
y
,
tu
r
n
o
v
e
r
in
t
en
t
i
o
n
w
as
p
r
o
m
o
t
e
d
b
y
th
e
e
n
t
r
e
p
r
en
eu
r
i
a
l
o
r
ie
n
t
at
i
o
n
,
a
v
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r
i
a
b
l
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t
h
at
is
c
o
n
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i
d
e
r
e
d
c
o
n
t
r
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v
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r
s
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al
d
u
e
t
o
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ts
im
p
a
c
t
o
n
th
e
jo
b
p
e
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f
o
r
m
an
c
e
an
d
tu
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n
o
v
e
r
i
n
t
en
t
i
o
n
.
F
o
r
in
s
ta
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e
,
tw
o
s
tu
d
i
e
s
in
2
0
2
0
r
e
p
o
r
t
e
d
th
a
t
em
p
l
o
y
e
e
s
w
ith
s
t
r
o
n
g
e
r
en
t
r
e
p
r
en
eu
r
i
al
o
r
i
en
ta
t
i
o
n
w
er
e
m
o
r
e
l
ik
ely
t
o
b
e
e
n
g
ag
e
d
an
d
c
o
m
m
it
t
e
d
t
o
th
ei
r
o
r
g
an
iz
a
t
i
o
n
,
b
u
t
a
t
th
e
s
am
e
t
im
e
a
ls
o
m
o
r
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li
k
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ly
t
o
b
e
c
o
n
s
i
d
e
r
in
g
s
t
a
r
ti
n
g
t
h
ei
r
o
w
n
b
u
s
in
es
s
,
l
e
a
d
in
g
t
o
a
c
o
n
f
li
c
t
in
g
r
e
la
t
i
o
n
s
h
i
p
t
o
tu
r
n
o
v
e
r
in
t
en
ti
o
n
s
[
2
9
]
,
[
30]
.
T
h
u
s
,
t
h
e
m
ai
n
i
m
p
licatio
n
o
f
o
u
r
f
i
n
d
in
g
is
t
h
at
m
at
ter
in
g
r
e
m
a
i
n
s
as
an
i
m
p
o
r
ta
n
t
p
r
ed
icto
r
o
f
m
en
tal
h
ea
l
th
at
w
o
r
k
,
b
ec
au
s
e
it
w
a
s
s
ti
ll
a
p
o
s
itiv
e
s
ig
n
if
ica
n
t
p
r
ed
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r
o
f
o
r
g
an
izati
o
n
al
co
m
m
it
m
en
t,
w
h
ic
h
is
an
in
d
icato
r
o
f
m
e
n
t
al
h
ea
lt
h
at
w
o
r
k
.
Ne
v
er
th
ele
s
s
,
e
m
p
lo
y
ee
s
w
i
th
m
o
r
e
s
tab
le
m
e
n
tal
h
ea
lt
h
a
n
d
s
tr
o
n
g
er
c
o
m
m
it
m
en
t
to
th
e
o
r
g
an
izat
io
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m
i
g
h
t
s
ti
ll
d
ev
elo
p
h
ig
h
er
t
u
r
n
o
v
er
in
te
n
tio
n
i
f
th
e
y
p
o
s
s
es
s
h
ig
h
er
lev
els
o
f
p
ass
io
n
to
s
tar
t
th
eir
o
w
n
b
u
s
i
n
es
s
es.
T
h
is
t
y
p
e
o
f
t
u
r
n
o
v
er
i
n
te
n
tio
n
m
i
g
h
t
h
a
v
e
p
o
s
itiv
e
i
m
p
ac
t
o
n
th
e
o
r
g
an
izatio
n
b
e
f
o
r
e
th
e
e
m
p
lo
y
ee
ac
t
u
all
y
q
u
it
s
,
b
ec
au
s
e
t
h
eir
en
tr
ep
r
en
e
u
r
ial
o
r
ie
n
tatio
n
co
n
tr
ib
u
te
s
p
o
s
itiv
el
y
to
t
h
eir
o
r
g
an
izatio
n
al
p
er
f
o
r
m
a
n
ce
[
2
9
]
.
