Segment Of Population Research Articles

Prevalence and predictors of misperceptions of 'better-for-you' alcohol products among Australian adult drinkers.

This study investigated the prevalence and predictors of misperceptions about the healthiness of alcohol products carrying common health-oriented marketing cues and the relative importance of the type (versus amount) of alcohol consumed in contributing to health risks. Data were from a 2022 cross-sectional national population survey. Australian adults (18-65 years) who consumed alcohol in the past year (n = 1960) reported their agreement with statements that a selection of health-oriented marketing cues meant an alcohol product was 'better for you' and rated the importance of the type and amount of alcohol consumed in causing health risks. The majority of participants misperceived the type of alcohol to be at least as important as the amount in causing health risks (61%) and misperceived at least one health-oriented marketing cue as meaning a product was 'better for you' (75%). Misperceptions about low sugar, calorie and carbohydrate; and preservative-free claims (46-56%) were most common. Misperceptions about natural, organic, vegan, low sugar, low calorie, gluten-free and seltzer cues were less prevalent among older (45-65 years) than young adults (18-24 years, PR = 0.27-0.86). A lower proportion of women (compared to men) held misperceptions about vegan (PR = 0.66) and gluten-free claims (PR = 0.78), but a higher proportion held misperceptions about low sugar claims (PR = 1.13). There were also variations by socioeconomic status, alcohol consumption, education and regional/metropolitan location. Misperceptions about health-oriented marketing of alcohol are widespread. Further regulation of permissible alcohol marketing content is needed, but until then, differences in misperceptions between population segments may inform targeted health promotion efforts.

Healthy ageing in long-term care? Lessons learned from the COVID-19 pandemic: a position paper.

This position paper focuses on healthy ageing for the frailest and institutionalized older adults in the context of the recent pandemic. The paper aims to identify and discuss hindering and promoting factors for healthy ageing in this context, taking both health safety and a meaningful social life into account, in a pandemic situation and beyond. The recent COVID-19 pandemic has highlighted the vulnerability of frail older adults residing in long-term care institutions. This is a segment of the older population that does not seem to align well with the recent policy trend of healthy and active ageing. The need for healthy ageing in this population has been voiced by professionals and interest organizations alike, alluding to inadequate support systems during the pandemic, conditioned by both previous and newly emerging contextual factors. Supporting healthy ageing in older adults in nursing homes and other residential care settings calls for attending to meaningful social life as well as to disease control. Findings and early conclusions leading up to the position paper were presented with peer discussions involving healthcare professionals and researchers at two joint EFPC PRIMORE workshops 2021 and 2022, as well as other international research seminars on long-term care. The following aspects of long-term care and COVID-19 were systematically discussed in those events, with reference to relevant research literature: 1. Long-term care policies, 2. pre-COVID state of long-term care facilities and vulnerability to the pandemic, 3. factors influencing the extent of spread of infection in long-term care facilities, and 4. the challenge of balancing between strict measures for infection control and maintaining a meaningful social life for residents and their significant others. A policy shift towards ageing at home and supporting the healthiest of older adults seems to have had unwarranted effects both for frail older adults, their significant others, and professional care staff attending to their needs. Resulting insufficient investment in primary health care staff and in the built environment for frail older adults in nursing homes were detrimental both for the older adults living in nursing homes, their significant others, and staff. More investment in staff and in physical surroundings might improve the quality of care and the social life of older adults in nursing homes in a non-pandemic situation and be a resource for primary health care staff ensuring both protection from health hazards and a meaningful social life for frail older adults in a pandemic or epidemic situation. As for investing in the physical surroundings, smaller nursing homes are advantageous, with singular resident rooms and for developing out-and indoor spaces for socializing and for meeting with families and other visitors. Regarding investment in staff, there is a documented need for educated staff in full-time positions. Use of part-time or temporary staff should be limited.

