Public Attitudes Research Articles

Health Literacy and Attitudes Towards Childhood Epilepsy

ABSTRACT Purpose The purpose of this study was to investigate the public attitudes toward childhood epilepsy and the effects of health literacy and some sociodemographic variables on these attitudes. Design It is a descriptive and cross-sectional study. Methods The study was carried out with 311 individuals. Data were collected through face-to-face interviews with individuals using the Sociodemographic Characteristics Information Form, The Childhood Epilepsy Attitude Scale (CEAS), and the Health Literacy Scale (HLS). The data were evaluated using percentage and number, student t-test, One Way Anova, and hierarchical linear regression analysis. Findings The mean CEAS score of the participants was 43.61 ± 7.86 and the mean HLS score was 100.19 ± 17.90. According to the CEAS subscale/total score averages, no statistically significant difference was found between the variables of gender, family type, having children, family history of epilepsy, and history of epilepsy in one’s close circle (p > .05). Conclusions It was concluded that participants’ attitudes toward childhood epilepsy were positive, and that this attitude was affected by variables such as educational status, witnessing individuals having epileptic seizures, and health literacy. Clinical Evidence It is recommended that health professionals organize training programs to increase public understanding of childhood epilepsy and improve individual attitudes toward the condition. Community health nurses can play an important role in raising awareness about childhood epilepsy. Community healthcare centers may be advised to include the issue of childhood epilepsy in their awareness programs.

Survey of Citizens' Preferences for Combined Contact Tracing App Features During a Pandemic: Conjoint Analysis.

During the COVID-19 pandemic, an increased need for novel solutions such as digital contact tracing apps to mitigate virus spread became apparent. These apps have the potential to enhance public health initiatives through timely contact tracing and infection rate reduction. However, public and academic scrutiny has emerged around the adoption and use of these apps due to privacy concerns. This study aims to investigate public attitudes and preferences for contact tracing apps, specifically in Japan, using conjoint analysis to examine what specifications the public values most in such apps. By offering a nuanced understanding of the values that citizens prioritize, this study can help balance public health benefits and data privacy standards when designing contact tracing apps and serve as reference data for discussions on legal development and social consensus formation in the future. A cross-sectional, web-based questionnaire survey was conducted to determine how various factors related to the development and integration of infectious disease apps affect the public's intention to use such apps. Individuals were recruited anonymously by a survey company. All respondents were asked to indicate their preferences for a combination of basic attributes and infectious disease app features for conjoint analysis. The respondents were randomly divided into 2 groups: one responded to a scenario where the government was assumed to be the entity dealing with infectious disease apps (ie, the government cluster), and the other responded to a scenario where a commercial company was assumed to be this entity (ie, the business cluster). Samples of 500 respondents from each randomly selected group were used as target data. For the government cluster, the most important attribute in scenario A was distributor rights (42.557), followed by public benefits (29.458), personal health benefits (22.725), and profit sharing (5.260). For the business cluster, the most important attribute was distributor rights (45.870), followed by public benefits (32.896), personal health benefits (13.994), and profit sharing (7.240). Hence, personal health benefits tend to be more important in encouraging active app use than personal financial benefits. However, the factor that increased motivation for app use the most was the public health benefits of cutting infections by half. Further, concern about the use of personal data collected by the app for any secondary purpose was a negative incentive, which was more significant toward app use compared to the other 3 factors. The findings suggest that potential app users are positively motivated not only by personal health benefits but also by contributing to public health. Thus, a combined approach can be taken to increase app use.

Public acceptance of coercive measures in Nigerian mental health care.

