Male Citizens Research Articles

On Social Media Photography

This article looks at the photography of Kris Graves and the circulation of the artist’s images on his social media accounts as a way of promoting social progress and racial justice, with a focus on his 2016 A Bleak Reality photoseries for Vanity Fair. The series consists of eight images that address the haunting specters of police brutality against eight African American male citizens who lost their lives at the hands of the state. Looking at Instagram, I posit a threefold claim about the social media photograph. First, I argue against the association of the social photo with the everyday. I examine a photoseries that initially participated in an economy of art but then migrated across a network of social relations in order to enhance its visibility—its dissemination ushering in the social life of the photograph that undergirds Black Lives Matter. Second, I suggest that the affective residues of Instagram’s content linger in an indexical trace that transcends the transplatform network’s digitally composited, modified, duplicated, and distributed images. This dual focus illuminates how social media function, on the one hand, as a technology of race while they allow Graves, on the other hand, to document instances of police brutality against African Americans. Third, in so doing, this article locates A Bleak Reality within a genealogy of civic media in order to explore how the co-optation of photography’s reproductive affordances by African American photographers, artists, scholars, intellectuals, and abolitionists has allowed them to construct a counter-archive of Black cultural production around historical movements for racial justice.

Supposititious Children and Athenian Civic Identity

ABSTRACT: Supposititious children may be defined as children smuggled into households and then presented as legitimate off-spring. This article considers the sources that refer to such children in the Classical and Hellenistic periods at Athens. It explores the underlying concern of the male citizen that these children might be enrolled in the citizen population. It explains that this anxiety was tied to the possible contamination of their imagined pure bloodlines, a contamination they believed threatened the legitimate operation of the social, cultural, and political mechanisms of the city.

Monitoring Cardiovascular Disease in Métis Citizens Across Ontario, 2012-2020

BackgroundPopulation-based analyses of Métis-specific health outcomes in Canada are limited. This study aimed to address this gap and examine cardiovascular disease outcomes in citizens of the Métis Nation of Ontario (MNO) over a 9-year period. MethodsUnder a data governance and sharing agreement between the MNO and ICES, registered MNO citizens aged ≥ 20 years were linked to administrative health data in Ontario. Existing algorithms were used to determine the burden of heart failure and hypertension. In the most recent year, prevalence rates were compared for income quintiles, age, and sex. ResultsAge-adjusted prevalence rates of hypertension decreased, and age-adjusted prevalence rates of heart failure increased in MNO citizens from 2012 to 2020. A larger decrease in prevalence of hypertension was observed for female citizens, by 12% from 28.9 per 100 (confidence interval [CI]: 27.6-30.2) in 2012 to 25.4 per 100 (CI: 24.5-26.3) in 2020. As for heart failure, the age-adjusted prevalence rates for male citizens had the largest increase, by 47% from 2.6 per 100 (CI: 2.1-3.1) in 2012 to 3.8 per 100 (CI: 3.3-4.2) in 2020. Hypertension and heart failure were more prevalent in male citizens, those of advanced age, and those living in areas within the lowest income quintile. ConclusionsThis study is the first in nearly 10 years to investigate trends in cardiovascular outcomes among MNO citizens. Understanding this burden is critical to the MNO’s ability to guide program and policy planning, as well as to advocate within and beyond the health system for Métis-specific needs.

Digital competence of Vietnamese citizens: An application of digcomp framework and the role of individual factors

AbstractAssessment of digital competence for citizens could support the Education Action plan at a national level, a regional level, or even at a global level to enhance the digital skills and competence gap for work and life for digital transformation. This study applies the DigComp framework through a self-administered online survey to 723 citizens in Vietnam, using a sequential exploratory mixed methods research design. Data were analysed using factor analysis, standard descriptive statistics, and simple regression methods, followed by qualitative content analysis from interviews with ten respondents and a focus group discussion with eight stakeholders on digital competence. The results confirmed the validity of the DigComp framework for measuring the digital competence of Vietnamese citizens. Overall, the proficiency level of the 723 surveyed Vietnamese citizens falls between basic and intermediate levels, being more advanced in areas in information and data literacy and communication and collaboration, compared to digital content creation, safety, and problem solving. The results further showed that male citizens with a higher education level, working in the public sector, or living in province with high provincial digital transformation index rankings perceived themselves to be more digital competent than females with a lower educational level, working in the private sector, or living in the province with low provincial digital transformation index rankings. To improve citizens’ digital competence, training should be designed that considers not only citizens’ digital competence profiles but also their individual characteristics.