Assessment of Frailty Scores Among Geriatric Patients Hospitalized in the North-Western Region of Romania: A Cross-Sectional Study

Background and Objectives: The global demographic trend of population aging is evident across all regions, with a notable increase in the proportion of elderly individuals. Romania exemplifies this phenomenon, as 17% of its population is currently aged 65 years or older—a figure projected to rise to 25% by 2050. This demographic shift underscores the pressing need for comprehensive measures to address the health and social requirements of this growing population segment. This study aims to assess the prevalence of frailty among older adults in Romania and explore its relationship with socioeconomic factors. Materials and Methods: We employed a quantitative approach, by using cross-sectional data from patients hospitalized at the geriatrics ward of the Municipal Clinical Hospital in Cluj-Napoca, Romania. Frailty scores were calculated through established frailty assessment tools, allowing for a comprehensive evaluation of frailty status. In addition, we compared the socioeconomic characteristics of frail and non-frail patients to identify potential disparities. Statistical analyses were performed to assess associations between frailty and socioeconomic factors, providing insight into the relationship between these variables within the patient population. Results: The prevalence of frailty in our sample is, depending on the frailty scale used, 55% to 79%, which is in line with figures from specialized geriatric wards in other studies. There is moderate to substantial agreement between the scales we compared, and all six scales seem to concurrently agree on the frailty diagnostic in 55% of cases. Additionally, frail patients are more likely to have a low socioeconomic status. Conclusions: A significant limitation in European frailty research has been the absence of comparative frailty prevalence data across several European countries, especially those with lower economic development. Our study fills this gap by providing data on frailty prevalence in the north-western region of Romania.

Global trends in sports programs to improve family health and resilience: a systematic review as an effort to achieve well-being

Lack of physical activity in daily life can lead to serious health problems, such as obesity, heart disease, and mental health disorders that negatively impact family resilience. Therefore, exercise is important to improve the health of family members, reduce the risk of disease, and strengthen social relationships, all of which contribute to better family resilience and well-being. Given the importance of exercise for health, this study focuses on How exercise programs can holistically improve family health and well-being. This study explored the relationship between exercise programs and their impact on family health, resilience, and well-being. The method used is a systematic literature review (SLR), which includes the selection of literature from various academic databases, Scopus, PubMed, Semantic Scholar, and Google Scholar, by setting clear inclusion and exclusion criteria to ensure the relevance and quality of the research and obtaining data that is worthy of being analysed as many as 23 scientific articles. Data analysis using the help of biblioshiny and NVivo. The results of this review indicate that participation in exercise programs improves individuals' physical and mental health and strengthens emotional and social relationships within the family, resulting in stronger bonds between family members. These findings highlight the importance of policies supporting family participation in physical activity and developing inclusive and flexible sports programs to address the challenges families face. Recommendations for future research include exploring the accessibility of sports programs for all population segments and paying attention to the potential negative impacts of involvement in organized sports. This study provides valuable insights into the vital role of sport in creating healthy and resilient families in a changing era.

The Role of Individual and Environmental Socio-Economic Resources for Cognitive Change in Very Old Age

ObjectivesVery old adults aged 80+ years old belong to the fastest growing population segment in many countries. Nevertheless, this age group is often underrepresented in studies of cognitive aging. The goal of this study was to examine individual and environmental socio-economic resources as correlates of cognitive aging in very old age. MethodWe used two waves of data from 2017-2018 and 2019-2021 as part of NRW80+, a survey of a population-based sample of very old individuals who are registered with their main residence in North-Rhine Westphalia, the most populous federal state in Germany. The analyses are based on data from 797 participants, who provided data on at least one cognitive test at both waves. Individual socio-economic resources included education, income, wealth, and occupational prestige. Environmental factors were assessed at the municipality level, including population density, unemployment, (public) transportation, broadband availability, healthcare, and libraries. Control variables included age, sex, marital/partner status, living alone, and living in a nursing care institution. Data were analyzed with latent difference score models. ResultsEducation and wealth were independently associated with better cognitive function at baseline. None of the individual socio-economic variables was significantly related to change in cognitive function. Beyond these individual characteristics and control variables, higher population density and higher broadband availability, but also higher unemployment rate were associated with better baseline cognitive function. Greater distance to highways, but also fewer hospital beds and a higher number of residents per medical doctor were associated with less decline. DiscussionOur findings suggest that individual socio-economic resources continue to be associated with better cognitive function in very old age, but are unrelated to short-term cognitive decline. In addition, there is some evidence for associations of baseline cognitive function and cognitive change with environmental factors over and above individual resources. Implications for future research are discussed.