For the first time, Nigeria has enacted a new mental health law that regulates the use of coercive measures in mental health care. The study aimed to investigate the extent to which the Nigerian public accepts the use of coercive measures in the treatment of people with mental health conditions and to understand the impact of stigma and other sociodemographic characteristics. A cross-sectional survey was conducted among 615 adult respondents from Nigeria's six geopolitical zones. The study instrument included a case-specific vignette, a social distance scale, and a brief sociodemographic form. Descriptive and inferential statistics were conducted with SPSS v.25 software. More than half of the study respondents agreed that the vignette character should be forced to go to the hospital if he refuses to go (65%, n = 400), and he should be forced to take medications at the psychiatric hospital (55.1%, n = 339). The least accepted coercive measure was Isolation (28.8%, n = 177). There were significant associations between social distance and the acceptance of involuntary admissions, forced medication, mechanical restraints, and isolation (p < .05). Social distance score was highest among respondents who agreed that the vignette character should be isolated (24.023 ± 5.503; F = 24.672, p < .001). The study highlights variations in public attitudes toward coercive psychiatric measures, within the Nigerian context compared to other countries. The lower acceptance rates for isolation as a coercive measure underscore the cultural importance of social interaction in Nigeria. The relatively recent implementation of Nigeria's Mental Health Act also suggests a potential gap in public knowledge regarding the criteria for coercive measures. Future research should aim to include diverse populations and consider longitudinal approaches to assess changes in public attitudes as awareness of mental health legislation increases.

Assessing Rodent Attitudes: The Psychometric Properties of the SARod in a Chilean Context.

This study aimed to develop and validate the Scale of Attitudes towards Rodents (SARod) to measure public attitudes towards rodents in a Chilean community context. Utilizing an instrumental design, we gathered data from 497 participants using convenience sampling. The SARod, comprising 22 Likert-scale items, evaluates attitudes across four dimensions: Scientistic, Positivistic, Emotional Negativistic, and Cognitive and Behavioral Negativistic. An exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to examine the scale's structure and reliability, revealing strong internal consistency (Ω > 0.8) across all factors. Results indicated that higher educational levels and increased interaction with rodents were associated with more positive attitudes, while a greater disposition towards rodent extermination correlated with more negative attitudes. No significant gender differences were observed. The SARod shows robust psychometric properties, offering a reliable tool for cross-cultural comparisons of rodent-related attitudes. This scale can inform targeted interventions and public education campaigns, promoting coexistence and effective rodent management strategies. Further research should explore the application of the SARod in diverse cultural contexts.

Media Representation of Male Protagonists in Thai Boy Love Commercials: A Visual Discourse Analysis

The media portrayal of the lesbian, gay, bisexual, transgender and queer (LGBTQ) community may impact public understanding and attitudes towards this community, which has not been extensively studied. This article explores the media representation of gay men in commercials by presenting a visual discourse analysis of three Thai Boy Love commercials. Combining the visual representation framework of social actors and genre and functionality analysis, it examines (a) how the male protagonists are visually represented in relation to the audience from three symbolic dimensions and (b) how the salient patterns of presenting boy love commercials are integrated with the story’s narrative stages and genre functions. The findings suggest that the boys are primarily portrayed positively as inclusive, close, agentive and ordinary social members who feature soft masculinity. Nevertheless, such a generic and idealised representation romanticises gay relationships, diminishes the individuality of gay people and obscures the diversity within the gay community. The portrayal also prioritises the female gaze to cater to the core audience of heterosexual young women consumers. This article provides insights into the reciprocal relationship between public receptivity towards the LGBTQ community and their favourable visual representations in commercials.

A Study on Bike Share Analysis

This study explores the role of bike-sharing programs within urban mobility and the potential impacts of autonomous vehicles (AVs) on cyclists' safety perceptions and behaviour. The research focuses on analysing factors that influence the adoption of bike-sharing services, including safety perceptions, AV technology familiarity, and demographic characteristics. Using tools like MS Excel and statistical models such as multiple regression and logistic regression, the study examines patterns in bike-sharing usage, public attitudes toward AVs, and the implications of AV testing on public streets. Findings suggest that factors like age, perceived safety, and AV familiarity significantly influence bike-sharing behaviour. The study recommends enhanced infrastructure, integration with public transit, and data-driven insights to improve bike-sharing systems and promote safer interactions with AVs

A cross-sectional study of stigma towards opioid users among rural law enforcement and community members in tennessee