I
n
th
e
m
id
s
t
o
f
p
an
d
e
m
ic
a
n
d
u
n
ce
r
t
ain
t
y
,
o
p
p
o
r
tu
n
itie
s
r
is
es
f
o
r
s
o
cial
e
n
tr
ep
r
en
eu
r
s
h
ip
an
d
s
ee
m
s
to
b
e
h
alted
f
o
r
n
o
n
-
s
o
cial
e
n
tr
ep
r
en
eu
r
s
h
ip
[
3
9
]
,
[
40]
,
th
er
ef
o
r
e
en
tr
ep
r
en
eu
r
ial
e
m
p
lo
y
ee
s
w
h
o
d
o
n
o
t
p
o
s
s
ess
a
n
y
d
ir
ec
tio
n
to
w
ar
d
s
s
o
cial
e
n
tr
ep
r
en
eu
r
s
h
ip
m
i
g
h
t
n
o
t
m
a
k
e
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t.
J
.
P
u
b
lic
Hea
lth
Sci.
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SS
N:
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5.
CO
NCLU
SI
O
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h
e
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d
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tatio
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f
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s
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ed
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tu
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elate
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Gr
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.
I
D#
2
0
-
03
-
008
.
RE
F
E
R
E
NC
E
S
[1
]
G
.
L
.
Co
h
e
e
,
“
Co
rp
o
ra
te d
o
w
n
siz
in
g
:
G
e
tt
in
g
o
u
r
p
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rig
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”
Or
g
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Dy
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s
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4
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rg
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n
.
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8
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0
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0
4
.
[2
]
D.
G
h
a
ra
k
h
a
n
i
a
n
d
A
.
Zaf
e
ra
n
c
h
i,
“
T
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o
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b
b
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p
.
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7
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0
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9
.
[3
]
A
.
R
e
e
c
e
e
t
a
l
.
,
“
M
a
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a
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ica
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,
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o
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.
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1
6
.
[4
]
K.
A
.
R
Rich
a
rd
s,
N.
S
.
W
a
sh
b
u
rn
,
a
n
d
M
.
A
.
He
m
p
h
il
l,
“
Ex
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n
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e
n
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e
o
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e
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d
m
a
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e
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in
g
,
ro
le
stre
ss
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e
m
o
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ti
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c
h
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E
u
ro
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5
.
4
.
4
0
9
.
[1
9
]
D.
R.
M
a
rsh
a
ll
a
n
d
R
.
G
ig
li
o
tt
i,
“
Bo
u
n
d
f
o
r
e
n
trep
re
n
e
u
rs
h
ip
?
A
c
a
re
e
r
-
th
e
o
re
ti
c
a
l
p
e
rsp
e
c
ti
v
e
o
n
e
n
trep
re
n
e
u
rial
in
ten
ti
o
n
s,”
T
h
e
I
n
ter
n
a
t
io
n
a
l
En
t
re
p
re
n
e
u
rs
h
ip
a
n
d
M
a
n
a
g
e
me
n
t
J
o
u
rn
a
l
,
v
o
l.
1
6
,
n
o
.
1
,
p
p
.
2
8
7
-
3
0
3
,
2
0
2
0
.
[2
0
]
C.
Zh
u
,
A
.
L
iu
,
a
n
d
G
.
Ch
e
n
,
“
Hig
h
p
e
rf
o
r
m
a
n
c
e
w
o
rk
s
y
ste
m
s
a
n
d
c
o
rp
o
ra
te
p
e
rf
o
r
m
a
n
c
e
:
th
e
in
f
lu
e
n
c
e
o
f
e
n
trep
re
n
e
u
rial
o
rie
n
tatio
n
a
n
d
o
r
g
a
n
iza
ti
o
n
a
l
lea
rn
in
g
,
”
Fro
n
t
ier
s
Bu
s
in
e
ss
Res
e
a
rc
h
Ch
in
a
,
v
o
l.
