Personal Survey Research Articles

"Listening to understand," exploring postpartum women's perceptions of their social networks and social support in relation to their health behaviors and weight: A qualitative exploratory study.

Postpartum is a critical period to interrupt weight gain across the lifespan, decrease weight-related risk in future pregnancies, promote healthy behaviors that are often adopted during pregnancy, and improve long-term health. Because the postpartum period is marked by unique challenges to a person's ability to prioritize healthy behaviors, a multi-level/domain approach to intervention beyond the individual-level factors of diet and activity is needed. The purpose of this study was to understand postpartum people's perceptions about the relationship between their social networks and support, and their health behaviors and weight. We used a qualitative descriptive approach and in-depth interviews. Participants (aged 18+, 12-15 months postpartum, who had a pre-pregnancy body mass index ⩾25) engaged in one-on-one, in-depth interviews conducted via Zoom (n = 28). Additional qualitative data came from open-ended responses to an online survey (n = 84) and a personal social-network survey (n = 84). Qualitative analysis used content and thematic analysis in stages of deductive coding applying codes derived from social-network and support theories, followed by inductive coding. Thirty-eight participants (38.4%) returned to or weighed less than pre-pregnancy weight. We identified two overarching themes grounded in social-network and support theories. They were: (1) normative influence impacts health behaviors, body image, and experiences of weight stigma, and (2) network social support is related to health goals and overall postpartum health. Postpartum networks/support hindered and supported participants' goals. Partners provided an important source of accountability but were often associated with barriers to healthier behaviors. Our findings reinforce the importance of the social context when considering how to support healthy behaviors and weight during the postpartum period. Healthcare providers should focus on health indicators other than maternal weight, and those wishing to support healthy postpartum behaviors could focus on child and family health, rather than solely on maternal weight and health behaviors.

P-1403. Measuring Impact of COVID-19 Pandemic using Novel EPII Survey on PLWH in New Orleans

Abstract Background Research has shown that the impacts of the COVID-19 pandemic stretch beyond solely physical health. This study uses the newly developed Epidemic-Pandemic Impacts Inventory (EPII), a 92-item tool designed to quantify the impact of COVID-19 pandemic across several personal and social domains. People living with HIV (PLWH) have an increased morbidity and mortality associated with COVID-19 infection and are overall more vulnerable to social change. The current study uses the EPII to compare pandemic-related experiences of PLWH to those without HIV in New Orleans. Methods The Tulane University COVID-19 Antibody and Immunity Network (TUCAIN) maintains a longitudinal cohort of PLWH who provide clinical data and biological specimens for studies on the immune response to COVID-19 infection and vaccination. For the current study, participants were asked to complete the EPII assessing their perception of the pandemic. Participants were invited to complete the survey in person or via phone with a study coordinator. Responses from participants ≥18 years old who completed the survey were reviewed. Survey responses were analyzed using SPSS software. Results Both the PLWH (N=54) and control group (N=220) were similar in age; however, the PLWH subset was predominantly male and more racially diverse. PLWH reported more severe impacts of pandemic such as food insecurity (χ2=15.9; df=1; p< 0.01) and loss of employment (χ2=26.9; df=1; p< 0.01) and housing (χ2=6.6; df=1; p=0.01). PLWH reported more interruptions in medical care (χ2=12.6; df=1; p< 0.01) and more health problems unrelated to COVID-19 (χ2=7.2; df=1; p< 0.01). The PLWH subset was also less likely overall to report positive impacts of the pandemic (i.e. increased quality time with loved ones) compared to control group. Conclusion Results indicate that the HIV cohort reported greater rates of financial and health ramifications of the pandemic relative to control population. This study further reinforces the notion that this population was more susceptible to the socioeconomic turmoil of the COVID-19 pandemic. The results from this study will help to refine EPII as a survey tool for use in future pandemics and more precisely identify domains of social impact that affect the PLWH population the most. Disclosures All Authors: No reported disclosures

Exploring Gendered Perspectives on Personality Traits and Entrepreneurial Performance in Lebanon during the COVID-19 Crisis

