Social Status Research Articles

Interlanguage impoliteness in criticism by the English learners from Javanese background over social status and distance

The present study analyses the impoliteness of criticism over social status and distance, incorporating the concept of "levels of imposition." Criticism as a fundamental speech act is commonly used by people in the modern era, either in the digital world or the real world. It usually contains impoliteness if it embodies negative behavior, conveying criticism. This study belonged to an interlanguage pragmatics study and used forty participants from English language learners having Javanese backgrounds. It also applied the role play technique to take data to be analyzed using mixed method analysis. The data showed that the criticizer performed various impoliteness strategies in criticism, considering familiar and unfamiliar relationships in different social status levels. They mainly performed bald-on-record impoliteness and adhered to other strategies such as negative, positive, and mock politeness. Besides that, delivering criticism in high intonation was also perceived as a part of impoliteness. Therefore, it suggested conducting another research concerning paralinguistics and impoliteness in various communication contexts.

“Saying ‘thank you’ or something more than lip service”: a variational analysis of the influence of gender and social status on responses to congratulations on Chinese WeChat

Abstract Existing studies on responses to congratulations to date have displayed a general culturally-bound finding that Chinese speakers prefer to take a detour approach. However, the effect of social constraints on response strategies have not received the attention it deserves. Drawing on a variational pragmatic approach, this study explores the constraints of gender and social status on the pragmatic variation of Chinese WeChat users’ responses to congratulations. Building upon an integrative data set of congratulatory interactions in actual online messages, the findings suggest that gender and social status overlap in complex ways, but with a clear tendency: both men and women significantly tend towards an acceptance strategy when responding to congratulations on WeChat, while social status influences the sub-strategies used in accepting congratulations across both male and female groups. The findings challenge previous stereotypes about Chinese language variation in responses to congratulations. The current results suggest that Chinese speakers have already made a transition from following the Modesty Maxim to using the Agreement Maxim, and have also incorporated the Obligation Maxim. Chinese speakers also consider rapport and reciprocity when responding to kind congratulatory remarks.

Slaves as Gifts to Accompany Letters: A Critical Study of the Bo’ Abdul Kadim

This study discusses the tradition of letters in the kingdom of Bima, especially concerning giving enslaved people as gifts to accompany letters. The data for this study were taken from the manuscript bundle of bo’ (official royal records) during the reign of Sultan Abdul Kadim Muhammad Shah (1751–1773). Now, the manuscript is part of the collection of the Samparaja Cultural Museum, Bima, West Nusa Tenggara and is coded C.011 Bo. Within the manuscript bundle, we found 117 (out of a total of 548) letters discussing slaves and slavery in the Bima kingdom. We first used philological research methods, then these texts were analysed with historical records to obtain a complete understanding of slaves and slavery in the 18th century AD societal traditions. The results showed that slaves giving as a gift accompanying the letter was a symbol of respect for the recipient of the letter, which was following the Malay correspondence tradition. For local rulers, slaves were the most valuable treasure. Slaves were also a determinant of social status among the nobility in the past. This practice applies not only in Bima but throughout the Malay land and even Southeast Asia.

Association between the education level and heatwaves mortality in Slovenia, 2015-2022

Abstract Background So far only a few studies have addressed the heat related mortality risks associated with socioeconomic factors. The study aimed to determine whether low education is associated with more deaths during heat waves, which in turn leads to health inequalities linked to climate change. Methods In this time series study, we assessed the association between the level of education in three Slovenian climate regions and mortality during the heatwaves from 2015 to 2022. We estimated the relative risks (RR) with 95 % confidence interval for the number of deaths due to all causes among persons with three different levels of education associated with heatwaves in three Slovenian climate regions independently, comparing the number of deaths during heat waves with the reference days. Results Continental and Littoral Climate: We found no statistically significant association in the number of deaths due to all causes during heatwaves according to the three levels of education. When comparing these three levels to each other (Relative Risk Ratio), we found no statistically significant differences between them. Transitional Climate: For the second education level (middle education) we found statistically significant increase in number of deaths due to all causes (12%; 95% CI: 2%, 23%). When comparing the three education levels to each other, we found statistically significant decreased number of deaths in the first education level (low education) compared to second (-13%; 95% CI: -24%, -1%). Conclusions When assessing the effects of climate change on health and planning preventive measures, it is necessary to consider both socioeconomic factors and the characteristics of different climate regions in Slovenia. Further studies are needed. Key messages • Heatwaves will contiue to be more intense, longer and more frequent also in Europe. • Not many studies assessed association between social status and mortality durin heatwaves. WE found statistically significant more deaths in middle class education group. Further studies are needed.

