Urban Settings Research Articles

Spatio-temporal dynamic analysis of greenness base on NDVI equation for change detection from 2004 to 2024 at River Nile State, Atbara City, Sudan by using remote sensing and geographical information system

Urban regions' ability to maintain high environmental standards is largely dependent on their vegetation. A decrease in the amount of vegetated area on land has resulted from city expansion and population growth. An examination of land cover change in urban settings is necessary, particularly for urban regional planning that takes green, open space into account. The purpose of this study was to examine changes in urban vegetation cover in two Medan sub-districts from 2004 to 2014. Change analysis and the Normalized Difference Vegetation Index (NDVI) were performed in the study. The range of plant diversity in these locations was Observed. The results showed changes in vegetation cover areas in the mentioned years. In 2004, most of the areas were under a highly dense vegetation class while in 2014, they were under a low-density vegetation class with new sub-class. This indicates a decrease in vegetation cover due to changes to non-vegetation cover or land cover areas with less vegetation.

A poetic geography: placing urban literature in two districts of Istanbul, Türkiye

ABSTRACT This article presents a map of a ‘poetic geography’ of short literature that appeared in public in two districts on the Asian side of Istanbul, Türkiye between 2020 and 2023. I use Michel de Certeau’s concept of ‘Walking the City’ from his The Practice of Everyday Life (1984) to link space and time to map the literary material found in Istanbul’s Üsküdar and Kadıköy districts. A poetic geography contrasts with a literal map that reduces all traces to a geometrically consistent two-dimensional surface. Mapping a poetic geography offers the advantages of annotating short verbal expressions in their lived environments without the need to collect, control, and own literary fragments. After an introduction to ‘Walking Istanbul’ through a comparison of short literary fragments found in the Rasimpaşa (Kadıköy) and Mimar Sinan (Üsküdar) neighbourhoods, I offer a definition of short literary genres that includes the material, or space and time of rhetorical figures, topoi and tropes, as embodied practices. Including the material allows for both researchers and residents to annotate examples of short literature that are distributed in diverse materials across unique urban settings.

Case Study for Predicting Failures in Water Supply Networks Using Neural Networks

This study deals with the prediction of recurring failures in water supply networks, a complex and costly task, but essential for the effective maintenance of these vital infrastructures. Using historical failure data provided by Companhia de Água e Esgotos da Paraíba (CAGEPA), the research focuses on predicting the time until the next failure at specific points in the network. The authors divided the failures into two categories: Occurrences of New Faults (ONFs) and Recurrences of Faults (RFs). To perform the predictions, they used predictive models based on machine learning, more specifically on MLP (Multi-Layer Perceptron) neural networks. The investigation unveiled that through the analysis of historical failure data and the consideration of variables including altitude, number of failures on the same street, and days between failures, it is possible to achieve an accuracy greater than 80% in predicting failures within a 90-day interval. This demonstrates the feasibility of using fault history to predict future water supply outages with significant accuracy. These forecasts allow water utilities to plan and optimize their maintenance, minimizing inconvenience and losses. The article contributes significantly to the field of water infrastructure management by proposing the applicability of a data-driven approach in diverse urban settings and across various types of infrastructure networks, including those pertaining to energy or communication. These conclusions underscore the paramount importance of systematic data collection and analysis in both averting failures and optimizing the allocation of resources within water utilities.

Examining the Relationship Between Technical Competencies, Personal Skills, and Employment Opportunities. Case of Albania