BackgroundThe U.S. opioid crisis, resulting in nearly 500,000 deaths from 1999 to 2019, has been exacerbated by persistent stigma, which hinders treatment and recovery efforts. This stigma, whether structural, social, or self-imposed, challenges overdose prevention and recovery. Our study aimed to assess and compare levels of stigma towards opioid users among rural law enforcement officers (LEOs) and community members in Tennessee, highlighting rural community-level attitudes.MethodsMethods involved surveying two groups: LEOs (N=48) and community members (N=393). Utilizing a Likert Scale based on prior research, the survey probed attitudes toward drug use across four stigma domains: dangerousness, blame, social distancing, and fatalism. Analysis employed standardized scoring and ANOVA for evaluating stigma differences by participant characteristics.ResultsLEOs (75%) and community members (51.7%) predominantly identify drug users as white, with varied perceptions regarding socioeconomic status and employment. Despite similar perceptions, normalized stigma scores revealed statistical differences between groups across stigma domains. ANOVA found no significant impact of participant type or gender on stigma levels, though race/ethnicity and its interaction with gender suggested potential influences on overall stigma score.ConclusionsBoth LEOs and community members in rural Tennessee hold measurable stigma against opioid users, spanning dangerousness, blame, social distancing, and fatalism domains. These insights highlight the need for further research into both professional and public attitudes toward individuals with opioid or other substance use disorders within shared communities. This research should aim to develop specific stigma-reducing interventions that target both providers and community members.

Public attitudes toward athlete activism in sport: utilizing a multivariate list experiment to address social desirability bias in survey responses

ABSTRACT Research Question: This study investigates the degree of hidden racial hatred towards athlete protests within the Black Lives Matter (BLM) movement by correcting for the Social Desirability Bias (SDB) in survey responses. Research Methods: Employing a multivariate list experiment on a nationally representative sample (n = 1,075), it assesses the extent of SDB and explores variations in support for on-field kneeling protests based on the race of the athlete, respondent demographics, and sport fan identification. Results and Findings: Findings reveal underreported disapproval for BLM-supportive athlete activism, particularly when the protesting athlete is identified as Black. Further analyses highlight hidden biases influenced by respondents’ race, region, political affiliation, and fan identification. Implications: Our findings offer valuable insight on applying list experiments to reduce social desirability biases in surveys, ensuring more accurate reflections of public opinion on contentious topics.

Public attitudes toward the use of human induced pluripotent stem cells: insights from an Italian adult population.

Human induced pluripotent stem cells (hiPSCs), derived from reprogrammed adult somatic cells, hold significant promise for disease modelling, personalized medicine, drug discovery, and regenerative therapies. Public awareness and understanding of hiPSCs are crucial for advancing research in this field. However, limited data exists on the general population's knowledge and attitudes toward their use. This study aimed to assess the awareness and perceptions of hiPSCs among Italian adults through a web-based survey conducted via the EUSurvey platform, using a snowball sampling approach. The survey included demographic information and mandatory questions on knowledge, awareness, and concerns regarding hiPSC technology, with responses collected on a 3-point scale. Statistical analysis was performed using chi-squared tests, with significance set at p ≤ 0.05. Out of 1874 respondents, the majority were aged 18-35 years (40.5%), female (63.4%), and university-educated (67.2%). Among those familiar with hiPSCs (54.1%, n = 1,201), 95.3% expressed willingness to donate blood samples for hiPSC generation to treat individuals with incurable diseases. Concerns about current research and therapeutic applications were low (less than 20%), but nearly half of the respondents were hesitant or opposed to the use of hiPSCs in animal experiments and their commercialization by pharmaceutical companies. Increased skepticism was observed in older, less educated, religious individuals, and those who were not blood donors. Overall, the Italian public shows strong support for hiPSC-based therapies, though reservations exist around specific ethical and economic issues. These findings underscore the importance of addressing public concerns through targeted educational campaigns, not only in Italy but globally, to foster a more informed and supportive environment for advancing stem cell research and its clinical applications worldwide. Similar studies have been conducted in Japan, the United States, and Sweden, but there remains a need for all countries to engage with their citizens to better understand how stem cell research is perceived locally. Such engagement is crucial for guiding international strategies in personalized medicine and regenerative therapies, ensuring that emerging technologies are met with both ethical integrity and public trust.