Examining the Impact of Conscript Service on the Labour Market Integration of Migrants

This research considers the role that participating in conscript service has for individuals with a migrant background in overcoming barriers to labour market integration. According to previous studies, these barriers include discrimination, previous qualifications not being recognised and a lack of language skills, networks and information. The study is based on 24 interviews conducted with individuals with a migrant background who have performed conscript service in Finland. The research takes place in the context of conscription and mandatory conscript service among male citizens. The findings indicate that conscript service may have some direct and indirect beneficial outcomes for labour market integration. Direct labour market outcomes are particularly related to qualifications acquired during service, which can be directly applied in the civilian labour market. Indirect outcomes are associated with acculturation, such as learning the language and becoming familiar with the host society’s culture and norms. Performing conscript service also facilitates the establishment of social networks, especially with native-born youngsters. Furthermore, conscript service is perceived to have the potential to elevate conscripts’ status in the eyes of potential Finnish employers. As a result, completing conscript service enhances location-specific human capital, and therefore, it can potentially improve labour market integration outcomes.

A Lung Cancer Detection with Pre-Trained CNN Models

Lung cancer is a common cancer in Malaysia, affecting the majority of male citizens. The early detection of lung cancer will decrease its death rate. The only way to detect lung cancer is with a CT scan, and it also requires the doctor to check the scan to confirm the disease. In another way, the computer's support for the detection and diagnosis tool will assist doctors in determining lung cancer more accurately and efficiently. There are three main objectives for this research work. The first target is to study state-of-the-art research work to detect and recognize lung cancer from CT scan images. Then, the article will aim to adopt pre-trained convolutional neural network models in lung cancer detection. It also evaluates the performance of convolutional models on lung cancer imagery data. Then, the pre-trained models with a few added layers and modifications to parameters such as epochs, batch size, optimizer, etc. to conduct model training in this article. After that, Python Pylidc is used in image pre-processing to filter the dataset. Overall, pre-trained models such as ResNet-50, VGG-16, Xception, and MobileNet achieve above-state-of-the-art performance in classifying lung cancer from CT scan images in the range of 78% to 86% accuracy. The best detection accuracy result is the pre-trained VGG-16 model with the addition of some fully connected layers, 16 batch sizes, and the Adam optimizer, which achieved 86.71%.

Luxury brand cars, racial profiling, and citations: Testing the social conditioning model and illusory correlation

Abstract This study considers the issue of racial profiling in traffic stop citations for young Hispanic male citizens (YHM), young Black male citizens (YBM), and young White male (YWM) citizens stopped while driving a luxury brand car in either majority white cities or majority Hispanic cities. The current study utilized two different datasets: the Illinois traffic stop data (2016–18) and the 2016 LEMAS. The authors used the social conditioning model and illusory correlation as a theoretical explanation for police officer decision-making. The current findings show evidence of racial profiling only for stops involving YHM drivers stopped in majority white cities while driving a luxury brand car for either a safety stop or an investigatory stop ending in a citation. No evidence of racial profiling was found for either YBM drivers stopped in majority white cities or for either YBM drivers or YWM drivers stopped in majority Hispanic cities.