Empowering youths through citizen science to address health inequalities in adolescence

Abstract Citizen Science (CS) stands as a beacon of hope in the fight against inequalities in adolescent health, revolutionizing scientific research by involving individuals from diverse backgrounds. Unlike traditional methods, CS transcends academic boundaries, fostering inclusivity and collaboration irrespective of age, nationality, or social status. This approach has gained momentum in adolescent health research, empowering young people as co-researchers from project inception, thereby reducing disparities in health knowledge and access. Studies demonstrate its efficacy in enhancing empowerment and health literacy among participants. YouthChronic is an example of how CS can mitigate health inequalities among adolescents. The project ensures active participation in every research stage by engaging adolescents with chronic conditions as citizen scientists. Open-ended questions facilitate detailed responses, while participation in analysis and dissemination enhances their research involvement and sense of ownership. Through initiatives like YouthChronic, CS is reshaping the research landscape, making it more relevant and impactful to bridge the inequality gap. Young Citizen Scientists’ views on their participation: “As part of YouthChronic, we felt like our experiences with chronic conditions were finally being heard. The researchers were cool-they listened to us, let us be flexible with our participation, and even taught us some research skills. Learning from other peers’ experiences made us feel less alone and gave us new insights. But it’s frustrating that we’re limited by resources. We have big ideas, like running an advocacy campaign, but we need funding to make them happen”. In conclusion, by actively involving adolescents in the scientific process through CS initiatives like YouthChronic, we can reduce inequalities in adolescent health, empower marginalized voices, and pave the way for a brighter, more inclusive future in scientific exploration and discovery.

White Americans who perceive themselves to be “last place” in the racial status hierarchy are most drawn to alt-right extremism

Economic inequality and alt-right extremism have reached historic highs in the U.S. We propose that high economic inequality may uphold stereotypes that white people are wealthy which may lead some white Americans to feel in the precarious position of falling behind their racial group’s high status. For white Americans who also feel that they are being passed in status by People of Color, such perceptions may make ideologies that aim to benefit white people particularly appealing. Across two studies (Pilot: N = 465; Study 1: N = 1,449), using representative quota sampling of non-Hispanic, white Americans, we combine a measure of subjective status with latent profile analysis to identify white Americans who feel they are in “Last Place” (i.e., falling behind most white, Black, Asian, and Latinx Americans). Controlling for objective status, white Americans in this “Last Place” profile were most likely to support alt-right ideology, politicians, and events.

Estimating risk using the novel Particulate Matters years index (ePM-years index). A report from the nationwide EP-PARTICLES study

