Social Networking Experiences Research Articles

Individual, partner, and community variables associated with method-specific contraceptive beliefs in urban and rural Kenya

Objectives –Global unmet need for contraception remains high. Contraceptive health-related beliefs are a barrier to contraceptive use but are poorly understood. This study examined quantitative differences in two health-related beliefs between pills, injectables and implants. Study Design –We used cross-sectional baseline data collected between August-December 2016 from Nairobi (urban) and Homa Bay (rural) Kenya among women aged 15-39 years (N=5081). Dichotomous outcome variables were constructed for two health-related beliefs (infertility and serious health problems) for the three methods. Using a socio-ecological framework, possible risk factors at individual, relationship, and community levels were identified a priori. We used logistic regression to identify factors associated with method-specific beliefs. Results –Roughly a quarter of participants believed the methods caused serious health problems, while a smaller overall proportion believed the methods caused infertility. Risk factors patterned similarly across methods but differed between beliefs. In adjusted models, perceived partner approval of a method was associated with lower odds of believing it caused infertility or serious health problems. Unsatisfactory or mixed social network experiences predicted serious health problems but not infertility beliefs. Current use was associated with lower odds of believing all three methods caused serious health problems, but only implant users were more likely to believe they caused infertility. Past use was associated with higher odds of serious health problems but not infertility beliefs. Conclusion –Across three methods, negative community and perceived partner attitudes towards specific contraceptive methods were associated with higher individual-level odds of contraceptive health beliefs in Kenya. ImplicationsEfforts to support women who want to use contraception should focus on providing information on contraceptive health and fertility concerns, ideally targeting partners and women of all ages in addition to potential contraceptive users. It is reasonable to address these concerns broadly across commonly used contraceptive methods.

Internet generation in religious cyberspace: worldview challenges of the digital age

The article is devoted to the analysis of the peculiarities in the perception of reli-gious cyberspace by the Ukrainian Internet generation. The relevance and novelty of the research consists in determining the specifics of the religious cyberspace func-tioning in the context of the spiritual and intellectual needs of the Internet generation, clarifying the essence of worldview challenges that the globalized digital age poses to young people in the religious cyberspace. The peculiarities of the religious cyber-space formation in the Ukrainian and world context are analyzed. It is noted that functioning of the virtual religious space can be considered through several key as-pects: online worship, virtual prayers, educational programs of spiritual develop-ment, platforms for discussing religious topics and sharing experiences in social networks, electronic libraries, digital missionary programs, virtual pilgrimage, the use of various mobile applications for prayer practices, etc. The peculiarities of the digi-tal religion phenomenon are defined as a dynamic process in which religious groups and individuals adopt digital technologies and adapt to them depending on their values and capabilities. The essential features of the Internet generation, the specif-ics of its intellectual and spiritual requests, and self-presentation in religious cyber-space are analyzed. The challenges and dangers produced by religious cyberspace in the modern globalized era are characterized. The Conclusions state that religious cyberspace provides the Internet generation with unique opportunities for spiritual growth, learning, communication and active participation in religious life, however, the safe use of religious cyberspace is possible through digital culture and continu-ous self-education. Among the measures of counter social manipulations and reli-gious extremism in the online space are educational programs aimed at raising awareness of different religions and culture, which promotes tolerance and mutual understanding, development of media culture and critical thinking among users of religious cyberspace, active use of social media to spread positive and truthful reli-gious content, creation of mechanisms for checking facts and exposing disinfor-mation in the religious sphere.

