Search Results (522)

Having in view the current global disruptive social and economic landscape, sustainability becomes more important than ever. As producers become more concerned about adopting more sustainable practices, customer awareness towards sustainable behavior must be the focus of all stakeholders. Within this context, the SHIFT framework (proposed in 2019) highlights the manner in which consumers’ traits and attitudes influence their propensity towards sustainable consumption. It consists of five factors considered to be relevant to consumer behavior: Social influence, Habit formation, Individual self, Feelings and cognition, and Tangibility. Different from previous studies, this research focuses on applying the SHIFT framework to the automotive industry, taking into consideration the contribution of digital technologies to fostering sustainable consumer behavior throughout the entire product lifecycle. Using a qualitative research approach, the most relevant digital technologies in the automotive industry were identified and mapped in relation to the three phases of consumption (choice, usage, and disposal). The research aimed to develop and test an original conceptual framework, starting from the SHIFT. The results of the study highlight the fact that the digital technologies, in their diversity, are integrated in different ways into each of the three phases, facilitating the adoption of sustainable consumption. To achieve sustainability, the two key stakeholders, consumers and producers, should share a common ground on capitalizing the opportunities offered by digital technologies. Full article

Self-medication is a subject of global importance. If practiced responsibly, self-medication represents a part of self-care or positive care of an individual or a community in promoting their own health. However, today’s practices of self-medication are often inappropriate and irresponsible, and as such appear all over the world. Inappropriate self-medication can be connected with possible serious health risks and consequences. Therefore, it represents a global health issue. It can even generate additional health problems, which will eventually become a burden to healthcare systems and can induce significant costs, which also raises socioeconomic concerns. Hence, self-medication attracts the attention of researchers and practitioners globally in efforts to clarify the current status and define feasible measures that should be implemented to address this issue. This narrative review aims to give an overview of the situation in the field of self-medication globally, including current practices and attitudes, as well as implications for actions needed to improve this problem. A PubMed/MEDLINE search was conducted for articles published in the period from 1995 up to March 2025 using keywords “self-medication” or “selfmedication” alone or in combinations with terms related to specific subthemes related to self-medication, such as COVID-19, antimicrobials, healthcare professionals, and storing habits of medicines at home. Studies were included if self-medication was their main focus. Publications that only mentioned self-medication in different contexts, but not as their main focus, were excluded. Considering the outcomes of research on self-medication in various contexts, increasing awareness of responsible self-medication through education and informing, together with surveillance of particular medicines and populations, could lead to more appropriate and beneficial self-medication in the future. Full article

Background: Skipping breakfast, a prevalent issue among children and adolescents, has been reported to be associated with academic performance and long-term health. However, less attention has been given to the types of breakfast foods consumed. Therefore, our study aims to investigate the association between breakfast variety and dietary knowledge, attitude, and practice (KAP) among preadolescents. Methods: The study included 1449 students in grades 4–6 from Zhongshan city, Guangdong province. Data were collected through face-to-face field investigation using a validated questionnaire. The questionnaire encompassed sociodemographic characteristics, as well as dietary KAP. Results: Among all participants, 1315 reported consuming breakfast daily. Dietary diversity varied significantly: 8.8% consumed only 1 type of food, 52.9% consumed 2–4 types, and 38.3% consumed ≥5 types. Students who consumed a greater variety of breakfast foods exhibited more favorable dietary and lifestyle patterns. Specifically, those who consumed ≥5 types of food showed statistically significant associations with healthier practices, including reduced intake of sugary beverages and night snacks, stronger adherence to dietary guidelines, more positive attitudes toward improving eating habits, longer sleep durations, increased participation in meal preparation, greater dish variety in meals, and higher engagement in daily physical activity. Conclusions: Breakfast variety was associated with KAP, particularly when breakfast types ≥ 5, providing more sufficient and favorable evidence for breakfast consumption. Full article

