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20 pages, 2832 KB  
Systematic Review
Consumer Purchase Intention for Sustainable Passenger Vehicles: A Bibliometric and PRISMA-Guided Systematic Review of a Decade of Research (2015–2026)
by Radhhika Katyal, Shilpi Khandelwal and Namita Rajput
World Electr. Veh. J. 2026, 17(8), 407; https://doi.org/10.3390/wevj17080407 - 4 Aug 2026
Viewed by 508
Abstract
The gap between consumers’ intent to buy electric cars and their actual purchasing behaviour of petrol cars has motivated researchers to conduct numerous investigations over the last decade. Nevertheless, with the explosive development of the field, bibliographic mapping remains a difficult task. This [...] Read more.
The gap between consumers’ intent to buy electric cars and their actual purchasing behaviour of petrol cars has motivated researchers to conduct numerous investigations over the last decade. Nevertheless, with the explosive development of the field, bibliographic mapping remains a difficult task. This study combines bibliometric analysis and a PRISMA-oriented systematic review of consumer purchase intentions towards sustainable vehicles. A systematic literature search in Scopus retrieved 1447 records between 2015 and June 2026, of which 706 empirical studies met the inclusion criteria for qualitative synthesis. Based on performance analysis and science mapping using VOS viewer software, one can conclude that the topic area develops at around 23%, gathers 43,758 citations, and shifts geographically over time. China contributes 418 papers, and India goes from publishing one piece in 2015 to occupying the third position overall. Keywords co-occurrence identifies five research clusters, whereas co-citations show that there are three intellectual bases for the field: behavioural theory, choice modelling, and methodological approaches based on the PLS-SEM framework. The results also emphasize some recurring gaps, namely the lack of a moderating effect of demographic characteristics, personality traits, intention-to-behaviour relationship, and longitudinal surveys. This study proposes an eight-point research agenda driven by keyword analysis. Full article
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22 pages, 669 KB  
Article
The Eco-Conscious Pathway: Trust, Guilt, and E-WOM in Sustainable Consumption
by Nilna Muna, Ni Komang Intan Lestari, Ni Komang Ayu Lestari and Ni Made Diva Cahya Pratiwi
Tour. Hosp. 2026, 7(8), 224; https://doi.org/10.3390/tourhosp7080224 - 31 Jul 2026
Viewed by 222
Abstract
Brands increasingly rely on digital peer communication to promote environmentally friendly products. Whether electronic word-of-mouth (EWOM) actually shifts green purchase intention (GPI), though, is far from settled. Some studies have found no reliable word-of-mouth effect; others have examined green trust and anticipated guilt [...] Read more.
Brands increasingly rely on digital peer communication to promote environmentally friendly products. Whether electronic word-of-mouth (EWOM) actually shifts green purchase intention (GPI), though, is far from settled. Some studies have found no reliable word-of-mouth effect; others have examined green trust and anticipated guilt separately, leaving the joint operation of these parallel mediators poorly specified. This is especially true in Bali, Indonesia, where environmental pressures, heavy social media use, and Tri Hita Karana values coexist. Working under the stimulus–organism–response (SOR) framework, this study tests a dual-mediation model that routes EWOM to GPI through anticipated guilt and green trust among eco-conscious social media users. Survey responses from 393 participants were analysed with partial least squares structural equation modelling (PLS-SEM). EWOM related positively to GPI, directly and through both mediators. Anticipated guilt and green trust each partially mediated the effect, so the mediation was partial rather than full. The EWOM-to-guilt path was the stronger of the two. The EWOM-to-trust path was weaker, yet both mediators connected to GPI at similar strength. This study contributes a dual-pathway SOR specification by incorporating anticipated guilt into digital peer communication within a tourism-heavy cultural setting. Interpreted with caution, the pattern indicates that credible EWOM aimed at greener, more responsible consumption may operate through two mechanisms simultaneously, validating trust and prompting moral anticipation among digitally exposed, eco-conscious consumers. However, this interpretation still needs experimental and longitudinal testing before these relationships can be treated as causal. Full article
(This article belongs to the Special Issue Digital Transformation in Hospitality and Tourism)
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18 pages, 846 KB  
Article
Decoding the Drivers of Consumer Choice for Near-Expired Meat in Digital Retailing: Economic Incentives, Food Safety, and Technology Acceptance
by Wen-Shin Huang, Cai-Wei Lin, Kuang-Ling Lai and Han-Shen Chen
Foods 2026, 15(15), 2680; https://doi.org/10.3390/foods15152680 - 29 Jul 2026
Viewed by 274
Abstract
This study investigates consumers’ intentions to purchase high-risk, near-expired fresh meat via a supermarket mobile app, addressing food waste in a digital retail context. An integrated framework combining the technology acceptance model and the theory of planned behavior was employed, incorporating price discounts [...] Read more.
