Sociodemographic Backgrounds Research Articles

Exploring Consumer Understanding and Perceptions of Front-of-Pack Labelling of Foods and Non-Alcoholic Beverages in Kenya.

Background: Front-of-package labeling (FOPL) is shown to support healthier consumer choices. Many countries have adopted different FOPL systems. Objective: This study explored perceptions and understanding of three FOPLs and identified features that could enhance their effectiveness in Kenya. Methods: A qualitative study was conducted across four Kenyan counties-Nairobi, Mombasa, Garissa, and Kisumu. Data from 12 focus group discussions with 137 adults of diverse socio-demographic backgrounds were analysed. Participants evaluated three FOPLs: Red and Green (RG) Octagon, Red and Green Octagon with icons and text (RGI), and Black Octagon Warning Label (WL). The FGDs assessed visibility and memorability, comprehension, potential effectiveness, and cultural relevance of each label. NVivo version 14.0 was used for thematic analysis. Results: Kenyan consumers had mixed perceptions of the proposed FOPLs. The black Octagon WL was found to be the most visible and memorable due to its bright colours. Although the RG and RGI symbols were visually engaging, some participants reported confusion with the colour meanings. The WL was also more readily understood due to its text. Overall, WL was preferred for its potential to influence purchasing decisions, while all three FOPLs were considered culturally suitable. Conclusions: The Black Octagon Warning Label was the most visible and comprehensible of the three FOPLs and shows promise in influencing consumer behaviour in Kenya. While RG and RGI symbols are appealing, their colour scheme could reduce their effectiveness. Educating consumers on FOPLs could enhance their impact in reducing unhealthy food purchases.

A quasi-experimental study assessing the effectiveness of a community-based egg intervention in the nutritional and health status of young children from rural Honduras.

This community-public-private-academic coalition project implemented and evaluated the effectiveness of a rural, community-based egg intervention that aimed to support the nutrition and health of children living in rural, poor communities from Intibucá, Honduras, during the COVID-19 pandemic. This investigator-blind, non-randomized, controlled study was informed by a community health improvement process and participatory research. Women from 13 communities were given a microloan to start an egg farm that supplied 1 egg daily to 201 children ages 6-24 months for 1 year (intervention group). Control communities (n = 14) were selected from neighboring municipalities with similar sociodemographic backgrounds based on size. Sociodemographic-, anthropometric-, and morbidity data were collected biannually between January 2021 to January 2022. Outcome changes were compared with linear-, generalized- or Poisson- mixed models adjusted by sex, age, maternal education, breastfeeding status, assets, adults living at home, baseline outcomes, and community-cluster. Baseline to 6- and 12-month weekly frequency of egg intake significantly increased in the intervention vs. the control group: 6-month change = 1.86; 95%CI (1.61, 2.14); 12-month change = 1.63; 95%CI (1.42, 1.87 p<0.001), respectively. Baseline to 12-month changes in the intervention group were not significant for length/height-for-age-z-scores = 0.12, p = 0.187; weight-for-length/height-z-scores = -0.02, p = 0.78; and diarrhea prevalence, AOR = 1.69; 95%CI (0.53, 5.42), p = 0.378. Lower odds of respiratory infections were observed for the intervention vs. the control group at 6- and 12-month post: AOR = 0.28; 95%CI (0.12, 0.63), p = 0.002; AOR = 0.30; 95%CI (0.12, 0.75), p = 0.010, respectively. Children in the intervention group reported consuming eggs more days per week relative to the control group. Lower odds of respiratory infections were observed in the intervention group throughout the study. Ongoing follow-up will offer more insights on the intervention's effectiveness in linear growth, dietary diversity, food security, and other nutritional outcomes.

Prescriptivist attempts at a spelling reform in Early Modern English: sociolinguistic and stylistic routes and rates of adoption

ABSTRACT Some late Renaissance scholars, like Smith (1568); Hart (1569; 1570); Bullokar (1580); Mulcaster (1582), attempted to reform English spelling to reflect the pronunciation changes resulting from the Great Vowel Shift. Their goal was to align letters and phonology by devising a more stable and predictable new system. This study explores the impact and diffusion of these spelling proposals. It examines texts from 1300 to 1700, written by authors from different socio-demographic and biological backgrounds, and across various genres, registers and text-types. The sources used as linguistic materials are the Innsbruck Corpus of Middle English Prose, an archival data source of prose pieces representing different genres from 1150 to 1500 and the Parsed Corpus of Early English Correspondence, a collection of 4,970 authored documents written from 1410 to 1681 by informants from different social ranks. This study may allow us to trace the sociolinguistic and stylistic route and rate of adoption (if any) followed by these attempts at reforming the English spelling system within processes of diffusion of linguistic innovations at the level of orthography, as well as to reconstruct the sociolinguistic contexts of language variation and change in past communities.

