Cross-country Survey Research Articles

Mapping tobacco use cessation counselling awareness in dental offices: a cross-country survey

BackgroundTobacco is a global public health issue. Brief interventions can motivate tobacco use cessation. However, Tobacco Use Cessation Counselling (TUCC) is underutilized in dental settings despite being ideal for such interventions. This survey aimed to assess the awareness, associated factors towards TUCC among dental care professionals in Sri Lanka, Brazil, and Queensland (QLD), Australia.MethodsThis descriptive cross-sectional online survey used a self-administered questionnaire via Qualtrics, conducted from February to August 2023 among dental care professionals. Eligibility criteria included any practicing dental care professionals in the respective countries to account for potential non-response in online surveys. Awareness was assessed using three questions: “Have you ever heard of TUCC?“; “Have you ever heard of the 5A method of counselling?“; and “Have you ever heard of the 5R method of counselling?” Each answer was rated on a 3-point Likert scale: no (score 0), maybe (score 1), and yes (score 2). Participants were categorized into two groups, high and low awareness, based on their total awareness scores ranging from 0 (fully unaware) to 6 (fully aware), with the median score used as the threshold.ResultsA total of 480 dental care professionals participated in this online survey across 3 countries. Only 15.6% were fully aware of TUCC, the 5As method, and the 5Rs method of counselling and 10.8% were fully unaware of TUCC. The awareness levels of dental care professionals were comparable and generally higher in Sri Lanka (56.3%) and Queensland, Australia (52.6%), than in Brazil (21.8%). Binary logistic regression analysis revealed that awareness levels differed significantly among the 3 countries (P < 0.01) and the awareness was significantly higher among the dental care professionals who recently joined the service having less than 10 years of service experience in the field of dentistry (P < 0.01).ConclusionThe awareness of TUCC among dental care professionals was low in the survey sample. The results could contribute valuable insights for refining policies, educational strategies, and interventions aiming to improve TUCC awareness and training among dental care professionals and in turn, TUCC in dental settings could significantly contribute to tobacco control and reduce harm among populations.

Journalists’ Perceptions About Public Trust in East African Media: Comparative, Cross-Country Surveys from Kenya, Uganda and Rwanda

Scholars have increasingly turned their attention to the ways in which the public trusts an array of media content, outlets, and platforms. However, the bulk of this work has focused on audience research in Western democracies. This study uses surveys of journalists in Rwanda, Uganda, and Kenya in 2019 to examine the metajournalistic discourse surrounding how press freedom levels, technological advancements, and various sociopolitical factors impact public trust in the news media. Findings indicate that Kenyan journalists believe that public trust in the media is high, while Rwandan journalists perceive the lowest levels of public trust in the press. Findings also suggest that journalists in these three East African nations believe the public is more likely to trust the press when journalists are committed to advocating for the public and maintaining peace in the country. This study also highlights the importance of understanding journalists’ perceptions about their audiences when examining journalism practice around the world.

What Do Cross-Country Surveys Tell Us about Social Capital?

Abstract We assess the predictive power of survey measures of social capital with a new behavioral data set that examines whether citizens report a lost wallet to its owner. Using data from more than 17,000 lost wallets across 40 countries, we find that survey measures of social capital—especially questions concerning generalized trust or generalized morality—are strongly and significantly correlated with country-level differences in wallet reporting rates. A second finding is that lost wallet reporting rates predict unique variation in the outputs of social capital, such as economic development and government effectiveness, not captured by existing measures.

Fear in Media Headlines Increases Public Risk Perceptions but Decreases Preventive Behaviors: A Multi-Country Study During the COVID-19 Pandemic

The perception of reality could matter more than reality itself when it comes to disease outbreaks. News media are important sources of information during global disease outbreaks, such as the COVID-19 pandemic. Drawing on theories of fear appeals and the social ecological model, we conducted multilevel modeling analyses to examine how media-level and community-level factors influenced the public’s risk perceptions of COVID-19 and frequencies of preventive behaviors in the United States, United Kingdom, Canada, Australia, and India. We combined a large-scale multi-wave cross-country survey (N = 161,374) with a COVID-19 media coverage archive (N = 10,015,187) to test these relationships. We found that fear in media headlines was positively correlated with people’s perceptions of risk but negatively correlated with frequencies of preventive behaviors, controlling for individual-, community-, and cultural-level factors. Similar patterns were consistently identified within each individual country. We also show that community factors interacted with the media environment to influence public risk perceptions and behaviors. Our findings highlight a strong mass media influence during the pandemic, and we discuss the implications of our findings for health communication during crisis times.