This study investigates consumers’ intentions to purchase high-risk, near-expired fresh meat via a supermarket mobile app, addressing food waste in a digital retail context. An integrated framework combining the technology acceptance model and the theory of planned behavior was employed, incorporating price discounts and food and environmental safety concerns. Data from 418 users of Taiwan’s leading supermarket chain were analyzed using partial least squares structural equation modeling (PLS-SEM). The findings reveal that perceived usefulness strongly drives app usage attitude while environmental concern shows no significant effect, highlighting the decoupling between environmental awareness and actual digital adoption behavior. Furthermore, although price discounts emerged as the strongest driver of purchase intention, heightened food safety concerns paradoxically stimulated purchases. This counterintuitive result demonstrates how a reputable retailer’s established credibility effectively mitigates consumer fears. Practically, this study provides actionable guidelines for retailers to optimize digital clearance strategies: retailers should prioritize real-time inventory transparency and economic incentives, while strategically leveraging their institutional credibility within the app to overcome consumer safety concerns regarding high-risk foods. Full article
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21 pages, 667 KB  
Article
Blockchain-Enabled Information Quality and Sustainable Food Purchase Decision-Making: The Mediating Role of Perceived Credibility and the Moderating Role of Consumer Trust
by Sultan Ayed ALGhamdi
Sustainability 2026, 18(14), 7479; https://doi.org/10.3390/su18147479 - 22 Jul 2026
Viewed by 399
Abstract
Information asymmetry in the unobservable sustainability attributes of food products, together with widespread consumer scepticism toward unverifiable green claims, continues to constrain the translation of pro-environmental attitudes into actual purchases. Blockchain technology has been positioned as a structural response to this asymmetry because [...] Read more.
Information asymmetry in the unobservable sustainability attributes of food products, together with widespread consumer scepticism toward unverifiable green claims, continues to constrain the translation of pro-environmental attitudes into actual purchases. Blockchain technology has been positioned as a structural response to this asymmetry because its tamper-evident and independently verifiable records lower the cost of substantiating credence claims. However, the bulk of the consumer-facing evidence has examined blockchain as an object of adoption rather than as a conduit of information whose quality determines its persuasive force. Drawing on Signalling Theory within a Stimulus–Organism–Response framework, this study advances and tests a model in which blockchain-enabled information quality (stimulus) influences sustainable purchase decision-making (response) through perceived credibility (organism), with consumer trust serving as a boundary condition on the stimulus-to-organism path. A cross-sectional survey of 412 agri-food consumers was analysed using partial least squares structural equation modelling to test direct, mediated, moderated, and conditional indirect effects. The contributions are threefold: blockchain is re-specified as an information signal whose quality, rather than the technology itself, drives downstream sustainability behaviour; perceived credibility is empirically isolated as the psychological mechanism that carries that effect; and message-level credibility is analytically separated from dispositional trust, addressing a recurring conflation in the digital transparency literature. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
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23 pages, 358 KB  
Article
Corporate Social Responsibility of Industrial Enterprises as a Factor in Consumer Decision-Making Across Customer Generations in Slovakia
by Matúš Cagala and Lukáš Juráček
Adm. Sci. 2026, 16(7), 339; https://doi.org/10.3390/admsci16070339 - 14 Jul 2026
Viewed by 432
Abstract
Corporate social responsibility (CSR) is increasingly understood as a strategic factor associated with corporate reputation, stakeholder relationships, and consumer attitudes toward socially responsible brands. The aim of this study is to analyze CSR from two complementary perspectives: from the corporate perspective, to examine [...] Read more.
