Large Household Research Articles

Building the social. A query into the societal impact of the Pompeian water supply

This study explores the importance of the means of ensuring water supply in the formation of the architectural profile and basic social organization of Pompeii. It sees the city’s domestic water supply, for over two centuries ensured through rainwater-harvesting areas, basins and cisterns situated mainly in and below the many atria, as a stabilizing factor of both cityscape and household. Through the introduction of the city aqueduct in the 1st century AD and the creation of a generous network of public fountains this situation changes and the need to maintain the traditional organization of the “houseful”, comprising enlarged family, slaves and dependents of various kind including shopkeepers, is lessened; the physical proximity between those of different status renegotiated. This development, witnessed in adaptations of the architecture, can be followed through close study of the standing structures in Insula V 1. The hallmarks are the creation of upperfloor living quarters seemingly independent from the life of the large households of the atrium houses, and in parallel the introduction of private water lines from the city aqueduct. The remodelling that resulted in the creation of the double-atrium house of Caecilius Iucundus is focal to the discussion since it offers a coeval chronological fix point in the AD 40s for both remodelling and obtention of piped water. Given that the change in the domestic architecture observed was merely in its embryonic state in AD 79, the tenability to attribute a lower dating than that traditionnaly attributed not just to the private lines, but to the city’s distribution system of public aqueduct water as well, is reasoned. The particularities of Pompeii’s geomorphological situation and political status and how they impacted the discussed change in social relationships are also raised.

Factors Associated with Impact of Event Scores Among Ontario Education Workers During the COVID-19 Pandemic

There is limited information regarding factors related to education workers’ responses to traumatic stress during the COVID-19 pandemic. The study goal was to determine whether personal factors, behaviours that mitigate viral spread, and work-related factors were associated with post-traumatic symptoms. This observational study, embedded within a cohort study, recruited Ontario education workers from February 2021 to June 2023. Exposure data were collected at enrollment and updated annually. Participants completed the Impact of Event Scale (IES) at withdrawal/study completion. Modified Poisson regression was used to build hierarchical models of dichotomized IES scores (≥26: moderate/severe post-traumatic symptoms). Of the 1518 education workers who submitted an IES between September 2022 and December 2023, the incidence rate ratio of IES scores ≥26 was significantly higher among participants who usually/always wore a mask at work (1.48; 95% confidence interval 1.23, 1.79), usually/always practiced physical distancing (1.31; 1.06, 1.62), lived in larger households (1.06; 1.01, 1.12), and reported poor/fair/good health (1.27; 1.11, 1.46). However, models accounted for little of the variance in IES scores, suggesting the need for future studies to collect data on other factors associated with the development of PTSD, such as pre-existing mental health challenges. Early identification of those experiencing traumatic stress and the implementation of stress reduction strategies are needed to ensure the ongoing health of education workers.

Contract Farming in Low and Lower-Middle-Income Countries: Using Meta-Analysis and Factor Analysis

Purpose: Smallholder farmers' agriculture in developing countries particularly in low and lower-middle-income countries is known for poor production and productivity levels which has been related to the inadequate use of improved agricultural inputs and marketing systems, and in this case, contract farming. Therefore, this study aimed to investigate the various factors which affect contract farming among smallholder farmers in developing countries. However, trying to investigate those contract farming determinants by a single analytical method leads it to have limited findings, narrowed generalizability and difficulty in investigating major determinants that determine contract farming success. Therefore, a joint approach using factor analysis and meta-analysis can give a more comprehensive understanding of contract farming factors. Methodology: The data was gathered through a Systematic Literature Review, finding a total of 3007 studies from SCOPUS, PubMed, PubAg, and EMBASE. The PRISMA method was applied to, and finally, 35 peer-reviewed articles in English between January 1990 to September 2023 were selected. Findings: The meta-analysis showed interesting insights into factors influencing contract farming participation. Education and household size exhibited a negative association, suggesting that farmers with higher education levels and larger families may be less likely to participate in contract farming arrangements. This could be due to a preference for independent decision-making or the need for family labor in alternative income-generating activities. On the other hand, farmers with larger landholdings are more inclined to participate. To encourage broader participation, policymakers, and program designers could consider targeted outreach and support services for these specific demographics. Originality and value: Our new approach, joining meta-analysis and factor analysis, sheds innovative light on contract farming determinants. While the expected determinants like farm and household size, along with education, remained significant, our analysis showed unexpected nuances. Age of the household head emerged as potentially favoring younger, less experienced farmers. Moreover, access to extension services played an important role, while large household size might have a more complex influence depending on age composition. This comprehensive approach offers valuable insights for targeted outreach programs and collaboration with extension services to optimize contract farming adoption and success in developing countries.