Wisdom of age is the main psychological geroprotector in older people (analytical review)

The article presents an analytical review of the problem of aging from the standpoint of social and spiritual forms of human life. The intensive growth in the number of elderly people has sharply reduced the quality of public attitude towards them. The foundations of social relations between elderly people and the state, intergenerational, family, and other relations have acquired a new colouring, in connection with which the importance of wisdom in solving these problems increases. The wisdom in an elderly person is potent of keeping his inner world in a state of balance. A wise person perceives his presence in life as a paradigm of integration, which determines the coexistence of all age phases during his life. It helps to cast aside regret about past failures, unfulfilled hopes, to find a lot of good even in a far from easy life. Wisdom is the universe to which a person should come in old age. Wisdom will always find something that will please and strengthen the spiritual strength of a person, make his life positions stable, lead away from despondency and a sense of helplessness. The wisdom of age creates self-confidence in an elderly person, pride in the years lived with dignity, in the benefits created, which are used by the young. The concept of “conscious aging” is based on inner strength and spiritual stability over old age. Of course, old age is full of sorrows, but life experience gives it prudence to endure them with dignity. Wisdom serves as a support for an aging person for the normal perception of all life changes, it constantly reminds him that life does not close its doors to him.

Public attitudes and knowledge about self-injury: A cross-sectional web-based survey of Japanese adults.

Nonsuicidal self-injury is common among adolescents. Dispelling related public misconceptions is essential for creating effective prevention and intervention strategies, as these myths contribute to stigmatization. This study examined the prevalence of self-injury myths among the Japanese public and explored how demographics and personal experiences influence these beliefs. A nationwide web-based self-report survey of 2000 Japanese adults (mean age = 44.6 ± 14.3 years) examined their agreement with 14 scientifically unsupported self-injury beliefs. Endorsement rates for each myth were calculated, and the associations between myth beliefs and other variables were explored. Fourteen myths were analyzed, with endorsement rates of 21.0%-68.7%. Logistic regression analysis indicated that men were more likely to endorse the myth that self-injury is uncommon (adjusted odds ratio [AOR] = 1.45, 95% confidence interval [CI] = 1.17-1.79), whereas women were more prone to myths about the rarity of self-injury, using a single method, stimulation as the exclusive purpose, wrist-cutting prevalence, and average onset age. Younger participants were more likely to believe that self-injury is solely for stimulation than other age groups. Those with human-service professional experience were more likely to view self-injury as attention-seeking compared to those without such experience (AOR = 1.62, 95% CI = 1.07-2.46). With some exceptions, individuals who expressed confidence in their ability to respond to self-injurers were more likely to endorse the myths. These findings highlight the need for targeted educational interventions to dispel misconceptions about self-injury and improve public understanding of this complex behavior.

Evaluation of public's knowledge, attitude and experiences towards the generic medications in building healthcare policy.

The increasing cost of prescription drugs has high concern and associated with medication nonadherence and adverse health outcomes. The use of generic prescription drugs by the patients depends on if recommended by competent healthcare providers. Generic medicines, which are cheaper and bioequivalent to brand-name drugs, offer an opportunity to reduce healthcare expenditures of Saudi Arabia's healthcare system as per the Vision 2030 plan. Therefore, the current study was conducted to assess the population awareness, attitude and perception towards the generic medications particularly those locally manufactured in Saudi Arabia. We managed a cross-sectional, questionnaire-based study and included indices like demographic sections, knowledge of generic medications, perception of generic medication use, and previous experience. Data was collected over 12 weeks from February 2022 to April 2022 using an online survey tool. A study of 462 participants found that the majority were male (54.97%), young (55.4%), with a graduate or post-graduate degree (73.5%) and employed (43.29%). The majority reported good health, with 75.5% reporting good health. The study found significant differences in knowledge about generic drugs, their country of origin, and their benefits and utility. Most participants had positive attitudes towards generic medications, with 45% believing they are as effective as those from other countries. The study also revealed a significant difference in participants' experience and usage of medications particularly satisfaction to health outcome. Enhancing healthcare professionals' perceptions of generics can positively influence patient/consumer opinions and trust in generic medicines. Patients' high trust in prescribing physicians also influences these opinions, as their opinions can influence patient/consumer opinions.

