Policy Design Research Articles

Prevalence and disparities in adolescents’ sedentary behavior from twenty-three African countries: evidence from World Health Organization Global School-based Student Health Survey

ObjectivesStudies on sedentary behavior among adolescents in Africa are limited, hindering public health initiatives. The aim of this study was to examine the prevalence, age, gender, country's income level, and sub-regional disparities of sedentary behavior among adolescents in Africa. Study designCross sectional. MethodsAdolescents who participated in the Global School-based Student Health Survey from the 23 participating African countries were included in the study. Sedentary behavior was assessed with a self-reported questionnaire. A meta-analysis using random effect modeling was used to estimate the prevalence, age, gender, country's income level, and sub-regional disparities of sedentary behavior. ResultsSixty three thousand six hundred thirty five adolescents (12–17 years) were included in the analysis. The prevalence of sedentary behavior was 30% (95% CI: 27%–34%) and significantly higher among adolescents in Southern Africa and East Africa compared to adolescents in West Africa and North Africa (Q = 25.15; P < 0.001). No disparities were found for age (Q =1.51; P = 0.22), gender (Q = 0.10; P = 0.75), country's income level (Q = 4.37; P = 0.11), and survey year (Q = 1.03; P = 0.31). The results were heterogeneous between countries. ConclusionsThe results suggest that a significant proportion of adolescents in Africa engage in sedentary behavior, with the highest prevalence found in Southern Africa and East Africa. This highlights the need for context-specific policy design and interventions to increase physical activity engagement and limit sedentary behavior among adolescents in Africa.

Socioeconomic inequalities in greenhouse gas emissions from household travel in Aotearoa/New Zealand

BackgroundA just transition to a decarbonised transport system requires understanding current inequity in transport-related greenhouse gas emissions (GHGe). MethodsWe used the population-based nationally representative New Zealand Household Travel Survey (2015–2018 data) to examine inequalities in GHGe from household travel by NZDep (an area measure of socioeconomic position [SEP]). ResultsThere was a broadly linear association between SEP and GHGe from household travel. People resident in the least deprived areas emitted around 57 % more GHGe per week from household travel than those in the most [mean 63.6 CO2eq (95 %CI 58.5–68.6) compared to 35.6 kg CO2eq (95 %CI (32.6–38.6)]. Most of the difference was due to the additional 97 km per week travelled by car by people resident in the least deprived areas. Residents in the least deprived areas travelled further and more frequently for paid and unpaid work and leisure purposes than those in the most. Air travel also showed significant inequities with 2.4 % of residents in the least deprived areas reporting air travel in the last week compared to 0.1 % in the most deprived. Air travel was the second largest source of mean weekly transport emissions in residents living in the least deprived areas. ConclusionThere are large inequities by area deprivation in GHGe from household travel in Aotearoa/New Zealand. Transport policy needs to focus on measures to reduce emissions that are effective and reduce inequities. Significant work on policy processes, design and evaluation need to occur to facilitate this dual transformation.

Mapping the Neural Basis of Neuroeconomics with Functional Magnetic Resonance Imaging: A Narrative Literature Review

Neuroeconomics merges neuroscience, economics, and psychology to investigate the neural basis of decision making. Decision making involves assessing outcomes with subjective value, shaped by emotions and experiences, which are crucial in economic decisions. Functional MRI (fMRI) reveals key areas of the brain, including the ventro-medial prefrontal cortex, that are involved in subjective value representation. Collaborative interdisciplinary efforts are essential for advancing the field of neuroeconomics, with implications for clinical interventions and policy design. This review explores subjective value in neuroeconomics, highlighting brain regions identified through fMRI studies.

Calibration and specification in policy practice: Micro-dimensions of policy design

Three aspects of policy success – programme implementation, policy solution feasibility and political legitimacy and support – need to be at the front of mind when policies are formulated. Many uncertainties endemic to policy-making surround these issues and present considerable public management challenges. Many of these problems, however, are linked to the poor conceptualization and understanding of policy content on the part of policy-makers, something for which policy scholars must share some blame. This is especially true with respect to the existing literature on the micro-level aspects of policies; the level at which goals and policy instruments are concretely implemented in the form of specific policy targets and tool calibrations. While these latter subjects have been examined in the past by luminaries such as Eleanor Ostrom, Guy Peters, Peter Hall and Lester Salamon, their insights into this level of policy-making have been glossed over in the mainstream policy sciences and the significance of their work for real-world policy analysis insufficiently appreciated. This article sets out a framework of policy calibrations and specifications that reconciles and incorporates these insights in order to enhance the chances of policy success through improved policy design.