Access for all? Socio-demographic biases and interest group access to the European Parliament

ABSTRACT This article focuses on the access that interest groups secure to Members of the European Parliament (MEPs). It examines whether and how interest group access is influenced by the socio-demographic characteristics of lobbying teams and politicians, including gender and national origin. Guided by similarity attraction theory, the study hypothesises that interest groups staffed by lobbyists from underprivileged socio-demographic backgrounds (i.e., women, Central and Eastern European, or non-EU origin) are less likely to secure access to MEPs. However, it suggests that MEPs from similar backgrounds are less susceptible to such biases. To test these expectations, the study utilises a combination of door pass data to the European Parliament, reported meetings on the European Parliament's website, and desk research. The results show that lobbying teams with a balanced gender composition are more likely to secure access to MEPs, and that similarities in gender and national origin facilitate interactions between MEPs and lobbying teams. The study offers valuable insights into the inclusiveness and socio-demographic biases within EU public affairs.

Roma undergraduates’ partner selection and social embeddedness

ABSTRACT This study investigates Roma undergraduates’ partner selection patterns, examines the main factors in students’ partner selection attitudes, and analyzes the structural role in students’ network. We rely on data from semi-structured life-narratives and contact diaries of 67 Roma undergraduates. Three main partner selection patterns were distinguished among Roma students: (1) Roma and non-Roma partners with low educational attainment, (2) non-Roma partners with secondary or higher education, and (3) Roma partners with secondary or higher education. Partners’ sociodemographic backgrounds show correspondence with the size of students’ egocentric networks and indicates ties from the same social group with higher probability. Our results imply that in the choice between a typically low-status Roma environment and a high-status university environment, or in the delicate balancing act between the two, the chosen partner plays a key role.

Health care contact days in older adults enrolled in SWOG cancer clinical trials.

64 Background: Health care contact days—days with health care contact outside the home—are a measure of how much of a patient’s life is consumed by health care. This number of contact days are especially relevant for older adults with advanced cancer facing limited survival. One concern is that patients with different sociodemographic and clinical backgrounds may be at particular risk of increased contact days. Thus, there is a critical need to understand factors associated with contact days. Methods: We linked data from 6 SWOG trials in advanced cancer to Medicare claims data. These trials encompassed a variety of primary cancer types [prostate (S9916, S0421), lung (S0003, S0124, S0819), and pancreas (S0205)]. Health care contact days (days with ambulatory, emergency department, inpatient, or facility-based care) in the first 12 months were calculated using Medicare database files. A day with &gt;1 source of contact counted as 1. We examined sociodemographic (age, race, ethnicity, sex, insurance status, rurality, area deprivation index) and clinical (prognostic risk, cancer type, performance status) predictors of contact days, using negative binomial regression, with a log link and clustering by study ID, including an offset variable for duration of observation. We examined predictors in univariate and multivariable analysis. We report relative risk (RRs) estimates and 95% CI. Results: We included 1,429 patients (median age, 71 years, 7.6% Black, 2.7% Hispanic, 21.4% female, and 23.5% rural residence). Of these, 741 (51.9%) patients died in the first year. The median number of contact days was 48, out of a median of 350 days of observation. At a trial level, median percentage of contact days ranged from 14% (prostate) to 27% (lung). The most common sources of contact days were ambulatory clinician visits (median=17), tests (median=12), and treatments (median=11). In multivariable regression, factors associated with increased contact days included increasing age (per year, RR=1.02 [1.01-1.02], p&lt;.001), insurance status (Medicare alone or with Private or Medicaid insurance, vs Military/VA, none, or other insurance, RR=2.47 [2.16-2.83], p&lt;.001), higher prognostic risk score (RR=1.14 [1.04-1.25], p=.004), and type of cancer (pancreas, RR=1.69 [1.51-1.89] and lung, RR=1.69 [1.54-1.85] vs prostate, p&lt;.001 for both). Conclusions: This novel linkage of trial and claims data to evaluate contact days and associated factors found that older trial participants spent up to one in four days with health care contact. Ambulatory appointments were the most common source of contact days. Encouragingly, rural residence and neighborhood deprivation were not associated with contact days, increasing confidence that participants from diverse geographic areas may receive equitable care in trials. These data highlight the frequency of contact days for trial participants, while identifying factors to consider when benchmarking contact days.

