Contextual Factors Research Articles

What's the harm in starting early?: Daily and long-term risks of daytime drinking in young adults.

There is a robust body of work demonstrating that certain drinking practices, such as pregaming or playing drinking games, are linked to heavier, riskier patterns of drinking among college students. However, less attention has been paid to other drinking practices that are relatively common among undergraduates, such as daytime drinking (i.e., drinking before 4:00 PM). Using data from an intensive longitudinal study (bursts of daily data over the course of 12 months; 6,842 total days of data) collected from a high-risk sample of college students (N=403), the present study tested daytime drinking as both a proximal (daily level drinking outcomes) and distal (AUD symptoms) risk factor for hazardous drinking. Daytime drinking was reported by over 70% of the sample and on approximately 15% of drinking days. Daily-level findings indicated that compared to non-daytime drinking days, daytime drinking days were significantly associated with more drinks consumed, more high-risk drinking practices (i.e., heavy episodic or high intensity drinking), and greater subjective intoxication. Longitudinal analyses identified frequent daytime drinking as a risk factor for increased hazardous drinking behavior, particularly among individuals who were younger or reported lower hazardous drinking at baseline. Findings add to a sparse literature supporting daytime drinking as a risky drinking practice among college students. Future work should aim to further characterize contextual and psychosocial factors associated with daytime drinking practices.

A qualitative Exploration of Contextual Factors Within Schools Impacting the Introduction of the New Statutory ‘Framework on Embedding a Whole School Approach to Emotional and Mental Wellbeing’ in Wales

A qualitative Exploration of Contextual Factors Within Schools Impacting the Introduction of the New Statutory ‘Framework on Embedding a Whole School Approach to Emotional and Mental Wellbeing’ in Wales

Prospective association of tobacco retailer density and neighbourhood walkability with youth vaping initiation in California, USA

BackgroundTobacco retailer density might influence youth e-cigarette use due to increased access and exposure to point-of-sale marketing. There is a need for longitudinal investigations on the association of tobacco retailer...

Partner (in)congruence in gender role attitudes and relationship satisfaction.

The societal shift toward greater gender equality has led to increased variability in people's gender role attitudes, or the belief that men and women should occupy distinct family roles (i.e. men as breadwinners and women as homemakers). Existing evidence on the association between gender role attitudes and relationship well-being remains inconclusive with mixed findings, likely because past research has not adequately considered the direction and degree of (in)congruencies between partners within the relationship. Using longitudinal samples of 1,327 couples from the United States and 5,856 couples from Germany tracked over 2 and 13 years, respectively, we employed dyadic response surface analysis to examine how different patterns of partner (in)congruencies in gender role attitudes predict relationship well-being in mixed-gender relationships. The results showed that, for US men and German men and women, the direction of incongruence between partners' gender role attitudes mattered: relationship satisfaction was higher when men adopted more egalitarian attitudes than women (or conversely, when women adopted more traditional attitudes than men) compared with the reverse. Relationship satisfaction was also higher when both partners showed congruence in extreme gender role attitudes (either strongly traditional or egalitarian) than when either partner endorsed more neutral attitudes. US women reported higher relationship satisfaction only when either partner endorsed more egalitarian attitudes. Although past research emphasizes the benefits of partner similarity for relationship well-being, our findings highlight the importance of both similarity and complementarity in gender role attitudes, potentially subject to cultural and contextual factors.

Co-Creating Snacks: A Cross-Cultural Study with Mediterranean Children Within the DELICIOUS Project.

Mediterranean diet adherence has been decreasing during the last few decades, and non-appropriate snacking habits have also been identified among Mediterranean children and adolescents. To co-create new snacks and to explore children's interests and preferences, a multi-method approach was used in the present study, including some qualitative and quantitative research phases. Conducted in collaboration with schools in Lebanon, Egypt, Portugal, Italy, and Spain, different snack prototypes were designed and tested in a Mediterranean cross-cultural context. The results showed significant differences among countries in snacking preferences and general food-related attitudes. Italian children exhibited higher levels of neophobia, resulting in lower acceptance of all proposed snacks. Some sensory and contextual insights were collected, such as Egyptian children favoring sweet and crunchy textures and "At school", "With my friends", and "As a morning/afternoon snack" being identified as linked to snack acceptance in some countries. The present study underscores the value of co-creation processes involving children to address non-recommended dietary patterns, highlighting the critical role of sensory properties, cultural differences, and contextual factors in designing healthy snacks that meet the Mediterranean diet's principles but are highly appreciated by the young segment of the population.

