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Search Results (330)

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Keywords = attitude-behavior gap

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34 pages, 434 KiB  
Article
Mobile Banking Adoption: A Multi-Factorial Study on Social Influence, Compatibility, Digital Self-Efficacy, and Perceived Cost Among Generation Z Consumers in the United States
by Santosh Reddy Addula
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 192; https://doi.org/10.3390/jtaer20030192 (registering DOI) - 1 Aug 2025
Abstract
The introduction of mobile banking is essential in today’s financial sector, where technological innovation plays a critical role. To remain competitive in the current market, businesses must analyze client attitudes and perspectives, as these influence long-term demand and overall profitability. While previous studies [...] Read more.
The introduction of mobile banking is essential in today’s financial sector, where technological innovation plays a critical role. To remain competitive in the current market, businesses must analyze client attitudes and perspectives, as these influence long-term demand and overall profitability. While previous studies have explored general adoption behaviors, limited research has examined how individual factors such as social influence, lifestyle compatibility, financial technology self-efficacy, and perceived usage cost affect mobile banking adoption among specific generational cohorts. This study addresses that gap by offering insights into these variables, contributing to the growing literature on mobile banking adoption, and presenting actionable recommendations for financial institutions targeting younger market segments. Using a structured questionnaire survey, data were collected from both users and non-users of mobile banking among the Gen Z population in the United States. The regression model significantly predicts mobile banking adoption, with an intercept of 0.548 (p < 0.001). Among the independent variables, perceived cost of usage has the strongest positive effect on adoption (B=0.857, β=0.722, p < 0.001), suggesting that adoption increases when mobile banking is perceived as more affordable. Social influence also has a significant positive impact (B=0.642, β=0.643, p < 0.001), indicating that peer influence is a central driver of adoption decisions. However, self-efficacy shows a significant negative relationship (B=0.343, β=0.339, p < 0.001), and lifestyle compatibility was found to be statistically insignificant (p=0.615). These findings suggest that reducing perceived costs, through lower fees, data bundling, or clearer communication about affordability, can directly enhance adoption among Gen Z consumers. Furthermore, leveraging peer influence via referral rewards, Partnerships with influencers, and in-app social features can increase user adoption. Since digital self-efficacy presents a barrier for some, banks should prioritize simplifying user interfaces and offering guided assistance, such as tutorials or chat-based support. Future research may employ longitudinal designs or analyze real-life transaction data for a more objective understanding of behavior. Additional variables like trust, perceived risk, and regulatory policies, not included in this study, should be integrated into future models to offer a more comprehensive analysis. Full article
31 pages, 1058 KiB  
Article
Bridging Policy and Practice: Integrated Model for Investigating Behavioral Influences on Information Security Policy Compliance
by Mohammad Mulayh Alshammari and Yaser Hasan Al-Mamary
Systems 2025, 13(8), 630; https://doi.org/10.3390/systems13080630 - 27 Jul 2025
Viewed by 364
Abstract
Cybersecurity threats increasingly originate from human actions within organizations, emphasizing the need to understand behavioral factors behind non-compliance with information security policies (ISPs). Despite the presence of formal security policies, insider threats—whether accidental or intentional—remain a major vulnerability. This study addresses the gap [...] Read more.
