Search Results (111)

In response to the growing relevance of shared housing models such as co-living and co-housing, this study investigates how spatial configuration affects the experience and negotiation of privacy in shared domestic environments. While privacy is often treated as a subjective or cultural concern, this research adopts a spatial perspective to examine its morphological underpinnings. Using space syntax methods, the study analyses contemporary shared housing models, focusing on three shared housing developments in Barcelona. Through Visual Graph Analysis (VGA), spatial parameters, including integration, through vision, control, and controllability values, are applied to assess the degree of accessibility, visibility, and spatial separation within and between private and communal areas. The results reveal distinct configurational patterns that correlate with different privacy gradients, identifying how spatial arrangement enables or restricts autonomy and co-presence among residents. The study concludes that privacy in shared housing is not only a matter of design intention but is embedded in the spatial logic of dwelling morphology: exposed and controlled spaces provide less privacy but enhance sociability, while spatial elements such as boundaries and transitions play an important role in managing privacy gradation and degrees. These findings offer a framework for understanding and designing shared living environments that are better attuned to the complexities of everyday privacy needs. Full article

Population ageing and the increase in life expectancy have heightened the demand for long-term care in residential facilities. In Spain, it is projected that by 2054 the functional dependency rate among those aged 65 and over will exceed 53.0%, posing significant challenges for person-centred care. This study aims to examine institutionalised older adults’ perceptions of care in relation to their functional dependency, and how these perceptions shape their dignity and participation in residential life. A qualitative study with a phenomenological approach was conducted in a residential facility located in the north-east of Andalusia, Spain, involving eight residents with varying degrees of autonomy and dependency. Data were collected through individual semi-structured interviews and analysed using Colaizzi’s phenomenological method. The findings revealed that, as dependency increases, care is perceived as more impersonal, generating feelings of diminished dignity and greater exclusion. In addition, limitations were observed in communication and participation in residential life. Respect for privacy and personal preferences was particularly relevant for women. The study concludes that the care received is conditioned by the degree of dependency and the resources available. It is recommended to enhance staff training, increase staffing levels, and promote the active participation of residents. Full article

Background: Currently, population aging and the growing incorporation of digital technologies into everyday life highlight the need to ensure the digital inclusion of older adults. This is due to the existence of a significant digital divide that affects this population group, limiting not only their access to services and opportunities but also their emotional well-being and quality of life. The lack of digital skills can generate feelings of exclusion, frustration, and dependence, negatively impacting their mental health and autonomy. Methods: The objective of this study is to assess the level of basic digital competence in 404 older adults using the Scale of Basic Digital Competence in Older Adults (DigCompB_PM) in order to identify existing digital divides and provide empirical evidence for the design of educational interventions that promote the digital inclusion of this population group. To this end, we start with the following research question: Are older adults prepared to face the digital and knowledge society, taking into account personal variables such as age, gender, geographical location, place of residence, and type of cohabitation? Results: The findings reveal that participants scored highest in the dimension related to safety and digital device usage while scoring lowest in online collaboration, indicating a disparity between basic digital skills and collaborative competencies. Cluster analysis further demonstrates that age and previous occupational experience significantly influence digital literacy levels. These results highlight the heterogeneity of digital competence among older adults. Conclusions: The study concludes by emphasising the importance of implementing tailored policies that enhance digital literacy in this population. Key factors such as accessibility, training, and motivation should guide such efforts. Additionally, intergenerational learning emerges as a promising strategy, facilitating the development of digital skills through knowledge exchange and sustained support from younger cohorts. Full article

Background/Objectives: Vaccination uptake in Ethiopia is deeply shaped by gender norms, with women serving as primary caregivers but often limited by low autonomy, while men typically control household decisions but remain less engaged in child health. This study examines gendered influences on vaccine hesitancy and acceptance to inform future strategies. Methods: A community-based cross-sectional mixed-methods study was conducted in four regions of Ethiopia (Amhara, Oromia, Afar, and Tigray). Quantitative data were collected from 992 caregivers through multistage stratified sampling procedure, whereas qualitative data were collected from 26 in-depth interviews, 24 exit interviews and 11 key informant interviews and were analyzed thematically guided by the WHO Behavioural and Social Drivers framework. Multivariable logistic regression was conducted to determine the associations. Results: The result highlighted that the proportion of caregivers who reported willingness to vaccinate their child with all recommended vaccines was high (93.5%) and more likely among those with higher education, family support, religious support, and frequency of health worker contact. However, 51.1% of caregivers displayed some degree of vaccine hesitancy, with higher prevalence among males. Hesitancy was linked to traditional beliefs and norms that assign vaccination responsibility to mothers, urban residence, and being employed, while secondary education, family support, and religious support were protective. While acceptance is high, hesitancy persists. Gender roles, education, social support, and health worker engagement influence immunization outcomes. Conclusions: The study highlighted that expanding immunization across all age groups and reducing persistent hesitancy requires a shift toward gender-responsive strategies including integrating a gender perspective into the immunization programs that address traditional norms and misinformation. Full article

