Search Results (1,948)

Plant-based diets are increasingly attracting attention as they play a significant role in human health and environmental sustainability and are believed to be key components of sustainable food systems. In the present study, both pros and cons of the adoption of plant-based diets are analyzed using a bibliometric method integrated with a qualitative examination of the scientific literature. For the bibliometric study, Bibliometrix software was utilized, examining 3245 scientific articles, downloaded from the Scopus database, and printed between the years 1957 and 2025. The analyses were conducted using R software, version 4.4.1, with access to the Bibliometrix package, version 4.1. The results indicate a remarkable rise, in the last two decades, in the scholarly focus on the influence of plant-based diets on the individual’s health condition as well as the environment. Keyword co-occurrence studies and international collaborations demonstrate a dominance of research focus in both the United States and Europe, with significant contributions from the Asia–Pacific region. Furthermore, the current work offers qualitative identification of the benefits of plant diets from various perspectives like nutritional, economic, ecological, and cultural. It also explores the main dissuaders from adhering to these diets, including perceived nutritional hazards, cost perceptions, low availability, and social prohibitions. Findings emphasize that, in spite of all the barriers, plant food-based diets have a wide-ranging ability to provide tangible benefits at both the individual and population levels, and documented in the scientific literature are recommendations of expert-led education programs, economic incentives, and judiciously framed public policies to overcome these barriers and to make this transition possible towards sustainable food choices. Findings provide a comprehensive understanding of the current lines of inquiry and stage the subsequent work on how to motivate sustainability among the general population. Full article

Natural resource assets inherently integrate tripartite synthesis of legal, economic, and ecological attributes. They serve dual critical functions as foundational elements supporting the evolution of new-quality productive forces and pivotal mechanisms safeguarding ecosystemic integrity. It has become a global consensus and direction of action to advance comprehensive supervision of natural resource assets and practice the concept of “Community of Life for Human and Nature”. Under the background of the super-ministry system restructuring in China, comprehensive supervision of natural resource assets remains challenged by system fragmentation in supervision objectives and multifaceted interest conflicts among stakeholders. In light of this, this research focuses on the theoretical justification and system optimization of the comprehensive supervision of natural resource assets in China. Using comparative analysis and normative analysis methods, we validate the system’s function on the comprehensive supervision of natural resource assets, summarize foreign experiences, and ultimately aim to explore the optimization pathway of the legal system for the comprehensive supervision of natural resource assets. The results show the following: (1) The choice of the legal system for the comprehensive supervision of natural resource assets emerges as the functional product aligning societal objectives, the rational paradigm for achieving efficient resource allocation, and the adaptive response to the external effects of common property. (2) The system supply of comprehensive supervision of natural resource assets in foreign countries is characterized by normative convergence in conceptual elements and typological categorization in objectives and objects. Therefore, this research recommends that, in order to optimize the system of the comprehensive supervision of natural resource assets in China, (1) in terms of protection of source, natural resource assets should be categorized, with operational natural resource assets focusing on management and public welfare natural resource assets focusing on conservation. (2) In terms of valuation, the economic valuation of natural resource assets should be integrated with ecosystem service assessments to enhance fair market equity. (3) In terms of method, the big data center should be established to enable the synergistic integration of technological innovation and system reforms. (4) In terms of subject, requiring the participation of various government departments, non-governmental organizations, the general public, and other parties could realize the connection of different legal bases for the comprehensive supervision of natural resource assets and the balance of multiple rights and interests, which should help to achieve balanced resource efficiency and biodiversity conservation and safeguard national ecological security. Full article