Determinants of school-going adolescent girls' health and nutritional status in district Malir, Karachi: a baseline cross-sectional study.

Adolescence is a phase of life marked by rapid growth. Adequate nutrition is essential during this developmental stage, leading to significant physical performance, improved cognitive ability, and productivity. Improving adolescent girls' nutrition is crucial for breaking the intergenerational cycle of malnutrition, but research in Pakistan has largely focused on children under five and pregnant women, often neglecting this vulnerable group. This study aimed to determine the contextual and sociodemographic factors contributing toward undernutrition to improve the health and nutritional status of adolescent girls. A school based cross sectional study was conducted as the baseline survey for a mixed methods study leading to a pilot cluster randomized controlled trial. n = 84 girls (10-14 years) from two public schools were selected by simple random sampling. Data were collected through a structured questionnaire including socio demographic profile, anthropometric measurements, dietary patterns, preferences, safe water and hygiene practices, access to health care facilities, and understanding of malnutrition-related symptoms. The data collected were analyzed through SPSS version 27.0. The chi-square test was used to determine the association between the two BMI categories; underweight and normal weight, and various socio-demographic variables. Among the total of 84 adolescent girls, overall mean height was 143.9 ± 8.1 cm and mean weight was 34.4 ± 6.9 kg, while mean BMI was 16.4 ± 2.2 kg/m2. 86.9% of girls were underweight, whereas 13.1% had a normal BMI. The z-scores for both height-for-age and BMI-for-age were in negative values, i.e., -1.62 ± 0.89 and -1.18 ± 1.05, respectively. Findings of this study demonstrated that the high burden of underweight among school-going adolescent girls needs targeted approaches like nutrition education interventions to enhance awareness about healthy dietary behaviors, food preferences, and ensuring access to safe, sufficient, and healthy diet. A multipronged approach is required to improve health and nutritional status of adolescent girls by involving individuals, families, education sector, health and other relevant sectors. Larger scale studies are still required for better understanding of the issue and to guide in designing targeted programs to address specific needs of this particular age group.

Identification of Naloxone in Emergency Medical Services Data Substantially Improves by Processing Unstructured Patient Care Narratives

ABSTRACT OBJECTIVES Structured data fields, including medication fields involving naloxone, are routinely used to identify opioid overdoses in emergency medical services (EMS) data; between January 2021 and March 2024, there were approximately 1.2 million instances of naloxone administration. in the United States. To improve the accuracy of naloxone reporting, we developed methodology for identifying naloxone administration using both structured fields and unstructured patient care narratives for events documented by EMS. METHODS We randomly sampled 30,000 records from Kentucky’s state-wide EMS database during 2019. We applied regular expressions (RegEx) capable of recognizing naloxone-related text patterns in each EMS patient’s case narrative. Additionally, we applied natural language processing (NLP) techniques to extract important contextual factors such as route and dosage from these narratives. We manually reviewed cases where the structured data and unstructured data disagreed and developed an aggregate indicator for naloxone administration using either structured or unstructured data for each patient case. RESULTS There were 437 (1.45%) records with structured documentation of naloxone. Our RegEx method identified 547 naloxone administrations in the narratives; after manual review, we determined RegEx yielded acceptable false positives (N = 31, 5.6%), false negatives (N = 23, 4.2%) and performance (precision = 0.94, recall = 0.93). In total, 552 patients had naloxone administered after combining indicators from both structured fields and verified results from unstructured narratives. The NLP approach also identified 246 (47.4%) records that specified route of administration and 358 (69.0%) records with dosage delivered. CONCLUSIONS An additional 115 (26.3%) patients receiving naloxone were identified by using unstructured case narratives compared to structured data. New surveillance methods that incorporate unstructured EMS narratives are critically needed to avoid substantial underestimation of naloxone utilization and enumeration of opioid overdoses.

