Sustainable Development Goal 5: Gender Equality (5108)

Climate action has been deemed as fundamental to counteract the impacts of rising global temperatures on health which will disproportionately affect low-income populations, racial and ethnic minorities, women, and other historically marginalized groups. Along with poverty reduction, inequality mitigation, gender equality promotion, and public health protection, climate action has been recognized as a fundamental goal for achieving Sustainable Development Goals (SDGs). However, despite growing recognition of the need to align climate action with development goals, there is a knowledge gap regarding how the implementation of climate change mitigation and adaptation policies impacts social inequalities. To address this knowledge gap, this document proposes a scoping review protocol aimed at identifying and synthesizing research that examines the impacts of climate policies on inequalities at the subnational scales, within the transport, infrastructure and health. The objective of this review is to map existing evidence, identify conceptual and empirical gaps and inform policy strategies that promote climate action in line with values of social justice and equality. Full article

COVID-19 significantly disrupted the progress of the SDGs globally, including in Saudi Arabia. This study explores the progression of SDGs in Saudi Arabia during and after COVID-19, focusing on four dimensions: financial, socioeconomic, health, and environmental. A qualitative approach was employed, involving 19 semi-structured interviews conducted in two rounds (during and post COVID-19). Thematic analysis, conducted using NVivo 14.0, identified four main themes and 16 subthemes, which align with the SDG dimensions. The study revealed significant disruptions across four SDG dimensions during the pandemic. These included economic downturns, increased poverty, strained healthcare systems, and environmental changes. Guided by systems theory as an analytical lens, the study findings indicate that while COVID-19 caused disruptions across SDGs, it also acted as a catalyst for transformational shifts across interconnected SDG domains. The post-pandemic period has shown recovery, including economic growth, enhanced gender equality, improved mental health services, and a renewed focus on sustainability. Six cross-thematic themes emerged: (1) economic recovery and employment, (2) gender equity and education, (3) mental health and healthcare, (4) poverty reduction and food security, (5) environmental sustainability, and (6) digital transformation resilience. Based on these insights, the study provides recommendations for Saudi policymakers to align SDG progress with Saudi Vision 2030 in line with pragmatic sustainability. Full article

The notions of disability and accessibility have been the object of thorough revision over the past few decades, spurred by the actions and documents set forth by international institutions and organizations. Accessibility for people with disabilities has recently undergone major conceptual and practical changes, moving increasingly and steadily towards inclusion and design for all. This article reflects on the evolution of the notions of disability and accessibility in inclusive terms, also considering shifts in terms of identity, recognition and participation. For practical insights, the article discusses four instances of inclusive co-design and enjoyment of live performances and events, which have naturally led to the empowerment of people with and without disabilities who were involved. Full article

This study explores how artificial intelligence can promote accessibility and inclusiveness in digital culinary environments. Centred on the Receitas +Power platform, the research adopts an exploratory, multidimensional case study design integrating qualitative and quantitative analyses. The investigation addresses three research questions concerning (i) user empowerment beyond recommendation systems, (ii) accessibility best practices across disability types, and (iii) the effectiveness of AI-enabled inclusive solutions. The system was developed following user-centred design principles and WCAG 2.2 standards, combining generative AI modules for recipe creation with accessibility features such as voice interaction and adaptive navigation. The evaluation, conducted with 87 participants, employed the System Usability Scale complemented by thematic qualitative feedback. Results indicate excellent usability (M = 80.6), high reliability (Cronbach’s α = 0.798–0.849), and moderate positive correlations between usability and accessibility dimensions (r = 0.45–0.55). Participants highlighted the platform’s personalisation, clarity, and inclusivity, confirming that accessibility enhances rather than restricts user experience. The findings provide empirical evidence that AI-driven adaptability, when grounded in universal design principles, offers an effective and ethically sound pathway toward digital inclusion. Receitas +Power thus advances the field of inclusive digital gastronomy and presents a replicable framework for human–AI co-creation in accessible web technologies. Full article

Background: Women’s empowerment has been significantly associated with improved child health outcomes. Cambodia, amid a rapid socioeconomic transition, offers a critical setting to examine how advancements in women’s empowerment over the past decade have influenced child immunization completion within the first two years of life. Methods: Data from the Cambodia Demographic and Health Surveys conducted in 2010, 2014, and 2021–22, encompassing 9222 women with recent births, were analyzed. Empowerment was measured across literacy and information access, employment, and decision-making domains. Multinomial logistic regression assessed associations between empowerment factors and completion of oral polio (OPV), diphtheria–tetanus–pertussis (DTP), pneumococcal conjugate (PCV), and measles–rubella (MR) vaccines, adjusting for demographic and socioeconomic variables. Results: Between 2010 and 2022, women’s empowerment in Cambodia improved significantly, marked by higher literacy rates, nearly half of women completing primary education, and expanded digital access, with 82.4% owning mobile phones and approximately 50% using the internet daily. While non-working women slightly increased, agricultural employment declined by 20%, and cash earnings rose from 48.7% to 82.5%. Most women participated in major household decision-making, either independently or jointly. Completion rates for OPV, DTP, and PCV ranged from 79% to 83%, while just over half of children were fully vaccinated against measles. Higher maternal education and cash earnings were positively associated with OPV, DTP, and PCV completion but negatively associated with measles vaccination. Women in agricultural work were less likely to complete measles vaccination for their children than non-working women. Joint decision-making regarding the use of respondents’ income was associated with a higher likelihood of measles non-completion (OR = 2.26, 95% CI: 1.13–4.51), whereas joint decision-making about respondents’ health care was associated with a higher likelihood of measles completion (OR = 0.42, 95% CI: 0.21–0.83). Conclusions: Women’s empowerment remains a key determinant of vaccination outcomes in Cambodia. The distinct pattern observed for measles suggests that vaccines scheduled for older ages encounter greater structural and behavioral barriers. To overcome these challenges, strategies should focus on enhancing defaulter tracking, implementing reminder systems, expanding outreach and catch-up programs, and improving the convenience of vaccination services. Full article

Forest ecological compensation policies (FECPs) are a key institutional arrangement for balancing ecological conservation and farmers’ development needs in national parks. Existing research has often treated such policies as a homogeneous whole, failing to clearly reveal the mechanisms through which different policy types affect farmers’ livelihoods, while also paying insufficient attention to complex property-rights settings. This study takes Wuyi Mountain National Park—a typical representative of collective forest regions in southern China—as a case study. Based on 239 micro-survey datasets from farming households and employing the mprobit model and moderating effect models, it investigates the influence, mechanisms, and heterogeneity of farmers’ livelihood capital in terms of their livelihood strategy choices under the moderating roles of “blood-transfusion” and “blood-making” FECPs. The results show the following: (1) Among the sample farmers, livelihood strategies are distributed as follows: pure agricultural type (31.8%), out-migration for work type (20.5%), and commercial operation type (47.7%). (2) Farmers’ livelihood capital has a significant impact on their livelihood strategy choice, with different dimensions of capital playing distinct roles. (3) FECPs follow differentiated moderating pathways. “Blood-transfusion” policies emphasize compensation and buffering functions, reducing farmers’ livelihood transition pressure through direct cash transfers; “blood-making” policies reflect empowerment and restructuring characteristics, activating physical assets and reshaping the role of social capital through productive investment. Together, they constitute a complementary system of protective security and transformative empowerment. Accordingly, this study proposes policy insights such as building a targeted ecological compensation system that is categorized, dynamically linked, and precise; innovating compensation fund allocation mechanisms that integrate collective coordination with household-level benefits; optimizing policy design oriented toward enhancing productive capital; and establishing robust monitoring, evaluation, and adaptive management mechanisms for dynamic FECPs. Full article