Cybersecurity threats increasingly originate from human actions within organizations, emphasizing the need to understand behavioral factors behind non-compliance with information security policies (ISPs). Despite the presence of formal security policies, insider threats—whether accidental or intentional—remain a major vulnerability. This study addresses the gap in behavioral cybersecurity research by developing an integrated conceptual model that draws upon Operant Conditioning Theory (OCT), Protection Motivation Theory (PMT), and the Theory of Planned Behavior (TPB) to explore ISP compliance. The research aims to identify key cognitive, motivational, and behavioral factors that shape employees’ intentions and actual compliance with ISPs. The model examines seven independent variables of perceived severity: perceived vulnerability, rewards, punishment, attitude toward the behavior, subjective norms, and perceived behavioral control, with intention serving as a mediating variable and actual ISP compliance as the outcome. A quantitative approach was used, collecting data via an online survey from 302 employees across the public and private sectors. Structural Equation Modeling (SEM) with SmartPLS software (v.4.1.1.2) analyzed the complex relationships among variables, testing the proposed model. The findings reveal that perceived severity, punishment, attitude toward behavior, and perceived behavioral control, significantly and positively, influence employees’ intentions to comply with information security policies. Conversely, perceived vulnerability, rewards, and subjective norms do not show a significant effect on compliance intentions. Moreover, the intention to comply strongly predicts actual compliance behavior, thus confirming its key role as a mediator linking cognitive, motivational, and behavioral factors to real security practices. This study offers an original contribution by uniting three well-established theories into a single explanatory model and provides actionable insights for designing effective, psychologically informed interventions to enhance ISP adherence and reduce insider risks. Full article
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19 pages, 1094 KiB  
Review
Global Perspectives on Rabies Control and Elimination: A Scoping Review of Dog Owners’ Knowledge, Attitudes, and Practices
by Moumita Das, Valeriia Yustyniuk, Andres M. Perez and Maria Sol Perez Aguirreburualde
Pathogens 2025, 14(8), 728; https://doi.org/10.3390/pathogens14080728 - 23 Jul 2025
Viewed by 282
Abstract
Rabies is a fatal but entirely vaccine-preventable disease, with the highest risk in areas where free-roaming domestic dogs are prevalent. Understanding dog owners’ knowledge, attitudes, and practices (KAP) is crucial for shaping effective rabies control strategies. This scoping review aimed to synthesize global [...] Read more.
Rabies is a fatal but entirely vaccine-preventable disease, with the highest risk in areas where free-roaming domestic dogs are prevalent. Understanding dog owners’ knowledge, attitudes, and practices (KAP) is crucial for shaping effective rabies control strategies. This scoping review aimed to synthesize global evidence from studies evaluating dog owners’ KAP to identify behavioral factors relevant to rabies prevention and control. A systematic literature search was conducted using PubMed, Web of Science, and Scopus, covering the period from 2012 to 2025. Seventy full-text articles were included based on predefined criteria. The findings reveal substantial gaps in dog owners’ knowledge, beliefs, and behaviors regarding rabies prevention. While general awareness of rabies is high among dog owners, their knowledge about transmission, clinical signs, and the fatal nature of the disease is inconsistent, with significant variability across studies. The vaccination uptake also varied widely across studies, ranging from less than 1% to over 90%, with no study reporting full coverage. Furthermore, a strong positive correlation was found between vaccination practice and the awareness of vaccine benefits (r = 0.69, p = 0.004). Common barriers to vaccination include lack of information, vaccine accessibility, distance to clinics, and personal constraints. These insights underscore the importance of early and targeted communication about vaccination campaigns. Future research should focus on periodically evaluating KAP before and after interventions to better inform rabies control efforts. Full article
(This article belongs to the Special Issue Current Challenges in Veterinary Virology)
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11 pages, 205 KiB  
Article
An Analysis of Switching Behavior from Traditional Hospital Visit to E-Health Consultation
by Shyamkumar Sriram, Harshavarthini Mohandoss, Nithya Priya Sunder and Bhoomadevi Amirthalingam
Healthcare 2025, 13(15), 1784; https://doi.org/10.3390/healthcare13151784 - 23 Jul 2025
Viewed by 169
Abstract
With the rapid digital transformation of healthcare services in India, this study investigates the factors influencing the behavioral shift from traditional hospital visits to e-health consultations. The primary objective was to analyze patient attitudes, satisfaction, and perceived barriers to adopting virtual healthcare, especially [...] Read more.