1
2
,
n
o
.
1
,
2
0
1
8
,
d
o
i:
1
0
.
1
1
8
6
/s1
1
7
8
2
-
0
18
-
0
0
2
5
-
y.
[2
1
]
K.
D.
P
r
ih
a
d
i
,
E.
S
.
Z.
L
im
,
a
n
d
C.
Ch
a
n
.
,
“
Ef
f
ica
c
y
o
f
w
o
rk
in
g
f
r
o
m
h
o
m
e
a
m
o
n
g
u
rb
a
n
p
ro
f
e
ss
io
n
a
ls
in
M
a
lay
sia
d
u
ri
n
g
th
e
p
a
n
d
e
m
ic:
T
h
e
ro
b
u
st
p
re
d
ictiv
e
ro
le
o
f
m
a
tt
e
rin
g
,
”
In
t
e
rn
a
ti
o
n
a
l
J
o
u
rn
a
l
Pu
b
li
c
He
a
l
th
S
c
i
e
n
c
e
,
v
o
l.
1
0
,
n
o
.
1
,
p
p
.
2
1
5
–
2
2
0
,
2
0
2
1
,
d
o
i:
1
0
.
1
1
5
9
1
/i
j
p
h
s
.
v
1
0
i
1
.
2
0
7
3
6
.
[2
2
]
G
.
L
.
F
lett,
A
.
Kh
a
n
,
a
n
d
C.
S
u
,
“
M
a
tt
e
rin
g
a
n
d
P
sy
c
h
o
lo
g
ica
l
W
e
ll
-
b
e
in
g
in
Co
ll
e
g
e
a
n
d
Un
iv
e
rsit
y
S
tu
d
e
n
ts:
Re
v
ie
w
a
n
d
Re
c
o
m
m
e
n
d
a
ti
o
n
s
f
o
r
Ca
m
p
u
s
-
Ba
se
d
In
it
iativ
e
s,”
T
h
e
In
ter
n
a
ti
o
n
a
l
J
o
u
rn
a
l
o
f
M
e
n
ta
l
He
a
lt
h
a
n
d
Ad
d
icti
o
n
,
v
o
l.
1
7
,
n
o
.
3
,
p
p
.
6
6
7
-
6
8
0
,
2
0
1
9
,
d
o
i:
1
0
.
1
0
0
7
/s
1
1
4
6
9
-
0
1
9
-
0
0
0
7
3
-
6.
[2
3
]
K.
P
ri
h
a
d
i,
C.
Y.
W
o
n
g
,
a
n
d
K.
Y.
Ch
o
n
g
,
“
S
u
icid
a
l
th
o
u
g
h
ts
a
m
o
n
g
Un
iv
e
rsit
y
stu
d
e
n
ts
in
M
a
lay
sia
a
n
d
In
d
o
n
e
sia
:
T
h
e
ro
le
o
f
m
a
tt
e
rin
g
,
sta
te
se
l
f
-
e
ste
e
m
a
n
d
d
e
p
re
ss
io
n
lev
e
l,
”
In
ter
n
a
ti
o
n
a
l
J
o
u
r
n
a
l
o
f
Eva
lu
a
ti
o
n
a
n
d
Res
e
a
rc
h
in
E
d
u
c
a
ti
o
n
,
v
o
l
.
9
,
n
o
.
3
,
p
p
.
4
9
4
-
5
0
2
,
2
0
2
0
.
[2
4
]
K.
A
.
R.
Rich
a
rd
s,
K.
L
.
G
a
u
d
re
a
u
lt
,
a
n
d
A
.
M
.