By 2040, more than 80 million Americans will be aged ≥65, yet contemporary senior living communities still operate on a hospitality-first model developed for healthier cohorts three decades ago. This commentary argues that the next generation of senior living must pivot from hotel-style amenities to person-centric health platforms that proactively coordinate medical, functional, and social support. We outline four mutually reinforcing pillars. (1) Data infrastructure that stitches together clinical, functional, and social determinants of health enables continuous risk stratification and early intervention. (2) Ambient and conversational artificial-intelligence tools can extend sparse caregiving workforces while preserving resident autonomy. (3) Value-based contractual arrangements—for example, Medicare Advantage special-needs plans embedded within senior living sites—can realign financial incentives toward prevention rather than occupancy. (4) Targeted policy levers, including low-income housing tax credits for the “forgotten middle” and outcomes-based regulatory frameworks, can catalyze adoption at scale. Ultimately, re-architecting senior living around integrated technology, value-based financing and supportive regulation can transform these communities into preventive-care hubs that delay nursing home entry, improve quality of life, and reduce total cost of care. Full article

Background: Artificial intelligence (AI) shows strong potential to transform primary care by streamlining workflows, improving diagnostics, and enhancing patient outcomes. However, integration faces barriers, including PCPs’ concerns about workflow disruptions, reliability, and loss of human connection. This study explored PCPs’ perspectives and challenges around AI integration in primary care to inform the development of practical, human-centered tools. Method: This qualitative study included four focus groups (n = 40), comprising PCPs, residents, and AI developers, in December 2024. Sessions were recorded, transcribed, and analyzed using thematic analysis. Three main themes emerged: (1) From Frustration to Innovation: PCPs’ experiences with current technological gaps and their vision for improved support; (2) The Integration Paradox: tensions in embedding AI while safeguarding care quality; and (3) Beyond Basic Automation: future solutions that preserve clinical judgment. Result: Key findings emphasized the need for incremental AI adoption, starting with administrative tasks and progressing to clinical decision support, with systems acting as “silent partners” to enhance rather than replace human judgment. PCPs see AI as a promising way to reduce administrative burden and improve care quality but stress the need for human-centered design that protects the doctor–patient relationship. Conclusion: Successful integration requires addressing workflow compatibility, ethical concerns, and preserving clinical autonomy through collaborative development. Full article

Against the backdrop of health inequality among rural residents, focusing on the impact of cultural institutions during the transitional period on villagers’ health contributes to ensuring healthy lives for rural populations (SDG-3). Drawing on institutional theory, this study explores how rural banquet culture shapes residents’ health outcomes and the mechanisms through which this influence operates. Utilizing data from the 2021 China Land Economy Survey (CLES), we employ both mediation effect models and machine learning techniques. The findings indicate that a stronger presence of banquet culture within villages is significantly associated with poorer health outcomes among rural residents. Further analysis reveals that banquet culture is also correlated with increased adult and infant mortality rates and reduced life expectancy. Mechanism analysis shows that time crowding caused by social obligations and suboptimal health decision-making serve as important mediating pathways through which banquet culture influences health. Moreover, heterogeneity analysis suggests that higher levels of village autonomy and greater provision of public health goods can mitigate the negative health impacts of banquet culture. By uncovering the micro-level behavioral mechanisms through which cultural norms influence individual health, this research advances the understanding of informal institutions. It innovatively links ritualized social practices to measurable health outcomes, addresses a critical gap in public health research on rural populations, and provides policy-relevant insights for the development of targeted rural health interventions. Full article

Over the past decade, telehealth provision of care has become increasingly common. This shift away from in-person clinics may impact the experience of medical learners and the preceptors who train them. This study aimed to measure and compare obstetrics and gynecology resident physicians’ perceived quality of educational feedback during telemedicine compared to in-person clinical encounters. This prospective observational study recruited residents enrolled in a family planning clinical rotation at an academic residency program. After every in-person and telemedicine clinic session from January 2021 to February 2022, participating residents were sent a link to a 3 min survey via text message. Ordinal regression modeling was used to compare Likert responses between the telehealth and in-person clinical settings. All nine residents enrolled in the clinical rotation chose to participate in this study and responded to 114 of 132 survey prompts (86%). Participants positively rated the feedback they received during all clinic sessions. When comparing the two clinic experiences, there was no statistically significant difference in perceived quality of feedback or satisfaction with feedback. Residents’ perception of educational feedback during telemedicine clinic is at least similar for most measures and superior for contraception counseling when compared to an in-person clinic. Full article