Abstract Background Air pollution is the largest environmental risk factor, especially for cardiovascular disease (CVD). In this study, we present an original concept of estimating the risk associated with exposure to air pollution: the Particulate Matters years index (ePM-years index). Objective To assess the predictive performance of the ePM-years index. Methods The ePM-years index is an indicator of hypothetical exposure to air pollution. It is estimated by multiplying the number of years spent in a given environment by the difference between the average annual PM2.5 concentration and the allowed level of pollution given by World Health Organization (WHO) guidelines (Figure 1). We collected data from 2011 to 2020 on mortality and hospitalizations from National Health Fund and the Central Statistical Office in Poland, respectively. For further analysis, we used an age-standardized rate (SR), established on the European Standard Population structure. The source of air pollution data was GEM-AQ air quality modeling system. All data were connected with TERYT codes, all analyses were conducted at the county level (LAU-1) and then aggregated to the voivodeship level (NUTS-2). Poisson regression models were used to estimate associations between CVD mortality, ePM-years, and population level social and health status. We also estimated the attributable fraction of CVD mortality due to air pollution using AirQ+ methodology from the WHO. Results We recorded 4,010,531 deaths including 1,669,464 (41.6%) deaths due to CVD with a median age of 78.16 (SD=12.54), and 53.4% of females (N=914,932). Current smokers amounted to 29.9% (23.4%-33.2%). The main causes of death were coronary artery disease [405,268 (24.3%)] and heart failure [376,592 (22.6%)]. The mean Gross Domestic Product (GDP) per capita was 9644 EUR (7517-12,048), and the mean yearly PM2.5 concentration was 23.3 (SD=6.3) μg/m3, corresponding with the mean ePM-index 35.8 (21.5-66.6) in analysed time. The SR for CVD mortality was 500.3 (min. 461.9 – max. 604.5), the SR hospitalization rates were as follows: hypertension 312 (299-342), diabetes 90 (78.9-95.9), and HF 557.9 (310-728.4). There was an association of the ePM-years index with CVD mortality (shown as increase per 10 ePM-years): In Model 1 adjusted for GDP, risk ratio (RR) 1.023 (95% confidence interval (CI): 1.002-1.044); in Model 2 adjusted for comorbidities, RR=1.025 (95%CI: 1.004-1.046); in Model 3 adjusted for GDP, comorbidities and weather conditions RR=1.027 (95%CI: 1.005-1.049). We estimated that 16.2% (N=324,460) [95%CI: 12.54% -17.9%] of CVD deaths were attributable to PM2.5 exposure, using the WHO's air quality guideline as the reference. Conclusions The ePM-years index may be used as a tool for risk stratification for patients and incorporated into CVD outcomes prediction models. The index can help with planning of appropriate primary and secondary prevention schemes related to long-term pollution exposure.

Emerging Technological Advancement for Chronic Wound Treatment and Their Role in Accelerating Wound Healing.

Chronic wounds are a major healthcare burden and may severely affect the social, mental, and economic status of the patients. Any impairment in wound healing stages due to underlying factors leads to a prolonged healing time and subsequently to chronic wounds. Traditional approaches for the treatment of chronic wounds include dressing free local therapy, dressing therapy, and tissue engineering based scaffold therapies. However, traditional therapies need improvisation and have been advanced through breakthrough technologies. The present review spans traditional therapies and further gives an extensive account of advancements in the treatment of chronic wounds. Cutting edge technologies, such as 3D printing, which includes inkjet printing, fused deposition modeling, digital light processing, extrusion-based printing, microneedle array-based therapies, gene therapy, which includes microRNAs (miRNAs) therapy, and smart wound dressings for real time monitoring of wound conditions through assessment of pH, temperature, oxygen, moisture, metabolites, and their use for planning of better treatment strategies have been discussed in detail. The review further gives the future direction of treatments that will aid in lowering the healthcare burden caused due to chronic wounds.

Microfibrillar-associated protein 4 as a predictive biomarker of treatment response in patients with chronic inflammatory diseases initiating biologics: secondary analyses based on the prospective BELIEVE cohort study.