We investigate the impact of gendered personality traits on the entrepreneurial performance of male and female entrepreneurs in Lebanon during the COVID-19 crisis. Using the Big Five personality model and survey data from 500 entrepreneurs, the research examines how traits such as agreeableness, conscientiousness, neuroticism, extraversion, and openness to experience influence business outcomes in high-pressure environments. The findings reveal that agreeableness and neuroticism benefit female entrepreneurs more than males during crises, while conscientiousness significantly deteriorates the financial performance of female entrepreneurs. Extraversion and openness exhibit no differential effects on financial performance by gender. By examining the interplay between gendered personality traits and entrepreneurial performance within the unique context of Lebanon during the COVID-19 pandemic, this study contributes novel insights to the literature. It challenges traditional views on gendered advantages in entrepreneurship, particularly by highlighting the underexplored positive implications of neuroticism and the nuanced role of agreeableness. These findings provide actionable insights for policymakers and support organisations. Specifically, fostering relational skills such as agreeableness and leveraging neuroticism’s sensitivity for proactive crisis management can enhance entrepreneurial resilience. Additionally, training programmes aimed at addressing the rigidity associated with conscientiousness can help entrepreneurs adapt more effectively to volatile environments. By tailoring interventions to gender-specific personality dynamics, these insights can strengthen entrepreneurial ecosystems and improve resilience in times of uncertainty.

A comparative study of family violence among Hindi-speaking and third-generation English-speaking Australian women

High prevalence and incidence rates of family violence (FV) amongst South Asian communities have been reported internationally. Despite the recognition that culturally and linguistically diverse (CALD) communities within Australia have additional risk factors associated with experiencing FV, Australia has limited research exploring FV amongst one of its fastest growing CALD populations, South Asians. With the Hindi-speaking community accounting for the single largest group within the South Asian community in Australia, this study aimed to address this gap. The 2016 Personal Safety Survey (PSS) was used to explore the prevalence rate and risk factors associated with FV victimisation for Hindi-speaking Australian women and compare this with third-generation English-speaking Australian women. The findings indicated that Hindi-speaking Australian women reported a lower prevalence rate of FV yet had different risk factors associated with their risk of victimisation. Specifically, Hindi-speaking females had only experience-based risk factors (e.g., child abuse) related to their victimisation of FV, whilst third-generation English-speaking females had both experience and situational-based risk factors (e.g., unemployment). These findings are unlikely to be representative of all Hindi-speaking Australians nor of South Asian Australians more broadly, as the survey design may have been biased towards a particular subset of Hindi-speaking Australians who could speak English fluently. Recommendations on how to address such limitations in future studies are discussed.

Social media usage determinants across demographic characteristics of mobile network users in Zimbabwe

The study sought to establish the primary determinants of social media usage among mobile network users in Zimbabwe, and how do these determinants vary across different demographic characteristics, including age, gender, education, income, and occupation. A descriptive research design was used in this study. A self-administered face-to-face personal survey was used to collect data from the consumers. The population in this study was made up of mobile consumers of the mobile network providers, Econet, NetOne, and Telecel in Harare Province, aged between 18 and 64 years. Convenience sampling technique, was used to select the mobile network consumers to participate in the study drawn from the three mobile operators. A sample of 384 respondents was chosen for the study. The result indicated that male respondents demonstrated a stronger perception of the effects of social media engagement on social media usage and truthfulness as a determinant of social media usage among the 18 to 25 age group and the 34 to 41 age group was different. Respondents with secondary education only demonstrated stronger perceptions of the effect of perceived usefulness on social media usage than degree holders’ respondents. Formally employed respondents had a stronger perception of the effects of social media influence on social media usage compared to students. The analysis of the study results further indicated that respondents who earned less than $2000 was significantly less than the mean score for the group which earned between $3001- 4000. The study concluded that male consumers have a stronger perception of the effects of social media engagement on social media usage, the consumers in the 18 to 25 age group have stronger perceptions of truthfulness of information, holders of certificates have a stronger perception of the effects of cost effectiveness on social media usage and formally employed consumers have a stronger perception of the effects of social media influence on social media usage compared to students. Creation of social media content helps the mobile network operators to adapt, design and develop social media content specifically targeted to specific ages, gender, occupations, and income levels on social media sites. Mobile network operators can use the results of the study to choose a social media channel that speak to the right demographic consumers who visit their platforms.