Young Romans: Status, Dress, and Gender

The demographics of the Roman world suggest that it was a world full of children. Demographers argue that in order simply to maintain population levels in a period where life expectancy was very short by modern standards, and infant mortality high, a woman should, on average, have six children, on the assumption that not all would live to adulthood. Despite much research in the last fifty years, children still remain partly invisible in the Roman world. This is primarily because they leave little evidence produced by themselves and are seen through the prism of adult eyes. Inevitably, given the nature of the evidence, we know more about the children of the upper classes than the lower, and more about boys than girls. Looking at the clothing of children presents particular difficulties precisely because there were very few garments that were specifically made for them. A comment by a Roman jurist on the nature of clothing in testamentary bequests lists first the clothing for the paterfamilias (togas, tunics, cloaks), then defines children’s clothing as: “clothes used only for this purpose, such as togae praetextae, coats, chlamydes and cloaks which we provide for our sons” (Digest 34.2.23.2). The list for sons essentially replicated the list of their father’s garments, and this idea of the child dressed in standard adult garments sized down for them is evidenced in much of the surviving iconography. The Roman wardrobe reflected that of most pre-industrial societies, in that, for most people, possessing more than one change of clothes would be a luxury. Everyday dress consisted of a tunic, which could be covered by a cloak or mantle; this outfit was worn by everyone, wealthy or poor, free or unfree, adult or child. Ancient authors were not particularly interested in their children’s clothing practices. The one exception to this would be the laying aside of the toga praetexta (the toga of childhood) and the assumption of the toga virilis (toga of manhood) as part of the transition to adulthood for male Roman citizens. Artistic representations from the private sphere or from funerary contexts are more rewarding for examining children’s clothing. Ordinary children and images of childhood are not frequent motifs in Roman public art. It is more useful to turn to private memorials, where clothed children of different ages are depicted in a range of contexts. A child could be a symbol of status; a freeborn son, in particular, would be a prestigious addition to a family. The higher social worth of boys compared to girls had an impact on their upbringing, education, and wider life experience. Another sign of the gendered view of children is that in artistic representations, boys are more commonly depicted than girls. From the first century BC, when the habit of erecting memorials became more socially diffused, children were more often included in the visual vocabulary. At first, they are normally seen included in family groups, but by the first century AD, children became subjects in their own right: on reliefs, funerary altars, and sarcophagi. In spite of memorials being related to a deceased person or persons, children were depicted as alive and healthy, and such images constitute an important source for how Roman children of various ages and social classes would have been dressed.

Predicting vitamin D deficiency using optimized random forest classifier

Vitamin D can be acquired from various dietary sources, but exposure to sunlight's ultraviolet rays can convert a natural compound called ergosterol present in the skin into vitamin D. The current study aimed to investigate vital parameters and use an optimized random forest (OptRF) classifier to understand better and predict the effect of environmental and nutritional factors of Vitamin D deficiency. A predictive, cross-sectional, and correlational design was utilized in a study involving 350 male and female Tabuk citizens in Saudi Arabia. The Weka machine-learning tool was employed for comprehensive data analysis, with the OptRF algorithm being tailored through advanced feature selection methods and meticulous hyperparameter tuning. In addition to the OptRF classifier, a number of traditional machine learning techniques have been tested and compared on the dataset of vitamin D to analyze and build the predictive model for classifying vitamin D deficiency. In general, the OptRF-based predictive model can statistically describe data for determining significant features related to Vitamin D deficiency. OptRF demonstrated its ability to classify vitamin D deficiency cases with high accuracy 91.42%. This study showed that Tabuk citizens are at high risk of vitamin D deficiency especially among females (gender predictor) with little regard to age, income, smoking, and sun exposure. In addition, exercise, less Vitamin D intake, and less intake of Calcium are also predictors of Vitamin D deficiency. Due to the link between Vitamin D Deficiency and major chronic illnesses, it is important to emphasize the importance of identifying risk factors and screening for Vitamin D Deficiency. It may be appropriate for nutritionists, nurses, and physicians to promote community awareness about strategies to improve dietary Vitamin D intake or consider recommending supplements.

Socio-Demographic and Disability Disparities in Stroke by Citizenship Status: A Cross-Sectional Analysis.

This study aims to assess relationships between previous stroke diagnosis and demographic or disability status variables, stratified by U.S. citizenship status. The2019 and 2021 National Health Interview Survey data were analyzed for both descriptive statistics and logistic regression models. Age, sex, income level, race/ethnicity, health insurance status, and indicators of disability common after stroke were predictor variables of interest. For each disability predictor variable, higher odds of having stroke were seen regardless of citizenship status, except for the 'difficulty remembering' variable. For U.S. citizens, increasing age corresponded with higher odds of stroke diagnosis. For noncitizens, odds ratios decreased from 40.3 (95% CI 38.88-41.82) for the 40-65 age group to 29.6 (95% CI 28.38-30.77) in the 80 + group, when compared with the 18-39 age reference group. Female noncitizens had higher odds of stroke, while male citizens had higher odds. Non-Hispanic Black citizens had higher odds of stroke, while the other racial/ethnic groups had higher odds for noncitizens. The results indicated the existence of several socio-demographic disparities in stroke. Notably, noncitizens experienced stroke at a younger age and reported more severe disability outcomes after stroke diagnosis than citizens.