Corporate social responsibility (CSR) is increasingly understood as a strategic factor associated with corporate reputation, stakeholder relationships, and consumer attitudes toward socially responsible brands. The aim of this study is to analyze CSR from two complementary perspectives: from the corporate perspective, to examine the extent to which medium-sized and large industrial enterprises operating in Slovakia declare the integration of CSR into their strategy or business practice, and from the consumer perspective, to determine how declared preferences for socially responsible brands differ across generational cohorts of customers. The research is based on two separate questionnaire surveys conducted between December 2024 and May 2025: one focused on consumers and the other on representatives of industrial enterprises. The consumer sample consisted of 331 respondents from the Baby Boomer, X, Y, and Z generations, while the corporate sample included 103 medium-sized and large industrial enterprises. The data were analyzed using descriptive statistics, the chi-square test of independence, and Cramer’s V. The results show that 82.47% of the surveyed enterprises declared some level of engagement in CSR, either as a strategic element or as an emerging component of business practice. The most frequently reported CSR priorities were environmental protection, employee support, and ethical business conduct. The consumer part of the research demonstrated a statistically significant relationship between generational affiliation and declared preference for socially responsible brands (χ2 = 49.62; df = 12; p = 0.0000016), with Cramer’s V = 0.226 indicating a weak-to-moderate association. Since the study is based on declared attitudes and respondents’ self-assessment, its findings cannot be interpreted as evidence of actual consumer purchasing behavior or as an objective verification of the quality of enterprises’ CSR activities. The contribution of the study lies in the parallel examination of the corporate and consumer perspectives on CSR in the context of a smaller Central European economy and in highlighting the importance of generational segmentation for the development of CSR strategy and communication. Full article
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48 pages, 3040 KB  
Review
Psychology of Eating the Future: Consumer Acceptance, Digital Influence and Behavioral Drivers of Novel Foods
by Muhammad Faisal Manzoor, Muhammad Talha Afraz, Muhammad Waseem and Zahoor Ahmed
Foods 2026, 15(14), 2471; https://doi.org/10.3390/foods15142471 - 12 Jul 2026
Viewed by 852
Abstract
The accelerating urgency of global public health challenges, biodiversity loss, and climate change has driven rapid innovation in novel foods and alternative proteins, including cultured cells, fermentation-derived components, plant-based meats, insects, and algae, which promise nutritious, sustainable, and ethical dietary choices with lower [...] Read more.