In southern Hunan province, a vital element of China’s architectural cultural legacy, the quality of the indoor lighting environment influences physical performance and the transmission of spatial culture. The province encounters minor environmental disparities and diminishing liveability attributed to evolving construction practices and cultural standards. The three varieties of traditional residences in Shanggantang Village are employed to assess the daylight factor (DF), illumination uniformity (U0), daylight autonomy (DA), and useful daylight illumination (UDI). We subsequently integrate field measurements with static and dynamic numerical simulations to create a multi-dimensional analytical framework termed “measured-static-dynamic”. This method enables the examination of the influence of floor plan layout on light, as well as the relationship between window size, building configuration, and natural illumination. The lighting factor (DF) of the core area of the central patio-type residence reaches 27.7% and the illumination uniformity (U0) is 0.62, but the DF of the transition area plummets to 1.6%; the composite patio type enhances the DF of the transition area to 1.2% through the alleyway-assisted lighting, which is a 24-fold improvement over the offset patio type. Parameter optimization showed that the percentage of all-natural daylighting time (DA) in the edge zone of the central patio type increased from 21.4% to 58.3% when the window height was adjusted to 90%. The results of the study provide a quantitative basis for the optimization of the light environment and low-carbon renewal of traditional residential buildings. Full article

A paradigm transition from centralized to decentralized energy systems has occurred, which has increased the deployment of renewable energy sources (RESs) in renewable energy communities (RECs), promoting energy independence, strengthening local resilience, increasing self-sufficiency, and moving toward CO₂ emission reduction. However, the erratic and unpredictable generation of RESs like wind, solar, and other sources make these systems necessary, and a lot of interest in energy storage systems is increasing because they have rapidly become the cornerstone of modern energy infrastructure, and there is a trend towards using more RESs and decentralization, resulting in increased self-sufficiency. Additionally, ESS is increasingly being installed at or close to the point of energy generation and consumption, like within residences, buildings, or community microgrids, instead of at centralized utility-scale facilities, referred to be decentralized. By storing and using energy in the same location, this localized deployment reduces transmission losses, facilitates quicker response to changes in demand, and promotes local autonomy in energy management. Since the production of renewable energy is naturally spread, decentralizing storage is crucial to optimizing efficiency and dependability. This article also focuses on energy storage systems, highlighting the role and scope of ESSs along with the services of ESSs in different parts of the power system network, particularly in renewable energy communities (RECs). The classification of various ESS technologies and their key features, limitations, and applications is discussed following the current technological and significant information trends and discussing the ESS types for the RECs with different options as per the capacity, like small, medium, and large scale. It covers the overall scenario and progress, like overall European ESS installed capacity, and the work relevant to ESSs in RECs with different aspects, following the literature review. Additionally, it draws attention to the gaps and significant challenges related to ESS technologies and their deployment. Key future suggestions have also been given as per the current trends of technological information and significant information that may affect those trends globally in the future and would be helpful in the growth of ESSs integration in RECs. The authors also suggest the role of the government, stakeholders, and supportive policies that can aid in the implementation of ESS technologies in RECs. Full article

Accessible housing plays a vital role in promoting independent living and quality of life for people with disabilities. However, the existing design standards often fail to address the specific needs of diverse disability groups. This study aims to establish architectural and habitability criteria for housing adapted to various disabilities, including wheelchair users, individuals with achondroplasia (little people), Autism Spectrum Disorder (ASD) and Down syndrome, individuals with visual and hearing impairments, and older adults, by integrating international frameworks and prior research. The Analytic Hierarchy Process (AHP) was used to prioritize key factors in the housing design. The factors analyzed included autonomy, independence, safety, comfort, communication, and mobility. Findings reveal that autonomy consistently emerged as the most relevant criterion across groups, particularly for older adults (61.8%), wheelchair users (83%) and little people (64%). Secondary priorities varied: mobility was emphasized by wheelchair users (77%), communication by visually impaired individuals (64%), and comfort by deaf and hard of hearing participants (43%). The results underscore the need for housing solutions that reflect the priorities of each disability group. This study contributes by validating user-centered design criteria and offering a framework to guide inclusive housing policies and practices. By highlighting needs, it bridges the gap between generic accessibility standards and design. These findings support policy development and enrich the literature by incorporating unique resident-centered perspectives and overlooked indicators of housing accessibility and inclusive residential design. Full article