Currently, there are no reliable biomarkers for predicting treatment response in chronic inflammatory diseases (CIDs). To determine whether serum microfibrillar-associated protein 4 (MFAP4) levels can predict the treatment response to biological therapy in patients with CIDs. The BELIEVE study was originally designed as a prospective, multi-center cohort study of 233 patients with either rheumatoid arthritis, psoriatic arthritis, psoriasis, axial spondyloarthritis, Crohn's disease, or ulcerative colitis, initiating treatment with a biologic agent (or switching to another). Clinical assessment and blood sample collection were performed at baseline and 14-16 weeks after treatment initiation. The primary analyses included participants with available blood samples at baseline; missing data were handled as non-responders. The patients were stratified into the upper tertile of serum MFAP4 (High MFAP4) versus a combined category of middle and lower tertiles (Other MFAP4). The primary outcome was the proportion of patients with clinical response to biologic therapy after 14-16 weeks. 211 patients were included in the primary analysis population. The mean age was 43.7 (SD: 14.8) years, and 120 (59%) were female. Positive treatment response was observed in 41 (59%) and 69 (49%) for High MFAP4 and Other MFAP4, respectively. When adjusting for pre-specified variables (CID, age, sex, smoking status, and BMI), the adjusted OR was 2.28 (95% CI: 1.07 to 4.85) for a positive treatment outcome in the High MFAP4 group. A high MFAP4 status before initiating biological treatment is associated with a positive clinical response, when adjusting for confounding factors.

Older Adults’ Descendants and Family Networks in the Context of Global Educational Expansion

AbstractFamily networks are key to understanding the well‐being of older adults because kin provide instrumental and financial support, help manage health and disability, and encourage social integration. Two momentous societal changes have shaped the families of contemporary older adults: the first and second demographic transitions and global educational expansion. The intersection of these two processes raises questions about how older adults are faring in terms of their kin availability. This paper examines the socioeconomic bifurcation of adults in midlife and beyond in terms of the existence of descendants and other kin. Disparities in kin availability may vary across socioeconomic status and contexts, and so we examine this phenomenon worldwide, analyzing data on two thirds of the world's population of adults aged 50 and above. Our results highlight different kin structures by socioeconomic status. High socioeconomic status adults have fewer descendants but a higher likelihood of having at least one child with tertiary education, a partner, and living parents. Low socioeconomic status older adults have larger families with more younger kin. Our results shed new light on potential mismatches between the contemporary family networks of older adults and longstanding social norms and assumptions about caregiving, family, and health policies.

Association of COVID-19 and influenza vaccinations and cardiovascular drugs with hospitalisation and mortality in COVID-19 and Long COVID: 2-year follow-up of 17 million individuals in England

Abstract Introduction For COVID-19 and Long COVID, determining the highest-risk subgroups, particularly in the context of compound pressures such as influenza and cardiovascular disease (CVD), may identify effective interventions to prevent adverse health outcomes, and inform public health and policy decisions. Methods Using national, linked electronic health records for England (NHS England Secure Data Environment: via CVD-COVID-UK/COVID-IMPACT Consortium), we studied individuals with COVID-19 and Long COVID from January 2020 to February 2023. We compared all-cause hospitalisation and mortality in unmatched and matched cohort analyses, by prior CVD, high CVD risk (by QRISK2), COVID-19 and influenza vaccination status, and prescription of CVD preventive therapies. We investigated potential impact of targeted vaccination and CVD prevention strategies on mortality and hospitalisations by calculating population preventable fractions. Results We identified 17,373,850 individuals with COVID-19 [54.4% female; mean age 38.8 years; COVID-19 vaccination ≥2 doses:50.0%, influenza vaccination (≥1 dose):27.8%; mean follow-up 1.28 years] and 301,115 with Long Covid [61.8% female; mean age 46.0 years; COVID-19 vaccination ≥2 doses:66.4%, influenza vaccination:33.1%; mean follow-up 1.1 years]. Hospitalisation and mortality rates were 15.3% and 2.0% in COVID-19 (Long COVID rate 1.3%) and 16.8% and 1.4% in Long COVID, respectively. Adjusted risk of mortality and hospitalisation were reduced with COVID-19 vaccination ≥2 doses (COVID-19:HR 0.36, 95% CI 0.34-0.38 and 0.69, 0.68-0.69; Long COVID:0.44, 0.42-0.47 and 0.90, 0.89-0.91). With influenza vaccination, mortality was reduced, but not hospitalisation (COVID-19: 0.86, 0.85-0.86 and HR 1.01, 1.01-1.01, and Long COVID: 0.72, 0.67-0.76, and 1.05, 1.03-1.07), with greatest effect in those with prior CVD and high CVD risk. Mortality and hospitalisation were also reduced by CVD prevention in those with CVD, e.g. anticoagulants- COVID-19: 0.69, 0.69-0.70 and 0.92, 0.91-0.93; Long Covid: 0.59, 0.54-0.64, and 0.88, 0.84-0.92. COVID-19 vaccination, influenza vaccination and CVD drugs (Anticoagulants) averted 101117 of 193598, 2138 of 4017 and 16573 of 36847 preventable deaths among individuals after COVID-19, and 875 of 1189, 65 of 127 and 507 of 1007 preventable deaths among those with Long COVID, particularly in people with CVD. Conclusions Prior CVD and high CVD risk are associated with increased hospitalisation and mortality risk in people with COVID-19 and Long COVID. Targeted improvement in COVID-19 vaccination and CVD prevention, especially in those with CVD are priority interventions in pandemics to avoid excess hospitalisation and mortality.Baseline Characteristics and OutcomesHospitalisation/mortality by COVID vaccn