Evaluating the Availability and Accessibility of Agricultural Extension Services Under the Single Spine System in Uganda. A Case of Smallholder Crop Farmers in Buhweju District

Purpose: This study evaluated the availability and accessibility of agricultural extension services under the Single Spine System, with a specific focus on smallholder crop farmers in Buhweju District. Methodology: The study adopted a mixed-methods approach, employing both quantitative and qualitative data collection techniques. Structured questionnaires were administered to a sample of 393 smallholder crop farmers and key informant interviews with district agricultural officers and extension workers provided in-depth insights into the delivery of services. Findings: The results indicate that education was positively and significantly (P<0.01) associated with knowledge about the availability of extension services. Farmers with more years of schooling had a greater likelihood of being aware of extension providers. Similarly, larger households with more labor resources (median size = 4) had better access to extension services. Moreover, household land size (median = 3 acres) and income (median = UGX 250,000) were significantly correlated with both availability and access to extension services, with wealthier farmers seeking more information to improve agricultural productivity. The study also revealed that proximity to extension service centers was a critical factor; households closer to sub-county offices (median distance = 1.5 km) had higher knowledge of available services. Access to credit and group membership were also major determinants of both awareness and access to extension services. Challenges were also identified, including limited outreach by extension officers, inadequate allowances, and insufficient logistical support for field officers. Unique Contribution to Theory, Policy and Practice: The study recommends increased sensitization efforts using local leaders, social media, and community networks, alongside greater support for sub-county agricultural officers to ensure effective service delivery.

Gender Differences on the Awareness of Human Papillomavirus Infection and Vaccination.

Human papillomavirus (HPV) infection is implicated in causing several types of cancer, including cervical cancer. In Brazil, the quadrivalent HPV vaccine is provided free of charge for children between the ages of 9 and 14. Nevertheless, the vaccination coverage rate has remained below 60% since its implementation in 2014. This study aimed (i) to assess the knowledge of parents/guardians on HPV infection and vaccine prophylaxis and (ii) to test the association between having a "higher degree of knowledge" (HDK) and the sociodemographic characteristics. A total of 388 parents/guardians of children of vaccination age were enrolled. Questions assessing sociodemographic characteristics, knowledge, and attitudes toward HPV infection and vaccination were administered to participants via a self-answered questionnaire. Questionnaires of 343 participants were considered for analysis. Participants who answered at least 70% of the questions correctly were classified as presenting HDK. Multivariate logistic regression analysis was used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the associations between population characteristics and HDK. This study occurred prior to the COVID-19 pandemic; thus, the pandemic was not considered in our analysis. A total of 212 (61.8%) participants showed HDK. Participants who were male (OR = 0.39; 95% CI = 0.22, 0.70) and lived in larger households (OR = 0.48; 95% CI = 0.25, 0.95) were less likely to present HDK. Participants who reported having an acquaintance with prior/concurrent HPV infection were more likely to have HDK (OR = 3.78; 95% CI = 2.02, 7.05). These findings suggest the importance of developing novel strategies for raising parental awareness of HPV, particularly targeting males.

Working horse welfare in Senegal is linked to owner's socioeconomic status, their attitudes and belief in horse sentience.

The role that working equids play in both rural and urban communities in low and middle-income countries is invaluable. They contribute to daily tasks such as carrying food, water and people, support income generation, and are of social and cultural importance. Despite their importance, global standards of working equid welfare are low. Many variables can impact the welfare status of animals under human care, but often specific factors are explored in isolation. Factors can include, but are not limited to an owner's socioeconomic status and their attitudes and beliefs towards animals. In this study we assessed the relationships between 1.) Attitudes and belief in horse sentience, 2.) Owner's socioeconomic status (including household income, coverage of needs and education) and 3.) Horse welfare status. The study, consisting of an owner questionnaire and a welfare assessment of their horses, was conducted in three regions in Senegal; participants included 299 owners and their horses. Overall, our findings show that a more positive attitude towards horses, stronger belief in horse sentience, a higher standard of living and a greater ability to cover the needs of the household was associated with more positive horse welfare. A stronger belief in horse sentience was a significant predictor of horse's body condition, larger households and those with a higher income were more likely to own a horse in good general health. Our findings demonstrate a complex relationship between working horse welfare, their owner's attitudes, and their socioeconomic status. It is the first study we are aware of that has explored the relationships between these different variables. The findings from this study provide valuable insights into the interconnected factors which impact upon working equid welfare in Senegal and potentially more widely.