Treatment-related characteristics of communities in districts characterized by persistent trachoma: an exploratory descriptive study

Abstract Background Despite the implementation of surgery, antibiotics mass administration, facial cleanliness and environmental improvement, commonly known as the SAFE strategy for several years, the persistence and recrudescence of trachoma is a prevailing challenge in Ethiopia. This study explores the treatment-related characteristics of communities within districts characterized by persistent trachoma in southern Ethiopia. Methods Nyangatom and Uba Debretsehay districts are predominantly inhabited by pastoralist and farming communities, respectively. A community-based, exploratory descriptive qualitative study was conducted from June to October 2023. A total of 11 key informant interviews and six focus group discussions were conducted. The interviews and discussions were digitally recorded, transcribed and thematically analysed using Atlas ti. 23. Results Districts characterized by persistent trachoma are characterized by segments of populations that have never been treated or suboptimally treated. This is due to the competing priorities faced by providers, the nature of campaigns and the limited ability of logistics to reach the ‘must reach’ population. Other barriers include limited social support and terrain hindering full geographical and population coverage. Treatment slippage is of particular concern because of treatment fatigue, misinformation and the unavailability of treatments for routine care. Conclusions Communities in districts characterized by persistent and recrudescent trachoma face various socioecological barriers that impact the outcome of SAFE strategy implementation. A mix of both random and systematic omissions of people who need treatment most, such as children and women, was evident.

The Evolving Space of Emirati Women's Economic Participation

This conceptual paper discusses the contouring of the embryonic space in which Emirati women can enact economic agency. I examine this from three perspectives, namely, the workforce localisation policies, the government’s aspiration to establish itself as a force within the international political arena, and the country’s cultural landscape. These three factors represent the most powerful influences that determine Emirati women's experience of the workplace, and this paper explores their impact on the space that is evolving in which women can exercise their economic agency. The space available for Emirati women's economic participation is not prescribed; rather, it emerges as ever fluctuating and transforming as a consequence of the varying contextual dominance of one or other of these three potent influences. The UAE’s severe workforce imbalance, marked by 96% expatriates in the private sector and about 40% in the public sector, renders localising the workforce a key strategic objective. This fosters a route for women to find their place in the economy. The government’s goal to become a key player on the global stage and a beacon of Arab political power and diplomacy involves crafting a distinguished international image. A substantial component of achieving this goal is redressing the historic female disempowerment that is seen to characterise the region. Again, this ambition eases women's access to economic participation. The country’s cultural landscape, however, imposes certain constraints on women enacting economic agency. This landscape has altered exponentially since the affluence of the oil boom and many segments of the local population see positive aspects in Emirati women’s expanding economic capacities. Yet values which maintain that women are primarily domestic creatures survive and militate against full acceptance of women in the workforce. Additionally, this space is also keenly influenced and configured by myriad diverse collective and individual understandings of national development aspirations, cultural legacies, and new positionings of women. The contribution of this study is its analysis of how specific institutional and societal forces effect how gender can be done and undone in this geopolitical context in which women’s highly liminal economic agency is generating new conceptualisations of empowerment and freedoms.

