Search Results (494)

Introduction: Low back pain (LBP) is the leading cause of disability worldwide, with substantial variation in prevalence across regions. It is associated with a wide range of biophysical, psychological, social, and lifestyle factors, as well as comorbid conditions. Given its high impact, identifying population-level correlations of LBP is essential for informing prevention strategies. This study aimed to assess demographic, socioeconomic, lifestyle, and health-related factors associated with LBP in Hungary. Methods: A repeated cross-sectional analysis was conducted using secondary data from three waves of the European Health Interview Survey (EHIS) carried out in Hungary in 2009, 2014, and 2019. Results: The prevalence of LBP increased over the study period. Female sex, higher educational attainment, normal body mass index, non-smoking status, abstaining from alcohol, and good self-perceived health were associated with lower odds of LBP. In contrast, older age (≥65 years), unfavorable financial status, residence in socioeconomically disadvantaged regions, use of over-the-counter medications, and several chronic conditions were associated with higher odds. Conclusions: Reducing the impact of low back pain requires its integration into comprehensive public health frameworks that combine chronic disease management with consideration of socioeconomic inequalities at the population level. Full article

Unmarried individuals experience lower levels of subjective well-being than married individuals. Some argue that this is due to intrinsic benefits often associated with marriage. Others claim that those who are never married, divorced, or widowed face prejudice, stigma, and discrimination that contribute to their lower levels of subjective well-being. The current research investigates these two perspectives by empirically estimating the role of positive self-view in the happiness levels of different groups by marital status (N = 79,695, excluding missing values). Multilevel regression analyses are conducted using two relevant waves of the European Social Survey (2006 and 2012). The results indicate that unmarried adults show lower levels of positive self-view. However, unmarried individuals derive greater happiness from positive self-esteem, optimism, and a sense of accomplishment than married individuals. In other words, self-view may be impactful in determining the well-being of singles. Full article

Work–life balance (WLB) has become a critical component of social sustainability, yet empirical evidence remains uneven across economic sectors. While existing research predominantly focuses on service-oriented and public-sector occupations, comparatively little is known about the determinants of WLB in manufacturing, where high job demands, limited flexibility, and structural constraints on autonomy often characterize work. Addressing this gap, the present study examines how job characteristics, support mechanisms, and individual resources shape the likelihood of achieving WLB among manufacturing employees in a rapidly developing European economy. Drawing on the Job Demands–Resources (JD–R) framework, the study employs survey data from 361 manufacturing employees and estimates a series of Probit regression models. To facilitate a meaningful analysis, composite indices were constructed to capture job demands, job flexibility, organizational and social support, psychological boundaries, and overall well-being. Predicted probabilities were used to evaluate both direct effects and interaction patterns in the Probit models. The findings indicate that manageable job demands and individual resources, particularly well-being and effective self-management, are the strongest predictors of WLB. Job flexibility demonstrates a slight positive effect; however, when accounting for individual and structural factors, formal organizational and social support mechanisms do not show statistically significant direct effects. Furthermore, our analysis provides no empirical support for moderating effects, as the interaction terms between job characteristics and support variables are not statistically significant. This suggests that support mechanisms do not consistently modify the relationship between job demands, flexibility, and WLB within the analyzed sample. Overall, the findings underscore the importance of combining supportive organizational contexts with manageable work demands and individual resources to promote sustainable work–life balance in manufacturing. The study contributes sector-specific empirical evidence to sustainability research and offers practical insights for designing socially sustainable work environments in industrial settings. Full article

The corporate social responsibility (CSR) approach from a managerial point of view has become a topic of interest especially in the European ex-Communist countries. This paper explores the intentions of Romanian managers of small and medium-sized enterprises and multinational corporations operating in Romania to implement corporate socially responsible practices (CSRPs). To this end, a quantitative research methodology based on an online survey was employed, and partial least squares structural equation modeling was used to analyze the data. The results show that the research model based on the Theory of Planned Behavior (TPB) has been validated. The values of composite reliability and Cronbach’s alpha exceed 0.7, the value of average variance extracted exceeds 0.5, while the values of average block variance inflation factor and average full collinearity are below 3.3. The findings also indicate that the intention of managers to integrate CSRP within their business organizations is mostly influenced by the stakeholder pressure, suggesting that the attainment of social approval is a crucial driver of responsible behavior, rather than other constructs related to the TPB. The study concludes that while negative attitudes towards CSR do not significantly affect managers’ intentions to engage in CSRP, positive attitudes exert a favorable influence. Full article

