Search Results (44)

Cardiovascular disease remains the leading cause of death in the United States, with rural communities experiencing elevated risk. Youth in rural settings are particularly vulnerable, reporting worse health outcomes than their urban peers. The growing influence of social media has added complexity to adolescent health behaviors, particularly among youth experiencing challenges with physical and mental well-being. This qualitative study presents findings from a co-design initiative conducted with rural middle school students to examine adolescents’ views on body image, social media use, and engagement in physical activity, and to inform the development of the Hoosier Sport Re-Social intervention. Fourteen middle school students (grades 7–8) from a rural community participated in a structured co-design process spanning five sessions over nine weeks. A deductive thematic analysis was employed using Basic Psychological Needs Theory (BPNT) and Social Comparison Theory (SOCO) as guiding frameworks. Full article

This study attends to employees’ boundary-setting enactments during workplace resocialization following parental leave in the United States. We qualitatively analyzed the work/life boundary-setting enactments of 16 employees who returned to the workplace following parental leave using the dialectical lens of control (organizational assimilation) and resistance (individualization). Findings illustrate how employees managed tensions that generated an overarching work/life paradox during organizational resocialization across identity, time, and topic boundary-setting stressors. Employees’ tensioned enactments illustrated a control/resistance dialectic whereby paradoxical responses (vacillating, integrating, and/or balancing) were used to align with professional norms or privilege a working parent identity. This study contributes to paradox research and the model of organizational socialization to deepen our theoretical understanding of how resocialization is a communication process where managing work/life paradoxical responses to identity, time, and topic stressors can attenuate dialectical organizational tensions. Furthermore, we offer practical recommendations for organizations, supervisors, and individuals to productively understand and approach tensions. Full article

Background: Public beliefs about dietary risks, such as excessive salt intake, are often not isolated misconceptions but part of structured cognitive systems. This study aimed to explore how individuals organize their beliefs and misperceptions regarding salt-related health consequences. Material and Methods: Using data from an international online survey, we applied a system of multivariate proportional odds logistic regression (POLR) models to estimate conditional associations among beliefs about salt’s links to various diseases—including cardiovascular, metabolic, renal, neuropsychiatric, and mortality outcomes. In addition, exploratory and confirmatory factor analyses (EFA and CFA) were conducted to identify and validate latent constructs underlying the belief items. Beliefs were modeled as interdependent, controlling for latent constructs, sociodemographics, and self-reported health awareness. Statistically significant associations (p < 0.05) were visualized via a heatmap of beta coefficients. Results: Physicians showed almost universal agreement that salt contributes to hypertension (µ = 0.97), compared to non-medical respondents (µ = 0.85; p < 0.0001). Beliefs about mortality (µ = 1.55 for MDs vs. 0.99 for non-medical; p < 0.0001) emerged as central hubs in the belief network. Strong inter-item associations were observed, such as between hypertension and heart failure (β = −0.39), and between obesity and type 2 diabetes (β = −0.94). Notably, cognitive gaps were found, including a lack of association between atrial fibrillation and stroke, and non-reciprocal links between hypertension and heart failure. Conclusions: Beliefs about the health effects of salt are structured and sometimes asymmetrical, reflecting underlying reasoning patterns rather than isolated ignorance. Understanding these structures provides a systems-level view of health literacy and may inform more effective public health communication and education strategies. Full article

International education scholarships can be significant interventions at times of conflict and peace. Extant research in International Relations and in International Education begins to demonstrate this significance but predominantly in neo-liberal terms of human capital import, North-facing cosmopolitanism, and Western-style democratization and global (economic) integration. This is valuable framing, but it misses more complex political effects of scholarships as conflict and peace interventions. This paper presents empirical evidence illuminating the need for a broader ontology in researching the potential contribution of scholarships to peace. The paper draws on qualitative data collected from 32 Palestinian scholarship alumni and alumnae, sampling a national group nowhere to be found in scholarly or policy works dealing with international education and conflict/peace. Developed through a critical realist thematic analysis of the collected data, the experiential findings reported here show strong perceived gains in the research participants’ critical reflexivization and domestic and global (re)socialization of their sense of national identity and awareness. An interdisciplinary discussion of these gains demonstrates that scholarships may represent deep and significant advocacy and capacity-building interventions in the contexts of conflict, with these interventions spanning the humanitarian, development, and, to a lesser extent, political spheres. The discussion is concluded with a reflection on the methodological-conceptual challenge these findings outline to framing international education impacts in only neo-liberal terms. Overall, this paper contributes a timely Global South perspective to inform critical thought and practice of international scholarships for Palestinians and other conflict-affected groups/nations. Full article