SOCIAL NETWORK AND CAREGIVING EXPERIENCE AMONG SPOUSE AND ADULT-CHILD DEMENTIA CAREGIVERS: A MEDIATION ANALYSIS

Abstract Evidence on differences in social network and their roles in associations between types of family caregivers and caregiving experience is limited. Based on the stress process model (SPM), we aimed to explore the different levels and interactions of social network and caregiving experience among spouses and adult-child caregivers. A questionnaire-based survey was conducted on a total of 146 dementia family caregivers (78 adult-child, and 68 spouses) in China. Data collection comprised four sections: (a) care-related stressors, (b) caregivers’ context, (c) social network using Lubben social network scale, and caregiving experience using short-form Zarit burden interview, and nine-item positive aspects of caregiving (PAC) scale. Linear regression, mediation model analysis, and interactive analysis were performed to explore associations between variables. Spouses experienced lower social network (β= -0.294, P=0.008) and higher PAC (β= 0.234, P=0.003) than adult-child caregivers, whereas no significant difference was found in caregiver burden between two groups. Mediation analysis suggested that associations between caregiver type and caregiver burden were indirect-only mediation effects by social network(β=0.140, 95%CI=0.066 to 0.228). The mediation effect of social network on caregiver type and PAC was the suppressing effect, and the interaction effect was significant (P for interaction =0.025). A higher social network was associated with higher positive aspects of caregiving among the spouse subgroup (β= 0.341, P=0.003). Social networks mediate responses to caregiving experiences among different care provider types and are vital intervention targets, especially for spousal caregivers. Our results can serve as references for identifying caregivers for clinical intervention.

The Impact of Instagram's Corporate Strategy on Consumer Preferences

Instagram's enterprise strategy has had a significant impact on consumer preferences, particularly in terms of its software capabilities, content delivery, and seamless integration of music. These elements shape the user experience and influence how users interact with the platform. Brands can leverage these characteristics to build stronger connections with their target audiences and create more targeted content that resonates with customers. Instagram's ability to deliver highly targeted ads based on user interests and demographics further enhances its impact on consumer preferences, increasing brand awareness and driving sales. The platform's emphasis on visual and user-generated content has also changed how consumers perceive and engage with brands, emphasizing the importance of authenticity and relevance. Additionally, Instagram's integration with other social media platforms expands its reach and influence, allowing for a cohesive online presence across multiple platforms. However, caution should be exercised when selecting internet celebrities for campaigns due to the prevalence of fake accounts and inflated data. The success of Instagram lies in its fusion of content distribution and interpersonal relationships, providing a unique social networking experience that goes beyond a mere photo-centric service.

O.4.3-8 Associations of subjective social status with physical activity and sedentary time among lower secondary school students

Abstract Purpose The low level of physical activity among young people has become a common societal concern. This study sought new information on the background to adolescents’ physical activity. The aim was to determine whether adolescents’ subjective social status is related to their physical activity. Methods The data was collected as part of follow-up research and evaluation of the Finnish Schools on the Move programme in 2012–2015. The data was collected through student surveys, measuring adolescents’ physical activity with accelerometers, and observing and interviewing secondary school students. The associations between adolescents’ subjective social status and physical activity, as well as the factors related to the subjective social status were studied using both quantitative and qualitative methods. Results Adolescents’ subjective social status was associated with physical activity. The subjective social status in school was positively associated with whole-day moderate- to vigorous-intensity physical activity. Adolescents’ high perceived social status in school was significantly associated with physical activity among boys and girls during break times, participation in planning break-time activities among girls, and participation in arranging common school events among boys and girls. Subjective social status in school was negatively associated with sedentary time in school. A high subjective social status in school was also associated with more opportunities for activity created with schoolmates. A high subjective social status was also associated with a wider environment for physical activities in school, which were related to the interactive relationships between adolescents. There were school premises that not everyone had access to, and one limiting factor may be the low subjective social status in school. Conclusions The different subjective experiences of school-based social networks are linked to adolescents’ physical activity and should be taken into account when considering the possibilities of increasing adolescents’ physical activity. Although the foundation of an active lifestyle is largely built on one’s own family, the school still has the potential to compensate for differences in family background with its own actions. These interventions should place greater emphasis on peer relations and youth participation rather than the role of school staff. Support/Funding Source The Ministry of Education and Culture of Finland.

A survey of graph neural network based recommendation in social networks

With the widespread popularization of social network platforms, user-generated content and other social network data are growing rapidly. It is difficult for social users to select interested contents from the numerous social data. To alleviate information overload problem and enhance overall user experience of social networks, recommendation systems relying on historical behavioural data and social friendship relations of users, are widely used in social networks. Although researches on social recommendations have been conducted in recent years, recommendation systems of social networks still suffer from several challenges, such as data sparsity and lower performance. Since graph neural network has huge advantages in graph data learning by aggregating neighbors representations of the central node, it has been gathering pace in recent years. In this survey, we review graph neural network based literature for solving recommendation problems in social networks. We first introduce backgrounds of graph neural network and recommendation systems in social networks. Then, for different types of recommendation problems in social networks, we review different graph neural network based recommendation methods briefly. In particular, we first review GNN-based methods for general social recommendation and then review GNN-based methods for different social recommendation scenarios (such as friend recommendation and point-of-interest recommendation). Finally, we briefly discuss promising future directions of the graph neural network based recommendation in social networks.