The accelerating urgency of global public health challenges, biodiversity loss, and climate change has driven rapid innovation in novel foods and alternative proteins, including cultured cells, fermentation-derived components, plant-based meats, insects, and algae, which promise nutritious, sustainable, and ethical dietary choices with lower environmental footprints. Although technologies have advanced, consumer perception and preferences remain key hindrances due to perceptual, cultural, and sensory challenges. This semi-systematic narrative literature review aims to incorporate interdisciplinary studies (2020–2025) that span sensory science, AI-driven marketing, behavioral economics, and policy analysis to explore consumer incentives, barriers, and intervention approaches associated with novel food categories. Of 1260 initial records, 310 duplicates were removed, 530 were excluded at title/abstract screening, 233 were excluded at full-text review, leaving 197 studies for the final synthesis. The focus is on understanding cultural contexts, cognitive biases, digital and social influences, and the global framing impacts that shape consumer adoption. Consumer perceptions and preferences are primarily influenced by health benefits, ethical concerns, and environmental sustainability; however, neophobia, sensory unfamiliarity, trust deficits, and price temper these factors. Preliminary evidence suggests that AI-generated personalization, transparent labeling, behavioral nudges, and social norms may be useful tools for overcoming resistance to change, though the effectiveness of AI-driven personalization in actual purchasing behavior is not yet firmly established. Cultural diversity affects acceptance routes, with culturally established insect consumption differing from Western neophobia. Future studies should integrate interdisciplinary methodologies, longitudinal cross-cultural analyses, and innovative technologies to enhance communication and product design. Full article
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26 pages, 766 KB  
Article
Bridging Awareness and Intention in Sustainable Mobility: A Value–Belief–Norm-Informed Technology Acceptance Analysis of Hydrogen Fuel Cell Vehicle Purchase Intention
by Şemsettin Çiğdem, Bülent Yıldız, Semih Kaya and Dilber Nilay Kütahyalı
Sustainability 2026, 18(13), 6864; https://doi.org/10.3390/su18136864 - 6 Jul 2026
Viewed by 372
Abstract
Even though hydrogen fuel cell vehicles are essential for decarbonization, getting consumers to accept them remains a tough issue. This research combines normative and cognitive theories to find out if environmental values actually take precedence over logical risk assessments. We analyzed data from [...] Read more.
Even though hydrogen fuel cell vehicles are essential for decarbonization, getting consumers to accept them remains a tough issue. This research combines normative and cognitive theories to find out if environmental values actually take precedence over logical risk assessments. We analyzed data from 761 consumers in Türkiye, using the structural equation model and Hayes’ PROCESS Macro. The results show that, although environmental concerns strongly increased awareness (β = 0.80) and awareness lowered perceived risk (β = −0.34), perceived risk itself did not significantly predict purchase intention (β = 0.03, p > 0.05). Instead, decisions were motivated by a hope-based path: Concern → Awareness → Usefulness → Intention. We tentatively interpret this as Green Motivation Dominance, whereby environmentally motivated early adopters appear to prioritize environmental benefits over technical hazards; notably, perceived usefulness significantly predicted intention (β = 0.29), and the serial path Concern → Awareness → Usefulness → Intention was significant (effect = 0.25, 95% CI [0.17, 0.35]). This interpretation, however, warrants direct testing in future research. Thus, the main factor driving adoption is the presence of advantages, not the absence of risk. Therefore, policymakers should focus on maximizing benefits rather than just trying to reduce risks. Full article
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22 pages, 1306 KB  
Article
Perceived Policy Effectiveness and Bamboo Product Consumption: Evidence from a Field Investigation with Urban Residents
by Qianqian Pan and Ruizhi Zhi
Sustainability 2026, 18(13), 6584; https://doi.org/10.3390/su18136584 - 29 Jun 2026
Viewed by 419
Abstract
Advancing urban sustainability transitions through effective environmental policies requires understanding how residents perceive and respond to policies. While perceived policy effectiveness (PPE) has been studied in waste management and recycling programs, its role in shaping demand for bio-based materials remains underexplored. This study [...] Read more.