Tax policies with a human rights perspective: towards greater tax justice

Purpose: The main objective of this study is to analyse tax policies from a human rights perspective. Motivation: This study is inspired by the observation of crises that appeal to us, revive existing challenges, and lead us to re-evaluate public services. In connection with the causes and consequences of these contexts, this study formulates a new approach to taxation practices, connecting the design of tax policies with their capacity to contribute to the realisation of economic, social, and cultural human rights. Design/Methodology/Approach: The research was carried out following a methodology that includes a review of the relevant literature, the analysis of the work of international institutions in the field, and the examination of international and regional legal frameworks for the protection of human rights, in connection with states’ obligations to provide adequate services. Main findings: Tax justice stands as a pillar to ensure that states, through the management of public resources, can fulfil their obligations in the mitigation of economic and social inequalities and in the funding of rights and public services. Practical implications/Managerial impact: The changes resulting from globalisation, transnational trade, offshoring of production and, among others, advances in digitalisation, make it necessary to analyse the validity of the foundations of our tax systems towards achieving the long-awaited tax justice. This study aims to contribute to the consolidation of the basis for this necessary connection between tax policies and human rights. Novelty/Contribution: This study argues that only those tax policies that integrate a human rights perspective can be considered optimal for achieving tax justice.

The Application of Australian Rights Protections to the Use of Hepatitis C Notification Data to Engage People ‘Lost to Follow Up’

Abstract Hepatitis C is a global public health threat, affecting 56 million people worldwide. The World Health Organization has committed to eliminating hepatitis C by 2030. Although new treatments have revolutionised the treatment and care of people with hepatitis C, treatment uptake has slowed in recent years, drawing attention to the need for innovative approaches to reach elimination targets. One approach involves using existing notifiable disease data to contact people previously diagnosed with hepatitis C. Within these disease surveillance systems, however, competing tensions exist, including protecting individual rights to privacy and autonomy, and broader public health goals. We explore these issues using hepatitis C and Australia’s legislative and regulatory frameworks as a case study. We examine emerging uses of notification data to contact people not yet treated, and describe some of the ethical dilemmas associated with the use and non-use of this data and the protections that exist to preserve individual rights and public health. We reveal weaknesses in rights protections and processes under Australian public health and human rights legislation and argue for consultation with and involvement of affected communities in policy and intervention design before notification data is used to increase hepatitis C treatment coverage.

A theory of policy advisory system quality: Hirschman 2.0 or what makes for good policy advice?

Not everyone’s ideas count equally in terms of influencing and informing policy design and instrument choices. As the literature on policy advice has shown, such advice arises from many different actors interacting with each other often over relatively long timeframes. Actors within these ‘policy advisory systems’ operate within the confines of an existing set of political and economic institutions and governing norms, and each actor brings with them different interests, ideas and resources. Studying who these actors are, how they act and how their actions affect the overall nature of the advice system and its contents are critical aspects of current public policy research. But not all these elements have been equally well conceptualised or studied, especially those concerning their impact on the quality of policy advice emerging from a system. In this article, the general nature of policy advisory systems is set out, their major components described and a model of individual and organisational behaviour within them outlined inspired by a modification of the ‘exit, voice, loyalty’ rubric of Albert Hirschman. Our findings show how aggregated individual organisational behaviour along the lines suggested by Hirschman can over time result in very different kinds of advice being provided by an advisory system, with predictable consequences for its nature and quality.

