Residents Of Town Research Articles

Carving spaces of hospitality: Place attachment among migrant and non-migrant residents in a rural town undergoing rapid demographic change

This article explores the complex and evolving nature of place attachment in the rural Lincolnshire town of Boston, a new immigration destination. Drawing on 28 semi-structured interviews with residents, it examines the ways in which migrant and non-migrant communities make Boston their home, how they react to change and disruption, navigate (in)hospitable encounters and narrate their belonging in the town post the EU referendum, which saw residents overwhelmingly voting against EU membership. The findings show that in the face of place alteration and turbulence, both migrant and non-migrant residents demonstrate a nuanced and differentiated form of commitment to place and, despite intractable systemic challenges, actively work to bring communities together and reframe negative place narratives. Community leadership emerges as integral to the collective effort of creating spaces of hospitality. For migrant and non-migrant communities, place attachment is a dynamic and fluid process, shaped and constantly reshaped by socio-economic and political factors, media discourses and experiences of hospitality/hostility. It is an embodied and emotional process that involves individual and collective discursive efforts to reframe dominant narratives, material and social ways of connecting as well as pragmatic ways of distancing.

Inequalities in access to early child services in Bulgaria

Abstract Background Children’s health has been a major focus of European health policy since 2000, with particular emphasis on early childhood and integrated services for children with chronic diseases. However, research on early child care in Bulgaria is sparse, mainly focusing on the role of nurseries, kindergartens and nursing care. Our aim is to investigate whether there are disparities in access to early childhood health services in Bulgaria. Methods A survey was conducted among mothers of children up to 7 years old between April and June 2022. The questionnaire, containing 49 questions, was based on the theoretical framework from the EU project ‘Models of child health appraise’, covering topics as: geographical and financial access to services, equity, quality, responsiveness to children and family needs, considered key features of outpatient child medical care. Statistical analysis utilized Chi-square, Fisher’s exact and ANOVA tests. Results A total of 413 Bulgarian women, with a mean age of 34.3 (±5.1), participated in the study. Almost all women (91.3%) reported that their children had a primary care provider. The mean time to reach the GP/pediatrician’s office was 16 minutes (95% CI 14.6 - 16.7), longest for residents of small towns and villages (21 minutes), p = 0.004. Parents from small towns (including villages) were six times more likely to experience financial difficulties related to their children’s healthcare services compared to those from the capital city (p = 0.047), as well as parents with low-income (p = 0.031). Emergency healthcare was the most demanded service by families with children under 7 years old, possibly due to its free availability. Parents with secondary education and from small towns lack access to non-medical health-promoting or preventive services such as breastfeeding consultations, speech therapy and others. Conclusions Significant financial and geographic disparities in access to early child health services exist in Bulgaria. Key messages • There are serious social health inequalities related to the access to outpatient child health services in Bulgaria. • There is an urgent need for specific child and family health strategy based on the principles of proportionate universalism.

Urbanization, loneliness and mental health model - A cross-sectional network analysis with a representative sample

With increasing urbanization, more people are exposed to mental health risk factors stemming from the urban social or physical environment. However, research on the relationship between urbanization and mental health is lacking. This cross-sectional study aimed to explore the relationships of the physical environment (spatial cohesion and urban environment) and social factors (neighborhood cohesion) with mental health (stress, anxiety and depression symptoms) and physical health and the mediating role of loneliness based on the proposed theoretical model. The study was conducted in Metropolis GZM (Silesia, Poland) in a representative sample of 3296 residents (48% women). The measurements used were the PSS-10, GAD-7, PHQ-9, R-UCLA3 and neighborhood cohesion scale. ANOVA results showed that city residents had better mental health indices than residents of villages and small towns. The network approach revealed that urbanization was one of the most influential nodes and played the role of a bridge between all other nodes. The model was confirmed and showed that the relationships between the physical environment and mental health were consecutively mediated by neighborhood cohesion and loneliness. Spatial cohesion related to factors of the physical environment and physical health, while physical health was directly connected to sociodemographic factors and weakly to stress. Anxiety was the strongest risk factor. Mental health can be improved by social and architectural factors, such as strengthening neighborhood cohesion and improving neglected buildings.