Advancing urban sustainability transitions through effective environmental policies requires understanding how residents perceive and respond to policies. While perceived policy effectiveness (PPE) has been studied in waste management and recycling programs, its role in shaping demand for bio-based materials remains underexplored. This study investigates whether and how PPE is associated with bamboo product consumption among 1121 urban residents in Zhejiang Province, China. Drawing on an extended Theory of Planned Behavior (TPB) framework, we use ordinary least squares estimators to examine the direct and interactive associations between PPE and actual bamboo consumption behavior. Results show that PPE is significantly and positively associated with bamboo product consumption. Interaction analysis reveals heterogeneous effects: PPE shows a weak positive interaction with environmental knowledge, but a negative interaction with environmental values. This suggests that policy signals may complement cognitive preparedness while partly compensating for low value-based motivation. A supplementary analysis indicates that this conditioning extends to economic resources, with the association concentrated among lower-income, more price-sensitive consumers. This study extends PPE research from post-consumption management to the purchasing stage of sustainable products. It highlights the role of policy perceptions in shaping demand-side adoption of lower-impact materials, with implications for urban sustainability transitions and city-level policies promoting bio-based alternatives. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
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24 pages, 2708 KB  
Article
Analysis of Advance Purchase Behavior of Air–Rail Passengers with Ticket Booking Data
by Yalong Yuan, Wei Ran and Shuwei Zhang
Appl. Sci. 2026, 16(13), 6300; https://doi.org/10.3390/app16136300 - 23 Jun 2026
Viewed by 346
Abstract
Understanding the advance ticket purchase behavior of air–rail intermodal passengers is essential for travel demand forecasting, schedule coordination optimization, and revenue management. Using actual booking data, this study investigates passengers’ advance purchase time (APT) decisions. A Bayesian network (BN) model integrating expert knowledge [...] Read more.
Understanding the advance ticket purchase behavior of air–rail intermodal passengers is essential for travel demand forecasting, schedule coordination optimization, and revenue management. Using actual booking data, this study investigates passengers’ advance purchase time (APT) decisions. A Bayesian network (BN) model integrating expert knowledge and data-driven learning is established, with socioeconomic attributes and ticket characteristics as input variables and APT as the output variable. Based on this BN, group analysis is conducted across four routes of varying distances: Tianjin–Shanghai, Tianjin–Changsha, Tianjin–Guangzhou, and Tianjin–Sanya. The results indicate that socioeconomic and ticket attributes influence advance purchase behavior both directly and indirectly through interactive effects. Inferential analysis reveals that elderly passengers, male travelers, morning departures, and longer-distance trips are associated with earlier ticket purchases. Sensitivity analysis shows that fare, transfer time, and age exert heterogeneous effects across routes. Compared with short- and medium-haul journeys, airfare, rail travel time, and transfer time impose stronger impacts on long-haul intermodal trips. Finally, targeted revenue management strategies are proposed to improve air–rail ticket sales. Full article
(This article belongs to the Section Transportation and Future Mobility)
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17 pages, 500 KB  
Article
Research on the Purchase Behavior of Owner–Pet Matching Outfits Based on the Extended Theory of Planned Behavior
by Sisi Chen, Diqing Qian and Zengrui Xiao
Behav. Sci. 2026, 16(6), 1021; https://doi.org/10.3390/bs16061021 - 18 Jun 2026
Viewed by 529
Abstract
With the rapid expansion of the pet economy, owner–pet matching outfits have grown increasingly popular among pet owners. Grounded in the extended theory of planned behavior, this study investigates the key determinants of pet owners’ purchase intentions and actual purchase behaviors toward owner–pet [...] Read more.