With the rapid digital transformation of healthcare services in India, this study investigates the factors influencing the behavioral shift from traditional hospital visits to e-health consultations. The primary objective was to analyze patient attitudes, satisfaction, and perceived barriers to adopting virtual healthcare, especially in urban and semi-urban settings. Methods: The methodology adopted in the study was descriptive, and a convenience sampling technique was used for data collection because the feasible times of the patients’ availabilities were taken into consideration for data collection. Both primary and secondary data were collected using questionnaires and literature. A sample size of 385 participants was used in this study. Various statistical tools, such as frequency, ANOVA, and Chi-square tests, were used to test the hypotheses. Results: It was observed from ANOVA and Chi-square tests that the factors for switching from traditional consultation to e-health services have a positive association. It was found that integrating data through influencing factors significantly (p < 0.001) improved decisions on e-health services. Conclusion: This study highlights the shift from in-person to e-health consultations driven by convenience, flexibility, and pandemic-related needs while acknowledging barriers such as digital literacy, infrastructure gaps, and trust issues. It recommends strategies, such as secure platforms, training, and integrated care models, for a more inclusive digital health future. Full article
21 pages, 272 KiB  
Article
Pneumococcal Infection and Vaccination-Related Knowledge, Attitudes and Practices Among Saudi Residents
by Wed S. Althobaiti, Abeer D. Alnefaie, Kaifah M. Althaali, Ola M. Alsufyani, Yassmin M. Shebany, Ayman A. Atalla, Ibtihal M. Alotaibi, Eman Y. Santali and Sayed F. Abdelwahab
Pathogens 2025, 14(7), 711; https://doi.org/10.3390/pathogens14070711 - 18 Jul 2025
Viewed by 381
Abstract
Background and aims: Pneumococcal infections, primarily caused by Streptococcus pneumoniae, pose significant global public health challenges, particularly in vulnerable populations. In Saudi Arabia, the introduction of pneumococcal vaccination has been a crucial step towards its prevention. However, gaps in public knowledge [...] Read more.
Background and aims: Pneumococcal infections, primarily caused by Streptococcus pneumoniae, pose significant global public health challenges, particularly in vulnerable populations. In Saudi Arabia, the introduction of pneumococcal vaccination has been a crucial step towards its prevention. However, gaps in public knowledge and attitudes toward the vaccine may hinder its effectiveness. Recent studies indicate a lack of awareness about the benefits of pneumococcal vaccination, suggesting a need for further investigation. This study determined the knowledge, attitudes, and practices (KAP) of Saudi residents regarding pneumococcal infection and vaccination. Study design and Methods: This observational cross-sectional study was conducted across Saudi Arabia from November 2024 to March 2025. Data were collected through a self-administered online questionnaire designed to evaluate KAP towards pneumococcal infection and vaccination. The sample size was calculated to be 385 participants. The questionnaire underwent expert validation and a pilot study to ensure clarity and reliability. The questionnaire was distributed via social media platforms to collect the data. Data management was conducted using Microsoft Excel, and statistical analysis was performed using Statistical Package for Social Sciences (SPSS) software version 26. Results: This study included 1230 participants of whom 630 (51.2%) were females and 1075 (87.4%) were Saudi citizens. Almost half of the participants (50.2%) were aged 18–30 years, and 498 (40.5%) were married. The average knowledge score was 58.6%, indicating a moderate level of understanding among the participants regarding pneumococcal infection. Also, the average attitudes score was 70.6%, reflecting a generally positive outlook towards the importance of pneumococcal vaccination and its potential to limit infection spread. In addition, the average practices score was 68%, indicating a fairly good level of behaviors regarding vaccination practices. Statistical analyses showed that demographic factors and clinical characteristics significantly shape individuals’ KAP towards pneumococcal infection and vaccination. Conclusions: This study highlights the critical need to improve KAP regarding pneumococcal infections and vaccinations among Saudi residents and could help in developing more targeted and effective public health interventions to protect Saudi residents from pneumococcal infections. Full article
35 pages, 1200 KiB  
Systematic Review
The Social Side of Biodiversity Loss: A Review of Individual, Collective, and Structural Drivers in Coastal Regions
by Alexander Yendell, Yvonne Jaeckel, Giulia Bär and Helene Lerch
Sustainability 2025, 17(14), 6547; https://doi.org/10.3390/su17146547 - 17 Jul 2025
Viewed by 921
Abstract
This literature review investigates how social, cultural, political, and psychological factors contribute to biodiversity loss in coastal ecosystems. While biodiversity decline is often analyzed from ecological or economic perspectives, this review focuses on the societal dimensions that shape environmental attitudes and behaviors. Using [...] Read more.