Determining the effectiveness of basic first aid training provided to secondary school students

Aims: The aim of this study is to evaluate the effectiveness of first aid training provided to middle school students from diverse socio-demographic backgrounds, and to examine how these differences influence the outcomes of the training. Methods: The study was conducted in three middle schools located in the eastern part of Turkiye between April and July 2016. The population of the study consisted of 7th-grade students (n=391) attending these schools during the spring semester of the 2015-2016 academic year. All students were included in the sample without any selection, as participation was obtained through parental and student consent. Data were collected using the “Descriptive Information Form” and the “First Aid Education Knowledge Evaluation Form”. First aid knowledge levels were assessed before the training, after the training, and two weeks post-training. Results: The study found that the average first aid knowledge scores of students based on socioeconomic status were 58.61±6.26 for high, 60.86±5.86 for middle, and 56.44±6.26 for low socioeconomic status. Post-training, the average scores increased across all groups. These findings indicate that socioeconomic status affects first aid knowledge, but the training programs benefit all students and improve their knowledge levels. Conclusion: The findings of this study indicate that while socioeconomic status exerts a significant influence on first aid knowledge, the training programmes implemented have resulted in notable improvements in the knowledge levels of all students.

Communicating COVID-19 vaccine information to Chinese communities in the UK: a qualitative study of their knowledge, information sources and trust

IntroductionIn late 2020, the COVID-19 vaccine acceptance rates of Chinese people living in the UK were estimated between 52% and 57%, significantly lower than that of the general population (76%)....

58 Recreational walking and perceived environmental qualities in Denmark

Abstract Purpose The objective of this study is to investigate the variety of motivations behind recreational walking among individuals with diverse sociodemographic backgrounds. Additionally, we aim to employ a dynamic, person-centered approach to assess recreational walking behaviors geographically, along with preferences for the quality of places associated with recreational walking. Methods A survey conducted via the map-based platform Maptionnaire included 1838 adult respondents (aged 15-90 years) who engage in recreational walking. Georeferenced data regarding respondents’ home locations, other starting points for walking excursions, and points of interest along their routes were collected. Utilizing Geographic Information System (GIS), distances between home and other starting points, as well as points of interest, were calculated. Traditional questionnaire functions in Maptionnaire were also employed to gather additional information on recreational walking behaviors and motivations. Results Predominant motivations for recreational walking included mental well-being, physical health, enjoyment, and experiential aspects of walking. Individuals with tertiary education exhibited a positive correlation with motivations related to mental well-being, experiences, and outdoor activities with pets and children. Higher income levels were associated with experiences, walking with pets, enjoyment of walking, and socializing while walking. Our map-based approach revealed that recreational walking often commences at locations distant from home and is not confined to the immediate neighborhood. A total of 4598 points of interest were identified, with the most frequently cited place qualities being green spaces, water bodies, wildlife, scenic views, and tranquility. Conclusion Employing a dynamic, person-centered methodology allowed respondents to pinpoint relevant locations for their walking activities, irrespective of their residential neighborhoods. Recreational walking frequently begins away from home or extends beyond the nearest neighborhood. The median distance from home to mapped points of interest ranged between 1.0 and 1.6 km for home-based trips and between 9.4 and 30.6 km for trips originating from other locations. Greenery, water features, wildlife, scenic views, and tranquility emerged as the most favored place qualities associated with the mapped points. Support/Funding Source ‘Moving Denmark’ is funded by the Danish philanthropic foundation NordeaFonden (https://nordeafonden.dk/about-nordea-fonden).

Planning to Take More Mathematics Courses in High School: Who Does and Who Doesn't?