Feasibility of a synchronous, online, group psychological intervention in nonclinical settings

Introduction: it was considered appropriate to design psychological interventions in non-clinical contexts (community, academic-clinical and academic-non-clinical), in order to obtain data on the feasibility, acceptance and satisfaction with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (PU) in group, online, synchronous format. Objective: to explore the feasibility, acceptance and satisfaction of participants regarding a psychological intervention based on the application of the synchronous online group PU in various non-clinical contexts. Method: study with a quantitative, exploratory-descriptive, and interactive approach, with a quasi-experimental, pre-post test design for paired samples. The incidental sample of each of the three studies carried out consisted of a total of 9 women with a diagnosis of breast cancer (current or in remission), 9 UCA students who requested psychological care from the SAP at the beginning of the 2020-2021 academic year, and 13 students from the Aula Universitaria de Mayores of the UCA. Instruments: to assess feasibility we used the Satisfaction / Opinion Scale on Treatment (Spanish adaptation by Borkovec & Nau), an ad hoc Personal Assessment Survey on various aspects of the psychological intervention (Schedule, Themes, Modality of the sessions, Shared material and Therapist) which included an open question “Suggestions, comments or opinion”. Results: the preliminary results obtained are encouraging and show the feasibility of the PU in the format and contexts applied.

L’evolution du concept de propriete chez les peuples de Côte d’Ivoire au XXe siecle

In pre-colonial Africa, societies were governed by traditional systems that had adopted a very different concept of property from that prevailing in European countries governed by Roman law. In Africa, property is a value as much as a good, a link that connects man and divinity, a right that is part of a multitude of lineage and community rights: everyone can therefore obtain uses for the value, but no one can, strictly speaking, claim to own it, dispose of it, sell it or destroy it. When the French coloniser made Côte d'Ivoire a colony (1882), he investigated traditional rights according to his own legal categories and regimes, in order to modify the African concept of property. This article, based on the French colonial surveys of 1901-1902 and recent personal surveys (2022-2023), seeks to understand how the French coloniser sought to introduce the French concept of property and to measure the extent to which the Baule peoples, especially the Baule of Koliakro, have resisted the modern concept of property to this day.

Objects as pedagogical mediators. A proposal for the construction of an ecological design in the kindergarten

Starting from the first days of life, the child is placed in the world as a subject intentionally interacting with individuals and with the environment that surrounds them, capable of generating meanings and knowledge through activities of playful and active learning. The kindergarten - the first broader social context that the child attends - is a privileged place for the development of project proposals aimed at the development of learning pathways to support the child in their growth and promote reflections on and participation in the topic of early childhood education at multiple levels. The article gives an account of the experience related to a personal research survey conducted at some public kindergartens (age 0-3) of the city of Rome in order to verify the replicability and effectiveness of a design methodology used in my work as a pedagogical coordinator. The methodology considers the use of elements present in the world of children and adults as mediators in the development of educational proposals that actively involve children, families and professionals that can generate a universe of shared meaning and promote a research-action perspective in educational services. This article also intends to highlight some design aspects of the curriculum (age 0-3) that could encourage the development of the kindergarten as a place that supports the child to be a protagonist of their growth pathways and the environment in which they live and contribute positively to their first experiences of citizenship.