This paper critically examines the effects of technical competencies and personal abilities on employment. Emphasizing the crucial role of hard and soft skills in future development. Focusing on Albania, the study aims to investigate the influence of hard and soft skills on employment within both urban and rural contexts. Additionally, the paper seeks to unravel the disparities in employment policies between these areas, shedding light on the unique challenges and opportunities present in Albania's evolving employment. The literature review serves as the foundation for our research, providing essential insights into the influence of soft and hard skills within both urban and rural contexts, particularly in developing countries. Understanding the dynamics of these skills in employment is paramount for comprehending the nuances of workforce development and policy formulation in diverse geographic settings. The questionnaire, developed based on the insights gleaned from the literature review, was administered to managers and individuals involved in the recruitment process. Data collection involved a random sampling method, resulting in 182 respondents from rural areas and 179 respondents from urban areas. Statistical analysis was conducted using SPSS, version 23, with regression analysis employed to empirically assess the formulated hypotheses. In conclusion, the study underscores the fundamental role of education in facilitating employment opportunities, particularly in rural areas where diplomas hold prominence. However, the ability to retain employment and thrive in the labor market is contingent upon possessing essential soft skills. Thus, while education serves as a gateway to employment, cultivating soft skills is paramount for long-term success in both urban and rural employment areas. The findings of this paper hold significant value for individuals directly engaged in the recruitment process, including employers and employees alike. Employers stand to benefit from insights into the importance of prioritizing soft skills alongside hard skills when evaluating potential candidates, particularly in urban settings where these skills hold greater sway. Similarly, employees can leverage the understanding that possessing and refining soft skills is critical not only for securing employment but also for maintaining long-term market relevance. Overall, this study provides valuable guidance for enhancing recruitment practices and fostering career development in diverse employment contexts. This paper stands out for its focus on employment practices within both urban and rural areas, a perspective that offers a nuanced understanding of workforce dynamics. Furthermore, the inclusion of Albania as a case study adds a unique dimension, providing insights into employment practices within the context of a developing country. By exploring the employment landscape in Albania, the study offers valuable perspectives that may not be captured in studies conducted in more developed nations. This original contribution enhances our understanding of the intersection between urban-rural employment dynamics.

In Case You Haven't Heard…

Can bird‐watching improve mental health? A new study has found that people who have nature‐based experiences report better well‐being and lower psychological distress than those who do not, a North Carolina State University news release stated. Bird‐watching in particular yielded promising results, with higher gains in subjective well‐being and more reduction in distress than more generic nature exposure, such as walks. Because bird‐watching is an easily accessible activity, the results are encouraging for college students, who are among those most likely to suffer from mental health problems, the news release indicated. “Bird‐watching is among the most ubiquitous ways that human beings interact with wildlife globally, and college campuses provide a pocket where there's access to that activity even in more urban setting, said Nils Peterson, corresponding author of the study and a professor of forestry and environmental resources at North Carolina State University. The paper, “Birdwatching linked to increased psychological well‐being on college campuses: A pilot‐scale experimental study,” was published in Environmental Psychology.

Factors associated with differential seropositivity to Leptospira interrogans and Leptospira kirschneri in a high transmission urban setting for leptospirosis in Brazil.

Leptospirosis is a zoonosis caused by pathogenic species of bacteria belonging to the genus Leptospira. Most studies infer the epidemiological patterns of a single serogroup or aggregate all serogroups to estimate overall seropositivity, thus not exploring the risks of exposure to distinct serogroups. The present study aims to delineate the demographic, socioeconomic and environmental factors associated with seropositivity of Leptospira serogroup Icterohaemorraghiae and serogroup Cynopteri in an urban high transmission setting for leptospirosis in Brazil. We performed a cross-sectional serological study in five informal urban communities in the city of Salvador, Brazil. During the years 2018, 2020 2021, we recruited 2.808 residents and collected blood samples for serological analysis using microagglutination assays. We used a fixed-effect multinomial logistic regression model to identify risk factors associated with seropositivity for each serogroup. Seropositivity to Cynopteri increased with each year of age (OR 1.03; 95% CI 1.01-1.06) and was higher in those living in houses with unplastered walls (exposed brick) (OR 1.68; 95% CI 1.09-2.59) and where cats were present near the household (OR 2.00; 95% CI 1.03-3.88). Seropositivity to Icterohaemorrhagiae also increased with each year of age (OR 1.02; 95% CI 1.01-1.03) and was higher in males (OR 1.51; 95% CI 1.09-2.10), in those with work-related exposures (OR 1.71; 95% CI 1.10-2.66) or who had contact with sewage (OR 1.42; 95% CI 1.00-2.03). Spatial analysis showed differences in distribution of seropositivity to serogroups Icterohaemorrhagiae and Cynopteri within the five districts where study communities were situated. Our data suggest distinct epidemiological patterns associated with the Icterohaemorrhagiae and Cynopteri serogroups in the urban environment at high risk for leptospirosis and with differences in spatial niches. We emphasize the need for studies that accurately identify the different pathogenic serogroups that circulate and infect residents of low-income areas.