In recent years, young people have often been portrayed as increasingly detached from traditional forms of religious belonging. Nevertheless, religious affiliation continues to shape how individuals interpret the world—that is, the cultural frameworks and value systems through which, in Weberian terms, they ascribe meaning to an otherwise indeterminate reality. Drawing on a survey conducted among a sample of young Italians in Rome, this study examines the relationship between youth and values by comparing believers and non-believers. The data are weighted to reflect the demographic structure of a comparable population in the European Social Survey. The article explores the intersections between religiosity, spirituality, value orientations, and forms of social participation among young Romans. It relies on a wide range of indicators capturing attitudes toward religion and society, religious and spiritual practices, and the perceived importance of various social issues. The analysis focuses on differences between spiritual and non-spiritual believers, practicing and non-practicing believers, and non-believers. The central questions guiding the study are: What distinguishes young believers from their non-believing peers in these domains? And how do these groups differ in their orientations when classified in this way? Full article

This study investigates European citizens’ perspectives on farmers’ roles, highlighting gender, age, education, political orientation, community size, social class, and attitudes towards the EU. This study was developed using 21,002 interviews with European Citizens from all 27 EU countries. A quantitative data analysis methodology was used from the European Eurobarometer 97.1 survey. Seven models were formulated and tested. It is shown that men prioritise economic growth and food stability, while women emphasise environmental protection and animal welfare. Younger individuals focus on rural job creation, whereas older citizens value food security. Higher education levels correlate with environmental and animal welfare concerns. Right-leaning citizens favour economic development, whereas left-leaning individuals prioritise ecological issues. Larger communities emphasise economic growth, while smaller ones focus on environmental preservation. Social class influences priorities, with higher classes concerned about sustainability and lower classes about job creation. Pessimistic views about the EU correlate with food safety concerns, while optimistic views align with environmental and animal welfare priorities. These findings suggest that aligning agricultural and food policies with citizens’ diverse needs can foster a more sustainable and resilient European food system. Full article

This study bridges the existing gaps in quantifying risk and enhancing community defences by applying a cohesive five-pillar risk and resilience framework developed within the C2IMPRESS project. We assessed the anticipated impacts of various C2IMPRESS tools on community resilience across four European case study areas (CSAs): Egaleo (Greece), Mallorca (Spain), Ordu (Turkey), and the Centro Region (Portugal). Methodologically, a targeted survey asked CSA representatives to estimate the expected changes across 42 resilience indicators—encompassing social, institutional, economic, infrastructural, and environmental dimensions—following tool implementation. A public–private-civil partnership (PPCP) framework was also assessed across all sites to enable a comparative analysis. The results indicate that individual vulnerability and emergency preparedness are the most responsive dimensions, exhibiting significant projected improvements alongside institutional capacities and community trust. Conversely, the community economy emerged as the least flexible dimension, exhibiting minimal anticipated change. In conclusion, the C2IMPRESS framework effectively bridges disaster risk reduction and climate adaptation by integrating local knowledge into actionable interventions. However, while social and institutional resilience can be actively enhanced, improving economic resilience requires long-term structural adjustments beyond the scope of these localised tools. Full article