Wireless sensor network-based health monitoring and smart home assistance for the older adults in sports and wellness towns.

Integrating technology with rural development is essential for addressing the unique challenges faced by aging populations in rural areas. China's national rural revitalization strategy emphasizes the importance of developing characteristic towns that focus on health and wellness demands, particularly for the older adults. However, there is a gap in the literature regarding the systematic use of technology to support the health and daily living needs of this demographic. This study aims to bridge this gap by proposing a wireless sensor network (WSN)-based system that integrates health monitoring and smart home assistance, specifically tailored for older adults residents in sports and wellness towns. The system's design involves collecting and analyzing historical activity data and basic physiological parameters from older adults residents' homes. The data are cleaned, combined and stored to prepare it for behavior analysis, which is vital for controlling smart home equipment. Preliminary health assessments are conducted using the collected physiological data. A hybrid network leveraging Sub-G and Wi-Fi technologies is optimized for the purposes of collecting and uploading data, based on a comparative analysis of wireless communication options. This study significantly contributes to the advancement of sports and wellness towns by promoting healthy aging through cutting-edge technological solutions.

Assessing the Utilization of Commercialized Public Toilets in Kakamega Town

Human waste management continues to be a major global challenge facing urban growth. Managing sanitation is therefore a challenge facing most governments. The objective of this study was to assess the utilization of commercialized public toilets in Kakamega Town. The study adopted a descriptive research design carried out in Kakamega Town. The target population comprised residents of Kakamega town and those on daily transit. Purposive sampling was done for Kakamega County town and key informants, while Simple random sampling was done for town residents and business people. Systematic sampling was conducted on individuals using public toilets. A sample size of 351 participants was finally used and data was collected using observation, interviews, questionnaires, and document review. 265 (75.5%) of respondents knew of public toilets and their location with only 25.9% of females being very often users. The majority of respondents 256 (72.9%) chose public toilets because of their cleanliness and appearance. Physically challenged respondents were less likely to use commercial toilets in contrast to the able-bodied respondents (OR: 0.4; 95%CI: 0.2 – 0.8; p=0.008). Location, signage, and maps were among the factors identified as determining the utilization of the public toilet facilities in Kakamega Town. There were low incidents of open defecation, urination, and flying toilets in places where commercialized public toilets were. In conclusion, commercialized public toilets were highly utilized and preferred in Kakamega town due to their cleanliness, location, and accessibility. The study recommends the town increase the number of commercialized public toilet facilities and the management of non-commercialized public toilets in the county government of Kakamega to enhance cleanliness and access to all public toilets within the town

Indiana High School’s Computer Science Enrollment and Disparity Indices: On Gender, Ethnicity, Locale, and Economic Status

This study analyzed the longitudinal data of Indiana high school students’ Computer Science (CS) enrollments from 2014 to 2020. The result showed while Indiana CS enrollments have increased in recent years, gaps in participation by minoritized student populations have still been observed. The CS enrollment rates in terms of different student populations including gender, ethnicities, locales, and economic status have been increasing, and the disparities according to these demographic profiles have been somewhat alleviated. However, the degrees of inequity varied by classification. Female underrepresentation was found to be largest followed by rural and town residents, then economically disadvantaged, and then ethnic minorities in CS education (Black, Hispanic, and Multiracial). These findings indicate where our future efforts should be concentrated.

Impact of an Epstein-Barr Virus Serology-Based Screening Program on Nasopharyngeal Carcinoma Mortality: A Cluster-Randomized Controlled Trial.