This literature review investigates how social, cultural, political, and psychological factors contribute to biodiversity loss in coastal ecosystems. While biodiversity decline is often analyzed from ecological or economic perspectives, this review focuses on the societal dimensions that shape environmental attitudes and behaviors. Using a semi-structured approach, we searched Web of Science, Scopus, and Google Scholar for peer-reviewed studies that address social influences on biodiversity, particularly in coastal contexts. Boolean logic and targeted keywords guided the selection, complemented by snowballing techniques to identify additional relevant literature. From over 600 initial results, 57 studies were included in the final synthesis. The literature spans diverse disciplines, including sociology, political science, environmental psychology, and cultural studies. Although many studies do not explicitly focus on coastal areas, they provide transferable insights into conservation-related behavior and structural drivers of biodiversity pressure. The review identifies thematic clusters and theoretical gaps, particularly regarding underexplored social variables and insufficient attention to multi-level dynamics. Our findings underline the need for stronger integration of societal dimensions into biodiversity research and policy, especially in coastal regions facing complex socio-ecological challenges. Full article
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30 pages, 3489 KiB  
Article
Enhancing Farmer Resilience Through Agricultural Insurance: Evidence from Jiangsu, China
by Xinru Chen, Yuan Jiang, Tianwei Wang, Kexuan Zhou, Jiayi Liu, Huirong Ben and Weidong Wang
Agriculture 2025, 15(14), 1473; https://doi.org/10.3390/agriculture15141473 - 9 Jul 2025
Viewed by 380
Abstract
Against the backdrop of evolving global climate patterns, the frequency and intensity of extreme weather events have increased significantly, posing unprecedented threats to agricultural production. This change has particularly profound impacts on agricultural systems in developing countries, making the enhancement of farmers’ capacity [...] Read more.
Against the backdrop of evolving global climate patterns, the frequency and intensity of extreme weather events have increased significantly, posing unprecedented threats to agricultural production. This change has particularly profound impacts on agricultural systems in developing countries, making the enhancement of farmers’ capacity to withstand extreme weather events a crucial component for achieving sustainable agricultural development. As an essential safeguard for agricultural production, agricultural insurance plays an indispensable role in risk management. However, a pronounced gap persists between policy aspirations and actual adoption rates among farmers in developing economies. This study employs the integrated theory of planned behavior (TPB) and protection motivation theory (PMT) to construct an analytical framework incorporating psychological, socio-cultural, and risk-perception factors. Using Jiangsu Province—a representative high-risk agricultural region in China—as a case study, we administered 608 structured questionnaires to farmers. Structural equation modeling was applied to identify determinants influencing insurance adoption decisions. The findings reveal that farmers’ agricultural insurance purchase decisions are influenced by multiple factors. At the individual level, risk perception promotes purchase intention by activating protection motivation, while cost–benefit assessment enables farmers to make rational evaluations. At the social level, subjective norms can significantly enhance farmers’ purchase intention. Further analysis indicates that perceived severity indirectly enhances purchase intention by positively influencing attitude, while response costs negatively affect purchase intention by weakening perceived behavior control. Although challenges such as cognitive gaps and product mismatch exist in the intention-behavior transition, institutional trust can effectively mitigate these issues. It not only strengthens the positive impact of psychological factors on purchase intention, but also significantly facilitates the transformation of purchase intention into actual behavior. To promote targeted policy interventions for agricultural insurance, we propose corresponding policy recommendations from the perspective of public intervention based on the research findings. Full article
(This article belongs to the Section Agricultural Economics, Policies and Rural Management)
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19 pages, 311 KiB  
Article
Exploring Gen Z Sustainable Behavior in the Hospitality Industry
by Roberta Minazzi and Daniele Grechi
Adm. Sci. 2025, 15(7), 266; https://doi.org/10.3390/admsci15070266 - 9 Jul 2025
Viewed by 925
Abstract
This study investigates Generation Z’s perceptions and behaviors regarding sustainable practices in the hospitality sector, with a particular focus on the gap between intentions and actual behaviors. A significant attitude–behavior gap emerges: while the majority (69%) reports adopting sustainable practices in daily life, [...] Read more.