With the rapid expansion of the pet economy, owner–pet matching outfits have grown increasingly popular among pet owners. Grounded in the extended theory of planned behavior, this study investigates the key determinants of pet owners’ purchase intentions and actual purchase behaviors toward owner–pet matching outfits, and explores the moderating effect of aesthetic risk on the intention–behavior transition. Questionnaire survey data from 222 pet owners were collected for empirical analysis, and regression analysis was adopted to verify the proposed research hypotheses. The empirical results reveal that subjective norms exert a direct promotional effect on consumer purchase behavior and indirectly boost such behavior through the partial mediating role of purchase intention. By contrast, behavioral attitude is positively associated with purchase intention and further stimulates purchase behavior via a full mediating pathway of purchase intention. Perceived behavioral control displays a significant positive direct impact on purchase behavior yet yields no significant effect on purchase intention. Furthermore, purchase intention serves as a robust positive predictor of purchase behavior, whereas aesthetic risk significantly weakens the association between purchase intention and purchase behavior. Brands are suggested to foster consumers’ favorable behavioral attitudes by optimizing product design, enriching practical functions, and minimizing potential risks to pets in owner–pet matching outfits. Meanwhile, enterprises should actively shape supportive subjective norms to popularize the owner–pet matching outfit wearing lifestyle. Additionally, brands need to enhance consumption accessibility through diversified sales channels, reasonable pricing strategies and abundant product style options. This study pioneers the application of the extended theory of planned behavior to the emerging field of owner–pet matching outfits, empirically verifying the positive effects of behavioral attitude, subjective norms, and perceived behavioral control on consumers’ purchase intention and purchase behavior. Full article
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24 pages, 1362 KB  
Article
Designing for Repair and Extended Lifespan: Consumer Expectations and Economic Constraints
by Vanja Čok, Janez Rihtaršič, Anders Warell and Jože Tavčar
Sustainability 2026, 18(12), 6270; https://doi.org/10.3390/su18126270 - 18 Jun 2026
Viewed by 477
Abstract
Despite increasing policy and industry focus on repairability, consumer repair behavior remains limited. This study examines this contradiction by analyzing user perceptions of repairable products through a survey-based approach (N = 68), focusing on behavioral, economic, and functional drivers of repair decisions. The [...] Read more.
Despite increasing policy and industry focus on repairability, consumer repair behavior remains limited. This study examines this contradiction by analyzing user perceptions of repairable products through a survey-based approach (N = 68), focusing on behavioral, economic, and functional drivers of repair decisions. The results reveal a pronounced repairability paradox: while over two-thirds of respondents are willing to pay more for repairable products and strongly support extended product lifecycles, actual repair decisions are constrained by cost, time, and perceived difficulty. Durability concerns significantly reduce acceptance of recycled materials, highlighting the importance of performance trust in sustainable consumption. Additionally, while informational awareness strengthens long-term repair intentions, it does not significantly influence immediate purchasing behavior. This challenges the current focus on Design for Repair as a standalone strategy and underscores the need to integrate repairability with durability, cost-efficiency, and ease of use. By linking empirical data with behavioral and economic theory, this study provides actionable insights for designers, manufacturers, and policymakers seeking to promote more effective and realistic circular economy solutions. Full article
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18 pages, 910 KB  
Article
Psychological Determinants of Purchasing Behavior Among Individuals Indifferent to Reduced-Salt Products
by Yasunori Akamatsu, Misako Nakadate, Nanae Tanemura and Masuko Kobori
Nutrients 2026, 18(11), 1800; https://doi.org/10.3390/nu18111800 - 3 Jun 2026
Viewed by 621
Abstract
Background/Objectives: To promote salt reduction before health problems arise, it is important to understand factors associated with reduced-salt product purchasing among consumers with low interest in such products. This study examined psychological determinants of intention to purchase reduced-salt products among Japanese adults who [...] Read more.