This study investigates the relationship between demographic factors and travel motivations among Generation Z leisure tourists through the lens of the Travel Career Pattern (TCP) theory. More specifically, the research focuses on how gender, age, and area of residence influence the travel motivations of Generation Z. Using a quantitative approach, data were collected from 303 respondents aged 18 to 28 through an online survey. The questionnaire assessed 14 motivational factors and analyzed them in relation to the participants’ demographic characteristics using linear regression models. Results indicate that gender and age significantly influence travel motivations, with women showing higher interest in personal development and social relationships, while men prioritize nature and adventure. Furthermore, rural residents exhibit greater motivation for autonomy, self-development and self-realization, while urban residents lean towards novelty and social interactions. The findings offer valuable insights for tourism marketers, emphasizing the importance of creating segmented marketing campaigns based on demographic factors. It also contributed to overcoming the lack of studies that specifically cover this interrelation between the motivational factors of Generation Z and the demographic factors of age, gender and area of residence. Nevertheless, this study also has limitations, such as the use of a non-representative sample and the focus on quantitative methods, suggesting that future research should adopt qualitative approaches and examine additional demographic variables to gain deeper insights into youth travel motivations. Full article

Protected areas (PAs) are essential for conserving biodiversity and supporting sustainable development, particularly in ecologically rich yet administratively challenged regions like Romania. This study aims to understand how key stakeholders—local residents and protected area administrators—experience and interpret conservation management in the Southwestern Carpathians, one of Europe’s last remaining large-scale wilderness areas. Using Interpretative Phenomenological Analysis (IPA), the research offers an in-depth qualitative investigation into how individuals perceive, navigate, and negotiate conservation regulations, socio-economic pressures, and sustainable development goals. The findings highlight a deep emotional connection between residents and nature, juxtaposed with tensions over restrictions, perceived loss of autonomy, and limited compensation. Administrators, in turn, face challenges in enforcing regulations, managing tourism, and engaging communities amidst institutional fragmentation and resource constraints. Key findings emphasize the importance of environmental education, trust-building, and participatory governance in reconciling conservation aims with local development needs. The study underscores the need for inclusive, context-sensitive conservation strategies that integrate community perspectives and facilitate cooperation among local authorities, residents, and administrators. These insights contribute to a deeper understanding of stakeholder dynamics and policy implementation within protected areas, emphasizing the importance of co-produced knowledge and adaptive governance. Future research is encouraged to adopt participatory action approaches and expand stakeholder diversity to support more socially inclusive and ecologically resilient conservation practices. Full article

As the global population ages, robust technological solutions are increasingly necessary to support and enhance elderly autonomy in-home or care settings. This paper presents a novel computer vision-based activity monitoring system that uses cameras and infrared sensors to detect and analyze daily activities of elderly individuals in care environments. The system integrates a frame differencing algorithm with adjustable sensitivity parameters and an anomaly detection model tailored to identify deviations from individual behavior patterns without relying on large volumes of labeled data. The system was validated through real-world deployments across multiple care home rooms, demonstrating significant improvements in emergency response times and ensuring resident privacy through anonymized frame differencing views. Upon detecting anomalies in daily routines, the system promptly alerts caregivers and family members, facilitating immediate intervention. The experimental results confirm the system’s capability for unobtrusive, continuous monitoring, laying a strong foundation for scalable remote elderly care services and enhancing the safety and independence of vulnerable older individuals. Full article

It is not uncommon that women residing in Dutch shelters following domestic violence consider returning to their partners during the course of their stay. Social workers cannot prohibit return due to the importance of the client’s autonomy, as stated in the Code of Ethics. Simultaneously, social workers aim to ensure women’s safety and encourage a positive future, which can lead to tensions in their way of support-giving. Based on thirty-five interviews with social workers, this study explores how they navigate these tensions and the support they give in such cases. Building on Martha Nussbaum’s capabilities approach, we distinguish a hands-off and an interventionist approach to autonomy. While the hands-off approach leads to non-intervention and respecting the woman’s decision, the interventionist approach focuses on providing tools and encouraging safer alternatives. The findings show that the hands-off approach is the common type of support, leading to feelings of powerlessness for social workers and often prompting endeavors to intervene more actively. Simultaneously, we argue that, whilst the Code of Ethics demonstrates an ambivalence towards these different forms of autonomy, it is often interpreted by social workers as promoting only a hands-off approach. Consequently, we argue that social workers would benefit from a greater recognition of an interventionist approach to autonomy and more liberty in support-giving. Full article