‘Comrade or coloniser’: Competing discourses on Sino-Zimbabwe relations in the local press

Deploying Michel Foucault’s discourse theory, this article qualitativey explores Sino-Zimbabwe engagements in four Zimbabwe newspapers to shed insights into how these relations are interpreted in a context. How the newspapers discursively constructed Sino-Zimbabwe engagements, the rationale for such constructions, as well as the perceptions of journalists on these engagements are questions at the core of this exploration. The article revealed competing discourses between the state-owned and the privately owned newspapers in relation to China–Zimbabwe engagements. Among the journalists, the study found mixed views, ranging from optimism, scepticism, and pragmatism. Given the polarised media discourses on China–Zimbabwe engagements, and the centrality of the press in shaping public opinion, perceptions and attitudes, Zimbabwean government may face an uphill task in trying to convince their citizens that their relationship is mutually beneficial, while China may face a similar predicament in trying to reduce stereotypes in Africa.

Are algorithms always fair? The study on public preferences toward algorithmic decision‐making: A case study from the perspectives of decision scenarios and social roles

AbstractThe integration of algorithmic decision‐making into daily life gives rise to a need to understand public attitudes toward this phenomenon. This study uses online experiments to explore how decision scenarios and roles influence public preferences for algorithms. In‐depth interviews were conducted to examine interpretations of algorithmic fairness. The findings indicate a preference for algorithms, yet a stronger preference for human decision‐making in ethically complex scenarios. Decision‐makers demonstrate greater acceptance of algorithms. Participants perceive algorithmic fairness from social and technical perspectives, emphasizing autonomy and transparency. Despite a general preference for algorithms, concerns persist, revealing a nuanced view of algorithmic fairness as a form of societal power.

Who’s afraid of cryptoization? Evidence from a survey experiment in Finland

This study examines attitudes toward the economic and political outcomes of widespread cryptocurrency adoption in a survey experiment conducted in Finland. Its goal is to assess how information on the political implications of cryptocurrencies influences individuals’ investment tendencies and their views on regulation and technology abolishment. Utilizing a survey experiment design for causal inference, it explores reactions to the perceived economic, monetary, fiscal, and geopolitical impacts of wider cryptocurrency adoption. Although priming messages had no significant effect on opinions about government intervention in crypto markets, a slight influence on personal investment decisions was noted, with some participants showing increased reluctance to invest due to potential economic and political repercussions. While our findings are not claimed to be universal, we aim to inspire further scholarly engagement with the topic of crypto adoption, a process currently influenced by negotiations between powerful interest groups and regulators. We argue for the importance of considering public attitudes and interests in these discussions.

The psychology of pandemic policy support: unraveling the complex interplay of personal values and value congruence across 20 European countries

ObjectivesWe explored the roles of personal values and value congruence—the alignment between individual and national values—in predicting public support for pandemic restrictions across 20 European countries. Study designCross-sectional study. MethodsWe analyzed multinational European survey data (N = 34,356) using Schwartz's values theory and person-environment fit theory. Multilevel polynomial regression was employed to assess the linear and curvilinear effects of personal values on policy support. Multilevel Euclidean similarity analysis and response surface analysis were conducted to evaluate the impact of value congruence and delineate nuanced congruence patterns. ResultsFindings revealed that extreme levels of security, conformity, stimulation, hedonism, and achievement values were associated with decreased policy support. Value congruence with security, conformity, and benevolence increased support, while congruence with stimulation, hedonism, and achievement reduced it. High congruence between personal and national social focus values significantly boosted policy support. Extreme mismatches in self-direction values amplified support. Societal power exceeding personal power also increased support. Matched levels of hedonism motivated greater support, while stimulation and achievement value (in)congruence showed little impact. ConclusionsWe highlight the differential effects of personal values and value congruence on public attitudes toward pandemic restrictions. The findings underscore the importance of considering the interplay between individual and societal values when designing and implementing effective pandemic response strategies.

Prevalence of HIV-related stigma among people with HIV in Switzerland: addressing the elephant in the room.