This study investigates Generation Z’s perceptions and behaviors regarding sustainable practices in the hospitality sector, with a particular focus on the gap between intentions and actual behaviors. A significant attitude–behavior gap emerges: while the majority (69%) reports adopting sustainable practices in daily life, only 30% actively reduce air travel. Through exploratory analysis, this study contributes to the existing literature by examining sustainability perceptions as key drivers in hotel selection, offering both theoretical and practical implications for the tourism industry. The data were collected through questionnaires and processed using descriptive and inferential statistics, specifically hypothesis testing tools. The findings indicate that while Gen Z exhibits strong environmental consciousness, economic constraints remain a barrier to sustainable choices. This research suggests that tourism companies need to develop targeted strategies to make sustainable options more accessible, considering both environmental sensitivity and financial limitations of the younger generation. This work addresses a notable gap in the tourism literature regarding travelers’ perceptions of sustainable practices, particularly focusing on Generation Z as an emerging market segment. Full article
(This article belongs to the Special Issue Tourism and Hospitality Marketing: Trends and Best Practices)
15 pages, 579 KiB  
Article
Exploring the Impact of Virtual Reality on Tourists’ Pro-Sustainable Behaviors in Heritage Tourism
by Zhengan Zhu, Colin Michael Hall, Yue Li and Xinyi Zhang
Sustainability 2025, 17(14), 6278; https://doi.org/10.3390/su17146278 - 9 Jul 2025
Viewed by 1181
Abstract
Although the rise of Virtual Reality (VR) technology has brought new opportunities to tourism experiences and marketing, limited research has explored how VR technology affects tourists’ pro-sustainable behaviors in heritage tourism research. To address this research gap, this study constructs a theoretical model [...] Read more.
Although the rise of Virtual Reality (VR) technology has brought new opportunities to tourism experiences and marketing, limited research has explored how VR technology affects tourists’ pro-sustainable behaviors in heritage tourism research. To address this research gap, this study constructs a theoretical model by integrating the technology acceptance model (TAM) framework to explore the relationship among perceived ease of use (PEU), perceived usefulness (PUS), awe, attitude, and pro-sustainable behavior of tourists. Through the analysis of 304 valid questionnaires, this study found that in the heritage tourism experience presented by VR, PEU and PUS positively influence awe and attitude. Furthermore, awe positively affects attitude and pro-sustainable behaviors. However, PUS has no effect on tourists’ pro-sustainable behaviors. This study expands the theoretical framework of TAM and the related research on awe in heritage tourism presented by VR, providing valuable practical insights for heritage managers in the adoption of immersive technology. Full article
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15 pages, 1439 KiB  
Article
The Knowledge, Attitudes, and Experiences of Traditional Korean Medicine Doctors in the Spontaneous Reporting of Adverse Drug Events: A Cross-Sectional Survey
by Mikyung Kim, Hyunkyung Sung, Jiyun Jung and Dongjun Choi
Healthcare 2025, 13(13), 1620; https://doi.org/10.3390/healthcare13131620 - 7 Jul 2025
Viewed by 354
Abstract
Background and Objectives: The spontaneous reporting (SR) of adverse drug events (ADEs) is a cornerstone of pharmacovigilance and a critical mechanism for safeguarding patient safety. However, underreporting remains a persistent global challenge. In Korea, despite the widespread use of herbal medicines (HMs), adverse [...] Read more.