Introduction: The informal food sector in Kisumu City, largely run by women informal food vendors, plays a crucial role in the urban food system. However, these female-led businesses faced disproportionate risks stemming from COVID-19-related policies, exacerbating gendered vulnerabilities. This paper explores the gender gaps of post-pandemic recovery strategies and their implications for resilience, recovery, and sustainability of women-led informal food businesses. Methods: This cross-sectional study was guided by the Intersectionality-Based Policy Analysis (IBPA) framework. In collaboration with the Pamoja Community-Based Organization, we employed qualitative methods grounded in community-based participatory approaches. Data were collected through key informant interviews (n = 20), depth interviews (n = 20), focus group discussions (n = 40), and a review of policy documents (n = 2). Data was analyzed guided by the eight principles of the IBPA framework alongside Braun and Clarke’s six-phased thematic analysis approach. Results: Findings indicated that power dynamics in the formulation of post-pandemic policies and top-down implementation approaches excluded women informal food vendors from meaningfully participating in policy processes. For example, female vendors were excluded from the recovery priorities as the strategies adopted had limited to no targeted gender-responsive interventions. As such, women informal food vendors faced several challenges during recovery, including limited government support, barriers to accessing credit facilities, heightened household and unpaid care work, gender-based violence, sexual exploitation, and insecurity. The female vendors employed both individual agency and collective action to facilitate recovery. Discussion: Gender-responsive COVID-19 policies were critical to addressing the disproportionate impact of the pandemic on women-led informal food businesses. Moving forward, a comprehensive understanding of existing sociocultural inequalities is crucial for designing post-pandemic strategies that are gender-inclusive and promote equitable recovery. Such an approach would enhance women informal food vendors’ resilience to emergencies and their contribution to urban household food security and livelihood. Full article

This study addresses the persistence of gender inequalities among university students by analysing the acceptance of modern myths about sexual assault and ambivalent sexism in the academic context. These beliefs, although subtle or socially accepted, contribute to the normalisation of sexual violence and hinder progress towards real equality. The aim of this research was to analyse the presence of these attitudes among students at the University of Granada and to examine their relationship according to gender. A quantitative, descriptive and cross-sectional design was used with a sample of 210 students. Data were collected using the Ambivalent Sexism Inventory (ASI) and the Acceptance of Modern Myths about Sexual Aggression Scale (AMMSA-21) and analysed using descriptive statistics, correlations and non-parametric tests. The results show greater acceptance of myths and sexist attitudes among men, as well as a positive correlation between ambivalent sexism (hostile and benevolent) and acceptance of myths. These findings confirm the persistence of symbolic justifications for sexual violence in the university setting. The study concludes by highlighting the need for preventive educational interventions and institutional strategies that promote equality and consent. Full article

We investigate the fundamental trade-off between entropy and the Gini index within income distributions, employing a stochastic framework to expose deficiencies in conventional inequality metrics. Anchored in the principle of maximum entropy (ME), we position entropy as a key marker of societal robustness, while the Gini index, identical to the (second-order) K-spread coefficient, captures spread but neglects dynamics in distribution tails. We recommend supplanting Lorenz profiles with simpler graphs such as the odds and probability density functions, and a core set of numerical indicators (K-spread $K_2/\mu$, standardized entropy ${\Phi }_{\mu }$, and upper and lower tail indices, $\xi , \zeta$) for deeper diagnostics. This approach fuses ME into disparity evaluation, highlighting a path to harmonize fairness with structural endurance. Drawing from percentile records in the World Income Inequality Database from 1947 to 2023, we fit flexible models (Pareto–Burr–Feller, Dagum) and extract K-moments and tail indices. The results unveil a concave frontier: moderate Gini reductions have little effect on entropy, but aggressive equalization incurs steep stability costs. Country-level analyses (Argentina, Brazil, South Africa, Bulgaria) link entropy declines to political ruptures, positioning low entropy as a precursor to instability. On the other hand, analyses based on the core set of indicators for present-day geopolitical powers show that they are positioned in a high stability area. Full article

In developing economies, women entrepreneurs play a vital role in advancing inclusive growth, yet their financial and digital capabilities often remain constrained by gendered barriers. This study investigates how financial literacy evolves into a gender-sensitive capability that drives digital marketing adoption and entrepreneurial sustainability among women-led SMEs in Indonesia. Guided by the Theory of Reasoned Action, the Technology Acceptance Model, the Knowledge-Based View, and Feminist Entrepreneurship Theory, this study employs a qualitative design involving 75 participants—45 women entrepreneurs and 30 supporting stakeholders. Using an iterative, spiral-oriented analytical approach, thematic insights were integrated with theoretical interpretation to uncover patterns of financial–digital capability development. Findings reveal that women’s financial literacy operates as both a cognitive and behavioral capability, fostering digital trust, informed decision-making, and business resilience. The study introduces the Gendered Financial Literacy Capability Model (G-FLCM), a novel inductively constructed framework that explicates how financial cognition is transformed into digital engagement and sustainable entrepreneurship. By articulating this gendered capability mechanism—absent from prior financial capability or feminist digital entrepreneurship models—the G-FLCM advances theoretical integration across behavioral, technological, and feminist perspectives while offering practical pathways for strengthening inclusive financial–digital ecosystems in emerging economies. Full article

The construction of a digital government is a significant initiative to modernize the national governance system and enhance governance capabilities, with the creation of public value focused on optimizing the supply level of basic public services within improved governance efficiency. This research begins with public value theory and technology empowerment theory to explain the theoretical mechanisms by which digital government can promote the supply level of basic public services. Utilizing panel data from 31 provinces in China from 2017 to 2021, this study investigates the impact of digital government construction on the supply level of basic public services and further examines the moderating effects of government support, the level of digital technology development, and regional heterogeneity. The research findings indicate that digital government construction can significantly enhance the supply level of basic public services, with more pronounced effects in regions where government support is strong or the level of digital technology development is high. Analysis of regional heterogeneity shows that the improvement in the supply level of basic public services due to digital government construction is more significant in the eastern region compared to the central and western regions. This study, based on the practice of digital government construction, provides a theoretical basis and decision-making reference for optimizing the top-level design of digital government, improving the supply level of public services, and achieving the integration of “digital + public services.” Full article

Background: Life for women drastically altered after the 2021 US-NATO military withdrawal from Afghanistan. Methods: Applying a gendered general strain theory (GGST) model, this paper presents mixed-method findings from a 2023 semi-structured digital survey of 29 Afghan women, identifying key shared hardships concerning the daily lives of Afghan women (ages 18–65) and psychosocial stress. Results: A thematic analysis of their responses indicates that support for the Taliban’s return to power ranges among women; however, respondents experience diminished quality-of-life (DQOL) factors like persistent food insecurity that affect their views of the current government and affect their psychosocial health. Furthermore, most struggle with financial insecurity and growing governmental restrictions, particularly gender discrimination policies (GDP), further increasing their stress as they try to acclimate to the new political environment. Additionally, we triangulate the key qualitative findings with a statistical analysis to help illustrate emerging patterns between DQOL factors, GDP experiences, and psychosocial stress (PSS). Conclusions: This study is one of the first known semi-structured surveys conducted within the country of Afghanistan after the Taliban reseized control, offering crucial insights into life of Afghan women through their own intimate experiences and perspectives. Full article