Inbound marketing strategy on social media and the generation of experiences in fast food consumers

Digital media has allowed restaurants to maintain their sales, positioning, and better relationships with consumers in adverse situations such as the COVID-19 pandemic. This study seeks to determine the relationship between social networks as an inbound marketing tool and the generation of digital experiences in consumers of fast-food restaurants. This is a quantitative, correlational, and non-experimental analysis. The sample includes the most popular fast-food restaurants in Peru (Norky’s, Roky’s, and Kentucky Fried Chicken) that demonstrate significant presence in social networks and possess potential characteristics to provide customers with a positive experience. One hundred one respondents between 18 and 35 years of age, residents of Lima (Peru), and frequent consumers of fast food establishments were surveyed via Google Forms. The results were tabulated in MS Excel and the quantitative data analysis was performed with the IBM SPSS tool; descriptive and inferential statistics were applied and the correlation was obtained through Spearman’s coefficient. The findings highlighted that 61.39% of the respondents agree that the social network experiences of the restaurants influence their expectations; 47.5% react with likes and comments to the publications, and 63.4% recommend the restaurants thanks to the constant dissemination of their content. Finally, a significance level of less than 0.05 was obtained between the variables, demonstrating that one variable has a relationship with the other. The study concludes a moderate direct relationship between social networks as an inbound marketing strategy and the generation of digital experiences in the study group.

Incidence of and Experiences with Abortion Attempts in Soweto, South Africa: Respondent-Driven Sampling Study

Estimation of abortion incidence, particularly in settings where most abortions occur outside of health facility settings, is critical for understanding information gaps and service delivery needs in different settings. However, the existing methods for measuring out-of-facility abortion incidence are plagued with methodological challenges. Respondent-driven sampling (RDS) may offer a methodological improvement in the estimation of abortion incidence. In this study, we tested the feasibility of using RDS to recruit participants into a study about abortion and estimated the proportion of people who ever attempted abortion as well as 1-year and 5-year incidence of abortion (both in-facility and out-of-facility settings) among women of reproductive age in Soweto, South Africa. Participants were eligible if they identified as a woman; were aged between 15 and 49 years; spoke English, Tswana, isiZulu, Sotho, or Xhosa; and lived in Soweto. Working with community partners, we identified 11 seeds who were provided with coupons to refer eligible peers to the study. Upon arrival at the study site, the recruits completed an interviewer-administered questionnaire that solicited information about demographic characteristics, social network composition, health behaviors, sexual history, pregnancy history, and experience with abortion; recruits also received 3 recruitment coupons. Recruitment was tracked using coupon numbering. We used the RDS-II estimator to estimate the population proportions of demographic characteristics and our primary outcome, the proportion of people who ever attempted abortion. Between April 4, 2018, and December 17, 2018, 849 eligible participants were recruited into the study. The estimated proportion of people who ever attempted abortion was 12.1% (95% CI 9.7%-14.4%). A total of 7.1% (95% CI 5.4%-8.9%) reported a facility-based abortion, and 4.4% (95% CI 3.0%-5.8%) reported an out-of-facility abortion. The estimated proportion of people who ever attempted abortion of 12% (102/849) in our study likely represents a substantial underestimation of the actual proportion of abortion attempts among this study population-representing a failure of the RDS method to generate more reliable estimates of abortion incidence in our study. We caution against the use of RDS to measure the incidence of abortion because of persistent concerns with underreporting but consider potential alternative applications of RDS with respect to the study of abortion.

Improving Friend Recommendation for Online Learning with Fine-Grained Evolving Interest.

The online version contains supplementary material available at 10.1007/s11390-021-2124-z.