We aimed to determine the prevalence of HIV-related stigma among people with HIV (PWH) in Switzerland. A cross-sectional multicenter study nested within the Swiss HIV Cohort Study (SHCS). We included adult PWH enrolled in the SHCS, attending follow-up between March 1, 2020, and January 31, 2021. Inability to speak English, French, German, or Italian was the only exclusion criterion. Participants were invited to complete a validated 12-item HIV-stigma questionnaire comprising four stigma subscales (negative self-image, personalized stigma, disclosure concerns, and concerns regarding public attitudes), plus two healthcare-related stigma items. Questionnaire responses were graded using a four-point Likert-type scale, higher scores indicating higher stigma. "Non-applicable," inferring HIV-status non-disclosure, was possible for personalized stigma; stigma scores from participants answering "non-applicable" to at least one item were analyzed separately. Factors associated with HIV-stigma were identified through multivariable linear models. Of 9643 PWH with a SHCS visit, 5563 participated in the study: 26% were female, 13% Black, and 37% heterosexual; median age was 53 years (interquartile range 44-59); 2067 participants (37%) gave at least one "non-applicable" response. Disclosure concerns had the highest stigma scores and were reported by 4656/5563 (84%). HIV-stigma was reported across all demographic groups. However, being female, Black, and heterosexual were independently associated with higher scores. Higher education and longer follow-up duration were associated with lower scores. Healthcare-related stigma was reported in 37% of participants. HIV-stigma was prevalent across all demographic groups. The association with being female and Black suggests that HIV-stigma accentuates preexisting sex and race inequalities.

A multiple behaviour temporal network analysis for health behaviours during COVID-19.

The aim of this study was to examine the temporal dynamics of multiple health behaviours (physical activity, alcohol consumption, healthy eating, cigarette consumption, recreational drug use, vaping), and pandemic-related health behaviours (e.g., hand washing, physical distancing) using network psychometrics. The International COVID-19 Awareness and Responses Evaluation (iCARE) study is an international multi-wave observational cohort study of public awareness, attitudes, and responses to public health policies implemented to reduce the spread of COVID-19 on people around the world. A sub-sample of longitudinal data from Canadians (n = 254) was analysed across four waves (February-July 2020). We used temporal network models to fit temporal networks, contemporaneous networks, and between-subject networks from items within the iCARE survey. Positive temporal associations were observed between physical activity and healthy eating, and a bidirectional relationship was evident between outdoor mask use and vaping. A contemporaneous network revealed positive associations between consumption behaviours (vaping, cigarette use, alcohol use, and recreational drug use), and negative associations between physical activity and drug use, and healthy eating and cigarette use. Health behaviours are interconnected and can be modelled as networks or behavioural systems. The application of temporal network analysis to the study of multiple health behaviours is well suited to address key research questions in the field such as 'how do multiple health behaviours co-vary with one another over time'. Future research using time series data and measuring affective and cognitive mediators of behaviour, in addition to health behaviours, has the potential to contribute valuable hypothesis-generating insights.

Revictimization of women victims of intimate partner violence in the French press: A social representations approach.

This study aims to analyze how the press portrays cases of revictimization experienced by women in France, through the lens of social representation theory. An exploratory, descriptive study was conducted using a corpus of 157 online press articles. A total of 187,773 words and 5,240 segments were analyzed using Iramuteq version 7, employing top-down hierarchical classification and lexical similarity analysis. The analysis identified four classes: 1. Violent incidents (25.5%); 2. Political actions against violence (26%); 3. Institutional revictimization (26.6%) and 4. Violence and breaking the silence (21.9%). The findings illustrate how media portrayals contribute to the construction of social representations surrounding revictimization. Class 1 reveals a focus on extreme cases of violence, such as femicides, and highlights a potential gender bias in media reporting through the omission of terms like 'femicide'. Class 2 demonstrates the influence of ideological perspectives on the portrayal of political measures against violence, with conservative outlets framing such actions within traditional values, while progressive newspapers advocate for systemic reform. Class 3 shows a gap in the conceptualization of institutional revictimization in the French press compared to other countries, revealing how conservative portrayals can minimize systemic issues and perpetuate harmful stereotypes. Class 4 shows the role of female journalists in addressing various forms of violence, despite the limited impact of the #MeToo movement in recent coverage. Collectively, these findings elucidate how media representations shape public attitudes and institutional responses to gender-based violence through the lens of social representations.

How Do Perceptions of Zoo Animal Welfare Influence Public Attitudes, Experiences, and Behavioral Intentions? A Mixed-Methods Systematic Review

How Do Perceptions of Zoo Animal Welfare Influence Public Attitudes, Experiences, and Behavioral Intentions? A Mixed-Methods Systematic Review