Food addiction (FA) is an emerging psychiatric condition that presents behavioral and neurobiological similarities with other addictions, and its early identification is essential to prevent the development of more severe disorders. The aim of the present study was to determine the ability of anthropometric measures, eating habits, symptoms related to eating disorders (ED), and lifestyle features to predict the symptoms of food addiction. Methodology: A cross-sectional study was conducted in a sample of 702 university students (77.3% women; age: 22 ± 6 years). The Food Frequency Questionnaire (FFQ), the Yale Food Addiction Scale 2.0 (YFAS 2.0), the Eating Attitudes Test (EAT-26), anthropometric measurements, and a set of self-report questions on substance use, physical activity level, and other questions were administered. A total of 6.4% of participants presented symptoms compatible with food addiction, and 8.1% were at risk for ED. Additionally, 26.5% reported daily smoking, 70.6% consumed alcohol, 2.9% used illicit drugs, and 29.4% took medication; 35.3% did not engage in physical activity. Individuals with food addiction had higher BMI (p = 0.010), waist circumference (p = 0.001), and body fat (p < 0.001) values, and a higher risk of eating disorders (p = 0.010) compared to those without this condition. In the multivariate logistic model, non-dairy beverage consumption (such as coffee or alcohol), vitamin D deficiency, and waist circumference predicted food addiction symptoms (R²_Nagelkerke = 0.349). Indeed, the machine learning approaches confirmed the influence of these variables. Conclusions: The prediction models allowed an accurate prediction of FA in the university students; moreover, the individualized approach improved the identification of people with FA, involving complex dimensions of eating behavior, body composition, and potential nutritional deficits not previously studied. Full article

The COVID-19 pandemic has significantly altered consumer habits, particularly in relation to food choices. In this context, plant-based diets have gained prominence, driven by health, environmental, and ethical considerations. This study investigates the primary motivational and inhibitory factors influencing the consumption of plant-based foods among residents of the Galicia–Northern Portugal Euroregion. Utilizing the Theory of Reasoned Action, an extended model was proposed and tested through a quantitative survey. A total of 214 valid responses were collected via an online questionnaire distributed in Portuguese and Spanish. Linear regression analysis revealed that health awareness, animal welfare, and environmental concern significantly shape positive attitudes, which subsequently affect the intention to consume plant-based foods. Additionally, perceived barriers—such as lack of taste and insufficient information—were found to negatively influence intention. These findings contribute to the consumer behavior literature and provide strategic insights for stakeholders aiming to promote more sustainable dietary patterns in culturally connected cross-border regions. Full article

Background/Objectives: Long-acting injectable antipsychotics (LAIs) represent a significant advancement in the treatment of schizophrenia (SCZ), particularly for improving adherence and long-term outcomes. This study aimed to assess the clinical outcomes of patients receiving atypical LAIs compared to those on various oral antipsychotics over a one-year follow-up in a naturalistic setting. Methods: Sixty patients with SCZ were subdivided in two groups, those receiving LAIs (n = 25) and those receiving oral antipsychotics (n = 35). The groups were comparable for age, gender, educational attainment, employment status, marital status, smoking habits, and baseline SCZ severity, with no differences in baseline chlorpromazine equivalent dosages. Results: Over the follow-up period, patients in the LAI group discontinued treatment less frequently (χ² = 4.72, p = 0.030), showed fewer suicide attempts (χ² = 5.63, p = 0.018), fewer hospitalizations (χ² = 4.95, p = 0.026), and fewer relapses (χ² = 6.61, p = 0.010). Significant differences also emerged on the Drug Attitude Inventory (DAI-10) scores (F = 8.76, p = 0.005) and Body Mass Index (BMI) values (F = 8.32, p = 0.007), with the LAI group showing more favorable outcomes. Conclusions: LAIs, compared to oral antipsychotics, may promote treatment adherence, as shown by decreased hospitalization; furthermore, their use is related with better outcomes, like fewer relapses and less suicide attempts in individuals with SCZ in real-world settings. Full article

In recent years, significant changes in food consumption habits have emerged due to various factors, including climate change, population growth, urbanization, and the depletion of natural resources. These changes pose a threat to the stability of global food systems and raise serious concerns about food security. Although this process encourages innovative and sustainable food consumption, it also makes individuals more skeptical and concerned about new foods. In this context, understanding consumer intentions regarding behaviors such as purchasing genetically modified (GM) foods is critical for predicting consumer responses and promoting responsible consumption patterns within the scope of sustainability. This study examined the effects of food technology neophobia and perceived information on attitudes and purchase intentions toward genetically modified (GM) foods. Survey data were collected from 324 participants across Turkey and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The findings revealed that food technology neophobia reduces perceived benefits and increases perceived risks, whereas perceived information enhances perceived benefits and lowers perceived risks. Additionally, attitudes were found to influence the intention to purchase GM foods significantly. Global issues, such as climate change and the depletion of natural resources, highlight the importance of innovations in food technology for sustainable food production. Understanding consumer concerns and perceived knowledge levels regarding genetically modified (GM) foods is critical to ensuring that these products are accepted at the societal level in an informed and conscious way. This study contributes to the promotion of sustainable food technologies and responsible consumer behavior, in line with the objectives of Sustainable Development Goal 12 (Responsible Consumption and Production). Full article