Targeting farmers’ heterogeneity to enrich climate change adaptation policy design: findings from northern Italy

With its scientifically proven effects and widespread acceptance, climate change stands as one of the most pressing and intricate challenges for society and economies. Farmers are on the frontline of managing climate change. Therefore, how they perceive and respond to climate change shapes their risk assessment and structures future resilience and adaptive capacity. Employing a bottom-up approach, we conducted 460 surveys randomly among farmers throughout the Lombardy region in northern Italy. A triple-loop approach considering climate change awareness, perceived impacts, and adaptation measures and barriers was implemented to characterize the potential heterogeneity of farmer behaviour and explore whether risk attitudes and adaptation actions differ between farmer profiles. We then profiled farmers through a clustering analysis. Four groups emerged, highlighting farmers’ adaptation preferences and risk attitudes: (1) cropping-adapted and isolated farmers, (2) cooperation-adapted and insecure farmers, (3) risk insurance-adapted and confident farmers, and (4) climate services-adapted and aware farmers. Although the groups vary in terms of farmers’ characterization and farming activities (e.g. young and highly educated vs. old and highly experienced farmers, rainfed vs. irrigated farms), similar patterns were observed regarding climate change awareness and perceived impacts—however, the contrast increased in terms of adaptation measures and barriers. Gaining a more comprehensive understanding of the diverse ways in which farmers assess risks and adapt can promote the transferability of bottom-up findings and inform the co-design of tailored and flexible adaptation instruments, minimizing the risk of maladaptation or ineffective transformation in the face of climate change.

How Can the Australian Government Make Primary Care and Private Health Insurance More Affordable?

How Can the Australian Government Make Primary Care and Private Health Insurance More Affordable?

The impact and effectiveness of China’s entrepreneurship policy for back-home migrant workers

This study aims to estimate the net effect of China’s entrepreneurship policy on back-home migrant workers since 2015. Using survey data from the provinces of; Zhejiang, Henan, and Guizhou with propensity score matching to control selection bias, the study indicates that the overall entrepreneurship policy has a significant positive impact on the probability of entrepreneurial entry. The poverty alleviation effect of the overall policy is greater than its industrial development effect, while the employment effect is not significant. The infrastructure policy’s effect on employment, industrial development, and poverty alleviation is greater than the other policies, and the financial policy’s effect on these three aspects is not significant. This study contributes to the existing literature by addressing a well-defined gap regarding the net effect of entrepreneurship policy on entrepreneurship entry and provides well-supported and plausible explanations for the inconsistencies among previous studies on policy effect indicators. As a practical contribution, this study provides China and other developing economies with compelling empirical evidence to support the design and amendment of entrepreneurship policy at the national level.

Childhood and Midlife Cultural Awareness and Activity Engagement Among Korean Married Couples.

Cultural reproduction theory posits that cultural resources are transmitted across generations, suggesting early parental influences on cultural experiences in adulthood. Further, cultural resources may be transferred within the same generation-through significant others, such as spouses. This study investigates cultural engagement among middle-aged adults, focusing on individual and spousal influences of childhood cultural engagement. A sample of 1,271 couples (age 49-66) from the 2012 Korean Baby Boomer Panel Study and the Korean Forgotten Generation Study was analyzed. Each respondent reported the number of arts and cultural activities (e.g., paintings, literature, and classical music) and levels of perceived cultural engagement (i.e., cultural awareness) during childhood and at midlife. Actor-Partner Interdependence Models (APIM) were estimated to examine how spouses' childhood and midlife cultural engagement were linked within couples. Findings showed that wives reported higher levels of activity participation and cultural awareness in childhood and midlife, compared to husbands. The APIM results indicated that beyond one's own childhood cultural engagement, spouse's childhood cultural awareness was associated with both levels of participation in arts and cultural activities (only for husbands) and cultural awareness (for both husbands and wives) at midlife. Cultural activities and awareness can be valuable assets to enhance overall well-being in later life. Given the cross-spousal associations in cultural engagement among Korean middle-aged couples, both spouses' cultural resources need to be considered for the design of interventions and policies to cultivate cultural competence and promote cultural engagement in adulthood.

Realising the human development promise in dual VET

ABSTRACT Despite growing consensus around the need for a more holistic vision of development, realising the human development potential of educational interventions has proven a challenging task. This Forum grapples with how these tensions manifest in the international transfer of dual models of Vocational Education and Training (dVET) to low- and middle-income countries. While dVET has gained global currency, its developmental potential has been primarily framed in economic terms. Conversely, its alignment with human development remains an abstract possibility and is often not reflected in the policy design of dVET transfer attempts. Each contribution to this Forum probes a different facet of these tensions, exploring how dVET can be calibrated in different contexts to realise its human development potential. Taking a practice-led approach and featuring representatives from cooperation agencies, consultancy groups, and research organisations, this piece contributes to ongoing debates about the possibility of effectively integrating human development thinking into education policy.