Formative research to adapt a cardiac rehabilitation program to breast cancer survivors: the heart health after cancer treatment (HEART-ACT) study.

Breast cancer survivors are disproportionately at risk for cardiovascular disease; exercise-based interventions may improve cardiovascular health. The objective of this formative research is to better understand the needs of patients and barriers to participation in an adapted cardiac rehabilitation program for diverse breast cancer survivors in an urban safety net setting. We recruited 30 participants (10 English-speaking, 10 Spanish-speaking, and 10 Cantonese-speaking) who had received treatment with curative intent for breast cancer from an urban safety net hospital between November 9, 2021, to August 30, 2022. Participants completed surveys and interviews about perspectives on health behaviors and participating in an adapted cardiac rehabilitation program. Interviews were qualitatively analyzed using rapid template analysis with pre-selected constructs from the Theory of Planned Behavior, Unified Theory of Acceptance and Use of Technology, and Consolidated Framework for Implementation Research, as well as emergent codes. We developed a Participant User Journey for a program based on responses and conducted human-centered design sessions with 8 participants to iteratively revise the Participant User Journey. Among 30 participants, mean age was 56.7 years (standard deviation [SD] 10.2) with 100% female sex assigned at birth; 1 participant withdrew before completing study procedures. Most participants had limited health literacy (18/29, 62%). Mean body mass index was 31.4 (SD 8.3), 21/29 (72%) had blood pressure below 140/90 mmHg, and 12/29 (41%) had blood pressure below 130/80. Mean 6-minute walk distance was 384.9 meters (SD 78.3). The desired benefits of a program included healthy living and prevention of cancer recurrence. Barriers to participation included motivation, social support, transportation, and concerns about exercise safety. Participants emphasized the need for practicality, such as fitting physical activity into daily life and nutrition support, including recipes and shopping lists. Trusted experts and cultural and language concordance were viewed as important aspects of the program. Through participant interviews and human-centered design sessions, we developed the HEART-ACT program, a 12-week multi-disciplinary program addressing physical activity, nutrition, emotional well-being, cardiovascular risk, survivorship, and other components if indicated (e.g., tobacco cessation). Future research will test the effects of this program on patient-centered outcomes.

Prioritizing Environmental Attributes to Enhance Residents’ Satisfaction in Post-Industrial Neighborhoods: An Application of Machine Learning-Augmented Asymmetric Impact-Performance Analysis

Post-industrial neighborhoods are valued for their historical and cultural significance but often contend with challenges such as physical deterioration, social instability, and cultural decay, which diminish residents’ satisfaction. Leveraging urban renewal as a catalyst, it is essential to boost residents’ satisfaction by enhancing the environmental quality of these areas. This study, drawing on data from Shenyang, China, utilizes the combined strengths of gradient boosting decision trees (GBDTs) and asymmetric impact-performance analysis (AIPA) to systematically identify and prioritize the built-environment attributes that significantly enhance residents’ satisfaction. Our analysis identifies twelve key attributes, strategically prioritized based on their asymmetric impacts on satisfaction and current performance levels. Heritage maintenance, property management, activities, and heritage publicity are marked as requiring immediate improvement, with heritage maintenance identified as the most urgent. Other attributes are categorized based on their potential to enhance satisfaction or their lack of immediate improvement needs, enabling targeted and effective urban revitalization strategies. This research equips urban planners and policymakers with critical insights, supporting informed decisions that markedly improve the quality of life in these distinctive urban settings.