Background: The World Health Organization (WHO) defines health promotion as the process of enabling individuals to gain control over and improve their health. This shifts the focus from lifestyle choices to broader social determinants of health, requiring involvement from healthcare, authorities, industry, civil society, and the media. Civil society engagement in health initiatives offers benefits such as empowerment, service delivery, flexibility, policy participation, and credibility. However, identifying specific health promotion actions for civil society organizations (CSOs) is challenging. The lack of assessment tools for CSOs hinders evaluation and improvement. Objective: To develop a tool, ‘PromoACTIVA-SC’, to assess CSOs’ health promotion practice by identifying essential actions that constitute the health promotion process. Methods: ‘PromoACTIVA-SC’ was developed through documentary analysis and validated by experts. CSOs’ members participated in cognitive interviews for comprehensibility, and the tool was pilot tested for administration and Likert scale evaluation. Results: The final questionnaire, consisting of 8 phases and 40 items, demonstrated good content validity. Its use can help to map CSOs’ practices and identify areas needing improvement. CSOs can use it for self-assessment and in collaborative health promotion and disease prevention efforts. Conclusions: ‘PromoACTIVA-SC’ is the first tool designed to assess civil society’s role in the health promotion process. Its future use will reveal the extent to which civil society organizations actively participate in health promotion. It can also be used to promote CSOs’ involvement in health policy and administration, enhancing public health outcomes through collaborative, cross-sectoral efforts. Full article

Background: The Dietary Guidelines for Americans (DGA) and the American Academy of Pediatrics recommend limiting 100% juice consumption to 0.5–1.25 cups/day and to no more than one half of total fruit intake. Objective: To explore the dietary benefits of consuming 100% fruit juice and diluted 100% juice across diverse socio-demographic strata in the US. Methods: Consumption patterns for 100% juice and diluted 100% juice were examined by sex, age group, income-to-poverty ratio (IPR), and race/ethnicity. Dietary intakes came from the National Health and Nutrition Examination Survey (NHANES 2017–2020 and 2021–2023). The Healthy Eating Index 2020 (HEI 2020) and diet-level Nutrient Rich Food (NRF9.3) scores were the two measures of diet quality. The amounts of 100% juice consumed were compared to published DGA recommendations. Results: The consumption of 100% juice was greatly below that of water, milk, and sugar-sweetened beverages (SSBs). The consumption of diluted 100% juice was very low. Consumers of 100% juice had higher HEI 2020 scores (53 vs. 48) and diets with less added sugar and more total fruit, more potassium, calcium, and vitamin C. About 88% of the NHANES sample consumed <4 oz/day (1/2 cup) of 100% juice and most derived at least 50% of fruit from whole fruit, though some variation by income and race/ethnicity was observed. About 93% of the sample consumed <1 cup/day (8 oz) of 100% juice. Lower income groups consumed less whole fruit and more 100% juice. Conclusion: The consumption of 100% fruit juice was a marker of healthier dietary choices. The observed social gradient suggests that 100% fruit juice may provide valuable nutrients to populations who may be unable to afford or access whole fruit. Public health recommendations: The consumption of 100% fruit juice by some population subgroups could be increased. Fruit juice was not displacing whole fruit, and current consumption was well below the current DGA recommended values. Full article

Obesity has emerged as one of the most significant public health challenges of the 21st century, with its prevalence increasing at an alarming rate globally. While individual factors such as diet and physical inactivity are well-known contributors, the built environment, particularly housing, plays a critical yet understudied role in shaping obesity-related behaviors. This study examines the multilayered relationship between housing and obesity, focusing on built and neighborhood environment, affordability, and the social environment. Poor housing quality, such as overcrowding and inadequate ventilation, can potentially lead to chronic stress and sedentary behaviors, while housing design influences physical activity through characteristics such as design features and outdoor spaces. Housing location affects access to amenities such as parks and healthy food options, with disparities in access contributing to obesity in low-income areas. Similarly, neighborhood walkability, influenced by infrastructure and land use, encourages active transportation and recreation. Housing affordability also impacts dietary choices and access to recreational facilities, particularly for low-income families. Moreover, the social environment within housing communities can foster or hinder healthy behaviors through social networks and community engagement. This study emphasizes the need for health-conscious urban planning and policies that address these housing-related factors to combat obesity and promote healthier lifestyles. By integrating these Obesity–Housing Nexus, policymakers can create environments that support physical activity, healthy eating, as well as overall health and well-being. Full article

This case study examines the reproductive choices of republican couple Eliza Sharples (1803–1852) and Richard Carlile (1790–1843) and the conflicted political and personal trajectories of those choices. This includes examination of his initial public writings supporting birth control methods set next to his retrogressive attitudes about women’s roles and his increasingly conservative and patriarchal attitudes about sexuality while using Sharples’s pregnancy out of wedlock to make his case for “moral marriage.” It sets his ideas next to Sharples’s proto-feminist uses of her pregnancy (confinement) vis-à-vis his confinement in jail as she seeks to show how her “confinement” does “labor” for republican and feminist causes. The paper highlights a crisis when the jail rescinded Sharples’s right to visit Carlile and studies the rhetoric used in the heated, desperate, triangulated exchanges between the jailors, Carlile and Sharples. Full article

