Search Results (408)

This study aimed to examine the associations of Health Belief Model (HBM) constructs with physical activity (PA) participation intention and self-reported PA participation among older adults in South Korea. Specifically, we examined whether perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-efficacy were associated with PA participation intention and PA participation, and whether intention accounted for indirect associations between HBM constructs and PA within the hypothesized model. A total of 408 older adults (Mage = 68.84, SD = 4.11) participated in the online survey. This study employed Structural Equation Modeling to examine the interrelationships among the proposed variables. The findings indicated a significant negative association between perceived barriers and PA participation intention and a significant positive association between self-efficacy and PA participation intention. Furthermore, intention was positively associated with PA and accounted for indirect associations linking perceived barriers and self-efficacy with PA. Overall, these findings suggest that perceived barriers and self-efficacy are salient belief domains linked to PA intention and behavior. Practical implications include further interventions to reduce perceived barriers and enhance self-efficacy to promote sustained PA engagement among older adults. Full article

Type 2 diabetes mellitus (T2DM) is a major global public health concern, with Kuwait experiencing one of the highest prevalence rates worldwide, affecting approximately one quarter of adults. The Finnish Diabetes Risk Score (FINDRISC) is a simple, cost-effective screening tool for identifying individuals at high risk of developing T2DM. This study aimed to assess the risk of T2DM among Kuwait University (KU) employees using the FINDRISC and to identify associated predictors. A cross-sectional study was conducted on 407 KU employees. Data were collected in person, including anthropometric measurements. Participants with a FINDRISC score ≥ 12 were classified as being at increased risk of T2DM. Multivariable logistic regression was used to identify predictors of increased risk. Findings revealed a mean FINDRISC score of 9.4, with females having a significantly higher score than males (10.3 and 8.2, respectively), indicating a higher risk of T2DM. Overall, 137 participants (33.7%) were classified as being at increased 10-year risk of developing T2DM. Increased risk was significantly associated with being female (aOR: 2.85, 95% CI: 1.55–5.24), being married (aOR: 2.92, 95% CI: 1.57–5.43), and having higher perceived susceptibility to diabetes, including very likely (aOR: 7.73, 95% CI: 3.32–18.02) or somewhat likely (aOR: 2.41, 95% CI: 1.35–4.32) compared with not at all likely. Overall, approximately one-third of KU employees were classified as being at an increased risk of T2DM. These findings suggest the potential value of workplace-based screening and diabetes prevention programs to promote early detection and facilitate the early identification of individuals who may benefit from preventive interventions. Full article

Background/Objectives: Fentanyl test strips (FTS) are a harm reduction tool used to detect fentanyl in illicit substances. However, little is known regarding Americans’ beliefs regarding FTS. Therefore, the purpose of this study was to assess the U.S. general public’s FTS knowledge and perceptions. Methods: This study utilized a cross-sectional design. Adults ≥18 residing in the U.S. were recruited to participate in an anonymous online survey via Amazon Mechanical Turk (MTurk). Participants received $5 upon survey completion. The survey instrument was informed by the Health Belief Model, and primary outcome measures included: (1) FTS knowledge (13-items); (2) perceived susceptibility to fentanyl exposure (8-items); (3) perceived severity of fentanyl exposure (10-items); (4) perceived FTS benefits (9-items); (5) perceived barriers to FTS access (13-items); (6) comfort using and accessing FTS (15-items); (7) confidence using and accessing FTS (11-items); and (8) FTS utilization intentions (6-items). Outcomes were measured via 5-point Likert-type scales (1 = strongly disagree, 5 = strongly agree). Data were analyzed using descriptive statistics and Mann–Whitney U tests to compare differences in scale scores across participant sociodemographics. Predictors of FTS utilization intentions were assessed via multiple linear regression, controlling for participant age, race, sex, geographic setting (rural/urban), and recreational drug use history (yes/no) (α = 0.05). Results: Of n = 206 respondents, the majority were male (55.8%) and White (83.0%) with a mean age of 46.4. Approximately 81% resided in urban areas and 58.5% reported a history of recreational drug use. Participants who identified as Black, Asian, Indigenous, Pacific Islander, or Multiracial reported significantly higher mean (SD) perceived susceptibility compared to White participants (2.06 [0.54] vs. 1.91 [0.58]; p = 0.034). Participants residing in urban areas reported significantly higher comfort using and accessing FTS (3.61 [0.86]) than those in rural areas (3.29 [0.92]; p = 0.048), and younger individuals (≤44.5 years) were more confident in their ability to access FTS (3.75 [0.73]) compared to their older counterparts (3.60 [0.64]; p = 0.048). Perceived susceptibility (β = 0.442; p < 0.001), benefits (β = 0.250; p = 0.020), and comfort (β = 0.453; p < 0.001) were positive predictors of FTS utilization intention (R² = 0.417). Conclusions: Perceptions regarding FTS varied across race, geographic setting, and age. Perceived susceptibility, perceived benefits, and comfort positively predicted the U.S. general public’s FTS utilization intentions. Future interventions may leverage these influential factors to enhance FTS uptake. Full article