Understanding and Assessing Climate Change Risk to Green Infrastructure: Experiences from Greater Manchester (UK)

The existing body of research into the environmental and socio-economic benefits of green infrastructure supports the case for it to be positioned as a form of critical infrastructure, particularly in urban settings. It is broadly recognized that extreme weather and climate change pose significant risks to critical infrastructure systems linked to the provision of services, including electricity, water, communications, and transport, and consequently risk assessments and associated adaptation strategies are common practice. However, although green infrastructure is also at risk from extreme weather and climate change, threatening the realization of benefits that it can deliver in urban settings, associated risks to green infrastructure are not widely understood or assessed in practice. This paper discusses the status of existing research on this topic and uses this as a foundation for a Greater Manchester (UK) case study that assesses the risk of low water availability to grassed areas, which represent a key element of the city-region’s green infrastructure. In doing so, the paper demonstrates how risks linked to extreme weather and climate change can be assessed spatially to inform green infrastructure planning. In summary, this paper aims to raise awareness of extreme weather and climate change risk to urban green infrastructure, present an empirical case study and associated methodological approach on this topic, and ultimately support efforts to enhance the resilience of urban green infrastructure to extreme weather and climate change.

Global review of anticoagulant rodenticide exposure in wild mammalian carnivores

AbstractAnticoagulant rodenticides (ARs) are an effective tool used to suppress rodent populations in urban and agricultural settings to reduce human disease risk and economic loss, but widespread use has resulted in adverse effects on predators globally. Attention has largely been focused on impacts of ARs on raptors, although there is increasing evidence that mammalian carnivores are also impacted. We conducted a literature review to assess the extent to which ARs have been documented in wild mammalian carnivores globally and identify potential overlap with imperiled carnivores. We found a small but growing body of literature documenting exposure to ARs in 8 Carnivora families, with Mustelidae (64% of studies), Canidae (44%) and Felidae (23%) most represented. At least 11 different AR compounds were documented in carnivores, and authors claimed that exposure caused mortality of at least one individual in 33.9% of species studied. ARs were listed as a threat for 2% of Red List carnivores, although we found that 19% of Red List carnivores had ranges that overlap countries that have documented AR exposure in carnivores. Collectively, our review highlights the need to prioritize conservation attention on the potential role of ARs on global carnivore declines. We suggest (1) expanding AR monitoring and research outside of the northern hemisphere, (2) supporting long‐term AR monitoring to understand the spatial and temporal variation of AR use and exposure risk, (3) expanding research across trophic levels and across the urban–wildland gradient and 4) research to further our understanding of the point at which morbidity and mortality occur.

Income Contribution of Backyard Gardening and its Association with Household Food Security: A Case Study in an Urban Setting

Households located in urban township settings experience food insecurity which can be alleviated through backyard gardening. This study is to determine the extent of the contribution of backyard gardening to food security. Based on the Logistic Regression Model, household size, farming experience, employment status of the household head and harvesting frequency were found to be significant in affecting the food security status of the household. The study found that backyard gardening contributes (contribution index of 67.25%) towards household food security. Household specific factors should therefore be considered in policy targeted intervention strategies aimed at alleviating food insecurity.

The Maharashtra River Basin's Flood-Drought-Water Scarcity Nexus

<p>India's droughts and floods, which have affected 8 million hectares yearly since the 1950s, make future adaptation and mitigation plans necessary, as well as an awareness of potential changes. In order to address the growing issues of flood and drought events in urban settings, the study emphasizes the importance of comprehensive water management strategies that ensure both routine water needs and severe event readiness. This study article recommends including drought and flood considerations in building codes and urban planning regulations to boost urban water resilience. The paper provides workable solutions for developing water-sensitive urban design, rainwater collecting, greywater reuse programs, and decentralized water management systems through a collection of case studies and strategy models. It also emphasizes the importance of teaching the population about the dangers of droughts and floods, water conservation methods, and emergency response procedures. The recommendations place a lot of emphasis on the need for a variety of policies that encourage cooperation between stakeholders, including local and state governments, business owners, community leaders, and experts. The policy recommendations include requests for green infrastructure, building standards for flood-resistant homes, water conservation requirements, and climate-responsive legislation, among other subjects. By encouraging sustainable water use behaviors, these concepts aim to increase urban resilience and make cities better prepared to mitigate the consequences of drought and flooding. These recommendations can aid local and state governments in creating a culture of preparedness for catastrophes, protecting communities, and fostering urban water resilience. This case study looks at the intricate relationships between a specific Maharashtrian river's floods, droughts, and water scarcity.</p>