Soil-transmitted helminthiasis among adolescents in Anaocha Local Government Area, Anambra State, Nigeria: Insights and recommendations for effective control.

Over the past decade, Anambra State, Nigeria, has implemented mass administration of medicines (MAMs) to combat soil-transmitted helminthiasis (STH), a significant public health challenge in low-income regions. Nevertheless, these efforts have predominantly focused on pre-school and school-aged children, leaving a notable gap in understanding STH infection rates and the efficacy of these campaigns among secondary school adolescents, who have been excluded from this initiative. Our study aimed to address this critical knowledge gap by assessing soil-transmitted helminthiasis (STH) prevalence and contextual factors hindering effective control among adolescents in Anambra State, Nigeria. We actively engaged 443 adolescents with a mean age of 14 years in a school-based cross-sectional study in selected communities within the Anaocha Local Government Area from 8 February to 7 July 2023 following informed consent and assent procedures. Employing a stratified random sampling technique, we collected demographic data and assessed STH risk factors using a structured questionnaire hosted on the Kobo Toolbox platform. For quantitative analysis of STH infections, the Kato-Katz technique was used. Analysis was performed using SPSS version 25, incorporating descriptive statistics and multinomial logistic regression, with statistical significance set at p<0.05. Of the 443 (213 males (48.0%) and 230 females (52.0%) adolescents studied, the overall prevalence of STH observed was 35.2% (156/443). Ascaris lumbricoides was the prevalent STH species (16.9%), followed by Trichuris trichiura (1.4%) and hookworm (0.5%). Only light-intensity infection was observed. Mixed infections were observed in 16.5% of adolescents, involving A. lumbricoides and hookworm (10.8%), followed by A. lumbricoides and T. trichiura (3.2%) and all three STH (2.5%). The observed overall prevalence was not statistically significant with respect to gender (OR: 0.961; 95% CI: 0.651-1.420; p > 0.05) or age (OR: 0.686; 95% CI: 0.459-1.025; p>0.05). Class (grade level) (OR = 1.75, 95% CI: 1.25-2.45, p = 0.003), knowledge and transmission of STH infection (OR = 0.60, 95% CI: 0.42-0.86, p = 0.008), parental occupation (OR = 1.90, 95% CI: 1.35-2.67, p < 0.001), parents' literacy level (OR = 0.68, 95% CI: 0.48-0.96, p = 0.027), and the type of toilet (OR = 2.15, 95% CI: 1.54-3.00, p < 0.001) were all significantly correlated with STH infection. These findings highlight the role of adolescents in sustaining soil-transmitted helminthiasis (STH) transmission. Coupled with school-based deworming expansion, innovative improvements in water, sanitation, hygiene, and awareness can provide a cost-effective, sustainable solution for combatting STH infections in Anambra State.

The Effects of Socioeconomic Contextual Factors on Racial Differences in CFSR-3 Permanency Outcomes.

We examined the role of state and county socioeconomic contextual characteristics in explaining Black-White child differences in permanency within one year of foster care entry. We estimated race-specific hierarchical linear models consisting of individual-level demographic and case characteristics of children, state and county socioeconomic contextual factors, and CFSR-3 performance-improvement plans. Findings showed that socioeconomic contextual characteristics were significantly associated with permanency for Black and White children in different ways. Rises in per capita income increased permanency for Black and White children. Conversely, increases in unemployment and SNAP recipiency decreased permanency for Black and White children. Expansions in public welfare benefits for children in female headed households increased permanency for White children but decreased permanency for Black children. County variation in effects and the permanency gap between White and Black children imply the need for further race-specific research on the efficacy of localized, cross-system responses that address socioeconomic conditions.

"Missing Mobility": Perspectives of North American Firefighters on the Risks and Causes of Work-Related Shoulder Disorders: A Qualitative Study.