Foodborne illness remains a persistent public health issue, yet domestic food safety practices are shaped by individual knowledge, social expectations, and gendered norms. This study examines how gender norms and expectations shape Australian consumers’ safe food-handling knowledge, perceptions, and practices. Guided by a social constructionist epistemology and feminist framework, semi-structured interviews were conducted with 28 participants aged 18–24 years recruited from a university research participation pool. Data were analysed using reflexive thematic analysis. Three themes were identified: “I know what I am doing”, optimism bias and false confidence, “Men’s casualness versus women’s strictness”, gendered safe food handling practices and expectations, and “Careful about others, relaxed for myself”, food safety as a social performance. Participants often expressed false confidence in their practices, reflecting optimism bias and reduced perceived susceptibility to foodborne illness. Women tended to portray vigilance and responsibility, while men described more relaxed approaches, reflecting gendered socialisation. Food safety also emerged as performative, with heightened care displayed when cooking for others. These findings highlight that domestic food safety is socially embedded and both reflects and reproduces gender norms. Addressing these dynamics through socially informed, context-sensitive interventions may improve public health outcomes. Full article

Communities susceptible to disasters frequently endure severe socio-economic and psychological repercussions. Therefore, it is essential to thoroughly understand the various vulnerabilities encountered by different groups. Residents of New Orleans, Louisiana, faced significant hardships after Hurricane Katrina hit on 29 August 2005. A multitude of individuals lost their residences, while others, regrettably, lost family members. The Displaced New Orleans Residents Survey (DNORS) offered significant insights into individuals and households living in New Orleans immediately prior to Hurricane Katrina’s impact in August 2005. The survey interview was conducted from mid-2009 until mid-2010. This study utilizes DNORS public data files to evaluate socio-demographic characteristics pertinent to the analysis, including age, gender, race/ethnicity, marital status, household income, education level, employment status in 2005, and insurance coverage, alongside psychological measures such as mental health symptoms, posttraumatic stress, depression, and perceived stress. The research employs various regression techniques to identify the at-risk categories affected psychologically and physically by the hurricane. These findings may aid policymakers in developing targeted post-disaster recovery strategies, thereby promoting more resilient and sustainable communities. Full article

COVID-19 vaccine hesitancy is well documented, but less is known about booster hesitancy among fully vaccinated adults. A qualitative approach was employed to identify factors affecting COVID-19 booster hesitancy using diffusion of innovation (DoI) theory. The study was conducted in Philadelphia, Pennsylvania. In-depth interviews (n = 30) were done with adults, including those who had (n = 9) and had not (n = 21) been boosted. Participants were categorized into DoI adopter groups or a “refuser” group for those with no intention of getting boosted. Transcripts were analyzed using an iterative coding process with consensus and triangulation to develop thematic categories. Participants had a mean age of 41 and were 63.3% Black; 20% were classified as innovators, 6.7% early adopters, 3.3% early majority, 6.7% late majority, 43.3% laggards and 20% refusers. Three themes varied across groups: level of perceived risk susceptibility of getting COVID-19 in the future, information needs and levels of vaccine literacy, and effects of ongoing institutional mistrust. Those in the laggard and refuser groups generally had lower vaccine literacy, higher levels of institutional mistrust, and were more likely to listen to friends and family for booster advice, all consistent with DoI adopter characteristics. These differences indicate important intervention targets to promote booster uptake, especially in those who have been previously vaccinated. Full article