What are the most common motives invoked by 9th graders when asked about their plans to take (or not) more mathematics courses during high school? How do beliefs about math course-taking affect students’ actual planning? To what extent is planning of math course-taking associated with high school students’ socio-demographic backgrounds? The study employs data from the High School Longitudinal Survey of 2009 to examine the issue of persistence in math course-taking during high school. The study shows that almost two-thirds of 9th graders plan to do math during all their high school years, although intentions to persist in math vary across racial and especially socioeconomic backgrounds. The study also demonstrates the importance of belief constructs such as math identity, internal motivation toward math learning and math utility on math course-taking planning. A better understanding of students’ motives to engage in high school math may help develop classroom practices that emphasize the long-term benefits of math learning.

Catastrophic out-of-pocket payments related to non-communicable disease multimorbidity and associated factors, evidence from a public referral hospital in Addis Ababa Ethiopia

BackgroundIn low and middle-income countries (LMICs), non-communicable diseases (NCDs) are on the rise and have become a significant cause of mortality. Unfortunately, accessing affordable healthcare services can prove to be challenging for individuals who are unable to bear the expenses out of their pockets. For NCDs, the treatment costs are already high, and being multimorbid further amplifies the economic burden on patients and their families. The present study seeks to bridge the gap in knowledge regarding the financial risks that come with NCD multimorbidity. It accomplishes this by examining the catastrophic out-of-pocket (OOP) expenditure levels and the factors that contribute to it at Tikur Anbesa Specialized Hospital, Addis Ababa, Ethiopia.MethodsA facility-based cross-sectional study was conducted at Tikur Anbesa Specialized Hospital between May 18 and July 22, 2020 and 392 multimorbid patients participated. The study participants were selected from the hospital’s four NCD clinics using systematic random sampling. Patients’ direct medical and non-medical out-of-pocket (OOP) expenditures were recorded, and the catastrophic OOP health expenditure for NCD care was estimated using various thresholds as cutoff points (5%, 10%, 15%, 20%, 25%, and 40% of both total household consumption expenditure and non-food expenditure). The collected data was entered into Epi Data version 3.1 and analyzed using STATA V 14. Descriptive statistics were utilized to present the study’s findings, while logistic regression was used to examine the associations between variables.ResultsA study was conducted on a sample of 392 patients who exhibited a range of socio-demographic and economic backgrounds. The annual out-of-pocket spending for the treatment of non-communicable disease multimorbidity was found to be $499.7 (95% CI: $440.9, $558.6) per patient. The majority of these expenses were allocated towards medical costs such as medication, diagnosis, and hospital beds. It was found that as the threshold for spending increased from 5 to 40% of total household consumption expenditure, the percentage of households facing catastrophic health expenditures (CHE) decreased from 77.55 to 10.46%. Similarly, the proportion of CHE as a percentage of non-food household expenditure decreased from 91.84 to 28.32% as the threshold increased from 5 to 40%. The study also revealed that patients who traveled to Addis Ababa for healthcare services (AOR = 7.45, 95% CI: 3.41–16.27), who were not enrolled in an insurance scheme (AOR = 4.97, 95% CI: 2.37, 10.4), who had more non-communicable diseases (AOR = 2.05, 95% CI: 1.40, 3.01), or who had more outpatient visits (AOR = 1.46, 95%CI: 1.31, 1.63) had a higher likelihood of incurring catastrophic out-of-pocket health expenditures at the 40% threshold.Conclusion and recommendationThis study has revealed that patients with multiple non-communicable diseases (NCDs) frequently face substantial out-of-pocket health expenditures (CHE) due to both medical and non-medical costs. Various factors, including absence from an insurance scheme, medical follow-ups necessitating travel to Addis Ababa, multiple NCDs and outpatient visits, and utilization of both public and private facilities, increase the likelihood of incurring CHE. To mitigate the incidence of CHE for individuals with NCD multimorbidity, an integrated NCD care service delivery approach, access to affordable medications and diagnostic services in public facilities, expanded insurance coverage, and fee waiver or service exemption systems should be explored.

Exploring the Challenges in Palliative Care As Perceived by the Saudi Physicians: A Cross-Sectional Study.