Background/Objectives: To promote salt reduction before health problems arise, it is important to understand factors associated with reduced-salt product purchasing among consumers with low interest in such products. This study examined psychological determinants of intention to purchase reduced-salt products among Japanese adults who were not actively purchasing them. Methods: An exploratory sequential mixed-methods design was used, including qualitative interviews followed by a cross-sectional web-based survey of 800 men and women aged 18–59 years in Japan. Participants were categorized into precontemplation and contemplation stages based on the transtheoretical model. Associations between purchase intention and three Integrated Behavioral Model categories—attitude, perceived norm, and personal agency—were examined. Percentage-to-gain values were calculated for each belief item. Results: All three category scores were significantly associated with purchase intention, with attitude showing the strongest association (OR = 12.56, 95% CI: 6.93–22.79). In stratified analysis, attitude showed a stronger association in the precontemplation stage (OR = 18.40, 95% CI: 8.51–39.78), whereas no category score was significantly associated with purchase intention in the contemplation stage. In the precontemplation stage, relatively high percentage-to-gain values were observed for holistic wellness-oriented beliefs and product availability in usual supermarkets. Conclusions: Attitude was most strongly associated with intention to purchase reduced-salt products, particularly in the precontemplation stage. Holistic wellness-oriented beliefs and product availability may represent promising targets for future communication or food environment interventions. These findings may provide a basis for future studies testing strategies to increase actual purchases of reduced-salt products and reduce salt intake. Full article
(This article belongs to the Special Issue Food Environments, Dietary Behaviors, and Population Health)
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21 pages, 2997 KB  
Article
Transforming Property Tax Governance: A Spatially Adaptive Land Value Determination (SALAD) Model for Fiscal Cadastre Modernization
by Andri Hernandi, Irwan Meilano, Asep Yusup Saptari, Deni Suwardhi, Rizqi Abdulharis, Alfita Puspa Handayani, Sella Lestari Nurmaulia, Nabila Sofia Eryan Putri, Ratri Widyastuti, Putri Merdekawati and Fitri Nur Cahyani
Geographies 2026, 6(2), 56; https://doi.org/10.3390/geographies6020056 - 31 May 2026
Viewed by 641
Abstract
Property taxation serves as a critical instrument for fiscal efficiency and equitable distribution, yet implementation faces significant challenges including valuation inaccuracies, insufficient administrative capacity, and diminished public trust. Indonesia’s Land and Building Tax (PBB-P2) utilizes the Sales Value of Taxable Objects (NJOP) as [...] Read more.
Property taxation serves as a critical instrument for fiscal efficiency and equitable distribution, yet implementation faces significant challenges including valuation inaccuracies, insufficient administrative capacity, and diminished public trust. Indonesia’s Land and Building Tax (PBB-P2) utilizes the Sales Value of Taxable Objects (NJOP) as an administrative proxy for market value, which frequently deviates from actual land prices. These disparities create horizontal inequities, diminish local revenue potential, and generate taxpayer resistance, especially in decentralized regions with constrained technical resources. This research presents the Spatially Adaptive Land Value Determination (SALAD) model as a comprehensive framework for enhancing property tax governance and modernizing fiscal cadastre systems. Unlike conventional mass appraisal methods, SALAD integrates spatial zoning, assessment ratio analysis, land-use characteristics, and the Index of Developing Villages (IDM) with socio-economic indicators including purchasing power and community fiscal behavior. The model incorporates structured social validation to improve public acceptance. Field validation in Lebak Regency employed mixed-methods design with surveys of 75 respondents across 20 villages and interviews with village heads and tax officials. Results demonstrate that transparency, fairness, and visible public benefits are essential for community support. Validation indices vary significantly by IDM category (ANOVA: F = 4.23, p = 0.03 for economic; F = 3.81, p = 0.04 for institutional), confirming that the SALAD model’s adaptive mechanism is empirically grounded. Full article
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13 pages, 679 KB  
Article
Socioeconomic Determinants of Access to Medicines Among Romanian Patients with Chronic Diseases: A Cross-Sectional Study
by Corina Daniela Negrila, Luana-Maria Gherasie, Sebastian Mihai Armean and Petru Armean
Healthcare 2026, 14(11), 1453; https://doi.org/10.3390/healthcare14111453 - 25 May 2026
Viewed by 357
Abstract
Background and Objectives: Access to medicines is a fundamental determinant of health equity and a core pillar of universal health coverage, encompassing the timely availability, affordability, and appropriate use of essential medicines. Socioeconomic disparities may limit actual and timely access to pharmacological treatment, [...] Read more.