Screening for nasopharyngeal carcinoma (NPC) has shown an improvement in early detection and survival rates of NPC in endemic regions. It is critical to evaluate whether NPC screening can reduce NPC-specific mortality in the population. Sixteen towns in Sihui and Zhongshan cities, China, were selected; eight were randomly allocated to the screening group and eight to the control group. Residents age 30-69 years with no history of NPC were included from January 1, 2008, to December 31, 2015. Residents in the screening towns were invited to undergo serum Epstein-Barr virus (EBV) viral capsid antigen/nuclear antigen 1-immunoglobulin A antibody tests; others received no intervention. The population was followed until December 31, 2019. Nonparametric tests and Poisson regression models were used to estimate the screening effect on NPC mortality, accounting for the cluster-randomized design. The trial is registered with ClinicalTrials.gov (identifier: NCT00941538). A total of 174,943 residents in the screening group and 186,263 residents in the control group were included. NPC incidence and overall mortality were similar between the two groups. A total of 52,498 (30.0% of 174,943) residents participated in the serum EBV antibody test. The overall compliance rate for endoscopic examination and/or biopsies among baseline and ever-classified high-risk participants was 65.9% (1,110 of 1,685) and 67.6% (1,703 of 2,518), respectively. A significant 30% reduction in NPC mortality was observed in the screening group compared with the control group (standardized NPC-specific mortality rate of 8.2 NPC deaths per 1,000 person-years versus 12.5; adjusted rate ratio [RR], 0.70 [95% CI, 0.49 to 0.997]; P = .048). This benefit was most evident among individuals age 50 years and older (RR, 0.56 [95% CI, 0.37 to 0.85]; P = .007) compared with those younger than 50 years (RR, 0.96 [95% CI, 0.64 to 1.46]; P = .856). In this 12-year trial, EBV antibody testing resulted in a significant reduction in NPC mortality.

Analysis of Profiles of Supporters of Conspiracy Narratives about Vaccination Against COVID-19 on a Social Network

The article analyzes the socio-demographic characteristics and value-worldview self-positioning of the distributors of conspiracy narratives (“conspiracy theories”) about vaccination against COVID-19 on the Russian social network “VK”. The research material consists of 33,674 profiles of VK users who published at least two messages during the pandemic that explicate the stated narrative. The collection and analysis of the material was carried out using big data analysis technologies. The purpose of the study is to determine whether it is possible to identify typical socio-demographic and ideological traits of anti-vaccer conspiracy theorists, which to a certain extent explain their penchant for conspiracy thinking. The results obtained refute the marginal dominance of conspiracy theorists in a pandemic situation. Versions popular in the scientific literature about the predominance of insufficiently educated people among “conspiracy theorists”, or the elderly as more gullible, or women as more suggestible, or residents of villages and small provincial towns as more conservative, etc. are not confirmed by the large-scale empirical studies of large user data. The results of the study may be useful for developing countermeasures and strategies to address public mistrust of institutions and official trends in public health, in particular vaccination policies. The traditional focus on information and educational measures (explanations about the dangers of the disease and the benefits of the vaccine) seems to be ineffective in the context of the emergence of value systems, cognitive distortions, general socio-political tension and other reasons that are still awaiting serious study.

Lesotho and the QwaQwa Ski Resort, 1975–82: Border Disputes and South Africa's Increasingly Deadly Responses

Abstract In the late 1970s and early 1980s, the terrain of the diplomatic and security landscape of Southern Africa shifted dramatically. South Africa declared various Bantustans “independent,” but they were not recognized by other countries. Small regional states like Lesotho increasingly took more combative diplomatic stances, aided by Cold War connections and, in this case, a local border dispute. This article examines a proposed ski resort that South Africa wanted to build in the QwaQwa Bantustan on Lesotho's border starting in 1975. Because of Lesotho's diplomatic and military escalation, the Khoptjoane resort was never built, but the lengthy dispute contributed to the sidelining of the apartheid regime's diplomats in favor of its securocrats. Thus, we argue the failed ski resort contributed to the atmosphere in which Pretoria greenlit the Maseru Massacre of 1982, presaging the apartheid regime's increased 1980s willingness to use its military superiority against township residents and Southern African neighbors alike.

Understanding how and why travel mode changes: analysis of longitudinal qualitative interviews