Profiling European citizen scientist: Evidence from Poland

This article investigates the profile of citizen scientists in Poland who actively participated in a project to inform the Polish government's strategic objectives for 2050. While citizen science, involving public collaboration in scientific research, has been extensively studied in various countries, a notable gap exists in understanding the characteristics of citizen scientists in Poland. Employing a methodology that integrates both qualitative and quantitative approaches, the study utilises a collaborative survey and online deliberations to gain insights into the profiles of Polish citizen scientists. The article's primary focus is on delineating the demographics of Polish citizen scientists and comparing them to the characteristics of their peers’ established profiles in other European countries. Intriguingly, our analysis reveals that the environment and green transition theme predominantly attracted male citizen scientists, deviating from prevailing literature that typically associates environmental citizen science with higher female involvement. Additionally, the key findings suggest a portrait of Polish citizen scientists as an older, educated cohort with a discernible concern for societal issues. The article emphasises the importance of these insights for shaping the landscape of citizen science in Poland and provides guidance for similar future initiatives.

Is it Black and White? Testing racial framing effects of public reactions to newspaper vignettes of fatal officer-involved shootings

Abstract Objectives To investigate how race shapes public perceptions of a fatal officer-involved shooting of an armed male citizen depicted in a scenario without racial identifiers, intraracial, and interracial. Methods We distributed an online survey whereby respondents indicated justification, measured by four questions about the fatal officer-involved shooting, after being randomly assigned to three conditions that differed by the racial composition of the officer and armed male citizen. The control condition omitted racial identifiers, and two conditions depicted an interracial and intraracial deadly encounter between a White officer and a White or Black citizen. Results White and non-White respondents similarly perceived the intraracial shooting, but White respondents perceived the control condition and the interracial shooting as more justified than non-White respondents. Conclusions An identical news article of a fatal officer-involved shooting can be perceived differently when altering the race of the officer and armed male citizen.

Evaluation of Orthopaedics and Traumatology Patients Referred From a Tertiary Hospital.

Background This study aims to determine the rate of interhospital transfer, transfer diagnoses, where they were referred, and the reasons for the transfer of patients who presented to the emergency department and requested orthopaedic and traumatology consultationsand to evaluate measures that may be effective in reducing the number of referrals for a more effective health service provision as a result of this information. Material and methods In this descriptive study, 59 patients were transferred to the emergency department of our hospital between January 1, 2019, and January 1, 2022, for whom orthopaedic and traumatology consultations were requested and for whom the orthopaedic physician requested transfer (training and research hospitals, university hospitals and private hospitals), and they were retrospectively evaluated. Results The ages of the study participants ranged from 1 to 91 years, with a mean age of 39.8 ± 20.9 years. Therefore, the majority of referred patients were male and Turkish citizens aged 18-65 years; there were no forensic cases; they were evaluated in the yellow area as a result of triage; and most of the transfers were from training and research hospitals and university hospitals, which are tertiary health institutions. On categorising patients based on their transfer diagnoses, it was found that patients with subtotal amputation of the finger were the most common among the referred patients. Conclusion To reduce the number of referrals, it is recommended to increase the standards in assistant training, especially in pelvis, acetabulum, and hand surgeries. It is also recommended to optimise material supply and skilled labour distribution.

Assessment of calcium intake and recognition of calcium-rich food sources among the Saudi population.