Characterization of electronic device use among children and adolescents aged 6 to 14

Introduction: Children and adolescents use computers, cell phones, and tablets, among other electronic devices, daily in non-aca- demic activities. It is essential to characterize the impact these devices have on the socialization, interaction, and learning processes in this population segment. We should also investigate possible harmful effects that may be related to their use. The objective was to characterize how these devices are used and their impact on school performance, behavior, and physical activity in children and adolescents from 6 to 14 years of age. Materials and methods: This is a cross-sectional analytic study of 510 schoolchildren ages 6 to 9 and 10 to 14 from Bogotá and Cun- dinamarca, Colombia. They were surveyed with a 38-question survey characterizing the use of the devices and the symptoms of anxiety and depression, conflict resolution, sleep, and school performance. Results: The average age for initiation on the use of devices was four years. Cell phones were the most used in both groups (56.3% and 78.04%). Parents monitor the use of the device in 80% of cases. 40% of the time, device usage was greater than 90 minutes per day. About 16% reported sleep disturbance, frustration (48%), emotional lability (20%), and suicidal ideations (11%) also were reported. 19% did not play with their peers, and 7% did not report having close friends. Conclusions: This study shows the high exposure to electronic devices from an early age and their relation to behavioral factors. Fu- ture studies should explore the relationship between these factors and electronic devices in depth.

Exploring the barriers to the development of organizational health literacy in health institutions to meet the needs of older patients from multiple perspectives: a mixed-methods study

BackgroundThe latest evidence on health literacy in China revealed that only 8% of individuals aged 65–69 years, a segment of the geriatric population, possess adequate health literacy levels, indicating a low level in China. Studies have demonstrated that improving the organizational health literacy of healthcare institutions is a crucial approach to addressing low health literacy among older patients.ObjectiveTo explore the obstacles hindering the advancement of organizational health literacy in healthcare institutions in meeting the needs of older patients.DesignA mixed-methods approach was employed to investigate both the status and barriers to the establishment of organizational health literacy within two healthcare institutions.ParticipantsParticipants included older individuals aged over 60, clinical staff, and managerial personnel from these two health institutions.MethodsThis research utilized the social-ecological model as its theoretical foundation and utilized a mixed-methods approach to examine the current status and challenges in developing organizational health literacy within healthcare institutions. Initially, a survey using a questionnaire (n = 178) was conducted among older patients to evaluate the establishment of organizational health literacy from their perspective. Following this, interviews (n = 22) were carried out with administrators, clinical personnel, and elderly patients to identify the barriers hindering the development of organizational health literacy within healthcare institutions.ResultsQuantitative research indicates that health institutions have been less accommodating to the requirements of older patients, with health information dissemination and communication emerging as the weakest areas. Qualitative investigations revealed three key influencing factors: patient-related factors, including physiological and cognitive decline, as well as low educational attainment among older patients; organizational factors, including inadequate clinical staff numbers, deficient long-term systematic training, and a digital divide resulting from health institutions’ digital advancements; and policy-related factors indicating a lack of regulations governing the establishment of organizational health literacy within healthcare institutions.ConclusionThe two most vulnerable aspects of OHL in medical institutions regarding the needs of older patients are health information and communication. The factors influencing the construction of OHL in medical institutions are multifaceted, encompassing micro, meso, and macro levels. At the macro level, it is essential for medical institutions to enhance leadership awareness of OHL and to incorporate its development into institutional strategic plans. At the meso-level, medical institutions should be made to optimize the medical environment for elderly patients and to prioritize health literacy training for medical staff. At the micro level, attention must be given to the characteristics and needs of elderly patients. Ultimately, by implementing a comprehensive construction of intervention strategies, the response ability of medical institutions to the needs of elderly patients can be enhanced.

Multimodal AI/ML for discovering novel biomarkers and predicting disease using multi-omics profiles of patients with cardiovascular diseases