Palliative care is essential for managing patients with life-limiting illnesses. In Saudi Arabia, providing effective palliative care is uniquely challenging due to cultural, religious, and social factors. Despite healthcare advancements, there is a gap in understanding the challenges faced by physicians in palliative care within this context. This study aimed to explore the challenges encountered in palliative care as perceived by physicians in Riyadh, Saudi Arabia. A cross-sectional survey was conducted using an electronic questionnaire distributed among physicians involved in palliative care at the specified healthcare institutions. The questionnaire assessed their perceptions of the challenges in palliative care and the influence of their socio-demographic backgrounds on these perceptions. Data were analyzed using the Statistical Package for the Social Sciences (SPSS). The age distribution of the enrolled physicians showed that a majority were between 20-40 years old (48.48%, n = 96). Male physicians accounted for 64.65% (n = 128), and females for 35.35% (n = 70). Various specialties were represented, with critical care (15.66%, n = 31) and radiation oncology (16.67%, n = 33) being the most common. Major challenges identified included limited outpatient and inpatient services (54.55%, n = 108), restricted access to allied healthcare professionals (60.61%, n = 120), ethical dilemmas due to triaging (63.13%, n = 125), lack of telemedicine facilities (57.07%, n = 113), and the impact of the COVID-19 pandemic on pain and palliative care research (60.1%, n = 119). Strategies adopted to mitigate these challenges included creating triage systems (54.55%, n = 108), using telemedicine (60.61%, n = 120), advanced care planning (63.13%, n = 125), and providing necessary personal protective equipment (PPE) (60.1%, n = 119). This study highlights significant barriers in palliative care, such as limited services, ethical dilemmas, and lack of telemedicine facilities. Addressing these challenges requires ethical support for healthcare providers, integration of telemedicine, continuous education, and improved access to multidisciplinary care teams, which are crucial for enhancing palliative care quality and ensuring comprehensive patient support.

A social network approach to community energy initiative participation

This perspective paper argues how a social network approach can contribute to creating a more comprehensive picture of how individual and community characteristics influence participation in community energy initiatives (CEIs). We argue how social network theory and methods for social network analysis can be utilized to better understand participation. Further, we show how this can potentially aid the implementation of interventions aimed at attracting more participants with more diverse socio-demographic backgrounds. Importantly, we argue that the structure of community social networks connecting (potential) participants could importantly influence whether and how individual and community properties affect CEI participation. Our aim is conveying the social network approach to the field of community energy researchers and stakeholders who might not be familiar with it. We discuss empirical evidence on the effect of network characteristics on CEI participation and the connection between research on CEIs and adjacent fields as a foundation for our claims. We also illustrate how a social network approach might help to overcome biased participation and low participation numbers, by providing social scientists with a tool to give empirically grounded advice to CEIs. We conclude by looking at avenues for future research and discuss how the context of CEIs might yield new theoretical insights and hypotheses.

The predictive validity of MCAT scores and undergraduate GPA for COMLEX-USA licensure exam performance of students enrolled in osteopathic medical schools.

Osteopathic (Doctor of Osteopathic Medicine [DO]) medical students account for more than 25 % of all medical students in the United States. This study examined the predictive validity of Medical College Admission Test (MCAT) total scores and cumulative undergraduate grade point averages (UGPAs) for performance on the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) Level 1 and Level 2-CE (Cognitive Evaluation) licensure examinations administered by the National Board of Osteopathic Medical Examiners (NBOME). Additionally, the study examined the degree to which MCAT total scores and UGPAs provide comparable prediction of student performance by key sociodemographic variables. This study involved a collaborative effort between the Association of American Medical Colleges (AAMC), the American Association of Colleges of Osteopathic Medicine (AACOM) and the NBOME. Data were examined for 39 accredited DO-granting medical schools in the United States during the 2017 application cycle. Researchers utilized three regression models that included MCAT total scores, cumulative UGPA, and combined MCAT total scores and cumulative UGPA to determine predictive validity. Researchers also examined the comparability of prediction for sociodemographic variables by examining the differences between observed and predicted error for both scores and pass/fail success rates. Medium to large correlations were discernible between MCAT total scores, UGPA, and COMLEX-USA examination outcomes. For both COMLEX-USA Level 1 and Level 2-CE scores and pass/fail outcomes, MCAT scores alone provided superior predictive value to UGPA alone. However, MCAT scores and UGPA utilized in conjunction provided the best predictive value. When predicting both licensure examination scores and pass/fail outcomes by sociodemographic variables, all three models provided comparable predictive accuracy. Findings from this comprehensive study of DO-granting medical schools provide evidence for the value-added benefit of taking MCAT scores and UGPA into consideration, particularly when these measures are utilized in conjunction. Further, findings provide evidence indicating that individuals from different sociodemographic backgrounds who enter medical school with similar MCAT scores and UGPA perform similarly on licensure examination outcome measures.