Firefighters are routinely exposed to significant work-related musculoskeletal disorders (WRMSDs) which can sometimes be career-ending due to the workplace stressors and the physical demands of the job. Shoulder disorders are the third most frequent WRMSDs that cause pain, disability, and morbidity in the general working population. However, little is known about the task-specific causes and risk factors for work-related shoulder disorders (WSDs) among firefighters (FFs). To explore the perspectives of FFs who experienced WSDs with respect to the following: (a) risk factors of WSDs; and (b) causative factors for WSDs. Using an interpretive descriptive methodology, we purposefully sampled for age and occupational diversity. Twelve FFs (males, 8 and females, 4) between 26 and 63years, who experienced WSDs during their career ranging from 3 to 33years were recruited. One-on-one interviews based on a semi-structured interview guide were conducted via an online Zoom platform and transcribed verbatim. Transcripts were analyzed using reflexive thematic analysis. The WSDs reported by FFs included rotator cuff tears, labral tears and muscle sprains or strains. Three themes were identified as risk factors for WSDs: (1) too much or too little shoulder exercises is a risk for shoulder injuries; (2) internal contextual factors can increase the risk of shoulder injurie; and (3) personal factors such as age and sex mediate the risk of shoulder injuries. Three themes were reported by FFs as the causative factors of WSDs: (1) unpredictable hazards in harsh environmental conditions can lead to traumatic shoulder injuries; (2) maneuvering heavy equipment in non-ergonomic positions can lead to shoulder strains; and (3) routine firefighting tasks can lead to gradual onset of shoulder injuries. Our results emphasized the inter-related and multifaceted nature of the risks and causative factors that increase the risk of traumatic or gradual onset WSDs among FFs. There is a need for a comprehensive prevention and self-management program that addresses fire-specific prevention and treatment program that addresses modifiable environmental, behavioral and personal risks factors.

Political Dynasties: Threats or Contributions to Democracy

The purpose of this research is to explore the role of political dynasties in democracy and their impact on the stability and quality of the democratization process. The method used includes a comprehensive literature review of various case studies and theories related to political dynasties. The results show that political dynasties can threaten democracy by strengthening oligarchies, inhibiting healthy political participation, and encouraging corruption and nepotism. However, political dynasties can also make positive contributions by offering sustainable political stability, facilitating the transfer of political knowledge, and effectively representing local interests. The conclusion of this study is that the role of political dynasties in democracy is highly dependent on context and certain factors. This journal also provides policy recommendations to minimize the negative risks while harnessing the positive potential of political dynasties in the democratization process

The psychological resources of success: satisfaction with academic majors, psychological capital, and achievement motivation among future tourism and hospitality leaders.

Exploring the factors that drive academic achievement motivation is a vital area in educational psychology, particularly within specialized fields like tourism and hospitality higher education. Achievement motivation, essential for academic and career success, is shaped by various positive psychological resources and contextual factors. Grounded in the framework of positive psychology, this study examines how satisfaction with academic majors (SAT) predicts achievement motivation among tourism and hospitality students in Saudi Arabia. Additionally, the research investigates the mediating role of psychological capital (PsyCap) - a positive psychological construct encompassing hope, optimism, resilience, and self-efficacy - within this relationship. A quantitative approach was employed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Data were collected from 522 junior and senior undergraduate students enrolled in tourism and hospitality programs across Saudi Arabia. Validated scales were used to measure SAT, PsyCap, and achievement motivation. The findings indicate that greater satisfaction with one's academic major (SAT) positively predicts both PsyCap and achievement motivation. Furthermore, PsyCap was found to be positively and significantly associated with achievement motivation and partially mediate the relationship between SAT and achievement motivation. This study's findings underscore the vital role of positive psychological resources in empowering students and advancing motivation, offering a validated model that informs future educational studies and interventions within tourism and hospitality while underscoring the significance of fostering psychological well-being in higher education.

Convergent state-control of endogenous opioid analgesia.