Cardiovascular diseases (CVDs) are complex, multifactorial conditions that require personalized assessment and treatment. Advancements in multi-omics technologies, namely RNA sequencing and whole-genome sequencing, have provided translational researchers with a comprehensive view of the human genome. The efficient synthesis and analysis of this data through integrated approach that characterizes genetic variants alongside expression patterns linked to emerging phenotypes, can reveal novel biomarkers and enable the segmentation of patient populations based on personalized risk factors. In this study, we present a cutting-edge methodology rooted in the integration of traditional bioinformatics, classical statistics, and multimodal machine learning techniques. Our approach has the potential to uncover the intricate mechanisms underlying CVD, enabling patient-specific risk and response profiling. We sourced transcriptomic expression data and single nucleotide polymorphisms (SNPs) from both CVD patients and healthy controls. By integrating these multi-omics datasets with clinical demographic information, we generated patient-specific profiles. Utilizing a robust feature selection approach, we identified a signature of 27 transcriptomic features and SNPs that are effective predictors of CVD. Differential expression analysis, combined with minimum redundancy maximum relevance feature selection, highlighted biomarkers that explain the disease phenotype. This approach prioritizes both biological relevance and efficiency in machine learning. We employed Combination Annotation Dependent Depletion scores and allele frequencies to identify variants with pathogenic characteristics in CVD patients. Classification models trained on this signature demonstrated high-accuracy predictions for CVD. The best performing of these models was an XGBoost classifier optimized via Bayesian hyperparameter tuning, which was able to correctly classify all patients in our test dataset. Using SHapley Additive exPlanations, we created risk assessments for patients, offering further contextualization of these predictions in a clinical setting. Across the cohort, RPL36AP37 and HBA1 were scored as the most important biomarkers for predicting CVDs. A comprehensive literature review revealed that a substantial portion of the diagnostic biomarkers identified have previously been associated with CVD. The framework we propose in this study is unbiased and generalizable to other diseases and disorders.

Estimating Demographic Parameters for Bearded Seals, Erignathus barbatus, in Alaska Using Close-Kin Mark-Recapture Methods.

Reliable estimates of population abundance and demographics are essential for managing harvested species. Ice-associated phocids, "ice seals," are a vital resource for subsistence-dependent coastal Native communities in western and northern Alaska, USA. In 2012, the Beringia distinct population segment of the bearded seal, Erignathus barbatus nauticus, was listed as "threatened" under the US Endangered Species Act requiring greater scrutiny for management assessments. We sought to estimate requisite population parameters from harvested seals by using close-kin mark-recapture (CKMR) methods, the first such application for marine mammals. Samples from 1758 bearded seals harvested by Bering, Chukchi, and Beaufort Sea communities during 1998-2020 were genotyped, genetically sexed, and aged by tooth annuli. After rigorous quality control, kin relationships were established for 1484 seals including two parent-offspring pairs (POPs) and 25 potential second-order kin pairs. Most of the second-order kin were half-sibling pairs (HSPs), but four were potential grandparent-grandchild pairs (GGPs). There were no full sibling pairs, suggesting a lack of mate fidelity. Mitochondrial DNA analysis identified 17 potential HSPs as paternally related, providing substantial evidence of persistent heterogeneity in reproductive success among adult males. The statistical CKMR model incorporates probabilities associated with POPs, HSPs, and GGPs and assumes known ages and a stable population. Our top model accommodates heterogeneity in adult male breeding success and yields an abundance estimate of ~409,000 with a coefficient of variation (CV) = 0.35, which is substantially greater than the "non-heterogeneity" model estimate of ~232,000 (CV = 0.21), an important difference for managing a harvested species. Using CKMR methods with harvested species provides estimates of abundance with the added opportunity to acquire information about adult survival, fecundity, and breeding success that could be applied to other species of concern, marine and terrestrial.

ETHICAL DILEMMAS IN MEDICAL CARE FOR WOMEN IN SITUATIONS OF SOCIAL VULNERABILITY: EXPANDING THE DEBATE ON MARGINALIZED POPULATIONS IN EDUCATION

This paper addresses reflections and discussions on the female figure in the context of social marginalization, linked to threats to human rights, with a focus on access to health care and quality longitudinal monitoring. This debate analyzes the historical process of marginalization and oppression amplified when women are inserted as street dwellers, enhancing the weaknesses of helplessness and substance abuse, thus aggravating violence and stigma. This is a narrative review of literature, of a reflective nature, associated with a report of an educational experience in the construction of a teaching methodology based on a fictitious case that triggers discussion and resolution of problems linked to human rights violations of marginalized women, in the light of philosophies of law and the study of public policies for undergraduate medical students. The development of the work shows the importance of expanding studies on this topic, focusing on historically invisible people, in a problematizing narrative, using the construction of clinical cases containing not only health needs for a resolution of medicalization, based strictly on biological diagnoses, but that challenge the reflective thinking of social medicine, directing the debate towards human rights lines, in a context of interprofessional dialogues and studies of public policies, as essential in the training of doctors committed to guaranteeing equity and access to the most neglected population segments in Brazil.