Internet Use and Loneliness among Urban and Non-Urban Chinese Older Adults: The Roles of Family Support, Friend Support, and Social Participation.

This study investigated the association between Internet use and loneliness among older Chinese adults, and the mediating effects of family support, friend support, and social participation. These associations were evaluated in the context of urban and non-urban geographic settings. This study used data from the 2018 wave of the China Longitudinal Ageing Social Survey (N=10,126), examining samples of urban (n=3,917) and non-urban (n=6,209) older adults separately. Linear regression and path analysis within a structural equation modeling framework were employed. Internet use was negatively associated with loneliness for both urban and non-urban residing older adults. Family support and social participation mediated the association between Internet use and loneliness for both urban and non-urban residing older Chinese adults, but friend support mediated this association only for urban older residents. This study shed light on our understanding about the relationship between Internet use and loneliness among older adults in the Chinese context. Also, these findings suggested that digital interventions for loneliness should pay special attention to the different characteristics of urban and non-urban dwelling older Chinese adults.

Adult psychiatric inpatient admissions and length of stay before and during the COVID-19 pandemic in a large urban hospital setting in Vancouver, British Columbia

IntroductionDuring the COVID-19 pandemic individuals with mental illnesses faced challenges accessing psychiatric care. Our study aimed to describe patient characteristics and compare admissions and length of stay (LOS) for psychiatric-related hospitalizations before and during the COVID-19 pandemic.MethodsWe conducted a retrospective analysis using health administrative data comparing individuals with an acute psychiatric admission between two time periods: 1st March 2019 to 31st December 2019 (pre-COVID) and 1st March 2020 to 31st December 2020 (during-COVID). Multivariable negative binomial regression was used to model the association between most responsible diagnosis type and the two-time periods to hospital LOS, reporting the Rate Ratio (RR) as the measure of effect.ResultsThe cohort comprised 939 individuals who were predominately male (60.3%) with a severe mental illness (schizophrenia or mood-affective disorder) (72.7%) and a median age of 38 (IQR: 28.0, 52.0) years. In the multivariable analysis, anxiety disorders (RR: 0.63, CI: 0.4, 0.99) and personality disorders (RR: 0.52, CI: 0.32, 0.85) were significantly associated with a shorter LOS when compared to individuals without those disorders. Additionally, when compared to hospital admissions for non-substance related disorders the LOS for patients with substance-related disorders were significantly shorter during the COVID period (RR: 0.45, CI: 0.30, 0.67) and pre-COVID period (RR: 0.31, CI: 0.21, 0.46).ConclusionsWe observed a significant difference in the type and length of admissions for various psychiatric disorders during the COVID-19 period. These findings can support systems of care in adapting to utilization changes during pandemics or other global health events.

Exploring the symbiotic relationship between smart technologies and thermal comfort in urban environments