Pain is a dynamic and nonlinear experience shaped by injury and contextual factors, including expectations of future pain or relief 1 . While µ opioid receptors are central to the analgesic effects of opioid drugs, the endogenous opioid neurocircuitry underlying pain and placebo analgesia remains poorly understood. The ventrolateral column of the posterior periaqueductal gray is a critical hub for nociception and endogenous analgesia mediated by opioid signaling 2 . However, significant gaps remain in understanding the cell-type identities, the sub-second neural dynamics involved in pain modulation, the role of endogenous peptide neuromodulators, and the contextual factors influencing these processes. Using spatial mapping with single-nuclei RNA sequencing of pain-active neurons projecting to distinct long-range brain targets, alongside cell type-specific and activity-dependent genetic tools for in vivo optical recordings and modulation of neural activity and opioid peptide release, we identified a functional dichotomy in the ventrolateral periaqueductal gray. Neurons expressing µ opioid receptors encode active nociceptive states, whereas enkephalin-releasing neurons drive pain relief during recovery from injury, in response to learned fear predictions, and during placebo analgesia. Finally, by leveraging the functional effects of placebo analgesia, we used direct optogenetic activation of vlPAG enkephalin neurons to drive opioid peptide release, resulting in a robust reduction in pain. These findings show that diverse need states converge on a shared midbrain circuit that releases endogenous opioids with high spatiotemporal precision to suppress nociceptive activity and promote analgesia.

Exploring the ecological relationship between temperature and prosocial behaviour: A geographical and temporal analysis.

Previous research on the link between temperature and prosociality has produced mixed findings. A recent meta-analysis focusing on laboratory-based research concluded that the effect was null, a conclusion that was subject to low ecological validity. This paper complements the discussion by investigating the link between ambient temperature and three indicators of real-life prosociality in 164 regions over 14 years. The between-regional comparison probes the relationship over a wide range of thermal conditions, whereas the within-regional temporal comparison draws this literature to the real-life problem of global warming. Bayesian analysis indicates that temperature is linked to helping strangers, but not volunteerism or charity donation. Hotter regions have more helping respondents than colder regions, and as a region warms, it also records more helping respondents. The positive link between temperature and helping is in line with social thermoregulation theory, but it is also subject to alternative explanations from a cultural perspective and sociological perspective. We conclude that it is unrealistic to expect temperature to have the same effect on all prosocial acts without considering contextual factors and the underlying mechanisms. Our findings call for a nuanced view concerning the effect of temperature on prosociality, which awaits verification by rigorous research designs.

Psychological needs related to civil inattention: A qualitative and quantitative view on public encounters.

As described by early sociological research (Goffman, 1963, Behavior in public places: Notes on the social organization of gatherings), a typical behavioural pattern in public encounters between strangers is so-called Civil Inattention (CI). CI describes a ritual of politely communicating having noticed the other while assuring non-communication intentions. A typical example of showing CI is initially looking at the other person but then quickly averting the gaze. As argued earlier, CI fulfils a central role in the smooth functioning of a society. Also, CI gains new relevance in the digital era, in particular regarding privacy needs. Still, previous research on CI often remained on a theoretical or descriptive level, and its psychological functions have not been explored systematically. As an advancement, our study provides a deeper understanding of CI, exploring individual narratives, relevant psychological needs, and contextual factors. We conducted a qualitative interview study (N = 25) followed by an experimental online study (N = 353) with a 2 (presence of CI) × 2 (physical distance) mixed design. It shows that CI adds to well-being and specifically addresses needs for relatedness, security, and autonomy. However, though Study 1 suggested physical distance as a relevant contextual factor, the present experimental manipulation in Study 2 did not show significant effects.

Factors associated with time to return to horse racing following a clavicle fracture in jockeys competing in Great Britain: A review and analysis of medical records.

Competitive horse racing is the second largest sport in Great Britain by spectator attendance, employability, and revenue. It is a lucrative yet hazardous sport, with high injury rates, particularly from falls. Clavicular fractures are one of the most common injuries reported, yet their management, especially regarding return to racing, is under-researched. The purpose of this study was to explore the factors associated with the time to return to competition following a clavicular fracture in jockeys competing in Great Britain. This review of medical records utilised data from the British Horseracing Authority spanning 2011-2018, inclusive. Data included the jockey's age, sex, type of licence, race discipline, location of incident, and fracture management. Descriptive statistics and univariable and multivariable generalised linear models were constructed to analyse the impact of these factors on the time to return to racing. Out of 212 records of clavicular fractures, 169 were analysed. The majority (82.8%) of fractures were managed conservatively, with the remainder requiring surgery. The median time to return to racing was 40 days, with an interquartile range of 34 days. Following a clavicular fracture, the results from the univariable and multivariable models indicated that the management approach, whether the fracture is displaced, and the type of race in which the injury occurred have the greatest influence on extending the time to return to racing. In contrast, professional, conditional and amateur licence types, as well as experiencing the injury at a racecourse, were associated with reduced time to return to racing, which may indicate greater risk-taking behaviour. This study offers unique insights into key medical and contextual factors that influence the time to return to racing among jockeys in Great Britain, contributing to tailoring medical management and return to racing protocols to support jockeys' health and career longevity. Clinicians working within horse racing can use the findings of this study to provide return to racing guidance to trainers, riders and other medical professionals based on the key contextual information reported in this study.