Beyond Social Media: The Influence of News Consumption, Populism, and Expert Trust on Belief in COVID-19 Misinformation

The COVID-19 pandemic was accompanied by an unprecedented influx of misinformation often with adverse impact on the effectiveness of institutional responses to the health crisis. However, relatively little is still known about the factors that may have facilitated the proliferation and public acceptance of misinformation related to the virus or to the government’s anti-pandemic measures, particularly in comparative perspective. Utilizing data collected by a representative cross-country survey ( N = 5,000) in four countries led by populist leaders during the pandemic—Brazil, Poland, Serbia, and the United States—this study explores the links between three mutually interrelated factors, namely media usage across different platforms, affinity to populism, and trust in scientific expertise, and people’s beliefs in selected COVID-related misinformation. The findings show that preexisting attitudes, especially affinity to populism and mistrust of experts, are generally stronger predictors of people’s likelihood to endorse misinformation related to the pandemic than their news consumption patterns. Nevertheless, the analysis also indicates an important role played by exposure to specific media brands, particularly those promoting a skeptical stance toward preventive measures and COVID-19 vaccines, as well as messaging apps, which display a stronger relationship with misinformation beliefs than social networking sites. The article concludes by discussing implications for practical efforts to combat misinformation, especially during a health crisis.

Expectations and the transmission of international uncertainty: Evidence from cross-country survey data

Abstract This paper evaluates (i) the transmission of global uncertainty shocks to the expectations of professionals and disagreement among them and (ii) the relevance of policy choices in open economies in the context of the impossible trinity. Relying on a large set of survey data covering a wide range of expected macroeconomic outcomes for 33 countries, we establish evidence for an expectation channel of global uncertainty shocks. Global uncertainty exerts significant and adverse effects on expectations over domestic macroeconomic outcomes across the board and also frequently spills over to disagreement over these outcomes, increasing domestic uncertainty. Finally, we identify nonlinear relationships between the policy choices in an open economy and the transmission of uncertainty shocks. Policy choices affect the expected downswing in GDP in the aftermath of uncertainty shocks, the expected response of monetary policy, and the exchange rate and disagreement over future macroeconomic outcomes.

The impact of digital technology and technological innovation on environmental attitudes——insights from a cross-country survey

ABSTRACT The evolving landscape of digital technologies and technological innovations is reshaping our relationship with the environment. While empirical studies at the micro level have extensively examined the separate impacts of these advancements on environmental attitudes, a significant gap persists in understanding their collective influence at the macro level. To address this gap, our study investigates the impact of digital technology and technological innovation on environmental attitudes using data from 44,622 surveys across 28 countries, sourced from the International Social Survey Program. Our analysis reveals that country-level digital technology and technological innovation significantly influence individuals’ environmental attitudes. At the individual level, factors such as air pollution, the quality of the individual’s living environment, and education level play crucial roles in shaping these attitudes. Additionally, public trust in the media plays a significant moderating role in the relationship between digital technology and environmental attitudes. Our research contributes to the literature by simultaneously examining these factors at both individual and national levels. To gain citizens’ attitudes toward environmental protection, there is a need to strengthen the integration of technological innovation and environmental protection and to improve the authenticity of mass media materials while focusing on environmental governance.

How to measure Organizational Vaccine Literacy: an exploratory cross-country survey

Abstract Background The project AcToVax4NAM (Grant No. 101018349-3° EU Health Programme) aims to ensure equal and guaranteed access to vaccination services for Newly Arrived Migrants (NAMs). The working group developed a tool that measured the level of Organizational Vaccine Literacy (OVL), defined as an organizational effort to make the Health System easier to access and navigate, thereby facilitating informed decision-making regarding vaccinations for individuals, families and communities. Methods A systematic literature review was undertaken to identify validated tools for measuring OVL, but none was found. Consequently, the review was broadened to include tools for assessing Organizational Health Literacy, which were then adapted to define OVL. A questionnaire consisting of 22 questions divided into 7 sections was developed, utilizing a scale of 1 to 5 to gauge OVL. The survey was then distributed among healthcare services in 8 countries of the AcToVax4NAM consortium. Results We received 88 responses, mainly from Italy (26%), Spain (23%) and Greece (12%), encompassing 17 facilities, primarily vaccination centers and health prevention departments. Questions about the clarity and easy access to vaccination information provided by organizations had high mean scores, except the questions on the navigability of websites for foreign patients (mean scores &amp;lt; 3). Notably, responses related to the issue of cross-sectoral collaboration between health services and other partners (e.g., patient associations, NGOs), had a mean score of 2.56. Low scores were observed in the area related to the perception of possible individual contribution to systemic organizational efforts. Conclusions Shifting to an approach in which organizations prioritize equity and address complex needs, rather than leaving it to individuals to navigate the complex world of healthcare providers, could bring benefits to population groups, particularly those at risk of not accessing prevention services, such as NAMs. Key messages • After conducting a systematic review to identify validated instruments for the measure of Organizational Vaccine Literacy (OVL), a tool consisting of 22 questions was developed to measure OVL. • Shifting to an approach where organizations prioritize equity and address complex needs, rather than leaving it to individual responsibility, could significantly benefit vulnerable population.