Background/Objectives: As life expectancy increases, chronic diseases have become more prevalent, often leading to poorer health in later years. Maintaining cognitive functioning is therefore essential for preserving independence in older adulthood. Within the framework of cognitive enrichment, research highlights the protective role of healthy lifestyles and engagement in social and intellectual activities on cognitive functioning. This study aimed to provide evidence of the moderator effect of diagnosis group (including healthy condition, dementia, Parkinson’s, and stroke) on a predictive model of cognitive function. Methods: Data employed in this study came from the 9th wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) project, including 17,105 individuals aged 50 years and older from 27 European countries. Cognitive functioning was assessed through numeracy, temporal orientation, verbal fluency, and memory. Physical inactivity, social participation, intellectual activities, age, gender, and education were included as predictors. A measurement invariance routine across diagnostic groups was tested. Results: The model demonstrated excellent fit in the general sample and partial invariance across groups. Physical inactivity was negatively associated with numeracy in all groups, with stronger effects in clinical populations, particularly stroke and dementia. Intellectual activities were positively associated with numeracy across groups, with the largest effects observed in dementia. Temporal orientation, physical inactivity and intellectual activities showed significant associations mainly in clinical groups, whereas age demonstrated a consistent negative effect across all groups. Conclusions: Lifestyle factors show differential associations with cognitive domains depending on diagnostic condition. These findings support the heterogeneity of cognitive aging and highlight the importance of tailored, person-centered intervention strategies. Full article

Background and Objectives: Population ageing is a major challenge of the 21st century and is associated with declining physical and mental abilities, increased disease burden, and higher mortality. Latvia has the lowest healthy life expectancy in the European Union. Social well-being is an important component of healthy and active ageing and may be associated with older adults’ quality of life (QoL). This study aimed to assess the relationship between social well-being, as a component of health, and QoL, including its components (control, autonomy, self-realisation and pleasure), among adults aged 50 and older in Latvia. Materials and Methods: Data from 1643 Latvian participants in wave 9 of the Survey of Health, Ageing, and Retirement in Europe (2022) were analysed using linear regression. QoL was measured using the 12-item Control, Autonomy, Self-Realisation, and Pleasure (CASP-12) scale. Social well-being factors included household composition, education, employment status, financial capacity, living area, social network (SN) characteristics, and received help, based on self-reported questionnaires. Results were considered statistically significant if the p-value was less than 0.05. Results: The factors positively associated with overall QoL were being employed, better financial capacity, greater satisfaction with SN, larger SN, participation in social activities, and higher educational attainment. Being employed and the ability to make ends meet easily were positively associated with all QoL components. Higher satisfaction with the SN and participation in social activities were positively related to the control, autonomy, pleasure, and self-realisation components. Conclusions: These findings underscore the importance of social and economic resources for QoL in later adulthood, suggesting that both the quality of social relationships and material security play a central role in shaping overall QoL and its components among older adults. Full article

Armed conflicts are at the epicentre of an information war, amplified by false claims about the motivations of the conflicts and refugees. The spread of narratives, especially in digital media, challenges the European Union to implement effective strategies to combat misinformation and to adopt measures to scrutinise and hold the main communication channels accountable, in order to prevent hostile narratives from influencing public opinion and political decision-makers. In this context, this article seeks to analyse the implications of media discourses and misinformation in the development of social representations about the Russian–Ukrainian war and refugees, as well as the use of social networks by individuals to share this type of content. The research is based on an exploratory study as part of the R&D Project MeInWar—Study on the media and social representations of the Russian-Ukrainian conflict, funded by Europeia University. The study employed a survey method and an online questionnaire applied to a non-probabilistic convenience sample of 222 individuals aged between 18 and 38. The results revealed that media narratives influence attitudes towards refugees and migration policies, and it is clear that factors such as age and gender have an impact on content-sharing practices and the motivations behind them. Full article