Are fluctuations in physical performance affected by contextual factors in women’s handball matches? An analysis using five-minute fixed phases

Are fluctuations in physical performance affected by contextual factors in women’s handball matches? An analysis using five-minute fixed phases

Challenges ahead: Exploring external barriers to self-determination in individuals with intellectual disabilities.

The extent to which individuals with intellectual disabilities (ID) can exercise self-determination in their adult lives is largely influenced by various contextual factors, including their family environment, the institutions they interact with, and the legal and social conditions in which they function. In this study, we aimed to explore the lived experiences of people with ID in the context of the environmental challenges they face on the path to self-determination. To achieve this goal, we conducted an inclusive study involving co-researchers with ID. Thirty-three adults with mild to severe ID participated in focus groups or individual interviews. Using reflexive thematic analysis, we generated four superordinate themes: microsystemic factors that impact self-determination; Exosystemic factors that impact self-determination; macrosystemic factors that impact self-determination; and consequences. The implications for practice are discussed.

The impact of student and school factors on early adolescent behavioral health: Exploring the urban middle school context

Early adolescence is a time of rapid cognitive, psychosocial, and physical development, and an array of contextual factors, such as systemic racism, exert significant influence. Universal behavioral health screening data of 4,234 middle school students were examined to explore the influence of demographic (e.g. ethnicity, race) and contextual factors (e.g. school configuration). Findings suggest that middle school students are rated as having higher levels of behavioral concerns and lower adaptive skills compared with elementary and high school students and are influenced by both factors. Implications for universal screening, critical analysis of structural inequities, and district practices are also examined.

Prediction accuracy of discrete choice experiments in health-related research: a systematic review and meta-analysis

Discrete choice experiments (DCEs) are increasingly used to inform the design of health products and services. It is essential to understand the extent to which DCEs provide reliable predictions outside of experimental settings in real-world decision-making situations. We aimed to compare the prediction accuracy of stated preferences with real-world choices, as modelled from DCE data. We searched six databases for health-related studies that used DCE to assess external validity and reported on predicted versus real-world choices, up to July 2024. A generalised linear mixed model was used for a meta-analysis to jointly pool the sensitivity and specificity. Heterogeneity was assessed using the I 2 statistic, and sources of heterogeneity using meta-regression. This study is registered with PROSPERO (CRD42023451545). We identified 14 relevant studies, of which 10 were included in the meta-analysis. Most studies were conducted in high-income countries (11/14, 79%) from the European region (9/14, 64%) and analysed using mixed logit models (5/14, 36%). Pooled sensitivity and specificity estimates were 89% (95% CI:77-95, I 2=97%) and 52% (95% CI:32-72, I 2=95%), respectively. The area under the SROC curve (AUC) was 0.81 (95% CI:0.77-0.84). Our meta-regression found that DCEs for prevention-related choices had higher sensitivity than treatment-related choices. DCEs conducted under clinical settings and analysed using the heteroskedastic multinomial logit model, incorporating systematic preference heterogeneity and random opt-out utility, had higher specificity than non-clinical settings and alternative models. DCEs are valuable for capturing health-related preferences and possess reasonable external validity to predict health-related behaviours, particularly for opt-in choices. Contextual factors (e.g., type of intervention, study setting, analysis method) influenced the predictive accuracy. JJO is supported by an Australian National Health and Medical Research Council Emerging Leadership Investigator Grant (GNT1193955). EBG is supported by the Dutch Research Council (NWO-Talent-Scheme-Vidi-Grant No, 09150171910002). YZ is supported by an Australian Government Research Training Program (RTP) scholarship.