Inequality perception and preferences globally and locally - correlational evidence from a large-scale cross-country survey

Inequality perception and preferences globally and locally - correlational evidence from a large-scale cross-country survey

Understanding lobbying dynamics through survey research: An introduction to the InterCov dataset

This forum article provides an overview of the sampling and survey design of the publicly available InterCov dataset. The two-wave cross-country survey includes items on lobbying mobilisation, strategies, access and influence after the outbreak of the COVID-19 pandemic, and other measures of organisational factors. We discuss design choices considering our interest in lobbying dynamics following a focusing event, the responsiveness of organisations and political gatekeepers to external shocks, and the role of timing in lobbying. We address our bottom-up sampling approach, draw lessons from the implementation of a second survey wave and provide an overview of survey items. We hope that this forum article is useful for scholars aiming to use our dataset and those starting new data collection efforts.

Five decades of policymaking in the EU – background and overview of the current state of employee financial participation

Purpose Opinions drafted by the European Economic and Social Committee (EESC), and reports and studies by the European Parliament and 2014 and 2018 Resolutions on employee financial participation (EFP) emphasised the growing importance of EFP, particularly with respect to small and medium-sized enterprises. Against this background, the commission included the promotion of employee share ownership in its Action Plan to reform European company law and corporate governance and embarked on the 2013/14 Pilot Project. Based on the most recent data on the scope and impact of various EFP schemes in EU companies and the legal and regulatory changes in individual Member States, the aim of this article is to provide an overview of policymaking and the main trends of the dynamics of EFP over the last three decades.Design/methodology/approach We give an overview (1) of the analysis of the most recent rounds of different large-scale cross-country surveys (2015 European Working Conditions Survey, 2021 CRANET [Cranfield Network on International Human Resource Management], 2019 European Company Survey [ECS]) and (2) of the EU policy documents and legislative acts over the last three decades. We provide a tabular overview of the status quo in all 29 countries under consideration as of January 2024 to provide the reader with an Alta vista summary view of all forms of EFP practised.Findings The European Commission’s interest in EFP has grown substantially since the publication of the first PEPPER Report in 1991 and the Council Recommendation on EFP of 27 July 1992. Since then, the European Union has not only extended from 12 Members States to currently 27 but has also faced many complex and urgent challenges. Financial and other crises have endangered prosperity and cohesion on the continent and both, the financial crisis of 2008/09, and the coronavirus disease 2019 (COVID-19) pandemic 2020/21 have left their marks on “Social Europe”.Originality/value The European Commission’s interest in EFP has grown substantially since the publication of the first PEPPER (Promotion of Employee Participation in Profits and Enterprise Results) Report in 1991 and the Council Recommendation on EFP on 27 July 1992. Since then, the European Union has not only extended from 12 Members States to currently 27 but has also faced many complex and urgent challenges. Financial and other crises have endangered prosperity and cohesion on the continent and both, the financial crisis of 2008/09, and the COVID-19 pandemic 2020/21 have left their marks on “Social Europe”.

Does information change public support for climate mitigation policies?

ABSTRACT Carbon pricing policies can play an important role in reducing global greenhouse gas emissions. However, policymakers often cite the lack of public support as a major obstacle to adopting and expanding the coverage of such policies. Using data from a large cross-country survey of about 28,500 people across 28 countries conducted during the summer of 2022, we show that providing information about the costs and benefits of carbon pricing can swing public support. Highlighting the efficacy and revenue recycling potential of carbon pricing increases support, especially in emerging market economies. In contrast, highlighting costs reduces support, but less so for people who report being already significantly impacted by climate change. Moreover, people adopt more negative views of subsidies for renewable energy and low-carbon technologies when the salience of their costs is increased, with the shift being more pronounced for people, especially in advanced economies, who believe that effective climate polices require global efforts. Our results suggest that there is scope to increase public support for climate mitigation measures by providing people with the policy information they may lack.