HIV mother-to-child transmission (MTCT) continues to pose a significant public health challenge, especially in regions with limited resources, although the worldwide distribution of antiretroviral therapy (ART) has drastically lowered the risk of vertical transmission to even below 1% in some regions. There are still uncertainties regarding the safety of some ART regimens during pregnancy and their longer-term effects on infants who are perinatally exposed to HIV but remain uninfected. This review explores current evidence regarding the interplay between maternal HIV infection, ART during pregnancy, and both maternal and pediatric outcomes. Particular attention is given to the risk/benefit ratio surrounding different drug classes, with integrase inhibitors seeming promising choices in MTCT due to their rapid viral suppression and favorable safety profiles. Meanwhile, regimens containing protease inhibitors or nucleoside reverse transcriptase inhibitors have been linked to some adverse outcomes such as low birth weight, growth restriction, and potential mitochondrial or metabolic disturbances. Although ART remains central in preventing MTCT, a deeper understanding of its effects on fetal development and postnatal health is needed, and it should be thoroughly monitored through future research and longitudinal surveillance. Full article

Air pollution poses growing challenges to public health and urban mobility in Southeast Asia. This study investigates how air quality crises affect travel mode choices in Chiang Rai, Thailand, a secondary city experiencing seasonal PM2.5 smog episodes. A structured online survey was conducted with 406 respondents, collecting paired data on travel behaviors during non-air quality crisis (N-AQC) and air quality crisis (AQC) periods. Using a multinomial logit model (MNL), key socioeconomic and trip-related variables were analyzed to estimate mode choice probabilities. The results reveal significant behavioral shifts during an air quality crisis, with private car usage increasing from 30.30% to 34.70% and motorcycle usage decreasing from 50.20% to 42.90%. Multinomial logit models attained correct classification rates of 67.5% and 63.8%, with pseudo R² values exceeding 0.50 for both periods. These findings highlight how environmental stress alters travel behavior, especially among younger and low-income populations. The study contributes new insights from a Southeast Asian urban context, emphasizing the need for adaptive transport policies, protective infrastructure, and equity-focused interventions to promote sustainable mobility during an environmental crisis. Full article

Background/Objectives: This study explores the subjective perceptions of stakeholders in South Korea’s nature-based healing industry and employs Q methodology to classify their viewpoints. As the healing industry continues to evolve across sectors such as forest therapy, marine healing, and healing agriculture, understanding diverse stakeholder perspectives is essential for informing coherent and inclusive policy development. Methods: A total of 25 participants—including policymakers, practitioners, and service users—sorted 39 statements derived from academic and media sources. This study analysed the data using Ken-Q software, applying principal component analysis with Varimax rotation. Results: The results revealed four distinct perception types: (1) a comprehensive and service-oriented type emphasising universal access and public benefit, (2) a professionalism-oriented type advocating for systematic administration and regional development, (3) a differentiation-oriented type concerned with conceptual clarity and distinctiveness, and (4) a sustainability-oriented type emphasising long-term impacts and collaborative structures. Conclusions: These findings highlight the multi-dimensional nature of stakeholder perceptions and suggest the need for differentiated governance strategies. By incorporating public choice theory and complementary insights from health economics, this study provides an empirical foundation for understanding stakeholder-driven policy considerations in developing nature-based healing services. Full article

Background: The importance of understanding dietary habits during working hours is becoming increasingly evident. As demonstrated, dietary habits have been shown to exert a considerable influence on the productivity of workers and the creation of a healthier workplace. Objective: The aim of this study is to assess the nutritional quality and self-perception of lunches consumed by workers in Piedmont (Italy). Methods: A questionnaire, supported by the EasyDietWeb 4.3.0 software, was used to assess the macronutrient composition of the meals and to evaluate adherence to the “Healthy Eating Plate” (HEP) guidelines. The basal metabolic rate and total daily energy expenditure of the subjects were calculated. Results: The survey results, which included 189 participants, revealed that a notable proportion of the respondents consumed homemade meals at their place of work. The majority of meals reported by the participants did not align with the HEP composition due to the absence of one or more components, especially vegetables. The participants’ perceptions of meal balance frequently diverged from the actual nutritional quality of the meals. Finally, overweight participants exhibited a higher risk of reporting diseases (OR = 4.4, 95% CI = 1.6–12.0). Conclusions: This study provides insight into the dietary habits of a specific group of workers regarding their lunch consumption. This underscores the significance of enhancing public awareness regarding dietary choices and nutritional intakes, as adhering to proper dietary routines is paramount for preserving a state of well-being and sustaining a healthy lifestyle. Full article