Background: Occupational noise-induced hearing loss (ONIHL) remains one of the most prevalent occupational diseases globally and in South Africa. Despite awareness and regulatory frameworks, consistent use of hearing protection devices (HPDs) is suboptimal in high-noise industries. Aim: To investigate patterns of HPD use and the factors influencing compliance among workers in an aluminium manufacturing company exposed to noise levels exceeding 85 dB(A). Methods: A cross-sectional survey was conducted with 115 workers, including 68.7% males and 31.3% females. Chi-square tests assessed associations between categorical variables, and logistic regression identified significant predictors of consistent HPD use. Results: Although 94.8% of workers were aware of the risks of hazardous noise, only 51.3% reported always using HPDs. Gender, education level, type of HPD, type and duration of noise exposure, and perceived susceptibility to hearing loss were significantly associated with consistent HPD use. Logistic regression revealed that gender, type of HPD, type of noise exposure, and perceived susceptibility significantly predicted consistent use. Conclusions: Despite high awareness and access to HPDs, consistent use remains moderate and is influenced by demographic, perceptual, device-related, and workplace factors. Findings highlight the need for targeted interventions, training, and workplace strategies to improve HPD compliance and prevent ONIHL. Full article

The COVID-19 pandemic revealed substantial variation in vaccine attitudes and susceptibility to misinformation, raising concerns from an occupational health perspective about potential differences across employment sectors. This study examined associations between employment category and pandemic-related changes in mental health, and vaccine-related misinformation among adults in Poland. Data were collected between 13 January and 14 February 2022 using a cross-sectional online survey. Complete questionnaires from 7018 respondents were analyzed. Employment category (services, industry, agriculture, unemployed) was examined in relation to self-reported changes in sleep, mental health, physical activity, and diet. A misinformation index was constructed based on agreement with eight vaccine-related misinformation statements. Overall, 81.8% of participants reported being vaccinated. Employment category was significantly associated with perceived changes in sleep, mental health, and diet. The misinformation index was consistently higher among unvaccinated individuals across all employment groups, with the largest differences observed among the unemployed and agricultural workers. These findings show a strong link between vaccine misinformation and remaining unvaccinated, highlighting the need for targeted occupational health education and reliable health information. Increasing vaccination coverage therefore requires not only vaccine availability but also systematic efforts to counteract misinformation and strengthen digital health literacy across occupational groups. Full article

Accurate power-sector carbon emission data (PS-CED) are critical for ensuring sustainable practices in carbon trading and effective emission reductions. However, conventional centralized reporting systems are susceptible to data tampering, duplicate accounting, and inefficient manual verification, hindering the achievement of sustainability goals. Blockchain technology (BCT) provides transparency, immutability, and automated compliance, offering significant potential for improving the sustainability of PS-CED supervision. Despite this, its diffusion in the sector faces challenges such as data heterogeneity, security concerns, institutional differences, and resource limitations. This study integrates the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB) to develop a diffusion framework for BCT adoption in PS-CED supervision with a focus on sustainability. Using partial least squares structural equation modeling (PLS-SEM) and fuzzy-set qualitative comparative analysis (fsQCA), the study examines both linear effects and multiple adoption configurations. The results indicate that adoption willingness mediates the effects of perceived usefulness and ease of use, while perceived regulatory norms underscore policy pressure as a crucial external driver for fostering sustainability. Configurational analysis reveals heterogeneous diffusion patterns, with high adoption performance driven by technological capability combined with regulatory enforcement, and low performance linked to weak technological engagement and structural constraints. Based on these findings, a strategic framework is proposed to support differentiated and phased BCT adoption across organizational contexts to enhance sustainability in carbon emission supervision. This paper clarifies the diffusion mechanisms and provides practical guidance for scaling blockchain-based PS-CED supervision to promote sustainability. Full article