Storing Excess Solar Power in Hot Water on Household Level as Power-to-Heat System

PV technology has become widespread in the Netherlands, reaching a cumulative installed capacity of 22.4 GWp in 2023 and ranking second in the world for solar PV per capita at 1268 W/capita. Despite this growth, there is an inherent discrepancy between energy supply and demand during the day. While the netting system in the Netherlands can currently negate the economic drawbacks of this discrepancy, grid congestion and imbalanced electricity prices show that improvements are highly desirable for the sustainability of electricity grids. This research analyzes the effectiveness of a Power-to-Domestic-Hot-Water (P2DHW) system at improving the utilization of excess PV electricity in Dutch households and compares it to similar technologies. The results show that the example P2DHW system, the WaterAccu, compares favorably as a low cost and flexible solution. In particular, for twelve different households differing in size (1–6 occupants), PV capacity (2.4–8 kWp), and size of hot water storage boiler (50–300 L), it is shown that the total economic benefits for the period 2024–2032 vary from −€13 to €3055, assuming the current net metering scheme is abolished in 2027. Only for large households with low PV capacity are the benefits a little negative. Based on a multi-criteria analysis, it is found that the WaterAccu is the cheapest option compared to other storage options, such as a home battery, a heat pump boiler, and a solar boiler. A sensitivity study demonstrated that these results are overall robust. Furthermore, the WaterAccu has a positive societal impact owing to its peak shaving potential. Further research should focus on the potential of the technology to decrease grid congestion when implemented on a neighborhood scale.

Helicobacter pylori: A Cause of peptic ulcer disease among Adolescent Girls in Africa

Peptic ulcer disease (PUD) is a major global health concern that often results in hospitalization due to insufficient protective factors in the mucosa. Helicobacter pylori contributes to PUD development, causing symptoms such as epigastric pain, bloating, fullness, and nausea. An extensive literature search was conducted using electronic databases such as PubMed and Google Scholar to identify articles published between 2013 and 2024. Relevant cross-sectional studies, systematic reviews, meta-analyses, literature reviews, and case reports were included in the analysis, whereas editorials, perspectives, and commentaries were excluded from the study. Overall, 20% of teenagers and 45% of individuals aged >45 years were infected with H. pylori, indicating that transmission can occur at any age during childhood and adolescence. Moreover, 8.4% of adolescents aged 10 – 19 years and 64.6% of those aged <18 years tested positive for H. pylori. This bacterium can spread through familial transmission and exposure to oral or fecal matter. Large households and bedroom sharing were associated with H. pylori infection, and adolescents from rural areas showed a higher infection rate than those from urban areas. Improving personal hygiene and implementing educational initiatives within families are key to curbing the spread of H. pylori infection in Africa. Prioritizing hygiene and social improvements in national and subnational strategies can considerably reduce infection rates. Adopting a whole family-based approach and allocating funds for relevant projects can benefit families and children across the continent. Moreover, prompt implementation of interventions to combat H. pylori infection among African adolescents is essential. Promoting cleanliness and raising awareness are key strategies to ensure long-term health among the African youth.

“The little I receive is not enough’’: A qualitative study of food insecurity in the South Bronx

ABSTRACT The objective of this study was to explore the lived experiences of food insecurity amongst Bronx residents. Applying a community-based participatory research approach, we conducted a qualitative study, entailing 38 interviews with food pantry recipients, 4 key informant interviews with social service administrators, and two focus groups with 12 food pantry staff and social service providers in New York City (NYC). Applying a precarity framework, we identified three themes: (1) unaffordability of living expenses in NYC; (2) financial hardships during the COVID-19 pandemic; and (3) institutional and technological barriers to food access. We identified the following subthemes under theme one: rising food costs and high cost of living. Under theme two, we identified four subthemes: (a) large household size driving poverty for Bronx families; (b) vulnerabilities to food insecurity among older adults; (c) budgeting for reduced incomes during the COVID-19 pandemic; and (d) managing unstable employment. Under the third theme, we identified three subthemes: (a) lack of access to healthy, culturally appropriate foods; (b) need for wider service availability; (c) and not having smartphones for telehealth. Study findings demonstrate how precarity impacts the lived experiences of food insecurity and financial hardship for residents of the South Bronx during the COVID-19 pandemic.