Background and Objectives: Access to medicines is a fundamental determinant of health equity and a core pillar of universal health coverage, encompassing the timely availability, affordability, and appropriate use of essential medicines. Socioeconomic disparities may limit actual and timely access to pharmacological treatment, particularly in healthcare systems characterized by mixed public–private financing and significant out-of-pocket expenditures. This study aimed to evaluate socioeconomic determinants of access to medicines among Romanian patients with chronic diseases, focusing on income level, prescription reimbursement, perceived affordability, and substitution behavior during medicine shortages. Materials and Methods: A cross-sectional study was conducted between October and December 2024 using a structured online questionnaire administered to 200 adult patients diagnosed with cardiovascular diseases, diabetes mellitus, chronic hepatitis B and C, or oncological conditions, recruited at the “Prof. Dr. D. Hociotă” Institute of Phonoaudiology and Functional ENT Surgery, Bucharest, Romania. Associations between income and access-related variables were assessed using Spearman’s rank correlation coefficients with 95% confidence intervals. Binary logistic regression identified independent predictors of perceived difficulty in accessing medicines (p < 0.05). Results: Lower income was significantly associated with greater reliance on reimbursed prescriptions (rs = −0.241, 95% CI: −0.37 to −0.10, p = 0.001) and fully reimbursed prescriptions (rs = −0.305, 95% CI: −0.43 to −0.17, p < 0.001). Income was strongly correlated with perceived affordability of treatment (rs = 0.601, 95% CI: 0.50–0.69, p < 0.001). In multivariate logistic regression analysis, income below 3000 RON/month (adjusted OR = 1.94, 95% CI: 1.05–3.58, p = 0.034) and insufficient affordability (adjusted OR = 4.12, 95% CI: 2.15–7.89, p < 0.001) were independently associated with perceived difficult access to treatment. Additionally, 80% of respondents reported purchasing substitute medicines when prescribed medicines were unavailable. Conclusions: This cross-sectional study indicates that socioeconomic status and perceived affordability are significant determinants of access to medicines among Romanian patients with chronic diseases attending a tertiary ENT centre. Financial vulnerability remains a major barrier despite existing reimbursement mechanisms. Policy interventions aimed at strengthening income-sensitive reimbursement strategies and ensuring consistent pharmaceutical availability may improve equitable access and therapeutic continuity. Full article
(This article belongs to the Section Healthcare Organizations, Systems, and Providers)
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31 pages, 772 KB  
Article
Gen Z Characteristics and Sustainable Consumption: Bridging the Intention–Behavior Gap
by Dimitrios Theocharis, Georgios Tsekouropoulos, Greta Hoxha and Ioanna Simeli
Sustainability 2026, 18(11), 5231; https://doi.org/10.3390/su18115231 - 22 May 2026
Cited by 1 | Viewed by 1096
Abstract
Generation Z, a cohort defined by digital connectivity, sensitivity to social influence, and environmental awareness, has attracted considerable scholarly attention in sustainable consumption research. Yet a persistent gap between their expressed pro-sustainability attitudes and actual purchasing decisions remains well-documented. This study examines whether [...] Read more.
Generation Z, a cohort defined by digital connectivity, sensitivity to social influence, and environmental awareness, has attracted considerable scholarly attention in sustainable consumption research. Yet a persistent gap between their expressed pro-sustainability attitudes and actual purchasing decisions remains well-documented. This study examines whether Gen Z characteristics help bridge that gap by directly influencing sustainable purchase behavior and by moderating the role of purchase intention in that process. A quantitative design was employed using survey responses from 302 Gen Z consumers. The findings suggest that while Gen Z characteristics significantly predicted actual sustainable purchasing and purchase intention exerted a positive direct effect, the interaction between the two was negative and statistically significant. Conditional effects analysis further revealed that the influence of generational characteristics on purchasing behavior is stronger at lower levels of purchase intention and progressively weaker as intention increases. These results suggest that traits such as digital responsiveness, social embeddedness, and environmental orientation do not merely reinforce existing intentions but appear to compensate for their absence, activating sustainability-aligned behavior even when motivational commitment is limited. The study repositions the intention–behavior gap among Gen Z as something modulated by generational characteristics that drive purchasing behavior when intention alone falls short. Full article
(This article belongs to the Section Sustainable Management)
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