The COVID-19 pandemic and journalistic ethics: Spanish citizens’ demand for external control of health communication in the media

The disinformation that threatened media coverage in Spain during the COVID-19 pandemic was perceived as a serious threat by the population, which became a crucial ethical challenge for health information. This nationwide study is part of a global research project whose primary objective was to know and delve further into the behavior of citizens in the face of journalistic information related to COVID-19, to determine the channels used by audiences to learn about the pandemic and their personal informative interaction through social networks (Twitter, Facebook, Instagram). The field sample (June 2022) comprised 1,800 online surveys (carried out using the CAWI system) of persons aged 18 years and older residing in the country. Quotas were established by sex, age and Autonomous Community. The sampling error is ±2.34, with a confidence level of 95.5% and p = q = 0.5. The data collected were processed with the IBM SPSS Statistics 26 package. The results confirm a majority belief (values 4 + 5/5) that journalism pursues the truth (59.5%). They also show in adults the predominance of a high confidence in their ability to detect falsehoods, as opposed to the low self-perception confessed by young people. Inversely proportional is the verifying effort of these population groups. There is no homogeneous agreement that discrimination against vulnerable groups (obese people, smokers, the elderly, migrants) was encouraged despite the medium-high caliber of the assessment (3.35/5.00). The most notorious finding was to confirm the majority social demand (values 4 + 5/5 = 72.6%) to implement some external control on the professional collective that guarantees ethical adequacy and quality in the informative coverage of health issues, which suggests a system of journalistic co-regulation.

Large language models display human-like social desirability biases in Big Five personality surveys.

Large language models (LLMs) are becoming more widely used to simulate human participants and so understanding their biases is important. We developed an experimental framework using Big Five personality surveys and uncovered a previously undetected social desirability bias in a wide range of LLMs. By systematically varying the number of questions LLMs were exposed to, we demonstrate their ability to infer when they are being evaluated. When personality evaluation is inferred, LLMs skew their scores towards the desirable ends of trait dimensions (i.e. increased extraversion, decreased neuroticism, etc.). This bias exists in all tested models, including GPT-4/3.5, Claude 3, Llama 3, and PaLM-2. Bias levels appear to increase in more recent models, with GPT-4's survey responses changing by 1.20 (human) SD and Llama 3's by 0.98 SD, which are very large effects. This bias remains after question order randomization and paraphrasing. Reverse coding the questions decreases bias levels but does not eliminate them, suggesting that this effect cannot be attributed to acquiescence bias. Our findings reveal an emergent social desirability bias and suggest constraints on profiling LLMs with psychometric tests and on this use of LLMs as proxies for human participants.

Wildfire Smoke Exposure During Pregnancy: Consensus-Building to Co-Create a Community-Engaged Study.

Relative to other Oregon counties, Klamath County experiences worse air quality due to wildfire smoke, as well as elevated rates of infant mortality and low birthweight. Klamath County Public Health (KCPH) raised concerns that wildfire smoke is a contributor to poor infant health. Thus, we built a multidisciplinary team and designed a community-engaged research (CEnR) project to capture community and individual-level exposure to wildfire smoke contaminants, alongside perinatal health outcomes. Through partnerships, we identified 24 individuals across academic, public health, and community organizations that met five times over three months to develop a study design. We initially used a modified Delphi method, but adjusted our approach to find multidisciplinary areas of agreement across a highly diverse team. Our team used structured meetings, surveys, and iterative feedback to build consensus on a study design. KCPH and our community partners reviewed and approved all proposed activities to ensure community input was integrated. The resultant study, trialed in Klamath County, included the use of environmental, residential, and personal samplers and health surveys with a cohort of pregnant individuals during the wildfire season. We discuss the advantages and challenges of building a multidisciplinary CEnR study in a rural county disproportionately impacted by wildfire smoke and infant mortality.