Well-being among university students in the post-COVID-19 era: a cross-country survey

University students have to handle crucial challenges for their future lives, such as succeeding in academic studies and finding attachment figures. These processes could potentially involve their well-being and mental health, with possible sociocultural differences based on the country of study. In order to explore such potential differences, a cross-sectional, multi-center survey was performed involving students from the University of Torino (Italy), Sevilla (Spain), and Lusòfona (Portugal). The survey, conducted from May to November 2023, investigated students’ demographic and educational details, socioeconomic status, social support, mental health, academic environment, perceived COVID-19 pandemic impact, and future plans. Demographic profiles showed a predominance of female participants and straight sexual orientation, followed by bisexuality. Italian students showed the lowest levels of mental well-being and the highest rates of mental problems (anxiety and depression) and suicidal risk across the three countries despite the relatively similar profiles of social support. The prevalence of the students’ confidence in their professional future is higher in Spain than in Italy and Portugal. This study provides a comprehensive examination of university students’ mental health and well-being in three Southern European countries, addressing the major mental health challenges among university students and offering valuable insights for public health purposes.

The State of the Discipline: How Far Along Are We in Developing an IR Theory Based on Southeast Asia’s Experiences

Abstract Based on reflexive stocktaking and data collected from a cross-country survey distributed in seven Southeast Asian academic communities, namely Cambodia, Indonesia, Malaysia, Singapore, Thailand, the Philippines, and Vietnam, this article explores how much progress Southeast Asian international relations (IR) academic communities have made in advancing a theory or concept based on local experiences. It is argued that while mainstream IR remains dominant, debates since the early 2000s have introduced new concepts. At the same time, new theoretical proposals are rare due to the vast diversity in Southeast Asia and a general interest in producing policy- and empirical-oriented work. Nevertheless, there are opportunities for constructing a Southeast Asian theory based on the region’s distinct perspectives on international relations shaped by ASEAN norms and institutions and the complex interactions between politics at the domestic and international levels. Any new conceptual or theoretical framework must also provide useful implications beyond the region.

User acceptance of smart e-bikes: What are the influential factors? A cross-country comparison of five European countries

Electric bicycles (e-bikes) have been promoted in many countries to replace motorised transport modes and mitigate transport externalities such as traffic congestion and emissions. However, there are also concerns about crash risks and crash severity for e-bike users. Leveraging new technologies could help improve e-bike safety, amongst other safety enhancing measures, but there is little knowledge of the users’ acceptance of such technologies. This study aims to explore the user acceptance of e-bikes (pedelec with power assistance up to 25 km/h or speed-pedelec with assistance up to 45 km/h) with active road safety assistance (in short: Smart e-bikes) to improve cycling safety by adopting the extended unified theory of acceptance and use of technology 2 (UTAUT2). A cross-country survey was administered in five European countries-Austria, Belgium, Germany, Greece, and the Netherlands, each differing in population, cycling culture and e-bike market sizes. A sample of 1,589 respondents, including e-bike owners and people interested in buying an e-bike, was analysed using a structural equation model (SEM). Conclusions indicate that performance expectancy, hedonic motivation and perceived safety were the strongest constructs of behavioural intention to use Smart e-bikes in the aggregated sample. All constructs vary significantly across the five countries, which can partly be explained by socio-demographic factors. Geographical factors such as city size, low availability of cycle paths and population density do not explain differences in user acceptance.

The Gender Well-Being Gap

Given recent controversies about the existence of a gender wellbeing gap we revisit the issue estimating gender differences across 55 SWB metrics—37 positive affect and 18 negative affect—contained in 8 cross-country surveys from 167 countries across the world, two US surveys covering multiple years and a survey for Canada. We find women score more highly than men on all negative affect measures and lower than men on all but three positive affect metrics, confirming a gender wellbeing gap. The gap is apparent across countries and time and is robust to the inclusion of exogenous covariates (age, age squared, time and location fixed effects). It is also robust to conditioning on a wider set of potentially endogenous variables. However, when one examines the three ‘global’ wellbeing metrics—happiness, life satisfaction and Cantril’s Ladder—women are either similar to or ‘happier’ than men. This finding is insensitive to which controls are included and varies little over time. The difference does not seem to arise from measurement or seasonality as the variables are taken from the same surveys and frequently measured in the same way. The concern here though is that this is inconsistent with objective data where men have lower life expectancy and are more likely to die from suicide, drug overdoses and other diseases. This is the true paradox—morbidity doesn’t match mortality by gender. Women say they are less cheerful and calm, more depressed, and lonely, but happier and more satisfied with their lives, than men.