The study's primary focus is to gather profound insights into user perceptions and preferences related to living in smart environments prioritizing thermal comfort and energy efficiency. This objective is pursued through meticulous surveys designed to capture the nuanced experiences of residents, unravelling the intricate relationship between smart technologies and their impact on daily life within these intelligent living spaces. The findings from these quantitative surveys become a valuable repository of information that sheds light on the intricate dynamics of user satisfaction and experience, providing a holistic understanding of the role played by smart technologies in shaping thermal comfort in the built environment. Additionally, the research sets out to assess the specific influence of smart technologies on thermal comfort within the urban settings of Turkey. By narrowing the focus to this geographical context, the study aims to draw region-specific insights that can be instrumental in tailoring smart living solutions to the unique needs and nuances of the Turkish urban landscape. This contextual analysis allows for a nuanced understanding of how smart technologies operate in diverse urban environments, providing a foundation for targeted interventions and improvements. A core objective of the study is to distil actionable recommendations for architects, designers, and urban planners. These recommendations are crafted with the intention of guiding the creation of user-centric spaces within the built environment that not only meet but exceed expectations in optimizing thermal comfort. By translating survey findings and regional assessments into practical suggestions, this research aims to empower professionals in the field to integrate smart technologies seamlessly into their designs, ultimately contributing to the development of intelligent, sustainable, and people-focused spaces. In summary, the study positions itself as a comprehensive exploration of the symbiotic relationship between smart technologies and thermal comfort. Through a meticulous examination of user perceptions, regional influences, and actionable recommendations, the research seeks to chart a course for a future where the built environment actively supports and enhances thermal comfort, thereby improving the overall quality of life for its residents.

How Variable are Patient Comorbidity Profiles Among Practicing Otolaryngologists?

To determine whether certain groups of otolaryngologists (ORLs) are treating cohorts of patients with more comorbidities. Cross-sectional population-based analysis. 2019 Medicare Provider Utilization and Payment Dataset. Each ORL's average Medicare hierarchical condition category (HCC) risk score, a comorbidity index calculated from a patient's comorbidities, was collected. These were stratified and compared by various physician characteristics, including practice region and rurality, years in practice, gender, subspecialty, and setting (academic vscommunity). Among 8959 ORLs, the mean HCC risk score for Medicare patients was 1.35 ± 0.35. On univariate analysis, ORLs practicing in urban (compared to rural), ORLs in academic settings (compared to community), and early career ORLs all had a patient population with a higher HCC risk score (P < .001 for all). On multivariate analysis controlling for gender, rurality, graduation year, and region, rural setting was associated with decreased odds of having a high-risk patient population (odds ratio: 0.58 [95% confidence interval,CI: 0.48-0.71]; P < .001), while those more recently graduated has an increased risk (2000-2009: 1.41 [1.01-1.96], P = .046; 2010-2015: 2.30 [1.63-3.25], P < .001). In a separate subgroup analysis, subspecialty differences were seen and community setting was associated with decreased odds of having a high-risk patient population (0.36 [0.23-0.55]; P < .001). There is variability in patient comorbidity profiles among ORLs, with those in urban settings, those more recently graduated, and those in academic settings treating a group with more comorbidities. As the comorbidity burden may increase the cost of practice and complications, these findings may have important implications for health inequity.

Are we underestimating inner-megacity energy poverty in developing countries? Evidence from 2054 households in beijing, China

The prevalence of poverty and inequality in megacities often manifests as high levels of energy poverty and disparities in household energy consumption. A comprehensive survey of 2054 households in Beijing was conducted in 2023 to examine the dynamics of energy poverty within such an urban settings. As one of the world's most influential megacities, Beijing offers a distinct and insightful case study for understanding energy poverty in a rapidly urbanizing global context. Utilizing the 10 % and low-cost/high-income (LIHC) methods, we estimated that the energy poverty rate in Beijing ranges between 16.07 % and 17.53 %, with the highest rates observed in suburban areas. In addition, we explored the spatial differences in energy poverty and the root causes. Our research reveals a significant correlation between economic and geographical factors and the spatial distribution of energy poverty. Furthermore, our findings suggest that larger populations tend to be associated with reduced disparities in energy poverty across different areas. Therefore, we suggest promoting the use of energy-efficient installations, implementing time-sensitive heating systems, and providing electricity and hygienic cooking facilities.