Predictors of adolescent childbearing among Ethiopian women with spatial effect adjustment

BackgroundChildbearing under the age of 20 is referred to as teenage childbearing. Compared to high-income countries, it is significantly higher in low-income countries. Adolescent childbearing is influenced by a number of variables, including economic, demographic, and social factors, and these vary geographically. Thus, this study aimed to determine the predictors of adolescent childbearing among Ethiopian women with spatial effect adjustment.MethodsA total weighted sample of 4712 women aged 15 to 49 were included. The data were obtained from the 2019 Ethiopia Demographic and Health Survey. A generalized Geoadditive model which accounts for spatial effect and the non-linear effect of continuous variables was adopted to determine the associated factors of adolescent childbearing among Ethiopian women.ResultsThe spatial pattern of adolescent childbearing was non-random in Ethiopia with Moran’s index statistics 1.731999 (P-value < 0.001). Based on the evidence of spatial variation in a model, the highest risk of adolescent childbearing was observed in Jijiga, Shinilie, Welwel and Walder, Afar (Zone1 and Zone 5), Assosa, Metekel, and Gambela (Zone1). We also noted that women not intending to use a contraceptive method, Muslim religion, living in a rural area, and large household family size were significantly associated with a high risk of adolescent childbearing. Furthermore, our model results also confirmed that higher educational levels, older household age, and good economic status significantly reduced the risk of adolescent childbearing.ConclusionsThis study revealed that adolescent childbearing distribution was significantly clustered in the Eastern and Southwestern parts of Ethiopia. Intervention programs aimed at the prevention of early marriage and raising awareness of sexual activity are essential to reducing adolescent childbearing.

Age at marriage and its determinants in Kerala and Bihar

BackgroundMarriage is a significant milestone in one’s life, and the age at which individuals choose to get married can have various implications. By examining the age at marriage and its determinants in different regions, such as Kerala and Bihar, we can gain insights into Socio-demographic factors that influence this decision.MethodsThe National Family Health Survey (2019–2021) data was used. A total of 41,392 ever married women from Kerala (8, 579) and Bihar (32,813) were analysed using bivariate and multiple binary logistic regression approaches to meet the study aim.ResultThe significant association was found between explanatory factors and age at first marriage in Karala and Bihar. In Bihar, educated women from the poorest families had a higher rate of early marriages. Conversely, in Kerala, uneducated women from non-majority religions and larger households (more than 6 members) were more likely to be married before18. After accounting major effects of background characteristics, the adjusted odds ratio showed that In Kerala Muslim religion women have significantly higher odds of getting married before 18 (OR: 3.09, CI 2.67–3.57) then the Hindu women whereas in Bihar Muslim religion women has the significantly lower chance of getting married before turning 18 (OR: 0.87, CI 0.81–0.93) compared to Hindu. In both the states Kerala and Bihar General social group women had the significantly lower odds of getting married below 18 (OR: 0.73, CI 0.57–0.93 and OR: 0.88, CI 0.81–0.96) with respect to SC/ST social group women’s.ConclusionWomen in Bihar usually marry in younger age due to socioeconomic and traditional reasons, whereas in Kerala reverse is true, because of a greater emphasis on education and a more progressive social outlook. These regional variations reflect different cultural norms and socioeconomic environments, shape different marriage age patterns between the two regions.

Drought risk assessment based on hazard, vulnerability, and coping capacity concepts for hot and dry climate regions of Iran

