Search Results (1,054)

Background: Social and financial services are essential for the inclusion and well-being of people with disabilities (PWDs), who often rely on family caregivers to access these systems. In Saudi Arabia, where disability inclusion is a strategic goal under Vision 2030, understanding caregiver experiences is crucial to identifying service gaps and improving accessibility. Objectives: This study aimed to explore caregivers’ perspectives on awareness, perceived barriers, and accessibility of social and financial services for PWDs in Saudi Arabia. The analysis is grounded in Andersen’s Behavioural Model of Health Service Use and the WHO’s International Classification of Functioning, Disability and Health (ICF) framework. Methods: A cross-sectional survey was conducted with 3353 caregivers of PWDs attending specialised day schools. The survey collected data on demographic characteristics, service awareness, utilisation, and perceived obstacles. Exploratory Factor Analysis (EFA) identified latent constructs, and Structural Equation Modelling (SEM) was used to test relationships between awareness, barriers, and accessibility. Results: Findings reveal that over 70% of caregivers lacked awareness of available services, and only about 3% had accessed them. Key challenges included technological barriers, complex procedures, and non-functional or unclear service provider platforms. Both User Barriers and Service Barriers were negatively associated with Awareness and Accessibility. Awareness, in turn, significantly predicted perceived Accessibility. Caregiver demographics, such as age, education, gender, and geographic location, also influenced awareness and service use. Conclusions: There is a pressing need for targeted awareness campaigns, accessible digital service platforms, and simplified service processes tailored to diverse caregiver profiles. Inclusive communication, decentralised outreach, and policy reforms are necessary to enhance service access and promote the societal inclusion of PWDs in alignment with Saudi Arabia’s Vision 2030. Full article

Most academic papers on Jordanian colloquial Arabic allophonic consonant variants have primarily examined their influence on the social status of speakers and their role in shaping linguistic prestige. However, there is a significant lack of research exploring the potential for manipulation and establishment of power through the deliberate use of consonantal variants by Jordanian speakers in Arabic. Using a variety of allophonic consonantal variants, this study investigates how speakers of Jordanian colloquial Arabic attempt to construct their discourse of power. The targeted phonemes in the current study were /q/, /θ/, /ð/, and /k/. Focus groups were used to gather data, which were then examined within the framework of Fairclough’s technologized discourse and thematic approaches. Twenty persons, 10 women and 10 men, ranging in age from 18 to 45 years, comprised each of the two groups. The duration of each focus group session was 50 min. Analysis of the data indicates that the presence of [q], [θ], [ð], and [k] allophones in Standard Arabic is restricted to particular social circumstances, such as official and scientific environments. This usage is a common trait among those who have received formal education and privileged social standing. The findings also reveal that participants strategically utilize the allophonic variants [g], [ʔ], [k], [t̪], [d̪], and [tʃ] to exert influence over interlocutors by demonstrating authority related to social identity, gender, and emotional state. This study intends to advance discussions on allophonic consonant variants in Jordanian colloquial Arabic by providing insights into their manipulative functions. Full article

This article investigates the role of space in the fiction of Jeffrey Eugenides, focusing on The Virgin Suicides (1993) and Middlesex (2002) through the lens of spatial theory. Drawing on key thinkers such as Henri Lefebvre, Michel Foucault, Edward Soja, Yi-Fu Tuan, and Doreen Massey, the study explores how Eugenides constructs spatial environments that not only frame but actively shape the identities, desires, and traumas of his characters. In The Virgin Suicides, suburban domestic spaces are shown to function as heterotopias—sites of surveillance, repression, and mythologized femininity—while Middlesex engages with transnational and urban spaces to narrate diasporic and intersex identity as dynamic, embodied, and liminal. The analysis reveals that Eugenides uses space as both a narrative device and a thematic concern to interrogate gender, memory, and power. Rather than passive backdrops, the novelistic spaces become charged arenas of conflict and transformation, reflecting and resisting dominant socio-cultural discourses. This study argues that space in Eugenides’ fiction operates as a critical register for understanding the politics of belonging and the production of subjectivity. By situating Eugenides within the broader field of literary spatiality, this article contributes to contemporary debates in literary geography, gender studies, and American fiction. Full article