Police crime reports are a critical but often underutilized source of information for understanding intimate partner violence (IPV). They provide systematic, population-level data on when, where, and how IPV incidents occur, complementing surveys and clinical studies. This study provides a descriptive analysis of IPV crime reports in Los Angeles (January 2020–December 2023) and models temporal trends using Seasonal Autoregressive Integrated Moving Average (SARIMA). Results showed that a total of 74,776 IPV-related incidents were reported to the LAPD in the four-year period, averaging 51.22 incidents per day (SD = 10.84). Most incidents occurred in residential settings (71.9%), followed by public spaces (18.2%) and transportation settings (6.5%). Females accounted for the majority of incidents (77.35%) compared to males (22.65%), and Physical IPV was the most frequently reported subtype (77.0%). Of these Physical IPV reports, most incidents did not involve a weapon (83.82%), while the use of firearms, bladed weapons, blunt objects, and improvised implements was relatively uncommon. Temporal modeling using SARIMA indicated that month-to-month variation was dominated by stable seasonal and autoregressive dynamics, with no evidence of a distinct pandemic-specific shift in call volume. By integrating descriptive and temporal analyses, the study offers actionable insights for public health, law enforcement, and community organizations working to prevent and respond to IPV. Full article

This article provides a comparative examination of two AI-assisted museums in Africa, the Dar Gnawa Museum (Marrakech) and the Grand Egyptian Museum (Cairo). It analyzes the AI functions and the strategies these institutions adopt to pursue techno-cultural empowerment in a field long shaped by power asymmetries in Africa. The literature review highlights how technological transfers in museum cooperation remain an overlooked vector of coloniality which the convergence of AI and heritage practices now brings sharply into view. This article develops the notion of clouded coloniality—a dual phenomenon in which heritage data is literally managed in the cloud, often from abroad, while diffracted layers of actors and processes obscure the identification of new imbalances in and around AI-assisted museums. This article designs a two-pronged analytical framework which first assesses AI functions within the Dar Gnawa Museum and the GEM, and then evaluates sustainable synergies between these institutions and their broader AI ecosystem. The results indicate that whereas the GEM prioritizes youth empowerment, the tourism industry, and partnerships with foreign stakeholders that could potentially expose Egypt’s cultural sovereignty, the Dar Gnawa Museum independently developed an AI tool, Kouyou, that could offer a transferable model for advancing Pan-African techno-cultural empowerment. Full article

In recent decades, Equality Plans have played a pivotal role in promoting substantive gender equality in academia, particularly in terms of professional advancement and the reduction in gender gaps. Despite notable progress, structural inequalities persist in restricting access, retention, and equitable career development in higher education. This study examines the Equality Plans of nine Andalusian public universities, identifying the key pillars, measures, and actions explicitly targeting professional promotion. Employing a qualitative approach and content analysis, the study assesses both the progress made and the challenges that persist in implementing these policies. The findings indicate that, over the course of a decade of developing equality strategies, universities have adopted and implemented plans that have generated significant initiatives to advance gender equality. Nevertheless, notable disparities remain concerning the updating, terminology, structure, and, particularly, the scope of the measures implemented. This article highlights the need to strengthen assessment strategies and broaden the scope of intervention in Equality Plans to ensure equitable and sustainable career advancement within the Andalusian university system, offering a transferable framework for promoting gender equality in other higher education contexts. Full article

Technical change plays a crucial role in improving environmental quality, while the influence of demand-side factors remains insufficiently examined. To clarify the pull effect of consumer demand on the transition to clean technology, this study develops a model of directed technical change incorporating quality innovation in consumer goods. The analysis shows that the relative prices and market sizes of clean consumer goods drive the transition to clean technology, generating a direct demand-induced pull for clean innovations. Income inequality determines the market size of clean relative to dirty goods, thereby shaping innovation incentives and influencing the effectiveness of environmental policies. By integrating learning-by-doing and demand-induced innovation for dirty and clean technologies, respectively, the model captures the path dependence of technological progress and explains the dynamic ‘U-shaped’ evolution of environmental quality under environmental policy intervention. These findings provide theoretical insight into how consumer heterogeneity and income distribution affect the direction of innovation and the long-term transition toward cleaner technologies. Full article

Background/Objectives: Chemotherapy can negatively affect cognitive functioning through direct and indirect mechanisms, with 15–50% of patients experiencing a decline that impacts quality of life. While neurocognitive tests are the main assessment tool, self-reported measures provide valuable additional insights. The aim of this study was to evaluate the cognitive decline of patients during the early stages of chemotherapy treatment and its impact on their quality of life, as well as to outline future perspectives for an early intervention model. Materials and Methods: This prospective longitudinal study was conducted on 40 patients aged 18 to 64 years. Data were collected using the FACT-Cog v.3 questionnaire, administered at the beginning of the first chemotherapy cycle (T0), and then again after approximately 3–4 weeks (T1) and 6–8 weeks (T2). Results: The data show a progressive decline in perceived cognitive abilities (PCI: 72.10 → 64.43; PCA: 25.70 → 20.90) and overall quality of life (9.73 → 8.75) from T0 to T2. A significant positive correlation was found between perceived cognitive abilities and quality of life, supporting the link between cognitive decline and quality of life. Questionnaire variables reliably predicted changes in quality of life two months after chemotherapy [F(4, 35) = 3.91, p = 0.01]. Conclusions: The findings show a decline in quality of life as chemotherapy progresses. However, this decline can be predicted from the second month of treatment using the FACT-Cog v.3 questionnaire. The findings further highlight even more the value of integrating early empowerment, rehabilitative and psychoeducational programs to mitigate cognitive decline and improve quality of life. Full article

Background/Objectives: Interventions promoting the Mediterranean Diet (MedDiet) and healthy lifestyle behaviours are effective and cost-efficient in preventing non-communicable diseases (NCDs), yet sustaining adherence remains challenging. This study explored perceived health impacts on, barriers to, and facilitators of adherence among older Spanish adults participating in a randomised clinical trial (RCT) based on the MedDiet and lifestyle interventions. Methods: A qualitative study was conducted with 17 Spanish participants (aged 60–81 years) with overweight/obesity and metabolic syndrome (MetS). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim, and analysed through inductive thematic analysis with a gender-sensitive approach. Results: Participants identified several facilitators, including perceived improvements in vitality, psychological well-being, and physical performance, alongside enhanced nutritional literacy and confidence in orchestrating daily dietary practices. Women emphasised empowerment, autonomy, and the satisfaction of promoting family health. Main barriers included low motivation, disease burden, mobility restrictions, and limited partner support, with women particularly highlighting emotional and relational factors. A continuous, trust-based relationship with the research team acted as a strong external facilitator supporting long-term commitment. Conclusions: Perceived health gains, self-efficacy, social engagement, and research team support facilitated adherence, while low motivation, illness burden, and limited partner involvement hindered it. These findings highlight the importance of gender- and context-sensitive strategies to optimise adherence and the long-term effectiveness of Mediterranean lifestyle interventions. Full article