Due to the complex and multi-dimensional nature of droughts, it is not possible to assess drought-induced damage and its consequences for various social, economic, and environmental aspects of societies by relying only on a univariate index such as precipitation-based drought indices. The present study aimed to develop a practical and scientific framework based on hazard, vulnerability (social, economic, and environmental), and coping capacity to generate a drought risk map for the hot and dry climate regions of Iran. Accordingly, the Drought Hazard Index (DHI), Drought Vulnerability Index (DVI), and Drought Coping Capacity Index (DCCI) were derived from “the Standardized Precipitation Evapotranspiration Index (SPEI)”, “16 social, economic and environmental variables” and “three social, economic variables”, respectively. The layers of all variables of the three indices in the GIS were provided, and they were combined in the form of an equation to produce a drought hazard map of central and southeastern Iran. The results indicate that the counties most and least vulnerable to drought were located in the southeast and west of the case study area, respectively. A number of large households, long distances from provincial centers, and soil erosion were the most important social, economic, and environmental factors making the southeast of the case study (including south of Sistan and Baluchestan and south of Kerman provinces) most vulnerable to drought. Due to their high drought coping capacity, counties located in the west of the case study (west of Kerman and south of Yazd provinces) were least vulnerable to drought. Extended support for low-income households by charitable organizations, tertiary education, and most importantly, a variety of jobs and career opportunities were the most important factors in reducing vulnerability in this part of Iran. Furthermore, our methodology by taking social, economic, and environmental dimensions into account as risk, vulnerability, and coping capacity indices can be far more efficient than the methods considering only risk and vulnerability factors.

Social determinants of breast cancer screening: a multilevel analysis of proximal and distal factors related to the practice of mammography.

Mammography is crucial for early breast cancer detection. In Latin America, Argentina faces a significant breast cancer burden, with varying mammography rates. The social factors influencing mammography practices remain unclear. This study aimed to identify the proximal and distal social determinants of this practice among Argentinean women using a multilevel approach. This nationwide cross-sectional study included 4,924 women aged 50-70 participating in the 2018 National Risk Factor Survey of Argentina. Two-level logistic models were used to estimate measures of association (ORs) between timely mammography practice (within the last 2 years) and selected covariates (sociodemographics, proximal environment, and distal-level variables). The intraclass correlation coefficient (ICC) and proportional change in variance (PCV) were calculated. 62.8% of women underwent timely mammography. Age (OR=0.96; 95%CI 0.94-0.97), health insurance (OR=2.22; 95%CI 1.87-2.63), education (OR=2.1; 95%CI 1.74-2.64), and income (OR=1.56; 95%CI 1.23-1.97) were associated with mammography practice. Women in non-marital (OR=0.61; 95%CI 0.52-0.72) or larger households (OR=0.61; 95%CI 0.51-0.63) were less likely to have timely mammograph; living in a larger city was positively associated (OR=1.28; 95%CI 1.12-1.46). Women in provinces with higher physician density (OR=1.06; 95%CI 1.01-1.11) and lower maternal mortality ratio (OR=0.9; 95%CI 0.87-0.96) had higher chances of timely mammography. The ICC and PCV suggested that the explored healthcare indicators largely explained the macro-contextual effect. Multilevel factors influenced mammography practices in Argentina. The results highlight disparities linked to sociodemographic characteristics and healthcare resources. Efforts to address social inequalities in breast cancer screening must consider multilevel determinants, including in healthcare settings.

The association of combinations of social factors and SARs-CoV-2 infection: A retrospective population-based cohort study in Ontario, 2020–2021

ObjectiveThe COVID-19 pandemic highlighted and exacerbated health inequities worldwide. While several studies have examined the impact of individual social factors on COVID infection, our objective was to examine how interactions of social factors were associated with the risk of testing positive for SARS-CoV-2 during the first two years of the pandemic. Study design and settingWe conducted an observational cohort study using linked health administrative data for Ontarians tested for SARS-CoV-2 between January 1st, 2020, and December 31st, 2021. We constructed multivariable models to examine the association between SARS-CoV-2 positivity and key variables including immigration status (immigrants vs. other Ontarians), and neighbourhood variables for household size, income, essential worker status, and visible minority status. We report main and interaction effects using odds ratios and predicted probabilities, with age and sex controlled in all models. ResultsOf 6,575,523 Ontarians in the cohort, 88.5 % tested negative, and 11.5 % tested positive for SARS-CoV-2. In all models, immigrants and those living in neighbourhoods with large average household sizes had greater odds of testing positive for SARS-CoV-2. The strength of these associations increased with increasing levels of neighbourhood marginalization for income, essential worker proportion and visible minority proportion. We observed little change in the probability of testing positive across neighbourhood income quintiles among other Ontarians who live in neighbourhoods with smaller households, but a large change in probability among other Ontarians who live in neighbourhoods with larger households. ConclusionOur study found that SARS-CoV-2 positivity was greater among people with certain combinations of social factors, but in all cases the probability of testing positive was consistently greater for immigrants than for other Ontarians. Examining interactions of social factors can provide a more nuanced and more comprehensive understanding of health inequity than examining factors separately.