This study investigates the drivers of individual and joint adoption of sustainable land use (SLU) practices—specifically crop choice and soil and water conservation—and their impact on farm performance (crop revenue) and production risk (crop yield skewness). Using a farm-level dataset of 504 households across three agro-ecological zones in Punjab, Pakistan, we address selectivity bias through the newly developed multinomial endogenous switching regression (MESR) model. Additionally, we assess land use sustainability across ecological, social, and economic dimensions using a comprehensive non-parametric approach. Our findings identify key determinants of SLU adoption, including farmer education, access to advisory services, FBO membership, hired labor, climate information, farm size, and perceptions of drought and heatwaves. We demonstrate that joint adoption of SLU practices maximizes crop revenue and reduces production risk, lowering the likelihood of crop failure. The study further suggests complementarity between these SLU practices in enhancing crop revenue. Moreover, joint adopters of SLU practices significantly outperform non-adopters in ecological, social, and economic sustainability dimensions. We recommend improving access to public sector farm advisory services and climate information to enable farmers to make well-informed decisions based on reliable data. Implementing these measures can support the transition toward sustainable land management, helping to mitigate risks like crop failure and declining revenues, which threaten farm income. Full article

As carbon taxes gain traction in climate policy, public support remains limited. The purpose of this study was to investigate how different mineral oil tax designs, particularly those combining rebates and earmarking, affect public acceptance, and whether the effects are monotone. The data were based on an online survey that was conducted in 2022 in Austria (n = 1216). It was found that a tax increase of EUR 25-cents per liter is politically feasible if revenues are earmarked for public transport or climate protection and paired with moderate rebates. Other uses of revenue, especially the general budget, fail to achieve majority support, regardless of tax level or compensation. To capture non-monotonic and heterogeneous preferences, an adaptive-choice-based-conjoint experiment with hierarchical Bayesian estimation was employed. Rebates were modeled as a stand-alone attribute, allowing for the identification of non-monotonicities for this attribute. The findings show deviations from widespread monotonicity assumptions: a moderate tax increase (EUR 10-cent/liter) was preferred over no increase, even in the absence of earmarking. Similarly, larger annual rebates (EUR 200–300) reduced support compared to a EUR 100 rebate, which was most popular. Full article

Tuberculosis remains a serious infectious disease that causes over 1.3 million deaths annually. Following the COVID-19 pandemic, the global incidence of tuberculosis has increased to 10.8 million cases. Pregnant women represent a particularly vulnerable population requiring tailored approaches to the prevention, diagnosis, and treatment of tuberculosis. SARS-CoV-2 infection may have impacted existing clinical protocols. Implementing updated methods of tuberculosis prevention, diagnosis, and treatment in pregnant women could help reduce adverse maternal and fetal outcomes. The aim of this review was to explore potential modifications in tuberculosis management among pregnant women in the post-COVID-19 era, including co-infection with SARS-CoV-2. Methods: A review was conducted, incorporating a systematic literature search across major international databases, including Medline, PubMed, Web of Science, Scopus, and Google Scholar. The search covered publications released between December 2019 and September 2024 and used targeted keywords such as “COVID-19” OR “SARS-CoV-2”, “tuberculosis” OR “TB” OR “latent tuberculosis infection” OR “pulmonary tuberculosis”, and “pregnancy” OR “pregnant women”. Results: Pregnant women living with HIV are at increased risk of developing tuberculosis, which can negatively affect both maternal and perinatal outcomes. Screening for tuberculosis is recommended for all HIV-positive pregnant women, even in the absence of clinical symptoms. Notably, immunological testing before and during pregnancy facilitates the timely and safe detection of tuberculosis infection, enabling preventive and therapeutic interventions during any stage of gestation and the early postpartum period, for the benefit of both mother and child. Drug–drug interactions play a significant role in tuberculosis management, both among anti-tuberculosis agents and with medications for comorbid conditions. Current knowledge of the pharmacokinetics and pharmacodynamics of antituberculosis agents, coupled with therapeutic drug monitoring, supports the development of individualized and effective treatment regimens, which are particularly critical for pregnant patients. Recommendations for managing tuberculosis in pregnant women after COVID-19 infection include measuring D-dimer levels, performing echocardiography, and consulting cardiologists to prevent treatment-related complications. Conclusions: Pregnant women represent a distinct subgroup of tuberculosis patients requiring individualized management. Changes observed in tuberculosis progression and treatment responses in pregnant women before and after SARS-CoV-2 infection should inform therapeutic choices, especially in cases of drug-resistant tuberculosis treated with bedaquiline. COVID-19 has been associated with increased cardiovascular risk, which may heighten the likelihood of adverse drug reactions in this population, especially given the limited therapeutic options. Further research is required to assess the long-term outcomes of latent tuberculosis infection in pregnant women and to evaluate the safety and efficacy of novel regimens for drug-resistant TB during pregnancy. Full article