W
o
o
d
s,
“
Un
d
e
rsta
n
d
i
n
g
p
h
y
sic
a
l
e
d
u
c
a
to
rs’
p
e
rc
e
p
ti
o
n
s
o
f
m
a
tt
e
rin
g
:
V
a
li
d
a
ti
o
n
o
f
th
e
P
e
rc
e
iv
e
d
M
a
tt
e
rin
g
Qu
e
stio
n
n
a
ire
–
P
h
y
sic
a
l
Ed
u
c
a
ti
o
n
,
”
E
u
r
o
p
e
a
n
P
h
y
sic
a
l
Ed
u
c
a
ti
o
n
Rev
iew
,
v
o
l.
2
3
,
n
o
.
1
,
p
p
.
7
3
-
9
0
,
2
0
1
7
,
d
o
i:
1
0
.
1
1
7
7
/
1
3
5
6
3
3
6
X1
6
6
3
7
3
2
0
.
[2
5
]
G
.
L
.
F
lett,
“
Re
sili
e
n
c
e
to
In
terp
e
rso
n
a
l
S
tres
s:
W
h
y
m
a
tt
e
rin
g
m
a
tt
e
rs
w
h
e
n
b
u
il
d
i
n
g
th
e
f
o
u
n
d
a
ti
o
n
o
f
m
e
n
tall
y
h
e
a
lt
h
y
sc
h
o
o
ls
,
”
in
Ha
n
d
b
o
o
k
o
f
S
c
h
o
o
l
-
B
a
se
d
M
e
n
ta
l
He
a
lt
h
Pro
mo
ti
o
n
,
p
p
.
3
8
3
-
4
1
0
,
2
0
1
8
.
[2
6
]
S
.
F
u
k
u
i,
A
.
L
.
Ro
ll
in
s
,
a
n
d
M
.
P
.
S
a
l
y
e
rs,
“
Ch
a
r
a
c
teristics
a
n
d
jo
b
stre
ss
o
rs
a
ss
o
c
iate
d
w
it
h
tu
rn
o
v
e
r
a
n
d
tu
rn
o
v
e
r
in
ten
ti
o
n
a
m
o
n
g
c
o
m
m
u
n
it
y
m
e
n
t
a
l
h
e
a
lt
h
p
ro
v
id
e
rs,”
Psy
c
h
i
a
tric
S
e
rv
ice
s
,
v
o
l.
7
1
,
n
o
.
3
,
p
p
.
2
8
9
-
2
9
2
,
2
0
2
0
.
[2
7
]
N.
M
.
Bo
y
d
a
n
d
B.
No
w
e
ll
,
“
S
e
n
se
o
f
c
o
m
m
u
n
it
y
,
se
n
se
o
f
c
o
m
m
u
n
it
y
re
sp
o
n
sib
il
i
ty
,
o
rg
a
n
iza
ti
o
n
a
l
c
o
m
m
it
m
e
n
t
a
n
d
id
e
n
ti
f
ica
ti
o
n
,
a
n
d
p
u
b
li
c
se
rv
ice
m
o
ti
v
a
ti
o
n
:
a
sim
u
lt
a
n
e
o
u
s tes
t
o
f
a
ffe
c
ti
v
e
st
a
tes
o
n
e
m
p
lo
y
e
e
w
e
ll
-
b
e
in
g
a
n
d
e
n
g
a
g
e
m
e
n
t
in
a
p
u
b
li
c
se
rv
ice
w
o
rk
c
o
n
tex
t,
”
P
u
b
li
c
M
a
n
a
g
e
me
n
t
Rev
iew
,
v
o
l.
2
2
,
n
o
.
7
,
p
p
.
1
0
2
4
-
1
0
5
0
,
2
0
2
0
,
d
o
i:
1
0
.
1
0
8
0
/1
4
7
1
9
0
3
7
.
2
0
2
0
.
1
7
4
0
3
0
1
.
[2
8
]
Ha
izlip
,
J.,
M
c
Clu
n
e
y
,
C.