Understanding Perceptions and Experiences on Acceptability of Oral Ivermectin, Topical Permethrin, and their Combination in the Treatment of Adult Filipino Patients with Scabies: A Multiple Case Study.

Oral ivermectin, a broad-spectrum anti-parasitic drug, alone or in combination with permethrin, may be a cheaper and more convenient alternative drug to topical permethrin alone in the treatment of classic scabies. There are no previous studies on the treatment acceptability of the three interventions among individual patients with scabies in the Philippines.The purpose of this study was to understand the experiences and perceptions on treatment acceptability for oral ivermectin, topical permethrin or combination treatment among patients with scabies using the multiple-case study approach. We conducted a qualitative multiple case study among adult Filipino patients with classic scabies who were prescribed oral ivermectin, topical permethrin or its combination at a government tertiary hospital dermatology outpatient clinic from December 2022 to September 2023. Semi-structured interviews were used as the primary source of data and analyzed together with chart reviews, Dermatology Life Quality Index (DLQI) scores, and clinical images. Interviews were transcribed, coded, and triangulated with other secondary data. A three-person research team employed a reflexive and iterative process of familiarization, coding, and thematic analysis using a modified Theoretical Framework of Acceptability (TFA) to generate case descriptions, within-case analyses, and cross-case syntheses. The acceptability of scabies treatments (permethrin, ivermectin, and combination therapy) was generally positive. Permethrin, used in three patient cases, was generally perceived as effective but itch relief varied. The burden of whole-body application of permethrin was context-dependent, influenced by living arrangements and family support. Perceived affordability of permethrin was linked to socioeconomic status. Ivermectin, used by one patient case, was perceived as highly effective with no side effects. Its single dose use did not interfere with patient routine. Combination therapy was also considered effective but potential antagonistic effects and the cost of adding permethrin made it less preferred. Reluctance in taking oral pills was noted. All patients valued medical advice and deferred to their physicians for treatment decisions. All three treatment options were considered effective and safe. Patients generally preferred permethrin over oral ivermectin due to its topical nature and perceived lower side effects. However, affordability and logistical challenges, especially for large households and low-income families, were noted with permethrin. Oral ivermectin elicited hesitation due to its controversial role in COVID-19 and veterinary use. Concerns about added costs and potential antagonism in combination therapy were raised. Despite these considerations, patients ultimately relied on physicians for treatment decisions. This study underscores the importance of understanding patient perspectives, experiences, and the patient-physician relationship in choosing scabies interventions. Addressing patient concerns, providing education, and ensuring ease of use and affordability can enhance treatment acceptability and adherence for better outcomes.

Appliance utility in low-income housing: On the relation between socio-economic characteristics, thermal comfort and appliance usage pattern

This study examines the effect of behavioural aspects, dwelling characteristics, and socio-economic drivers, particularly cooling appliance usage patterns, on perceived thermal comfort and further estimates the utility of using different household appliances within low-income archetypes of Mumbai, India. Field-survey-derived 625 samples were drawn from slums and rehab housing and empirically examined using the Ordinal Logistic Regression and Fractional Multinomial Logit models. The results reveal a significant influence of household income and occupant behaviour on thermal satisfaction. Income is a significant barrier to the adoption and usage of thermal appliances. Residents in social housing drive higher utility from operating refrigerators and TVs than washing machines. Low-income quartiles, however, reveal a higher utility from using iron. A positive correlation exists between the proportion of working individuals and appliance usage like washing machine, refrigerator and iron. Surprisingly, larger households are less likely to use exhaust. Considerable heterogeneity thus exists in thermal comfort and appliance usage behaviour and derived energy services in the studied area. This research sheds light on the critical role of income and socio-cultural factors in shaping thermal comfort perceptions and appliance usage patterns. The findings have implications for policy interventions aimed at improving energy efficiency, indoor comfort, and access to essential appliances in low-income communities of developing nations.