Background/Objectives: Neuromuscular fatigue (NMF) can impair manual dexterity and strength in healthcare professionals. Due to their high physical and cognitive workloads, physiotherapists (PTs) are particularly susceptible to NMF. This study investigated whether NMF, expressed as changes in manual dexterity and grip strength, occurs over a workday and across a workweek in PTs, and explored its relationship with stress and sleep quality. Methods: A total of 43 full-time PTs (25 female, mean age 37.72 ± 11.94 years) were recruited. Manual dexterity was assessed using the Functional Dexterity Test (FDT), while maximal grip strength (MGS) was measured by a hand dynamometer. Reliability was evaluated on a subgroup using Intraclass Correlation Coefficients (ICC_3,1) and Standard Error of Measurement (SEM). Evaluations were conducted at the beginning and at the end of the work shift, on Monday and Friday. Subjective fatigue, perceived stress, and sleep quality were also recorded. Results: The FDT showed excellent intra-rater reliability (ICC > 0.93; SEM < 0.94 s). FDT performance was significantly slower on Friday evening compared to all other time points (p < 0.01), exceeding the minimal detectable change thresholds. No significant changes were observed in MGS across the week. Perceived stress was strongly correlated with fatigue levels on Monday (ρ = 0.731) and Friday (ρ = 0.612) evenings. Sleep quality and professional experience did not correlate with performance changes. Conclusions: PTs experience a significant decline in manual dexterity by the end of the workweek, suggesting an accumulation of NMF. While MGS remains stable, fine motor control is more sensitive to fatigue. Psychosocial stress appears to be a major driver of perceived fatigue in this population. Full article

Background/Objectives: HPV vaccination rates among U.S. young adults remain unchanged at 47% since 2019. Barriers including misinformation, vaccine hesitancy, and stigma surrounding HPV’s long-standing association with sexually transmitted infections have limited widespread acceptance among the male population. This experimental study explores how prevention messages incorporating an emotional flow element may influence vaccination intention. It also examines whether vaccination status may differentiate pre-exposure risk-taking tendencies and vaccine perceptions—as well as post-exposure HPV susceptibility, HPV severity, vaccine effectiveness, and emotional response—among young adults. Methods: A one-factor between-subjects experiment (including facts-only vs. facts→threat vs. facts→threat→hope conditions) was conducted online with a group of Gen Z college students at a U.S. university (N = 440). Results: ANCOVA results indicated that emotional flow embedded in the three message conditions did not result in significantly different emotional responses (across all participants) or vaccination intention among the unvaccinated participants. Whereas vaccinated participants reported greater perceived vaccine benefits, HPV susceptibility, HPV severity, and vaccine effectiveness, unvaccinated participants exhibited stronger emotional responses toward the facts→threat→hope message instead. Regression results revealed that vaccine perceptions, risk-taking tendencies, HPV susceptibility, and emotional response significantly predicted vaccination intention, in that order. TV advertising was identified as the leading HPV information source, followed by social media advertisements and recommendations from health professionals. Conclusions: These findings highlight that incorporating emotional flow may enhance message engagement among unvaccinated individuals. HPV campaigns should consider increasing positive vaccine perceptions, alleviating perceived threat of HPV, and eliciting positive emotional response toward vaccination acceptance and adoption. Full article