,
a
n
d
H
e
rn
a
n
d
e
z
,
M
.
,
“
M
a
tt
e
rin
g
:
h
o
w
o
rg
a
n
iza
ti
o
n
s,
p
a
ti
e
n
ts,
a
n
d
p
e
e
rs
c
a
n
a
ff
e
c
t
n
u
rse
b
u
r
n
o
u
t
a
n
d
e
n
g
a
g
e
m
e
n
t,
”
T
h
e
J
o
u
rn
a
l
o
f
Nu
rs
in
g
A
d
min
istr
a
ti
o
n
|
J
ONA
,
v
o
l.
50
,
n
o
.
5
,
p
p
.
2
6
7
-
2
7
3
,
2
0
2
0
.
[2
9
]
G
.
A
h
m
e
to
g
lu
,
V.
Ne
fy
o
d
o
v
a
,
a
n
d
T
.
C
h
a
m
o
rro
-
P
re
m
u
z
ic,
“
W
h
a
t
L
e
a
d
s
En
trep
re
n
e
u
rial
Em
p
lo
y
e
e
s
to
W
a
n
t
to
Qu
it
,
o
r
S
tay
in
,
T
h
e
ir
Jo
b
?
Ex
p
lo
rin
g
T
w
o
Co
n
f
li
c
ti
n
g
M
e
c
h
a
n
i
s
m
s,”
Ap
p
l
ied
Psy
c
h
o
l
ogy
,
p
p
.
1
-
21,
2
0
2
0
.
d
o
i
:
1
0
.
1
1
1
1
/a
p
p
s.
1
2
2
5
0
.
[3
0
]
B.
Bu
lm
a
sh
a
n
d
M
.
W
in
o
k
u
r,
“
En
trep
re
n
e
u
rial
p
a
ss
io
n
a
n
d
tu
rn
o
v
e
r
in
ten
ti
o
n
s:
T
h
e
ro
le
o
f
in
trap
re
n
e
u
rs
h
i
p
o
p
p
o
rt
u
n
i
t
ies
a
n
d
risk
t
o
lera
n
c
e
,
”
IEE
E
In
ter
n
a
ti
o
n
a
l
C
o
n
fer
e
n
c
e
o
n
I
n
d
u
stria
l
T
e
c
h
n
o
lo
g
y
(
ICIT
),
2
0
2
0
.
[
O
n
li
n
e
].
Av
a
il
a
b
le:
h
tt
p
s://
iee
e
x
p
lo
re
.
iee
e
.
o
rg
/ab
stra
c
t/
d
o
c
u
m
e
n
t/
9
0
6
7
2
5
9
/.
[3
1
]
H.
I.
S
a
ri
a
n
d
M
.
A
.
Ka
ra
m
a
n
,
“
G
a
in
in
g
a
Be
tt
e
r
Un
d
e
rsta
n
d
in
g
o
f
G
e
n
e
ra
l
M
a
tt
e
rin
g
S
c
a
le:
A
n
A
p
p
li
c
a
ti
o
n
o
f
Clas
sic
a
l
T
e
st
T
h
e
o
ry
a
n
d
Item
R
e
sp
o
n
se
T
h
e
o
ry
,
”
In
te
rn
a
ti
o
n
a
l
J
o
u
rn
a
l
o
f
Asse
ss
me
n
t
T
o
o
ls
in
E
d
u
c
a
ti
o
n
,
v
o
l
.
5
,
n
o
.
4
,
p
p
.
6
6
8
-
6
8
1
,
2
0
1
8
.
D
o
i
:
1
0
.
2
1
4
4
9
/i
jate
.
4
5
3
3
3
7
.
[3
2
]
J.
P
.
M
e
y
e
r
a
n
d
N.
J.