EU policy on agricultural land turnover: general characteristics

EU policy on agricultural land turnover: general characteristics

Gender mainstreaming in urban projects: A measurement proposal applied to Spanish Urban regeneration policies

Urban policies financed in the framework of the European Cohesion Policy are a privileged area for the study of the Gender Mainstreaming (GM) due to the gender European rules and to the importance of the European Union in urban development. The aim of this paper is to validate an instrument for the systematic measurement of the application of the GM tool, and to evaluate the implementation of GM in Spanish urban policies financed by the EU. For this purpose, based on previous measurements and analysis, a specific methodological tool has been elaborated and applied to the 89 urban intervention projects implemented in Spanish big cities in the framework of the URBAN I, URBAN II, URBANA, and ISUD (Integral and Sustainable Urban Development) calls for proposals (1994–2020). The results reflect a sectorial orientation in the application of the GM. Moreover, we observed a more significant implementation of the strategy in the direction setting dimensions and a scarcer integration in the actor-oriented dimensions. The dimensions' scores could reflect the classic difficulties for actor-oriented dimensions in urban policy design and the effect of the EU's lack of clarity about gender equality on a multi-level governance policy.

Research on China's End-of-Life Care Policy from the Perspective of Aging Population: A Textual Analysis of 30 Policies from 2017 to 2022

As the proportion of elderly population increases and the level of social development continues to rise, the issue of end-of-life care for the elderly has gradually gained societal attention. End-of-life care, as an emerging field, relies crucially on optimizing top-level policy design for its healthy development. This study focuses on 30 national-level end-of-life care policy texts from 2017 to 2022. Utilizing analysis tools such as ROST CM 6 software, NLPIR Chinese word segmentation system, and SPSS, the research employs a three-dimensional framework of keyword frequency analysis, semantic network analysis, and "policy tools-policy time-policy intensity" to comprehensively explore the current state of China's end-of-life care policy. The study reveals existing issues in the policy's practical operability, uneven application of policy tools, neglected funding and information technology support, and weak regulatory aspects. It emphasizes the need to prioritize a people-centered approach, enhance the overall balance in policy tools, promote the standardization of end-of-life care, and improve a diversified service system. These findings broaden the research perspective in the field of end-of-life care, providing insights for optimizing policy design and advancing nationwide end-of-life care efforts.

Understanding Unemployment Dynamics and Labor Market Behavior in South Korea: Employing Mccall Dynamic Programming Approach

This paper investigates labor market dynamics from 1990 to 2023 using the McCall dynamic programming search model, offering insights into individual decision-making, economic conditions, and policy implications. Convergence trends in wage predictions underscore the model's reliability, highlighting its utility for predicting wage outcomes over time. The policy implications emphasize the importance of balancing the duration of unemployment and the considerations of the wage level in policy design. In light of the analysis, policymakers and employers should consider the trade-offs between unemployment duration and wage level when designing policies and compensation practices. The insights provide guidance for policymakers, employers, and job seekers in navigating the complexities of the job market.

Bimodal diurnal preference in undergraduate students is associated with negative health and sleep outcomes

ABSTRACT The bimodal preference is a fourth diurnal preference proposed by re-scoring the Morningness-Eveningness Questionnaire. The present work aimed to describe the prevalence of the bimodal preference in a sample of undergraduate students and to characterize the bimodal type in terms of their health and sleep-related outcomes. A web-based cross-sectional study conducted between September 2018 and March 2021 (convenience sampling method). The sample was composed of undergraduate students who completed an electronic form that included the Morningness and Eveningness Questionnaire, the Pittsburgh Sleep Quality Index, the Self-Compassion Scale, the Epworth Sleepiness Scale, the Hospital Anxiety and Depression Scale, and the World Health Organization Subjective Well-Being Index. The final sample consisted of 615 students (82% female, mean age: 23.4 ± 6.5 years), of whom 108 (18%) had positive bimodality indexes. Bimodal subjects comprised 48 students, 8% of the total sample. Bimodal subjects had poorer subjective sleep quality, more daytime sleepiness, lower subjective well-being, greater anxiety and depression symptoms, and lower self-compassion than morning and/or intermediate types; they did not differ from evening types. The description of bimodal diurnal preference in this population may be of interest for the design of academic policies more in line with the circadian reality of students.