This interdisciplinary pilot study examines the use of Natural Language Processing (NLP) techniques, specifically Large Language Models (LLMs) with Prompt Engineering (PE), to analyze economic vulnerability from qualitative self-narratives. Seventy narratives from twenty-five women in the Palk Bay coastal region of Rameshwaram, India were analyzed using a schema adapted from a contextual empowerment framework. The study operationalizes theoretical constructs into structured Information Extraction (IE) templates, enabling systematic identification of multiple vulnerability aspects, contributing factors, and experiential expressions. Prompt templates were iteratively refined and validated through dual-annotator review, achieving an F1-score of 0.78 on a held-out subset. Extracted elements were examined through downstream analysis, including pattern grouping and graph-based visualization, to reveal co-occurrence structures and recurring vulnerability configurations across narratives. The findings demonstrate that LLMs, when aligned with domain-specific conceptual models and supported by human-in-the-loop validation, can enable interpretable and replicable analysis of self-narratives. While findings are bounded by the pilot scale and community-specific context, the approach supports translation of narrative evidence into community-level program design and targeted grassroots outreach, with planned expansion to multi-site, multilingual datasets for broader applicability. Full article

Background: With ageing populations and increasing labour force participation among women over 50, their mental health and psychological well-being require attention. The multifactorial etiology of depression has been extensively studied at both the individual and societal levels. Longitudinal analyses exploring socioeconomic and political determinants and whether they influence depression severity across European countries are lacking. Objective: The objective of this study was to examine a possible correlation between socioeconomic and political factors with depression severity in women aged 50 and older in Europe and to what extent these possible correlations vary across countries. Methods: This longitudinal observational study was conducted using data from 47,426 women aged 50–89 years across 15 European countries, drawn from seven waves (2004–2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE). Depression symptoms were measured by the validated European Depression Scale (EURO-D). The Andersen Model of Health Service Utilization was applied to contextualize twelve macro-level predictors of depression. These were organized into four overarching domains—health, education/employment/finance, equality, and security. Mean EURO-D scores were calculated with respect to age group and country. Correlations between predictors and depressive symptoms were assessed using Pearson’s and Adjusted Pearson’s correlation coefficients to determine the strength and rank of associations. Results: Significant correlations between predictor variables and depression were identified in nine countries, especially among women aged 80–89 years. Spain and Estonia showed strong predictors across several age groups. Eastern European countries exhibited the broadest range of significant correlations. Italy and France, despite high depression levels, revealed few significant predictors. Sweden, the Netherlands, and Switzerland had lower depression scores and demonstrated clearer correlations. Factors related to LGBTQ+ rights, perceived corruption, and peace indices emerged as influential. Conclusions: Country-specific historical, cultural, and sociopolitical factors appear to shape severity of depression in older women, with the strongest effects in the oldest age groups. Predictors of EURO-D scores varied by country and age group, with differences in explanatory power. The importance of predictors varied across age groups; listing them without context misrepresents the findings. The interplay between objective indicators and public perception, especially concerning minority rights and governance, highlights the need for culturally sensitive interventions. Future prevention efforts should incorporate these determinants to improve mental health across Europe. Full article

The proactive safety behavior of construction workers is crucial for accident prevention. This study examines the mechanism through which altruistic leadership influences such behavior, proposing a theoretical model grounded in social exchange theory, self-determination theory, and situational strength theory. The model positions psychological empowerment as a mediator and perceived organizational support as a moderator. Hypotheses were tested using survey data from 718 construction workers in China. The data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM), complemented by a multi-group analysis based on the workers’ age and weekly working hours. The results show that altruistic leadership significantly enhances proactive safety behavior. Psychological empowerment partially mediates this relationship, while perceived organizational support positively moderates the link between psychological empowerment and proactive safety behavior. Furthermore, the positive effect of altruistic leadership was more substantial among older workers and those with longer weekly working hours. In contrast, the mediating role of psychological empowerment was more pronounced among younger workers. These findings reveal the dual influence of internal psychological mechanisms and external contextual factors in the relationship between altruistic leadership and proactive safety behavior. This study helps managers foster safety proactivity by promoting altruistic leadership and supportive organizational environments. Full article

This study examines how major global hotel groups construct sustainability through corporate communication, assessing both the thematic content and the internal coherence of their Environmental-Social-Governance (ESG) narratives. The research question is How do international hotel corporations construct sustainability through their corporate communication and ESG reporting? The research applies qualitative content analysis of sustainability reports from ten international hotel corporations and a four-layer discursive coherence model (performance, operational, narrative, strategic), the study analyses 888 coded quotations and 205 sustainability-theme occurrences in ATLAS.ti version 25, a qualitative data-analysis software. Results show that while measurable, performance-based disclosures dominate—such as digital food-waste monitoring, emissions-intensity reductions, and responsible sourcing—symbolic language remains strategically deployed to reinforce identity, purpose, and legitimacy. Across the sector, sustainability discourse converges around four recurring pillars: environmental performance leadership, community resilience, responsible business governance, and inclusive economic empowerment. The study advances theoretical work on sustainability communication by conceptualizing discursive coherence as an indicator of organizational authenticity and offers actionable insights for enhancing credibility and stakeholder trust in corporate ESG reporting. Full article

Women Who Use Drugs (WWUD) are amongst the most stigmatised groups in society and are subject to stigma as they engage with services and within their own recovery communities. WWUD who are also mothers have been found to experience increased stigma and disproportionate surveillance by professionals when accessing services, leading to a constant fear of child removal and apprehension to accessing, engaging and seeking support. In this study, we report findings from a community asset mapping project conducted with drug and alcohol recovery services in the North-East of England. The aim of this study is to examine the gender-specific and recovery-related experiences of WWUD when accessing services and women-only spaces. Semi-structured interviews (n = 13) and focus groups (n = 4) were carried out with professionals working in the recovery community and women in recovery from substance use. A reflexive thematic analysis approach was used to analyse the data, resulting in three themes being identified: (1) The role of peer support in empowering women in recovery; (2) Navigating recovery as a mother; and (3) Working with women in recovery. Findings revealed that gender-specific groups provide a sense of safety, connection, identification, and empowerment for WWUD. This study further highlights the gender-based stigma WWUD experience when accessing services, and the challenges they experience where appropriate spaces are limited in the recovery community. We conclude by recognising the importance of sisterhood for WWUD and recommending the promotion of gender-specific peer support groups and for practitioners working with WWUD to reflect on their own stigmatising behaviour and how this can manifest in the increased monitoring of women and mothers in recovery. Full article

Communities that have been structurally and historically marginalized continue to face barriers rooted in practices of exclusion and segregation. These structural constraints often persist within the entrepreneurial sphere, limiting opportunities for Indigenous entrepreneurs to establish and consolidate their businesses. This study examines the sales gap between Indigenous entrepreneurs (IEs) and non-Indigenous entrepreneurs (NIEs) in Mexico. The analysis employs a dual methodological approach based on Oaxaca–Blinder (OB) mean decompositions and recentered influence function (RIF) regressions applied across income deciles. Findings reveal a persistent and significant sales disparity: on average, Indigenous entrepreneurs sell 42.5% less than their non-Indigenous counterparts. Approximately 18% of this difference is explained by observable characteristics such as education and experience, 20.8% by differences in returns to these characteristics, and 5.8% by interaction effects. By distinguishing between gaps driven by endowment differentials and those arising from differential returns, the study highlights the potential role of structural or discriminatory mechanisms underpinning Indigenous disadvantage in the Mexican entrepreneurial ecosystem. Full article