BackgroundEncouraging alternatives to the car such as walking, cycling or public transport is a key cross-sector policy priority to promote population and planetary health. Individual travel choices are shaped by individual and environmental contexts, and changes in these contexts – triggered by key events – can translate to changes in travel mode. Understanding how and why these changes happen can help uncover more generalisable findings to inform future intervention research. This study aimed to identify the mechanisms and contexts facilitating changes in travel mode.MethodsProspective longitudinal qualitative cohort study utilising semi-structured interviews at baseline (in 2021), three- and six-month follow up. Participants were residents in a new town in Cambridgeshire, UK, where design principles to promote walking, cycling and public transport were used at the planning stage. At each interview, we followed a topic guide asking participants about previous and current travel patterns and future intentions. All interviews were audio recorded and transcribed. Data analysis used the framework approach based on realist evaluation principles identifying the context and mechanisms described by participants as leading to travel behaviour change.ResultsWe conducted 42 interviews with 16 participants and identified six mechanisms for changes in travel mode. These entailed increasing or reducing access, reliability and financial cost, improving convenience, increasing confidence and raising awareness. Participants described that these led to changes in travel mode in contexts where their existing travel mode had been disrupted, particularly in terms of reducing access or reliability or increasing cost, and where there were suitable alternative travel modes for their journey. Experiences of the new travel mode played a role in future travel intentions.ImplicationsApplying realist evaluation principles to identify common mechanisms for changes in travel mode has the potential to inform future intervention strategies. Future interventions using mechanisms that reduce access to, reduce reliability of, or increase the financial cost of car use may facilitate modal shift to walking, cycling and public transport when implemented in contexts where alternative travel modes are available and acceptable.

Regional Perspectives on Complementary and Alternative Medicine: Results of a Regional Survey

Background: Complementary and alternative medicine (CAM) is widely used by patients with cancer. Research indicates that the use of CAM is more prevalent in rural areas compared to urban areas. There is currently a lack of information regarding the scope and specifics of CAM use among patients in Sweden, particularly in rural areas. The aim of this study was to estimate the extent and characteristics of CAM use among cancer patients in the rural areas of Region Gävleborg. Methods: A total of 631 questionnaires were sent out, and 376 of those were returned, corresponding to a response rate of 59.6%. Oncology patients received questionnaires at their initial appointment for curative care at Gävle Hospital’s Department of Oncology. When enrolling in palliative outpatient care in their homes, palliative patients were sought out. Standard descriptive statistics were used to present the characteristics of the respondents. To determine odds ratios and potential factors (age, gender, diagnosis, and education) affecting CAM use after cancer diagnosis, a multivariable logistic model was constructed. Results: Based on clinical observations, the authors’ hypothesis that CAM use is particularly common in small towns in the Hälsingland region was verified in this study. This was particularly pronounced among younger people and residents of small towns in the province of Halsingland. The higher level of CAM use appears to apply to both men and women. Conclusions: CAM appears to be used more frequently by patients residing in rural areas. It is crucial that care providers enquire about all of the patient’s health-seeking activities. Further research is needed on the usage of CAM in rural areas and the potential cultural influences contributing to CAM use. From a sociological standpoint, it is crucial to draw attention to the fact that CAM use may be more prevalent in certain rural areas, particularly in centralized societies where it is more difficult to access healthcare in remote regions.

Correction: The effect of social service elite groups on long-time residents in peripheral development towns in Israel

Correction: The effect of social service elite groups on long-time residents in peripheral development towns in Israel

Metal exposure in the Greenlandic ACCEPT cohort: follow-up and comparison with other Arctic populations

ABSTRACT Humans are exposed to metals through diet and lifestyle e.g. smoking. Some metals are essential for physiologically body functions, while others are non-essential and can be toxic to humans. This study follows up on metal concentrations in the Greenlandic ACCEPT birth-cohort (mothers and fathers) and compares with other Arctic populations. The data from 2019 to 2020 include blood metal concentrations, lifestyle and food frequency questionnaires from 101 mothers and 76 fathers, 24–55 years, living in Nuuk, Sisimiut, and Ilulissat. A high percentage (25–45%) exceeded international guidance values for Hg. For the mothers, the metal concentrations changed significantly from inclusion at pregnancy to this follow-up 3–5 years after birth; some increased and others decreased. Most metals differed significantly between mothers and fathers, while few also differed between residential towns. Several metals correlated significantly with marine food intake and socio-economic factors, but the direction of the correlations varied. Traditional marine food intake was associated positively with Se, As and Hg. To the best of our knowledge, this study provides the most recent data on metal exposure of both men and women in Greenland, elucidating metal exposure sources among Arctic populations, and documents the need for continuing biomonitoring to follow the exceeding of guidance values for Hg.