Socio-demographic and cross-country differences in attention to sustainable certifications and changes in food consumption

Food labeling can influence, sometimes facilitate, changes in consumer diets to support environmental sustainability and in response to climate change. However, a significant impediment to this dietary shift may arise from the consumers’ tendency to underestimate the environmental impact of their food choices and from their limited knowledge about sustainable certifications. These aspects are influenced by the characteristics and geographical affiliations of individuals. In such a context, the aim of this research has been to identify the main factors that drive the food purchasing frequency and the changes in food consumption associated with consumers’ concerns about climate change and interest in sustainable food certifications by comparing different food products and countries (Italy, France, Germany, Denmark, the USA, and China). A cross-country survey was conducted on 6500 consumers of various food products. The obtained mean scores were then compared, using generalized linear mixed-effect models, to evaluate the associations between the consumers’ food purchasing frequency, the importance of sustainable certifications, and changes in food consumption due to climate change concerns. Much of the variation in food consumption, purchasing behaviors, and interest in sustainable certifications was found to depend on such factors as age, gender, and country of origin. Indeed, Chinese consumers exhibited a heightened interest in sustainable food certifications, yet their consumption scores for all food products overall were higher. Conversely, adult and elderly Danish consumers demonstrated a decrease in the consumption of cheeses, meat, fruits, and vegetables, and their interest scores in all sustainable food certifications were lower. Despite the challenges posed by various consumers’ interests and minimal changes in food consumption patterns, our findings suggest that sustainable certifications present a promising avenue for straightforward interventions to promote the adoption of sustainable diets and to address climate change.

Effect of the contextual (community) level social trust on women’s empowerment: an instrumental variable analysis of 26 nations

The purpose of this paper is to examine the effect of contextual (community) level social trust on women’s empowerment. The specific knowledge gap explored in this study is that the previous studies theorized that community trust has a positive impact on women’s empowerment. Thus, an increase in trust in the community will empower women. However, such an assumption has been never empirically tested and confirmed. Against this backdrop, the present paper develops a theoretical argument on why the increase in community trust should lead to a higher level of women empowerment. Then, a cross-country survey was used as a data source to test the effect of community trust on women’s empowerment. A traditional single-stage OLS and instrumental variable regressions are estimated to test the effect of community trust on women’s empowerment and quantify the magnitude of such impact. The key finding of this paper is that community trust indeed significantly strengthens the empowerment of women by increasing women’s ownership of assets and improving the decision-making authority of women in the family. Importantly, our findings are robust for the separate rural and urban samples, as well as the samples of younger and older women. Equally, our findings are robust for an alternative set of instruments. The main implication of these findings is that policymakers, social administrators, and government authorities who are working on promoting gender equality should give priority to promoting community-based interventions that nurture and maintain women’s trust.

Misinformation perceived as a bigger informational threat than negativity: A cross-country survey on challenges of the news environment

This study integrates research on negativity bias and misinformation, as a comparison of how systematic (negativity) and incidental (misinformation) challenges to the news are perceived differently by audiences. Through a cross-country survey, we found that both challenges are perceived as highly salient and disruptive. Despite negativity bias in the news possibly being a more widespread phenomenon, respondents across the surveyed countries perceive misinformation as a relatively bigger threat, even in countries where negativity is estimated to be more prevalent. In conclusion, the optimism of recent research about people's limited misinformation exposure does not seem to be reflected in audiences’ threat perceptions.

How do perceptions, fears, and experiences of violence and conflict affect considerations of moving internally and internationally?

Abstract This article draws on cross-country survey and qualitative data for local areas within Afghanistan, Ethiopia, Nigeria, and Somalia to explore how perceptions, fears, and experiences of violence affect how young adults consider whether or not to move, internally, within their own countries, or internationally. We shed new light on how different forms and intensities of violence and conflict, ranging from tribal violence in Northern Nigeria to the encroachment of the Taliban in Afghanistan, affect these considerations. We show that, in most cases, perceiving insecurity, fearing, or having experienced violence does not result in people considering moving. However, where significant, it is specific fears and experiences that affect considerations, rather than general perceptions of insecurity. We observe distinct patterns across the local areas, related to the duration, intensity, and nature of the conflict, underscoring the salience of sub-national-level data to better understand the interplay of conflict and mobility.