Barriers to Clean and Safe Water Access in Juba: AA-QQ-RD Framework on SDG 6 in South Sudan

Juba, the capital city of South Sudan while, presenting a unique case as a rapidly growing city in a post-conflict country, its water infrastructure has been severely affected by decades of conflict, leaving it inadequate and underdeveloped. This study was conducted with the main objective of establishing factors causing the inadequacy of clean and safe water among households in Juba City. This study employed a proposed AA-QQ-RD (Availability, Affordability, Quality, Quantity, Reliability, and Distance) framework. The research employed a qualitative methodology, gathering data through in-depth interviews, Focus Group Discussions (FGDs), and Key Informant Interviews (KIIs) with household heads, government officials, and community leaders. The findings reveal significant challenges across all components of the AA-QQ-RD model. Availability of water is severely impacted by poor infrastructure which collectively disrupt water distribution while affordability issues arise from the high cost of water. In addition, water quality is compromised at multiple stages posing serious health risks while quantity of water is insufficient, particularly in larger households and densely populated areas. Further, reliability is undermined by irregular water supply and frequent service interruptions whereas distance to the nearest water points is a significant barrier with many residents traveling long distances to fetch water. These findings underscore the need for comprehensive infrastructural improvements, effective regulatory frameworks, and community-driven initiatives to address these barriers. The study's implications for Sustainable Development Goal 6 (SDG 6) highlight the critical need for coordinated efforts to ensure the availability and sustainable management of water and sanitation for all.

Knowledge, Attitude, and Practices of Food Hygiene among Mothers from Rural Communities in Malawi

This study assessed knowledge, attitudes, and practices related to food hygiene among mothers from Malawi’s rural communities against the WHO Five Keys to Safer Food (WHO-FKSF) and good pre-and post-harvest practices (GPPHPs) as reference points. Five hundred twenty-two mothers from six rural communities across two districts were selected for the survey. The results indicated limited knowledge among participating mothers regarding managing food hazards, including mycotoxins, bacteria, viruses, and parasites (BVPs). A significant proportion (89.5%) of women reported inconsistent or no handwashing with soap after using the toilet. In addition, 48.7% failed to plant with the first good rains, 38.7% neglected to check for moldy cobs during harvesting, 57.4% dried maize on bare soil, and 99.2% bought maize with noticeable mold. Higher education, knowledge, and positive attitudes were associated with enhanced BVP control practices, while larger households and positive attitudes were linked to improved mold/mycotoxin management (p &lt; 0.05). Mothers showed lower (p &lt; 0.05) knowledge and attitude levels regarding molds than BVPs but demonstrated relatively better practices for mold control. A comprehensive education program based on the WHO Five Keys to Safer Foods, tailored to local socio-cultural norms and incorporating mold and mycotoxin management guidelines, is recommended.

Inequalities in global residential cooling energy use to 2050

Intersecting socio-demographic transformations and warming climates portend increasing worldwide heat exposures and health sequelae. Cooling adaptation via air conditioning (AC) is effective, but energy-intensive and constrained by household-level differences in income and adaptive capacity. Using statistical models trained on a large multi-country household survey dataset (n = 673,215), we project AC adoption and energy use to mid-century at fine spatial resolution worldwide. Globally, the share of households with residential AC could grow from 27% to 41% (range of scenarios assessed: 33-48%), implying up to a doubling of residential cooling electricity consumption, from 1220 to 1940 (scenarios range: 1590-2377) terawatt-hours yr.−1, emitting between 590 and 1,365 million tons of carbon dioxide equivalent (MtCO2e). AC access and utilization will remain highly unequal within and across countries and income groups, with significant regressive impacts. Up to 4 billion people may lack air-conditioning in 2050. Our global gridded projections facilitate incorporation of AC’s vulnerability, health, and decarbonization effects into integrated assessments of climate change.

Livelihood diversification and household economic well-being in rural Sagar, Madhya Pradesh, India

ABSTRACT This study attempted to measure the impact of livelihood diversification on household economic well-being and to examine the socioeconomic determinants of various livelihood strategies. The study utilised primary data collected through a structured interview schedule as well as key informant interviews (KIIs) and focused group discussions (FGDs). Stepwise linear regression was used to find the contribution of livelihood strategies in household economic well-being, while logistic regression was applied to examine the determinants of livelihood diversification. The study concluded that diversification towards sectors with high returns was the most instrumental in enhancing household economic well-being. The other social group, large, highly educated, and landless households were more likely to adopt sectors with high returns. Women’s participation in the labour force was positively associated with household economic well-being. This study highlighted the need for immediate policy interventions by filling educational gaps and equalising economic opportunities in rural areas in Madhya Pradesh.