Психологическое благополучие и жизнестойкость замещающих матерей

<p style="text-align: justify;"><span lang="EN-US">This article analyzes the relationship between psychological well-being and resilience in the context of attitudes toward adopted children among foster mothers. The hypothesis suggests that a mother’s active participation in upbringing promotes democratic relationships with the child and creative approaches to problem-solving, and that her psychological well-being depends on an optimistic attitude and willingness to cooperate with the child. The respondents were 48 foster mothers, raising between 1 and 7 adopted children. The average age of the substitute mothers was 40 ± 6 years. To test the hypothesis, the following methods were used: the “Resilience Test” by S. Maddi, the “Psychological Well-Being Scale” by K. Ryff, the “Parental Attitude Diagnostics” questionnaire by A.Ya. Varga and V.V. Stolin, and the “Personal change-readiness survey” in the adaptation by N.A. Bazhanova, G.L. Bardier. The study confirmed the hypothesis and identified a connection between psychological well-being and resilience in substitute mothers. It was also established that the well-being and ability of a substitute mother to withstand social pressure depend on her ability to cope with stress, her readiness for self-realization, and her ability to achieve goals. A high level of psychological well-being contributes to the enjoyment of raising an adopted child.</span></p>

Knowledge, Attitude, and Practice of Pediatricians for Eye Care of Children: A Personal Survey in Saudi Arabia.

To review the level, determinants, and sources of knowledge (K), attitude (A), and practice (P) of pediatricians regarding eye care of children in Saudi Arabia in 2024. In this cross-sectional survey, 120 pediatricians from central Saudi Arabia were invited to participate in a one-on-one study. A questionnaire included demographic and work profiles, 20 questions on knowledge, five on attitude, and five on practices. Responses were graded using a Likert scale. Median scores were associated with independent variables. We surveyed 113 pediatricians. The excellent knowledge, attitude, and practice grades were 78.8%, 30.1%, and 41.6% of participants, respectively. The knowledge score was not associated with any demographic variable. The attitude score was associated with the younger age group (P = 0.03), seniority (P = 0.001), and higher knowledge score (P = 0.01). The practice score was associated with females (P = 0.02) and hospitals with eye departments (P = 0.001), who underwent eye care training (P = 0.004), knowledge score (P < 0.001), and A score (P = 0.001). Reading journals, attending conferences, and eye care workshops were current sources of knowledge. However, the desired sources were eye care, which should be included in the curriculum, Google and PubMed searches, and interactions with ophthalmologists. Pediatricians' high level of knowledge of eye care is promising. However, based on the demography variations noted, their attitude and practices need strengthening. Policies for eye screening and referrals from pediatricians to ophthalmologists may be discussed in conferences, workshops, and policy documents. Knowledge should be disseminated using the modes preferred by pediatricians.

E-Counseling : Mobile-Based Specialization System in Vocational Schools

Many students who will continue their studies to the high school level are confused about choosing a major. This is because most students do not understand the majors at the vocational level, making it difficult for students to enter majors according to the talents and interests of each student. This research is a continuation of previous research that has developed web-based applications. With a majors specialization system using the Inventory Personal Survey Test model system which was built as a majors selection system at the SMK level, mobile access is needed to make it easier for students to access this service via an application on a smartphone.This system is designed using Android Studio and the database creation using MYSQL. The results of the specialization that has been carried out show that the system can be used to conduct online counseling and makes it easier for counselors to collect and analyze counseling results.

Self-Reported Health and Associated Factors among Nepalese Older Adults

Background: Self-reported health (SRH) is a subjective measurement tool for overall health status that integrates biological, social, mental, and functional aspects of individuals. Objectives: The purpose of this article is to assess the SRH and its correlates among community-living older adults. Methods: This study is a secondary analysis of structured interview data collected by the Central Department of Population Studies at Tribhuvan University (TU) via a cross-sectional survey of community-dwelling persons aged 60+ in the Pharping area of Kathmandu. For this study, there were 1320 valid responses. A simple and direct question was used “In general, how do you rate your general health?” Its answer was recorded on the 5-point Likert scale ranging from “Very Good to Very Bad”. Results: The mean age of the participants was 69.92 years. Of the participants, 19.2% reported poor SRH. Results show mental health problems, total number of children still alive, age of respondent, literacy status, physical health problem now, satisfaction with current living arrangements, walking efficiency, adequate income sources, marital status and currently working were correlated with SRH. However, linear regression shows that significant factors of SRH are walking efficiency (β= 0.324, 95% CI= 0.240 to 0.323), physical health problems (β = -0.258, 95% CI= -0.493 to -0.346), currently working (β: 0.197, 95% CI=0.223 to 0.373), having enough income to meet basic needs (β: 0.065, 95% CI= -0.136 to -0.021) and satisfied with living arrangements (β= 0.065, 95% CI= 0.018 to 0.116). Conclusion: Nepal is aging rapidly, and the proportion of older people will increase in the coming days. Walking efficiency, physical health, currently working and having sufficient income are important factors related to SRH. Identifying these determinants through self-rated status can support the planning of actions aimed at improving the health of the community living older adults.