This qualitative study explored the experiences of caregivers of people with dementia who received home-based occupational therapy from the Modena Memory Clinic. Five participants were interviewed through semi-structured conversations analyzed using thematic analysis. Results identified three main mechanisms underlying the effectiveness of the intervention: education, empowerment, and collaboration. Therapist-tailored interventions helped caregivers recognize remaining abilities, improve problem-solving, and enhance daily care strategies. The home environment supported comfort and engagement, while collaboration with professionals strengthened continuity of care. These findings highlight occupational therapy as a key component of community-based and person-centered dementia care. Full article

Background/Objectives: Inborn errors of metabolism (IEM) are chronic, life-threatening genetic disorders with a significant cumulative prevalence worldwide. Advances in early diagnosis and treatment have significantly increased life expectancy, underscoring the need for specialised adult care units and the establishment of structured transition programmes from paediatric to adult services. We hereby present a functional transition model for IEM patients and share our implementation experience. Methods: Initiated in 2012, the partnership between the paediatric Hospital Sant Joan de Déu (HSJD) and the adult-care centre at Hospital Clinic of Barcelona (HCB) culminated in 2019 with the transference of the first IEM patients under the structured A10! Programme. This model is structured around the transition units of paediatric and adult centres to guarantee communication and functional management. Regular monthly meetings at each centre and joint quarterly sessions allowed for protocol harmonisation and personalised care planning. Coordinated engagement of the multidisciplinary health care teams with patients and families smoothed the transfer process. Results: Between 2019 and 2024, 94 IEM patients were successfully transferred. Diagnoses included intermediary metabolism defects (71.23%), lipid metabolism and transport disorders (4.25%), heterocyclic compound metabolism (2.12%), complex molecules and organelle dysfunction (6.37%), cofactor and mineral metabolism (2.12%), signalling defects (5.31%), and unclassified cases (8.51% of rare disorders, maybe non-IEM). Transition formats included 21 in-person joint visits in HSJD, 37 remote transitions during the COVID-19 pandemic, and 36 streamlined transfers via standardised protocols. Sessions, trainings, and meetings allowed the exchange of patients’ needs and protocols. Conclusions: The successful transference of IEM patients requires structured programmes with interdisciplinary paediatric and adult teams, joining efforts with the patient, families, and caregivers. Communication between paediatric and adult transition units is essential to promote continuity of care and patient empowerment. While constantly updated, this model has proven effective, gaining positive evaluations from healthcare professionals and patients alike, representing a scalable framework for lifelong management of IEM in adult care settings. Full article

This study examines how social media platforms function as arenas for identity construction among minority student groups. Social media fosters a culture of connectivity, openness, and positive affect, projecting images of belonging that often contrast with the challenges faced by marginalized communities in everyday campus life and their yearning for distinction and communal boundaries. Drawing on Butler’s framework, identity online is understood as performative, emerging through repeated acts and recognizable signs, rather than as a reflection of fixed essence. Against this backdrop, the study investigates the Instagram presence of Hillel centers in the United States. A semiotic analysis of over one thousand Instagram images, supported by informal conversations with students, staff, and social media managers, reveals a communicative repertoire we term Celebrating Identity. This repertoire integrates Jewishness, youthfulness, national belonging, and institutional affiliation to produce a diffuse and inclusive Jewish identity. While such representations foster community and affirm multiple affiliations, they also risk masking the vulnerabilities and tensions experienced by Jewish students amid campus unrest and antisemitism. Social media thus emerges as both a resource of empowerment and a fragile form of support for minority identity work in contemporary higher education. Full article

Guided by Sustainable Development Goal (SDG) 5 on achieving gender equality and empowering all women and girls, our study examines the age, period, and cohort effects of gender income inequality across China’s public and private sector employment by utilizing hierarchical age–period–cohort cross-classification random-effects models (HAPC-CCREMs) and repeated cross-sectional data from the Chinese General Social Survey from 2003 to 2021 (N = 29,367). The results demonstrate the following: (1) Age effects of gender income inequality diverge between public and private sector employment. In public sector employment, inequality undergoes a progressive decline over individuals’ career spans, as age is institutionalized as a sector-specific capital and compresses inequality through seniority-based accumulation. In private sector employment, inequality follows an inverted U-shaped trend as age is marketized as a proxy for labor productivity, producing steeper inequality in individuals’ early careers and sharp declines thereafter. (2) Period effects of gender income inequality manifest significant developing differences across public and private sector employment between 2003 and 2021. In public sector employment, the state redistributive mechanism maintains inequality at a consistently low and stable level. In private sector employment, inequality fluctuates with China’s post-transition economic restructuring, expanding during rapid market growth (2003–2008), contracting amid structural upgrading (2010–2013), and rising again under deeper market integration (2015–2021). (3) Cohort effects are negligible, reflecting that mechanisms sustaining gender income inequality exhibit intergenerational continuity. These results demonstrate that institutional segmentation structures gendered income dynamics throughout the life course via distinct resource allocation mechanisms. Our study extends life course approaches to social inequality, emphasizing the role of gender-equality-oriented governance, lifecycle-spanning support mechanisms, and cross-sectoral coordination in mitigating gender disparities. Full article

Neglected Tropical Diseases (NTDs) disproportionately affect the world’s most marginalised populations, yet programmes aiming to control and eliminate NTDs often fail to fully address the structural, social, and political dimensions of exclusion. This narrative review examines the concept of inclusion within NTD programming, with a particular focus on intersecting forms of marginalisation, including poverty, gender, disability, and displacement. Drawing on studies from 2010 to 2025, from various databases such as google scholar, PubMed and PLOS, this review synthesises evidence on barriers to equitable healthcare access, the role of community-driven approaches, and the integration of inclusive strategies within NTD programming and broader health systems. Key themes include the impact of structural inequalities such as racism and poverty, the need for gender-responsive services, the marginalisation of displaced communities, and the critical role of community empowerment through mechanisms like peer support and community drug distribution of NTD medicines. The review proposes a working definition of inclusion in NTDs as the intentional integration of underserved groups into all levels of programming, policy, and service delivery. It highlights the urgency of reframing NTDs not just as biomedical challenges but as deeply embedded social justice issues. By embedding inclusion into programme design, implementation, and evaluation, stakeholders can better align NTD responses with global equity goals and the Sustainable Development Goals. Full article

This article outlines the development of an inter-scale analytical tool designed to evaluate urban, intermediate, and domestic spaces from a gender perspective. Framed within feminist urbanism and ecofeminist theory, the study addresses the need to foster inclusive and equitable environments by incorporating gender-sensitive criteria into spatial planning processes. The methodology employed consists of a six-stage process: (1) a review of the existing literature; (2) the definition of scales of approach; (3) the formulation of indicators; (4) the establishment of evaluation criteria; (5) the design of data collection instruments; and (6) the refinement of the tool through field testing. The tool uses both qualitative and quantitative indicators across three spatial scales—neighbourhood, inter-block, and housing—organised into dimensions such as safety, accessibility, diversity, vitality, and representativeness. The evaluation process employs direct observation, graphic analysis, interviews, and participatory focus groups to provide a nuanced and multidimensional understanding of the built environment. The results confirm that both urban and domestic spaces have historically been designed from an androcentric perspective. They also highlight the potential of using gender-based evaluations to identify spatial inequalities and guide transformative interventions. The tool is replicable, adaptable, and scalable, and can therefore offer a robust framework for future research and public policy-making aimed at fostering gender equity in urban contexts. Full article