Since 2021, the design and construction of nearly zero-energy buildings (nZEBs) have been mandatory for European Union Member States. Subsequent requirements for the building sector, characterized by high energy demand and significant environmental impact, include the minimization of carbon footprint and the introduction of climate-neutral building standards. The carbon footprint comprises both embodied emissions related to materials and construction processes and operational emissions resulting from building use. This paper analyzes both types of carbon footprint using a residential building that is part of an experimental housing estate consisting of 44 semi-detached buildings as a case study. Analyses of energy consumption optimization and carbon footprint reduction were conducted at both the individual building scale and the scale of the entire housing complex. The estate was developed in two stages. In the first stage (completion of construction in 2024), the primary criterion for technology selection was investment cost while maintaining compliance with applicable technical and building regulations. Prior to the implementation of the second stage, the investor conducted a social participation process in the form of a survey among future users. The survey addressed environmental aspects of the newly designed buildings and enabled the selection of materials, technologies, and energy sources aligned with user preferences. The results indicate that environmental aspects are important to future users; however, investment decisions are strongly balanced against economic factors. At the same time, the energy analyses demonstrate that a substantial reduction in the operational carbon footprint can be achieved, enabling a significant progression toward climate neutrality, both at the level of individual buildings and across the entire housing estate. Social participation, therefore, becomes an important element in the pursuit of climate neutrality in buildings. However, it must be taken into account already at the design stage. The results of the analyses carried out in the article showed that, taking into account public participation in the design process and user recommendations, the selected optimal variant (W5) allows for a reduction in the EP index by over 90% compared to the variant based on standard low-cost solutions (W0) (EP (W0) = 243.64 kWh/(m² year); EP (W5) = 18.42 kWh/(m² year). In terms of the embodied carbon footprint, the optimal option W5 allows for a reduction of over 30% in the embodied carbon footprint of the building structure (W0—51,585.32 [kgCO₂e]; W5—35,537.87 [kgCO₂e]). The optimal variant indicated by users (W5) allows for a reduction in the operational carbon footprint by approximately 80% compared to the basic variant (W0): W0—604,189.50 [kgCO₂e/kWh]; W5—247,402.0 [kgCO₂e/kWh]. The results obtained indicate that public participation is not only a complementary element of the design process, but it can also be a key component of the decarbonisation strategy in residential construction. Involving future users in the decision-making process increases the likelihood of achieving long-term greenhouse gas emission reductions and supports the implementation of long-term climate policy goals. Full article

This paper provides a comprehensive assessment of the progress of circular economy (CE) implementation in the Małopolska region and offers actionable recommendations for policymakers, businesses, and research institutions. The study combines qualitative and quantitative approaches, including regional policy analysis, a survey of 1200 industrial enterprises, and Smart Lab workshops with stakeholders. The region’s strong economic and scientific base, reflected in high R&D expenditure and numerous technology-oriented companies, creates favorable conditions for circular technologies. Smart specializations in metals, chemicals, mineral products, and machinery provide opportunities for raw-material recirculation and for low-emission, advanced energy and material recovery solutions, making them well aligned with CE objectives. Findings indicate that while the region demonstrates strong potential due to its industrial base, scientific expertise, and smart specialization domains, significant challenges remain in awareness, technological adoption, and regulatory clarity. Metrics on resource efficiency, value-chain circularity, and eco-innovation are essential for informed policymaking, investment decisions, and effective dialogue with entrepreneurs. Another priority is enhancing access to financing instruments. A key recommendation is the development of an integrated monitoring system combining economic, environmental, social, and innovation indicators, supported by targeted financial instruments and skill-building initiatives. The paper presents an innovative approach to linking national and European CE strategies to subnational implementation. Full article

Adolescents increasingly engage with digital technologies, yet understanding patterns of smartphone use and fostering reflective awareness remain challenging. Traditional assessments in clinical or school settings may limit participation and self-reflection. This study evaluated the feasibility and impact of a Computer-Assisted Web Interviewing (CAWI) approach to monitor smartphone use, provide immediate individualized feedback, and support peer-mediated dissemination in a public science engagement context. Across three editions of the European Researchers’ Night in Rome (2023–2025), 807 adolescents aged 10–19 completed the SAS-SV questionnaire via on-site tablets or personal devices using QR codes. Smartphone use was categorized into Low Involvement, At-Risk, or Problematic. Participants were encouraged to share the survey link with peers, enabling snowball-mediated recruitment. Participant acceptance was assessed through the Net Promoter Score (NPS). Snowball participation accounted for the majority of responses, highlighting the effectiveness of peer-mediated diffusion. SAS-SV categorization indicated 46% Low Involvement, 39% At-Risk, and 15% Problematic use, with minimal gender differences. NPS values ranged from +69 to +79, with snowball participants reporting slightly higher satisfaction than on-site attendees. These results underscore high engagement, perceived value, and the role of peer networks in promoting reflective digital behavior. Integrating CAWI assessment, immediate feedback, and peer-mediated diffusion created a socially situated environment supporting self-reflection and voluntary dissemination. Peer networks extended both the temporal and social reach of the initiative beyond the public event, demonstrating a scalable and non-stigmatizing model. CAWI-based monitoring combined with feedback and peer-driven diffusion is feasible and effective for adolescent digital wellbeing interventions. This approach fosters reflective digital citizenship, supports self-awareness, and leverages social networks to enhance the reach and impact of youth-centered health promotion initiatives. Full article