Background/Objectives: Senior nurses in Taiwan shoulder layered responsibilities shaped by professional roles, gendered expectations, and family duty. Although Taiwan faces a persistent shortage of experienced clinical nurses, limited research has explored how long-serving nurses sustain identity and commitment across decades of caregiving. This study examines how senior staff nurses understand their journeys of becoming—and remaining—nurses within a culturally and emotionally complex landscape. Methods: Interviews were conducted between May 2019 and September 2023 in locations chosen by participants, with most sessions face-to-face and others undertaken via video conferencing during COVID-19. This narrative inquiry involved in-depth, multi-session interviews with five female senior staff nurses born in the 1970s to early 1980s. Each participant reflected on her life and career, supported by co-constructed “nursing life lines.” Thematic narrative analysis was conducted using McCormack’s five-lens framework and Riessman’s model, with ethical rigor ensured through reflexive journaling and participant validation. Results: Three overarching themes emerged: (1) inner strength and endurance, highlighting silent resilience and the ethical weight of caregiving; (2) support and responsibility in relationships, revealing the influence of family, faith, and relational duty; and (3) role navigation and professional identity, showing how nurses revisit meaning, self-understanding, and tensions across time. Participants described emotionally powerful moments, identity re-connection, and cultural values that shaped their paths. Conclusions: These narratives offer a relational and culturally embedded understanding of what it means to sustain a career in nursing. Narrative inquiry created space for reflection, meaning-making, and voice in a system where such voices are often unheard. Identity was not static—it was lived, reshaped, and held in story. Full article

This study developed and validated an integrated theoretical framework combining the Theory of Planned Behavior (TPB) and the Technology Acceptance Model (TAM) to investigate how driving assistance technologies (DATs) influence risky driving behaviors among young urban Chinese drivers. Based on this framework, we proposed and tested several hypotheses regarding the effects of psychological and technological factors on risky driving intentions and behaviors. A survey was conducted with 495 young drivers in Shaoguan, Guangdong Province, examining psychological factors, technology acceptance, and their influence on risky driving behaviors. Structural equation modeling revealed that the integrated TPB-TAM explained 58.3% of the variance in behavioral intentions and 42.6% of the variance in actual risky driving behaviors, significantly outperforming single-theory models. Attitudes toward risky driving (β = 0.287) emerged as the strongest TPB predictor of behavioral intentions, while perceived usefulness (β = −0.172) and perceived ease of use (β = −0.113) of driving assistance technologies negatively influenced risky driving intentions. Multi-group analysis identified significant gender and driving experience differences. Logistic regression analyses demonstrated that model constructs significantly predicted actual traffic violations and accidents. These findings provide theoretical insights into risky driving determinants and practical guidance for developing targeted interventions and effective traffic safety policies for young drivers in urban China. Full article

Introduction: Nutrition literacy has garnered growing research attention worldwide, yet only a few instruments have been developed to specifically measure this construct among adolescents. Accordingly, the present research sought to examine the validity and reliability of the Adolescent Nutrition Literacy Scale (ANLS) within a group of Lebanese adolescents. Methods: A cross-sectional study was carried out from December 2022 to March 2023, targeting a nationally representative sample. Results: Fit indices of the three-factor structure were good. Internal reliability was adequate for the following three subscales: Functional Nutrition Literacy (FNL) (ω = 0.88/α = 0.88), Interactive Nutrition Literacy (INL) (ω = 0.87/α = 0.86) and Critical Nutrition Literacy (CNL) (ω = 0.89/α = 0.89). Invariance was established across genders at configural, metric, and scalar levels. A significantly higher mean FNL and INL scores were found in males compared to females, with no significant difference between the two genders in terms of CNL. Higher FNL, but not CNL and INL scores were significantly associated with lower child food security. Conclusions: The Arabic ANLS has exhibited robust psychometric reliability, validity, and cost-effectiveness as a tool for assessing nutrition literacy. By utilizing the Arabic version of the ANLS, we can more efficiently and accurately assess the nutritional literacy of adolescents. Full article