Conventional acoustic time-of-arrival (TOA) estimation in complex indoor environments is highly susceptible to multipath reflections and occlusions, resulting in unstable measurements and limited physical interpretability. This paper presents a smartphone-based indoor localization method built on vision-assisted acoustic channel modeling, and develops a fusion anchor integrating a pan–tilt–zoom (PTZ) camera and a near-ultrasonic signal transmitter to explicitly perceive indoor geometry, surface materials, and occlusion patterns. First, vision-derived priors are constructed on the anchor side based on line-of-sight reachability, orientation consistency, and directional risk, and are converted into soft anchor weights to suppress the impact of occlusion and pointing mismatch. Second, planar geometry and material cues reconstructed from camera images are used to generate probabilistic room impulse response (RIR) priors that cover the direct path and first-order reflections, where environmental uncertainty is mapped into path-dependent arrival-time variances and prior probabilities. Finally, under the RIR prior constraints, a path-wise posterior distribution is built from matched-filter outputs, and an adaptive fusion strategy is applied to switch between maximum a posteriori (MAP) and minimum mean square error (MMSE) estimators, yielding debiased TOA measurements with calibratable variances for downstream localization filters. Experiments in representative complex indoor scenarios demonstrate mean localization errors of 0.096 m and 0.115 m in static and dynamic tests, respectively, indicating improved accuracy and robustness over conventional TOA estimation. Full article

This study explores how young people in Finland and Portugal perceive media trust and vulnerability to information operations in the digital era. While both groups rely heavily on digital platforms for news, they view online sources as less reliable due to disinformation and fake news, especially on TikTok and Instagram. Trust and truth appear emotionally driven, with influencers and entertainment content often considered credible, increasing susceptibility to manipulation. Despite identifying as ‘digital natives’, participants rarely question source credibility or algorithmic influence, leaving them exposed to adversarial actors, such as Russia. Full article

Background: Aging is a complex process that involves various biological, psychological and social changes. Moreover, older people (≥65 years) are more susceptible to lower self-efficacy and social support, as well as deteriorating mental health. As the global population ages, there is a growing demand for evidence-based interventions tailored to address specific mental health problems, enhance social support and improve overall well-being. The aim of this study was to investigate the effectiveness of a seven-week mindfulness-based community intervention on mental health, self-efficacy and social support in older people. Methods: This quasi-experimental nonrandomized study included 257 participants who were divided into an intervention group and a comparison group that did not participate in the seven-week mindfulness-based community intervention and was not part of a waiting list. Assessments were conducted before the intervention began and 6 months after its completion. Results: The results revealed a significant reduction in depression in the intervention group (p < 0.001). Furthermore, the intervention led to a significant improvement in general self-efficacy, chronic disease self-management self-efficacy, physical activity and nutritional self-efficacy compared with the comparison group. Perceived social support increased within the intervention group; however, covariate adjusted between-group effects for social support were not statistically significant. Conclusions: Overall, the mindfulness-based community intervention was associated with improvements in current depressive symptoms and multiple self-efficacy domains at 6-month follow-up in older people in a community setting. Effects on perceived social support were less robust, and no statistically significant between-group differences were observed after adjustment for baseline covariates. The results of the present study show that this program leads to immediate health benefits in terms of mental health and self-efficacy in older people while contributing to the development of effective strategies for chronic disease self-management. Full article

Volatile organic compounds (VOCs) produced by Medicinal Aromatic Plants (MAPs) are bioactive signaling molecules that play key roles in plant defense, acting against pathogens and triggering resistance responses. Intercropping with VOC-emitting MAPs can therefore enhance disease resistance. This study investigated VOCs emitted by sage (Salvia officinalis) as potential resistance inducers in grapevine (Vitis vinifera) against Plasmopara viticola, the causal agent of downy mildew, under consociated growth conditions. Sage and grapevine plants were co-grown in an airtight box system for 24 or 48 h, after which grape leaves were inoculated with P. viticola. Disease assessments were integrated with grapevine leaf metabolic profiling to evaluate responses to VOC exposure and pathogen infection. Untargeted and targeted metabolomic analysis revealed that sage VOCs consistently reprogrammed grapevine secondary metabolism, without substantial differences between 24 and 48 h exposures. Lipids, phenylpropanoids, and terpenoids were markedly accumulated following VOC exposure and persisted following inoculation. Correspondingly, leaves pre-exposed to sage VOCs exhibited a significant reduction in disease susceptibility. Overall, our results suggest that exposure to sage VOCs induces signaling and metabolic reprogramming in grapevine. Further research should elucidate how grapevines perceive and integrate these signals, as well as the broader processes underlying MAP VOC-induced defense, and evaluate their translation into sustainable viticultural practices. Full article