In hospitality SMEs, digital transformation is increasingly linked to sustainability goals. However, evidence on how corporate social responsibility (CSR) relates to the adoption of artificial intelligence (AI) in owner-managed firms remains limited. This study examines CSR practices, managerial attitudes toward AI, and AI adoption in micro and small restaurant SMEs in a small European Union (EU) economy. Using survey data from 157 Slovenian restaurant SMEs and structural equation modelling, CSR is conceptualised as an enacted, practice-based orientation. At the same time, managerial attitudes toward AI are modelled as the key mechanism preceding adoption. Results reveal an asymmetric relationship between CSR and AI. Employee-related CSR practices, which are mainly institutionalised, do not significantly influence managerial AI attitudes. In contrast, environmental CSR practices are negatively associated with AI attitudes, indicating more cautious evaluations among environmentally responsible managers. Managerial attitudes toward AI are positively and significantly associated with AI adoption, confirming their central role in adoption decisions. Financial performance, measured by objective revenue data, does not emerge as a direct outcome of AI adoption but rather operates as a contextual condition shaping how CSR practices relate to managerial attitudes and how those attitudes translate into adoption decisions. Overall, the findings indicate that CSR does not uniformly translate into managerial attitudes toward AI and subsequent AI adoption in restaurant SMEs. Full article

Background: The effectiveness of prostate-specific antigen (PSA)-based early detection of prostate cancer remains controversial and implementation-dependent. Screening policy changes have substantially altered PSA testing behavior in the United States, yet longitudinal evidence from non-organized European settings is limited. We assessed 12-year changes in awareness and utilization of PSA-based early detection and identified subgroups requiring targeted counseling. Methods: Two cross-sectional survey waves were conducted in 2009 (Study Phase 1) and 2021 (Study Phase 2) among men recruited via general practitioner practices in urban and rural regions of Germany. The survey was developed and reported according to the Consensus-Based Checklist for Reporting of Survey Studies (CROSS). Identical questionnaires were used across phases. Endpoints were awareness of PSA-based early detection and prior PSA testing. Univariable and multivariable logistic regression evaluated independent associations with sociodemographic and behavioral factors. To assess sensitivity to compositional differences between survey waves, post-stratified weighted analyses re-aligning Study Phase 2 to the Study Phase 1 distribution of age category, educational attainment, and smoking status were conducted. Results: The analytic cohort comprised 890 men (Study Phase 1, n = 755; Study Phase 2, n = 135). Compared with Study Phase 1, Study Phase 2 participants more frequently were non-smokers (63.0% vs. 48.5%, p < 0.001) and had a university degree (38.5% vs. 30.5%, p = 0.002). In primary multivariable analyses, higher educational attainment (OR 1.71, 95% CI 1.24–2.36) and paternity (OR 1.94, 95% CI 1.25–3.01) were independently associated with greater awareness, whereas increasing age (OR 1.39, 95% CI 1.29–1.50) and higher educational attainment (OR 1.63, 95% CI 1.19–2.24) were independently associated with utilization. Study phase was not independently associated with either endpoint in primary models. In post-stratified sensitivity analyses, study phase was positively associated with utilization, indicating sensitivity of temporal contrasts to population composition. Conclusions: In primary multivariable analyses, we did not detect statistically significant temporal differences in awareness or utilization of PSA-based early detection within this German non-organized setting. The emergence of a study phase effect in weighted sensitivity analyses suggests that apparent time trends may be influenced by compositional differences between survey waves. Persistent social gradients, particularly related to educational attainment, underscore the importance of targeted, evidence-based counseling in opportunistic early detection systems. Larger, prospectively designed studies are needed to distinguish true temporal change from sampling-related effects. Full article