Background and Objectives: The spontaneous reporting (SR) of adverse drug events (ADEs) is a cornerstone of pharmacovigilance and a critical mechanism for safeguarding patient safety. However, underreporting remains a persistent global challenge. In Korea, despite the widespread use of herbal medicines (HMs), adverse event reports from traditional Korean medicine doctors (KMDs) are remarkably scarce. This study aimed to assess the knowledge, attitudes, and experiences of KMDs regarding SR, identify key barriers, and suggest strategies to strengthen the safety culture within traditional Korean medicine. Materials and Methods: A cross-sectional, anonymous online survey was distributed to licensed KMDs registered with the Association of Korean Medicine. The questionnaire collected information on respondents’ sociodemographic characteristics and assessed their knowledge, attitudes, and experiences related to ADE reporting. Descriptive statistics and multivariate logistic regression were used to analyze the associations between the variables. Results: Of the 1021 KMDs who completed the survey, the vast majority acknowledged the importance of SR and recognized their role in pharmacovigilance. Nevertheless, only 5% had ever submitted an ADE report. A widespread lack of awareness about the national spontaneous reporting system (SRS), particularly its inclusion of licensed HMs, was evident. Although many respondents expressed support for expanding the scope of SR to cover all HMs, significant gaps in pharmacovigilance knowledge and limited access to relevant training were major barriers. KMDs affiliated with academic institutions or specialist groups showed higher levels of awareness, education, and reporting behavior. Conclusions: While KMDs exhibit positive attitudes toward patient safety and understand the importance of SR, their participation in it remains low due to knowledge deficits and insufficient training. Addressing these gaps through targeted education and expanding the national SRS to comprehensively include herbal medicines are essential steps toward enhancing pharmacovigilance and cultivating a proactive safety culture in Korean medicine. Full article
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23 pages, 9706 KiB  
Article
Consumer Evaluation of Virtual vs. Human Influencers via Source Credibility, Perceived Social Similarity, and Consumption Motivation
by Huai-Kuan Zeng and Carolyn A. Lin
J. Theor. Appl. Electron. Commer. Res. 2025, 20(3), 168; https://doi.org/10.3390/jtaer20030168 - 2 Jul 2025
Viewed by 900
Abstract
Influencer marketing is estimated to reach USD 32.55 billion by the year 2025. The extant research on virtual vs. human influencers’ effectiveness has reported mixed results. Currently, research has yet to explore how consumption motivation and influencer gender (virtual vs. human) may differentially [...] Read more.
Influencer marketing is estimated to reach USD 32.55 billion by the year 2025. The extant research on virtual vs. human influencers’ effectiveness has reported mixed results. Currently, research has yet to explore how consumption motivation and influencer gender (virtual vs. human) may differentially impact consumer behavior. Likewise, whether antecedent factors such as prior attitudes toward the brand may affect the perceived authenticity and attractiveness of influencers has rarely been investigated. To fill this research gap, the current study examined virtual vs. human influencers’ effectiveness utilizing a 2 (influencer type) × 2 (product type) × 2 (influencer gender) between-subject online experiment. Specifically, Airbnb (a recreational product) and NJM (an insurance product) were respectively designated as a hedonic and utilitarian brand. The findings (N = 468) demonstrated that while prior brand attitudes toward a hedonic product had no effect on perceived influencer authenticity, the opposite was true for a utilitarian product. No significant difference was shown in perceived authenticity and attractiveness between a male and female (virtual or human) influencer. Structural equation modeling suggested that perceived social similarity between a participant and an influencer positively impacted the perceived attractiveness and authenticity of influencers and purchase intention. Hedonic instead of utilitarian motivation was found to be a positive predictor of purchase intention. Full article
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13 pages, 217 KiB  
Article
The Implications of the Sugar Tax on Sugar-Sweetened Beverage Consumption Habits Among Rural-Based South African University Students
by Zelda Luvha, Vhuhwavho Tshipota, Selekane Ananias Motadi, Lavhelesani Negondeni and Hlekani Vanessa Mbhatsani
Dietetics 2025, 4(3), 27; https://doi.org/10.3390/dietetics4030027 - 1 Jul 2025
Viewed by 294
Abstract
In April 2018, South Africa became the first African country to implement a Health Promotion Levy (HPL) on sugar-sweetened beverages (SSBs). This study assessed sugar tax awareness among rural-based university students and involved 342 participants, with an additional 10% to account for attrition. [...] Read more.