Shift from Traditional to Modern Building Concepts and Designs in Ringim Town: A Comparative Study of Aesthetics, Values, Functions and Durability

This study is part of an Undergraduate Project for the award of “B.Tech (Hons) Building Technology Education” at the “Abubakar Tafawa Balewa University”, Bauchi State, Nigeria, and is aimed to identify the contrasts between Traditional and Modern Buildings in Ringim Town, Jigawa State, Northern Nigeria, with respect to their “Purposes, Durability, Aesthetics and Values. The study's subjects were the residents of Ringim Town, with 88 respondents drawn from ten cohorts of young people (under 40) and Adults (over 40) living in the Katutu, Galadanchi, Walawa, Majiyawar-Gari, and Marakawa Quarters. In order to better understand the shift from traditional to modern building concepts and designs in Ringim, the study used a quantitative approach, specifically a structured questionnaire that focused on groups of youths and adults and asked questions about functions, durability, aesthetics, and values. The answers to the research questions were analyzed using the simple mean and standard deviation. The study's conclusions showed that while traditional buildings in Ringim had greater fire, acoustic, and thermal insulation, they also have poor water resistance, to name a few drawbacks. It is advised that experts in the fields of Architecture, Town planning, and Construction, among others, pay attention to the indigenous Design theory, Technology, Artisanship, and Craftsmanship connected to the emergence of Traditional Building. Additionally, recommendations indicated that, for comparative purposes, comparable studies had to be carried out at other tiers of educational establishments, such as Colleges, Polytechnics, and Universities, as well as in other parts of the State and Nation.

Stories of Justification – Stories of Absolution: How Families in Liberec Came to Terms with Post-Displacement Heritage

The article focuses on how residents of the north Bohemian town of Liberec deal in their family histories with possession of post-displacement. The objects they use were confiscated from the German-speaking minority in the aftermath of World War 2. The text provides an overview of narratives of this event in the Czech public discourse and discusses how these are reflected in family stories. The study is based on three family histories collected during ethnographic fieldwork and the analytical framework is informed by memory studies and theories of hauntology.

Thickly Planting Seeds of Attracting Talents and Breaking through the Difficult Soil of Retaining Talents A Study Based on 140 Natural Villages in Guandu Township, Zhanjiang City, Guangdong Province, China

This research was carried out in the guiding background of the rural construction strategy and the important reports published in 2017, with seven categories of natural village residents of Guandu Town, Potou District, Zhanjiang City, local university students, rural construction cadres, government cadres, returning entrepreneurs, local industrial businessmen, and old and new vanguard members as the objects of the research, and was carried out through five major methods, including the interview survey method, the questionnaire survey method, the field survey method, and the case The research was carried out in five major ways, such as interview survey method, questionnaire survey method, field survey method and case study analysis method. After analyzing and summarizing the content of the research, we learned that there is a dilemma of talent construction in Guandu Town. This research aims to explore the current situation of talent in the construction of the countryside and the existing problems, through the Guandu Township as an example of its talent resources in the problem of targeted investigation and analysis, and further for the construction of the countryside to make the theoretical as well as practical impact and recommendations.

Extreme Risk Protection Orders in Connecticut, 2013-2020.

Twenty-one states and the District of Columbia have enacted Extreme Risk Protection Order (ERPO) statutes, which allow temporary removal of firearms from individuals who pose an imminent risk of harm to themselves or others. Connecticut was the first state to enact such a law in 1999. The law's implementation and use between 1999 and 2013 were previously described, finding that ERPOs were pursued rarely for the first decade and that most orders were issued in response to concerns about suicide or self-harm rather than about interpersonal violence. The current study analyzes over 1,400 ERPOs in Connecticut between 2013 and 2020 in several domains: respondent demographics, circumstances leading to ERPO filing, type of threat (suicide, violence to others, or both), number and type of firearms removed, prevalence of mental illness and drug and alcohol use, and legal outcomes. Results are similar to the earlier study, indicating that ERPO respondents in Connecticut are primarily White, male, middle-aged residents of small towns and suburbs who pose a risk of harm to themselves (67.9%) more often than to others (42.8%). Significant gender differences between ERPO respondents are discussed, as are state-specific trends over time and differences between Connecticut and other states with published ERPO data.