Training design for social inclusion: The impact of sociodemographic factors on immigrant learners in Dutch adult education programs

This study explores the impact of adult basic education programs aimed at enhancing social inclusion for immigrant learners in the Netherlands. Basic literacy skills are vital for performing everyday tasks and building human capital, which in turn facilitates employment and skill acquisition. Low adult literacy is often associated with social exclusion and poverty, which can have detrimental effects on mental health and further reinforce marginalization. We analyzed two adult education programs (N = 171) conducted in 2019, within the context of lifelong learning policies designed to support adults with low literacy skills. Our findings confirm the positive effects of these educational programs on social inclusion outcomes. Through logistic regression and moderation analyses, we examined how participants’ sociodemographic backgrounds influenced their social inclusion outcomes following the program. Key pre-training conditions, such as prior education and employment status, influenced how participants engaged with a positively perceived learning environment. Assertiveness emerged as a significant outcome, affecting changes across various aspects of social inclusion. These results suggest that acquiring new skills empowers participants to reshape their self-perceived literacy identity. This study adds to the body of literature on adult education by emphasizing the importance of training design and sociodemographic factors in fostering social inclusion for immigrant learners.

Mothers' experiences of privacy in neonatal intensive care units: A qualitative study.

Examining the privacy experiences of mothers in neonatal intensive care units (NICUs) can play a crucial role in bolstering patient privacy safeguards and elevating the overall quality of health care. However, our understanding of mothers' experiences regarding privacy issues they may face after their infants' hospitalization in the NICU is limited. This study aimed to investigate the experiences of mothers concerning privacy within NICUs to contribute valuable insights for improving infant care and privacy protection. A qualitative content analysis using a conventional approach was conducted. A total of 18 participants, with diverse sociodemographic backgrounds, were interviewed using open-ended questions. Qualitative content analysis was undertaken for data analysis. The study was conducted in the NICU of an urban teaching hospital in Iran. The study identified four main themes: 'understanding of privacy', 'fluctuating respect for privacy', 'efforts to maintain privacy' and 'privacy barriers'. Participants viewed privacy as multidimensional, influenced by cultural and religious factors. Respect for privacy varied, with instances of both adherence and violation. Mothers employed strategies to preserve privacy, emphasizing the importance of their infants' privacy. Privacy barriers included hospital attire, the physical space of the NICU, inhomogeneous human resources and insufficient supervision and training. This study, the first of its kind in the NICU context, provides valuable insights into maternal experiences of privacy. Integrating these insights into practice and future research can contribute to creating more empathetic and privacy-respecting NICU environments. Health care providers can use these findings to enhance support for mothers, potentially reshaping physical spaces and communication practices within NICUs.

Impact of Economic Crisis and Socio-Demographic Factors on Milk and Milk Product Consumption of Undergraduates: A Case Study of Eastern University, Sri Lanka

Milk consumption is influenced by a wide range of factors, including gender, age, income, education, ethnicity, health condition, and presence of children in the household. The current study was designed to investigate the effects of the recent economic crisis and socio-demographic factors on the milk and milk product consumption patterns of undergraduates. The questionnaire survey was used as the primary data collection tool. The survey was conducted with a representative sample of undergraduates (n=238) using a self-structured online questionnaire. The collected data was analyzed using descriptive and inferential statistics. As per the results, the majority of undergraduates in the sample size consume raw milk (83%). Therefore, cattle milk was the most widely consumed type of raw milk (84%). Ice cream is the most popular milk product (99%) in sample size. Despite the economic crisis, the majority of undergraduates (53%) maintain steady milk consumption habits. However, the milk consumption of undergraduates during the financial crisis was significantly associated with factors including locality (p=0.017), family size (p=0.014), monthly family income (p=0.000), parental educational level (p=0.000), and employment status (p=0.014). Further, this study investigated the fact that the purchasing frequency of milk and milk products was not associated with socio-demographic backgrounds (P&gt;0.05).