The CHIARA Project investigates women’s mental health and vulnerability to sex trafficking in the U.S.–Mexico border states (California, Arizona, Texas, and New Mexico). A mixed-methods design was employed, combining qualitative content analysis of media, legal, and policy documents with quantitative analyses of secondary datasets from health institutions, the National Human Trafficking Hotline, the Polaris Project, and the U.S. Census Bureau. Data were cleaned, integrated, and examined through descriptive statistics, regression models, and correlation matrices using R Studio, complemented by visualizations to identify patterns and hotspots. Results show a strong association between higher crime rates, reported trafficking cases, and the prevalence of mental health disorders such as PTSD, depression, and anxiety among women. California and Texas consistently reported higher trafficking cases and mental health burdens, while regression analyses highlighted poverty, limited education, and gender inequality as significant predictors of vulnerability. These findings underscore the interplay between socioeconomic conditions and gender-specific exploitation at the border. By linking mental health and trafficking indicators, the study provides actionable insights for community leaders, policymakers, and healthcare providers, emphasizing the need for trauma-informed care, targeted prevention strategies, and policies that address both structural inequities and survivor rehabilitation. Full article

This study examines Lean 4.0, defined as the integration of Lean soft practices (LSPs) and Industry 4.0 technologies (I4Ts), from a socio-technical systems perspective. While prior research has mainly linked Lean and I4Ts to operational and cost-based performance indicators, far less is known about how their human and technological elements interact as one socio-technical system during digital transformation. We investigate how LSPs and I4Ts combine to form social and technical subsystems, how their interaction reshapes work systems, and how these configurations relate to organisational performance. An inductive qualitative design was used. Fifteen managers and professionals with direct experience in continuous improvement and digital transformation completed an open-ended online questionnaire. Data were analysed using Braun and Clarke thematic analysis, guided by socio-technical systems theory and complemented by a cross-case synthesis. The findings identify four interrelated subsystems, social, technical, work, and outcomes, that co-evolve in Lean 4.0 initiatives. LSPs such as training, empowerment, and stakeholder involvement constitute a social system that enables the adoption and effective use of I4Ts in the technical system. When both subsystems are strong, their combined operation drives more extensive digital transformation of operational processes and customer facing activities, and in some cases business models, and is associated with broader improvements in efficiency, quality, customer satisfaction, employee engagement, and financial performance than medium or unbalanced configurations. The analysis also highlights recurrent integration challenges, including skill gaps, legacy system constraints, resistance to change, and data security concerns. Overall, the study conceptualises Lean 4.0 as an integrated socio-technical configuration and extends socio-technical systems theory by showing how LSPs mediate and amplify the value created by I4Ts, providing an empirically grounded framework and configuration-based insights for future testing. Full article

The capacity of the Valencian fruit and vegetable sector (i.e., cooperatives) to absorb knowledge has been analysed, as well as the influence of this capacity on the adoption of technological innovations and production processes. This objective is motivated by the multiple challenges currently facing the agricultural sector. The dominance of large distribution chains and competition from products imported from other countries have increased production costs without a proportional increase in income. The study was conducted with a sample of 14 fruit and vegetable companies and cooperatives. This study explored how these organisations acquire and assimilate knowledge from abroad and the barriers they face in this process. The results reveal that the extent of assimilation is fundamental to transforming potential absorption capacity into reality. Acquiring knowledge is not the problem, given the abundance of information available. The challenge lies in discerning which knowledge is relevant and aligning it with the needs of the organisation and its customers. The importance of generational change and team dynamics in knowledge consolidation is evident. The importance of effectively managing knowledge assimilation for the success of innovation in agri-food cooperatives is highlighted. In addition, common barriers to the implementation of innovation are identified. The lack of gender diversity is evident in the leadership profiles of cooperatives, highlighting the need for future research addressing absorptive capacity from a gender perspective. Full article

Despite the large body of research showing that students in STEM classes at all levels learn better via active learning than they do via lecture, post-secondary physics and astronomy (P&A) faculty members continue to primarily use teacher-focused, lecture pedagogy in their classes. Methods include answers from eight faculty members, and interviews with five faculty members who self-identified as primarily using lecture were conducted to determine their perceptions of why they use lecture. During analysis coding, results show that an unanticipated theme not sufficiently represented in the pre-existing literature rose to the forefront: that many of these faculty members feel the decision of pedagogy is out of their control. In conclusion, a grounded theory was developed and is proposed herein that these faculty feel a sense of powerlessness. Reasons offered include administrators often make decisions based on the financial needs of the school, which then force the faculty into using lecture as their primary pedagogy. Implications include that providing professional development in active pedagogies may not be sufficient to help faculty members change pedagogy, as they may need to be convinced that they have the power to make change and use student-centered, active learning pedagogies within their own individual constraints and settings. Understanding that some instructors may feel powerless in choosing how to teach is an important step for professional development providers toward ensuring that faculty have a voice and can choose the best teaching methods for their classrooms. Full article

Gender-based violence (GBV) in urban contexts is a complex, multifactorial phenomenon shaped by socioeconomic, territorial, and contextual factors. This study aims to develop a predictive model for GBV-related crimes in Valencia (Spain), using open geospatial data and advanced machine learning techniques to support the identification of high-risk areas and guide targeted interventions. A 25 m grid was generated to homogenize crime data and independent variables, including socioeconomic indicators, urban services, real estate information, and traffic intensity. Multiple models were tested—Multiple Linear Regression (MLR), Decision Tree (DT), and Random Forest (RF). Linear models were found to be insufficient for explaining GBV patterns (R² ≈ 0.45), while RF and DT achieved high predictive accuracy (R² ≈ 0.97 and 0.95, respectively. The variables with the greatest influence were traffic intensity, average monthly income, unemployment rate, and proximity to nightlife venues. To enhance the interpretability of the most accurate models, we applied SHAP (SHapley Additive exPlanations) to quantify the contribution of each predictor and elucidate the direction and magnitude of their effects on model predictions. These findings demonstrate the utility of geospatial ML techniques in understanding the spatial dynamics of GBV and in supporting urban safety policies. While the current model focuses on static spatial predictors and does not explicitly model temporal dynamics or spatial autocorrelation, future research will integrate these aspects, along with participatory data, and test the model’s applicability in other cities to enhance its robustness and generalizability. Full article

Social health is increasingly recognized as a key domain in dementia research, yet interventions explicitly addressing it remain scarce. This study presents the co-creation of an empowering and meaningful social health intervention for people living with dementia. An evidence-based intervention scaffolding was enriched with the lived experiences of people living with dementia through a seven-step co-creation process, in which they held sole decision-making authority in selecting intervention topics using an adapted World Café method, shared responsibility for designing session content, and joint responsibility for implementation. Twenty-nine residents living with dementia in three long-term care facilities co-created and implemented twelve group sessions based on their “heart topics,” emphasizing personal strengths, reciprocity, and shared experiences. Each session integrated peer-led, co-creative, and sensory elements and was collaboratively prepared and implemented together with at least one peer host. The co-creation process effectively captured the lived experiences of people living with dementia and resulted in an intervention with the potential to foster and deepen social relationships in long-term care. This study calls on researchers and practitioners to take bolder steps toward empowering people living with dementia to assume active, visible, and meaningful roles in intervention development and implementation. Full article