Domestic, family and sexual violence polyvictimisation and health experiences of Australian nurses, midwives and carers: a cross-sectional study

BackgroundDomestic, family and sexual violence is a prevalent health and social issue. Nurses may be exposed to higher rates of this violence in their personal lives compared to the community, but little is known about their polyvictimisation experiences or health and well-being impacts.MethodsAn online descriptive, cross-sectional survey of women nurses, midwives and carer members of the Australian Nursing and Midwifery Federation (ANMF) (Victorian Branch) (response rate: 15.2% of nurses sent an invitation email/28.4% opened the email). Violence survey measures included: intimate partner violence (Composite Abuse Scale); child abuse and sexual violence (Australian Bureau of Statistics Personal Safety Survey items). Health measures included: Short Form-12; Fast Alcohol Screening Test; Patient Health Questionnaire-4; Short Screening for DSM-IV Posttraumatic Stress Disorder; well-being measures included: Connor-Davidson Resilience Scale, social support, and financial stress. Proportions were used to describe the prevalence of violence by sociodemographic characteristics and health and well-being issues; logistic regression predicted the odds of experiencing overlapping types of violence and of experiencing health and well-being outcomes.Results5,982 participants (from a parent study of 10,674 nurses, midwives and carers) had experienced at least one type of lifetime violence; half (50.1%) had experienced two or three types (polyvictimisation). Survivors of child abuse were three times more likely to experience both intimate partner violence and non-partner adult sexual assault. Any violence was associated with poorer health and well-being, and the proportion of affected participants increased as the types of violence they had experienced increased. Violence in the last 12-months was associated with the poorest health and well-being.ConclusionsFindings suggest a cumulative, temporal and injurious life course effect of domestic, family and sexual violence. The polyvictimisation experiences and health and well-being associations reported by survivor nurses, midwives and carers underscores the need for more accessible and effective workplace interventions to prevent and mitigate psychosocial ill health, especially in the recent aftermath of violence.

Unraveling the Influence of Organizational Factors and Customer Resources on Nonprofit Brand Verdict: A Study of Seva Café

Drawing from the theoretical underpinning of the service brand verdict model, this research aims to study the impact of organizational factors and customer resources on emotional and functional value and further extending it to brand verdict. The survey approach was adopted using a self-administered questionnaire to achieve the research objective. Three hundred and sixty-five participants were selected by convenient sampling technique. Data were collected by personal (face-to-face) interview and online survey (email) method. To test the research model and conduct mediation analysis, the partial least squares structural equation modeling was performed through SmartPLS software (V3.3.3). The findings also that functional and emotional value have a significant influence on brand verdict in nonprofit organizations (NPOs). Organizational factors and customer resources influence functional and emotional values in NPOs. Functional and emotional values mediate the relationship between organizational factors and customer resources and brand verdict in NPO. The findings contribute to brand development for NPOs like Seva Café. Restaurant services create customer value using restaurant resources. NPO managers should focus on increasing organizational and customer resources, which are crucial for developing positive value and brand perception. Improving technical and administrative quality enables NPO managers to enhance functional quality, ultimately strengthening the organization’s brand verdict.