Objective: This study sought to examine the correlation between physical activity levels and various psychological and nutritional factors associated with the risk of developing eating disorders among female university students in the Health Sciences discipline. Method: The study assessed body image, self-esteem, nutritional status, adherence to the Mediterranean diet, and attitudes toward food in a sample of 96 women, categorized into two groups based on their level of physical activity. Results: Significant differences in skeletal muscle mass were identified between the groups, alongside associations between body dissatisfaction, low self-esteem, and elevated EAT-26 scores. Furthermore, students with higher levels of physical activity exhibited a significantly increased prevalence of eating disorder risk. Logistic regression analysis identified body dissatisfaction as a significant predictor of eating disorder risk, while membership in the group with the highest physical activity levels enhanced model fit and increased eating disorder risk. Conclusions: These findings indicate that, while physical activity is associated with certain benefits related to body composition and eating habits, it may also be linked to a heightened risk of disordered eating behaviors, contingent upon the underlying motivations and body perceptions involved. This study highlights the necessity for comprehensive preventive strategies that address both the physical and psychological dimensions of physical activity in female university students. Full article

Sustainability is vital to engineering education, requiring future engineers to integrate technological advancements with environmental responsibility. This study explores the relationship between sustainability awareness, pro-environmental behavior, and environmental attitudes among engineering students at Shaqra University, Saudi Arabia. The findings indicate that, while students possess moderate sustainability awareness, their engagement in eco-friendly actions remains limited, despite expressing positive environmental attitudes. Civil Engineering students and those in later academic years show higher awareness, emphasizing the role of departmental focus and academic progression. Correlation analysis reveals a strong link between awareness and behavior (r = 0.628 and p < 0.001), yet multiple regression suggests that neither academic year nor department uniquely predicts sustainable actions once awareness is accounted for. Moreover, while pro-environmental attitudes correlate with behavior in bivariate analysis, their impact diminishes in regression, suggesting that positive environmental values do not necessarily translate into consistent green habits. ANOVA results confirm higher awareness among Civil Engineering students, though differences in sustainable behavior are subtle. These findings highlight the need for curricular reforms that integrate sustainability through experiential learning, bridging the gap between awareness and real-world actions. This study supports Saudi Arabia’s Vision 2030 by promoting environmental awareness and aligning education with labor market needs. It offers tools to help stakeholders and policymakers develop competitive, future-ready generations. Full article

This study explores the employability of engineers in the context of Industry 4.0, focusing on the KASH model (Knowledge, Attitude, Skills, Habits). Using a sequential exploratory design, we collected data from 800 engineers in Morocco through an online questionnaire. The findings reveal that attitude and knowledge have a significant impact on employability, whereas skills and habits show moderate to weak effects. The study employs Partial L6east Squares (PLS) Structural Equation Modeling to validate the model, demonstrating a strong predictive relevance (Q² = 0.714) and a high coefficient of determination (R² = 0.716). The results suggest that engineering schools should emphasize attitude and knowledge development to enhance employability in the rapidly evolving job market of Industry 4.0. Full article

Childhood dental caries remains a critical public health issue in rural areas, where caregivers’ knowledge, attitudes, and practices (KAP) significantly influence oral health outcomes. This study assessed the association between parental KAP and the prevalence and severity of caries in children aged 5–9 years in Cayambe, Ecuador. Methods: A cross-sectional study was conducted with 229 schoolchildren and their caregivers, using a validated questionnaire and clinical examinations (ICDAS criteria). Caries severity was categorized as “obvious decay” (ICDAS 4–6) or “no obvious decay” (ICDAS 0–3). Results: Advanced dental caries affected 73.4% of children (ICDAS 4–6). While parental knowledge and attitudes showed no significant association, brushing teeth ≥2 times/day significantly reduced caries severity (p < 0.05). Sociodemographic factors, such as parental education, were not significant predictors. Conclusion: Oral hygiene practices—particularly frequent toothbrushing—were the key protective factor against severe caries, highlighting the need for behavior-focused interventions promoting daily habits. Future research should evaluate long-term preventive strategies. Full article