Calcium is an essential mineral and one of the most prevalent in the body. Chronic insufficient calcium intake increases the risk of osteopenia, osteoporosis, and bone fracture. This study aimed to assess the Saudi population's calcium intake and knowledge of calcium sources as well as to identify factors associated with inadequate calcium intake. This cross-sectional study was conducted across Saudi Arabia using an online questionnaire distributed randomly through social media channels. The questionnaire was a validated tool that was previously developed and used by the original author to assess knowledge of calcium food sources and estimate calcium intake in the Saudi population. If an individual answered more than 11 questions correctly, calcium knowledge was considered adequate. Calcium intake was considered sufficient or insufficient based on the recommended dietary allowance (RDA) of 1000 mg/day. The survey included male and female Saudi citizens and residents aged 14 years or older. A total of 950 respondents aged 9-70 completed the questionnaire. A total of 62.9% of the respondents were 26-50 years old. Of the participants, 64.2% were female, 71.7% were married, and 61.9% had a diploma or a bachelor's degree. Of these, 63.8% were from the central region, and 97.6% were from Saudi Arabia. For those aged 9-18, the average calcium consumption was 577 mg/day, whereas it was 479 mg/day for those aged 19-50. The average intake was 479 mg/day for males aged 51-70 (EAR = 1000 mg/day) and 438 mg/day for females (EAR = 1200 mg/day). These calcium consumption values were significantly lower than the estimated average requirement (EAR) and RDA (p < 0.01). Correct response rates for the 19 calcium intake knowledge items ranged from 23.4 to 94.7%. Among the participants, 48.9% had significant calcium intake knowledge, as indicated by a score of > 11 out of 19 correct responses. Age, sex, marital status, educational attainment, and residence were significantly correlated with adequate knowledge of calcium. Demographic characteristics such as age, marital status, and residence were associated with sufficient calcium intake in the study. The study findings revealed that a significant proportion (51.1%) of participants demonstrated inadequate knowledge regarding calcium food sources. Additionally, the mean calcium intake was found to be lower than the RDA of 1300 mg/day for males and females 14-18 years old and 1000 mg/day for males and females 19-50 years old and males 51-70 years old; however, the RDA for females 51-70 years old is 1200 mg/day, suggesting an urgent need for interventions aimed at enhancing both calcium knowledge and intake.

Regional Health Coordination: An evaluation of the first pilot training program in Lower Austria

Abstract Background Starting from 2018, the University of Krems and ‘Tut gut!’ Gesundheitsvorsorge GmbH have jointly implemented the two-year academic program ‘Regional Health Coordination’, which trains students to become a Regional Health Coordinator (RHC). It is funded by the Lower Austrian Health and Social Fund. We evaluated the pilot-program and the work of the RHC in the first two years after graduation. The objectives of the evaluation were to provide 1) a basis for further development of the academic program and 2) an assessment of the achievement of the program objectives. Methods The evaluation ran from 2018 to 2022 and followed a mixed-methods approach. Qualitative interviews and focus groups with stakeholders, document analyses of annual RHC activity reports and repeated written community surveys in 13 municipalities were conducted. Results The evaluation showed that RHCs already bundled health promotion (HP) activities and worked on their HP network within the municipalities during the practical training period. HP was given a higher priority in some municipal administrations. The pilot program was consistently rated positively, and the curriculum was optimized. In the first two years after graduation, the RHCs developed and implemented HP measures and endeavoured to engage citizens. However, genuine involvement was rare. The results showed that future HP interventions should especially target older people, less educated and male citizens. RHCs were seldomly involved in health policy decisions, although they often worked with mayors. Personal characteristics, an existing network in the community and support from the local government were success factors for the work of the RHCs. Conclusions RHCs play an important role in the coordination of community HP but should be stronger included in local policy decision-making. Citizens should be more involved in planning and implementing HP measures. Key messages • An academic training program for regional health coordination helped to improve community health promotion. • An existing network and the involvement in the local government facilitated the work of graduated regional health coordinators.

Does Democracy Matter for Lifespan Inequalities? Regime Type and Premature Mortality by Sex

Reductions in premature mortality are widely attributed to economic, educational, and medical factors. This study contributes to our understanding of the influence of political factors in preventing early death and gender inequalities in health outcomes. We analyze data from life tables of the World Health Organization, 2000–2015, to estimate the annual, sex-specific standard deviation of the age-at-death distribution across 162 countries. We apply dynamic panel model analyses to assess the association between political liberalization and inequalities in premature mortality. Our findings show reduced inequalities in premature mortality in liberal democracies, with men benefiting disproportionately. We theorize that liberal democracy may motivate governments to respond to citizens’ desires for policies that improve health and reduce risks. As democratic liberalization increases, premature mortality falls for men, which may be accounted for in part by reduced male mortality from injuries. Reductions in premature mortality for women appear to stem primarily from improvements in maternal mortality across regime types. Our findings support the idea that democratization may provide public health benefits, especially for male citizens.

For Medicinal Purposes: Whose Advice Exerts Authority on Medical Marijuana?