Population Health Management effectiveness in the primary healthcare setting: a systematic review

Abstract Background Population Health Management (PHM) has shown promise as a tool in the improvement of health at scale. It works by; harnessing health-related datasets, allowing for population segmentation and risk stratification, and targeting interventions to yield positive health impact. Prior reviews on PHM, have sought to define PHM and assess feasibility. To date, there have been no systematic reviews that assess the effectiveness of PHM in achieving some or all of the quintuple aims of PHM (WHO 2023). The aim of this study is to determine the value and impact of a PHM approach in managing ambulatory care sensitive conditions (ACSCs) in the primary healthcare setting. Methods This systematic review is underpinned by a Population-Intervention-Comparator-Outcome (PICO) framework. The PROSPERO-registered study commenced in February 2024 for papers published since January 2000. Pubmed, Cinahl and Web of Science databases were used. Titles and abstracts of studies were reviewed using agreed eligibility criteria to select studies for inclusion and risk of bias assessment. Data abstraction and synthesis determined the effectiveness of PHM against agreed outcome measures. Results The search yielded 427 articles of which 19 were included. Studies addressed diabetes, hypertension, atrial fibrillation, asthma and comorbid conditions. Nearly all studies were based in the U.S.A. Almost 50% of studies showed a significant improvement in health outcomes following PHM. Study features that corresponded with positive health outcomes included; the use of population management tools, the employment of disease/population health managers and the mobilisation of medication reviews/education. Conclusions The challenges facing communities and health services require an alternative innovative approach to health such as a PHM approach. The results of this study will inform a larger body of work which seeks to establish a PHM approach to the delivery of services in the Mid-West region of Ireland. Key messages • Population health management (PHM) could be a viable mechanism for health services to serve increasing need and multi-morbid populations. • This is the first systematic review of PHM against the quintuple aims of PHM, specifically in the management of ambulatory care sensitive conditions in primary healthcare.

Enhancing Urban Mobility with Aerial Ropeway Transit (ART): Future Accessibility Impacts of Multimodal Transit Expansion Scenarios

Aerial ropeway transit (ART) systems are emerging alternatives to augment existing transit systems in congested cities in the Global South, especially in urban areas with limited transit coverage because of road width constraints or topography. Integration of aerial cable car stations to an existing transit network can improve the overall accessibility of various population segments with significant positive benefits in relation to reducing transport-related social exclusion. This study evaluated the impact of introducing ART in the city of Varanasi (India) and assessed the spatial accessibility improvements to critical facility locations such as heritage sites, educational institutions, hospitals, and employment centers. Several multimodal transit expansion scenarios were considered in this study and the potential benefits of each case were quantified using the two-step floating catchment area (2SFCA) method. A multi-criteria decision-making (MCDM) approach was subsequently employed for identifying the optimal locations of ART stops. Microlevel analysis findings suggest that the mean accessibility values could increase up to 10.92% in the first phase of the ART implementation, which could subsequently increase to 24.7% and 49.8% for the subsequent transit expansion scenarios. The study also investigated the Varanasi ART DPR prepared by Varanasi Development Authority (VDA) and showed that a significant increase of 16% in accessibility levels could be achieved if optimal stop locations identified in this study were implemented. The proposed two-step (2SFCA+MCDM) method for identifying the optimal locations of ART stations in a multimodal transit network is expected to be an effective tool for transit system redesign using place-based accessibility measures.

Social and Behavioural Change Communication Challenges, Opportunities and Lessons from Past Public Health Emergencies and Disease Outbreaks: A Scoping Review.