This study explores homework practices and perceptions among Slovenian fourth-grade students and their parents, using data from PIRLS 2021 and national additions. Homework remains a contentious topic, often debated in terms of necessity and impact. The study examines the degree of parental involvement in their children’s homework, focusing on its association with family socioeconomic status (SES) and students’ reading achievement, as well as the students’ attitudes towards homework. A mixed-methods approach was employed, combining quantitative analyses from reading tests and contextual questionnaires with qualitative insights from open-ended parental responses. The results show that most Slovenian parents actively assist their children with homework, yet frequent involvement correlates with lower reading scores, potentially reflecting increased support for struggling students. Parental motivations emphasize educational purposes, such as reinforcement of knowledge and monitoring progress, and developmental goals like fostering work habits and confidence. Among students, attitudes towards homework are generally positive, with many acknowledging its instructional benefits. However, a significant portion find homework boring or excessive, which negatively correlates with achievement. The study highlights disparities linked to SES, with students from higher SES families demonstrating greater independence and more favorable attitudes. These findings underscore the need for balanced homework practices that consider quality over quantity, individualization in design, and collaborative communication with parents. Implications for policy include fostering autonomy and reducing SES-based inequalities. Full article

The objective of this study is to analyze the current situation of out-of-home catering (OHC) in Germany concerning the use of regional organic food using a case study; we also aim to determine the potential and challenges that exist in increasing the proportion of regional organic food in OHC. The food purchasing data from three canteens of the company were analyzed concerning regionality, seasonality, and organic share. The companies’ employees were asked about their willingness to pay and their attitude towards regional organic food using an online questionnaire. A price comparison between organically and conventionally grown food was carried out with food wholesalers’ product price lists. The study confirms the potential to increase the share of regional organic food in OHC. With their private purchasing behavior, eating habits and willingness to pay a surcharge for organic quality in the company restaurants, the consumers confirm that they support an increase in the regional organic share. Regional organic food could be purchased from (organic) wholesalers. However, the study also shows that the cost of sourcing organic food is on average 50% higher than that of conventional food and that this price markup is the main reason for consumers not buying organic food. Full article

Background: Antibiotic-associated diarrhea (AAD) is a common adverse effect of pediatric antibiotic therapy, often linked to gut microbiota disruption. Probiotics may help prevent AAD when appropriately selected and dosed. Methods: We conducted a cross-sectional survey to assess the attitudes and prescribing habits of Italian Primary Care Pediatricians (PCPs) regarding the use of probiotics during antibiotic treatment. A digital questionnaire comprising 23 mandatory multiple-choice items was distributed to 980 PCPs across Italy between July and October 2024. The survey explored probiotic prescribing frequency, indications, strains used, dosage, duration, and sources of information. Descriptive statistics and subgroup analyses by years of clinical experience were performed. Results: A total of 279 PCPs (response rate: 28%) completed the survey; 66.7% were female, and 77.1% had over 20 years of clinical experience. Probiotics were prescribed primarily to restore microbiota balance (81.1%) and prevent AAD (47.3%). The most common barriers included additional cost (35.1%) and perceived lack of evidence (26.5%). Lactobacillus rhamnosus GG (91.8%) and Saccharomyces boulardii (41.9%) were the most frequently recommended strains. Daily doses of 5–10 billion CFU were preferred by 44.4% of respondents, with typical durations of 1–2 weeks (40.1%) or one week (31.2%). Conclusions: Probiotics are widely used by Italian PCPs during antibiotic therapy, especially for microbiota support and AAD prevention. However, variability in practice underscores the need for clearer, evidence-based guidelines regarding probiotic strain selection, dosing, and treatment duration. Full article

Background/Objectives: This study aimed to identify the relationships between individuals’ perceptions of leisure boredom, internet usage habits, and gambling motivations, focusing on analyzing the predictive effects by age category in adults. Methods: The study employs quantitative research methods, adopting a relational survey model. The sample group comprises 310 adult (94 female and 214 male) individuals aged 18 and over. Data were collected using the Leisure Boredom Scale (LBS), targeting two subscales: negative (Boredom) and positive (Satisfaction) attitudes toward leisure time, the Leisure Internet Use Scale (LIUS) targeting four forms of leisure, and the Gambling Motivation Scale (GMS) with the following subscales: socialization, entertainment/excitement, escapism, and money-making. In the analysis conducted with SPSS 25.0, independent samples t-test, ANOVA, correlation, and regression analyses were applied. Results: The findings indicate that leisure boredom significantly predicts internet usage and gambling motivations. Notably, individuals who spend their leisure time on passive activities were found to have higher rates of internet usage, habits, digital addiction, and gambling behavior. The positive relationship between internet usage habits, digital addictions, and risky behaviors such as gambling becomes particularly pronounced among young adults. Conclusions: Leisure time management is critical for individuals’ psychological well-being. Cognitive awareness programs, digital literacy education, and promoting participation in healthy leisure activities are recommended as key strategies to prevent risky behaviors. Full article