Search Results (5)

Background: Subjective socioeconomic status (SES) is a powerful determinant of health and well-being, capturing individuals’ perceptions of their material conditions and security. While higher perceived financial and basic needs security are generally linked to better health outcomes, little is known about how these associations differ across global contexts. Drawing on data from 23 countries, this study tests whether these relationships are systematically weaker in Global South countries. Methods: Cross-sectional data from Wave 1 of the Global Flourishing Study (n = 207,000) were used to examine associations between subjective SES indicators—financial security and security in basic needs (food, housing, safety)—and two outcomes: self-rated physical health and mental health. All variables were measured on 0–10 scales. Linear regression models were estimated separately by Global South and Global North country status, adjusting for age and sex. Global South classification was based on standard development and geopolitical frameworks. Results: In both global regions, individuals with higher perceived financial and basic needs security reported significantly better mental and physical health. However, the strength of these associations was consistently weaker in Global South countries. Interaction terms confirmed that Global South status moderated the association between subjective SES and health outcomes. Conclusions: These findings suggest global-scale “diminished returns” of subjective SES on health, echoing patterns previously observed within countries. Structural inequalities, weaker public systems, and contextual adversity may dilute the health benefits of perceived security in Global South settings. Global health equity efforts must therefore move beyond individual-level interventions to address the broader systems that constrain the translation of socioeconomic resources into health. Full article

Emergency displacement has become an increasingly salient global phenomenon, precipitated by the intensification of climate crises and persistent geopolitical conflicts. These events forcibly displace millions each year and generate complex social, political, and institutional challenges. While the literature on displacement is expanding, much of it centers on individual and household experiences, often overlooking the collective dimensions of displacement. This article addresses this gap by critically examining the concept of the displaced community, a term used to describe collectivities formed in host societies comprising individuals who have been forcibly uprooted. The article undertakes a conceptual investigation of displaced communities, seeking to define their constitutive features while accounting for their internal heterogeneity and contextual variability. To sharpen analytical clarity, the study contrasts displaced communities with healthy communities, thereby situating two polar ends of a continuum. Based on these two types of community, the question arises, “can displaced communities be healthy communities?” The article advances a conceptual model of a healthy displaced community, positing that such a construct extends conventional understandings of resilience by foregrounding the processual dynamics of recovery and adaptation. Specifically, it is argued that community health in contexts of forced displacement must be understood as the outcome of iterative processes intentionally involving community-based intervention, empowerment, and long-term sustainability. Drawing on published case studies and empirical accounts of work with displaced populations, the article demonstrates how these three pillars—community intervention, empowerment, and sustainability—are implemented in practice. It concludes with policy and practice recommendations designed to prevent further deterioration and promote the development of health and well-being within displaced communities. Full article

The COVID-19 pandemic has amplified concerns about healthcare access, particularly among vulnerable populations. This study extends Andersen’s behavioral model to investigate how fear of high-risk locations, alongside predisposing, enabling, and need factors, shapes healthcare-seeking behavior in Penang, Malaysia. A survey of 211 individuals (58% response rate) was analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results reveal that need factors—specifically self-rated health and chronic illness—strongly predict healthcare utilization. However, this relationship is moderated by fear of infection, leading some high-risk individuals to forgo care despite medical necessity. Enabling factors, including financial resources and access to public healthcare, showed limited influence, likely due to Malaysia’s universal healthcare system and growing use of telemedicine. Older adults maintained healthcare utilization among predisposing variables, while higher-educated individuals were more cautious, possibly due to heightened health literacy and trust in digital alternatives. Although fear influenced care-seeking behavior for minor ailments, it did not significantly deter individuals from accessing services for severe conditions. These findings underscore the nuanced interaction between psychosocial factors and institutional context in shaping healthcare decisions during health crises. Full article

Agricultural prosumption is a transformative pathway, enabling individuals to reconnect to nature whilst producing food for their own consumption. Allotment gardens (AGs) and community-supported agriculture (CSA) are two main types of this practice, forming opposing sides on a continuous prosumption scale, ranging from prosumption-as-consumption (p-a-c), as in consumption focused CSA initiatives, to prosumption-as-production (p-a-p), as in the production-orientated AGs. Using a survey completed by Swiss CSA (n = 250) and AG members (n = 201), this study shows how prosumers perceive the benefits of their activity, how these experiences shape their likeliness to continue and how differently they rate the effects of prosumption on individuals, communities and society. In addition, it provides an outlook on associated societal developments, regarding these activities as forms of contributive economy. Although the two groups differed in their socio-demographics, their attitudes and experiences were similar. P-a-p organisations (AGs) enhance production-related individual benefits, while p-a-c organisations foster positive experiences around consumption activities. AG continuation is driven by the experienced health and food-related benefits, while CSAs rely on the communal and organisational involvement of their members. While AG members focus on individual benefits, CSA members strive to be part of a food system change, using their communal structures to create a social movement. This demonstrates the wide range and potential of food prosumption in fostering diverse forms of engagement, offering insights into its potential for sustaining participation and contributing to alternative economic models. Full article

Binge eating disorder (BED) has long been an overlooked mental health condition, making its recognition and treatment more challenging. This study examines the impacts of social stigma and fatphobia on individuals with BED, exploring how these factors influence their well-being and perpetuate cycles of exclusion and discrimination. Using a psychosocial approach, this research analyzes how societal misperceptions about BED foster harmful stereotypes, such as the belief that being overweight results from a lack of willpower or personal negligence. This study is based on a qualitative discourse analysis of 12 participants diagnosed with BED. The findings highlight the presence of compensatory behaviors, including fasting, excessive exercise, and laxative use, which challenge the conventional understanding of BED. The results reveal that BED affects not only individuals at a personal level, but also deeply impacts their social and family lives, reinforcing shame, guilt, and self-hatred. Diet culture and weight stigma contribute to social exclusion, further hindering access to proper treatment. This study provides a critical perspective on the need for a cultural shift in how society perceives weight and eating behaviors, advocating for a more inclusive health model that prioritizes mental well-being and body diversity over arbitrary aesthetic standards. These findings underscore the need for greater societal understanding, inclusive health narratives, and further qualitative research into the lived experiences of individuals with BED. Full article