A
li
e
n
,
“
A t
h
re
e
-
c
o
m
p
o
n
e
n
t
c
o
n
c
e
p
t
u
a
li
z
a
ti
o
n
o
f
o
rg
a
n
iza
ti
o
n
a
l
c
o
m
m
it
m
e
n
t,
”
u
ma
n
Res
o
u
rc
e
M
a
n
a
g
e
me
n
t
Rev
iew
,
v
o
l.
1
,
n
o
.
1
,
p
p
.
6
1
-
8
9
,
1
9
9
1
, d
o
i:
1
0
.
1
0
1
6
/1
0
5
3
-
4
8
2
2
(9
1
)9
0
0
1
1
-
Z.
[3
3
]
D.
L
.
Bo
lt
o
n
a
n
d
M
.
D.
L
a
n
e
,
“
In
d
iv
id
u
a
l
e
n
trep
re
n
e
u
rial
o
rien
tat
io
n
:
d
e
v
e
lo
p
m
e
n
t
o
f
a
m
e
a
su
re
m
e
n
t
in
stru
m
e
n
t,
”
Ed
u
c
a
ti
o
n
a
n
d
T
ra
i
n
i
n
g
,
v
o
l.
5
4
,
n
o
.
2
-
3
,
p
p
.
2
1
9
-
2
3
3
,
2
0
1
2
,
d
o
i:
1
0
.
1
1
0
8
/0
0
4
0
0
9
1
1
2
1
1
2
1
0
3
1
4
.
[3
4
]
P
.
G
re
g
o
r
y
,
I.
W
il
f
rid
,
a
n
d
D.
F
.
Co
lem
a
n
,
“
F
u
rth
e
r
a
ss
e
ss
m
e
n
ts
o
f
a
th
re
e
-
c
o
m
p
o
n
e
n
t
m
o
d
e
l
o
f
o
c
c
u
p
a
ti
o
n
a
l
c
o
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m
it
m
e
n
t:
G
e
n
e
ra
li
z
a
b
il
it
y
a
n
d
d
if
f
e
re
n
c
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a
c
ro
ss
o
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c
u
p
a
ti
o
n
s
A
n
o
t
h
e
r
l
o
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k
a
t
t
h
e
l
o
c
u
s
o
f
c
o
n
tr
o
l
-
o
rg
a
n
iza
ti
o
n
a
l
c
o
m
m
it
m
e
n
t
re
latio
n
sh
i
p
:
It
d
e
p
e
n
d
s
o
n
th
e
f
o
rm
o
f
c
o
m
m
it
m
e
n
t
V
iew
p
ro
jec
t,
”
J
o
u
rn
a
l
o
f
Ap
p
li
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d
Psy
c
h
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lo
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y
,
v
o
l.
8
2
,
n
o
.
3
3
,
p
p
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,
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9
9
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,
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1
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7
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1
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0
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0
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2
.
3
.
4
4
4
.
[3
5
]
J.
N.
S
c
a
n
lan
e
t
a
l
.
,
“
W
o
rk
p
lac
e
e
x
p
e
rien
c
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o
f
m
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tal
h
e
a
lt
h
c
o
n
su
m
e
r
p
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e
r
w
o
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k
e
rs
in
Ne
w
S
o
u
t
h
W
a
les
,
A
u
stra
li
a
:
A
su
rv
e
y
stu
d
y
e
x
p
lo
rin
g
jo
b
sa
ti
sf
a
c
ti
o
n
,
b
u
r
n
o
u
t
a
n
d
t
u
rn
o
v
e
r
in
ten
ti
o
n
,
”
BM
C
Psy
c
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ia
try
,
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l.
2
0
,
n
o
.
1
,
p
.
2
7
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0
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0
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/s
1
2
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8
8
-
0
2
0
-
0
2
6
8
8
-
9.
[3
6
]
H.
W
a
n
g
,
Y.
Jin
,
a
n
d
D.