Expression of lipid-metabolism genes is correlated with immune microenvironment and predicts prognosis of hepatocellular carcinoma

Hepatocellular carcinoma (HCC) is one of the most common malignant tumors. This study was aimed to identify a lipid metabolism-related signature associated with the HCC microenvironment to improve the prognostic prediction of HCC patients. Clinical information and expression profile data were downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases, including the GEO dataset GSE76427. The gene expression profile of lipid metabolism was downloaded from Molecular Signatures Database (MSigDB) database. The infiltrating immune cells were estimated by the Estimation of Stromal and Immune cells in Malignant Tumor tissues using Expression data (ESTIMATE), MCP-counter, and TIMER algorithms. Functional analysis, including Gene ontology (GO) analysis, Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene set enrichment analysis (GSEA) were performed to elucidate the underlying mechanisms. The prognostic risk model was performed by Least absolute shrinkage and selection operator (LASSO) algorithm and Cox regression analysis. Two distinct subgroups of survival were identified. Better prognosis was associated with high immune score, high abundance of immune infiltrating cells, and high immune status. GO and KEGG analysis showed that differentially expressed genes (DEGs) between the two subgroups were mainly enriched in immune related pathways. GSEA analysis suggested that the expression of lipid metabolism related genes (LMRGs) was related to dysregulation of immune in the high-risk group. Risk models and clinical features based on LMRGs predicted HCC prognosis. This study indicated that the lipid metabolism-related signature was important for the prognosis of HCC. The expression of LMRGs was related to the immune microenvironment of HCC patients and could be used to predict the prognosis of HCC.

Predictors for psychosocial consequences of screening for liver diseases in Germany: a LASSO approach

Abstract Background Medical screening is extensively used across various disciplines for early disease detection and prevention of severe progression aiming to reduce disease-specific burden, improve quality of life and promote health. However, screening is debated due to unclear evidence of its overall benefits from a public health perspective. Screening is associated with improved health behavior and cost-effectiveness. However, studies identified adverse effects of screening like psychosocial burden. Most results originate from cancer screening and it is unclear whether they are transferable to other contexts. Within a research program, a systematic screening procedure to detect patients with liver cirrhosis at early stage in an asymptomatic general population was evaluated. In this study, we aimed to identify patient characteristics that predict and explain variance in psychosocial outcomes of screened patients. Methods This study analyzed data from 523 participants who underwent a systematic liver disease screening in Germany from Jan 2018 to Feb 2021. We used bootstrapped LASSO regression with 10-fold validation to evaluate the influence of various predictors on the outcomes measured by the Psychological Consequences of Screening Questionnaire (PCQ). The constructs measured by the PCQ are social, physical and emotional dysfunction associated with screening. Results We identified lower severity of comorbidities, higher subjective social status, stronger social support, older age, better critical health communication skills and higher health literacy as relevant predictors of lower psychosocial dysfunction, indicating their protective role in preventing psychosocial burden of screening. Conclusions From a public health perspective, medical screening offers should take into account patients’ individual context regarding their subjective social status, health impairments, personal social networks and health literacy skills to reduce post-screening psychosocial burden. Key messages • Social support, age, health literacy and higher subjective social status were positively associated with lower psychosocial consequences of liver screening. • The findings indicate that liver screening should be carried out, taking into account the individual’s situation and resources available.