In April 2018, South Africa became the first African country to implement a Health Promotion Levy (HPL) on sugar-sweetened beverages (SSBs). This study assessed sugar tax awareness among rural-based university students and involved 342 participants, with an additional 10% to account for attrition. However, only 257 students, randomly selected from six university residences at the University of Venda, reported consuming SSBs. Systematic sampling determined the room selection, and the data was collected through an interviewer-administered questionnaire (8–28 October 2022). A knowledge questionnaire assessed the students’ understanding of the sugar tax. The results showed that 65.8% purchased SSBs five to six times a week, while 41.2% spent over R200 monthly on these beverages. The results showed that students had limited awareness and little perception of the sugar tax, reflecting a broader knowledge gap. Their negative behaviors toward sugar-sweetened beverages indicated that changing their consumption patterns would be challenging. Raising public awareness through taxation is widely recognized as an effective obesity prevention strategy, but misinformation, negative perceptions, and pessimistic attitudes may contribute to continued high consumption. Full article
16 pages, 515 KiB  
Article
Fever and Pain in Italian Children: What Pediatricians Really Do
by Giacomo Biasucci, Maria Elena Capra, Antonella Giudice, Delia Monopoli, Roberta Rotondo, Daniela Petracca, Cosimo Neglia, Beatrice Campana and Susanna Esposito
Life 2025, 15(7), 1048; https://doi.org/10.3390/life15071048 - 30 Jun 2025
Viewed by 449
Abstract
Background: Fever and pain are among the most frequent symptoms in pediatric care, requiring timely and appropriate management. While evidence-based guidelines are available, adherence in real-world practice remains variable. This study aimed to explore the attitudes and prescribing behaviors of Italian Primary Care [...] Read more.
Background: Fever and pain are among the most frequent symptoms in pediatric care, requiring timely and appropriate management. While evidence-based guidelines are available, adherence in real-world practice remains variable. This study aimed to explore the attitudes and prescribing behaviors of Italian Primary Care Pediatricians (PCPs) in the management of fever and pain, and to assess their alignment with current clinical recommendations. Materials and Methods: An anonymous, cross-sectional survey consisting of 30 multiple-choice questions was administered to 900 PCPs between 1 July and 30 October 2024. The questionnaire assessed therapeutic preferences, dosing strategies, and perceived knowledge gaps. Invitations were distributed via pediatric scientific societies and regional professional networks. Results: A total of 244 PCPs completed the survey (response rate 27.1%). The majority were aged over 55 years (72.1%), worked in urban settings (71.3%), and had more than 20 years of clinical experience (74.6%). Most respondents (77%) reported managing pediatric fever or pain on a daily basis. Paracetamol was the preferred first-line treatment for fever (95.9%), primarily due to its perceived safety (82.4%). Ibuprofen was favored by 51.6% of those who selected it for its greater effectiveness. The alternating use of paracetamol and ibuprofen for fever was never adopted by 49.6%, while 31.6% employed this strategy, believing it to be more effective. For pain, 67.6% used paracetamol and 26.2% used ibuprofen as first-line treatments; 15.2% reported alternating the two drugs. Correct dosage practices were followed by 63.9% for both medications, although 40.2% did not differentiate dosages between fever and pain management. Conclusions: While general trends showed alignment with current guidelines, notable inconsistencies were observed in drug selection, dosage, and the use of alternating therapies. These findings highlight a pressing need to improve the dissemination and implementation of pediatric fever and pain management guidelines among PCPs in order to reduce unsafe practices, avoid therapeutic errors, and prevent unnecessary strain on emergency care services. Full article
(This article belongs to the Special Issue Pain and Therapy: Historical Perspectives and Future Directions)
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14 pages, 544 KiB  
Article
Caregivers’ Knowledge, Attitudes, and Practices in terms of Oral Care Provided to Children with Autism Spectrum Disorder
by Susana Beatriz Esparza Loredo, Guadalupe Silvia García De la Torre, María Del Carmen Villanueva Vilchis, Saray Aranda Romo and Fátima del Carmen Aguilar Díaz
Healthcare 2025, 13(13), 1563; https://doi.org/10.3390/healthcare13131563 - 30 Jun 2025
Viewed by 377
Abstract
Background/Objectives: Children with Autism Spectrum Disorder (ASD) often exhibit similar food-related behaviors, such as excessive sugar consumption, and sensory processing difficulties, which can hinder oral hygiene routines like toothbrushing and increase the risk of cavities or gum problems. Therefore, caregiver involvement in maintaining [...] Read more.