Background/Objectives: The subject of this article is the reflection on hope—one of the most important predictors and motivators of human actions. Hope is our response to a threat, and it is also the emotion that allows us to overcome hopelessness and to reduce suffering. Hoping is a human capacity with varying cognitive, emotional, and functional dimensions. Psychological, pedagogical (particularly in the framework of special-needs pedagogy and thanatological pedagogy), and theological reflection on hope can be helpful for dying people. The objective of this study was to characterize hope in the semantic space of individuals in the terminal stage of cancer and to verify whether age is a variable that determines this hope. Methods: To complete the study, the Osgood semantic differential method was applied, as modified by Polish psychologist Dr. Boguslaw Block (the DSN-3 test). The research technique consisted of a therapeutic conversation. Results: Research results show that, in general, those in the terminal stage have positive associations with hope. In all three aspects of the used test, namely the cognitive, emotional, and functional aspects, the highest scores assigned to the perception of hope were obtained from men up to 35 years of age. Depending on the ages of patients, one could observe certain semantic shifts, but they did not prove to be statistically significant. Conclusions: Polish males surveyed at the end of life due to cancer generally perceived hope as a supportive force. Therefore, hope can provide emotional support to patients in the terminal stage of cancer and improve their quality of life. Full article

The farmers’ deep participation in the classification of domestic waste plays a crucial role in reducing the amount of waste out of the village from the source, lowering the cost of waste treatment, and realizing the sustainable development of rural waste resocialization, reduction, and harmlessness. This paper aims to identify the key factors and logical structure that influence the farmers’ behavior in classifying domestic waste and provide recommendations for improving it. Based on the Participants’ Intellectual Decision (PID) Model, we constructed a theoretical analysis framework for farmers’ decision-making on domestic waste classification, and the PID model was further extended by combining with the practice of rural domestic waste management in China and proposing the research hypothesis that factors, such as community attributes, rules of operation, the status of the participants, and the situation of external actions, have a significant impact on the farmers’ behavior in classifying domestic waste. Empirical analyses were carried out with the help of the ordered logistic model and the DEMATEL-ISM using 939 research data of farmers in Jiangsu and Gansu provinces of China. The results show the following: (1) classification of domestic waste by farmers in the sample area was predominantly unclassified (34.40%) and two-classified (40.58%); (2) 17 factors, including regional disparity, Party affiliation, organizational support perception, environmental emotions, conscious governance attitudes, trust in village cadres, social reference norms, and expected outcomes, have a significant impact on the farmers’ behavior in classifying domestic waste; (3) trust in village cadres, organizational support perception, and environmental emotion are superficial direct factors; incentive measures, fee level, waste transport situation, difficulty perception, self-consciousness perception, social reference norms, and expected outcomes are middle indirect factors; whether or not it is a demonstration village, Party membership and regional disparity are deep root factors affecting farmers to classify their domestic waste. Full article

Background: The disposal of plastic material has been gaining negative attention due to its impact on the environment and people’s health. Insulin pens used by people living with diabetes are disposed of through landfills or incineration, negatively impacting the environment and generating costs for the state. Methods: In an attempt to reduce the disposal of plastic in the environment and reduce disposal costs, the “Insulinadiamor” project was created, which uses handicrafts as a means of re-socializing women deprived of their liberty. In this project, female inmates in the state of Sergipe turn insulin pens into ballpoint pens. Results: During the year 2022, 2000 insulin pens were transformed into ballpoint pens. We estimate a loss of around USD 37,150.28 for the state due to the inappropriate use of medicines, which was reflected in the return of complete insulins. In addition, by avoiding landfill or incineration of the plastic content collected, we contributed to an estimated saving of almost USD 603.91 for the state and more than 80 kg of CO₂-equivalent emissions. Conclusions: This project brings a sustainable and transformative approach involving financial savings, rehabilitation of inmates, and contribution to the environment. It also raises the importance of creating more sustainable initiatives to reduce plastic waste in the health sector and other areas. Full article

Deinstitutionalization of care and transformation of homes represent changes and improvement in the Croatian social welfare system’s work with children and young people. In the context of the deinstitutionalization processes in this article, we consider the resocialization process of children and youth with behavioral problems, and we are focused on pedagogical resocialization as one of the main prerequisites for its successful operationalization. Therefore, this research subject is considered from the point of view of an interdisciplinary approach. The aim of the qualitative research is to analyze opinions and experiences of educational specialists and educators of the Community-based Service Center in Zadar, by conducting semi-structural interviews about the implementation of the pedagogical resocialization of children and youth with behavioral problems in the above-mentioned institution. According to the obtained results, it is possible to recognize their affirmative attitude towards resocialization processes within the framework of deinstitutionalization, whose implementation they consider as a successful simulation of family life. They also mention some shortcomings within the social welfare system; but, at the same time, the results imply that deinstitutionalization, as a kind of progress within the social welfare system, can also represent an incentive for the progress of all other factors and systems cooperating in this matter, such as the educational system. Full article