User Analytics in Online Social Networks: Evolving from Social Instances to Social Individuals

In our era of big data and information overload, content consumers utilise a variety of sources to meet their data and informational needs for the purpose of acquiring an in-depth perspective on a subject, as each source is focused on specific aspects. The same principle applies to the online social networks (OSNs), as usually, the end-users maintain accounts in multiple OSNs so as to acquire a complete social networking experience, since each OSN has a different philosophy in terms of its services, content, and interaction. Contrary to the current literature, we examine the users’ behavioural and disseminated content patterns under the assumption that accounts maintained by users in multiple OSNs are not regarded as distinct accounts, but rather as the same individual with multiple social instances. Our social analysis, enriched with information about the users’ social influences, revealed behavioural patterns depending on the examined OSN, its social entities, and the users’ exerted influence. Finally, we ranked the examined OSNs based on three types of social characteristics, revealing correlations between the users’ behavioural and content patterns, social influences, social entities, and the OSNs themselves.

Proposal of an informed consent form to obtain audiovisual material from patients

An informed consent is mandatory to obtain any clinical audiovisual material from patients. Although there are some documents created for this purpose, there are some barriers for their application, such as the context in which they were created, the language and download availability. To create a proposal for an informed consent form (ICF) for the capture and different uses for audiovisual material from patients. A bibliographic search was carried out to obtain different ICFs in Spanish and English, which were subjected to a process of translation, counter-translation and fragmentation. Subsequently, a panel of experts was formed by members of the Chilean Society of Plastic Surgery with extensive experience in social networks. Delphi methodology was applied to reach a consensus about the definitive content of the ICF based on the previously selected fragments. ICFs available for download were identified. The panel was made up of seven Plastic Surgeons and two Delphi rounds were carried out through electronic surveys. At the end of the process, an ICF proposal was obtained for therapeutic, academic or scientific purposes and another for dissemination or education in the mass media. The proposed ICFs were liberated for their use among health care professionals in Chile, who could use them, provided that they are approved by the local healthcare ethics committees.

“A lot better than it used to be”: a qualitative study of adolescents’ dynamic social recovery capital

Background Substance use recovery is a dynamic process for youth, and social networks are tied to the recovery process. The Recovery Capital for Adolescents Model (RCAM) situates the resources accessible through social networks – social recovery capital (SRC) – in a larger framework of developmentally-informed recovery resources. This study aims to investigate the social network experiences among recovering youth enrolled in a recovery high school to understand how social influences help to build, or act as barriers to building, recovery capital. Methods To gain insight into these networks, Social Identity Maps and semi-structured interviews were conducted with ten youth ages 17–19 years (80% male; 50% non-Hispanic White). Study visits were conducted virtually, recorded, transcribed, and thematically analyzed using the RCAM as an organizing framework. Results Results supported that adolescent social networks play a unique and multifaceted role in the recovery journey. Three key nuances emerged: change permeates adolescent networks throughout the treatment and recovery process; shared substance use history and non-stigmatizing attitudes play a key role in connecting with others; and SRC is interconnected with human, financial, and community recovery capital. Conclusions With adolescent recovery receiving increased attention from policy makers, practitioners, and researchers, the RCAM may be a useful way to contextualize available resources. Findings suggest SRC as a crucial, yet complex component intertwined with all other forms of recovery capital.

Improving quality of life by promoting patient-provider communication and optimizing social support using a digital health platform.

e13622 Background: The patient experience, including symptom burden, is often disease-specific and dependent on host factors, the environment, and the tumor itself. Patients with a previous diagnosis of breast cancer are often subjected to multiple and aggressive treatment modalities compounding the already existing symptom burden related to the disease. Digital health can potentially increase patient engagement, close communication gaps between patients and providers, improve providers’ ability to stratify patient populations and adapt services, enable patients and families to access convenient and cost-effective care, and improve decision-making by patients and providers. The primary purpose of this pilot study was to evaluate if the use of a digital health platform can improve quality of life in patients with breast cancer. Methods: Patients with diagnosis of breast cancer were enrolled in a nonblinded, randomized, controlled trial of a digital health platform in self-reporting and monitoring of cancer and cancer-treatment related symptoms compared with usual care. All participants were asked to register in an online mobile application called CancerLife. This novel cancer social network experience provides patients social support through their care journey while at the same time collects patient-reported outcomes displayed inside reports that they can share with their providers. CancerLife automatically randomized each participant and assigned them to the experimental or control arms. The control arm received usual care provided for in the clinics. This group did not have access to the social network, reports or any other intervention or digital tools associated with CancerLife. Participants were asked to self-report their quality of life using the European Quality of Life Survey (EQ-5) every three weeks. Participants in the treatment arm were asked use the CancerLife at least 1 times per week for up to 24 weeks. Participants were also asked to share their print-out report directly with their care team and were instructed to email the report to their care team via their patient portal. Welch’s Two Sample t-test was performed to measure any statistical difference in the mean scores within each group for each time period. Results: CancerLife users had significant improvements in their scores at 9, 12, and 18 weeks; the improvement at 15 weeks was not significant. By contrast, the control group did not have significant improvements in their scores in any of the time periods. Conclusions: Breast cancer patients who were users of CancerLife’s app have more improvement in their Quality-of-Life Scores than randomly assigned non-users. The improvements seen with the use of CancerLife center on two things: improving communication from patient to physician about symptoms and offering patients social support which creates emotional resiliency. Clinical trial information: NCT03094741.