Influence of canopy structural complexity on urban woodland butterfly species richness

AbstractAs urban land use expands, understanding the conservation of biodiversity in urban settings becomes increasingly important. Urban areas contain a wide range of remnant natural, semi-natural and anthropogenic woodlands but the biodiversity of these woodlands is not well studied. Urban woodlands are usually constrained in size and subject to management which may not be focused on promoting biodiversity. As a habitat of critical importance, the characteristics of urban woodlands need to be better understood to maximise their biodiversity within a limited footprint in the urban landscape. We used repeat line-transect surveys and rapid woodland structure habitat assessments to investigate the habitat associations of butterflies in ten woodland patches representing a range of sizes (between 1 and 40 ha), ages and woodland characteristics in the urban habitat matrix of Milton Keynes, UK. We found that ancient woodland sites supported every species detected, but the butterfly communities of amenity and roadside woodlands had similar species richness, diversity and abundance, regardless of size. Butterfly species richness was strongly associated with both woodland area and structural complexity at a site-scale, but only with structural complexity on a transect scale. Simpson diversity showed no correlation with any variable at the site scale, but strong correlation with structural complexity on transects. Abundance only correlated with area at the site scale. Our results suggest that management techniques that introduce structural complexity within urban woodlands may be an effective way to support butterfly richness and diversity in contexts where woodland areas cannot be increased.

Prevalence of different variations of non-consented care during the childbirth process in Mexico by geographical regions: comparing ENDIREH survey data from 2016 to 2021

IntroductionNon-consented care, a form of obstetric violence involving the lack of informed consent for procedures, is a common but little-understood phenomenon in the global public health arena. The aim of this secondary analysis was to measure the prevalence and assess change over time of non-consented care during childbirth in Mexico in 2016 and 2021, as well as to examine the association of sociodemographic, pregnancy-, and childbirth-factors with this type of violence.MethodsWe measured the prevalence of non-consented care and three of its variations, forced sterilization or contraception, forced cesarean section, and forced consent on paperwork, during childbirth in Mexico for 2016 (N = 24,036) and 2021 (N = 19,322) using data from Mexico’s cross-sectional National Survey on the Dynamics of Household Relationships (ENDIREH). Weighted data were stratified by geographical regions. We performed adjusted logistic regression analyses to explore associations.ResultsThe national prevalence of non-consented care and one of its variations, pressure to get a contraceptive method, increased from 2016 to 2021. A decrease in the prevalence was observed for forced contraception or sterilization without knowledge, forcing women to sign paperwork, and non-consented cesarean sections nationally and in most regions. Women between the ages of 26 and 35 years, married, cohabiting with partner, living in urban settings, who do not identify as Indigenous, and who received prenatal services or gave birth at the Mexican Institute of Social Security (IMSS) facilities experienced a higher prevalence of non-consented care. Being 26 years of age and older, living in a rural setting, experiencing stillbirths in the last five years, having a vaginal delivery, receiving prenatal services at IMSS, or delivering at a private facility were significantly associated with higher odds of reporting non-consented care.ConclusionWhile a decrease in most of the variations of non-consented care was found, the overall prevalence of non-consented care and, in one of its variations, pressure to get contraceptives, increased at a national and regional level. Our findings suggest the need to enforce current laws and strengthen health systems, paying special attention to the geographical regions and populations that have experienced higher reported cases of this structural problem.

The Impact of School Environment on Student Health Behaviors: Insights from Qualitative Interviews

The relationship between the school environment and student health behaviors is increasingly pertinent amidst rising health concerns among youths. This qualitative study, conducted across diverse socioeconomic backgrounds in Vietnam, explores the multifaceted influences of school settings on the health behaviors of students. Data were collected through semi-structured interviews and focus group discussions involving students, teachers, parents, and administrators from three schools, each representing urban, suburban, and rural settings. The study identified key factors within schools' physical and social environments that significantly impact health behaviors. These include the availability and condition of physical facilities, the nutritional quality of food offered, peer influences, teacher engagement in health education, and the availability of mental health resources. Socioeconomic factors and cultural attitudes towards health and education also emerged as significant determinants. The findings suggest that improvements in physical resources, enhanced teacher training in health education, standardized healthy food offerings, and greater availability of mental health services are critical for fostering healthier behaviors among students. This study underscores the need for holistic policy interventions tailored to diverse educational settings to promote overall student health.