The vaccination of children against human papillomavirus (HPV) effectively prevents HPV infection and HPV-related cancers in women and men. However, HPV vaccination programs are met with vaccine hesitancy, which varies between countries. The coverage in Poland is low, although introducing nationally funded HPV vaccination for girls aged 12–13 in mid-2023 may increase it. The uptake of the HPV vaccine in adolescents is highly affected by parental decisions, which in turn can be influenced by interactions with the physician. The present representative study aimed to analyze the acceptance of the HPV vaccine among Polish parents (n = 360) and the level of trust in HPV vaccination in the pediatrician/general practitioner who takes care of their children aged 9–15 years. The data were gathered in September 2022 using computer-assisted telephone interviews. Most surveyed parents reported trusting their child’s physician regarding vaccine recommendations (89.2%) and vaccinated their child with all or most of the vaccines recommended by a national vaccination guideline (94.7%). However, 13.3% declared themselves as moderate or strong vaccine opponents, a group characterized by high (83.4%) distrust in physicians. There was no difference in the awareness of HPV in groups varying in trusting the physicians, but parents who trusted them were more frequently aware of the HPV vaccine. Parental willingness to vaccinate their child against HPV was highly differentiated by the level of trust in the child’s physician. The results highlight that trust in physicians is a critical factor shaping decisions for children’s vaccination, stressing a continuous need to improve strategies to communicate with patients. Full article

The study explored the association between individuals’ attitudes toward vaccination and their actual vaccination behavior. We also examined the impact of the coronavirus disease 2019 (COVID-19) pandemic and the ongoing vaccination debate on changing attitudes towards vaccination, specifically within different demographic groups. The survey was conducted among a representative sample of Poles (N = 805) using computer-assisted web interview (CAWI) technology. As demonstrated, those who identified themselves as strong vaccine supporters were statistically significantly more frequently to be vaccinated with COVID-19 booster doses, to follow a physician’s recommendation on any vaccine without hesitation, and to be strengthened in their confidence in vaccines during the COVID-19 pandemic (p < 0.001 for all). However, over half of the responders declared themselves as moderate vaccine supporters/opponents, the groups whose further attitudes are likely to be affected by (mis)communication. Importantly, more than half of moderate vaccine supporters declared that their vaccine confidence was weakened during the COVID-19 pandemic, while 43% were not vaccinated against COVID-19. In addition, the study demonstrated that older and better-educated individuals were more likely to be COVID-19-vaccinated (p < 0.001 and p = 0.013, respectively). The results of this study imply that, in order to improve vaccine acceptance, it is essential to strengthen public health communication and avoid communication errors conducted during the COVID-19 pandemic. Full article

Urinary tract infections (UTIs) remain the most common infections diagnosed in outpatients and hospitalized patients. This study was designed to determine the patterns of antibiotic resistance and the prevalence of uropathogens causing UTIs in pediatric patients hospitalized between 1 January 2020 and 31 December 2022 at Teaching Hospital in Warsaw. The most frequent species isolated from urine samples were E. coli (64.5%), Klebsiella spp. (11.6%), and Enterococcus spp. (6.1%). UTIs caused by Enterobacter spp., Enterococcus spp., and Klebsiella spp. were significantly more common in children younger than three months of age than in children older than three months (p < 0.001). Trimethoprim and trimethoprim–sulfamethoxazole were the least active compounds against Enterobacterales with the resistance of E. coli, Klebsiella spp., P. mirabilis, and Enterobacter spp. in the range of 26.7/25.2%, 48.4/40.4%, 51.1/40.4%, and 15.8/13.2% respectively. Ampicillin was also found to have resistance rates for E. coli of 54.9% and P. mirabilis of 44.7%. Cefalexin and cefuroxime were highly active towards Enterobacterales except for Klebsiella spp., in which the resistance level reached 40%. Regarding third- and fourth- generation cephalosporins, resistance in E. coli and P. mirabilis was observed in approximately 2–10% of the isolates, but in Klebsiella spp. and Enterobacter spp. ranged over 30%. The resistance of Enterobacterales to carbapenems, nitrofurantoin, and fosfomycin was below 1%. The quinolones resistance was very high for Klebsiella spp. (31.1%) and P. mirabilis (29.8%) and three times lower for E. coli (11.9%), P. aeruginosa (9.3%), Enterobacter spp. (2.6%), and E. faecalis (4.6%). Resistance to multiple antibiotic classes was identified in 396 Enterobacterales strains, 394 of which were multi-drug resistant (MDR) and 2 were extensive drug-resistant (XDR). In the case of E. coli, 30% of isolates were MDR, with the proportion of strains having this exact resistance pattern similar in all of the analyzed years; no E. coli XDR strains were isolated. The number of Klebsiella spp. MDR strains was much higher in 2022 (60%) than in 2021 (47.5%). In the analyzed time, only one strain of K. pneumonia XDR, producing New Delhi metallo-β-lactamase, was isolated. Monitoring infection trends is essential to improve control and limit the rise of bacterial resistance. Full article