Citizens are embedded in legal systems in which the authority of different experts is normally given preference over citizens' opinions about medical marijuana and other medical issues. Yet, citizens may reject expert authority if they consider themselves to be competent based on their knowledge or social position. Thus, we are led to ask: In the context of direct democracy, what forms of expert authority—if any—does a historically privileged subset of citizens recognize when reasoning about medical marijuana? Our analysis is based on rich‐qualitative data that analyzes how white male citizens reason about a medical marijuana ballot initiative in Arizona. By using a comprehensive content coding of citizens' arguments about the ballot initiative, we analyze how this privileged subset of citizens reasons about following or ignoring various authorities on the issue of medical marijuana. The article uses an exploratory abductive analysis of secondary semi‐structured interview data to understand citizens' reasoning on this issue and to expand theories of expert authority in direct democratic settings. We find a variety of different ways in which white male citizens accept or reject expert medical authority on medical marijuana in the context of Arizona Proposition 203 (2010).

Homeless immigrants ineligible for social welfare benefits: identification of sub-groups and their characteristics

ABSTRACT Although the number of immigrants stemming from EU countries increased within the last decade, they are widely excluded from social welfare benefits, also from the relevant support systems in case of homelessness. As a result, the daily concerns of homeless immigrants are largely unknown and studies understanding their situation are very scarce. The present study analysed data of homeless immigrants who turned to the only Upper Austrian donation-funded NGO that serves them within a period of one year. In total, 135 different persons visited this NGO and 88 persons agreed that their data can be used for further analyses. The vast majority of these 88 persons were EU citizens (97%), male (65%) and Romanian citizens (64%). They came to this NGO to ask for basic support, followed by support in finding regular work, and the storage of their personal belongings. Subgroup analyses showed that homeless immigrants are a heterogeneous group which need different services in the professional support processes of social work. Based on the empirical findings, this paper gives structured recommendations for social work practice with homeless immigrants.

Enabled Artificial Intelligence (AI) to Develop Sehhaty Wa Daghty App of Self-Management for Saudi Patients with Hypertension: A Qualitative Study

(1) Background: The prevalence of uncontrolled hypertension is rising all across the world, making it a concern for public health. The usage of mobile health applications has resulted in a number of positive outcomes for the management and control of hypertension. (2) Objective: The study’s primary goal is to explain the steps to create a hypertension application (app) that considers cultural and social standards in Saudi Arabia, motivational features, and the needs of male and female Saudi citizens. (3) Methods: This study reports the emerged features and content needed to be adapted or developed in health apps for hypertension patients during an interactive qualitative analysis focus group activity with (n = 5) experts from the Saudi Ministry of Health. A gap analysis was conducted to develop an app based on a deep understanding of user needs with a patient-centred approach. (4) Results: Based on the participant’s reviews in this study, the app was easy to use and can help Saudi patients to control their hypertension, the design was interactive, motivational features are user-friendly, and there is a need to consider other platforms such as Android and Blackberry in a future version. (5) Conclusions: Mobile health apps can help Saudis change their unhealthy lifestyles. Target users, usability, motivational features, and social and cultural standards must be considered to meet the app’s aim.

Urolithiasis Symptoms and Risk Factors Among the General Population of Alahsa, Saudi Arabia.

This study aims to assess the awareness and attitudes about urolithiasis among the general population of Alahsa, Saudi Arabia. A cross-sectional study was conducted in September 2022 in Alahsa, Saudi Arabia, using a validated questionnaire that was distributed to the general population. Inclusion criteria include male and female citizens of Saudi Arabia who were living in Alahsa, older than 18 years old, and willing to participate in the study. Exclusion criteria include non-Saudi citizens or Saudi citizens who did not live in Alahsa. Data were analyzed using SPSS Statistics. The results showed there were 1023 participants. The results showed the awareness level of symptoms associated with kidney stones at 29%, complications at 34%, diagnosis at 51%, and treatment at 16%. The results showed there was a significant association between a history of kidney stones and having no complications (p-value = 0.002) or inflammation (p-value = 0.009). However, there was no significant association between kidney stone symptoms and the participants' comorbidities. According to our findings,there was a low level of knowledge about the condition and the methods to prevent it, like dietary and lifestyle modifications. Regardless of the low level of general knowledge, there was some awareness of urolithiasis in some elements. Therefore, it is advised to increase health awareness campaigns.