Compulsory education is a foundation for equitable development, yet many children in urban slums remain excluded. In Dhaka, Bangladesh, this exclusion challenges the assumption that cities naturally provide better educational opportunities. This study aimed to identify the social and economic factors influencing access to compulsory education among slum households. A mixed-methods design was applied using multistage sampling. Quantitative data were collected through surveys of 410 households across four large slums in Dhaka, and qualitative insights were drawn from 15 household interviews. Statistical tests, including Chi-square and one-way ANOVA, were used to examine associations between school dropout and socioeconomic variables. The results indicate that both social and economic conditions affect school dropout rates. Social influences include early marriage, child labor, drug use, low parental education, and household responsibilities that reduce time for schooling. Economic barriers include low family income, schooling costs, and dependence on child earnings. These constraints reduce the real opportunities children have to remain in school, which helps explain why exclusion continues despite compulsory education policies. Coordinated policy action is needed, including simplified school admission procedures, expanded mobile documentation services, and conditional stipends to offset incidental schooling costs. Adult literacy initiatives, stronger enforcement of child marriage and child labor laws, and practical training for school staff to work with slum communities are also important. These measures would support more consistent access to compulsory education for children living in Dhaka’s slums. Full article

Background: Social media, especially Instagram, spreads nutrition-related information that often lacks scientific rigor. Many women report feeling inadequately informed about women’s health by healthcare professionals, turning to social media, increasing exposure to misinformation. Objectives: The NutriWomen platform aims to assess the quality, methodological soundness, and credibility of nutritional health claims and dietary recommendations on Instagram targeting women across different life stages. Its goal is to develop a systematic and scientifically grounded evaluation framework to assess Instagram nutrition-related claims and the methodological quality and interpretability of their supporting evidence, and to translate the results into accessible outputs that help women make informed nutrition decisions across life stages. Methods: This study follows a five-stage design Stage 1 involves a retrospective content analysis of Instagram posts containing nutrition-related claims targeted at women, identified through the “Top posts” function and screened using predefined criteria. Stage 2 assesses information quality using a validated 14-item tool. Stage 3 evaluates the scientific accuracy of claims by formulating PI(E)CO(TS) questions, selecting key outcomes, retrieving evidence from PubMed and the Cochrane Database, and appraising systematic reviews with a modified AMSTAR-2 tool incorporating GRADE ratings, when available. Stage 4 develops the NutriWomen website platform to translate assessments into accessible visual summaries. Stage 5 conducts a mixed-methods study with peri-, meno-, and postmenopausal women to explore information needs and evaluate platform usability through focus groups. Conclusions: The NutriWomen platform will be the first website to systematically publish the results of evaluations assessing the scientific quality of nutritional health claims on Instagram targeted at women across different life stages. It will provide a replicable methodology, and a digital tool designed to empower women with trustworthy nutrition information, with the potential to enhance health literacy and promote better health outcomes. Full article

Toxic romantic relationships, a popular term referring to intimate partner violence (IPV) characterized by psychological, physical, and sexual violence, are a growing concern among young people. This pilot study aimed to preliminarily validate the vignette task on IPV, the “Mind 4 partner abuse” task, and to investigate the cognitive patterns and emotional profiles concerning IPV. Our research involved 228 university students from the University of L’Aquila who participated in an online psychoeducational program to raise awareness of the risks of IPV. Participants completed the “Mind 4 partner abuse” task, which included five vignettes depicting escalating violence in relationships. The task assessed participants’ emotional responses (anger, anxiety/fear, sadness, shame/guilt) and cognitive responses (functional-assertive or dysfunctional) to each vignette. In addition, for convergent validation, the Interpersonal Reactivity Index (IRI) was administered to assess empathic abilities. Five distinct factors were identified: active coping and legal awareness (ACLA), emotional distress (ED), assertiveness and autonomy defense (AAD), assertive reaction and self-empowerment (ARSE), and refusal of public humiliation and dignity assertion (RDA). One factor out of the five, emotional distress (ED), identified a dysfunctional cognitive pattern. The instrument showed a good convergent validity with the IRI. The correlation analysis showed that the IRI personal distress scale was negatively associated with ACLA and positively associated with ED. The IRI Empathic Concern scale was positively associated with RDA. In the dysfunctional cognitive pattern, as measured by the “Mind 4 Partner Abuse” vignette task, the ED factor was positively correlated with anxiety, sadness, shame, and guilt. The potential of the vignette task to identify high-risk cognitive profiles is promising, but it has yet to be confirmed. Given the limitations of the study, the findings offer only preliminary indications of cognitive patterns in young adults and their perceptions of romantic relationships, as assessed through a psychoeducational intervention. Further research with larger and more diverse samples, as well as more robust task designs, is necessary before firm conclusions can be drawn. Full article

Background and Objectives: Mental health recovery is conceived as a personal process going beyond symptom remission and thus involving identity reconstruction, search for meaning and active participation in everyday life. This study aimed to analyze the influence of life history, identity, competence and context on the recovery process of people with mental illness. Methods: A qualitative phenomenological study was conducted and registered in the Open Science Framework. Participants were 159 individuals diagnosed with mental disorders who attended a community mental health association. Data were collected using the standardized Occupational Performance History Interview-II (OPHI-II) and analyzed through an inductive phenomenological approach with researcher triangulation. Results: Findings showed that life history is central to recovery, as it helps rebuild identity, recognize personal capacities and restore a sense of continuity. Daily occupations and social support emerged as key factors for inclusion and participation. Conclusions: Results highlight the importance of integrating biographical narratives and occupational perspective into mental health interventions through a standardized tool that surpasses traditional diagnosis-based or methodologically weak approaches. This perspective fosters practices aligned with individuals’ values, goals and contexts, promoting autonomy, empowerment, and social inclusion. These findings may inform person-centered recovery programs in community services. Full article

Background/Objectives: Physician burnout and mental health issues are widespread, with over 50% experiencing burnout and nearly 25% suffering from depression, trends that have worsened since 2018. High-demand specialties like urology face additional stressors, including increasing workloads and technological changes. Gender disparities further exacerbate these challenges, with female urologists reporting higher burnout and work–life balance struggles. To evaluate perceptions of work–life balance, career satisfaction, and workplace experiences among urologists worldwide, and to provide potential strategies to improve physician well-being, promote gender equity, and support the sustainability of urology. Methods: A web-based, cross-sectional survey was conducted from March to June 2025, involving urologists, residents, and fellows globally. The 30-item questionnaire covered demographics, working conditions, work–life balance, and gender-related workplace issues. Data were analyzed using descriptive statistics stratified by gender, age, role, and region. Results: We received replies from 390 doctors in urology. Work-related stress was reported by 87.4% (340). A total of 17.7% (69) felt their career progression to be fully compatible with their personal life, while 42.3% (165) perceived a significant imbalance. Female urologists experienced higher perceptions of inequality in career and work–life opportunities. Over 50% expressed willingness to reduce workload for family reasons, highlighting systemic barriers. Burnout was most prevalent among younger urologists (<50 years), with persistent gender disparities across regions. Conclusions: Work–life imbalance and burnout remain major concerns for urologists globally, especially among female and early-career physicians. Addressing these issues requires institutional policies promoting flexibility, gender equity, and targeted support. Further research is needed to develop effective interventions to sustain a resilient urological workforce. Full article

Perspectives on race and gender from Black women professors in higher education today are shaped by their lived experiences navigating both systemic racism and sexism within academia. These perspectives often reflect a unique intersectional understanding of institutional challenges, resilience, and advocacy for equity. Full article