Background: Documentation of social behavioural change communication (SBCC) regarding challenges, opportunities and lessons drawn from past public health emergencies is worthwhile to inform priorities for future response efforts. Aim: The aim of this review is to scope the evidence on social behavioural change communication regarding challenges, opportunities and lessons drawn from Ebola, coronavirus disease 2019 (COVID-19), monkeypox and cholera outbreaks from studies published before March 2024, and suggest priorities for future response efforts. Methods: A Boolean strategy was used to search electronic databases for relevant published articles, complemented by relevant studies identified from reference lists. Results: The challenges, opportunities, lessons learnt and priorities for SBCC were consistent across study contexts, showing marked variations over time. The significance of technology, infodemic management, and behavioural data generation emerged more frequently and became increasingly important over time. Identified challenges were uptake hesitancy, limited capacity to undertake infodemic management, inadequate funding and human resources for SBCC, competing priorities, parallel or conflicting interventions due to inadequate coordination, difficulties evaluating SBCC programmes and missed opportunities for integration into routine programmes. Existing supportive structures for SBCC, strong political will and participation, as well as rapid information exchange enabled by technological advancement, represented opportunities for enhancing the effectiveness of SBCC programmes. Key lessons were that a multisectoral approach and coordination, partnership and active collaboration amongst stakeholders; building/strengthening trust, target population segmentation and localization of interventions, are important for enhancing the effectiveness of SBCC programmes. Political will, involvement and participation represent the core of social behavioural change (communication) interventions during a public health emergency. Conclusion: SBCC programming for future response to public health emergencies and disease outbreaks should consider the diverse assortment of benefits, threats/challenges and opportunities brought about by technology, infodemics and behavioural data generation to be more effective.

The Effects of Behaviorally Informed Messages on COVID-19 Vaccination Intentions and Behavior: Evidence from Randomized Survey Experiments in South Africa

With COVID-19 vaccination rates remaining below optimal levels, scalable interventions to shift vaccination intentions are needed. We embedded two randomized experiments in South Africa’s COVID-19 Vaccine Survey (CVACS) to investigate the potential to change vaccine intentions and behavior. In Experiment 1, 3510 unvaccinated South African adults were randomly assigned to a no-message control group, a social norm message, or a message highlighting that vaccines were free, available and easy to obtain. The free and easy message significantly increased vaccine intentions but did not increase other outcome measures. The social proof message was associated with an increase in self-reported vaccination status at follow-up (not significant at traditional statistical thresholds). In Experiment 2, 3608 unvaccinated South African adults were randomly assigned to a no-message control group, a message highlighting gaining greater freedoms, or a message highlighting being part of the solution to the pandemic. Neither value proposition message increased vaccination intentions. Light-touch and scalable messages informed by behavioral science and social marketing principles may increase vaccination intentions and uptake, However, more attention should be paid to understanding the behavioral barriers experienced by different population segments, and to tailoring and targeting messaging to those barriers and segments.

Local perceptions of marine conservation aquaculture for the restoration of native Atlantic salmon (Salmo salar) in Downeast, Maine

The entities responsible for the management of the endangered Gulf of Maine Distinct Population Segment of Atlantic salmon (Salmo salar) have partnered with a commercial aquaculture company to apply a novel conservation aquaculture program. This effort marks a major shift in management and has garnered mixed public reactions. Recent expansion of aquaculture in Maine has been a point of controversy as people and systems grapple with the social, environmental, and legal aspects of this burgeoning industry. Still, the use of aquaculture for conservation has shown some promise. In 2021, a questionnaire was administered to 850 households (response rate 27 %) in Maine via the Drop-off and Pick-up method. We examined differences and similarities in attitudes, beliefs, and knowledge about Atlantic salmon, hatcheries, and aquaculture between property owners in the town where the proposed net pens would be located (Cutler; n=73), and those in neighboring towns (n=152). The Potential for Conflict Index (PCI2) was used to examine differences between the groups. Both groups held similar positive attitudes toward Atlantic salmon, endangered species conservation, freshwater hatcheries, and both commercial and conservation aquaculture. Both groups believe that “Atlantic salmon should be protected,” and that freshwater hatcheries and marine conservation aquaculture “should be used for conservation.” However, Cutler residents had less consensus and supported the use of freshwater hatcheries and marine conservation aquaculture less than other respondents. Community concerns have stalled efforts to move the project forward. Our research indicates there are several social concepts which may help to explain localized opposition to the project.