Non-attendance to Mammography Screening: A Qualitative Study among Nonattendees in Malta

Background: There is limited qualitative research exploring reasons for underutilisation of breast screening and the broader contexts that affect health-seeking behaviour among women who do not respond to breast screening invitations. This study aims to advance understanding of factors that influence breast screening non-attendance among lifetime nonattendees in Malta. Methods: Twenty face-to-face qualitative interviews were conducted with women in Malta. These explored women’s illness perceptions regarding breast cancer, knowledge on screening, mammography beliefs, past health-related experiences, medical help seeking behaviour, health and social interactions, and effective interventions that would facilitate mammography attendance. Data were analysed using thematic analysis. Results: Four themes emerged: 1) attitudes, feelings, beliefs and perceptions; 2) knowledge; 3) social network experiences and 4) perceived effective interventions. Fear of breast cancer and screening emerged as barriers to mammography. The majority of participants had not received physician advice. Previous familial cancer diagnosis prompted lifestyle changes in women, but it was not the primary motivator to attendance. Participants talked about fear of death and traumatic histories from experiences of relatives with cancer or personal traumas. Practical and emotional support are important to non-attendees. Conclusions: The impact of physical and psychosocial variables on personal resilience and self-confidence should inform the planning of screening interventions. Professionals must refer to patients’ wider support networks and make the necessary referrals, while policy makers should ensure services providing psychological, social and emotional support are accessible.

“I Don’t Wanna Be around Nobody”: A Retrospective Interview of Homeless Social Networks

The importance of social networks to the homeless population cannot be overemphasized. Social networks play an important role in the path toward homelessness and out of homelessness. While previous studies have shown the relationship between social networks and negative health outcomes among the homeless, there is limited literature on how homeless individuals construct their social networks. The purpose of this study is to understand how formerly homeless adults constructed their social networks during homelessness. Drawing on both narrative and thematic analysis methodologies, a sample of previously homeless adults (n = 20) were retrospectively interviewed on their social network experiences while homeless. Data analysis was guided by thematic analysis. Results indicated participants restricted their social networks on the premise of their mistrust of people, mental illness, and self-shame. The study suggests homeless social networks may be constructed based on experiences preceding homelessness and during homelessness. Findings suggest the lack of supportive networks among homeless adults may inform their limited social interactions. Thus, interventions to increase homeless social networks may improve overall wellbeing and enhance community reintegration efforts. Future research should further explore how homeless individuals’ social networks are constructed in other contexts.

At the intersection of two pandemics: the experience of social support networks for youth and adults living with HIV/AIDS during the Covid-19 pandemic

At the intersection of two pandemics: the experience of social support networks for youth and adults living with HIV/AIDS during the Covid-19 pandemic

Acculturation in context: The relationship between acculturation and socioenvironmental factors with level of and change in cognition in older Latinos