Economic connectedness has been recently found to lower income inequality by rising intergenerational mobility, yet its environmental impacts are less well known. More well-known is the fact that the non-carbon footprint is easier to reach via regulations because its production is domestic. These two problems of income inequality and environmental pollution have echoed in public opinion polls as one of the major current problems in developed countries. We thereby look at the United States on the state level during the last two decades (2010–2020) with a Hausman–Taylor estimator for panel data. The choice of the estimator stems from its appropriateness for panel datasets with constant variables. We find that in the United States, economic connectedness between friends, whereby friendships were formed within the same group, may be blamed for the rising environmental (non-carbon) footprint. The non-carbon footprint is, therefore, explained by the bonding of social capital, which may restrict innovation. We document the case where social capital in the form of economic connectedness may be harmful to the public good, such as the environment, our main contribution. The negative effect of bonding social capital on environmental outcomes due to rigid social networks and particular network technology use is a novel addition to the prior research. The policy implications are discussed in more detail, and a call is made to distinguish social capital types and promote bridging social capital where bonding social capital is relatively strong. Full article

Professional women football players have increased in Spain, but the little more than 107,000 licences registered in 2023 are still far from the more than one million for men. Androcentrism, gender roles, and the invisibility of female athletes in the media have been some of the problems they have faced. By comparing the media coverage of the four most widely read newspapers in Spain (Marca, El País, El Mundo, and AS) during the first World Cup played by the Spanish Women’s National Football Team (2015) and the most recent one (2023), we have identified the media characterisation of the players through discourse analysis. From the reading of 145 documents from 2015 and 375 from 2023, 39 semantic codes emerged, which rose to 47 in the second sample. The conclusions point to a trend of androcentrism through additions such as “women’s” football or “female” footballers and a proliferation of quotations in which the male coach is the protagonist, although there has been progress in the number of pages and resources used by each outlet. Regarding language, the decline in the characterisation of the players as “girls” or “youngsters” and the increase in references to their Talent or Leadership represent advances. Full article

Using the Danjiangkou Reservoir resettlement as a case study, this research adopts a policy lifecycle perspective to examine the evolutionary mechanisms of livelihood transformation and institutional adaptation under large-scale hydraulic development. The findings reveal that China’s resettlement governance is not merely an economic practice of resource redistribution and livelihood reconstruction but a deeper process of institutional learning and social reconfiguration. The transformation of Danjiangkou migrants—from administrative dependence to self-organized recovery and finally to development empowerment—reflects a structural shift in governance logic from control-oriented mobilization to collaborative and inclusive modernization. The study elucidates the dynamic interaction between institutional supply and social agency, arguing that the state acts not only as a resource provider but as an institutional recalibrator that fosters endogenous governance capacity through social self-organization. The identity transformation of migrants—from excluded subjects to integrated citizens—demonstrates that recognition, participation, and social capital are central to achieving social justice and sustainable governance. Practically, sustainable resettlement requires institutional flexibility and social empowerment, emphasizing long-term capacity building over short-term relief. The Danjiangkou experience reveals the deeper logic of Chinese modernization—a transition from control to collaboration, from survival to development, and from outsiders to citizens—offering valuable insights for equitable and resilient resettlement governance. Full article

The study investigated the prevalence of gender-based violence, its psychological effects, and coping mechanisms among refugees in Ethiopia’s Kebribeyah Camp, which is believed to be the least recognized issue for female refugees. Owing to the loss of a social network and power, refugee women are the most vulnerable to different forms of gender-based violence and psychosocial challenges. The data collection and analysis were performed using a cross-sectional explanatory, quantitative design. The study involved 357 women refugees who were eligible for the study and found that there was a prevalence of 10.98% for GBV. In this study, it was determined that the most prevalent forms of GBV are psychological, physical, and sexual forms, respectively, which require immediate interventions. Irrational verbal and physical violence against women by men is identified as a signal for sexual violence. The mediation analysis examines the relationship between GBV acts, psychosocial challenges, and survivors’ coping strategies. GBV was found to be a significant predictor of both psychological and social difficulties, accounting for a significant variance in psychological difficulties (71%) and phobias (59%), and a substantial portion of social challenges (35%). GBV accounts for 82% of the variance in coping strategies. The study deduces the multidimensional pathway of the adverse effects of GBV among survivors, and suggests a combination of interventions to address GBV acts, psychological challenges, social challenges, and psychological phobias through an intersectional approach. Full article

This study delves into the necessity for gender-affirming practices, particularly focusing on the underrepresented transgender and non-binary communities in California’s Central Valley. Despite the recognized standards by the World Professional Association for Transgender Health (WPATH) for best practices in mental health care, adequately trained professionals in this region remains a notable scarcity. The paper highlights the heightened risks these communities face, including discrimination and mental health challenges, underscoring the critical need for compassionate and competent care. The research aims to bridge the gap in education and training for practitioners on gender diversity and improve mental health services for transgender and non-binary individuals. Through thematic analysis of individual interviews, the study captures the experiences of gender diverse individuals with behavioral health care, emphasizing the importance of gender-affirming care, the dangers of pathologizing gender diversity, and the adverse impacts of gatekeeping and conversion therapy. Conclusively, the study advocates for an informed consent model for medical transitions, as per WPATH guidelines, and calls for a shift towards intersectional, inclusive practices. It stresses the need for ongoing education, policy reform, and advocacy to ensure equitable, affirming mental health care for gender diverse populations. Full article

Self-harm among young women has been rising internationally and in Australia, yet many are not in contact with formal services. Peer support may play an important role in managing self-harm; however, it remains under-investigated. This qualitative study explored how young Australian women perceive peer support for managing self-harm. Using purposive sampling, twenty-seven women (M = 20.9, SD = 2.1) with lived or living experiences of self-harm participated in semi-structured interviews. Data were analysed using reflexive thematic analysis. Five themes highlighted perceived benefits and risks of peer support: 1. Affirmation—peer support offers understanding and validation that reduce shame and stigma; 2. Connection to community—shared experience reduces isolation and supports learning; 3. Empowerment—peer support promotes hope, autonomy, and help-seeking; 4. Capacity matters—limited psychological knowledge and emotional resources can constrain or burden peers; 5. Perception can be distorted—in un-moderated online contexts, normalisation, glamorisation, and competitive dynamics of self-harm may increase risk. These findings offer insight into how young women understand the different aspects of peer support for self-harm and may inform the development of structured and moderated peer support options. Future research should focus on the design and evaluation of safe and effective peer support initiatives. Full article

(1) Background: Female homelessness is one of the most invisible forms of social exclusion, aggravated by structural and gender factors and by experiences of violence. This research analyzes the multifaceted barriers hindering women experiencing homelessness from accessing healthcare services, from the perspective of social intervention professionals. (2) Methods: A qualitative study was conducted using three focus groups with 21 professionals from Santa Cruz de Tenerife, Lleida and Barcelona. An interpretative phenomenological approach guided data collection and analysis, and transcripts were examined through thematic analysis to identify common patterns in professionals’ meaning-making regarding healthcare barriers. (3) Results: Gender-based violence cuts across the life trajectories of most women experiencing homelessness, hindering their access to healthcare services. Barriers identified include lack of documentation, stigma and discriminatory treatment, limited access to specialized services, the absence of a gender perspective in healthcare, and a lack of coordination between social and health services. In addition, the study highlights the lack of preventive programs and health education tailored to this population. (4) Conclusions: It is essential to adopt a comprehensive, intersectional and gender-sensitive approach to safeguard the right to health for these women. Measures such as training for healthcare personnel, simplifying bureaucratic procedures, creating specialized resources, and improving inter-institutional coordination are proposed. Full article