Sustainability has an ever-increasing importance in our lives, mainly due to climate changes, finite resources, and a growing population, where each of us is called to make a change. Although climate change is a global phenomenon, our individual choices can make the difference. The transportation sector is one of the largest contributors to global carbon emissions, making the transition toward sustainable mobility a critical priority. The adoption of electric vehicles is widely recognized as a key solution to reduce the environmental impact of transportation. However, their widespread acceptance depends on various technological, behavioral, and economical factors. Within this research we use as an artifact the CO₂ Emission Management Gauge (CEMG) devices to better understand how the manufacturers, with integrated features on vehicles, could significantly enhance sales and drive the movement towards electric vehicle adoption. This study proposes an innovative new theoretical model based on Task-Technology Fit, Technology Acceptance, and the Theory of Planned Behavior to understand the main drivers that may foster electric vehicle adoption, tested in a quantitative study with structural equation modelling (SEM), and conducted in a South European country. Our findings, not without some limitations, reveal that while technological innovations like CEMG provide consumers with valuable transparency regarding emissions, its influence on the intention of adoption is dependent on the attitude towards electric vehicles and subjective norm. Our results also support the influence of task-technology fit on perceived usefulness and perceived ease-of-use, the influence of perceived usefulness on consumer attitude towards electric vehicles, and the influence of perceived ease-of-use on perceived usefulness. A challenge is also presented within our work to expand CEMG usage in the future to more intrinsic urban contexts, combined with smart city algorithms, collecting and proving CO₂ emission information to citizens in locations such as traffic lights, illumination posts, streets, and public areas, allowing the needed information to better manage the city’s quality of air and traffic. Full article

Background/Objectives: As COVID-19 policies shift from government mandates to individual responsibility, understanding how voluntary protective behaviors shape social interactions remains a public health priority. This study examines the association between voluntary mask wearing and interpersonal distance (IPD) preferences in a post-mandate context, focusing on Taiwan, where mask wearing continues to be culturally prevalent. Methods: One hundred university students (50 males, 50 females) in Taiwan completed an online IPD simulation task. Participants adjusted the distance of a virtual avatar in response to targets that varied by gender and mask status. Mask-wearing status upon arrival was recorded naturally, without manipulation. A four-way ANOVA tested the effects of participant gender, participant mask wearing, target gender, and target mask wearing on the preferred IPD. Results: Voluntary mask wearing was more common among female participants (72%) than males (44%). Mask-wearing individuals maintained significantly greater IPDs, suggesting heightened risk perception, whereas masked targets elicited smaller IPDs, possibly due to social signaling of safety. Gender differences emerged in both protective behavior and spatial preferences, with females showing stronger associations between mask use and distancing behavior. Conclusions: These findings offer actionable insights into how voluntary behavioral adaptations continue to shape spatial interaction norms after mandates are lifted. The integration of real-time simulation and statistical modeling highlights the potential of digital behavioral tools to support culturally adaptive, person-centered public health strategies. Full article