Blockchain for building trust in genomic initiatives

AbstractThis commentary aims to share the current patient engagement context in genome initiatives within universal healthcare systems worldwide, focusing on the inclusivity of diverse population segments rather than just numerical metrics. It explores the relevance and potential replicability of these initiatives globally, questioning their efficacy in ensuring widespread citizen participation. Empirical evidence shows that hesitancy to opt into genome initiatives goes beyond demographic factors, with a significant portion of the population abstaining due to prevailing mistrust. Given the global aspiration for delivering precision healthcare and promoting a healthy lifestyle for all citizens, this paper investigates the multifaceted reasons behind this distrust. It underscores the need for policymakers to understand these reasons comprehensively and proposes a Blockchain‐based framework centered on trust‐building as a potential solution to enhance citizen engagement. The analysis of distrust factors and their impact on participation leads to the conclusion that decisive measures are necessary to improve the participatory landscape of genomic initiatives. The paper advocates for actions to enhance trust, thereby improving the current operational milieu of precision healthcare. The broader conclusion emphasizes the importance of trust‐building strategies in achieving the goal of fostering a healthy lifestyle for all citizens and provides a foundation for further development in this pioneering healthcare domain.

Addressing social issues to meet the requirements of sustainable development in Vietnam

In the context of rapid and sustainable development, Vietnam is grappling with many social challenges that necessitate comprehensive and effective solutions. Among the most pressing issues are income inequality, rising unemployment, disparities in access to healthcare and education, and the urgent need to ensure social security for all population segments. To effectively tackle these challenges, Vietnam needs to enhance its social security policies, promote innovation across various sectors, and encourage the active participation of all stakeholders in society. Strengthening state governance is also critical in this endeavor. A pivotal aspect of achieving holistic and sustainable prosperity lies in establishing a robust social development framework that harmonizes economic growth with social progress while prioritizing equity and social advancement. This research employs qualitative and quantitative methodologies to rigorously evaluate existing outcomes, identify underlying limitations, and propose actionable solutions. By addressing these current social issues head-on, the aim is to pave the way for sustainable development in Vietnam, ensuring that growth benefits all members of society and contributes to a more equitable future.

‘Where is the diversity in this facility?’ Experiences of emergency care among visible minority individuals in Kingston, Ontario

ABSTRACT Introduction Visible minorities, a growing segment of Canada's population, have voiced concerns about experiencing racism while receiving care in the emergency department (ED). Understanding the ED care experiences of visible minorities is crucial to improving care and reducing health disparities. Methods From June to August 2021, we collected data from participants in Kingston, Ontario using a sensemaking approach. Individuals who had accessed emergency care or accompanied someone else to the ED in the prior 24 months were eligible to participate. After sharing a brief narrative about their care experience, participants interpreted the experience by plotting their perspectives on a variety of pre-determined questions. Here, we conducted a thematic analysis of narratives involving patients who identified as visible minorities and complemented it with quantitative analysis of the participants’ interpretative responses. This mixed-methods approach highlighted the distinct experiences of visible minority participants in relation to a comparison group. Results Of the 1973 unique participants, 117 identified as a visible minority and 949 participants did not identify with an equity-deserving group (comparison group). Visible minority participants were more likely to report that too little attention was paid to their identity and more likely to express a desire for a balance between receiving the best medical care and being treated with kindness and respect. Visible minorities’ ED experiences were also more likely to be impacted by how emergency staff behaved. Qualitative analysis revealed negative experiences of feeling uninformed and disempowered, facing judgement and discrimination, and experiencing language barriers. Positive experiences of receiving compassionate care from staff also emerged. Conclusion Visible minority perceptions of ED care were often negative and mainly focused on staff treatment. Cultural competency and language translation services are key areas for improvement to make ED care more accessible and equitable.