Exploring Global Education in Early Childhood: Preschool Teachers' Perspective

The need for education to emphasize global perspectives is evident as globalisation increasingly permeates our daily lives, cultural interactions and ethnic diversity gain prominence. This study aims to explore the role of global education in the preschool years. Specifically, the present study examines the perspectives of preschool educators. Using a basic qualitative research design, this study involved 36 preschool teachers from different cities in Turkey. Convenience sampling was used to form the participant cohort. Data collection consisted of a personal information survey and a carefully designed semi-structured interviewing protocol developed by the researchers. Content analysis using MAXQDA software was used to analyse the data. The results of the analysis revealed that the educators had a foundational knowledge of the nature, content, pedagogical approaches and potential outcomes of global education in the context of early childhood education. At the same time, educators articulated potential challenges in implementing global education. They also identified potential needs for additional training and material support.

Sex-based disparities with cost-related medication adherence issues in patients with hypertension, ischemic heart disease, and heart failure.

Identifying sources of sex-based disparities is the first step in improving clinical outcomes for female patients. Using All of Us data, we examined the association of biological sex with cost-related medication adherence (CRMA) issues in patients with cardiovascular comorbidities. Retrospective data collection identified the following patients: 18 and older, completing personal medical history surveys, having hypertension (HTN), ischemic heart disease (IHD), or heart failure (HF) with medication use history consistent with these diagnoses. Implementing univariable and adjusted logistic regression, we assessed the influence of biological sex on 7 different patient-reported CRMA outcomes within HTN, IHD, and HF patients. Our study created cohorts of HTN (n = 3891), IHD (n = 5373), and HF (n = 2151) patients having CRMA outcomes data. Within each cohort, females were significantly more likely to report various cost-related medication issues: being unable to afford medications (HTN hazards ratio [HR]: 1.68, confidence interval [CI]: 1.33-2.13; IHD HR: 2.33, CI: 1.72-3.16; HF HR: 1.82, CI: 1.22-2.71), skipping doses (HTN HR: 1.76, CI: 1.30-2.39; IHD HR: 2.37, CI: 1.69-3.64; HF HR: 3.15, CI: 1.87-5.31), taking less medication (HTN HR: 1.86, CI: 1.37-2.45; IHD HR: 2.22, CI: 1.53-3.22; HF HR: 2.99, CI: 1.78-5.02), delaying filling prescriptions (HTN HR: 1.83, CI: 1.43-2.39; IHD HR: 2.02, CI: 1.48-2.77; HF HR: 2.99, CI: 1.79-5.03), and asking for lower cost medications (HTN HR: 1.41, CI: 1.16-1.72; IHD HR: 1.75, CI: 1.37-2.22; HF HR: 1.61, CI: 1.14-2.27). Our results clearly demonstrate CRMA issues disproportionately affect female patients with cardiovascular comorbidities, which may contribute to the larger sex-based disparities in cardiovascular care. These findings call for targeted interventions and strategies to address these disparities and ensure equitable access to cardiovascular medications and care for all patients.

Impact of virtual reality experiences on destination image and visit intentions: the moderating effects of immersion, destination familiarity and sickness

PurposeThe aims of this study are to explore how the experience of “visiting” a destination in a virtual reality (VR) technology environment influences destination image and visit intentions and to evaluate the moderating effects of the immersion level of the technology, destination familiarity and VR sickness.Design/methodology/approachAn empirical study was conducted in a laboratory, using two types of immersive VR technologies. The data, collected through a personal survey of 144 participants, were analysed using PLS-SEM.FindingsThe results indicated that sense of presence is a crucial determinant of the user’s experience, which in turn contributed positively to destination image and visit intentions. VR sickness was observed to moderate the relationship between sense of presence and user experience, especially at low immersion levels. Destination familiarity did not influence the model’s relationships.Practical implicationsThe findings lead us to propose that tourism destination managers: use immersive VR technologies in their marketing strategies; in these VR scenarios enhance the user’s sense of presence and experience and implement segmentation strategies.Originality/valueThis is one of the first works to empirically analyse how the customer’s experience of immersive technologies affects destination image and visit intentions. The study also evaluates three moderating effects: the effects of the level of immersion evoked by the technology, and destination familiarity, on the model’s relationships, and the effects of a negative aspect of the technology, VR sickness, on the relationship between sense of presence and the customer experience.