Background/Objectives: Children with Autism Spectrum Disorder (ASD) often exhibit similar food-related behaviors, such as excessive sugar consumption, and sensory processing difficulties, which can hinder oral hygiene routines like toothbrushing and increase the risk of cavities or gum problems. Therefore, caregiver involvement in maintaining oral health is crucial. The aim of this study was to assess the knowledge, attitudes, and practices reported by caregivers in terms of oral care provided to children diagnosed with ASD between the ages of 5 and 12 years. Methods: A cross-sectional study was conducted, and the participants comprised 72 caregivers of children with ASD enrolled in four therapeutic centers in SLP, Mexico. Data on caregivers’ knowledge, attitudes, and care in terms of oral health, as well as sociodemographic characteristics, were collected through a structured and self-administered questionnaire. Results: Among the caregivers, 85% were women, and 86% recognized sugar as a cariogenic and gingival bleeding as a sign of inflammation. Despite this, over 60% reported frequent sugar consumption, 65.4% supervised toothbrushing, and floss use was minimal. More than half showed high self-efficacy, which correlated with more frequent supervised or autonomous toothbrushing. Caregivers involved in homecare brushed their children’s teeth more often. Correct knowledge of brushing frequency was associated with actual toothbrushing practices (p < 0.05). Conclusions: This study highlights a notable gap between caregivers’ knowledge and oral care practices in terms of children with ASD. Full article
(This article belongs to the Special Issue Oral Health in Healthcare)
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22 pages, 397 KiB  
Article
Echo Chambers and Homophily in the Diffusion of Risk Information on Social Media: The Case of Genetically Modified Organisms (GMOs)
by Xiaoxiao Cheng and Jianbin Jin
Entropy 2025, 27(7), 699; https://doi.org/10.3390/e27070699 - 29 Jun 2025
Viewed by 543
Abstract
This study investigates the mechanisms underlying the diffusion of risk information about genetically modified organisms (GMOs) on the Chinese social media platform Weibo. Drawing upon social contagion theory, we examine how endogenous and exogenous mechanisms shape users’ information-sharing behaviors. An analysis of 388,722 [...] Read more.
This study investigates the mechanisms underlying the diffusion of risk information about genetically modified organisms (GMOs) on the Chinese social media platform Weibo. Drawing upon social contagion theory, we examine how endogenous and exogenous mechanisms shape users’ information-sharing behaviors. An analysis of 388,722 reposts from 2444 original GMO risk-related texts enabled the construction of a comprehensive sharing network, with computational text-mining techniques employed to detect users’ attitudes toward GMOs. To bridge the gap between descriptive and inferential network analysis, we employ a Shannon entropy-based approach to quantify the uncertainty and concentration of attitudinal differences and similarities among sharing and non-sharing dyads, providing an information-theoretic foundation for understanding positional and differential homophily. The entropy-based analysis reveals that information-sharing ties are characterized by lower entropy in attitude differences, indicating greater attitudinal alignment among sharing users, especially among GMO opponents. Building on these findings, the Exponential Random Graph Model (ERGM) further demonstrates that both endogenous network mechanisms (reciprocity, preferential attachment, and triadic closure) and positional homophily influence GMO risk information sharing and dissemination. A key finding is the presence of a differential homophily effect, where GMO opponents exhibit stronger homophilic tendencies than non-opponents. Despite the prevalence of homophily, this paper uncovers substantial cross-attitude interactions, challenging simplistic notions of echo chambers in GMO risk communication. By integrating entropy and ERGM analyses, this study advances a more nuanced, information-theoretic understanding of how digital platforms mediate public perceptions and debates surrounding controversial socio-scientific issues, offering valuable implications for developing effective risk communication strategies in increasingly polarized online spaces. Full article
(This article belongs to the Special Issue Complexity of Social Networks)
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