AbstractBackgroundLatinos are 1.5 times as likely to develop Alzheimer’s dementia as non‐Latino Whites. This health disparity may arise from multiple influences with culturally‐relevant factors receiving increasing attention. Models of acculturation stress the importance of considering acculturation‐related factors within the context of socioenvironmental factors to better capture the Latino experience in the US.MethodWe measured 10 acculturation and contextually‐related variables in 199 Latinos (age∼69.7yrs) without dementia participating in Rush Alzheimer’s Disease Center studies. We subjected these variables to Principal Component Analysis (PCA) to study their interrelationships; then investigated how the resulting components associated with level of and longitudinal change in domain‐specific cognition using separate linear mixed effects models adjusted for relevant confounders and their interactions with time.ResultThe PCA revealed a 3‐factor unrotated solution (variance explained ∼70%). Factor 1, representing acculturation‐related aspects of nativity, language‐ and social‐based acculturation, was positively associated with level, but not change, in semantic memory and perceptual speed. Factor 2, representing contextually‐related socioenvironmental experiences of discrimination, social isolation, and social networks, was associated with lower levels of episodic memory and working memory and faster longitudinal decline in visuospatial ability (Figure 1). Factor 3 (familism only) did not associate with level or change in any cognitive outcome. We are actively investigating the role of cardiovascular health on these associations.ConclusionAcculturation‐ and contextually‐related factors differentiated from each other and differentially contributed to cognition and cognitive decline in older Latinos. Providers should query multiple social determinants of health when evaluating older Latinos including acculturation‐ and contextually‐related lived experiences.

Online Social Networking among Clinically Depressed Young People: Scoping Review of Potentially Supportive or Harmful Behaviors

Online social networking sites are ubiquitous and prevalently used by young people. The COVID-19 pandemic demonstrated the potential for such sites to bring isolated people together to support their mental health. Virtual communications, however, are not without risks. Substantial knowledge exists on attendant risks and protections among the general population, but much less seems known about their effects among clinical populations. This scoping review mapped the novel knowledge and knowledge gaps related to online social networking experiences and perceptions of depressed young people, adolescents to emergent adults. It also explored moderators of their social networking supports versus harms. A broad search of published and gray research literature between 2010 and 2021 found seven intensive interview studies, three surveys and a brief prospective cohort. Their aggregate sample of 915 clinically depressed young people was most typically, outpatient adolescents in the USA. They also prevalently used online social networks, but their perceptions seemed more positive than those of their peers without a diagnosis of depression. In fact, their positive perceptions (60%; e.g., ease of access and communication with providers, support from positive peers) were nearly two-fold greater than their negative perceptions. (36%; e.g., self-denigrating comparisons with “friends,” cyberbullies). Tentatively suggested moderators of risks versus protections were found at the intersection of gender, ethnicity and socioeconomic status. However, given this relatively new field’s limits, these are probably best thought of as screened hypotheses for future full systematic review development and primary research testing. Clinical implications are discussed.

Social Networks in Limbo. The Experiences of Older Adults During COVID-19 in Ghana.

While studies exploring COVID-19 and its global influence have begun, social networks and support among older adults in low-and middle-income countries, such as Ghana have been inadequate despite its enormous relevance. Thus, the study presents the voices of older adults in Jamestown, Accra and their social networks during the COVID-19 pandemic in Ghana. Using a phenomenological approach, data were collected from 15 older adults through in-depth interviews on older adults' social network experiences during COVID-19 pandemic situation. Older adults generally struggled to maintain connections with their family members, friends, neighbors, and the community, especially during the lockdown. They ascribed their limited interaction to COVID-19 preventive measures, such as social distancing and the limitation of face-to-face meetings imposed by the government. Loneliness, stress, and depression are also linked to the breakdown of social networks. The findings provide a deeper understanding of the impact of COVID-19 on older adults' quality of life. It emerged that the Ghanaian society could reconsider the professional services of gerontologists, social workers, community outreach workers, and philanthropists in mitigating loneliness, stress, and depression among older adults in current and future pandemics.

Life Experience of Ethnic Minorities in Urban of Vietnam: An Analysis of the Social Relationship and Social Networks

This article is a part of a research project supported by Vietnam National University-Hanoi about the social welfare of ethnic people in the urban and industrial zones, aims at identifying and describing the life experiences of these groups in the urbanization process. Shreds of evidence from analysing the social network, social connection, social interaction of research participants in their living and working places, it is found that the ethnic minorities face difficulties in setting their life in the new context. However, they tend to build the social cohesion and to be satisfied with the new life conditions to meet the objectives of having a better life and a job in the new context. The findings from this analysis also show that there is a difference among the living place, age group, gender correlated to the social network, social relation and life experiences in the new context. It is the initial finding from the survey of 600 ethnic people in urban of three provinces of Daklak, Lang Son and Binh Duong of Vietnam. Received: 22 June 2021 / Accepted: 05 August 2021 / Published: 5 September 2021