Exploring long-term cancer survivors’ care experiences and unmet needs: protocol for a qualitative study

BackgroundThe number of cancer survivors has increased in recent decades, and the majority of them suffer from sequelae of their disease and treatment. This study, which is part of the larger research project OPTILATER, aims to explore different aspects of care services for long-term survivors (≥ 5 years after initial cancer diagnosis) in Germany. The study places an emphasis on the situation of people from different age groups, with different socio-demographic and cultural backgrounds, and sexually and gender diverse individuals.MethodsTo investigate experiences related to follow-up care, focus groups (n = 2) will be conducted with members of patient advisory councils and advocacy groups, representatives of communities, healthcare workers and networks, as well as members of Associations of Statutory Health Insurance Physicians. Guided interviews will be carried out with patients and relatives (n = 40) to investigate needs, barriers and obstacles in terms of follow-up care. On this basis, additional focus groups (n = 2) will be carried out to derive possible scenarios for improving the consideration of needs. Focus groups and interviews will follow a semi-structured format and will be analysed content-analytically. Focus groups and interviews will be conducted online, recorded, transcribed, and analysed independently by two persons.DiscussionThe qualitative approach is considered suitable because of the exploratory research aims. The identification of experiences and barriers can reveal disparities and optimization potential in the care of long-term cancer survivors.

Perceptions and behaviors of wine consumers towards organic wine: a case study in central Greece

This study investigates the perceptions and behaviors of wine consumers towards organic wine in Central Greece. A survey was conducted among 75 participants across various age groups and regions, encompassing diverse socio-demographic backgrounds such as gender, age, profession, and education. Surprisingly, no significant differences were observed in attitudes towards organic wine across these demographics, except for variations related to place of residence and income. The majority of participants perceived organic wine as a premium product, with urban residents exhibiting a heightened inclination toward its purchase. Despite concerns regarding its high cost, participants expressed a willingness to continue purchasing organic wine owing to its perceived benefits. Based on the fact that there is a lack of relevant studies, this survey sheds light on the evolving consumer preferences and attitudes towards organic wine in the region, providing valuable insights for producers and marketers in the wine industry.

The lived experiences and perceptions of middle-aged adults in Dominica who have survived severe storms-a qualitative exploration.

The Eastern Caribbean island of Dominica has experienced diverse negative effects from the North Atlantic hurricane season, including deadly storms like Hurricane Maria in 2017. Vulnerability is increased by geographic location, small island developing state (SIDS) status, and ecosystem characteristics. A variety of negative health effects including stress and anxiety are caused by powerful storms. The perspectives of middle-aged (the "sandwich generation") survivors in this post-storm milieu are understudied. This phenomenological qualitative study describes the perceptions of middle-aged (35-55 years) Dominicans, purposively recruited with gatekeeper assistance from communities stratified according to four natural hazard vulnerability categories designated by the Climate Resilience Execution Agency for Dominica (CREAD), regarding their lived experiences in the context of severe storms. Data was collected between June and August 2022, using primarily Zoom-based semi-structured, individual interviews (12 of 13), guided by the principles of saturation and maximum variation. Verbatim interview transcripts were thematically analyzed with constant comparison using an ATLAS.ti-supported hybrid deductive-inductive coding frame. Reflexivity and contact summary sheets were used to minimize bias. Ten women and three men from diverse CREAD vulnerability and sociodemographic backgrounds were recruited. Data condensation yielded three organizing themes: (i) "The diverse health effects of severe storms", (ii) "Response to and recovery from severe storms", and (iii) "Preparedness and precaution for severe storms". These themes encapsulated the health impacts of severe storms on Dominicans and elucidated the role of facilitating and barricading resilience factors. Severe storms produced direct and indirect mental, social, and physical health impacts on middle-aged Dominicans, including anxiety and burnout. Participants used faith-based, tangible community-based support, and emotional mechanisms to cope with and demonstrate resilience. Better risk communication and early warning systems would improve population readiness. Persistent dispirited attitudes toward storm preparedness among some participants suggest the need for targeted methods to enhance community involvement in disaster planning, including traditional approaches like "coup-de-main" (self-help).