W
a
n
g
,
“
Jo
b
sa
ti
sf
a
c
ti
o
n
,
b
u
r
n
o
u
t,
a
n
d
tu
r
n
o
v
e
r
in
te
n
ti
o
n
a
m
o
n
g
p
rim
a
r
y
c
a
re
p
ro
v
id
e
rs
i
n
ru
ra
l
Ch
i
n
a
:
Re
su
lt
s f
ro
m
stru
c
tu
r
a
l
e
q
u
a
ti
o
n
m
o
d
e
li
n
g
,
”
BM
C
F
a
m
il
Pra
c
t
ice
,
v
o
l.
2
1
,
n
o
.
1
,
p
.
1
2
,
2
0
2
0
.
[3
7
]
S.
S
riv
a
sta
v
a
a
n
d
S
.
A
g
ra
w
a
l,
“
Re
sista
n
c
e
to
c
h
a
n
g
e
a
n
d
t
u
rn
o
v
e
r
in
ten
ti
o
n
:
a
m
o
d
e
ra
ted
m
e
d
iatio
n
m
o
d
e
l
o
f
b
u
r
n
o
u
t
a
n
d
p
e
rc
e
iv
e
d
o
rg
a
n
iza
ti
o
n
a
l
su
p
p
o
rt
,
”
J
o
u
rn
a
l
o
f
Or
g
a
n
i
za
ti
o
n
a
l
Ch
a
n
g
e
M
a
n
a
g
e
me
n
t
,
v
o
l.
3
3
,
n
o
.
7
,
p
p
.
1
4
3
1
-
1
4
4
7
,
J
u
l.
2
0
2
0
. D
o
i
:
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0
.
1
1
0
8
/JOCM
-
02
-
2
0
2
0
-
0
0
6
3
.
[3
8
]
B.
Kim
,
“
Un
sta
b
le
jo
b
s h
a
rm
p
e
rfo
rm
a
n
c
e
:
T
h
e
im
p
o
rtan
c
e
o
f
p
s
y
c
h
o
l
o
g
ica
l
sa
fe
t
y
a
n
d
o
rg
a
n
iza
ti
o
n
a
l
c
o
m
m
it
m
e
n
t
in
e
m
p
lo
y
e
e
s
,
”
S
a
g
e
J
o
u
rn
a
l
,
v
o
l.
1
0
,
n
o
.
2
,
p
p
.
1
-
1
0
,
2
0
2
0
,
d
o
i
:
1
0
.
1
1
7
7
/
2
1
5
8
2
4
4
0
2
0
9
2
0
6
1
7
.
[3
9
]
S
.
Ba
c
q
a
n
d
G
.
T
.
L
u
m
p
k
in
,
“
S
o
c
ial
En
trep
re
n
e
u
rsh
ip
a
n
d
COV
ID
-
1
9
,
”
J
o
u
rn
a
l
o
f
M
a
n
a
g
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me
n
t
S
t
u
d
ies
,
v
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l.
8
,
n
o
.
1
,
p
p
.
1
-
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,
2
0
2
0
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d
o
i:
1
0
.
1
1
1
1
/
jo
m
s.1
2
6
4
1
.
[4
0
]
U.
S
tep
h
a
n
,
P
.
Zb
iero
w
sk
i
,
a
n
d
P
.
-
J.
Ha
n
a
rd
,
“
En
trep
re
n
e
u
rs
h
ip
a
n
d
COV
ID
-
1
9
:
Ch
a
ll
e
n
g
e
s
a
n
d
o
p
p
o
rt
u
n
it
ies
A
n
a
ss
e
ss
m
e
n
t
o
f
th
e
sh
o
rt
-
a
n
d
lo
n
g
-
term
c
o
n
se
q
u
e
n
c
e
s
f
o
r
UK
s
m
a
ll
b
u
sin
e
ss
e
s,”
2
0
2
0
.
[
On
l
i
n
e
]
.
A
v
a
il
a
b
le:
ww
w
.
k
c
l.
a
c
.
u
k
/b
u
sin
e
ss
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