Seroprevalence and associated factors of toxoplasmosis in female children and adolescents in Germany

Abstract Background Toxoplasmosis is a parasitic disease that causes a high burden of disease worldwide. Infections occur mainly through the consumption of undercooked meat or the ingestion of contaminated cat feces from the environment. In Germany, seroprevalence in adults is exceptionally high by international comparison (50%), which could be due to the frequent consumption of raw pork products. Comparable analyses for children and adolescents are missing but are needed to estimate the public health problem and to suggest countermeasures. Methods As part of the second wave of the representative German Health Interview and Examination Survey for Children and Adolescents (2014-2017), serum of 1,453 girls aged 3 to 17 years was tested for the presence of T. gondii IgG antibodies using enzyme linked fluorescence assay (ELFA). We calculated overall and stratified seroprevalence and used multivariable logistic regression models based on Directed Acyclic Graphs to identify associated factors. Adjusted odds ratios (aOR) with 95% confidence intervals (CI) are being reported. Results Overall, 94 out of 1,453 girls tested positive for T. gondii resulting in a seroprevalence of 6.3% (95% CI: 4.7-8.0). With each year of life, the chance of being seropositive increased significantly by 1.2 (95% CI 1.1-1.3). A low social status (aOr 2.7; 95% CI 1.3-5.9) and living in rural (aOR 2.6; 95% CI 1.1-5.7) or urban (aOR 2.2; 95% CI 1.1-4.4) areas were found to be associated with seropositivity. No regional distribution patterns or differences between vegetarians and non-vegetarians were seen. Conclusions Six out of 100 girls become infected with T. gondii during the first 18 years of life. Independent risk factors identified in our study have also been associated with seropositivity in other countries. Meat consumption appears to have a reduced impact on the risk of infection in children and adolescents compared to adults, calling for different prevention strategies in this population. Key messages • Toxoplasmosis causes a high infection pressure for girls and young women in Germany. • Transmission pathways might differ between age groups with more environmentally associated infections in children and adolescents.

Characteristics of the Gut Microbiota Composition of the Arctic Zone Residents in the Far Eastern Region

Background. In many studies over the past decade, scientists have made a connection between the composition of gut microbiota and human health. A number of publications have shown that gut bacteria are involved in many metabolic and physiological processes of the organism. The composition of the gut microbiome is unique for each person and is formed under the influence of various factors associated with both the individual characteristics of the body and the characteristics of the environment. Different regional characteristics make it necessary for the body to adapt to certain conditions, including temperature fluctuations. Living in areas with low temperatures, such as the Arctic zone, dictates the need for increased energy consumption, which affects the composition of the gut microbiome. Methods. In our study, an extensive questionnaire was conducted among the participants, where many questions were included about the dietary preferences of the study participants, which allowed them us to further divide them into groups according to their diets. Stool samples were collected from participants from 3 groups: Arctic native, Arctic newcomer and the control group. The next step was the isolation of bacterial DNA and sequencing the 16S rRNA gene. The analysis of the results of the diversity of the intestinal microbiota was carried out both with and without taking into account the dietary preferences of the participants. Results. As a result of comparing the intestinal microbiota obtained from residents of the Arctic zone with the gut microbiota of residents of other regions with a milder climate, significant differences are found. These differences may be related to limited food resources and a reduction in the variety of food products characteristic of this Arctic region. t was also found that representatives of the bacterial families Christensenellaceae and Muribaculaceae dominated the control group, both with traditional nutrition and with a dairy-free diet in comparison with the Arctic groups. The control group was dominated by representatives of the Prevotellaceae, Enterobacteriaceae and Comamonadaceae families compared to the Arctic group (with a traditional diet). The results also show that the number of representatives of the families Desulfovibrionaceae (with traditional diet) and Enterobacteriaceae (with milk-free diet) is growing in the Arctic group. Conclusions. In the course of this work, bacterial families characteristic of people living in the Arc-tic zone of the Far Eastern region of the Russian Federation were identified. Poor diet, difficult climatic conditions, and problems with logistics and medical care can have a strong impact on the health of this population. The main type of diet for the inhabitants of the Arctic is the traditional type of diet. They consume a large number of low-cost products, obtainget animal protein from poultry and canned food, and also eat a small number of fresh vegetables and fruits. Such a diet is due to the social status of the study participants and the climatic and geographical features of the region (difficulties in agriculture). With such a diet, we observe a decrease in representatives of the Christensenellaceae, Muribaculaceae, Eubacteriaceae, and Prevotellaceae families and an increase in representatives of the Enterobacteriaceae and Desulfovibrionaceae families among Arctic residents. This imbalance in the futuremay cause, this population may to develop various diseases in the future, including chronic diseases such as obesity, intestinal dysbiosis, inflammatory bowel diseases, and type 2 diabetes.