Research on Sustainable Port: Evaluation of Green Port Policies on China’s Coasts

Increasing port pollution has forced governments to enact policies related to green ports to maintain the sustainability of maritime transportation. In this article, we established a policy evaluation system based on the PMC (policy modeling consistency) index model to evaluate 17 green port-related policies currently enacted on coastal China, providing a new perspective on existing maritime policy evaluations. The results show that the average overall consistency of the policies is 7.16 with “good” performance, and no policy is “low” consistency. While this suggests that the existing policy design is sound, some deficiencies exist, such as insufficient cooperation between governments and insufficient emphasis on incentives. We provide recommendations for improvement based on these deficiencies and analyzed and optimized every policy in detail. Meanwhile, we found that policy texts from southern ports perform better, contrary to the previous view. The discovery could be a good entry point for future research. We also offer some suggestions for the development of green ships in China. The research makes these contributions and may provide some insights for policymakers.

Using policy codesign to achieve multi-sector alignment in adolescent behavioral health: a study protocol

BackgroundPolicymaking is quickly gaining focus in the field of implementation science as a potential opportunity for aligning cross-sector systems and introducing incentives to promote population health, including substance use disorders (SUD) and their prevention in adolescents. Policymakers are seen as holding the necessary levers for realigning service infrastructure to more rapidly and effectively address adolescent behavioral health across the continuum of need (prevention through crisis care, mental health, and SUD) and in multiple locations (schools, primary care, community settings). The difficulty of aligning policy intent, policy design, and successful policy implementation is a well-known challenge in the broader public policy and public administration literature that also affects local behavioral health policymaking. This study will examine a blended approach of coproduction and codesign (i.e., Policy Codesign), iteratively developed over multiple years to address problems in policy formation that often lead to poor implementation outcomes. The current study evaluates this scalable approach using reproducible measures to grow the knowledge base in this field of study.MethodsThis is a single-arm, longitudinal, staggered implementation study to examine the acceptability and short-term impacts of Policy Codesign in resolving critical challenges in behavioral health policy formation. The aims are to (1) examine the acceptability, feasibility, and reach of Policy Codesign within two geographically distinct counties in Washington state, USA; (2) examine the impact of Policy Codesign on multisector policy development within these counties using social network analysis; and (3) assess the perceived replicability of Policy Codesign among leaders and other staff of policy-oriented state behavioral health intermediary organizations across the USA.DiscussionThis study will assess the feasibility of a specific approach to collaborative policy development, Policy Codesign, in two diverse regions. Results will inform a subsequent multi-state study measuring the impact and effectiveness of this approach for achieving multi-sector and evidence informed policy development in adolescent SUD prevention and treatment.

Influence of subsidy policies against insurances on controlling the propagation of epidemic security risks in networks

Subsidies are used to further control the propagation of epidemic security risks as they offer users incentives to practice security investment behaviors. However, previously proposed subsidy policies have typically been studied without insurance, and it is still challenging to build effective subsidy strategies when users can transfer some of the infection loss to the insurer by purchasing insurance, because these external incentives may alter users' decisions to purchase insurance. To this end, we designed three subsidy policies in a scenario where purchasing insurance is one of the available strategies to users: under SPIns and SPInsp, the subsidies are used as the insurance funds and the risk precaution aspect of the insurance funds, respectively, and under SPInsd, a fraction of the subsidies are used to support some free-riding users with high node importance in their purchase of insurance, and the remaining subsidies are used as the precaution aspect of the insurance funds. The subsidy policies are studied with a formulated security investment game model on scale-free networks from the perspectives of the public and insurer. The results show that SPInsd can always work effectively and outperforms others in limiting the extent of an epidemic outbreak with similar or lower social costs, and without a reduction in profit for the insurer. More importantly, an interesting phenomenon emerges in the SPInsp scenario: under specific insurance parameters, the increase in subsidy funding has a negative impact on preventing the risk spread, leading to larger final epidemic sizes. In addition, the effectiveness of SPInsd on scale-free networks with larger average degree or network size and random networks are also studied. We anticipate this work can provide useful insights for policy makers with respect to design and implementation of optimal subsidy policies related to the control of epidemic security risks under an insurance scenario.