Creating and maintaining stable, happy intimate relationships is a right every individual has. Previous research has shown that people with disabilities are at risk of building unsatisfactory partner relationships. The aim of the study was to ascertain the beliefs of students with disabilities concerning their motives for starting families and, in regard to potential partners, their tolerance for risky life experiences and the personal qualities accepted. A cross-sectional study was conducted with a sample of 2847 university students in southeastern Poland. It was found that the following motives for entering into a permanent relationship were considered more important by students with disabilities than they were by students without disabilities: enhancement of self-esteem (p = 0.001), high economic potential of a partner (p = 0.007) and a shared system of values and interests (p = 0.036). Love (p = 0.031) and the mental qualities (p = 0.010) of a partner were considered less important by students with disabilities than they were by students without disabilities. Moreover, students with disabilities are far more likely than students without disabilities to accept disability (p < 0.001) in potential partners. They are also significantly more willing to enter into relationships with people who have risky life experiences, even in the form of violence against previous life partners (p < 0.015) and children (p = 0.001), addiction to alcohol (p < 0.001) or drugs (p = 0.01) and the resulting treatment, and those having served time in prison (p = 0.034). Educational and institutional support for students with disabilities should be intensified with regard to partner selection being satisfactory to both partners. Full article

Vaccination against seasonal flu is crucial to prevention of illness in modern societies. The level of influenza vaccination in Poland is low and, for many years, has hovered around a few percent of the general population. For this reason, it is crucial to understand the reasons for such a low level of vaccination and to assess the influence of medical and social authorities on the decision to vaccinate against influenza from the perspective of social vaccinology. For this purpose, a representative survey was conducted in 2022 among adult Poles (N = 805), orchestrated with the CAWI technique based on the author’s questionnaire. The most significant authority in the context of influenza vaccination is held by physicians, especially among the oldest part of the population, over 65 years of age—in this group, 50.4% of respondents declare a very high level of respect for physicians on the issue of recommended influenza vaccination (p < 0.001), and the second-highest authority group for which seniors have respect in the aspect of influenza vaccination is pharmacists (p = 0.011). It was also shown that pharmacists have more authority on the issue of influenza vaccination than nurses, especially in the group that declared themselves opponents of vaccination (p < 0.001). The survey indicates the need to strengthen the authority of physicians and pharmacists regarding influenza vaccination, and, in the case of pharmacists, the need for changing the law to allow them to qualify for influenza vaccination. Full article

(1) Background: Participation in youth sports is believed to protect against alcohol consumption. Although this concept has been questioned for over 40 years, the review of methodologically reliable evidence data is scarce. This review summarizes the state of knowledge on the association between practicing sports and alcohol consumption among adolescents (10–19 years old) and its moderators. (2) Methods: The review covers only random-sample-based and population research. A systematic search was conducted on Scopus, PubMed, and WoS, for articles published between 2000 and 2021. From the 1944 identified records, 139 advanced to the full-text review, and 32 to the final data extraction and quality review. (3) Results: About two-thirds of the studies, including all the longitudinal ones, showed a positive association between sport participation and alcohol consumption. The most common mediators were gender (males were at higher risk), discipline (odds for team sports were higher, but professionalization could reduce it), and race, which intersected with gender, putting white males at the highest risk. (4) Conclusions: Further longitudinal research based on random samples using standardized indicators, including psychological and social variables, may provide more consistent outcomes and allow for the identification of mediating mechanisms. Full article

The aim of this study was to create a new instrument measuring antisocial preferences based on the Theory of Social Derailment of Czesław Czapów, who indicated the role of antisocial preferences in predicting antisocial behavior. The measures used were the Antisocial Preferences Scale (APS), BPAQ, Mach-IV, and IVE questionnaires. The participants were 718 prisoners. CFA techniques were used to investigate the construct validity of the Antisocial Preferences Scale. Four alternative models of the APS were specified and tested, namely: one-factor, second-order, multi-factor, and bi-factor. CFA analyses revealed that the best-fitting model was the bifactor. This conceptualization contains seven subscales, namely: aggressiveness, lack of guilt or remorse, breaking legal norms, incapacity for mutually intimate relationships, impulsiveness, risk-taking, and egocentrism. Full article