Unequal cannabis use among European adolescents: the mediating role of perceived access and risk

Abstract Introduction Cannabis use among adolescents is a public health concern, because of its association with the use of other illicit drugs, mental health disorders, and social problems. Most studies show that adolescents from low socioeconomic status (SE) background are more likely to use cannabis, but the causes of SE inequalities remain to be understood. We test whether access and risk perceptions of cannabis use among disadvantaged adolescents explain the SE gradient. Objectives The aim of this study was to measure the mediating effect of access perception and risk perception on the association between SE status and cannabis use among European adolescents in 2019. Methods A cross-sectional, observational, analytical study was conducted, among 16-year-old students, based on data from the European School Survey Project on Alcohol and Drugs (ESPAD) in 2019. The outcome was cannabis use (experimental, regular, and problematic) and the exposure was SE status (parental education and subjective social status). Mediating variables were perceived accessibility and perceived risk of cannabis use. We used logistic regressions, where the odds ratio (OR) reduction measures the part of the association explained by the mediators. Results Regular and problematic cannabis use was significantly more prevalent among adolescents with a lower SE background (low parental education and low subjective social status, p < 0,001). This relationship remained significant after adjustment for perceived access and risk, and the modification of ORs was of a small magnitude (a non-significant reduction of the association). Conclusions Perceived accessibility and risk showed a weak mediating effect of the association between SE background and cannabis use. Consequently, these factors cannot be considered as major explanations for the higher use among worse-off adolescents. Reinforcing information or imposing stronger barriers in access may not help reduces SE inequalities in cannabis consumption. Key messages • Perceived accessibility and risk hardly explain the association between socioeconomic background and cannabis use among European adolescents. • Reinforcing information or imposing stronger barriers in access may not help reduces socioeconomic inequalities in cannabis use.

Adolescents witnessing family violence and its association with socio-economic factors