Chronobioethics: Symphony of biological clocks observed by 7-day/24-hour ambulatory blood pressure monitoring and cardiovascular health

BackgroundThe high prevalence of desynchronized biological rhythms is becoming a primary public health concern. We assess complex and diverse inter-modulations among multi-frequency rhythms present in blood pressure (BP) and heart rate (HR). Subjectsand Methods: We performed 7-day/24-hour Ambulatory BP Monitoring in 220 (133 women) residents (23 to 74 years) of a rural Japanese town in Kochi Prefecture under everyday life conditions. ResultsA symphony of biological clocks contributes to the preservation of a synchronized circadian system. (1) Citizens with an average 12.02-h period had fewer vascular variability disorders than those with shorter (11.37-h) or longer (12.88-h) periods (P<0.05), suggesting that the circasemidian rhythm is potentially important for human health. (2) An appropriate BP-HR coupling promoted healthier circadian profiles than a phase-advanced BP: lower 7-day nighttime SBP (106.8 vs. 112.9 mmHg, P=0.0469), deeper nocturnal SBP dip (20.5% vs. 16.8%, P=0.0101), and less frequent incidence of masked non-dipping (0.53 vs. 0.86, P=0.0378), identifying the night as an important time window. ConclusionAdaptation to irregular schedules in everyday life occurs unconsciously at night, probably initiated from the brain default mode network, in coordination with the biological clock system, including a reinforced about 12-hour clock, as “a biological clock-guided core integration system”.

Study of social awareness regarding body donations for scientific and educational purposes.

The basis of teaching anatomy is the understanding of the body's structures using human cadavers. Body donation should be a fully conscious and voluntary act. There is a growing demand for human cadavers in medical universities. To meet these demands, it is necessary to understand the societal awareness regarding body donation. The study utilized a proprietary single-choice questionnaire while maintaining the anonymity of the respondents. The study included 1004 individuals, comprising 700 women and 304 men. The analysis employed the Mann-Whitney test, Pearson's chi-squared test with calculation of the Cramer's V coefficient. Among the respondents, 56.37% consider donating their bodies for scientific and educational purposes. Among the concerns associated with donation, fear of lack of proper respect for the remains by students (18.23%), family opposition (16.24%), and religious reasons (9.16%) were highlighted. Non-religious individuals are more inclined to donate their bodies for scientific and educational purposes than religious individuals (p < 0.001). Residents of rural areas and small towns are less likely to consider donating their bodies for scientific and educational purposes than residents of large cities (p = 0.002). As many as 85.76% of respondents believe that human remains are essential for effective anatomy education. Increasing public awareness of cadaver donation may contribute to increasing the effectiveness of anatomy teaching at medical universities.

Concordance between CDKN2A homozygous deletion and MTAP immunohistochemical loss in fluoroedenite-induced pleural mesothelioma: An immunohistochemical and molecular study on a single-institution series

Fluoroedenite-induced pleural mesothelioma (FE-induced-PM) is a rare and small subset of PM that shares with its asbestos-induced counterpart the same aggressive biological behavior and poor prognosis, but that differs from it from a pathogenetic point of view as it is associated with exposure to fluoroedenite, a carcinogenic agent that shows similarities with tremolite amphibolic asbestos fibers. Although it has been demonstrated that asbestos-induced PMs frequently harbor CDKN2A homozygous deletion and that the immunohistochemical loss of MTAP may represent a cheap and reliable surrogate marker for this molecular alteration, little is known about the molecular landscape and the reliability of MTAP immunohistochemistry in this peculiar subset of PM. The study herein presented investigated the prevalence of CDKN2A homozygous deletion and its concordance with MTAP immunohistochemical status on a cohort of 10 cases of FE-induced-PM from patients with environmental exposure to FE fibers, who were residents in the small town of Biancavilla (Sicily, Italy) or nearby areas. CDKN2A homozygous deletions were found in 3 out of 10 cases (30%) and all these cases showed concomitant cytoplasmic loss of MTAP with a concordance rate of 100%. Despite the relatively low number of cases included in our series, MTAP immunohistochemistry seemed to represent a reliable immunohistochemical surrogate marker of CDKNA homozygous deletion even in this subset of PMs.