Abstract Background About 200 000 children in Sweden live in families where violence among adults occurs. About 10% of children have witnessed violence family violence Family violence is often more prevalent in low social status families. The present study describes adolescents that have witnessed threats of violence, abusive words or physical/sexual violence in their families, as well as the association between these types of violence and socio-economic factors. Methods Data from a school-based survey, in the County of Sörmland (2023), including 15-18-years-old students in 2023 were used. Witnessing family violence was measured by the following item “Have you experienced that an adult in your family has... 1) threatened to use violence against someone else in your family? 2) used abusive words, oppression, or been dominant or controlling against someone else in your family? 3) used physical violence against someone else in your family, such as hitting, pushing, kicking, or sexual violence”. Parental work status, the child’s living conditions and economic stress were used as socio-economic factors. Data were analysed by descriptive methods and logistic regressions. Results This study included 3 407 adolescents among which 19% had witnessed any type of family violence. The most prevalent type was witnessing abusive words, (17%), followed by physical/sexual violence (10%) and threats to use violence (9%). Witnessing any type of family violence was associated with all socio-economic variables in univariate analyses, the strongest association was found for having economic stress (OR = 3.30; 95% CI 2.72-4.01), in comparison to not having economic stress. Further adjustments for gender, grade, ethnicity, parental work status and living with both parents attenuated the association, OR = 2.50 (95% CI 2.03-2.07). Conclusions Two of ten adolescents have witnessed any type of family violence. These adolescents often belonged to families with low socioeconomic status making them vulnerable. Key messages • In this school-based study, 19 % of adolescents had witnessed any type family violence. Having witnessed abusive words was the most prevalent type of family violence. • There is as strong association between witnessing family violence hand having economic stress among adolescents. These adolescents need to be noticed in their particularly vulnerable situation.

An Empirical Study of Integrating Orff-Schulwerk in Music Classes to Improve College Students' Social Competence in the Post Epidemic Era

As the global epidemic eases, college students face increasing Social-Skills problems, especially when Social-Skills are reduced due to prolonged home isolation. This study investigated the effectiveness of Orff-Schulwerk in enhancing the Social-Skills of college students. Taking students of Z College School in Southern China as the research object, the current social status and needs of college students were analyzed through questionnaires and in-depth interviews. The findings suggest that Orff-Schulwerk significantly improves students' Social-Skills through its unique collective participation and creative expression, especially in enhancing teamwork, communication skills and self-confidence. This study not only provides new perspectives on the application of music education in higher education, but also provides empirical support on how to promote the development of college students' Social-Skills through art education in the post epidemic era.

Analysis of the Misalignment of Wanting and Liking in Chinese Luxury Consumption

Abstract: China is rapidly becoming one of the most significant luxury goods markets in the world. As people's incomes continue to rise, an increasing number of individuals are inclined to purchase brand products to show their social status or satisfy psychological desires after fulfilling their daily living needs. This paper delves into the physiological and external factors that create a distinction between the emotions of "liking" and "wanting" in the context of luxury consumption. The primary objective of this research is to help consumers better understand their consumption motives, thereby helping them avoid impulsive or blind purchases. By utilizing literature analysis and review methodologies, the study categorizes and synthesizes the existing knowledge, beginning with the definitions of the two emotions to uncover the deeper influencing factors. It is found that from a neuroscience perspective, the brain regions responsible for generating "liking" and "wanting" are distinctly different; In the realm of luxury consumption, social factors, traditional Chinese cultural values, and individual differences play crucial roles in distinguishing between "liking" and "wanting".

A socio-cognitive perspective of knowledge integration in digital innovation networks

Digital innovation is a complex process in which actors seek to create new value pathways by combining digital resources in a layered modular architecture. While IS scholarship has a rich tradition of research on developing and implementing digital artefacts within intra-organisational contexts, our understanding of knowledge integration across distributed innovation networks is nascent and under-theorised. This is an important area of research given the rising importance of digital innovation networks and the challenges faced in integrating specialised knowledge, especially given the greater diversity, speed, reach, and scope made possible by digital technologies. Drawing on in-depth case study findings from a health IoT project involving multiple organisations and disciplines, we explore how knowledge is integrated across boundaries during the initiation stage of a digital innovation network. Our findings point to boundaries related to the digital platform’s organising vision, resource allocation, delivery roadmap, technical architecture, and intellectual property, to name but a few challenges. We then reveal five socio-cognitive modes of knowledge integration which actors strategically enact to cross syntactic, semantic, and pragmatic boundaries: Signalling, Assembling, Contesting, Discounting, and Finalising. The choice of mode depends on the perceived knowledge status (‘what they know’) and social status (‘who they are’) of network actors, which highlight the salience of both social and cognitive dependencies for knowledge integration. We further discuss the contribution of design objects for overcoming differences and distinctions between specialist actors in a digital innovation network.