Ensuring a sustainable and healthy human environment in university dormitories is essential for students’ learning, living, and overall health and well-being. To address this need, we carried out a series of systematic field measurements of the noise levels at 30 dormitories in three representative major urban universities in a major provincial capital city in China and designed and implemented a comprehensive questionnaire and surveyed 1005 students about their perceptions of their acoustic environment. We proposed and applied a sustainability–health-oriented, multidimensional assessment framework to assess the acoustic environment of the dormitories and student responses to natural sound, technological sounds, and human-made sounds. Using the Structural Equation Modeling (SEM) approach combined with the field measurements and student surveys, we identified three categories and six factors on student health and well-being for assessing the acoustic environment of university dormitories. The field data indicated that noise levels at most of the measurement points exceeded the recommended or regulatory thresholds. Higher noise impacts were observed in early mornings and evenings, primarily due to traffic noise and indoor activities. Natural sounds (e.g., wind, birdsong, water flow) were highly valued by students for their positive effect on the students’ pleasantness and satisfaction. Conversely, human and technological sounds (traffic noise, construction noise, and indoor noise from student activities) were deemed highly disturbing. Gender differences were evident in the assessment of the acoustic environment, with male students generally reporting higher levels of the pleasantness and preference for natural sounds compared to female students. Educational backgrounds showed no significant influence on sound perceptions. The findings highlight the need for providing actionable guidelines for dormitory ecological design, such as integrating vertical greening in dormitory design, water features, and biodiversity planting to introduce natural soundscapes, in parallel with developing campus activity standards and lifestyle during noise-sensitive periods. The multidimensional assessment framework will drive a sustainable human–ecology–sound symbiosis in university dormitories, and the category and factor scales to be employed and actions to improve the level of student health and well-being, thus, providing a reference for both research and practice for sustainable cities and communities. Full article

Despite extensive prevention strategies in Spain since the 1980s, gender-based violence, including among adolescents, remains prevalent, as observed in the Romance SUCC-ED Project (R&D&I Operating Programme ERDF Andalusia 2014–2020). This research study investigates the dimensions, meanings, relationships, and practices shaping the culture of romance in digital Andalusian adolescence (12–16 years) and its potential impact on school trajectories in Compulsory Secondary Education. Based on the premise that equality-focused relationship education is key to preventing gender violence, the study employs an ethnographic methodology with 12 Andalusian school case studies (4 out of them are located in rural areas) and 220 in-depth interviews (126 girls, 57.3%; 94 boys, 42.7%). This article aims to empirically explain gender violence in early adolescence by analysing the culture of romance as an explanatory factor. Findings reveal an interconnected model where dimensions (love, couple, sexuality, pornography, social networks, and cultural references), meanings (constructed by adolescents within each of them), relationships (partner), and practices (control and jealousy) reinforce romanticised femininity and dominant masculinity, thus explaining the high incidence of gender-based violence among students in the study. Full article

Background: The Kidney Disease and Quality of Life Short Form (KDQOL-SF™ 1.3) is widely used to assess health-related quality of life (HRQoL) in patients with end-stage renal disease. However, no prior validation had been conducted in Kazakhstan, where both Kazakh and Russian are commonly spoken. This study aimed to validate the Kazakh and Russian versions of the KDQOL-SF™ 1.3 and to identify predictors of HRQoL among hemodialysis patients in Kazakhstan. Methods: A cross-sectional survey was conducted among 217 adult hemodialysis patients from February to April 2025 using a mixed-methods approach (in-person interviews and online data collection). Psychometric testing included Cronbach’s alpha, floor and ceiling effect analysis, and Pearson correlations with self-rated overall health. Multiple linear regression was used to identify predictors of the Kidney Disease Component Summary (KDCS), Physical Component Summary (PCS), and Mental Component Summary (MCS) scores. Results: Both language versions demonstrated acceptable to excellent internal consistency (Cronbach’s α = 0.692–0.939). Most subscales were significantly correlated with self-rated health, supporting construct validity. Regression analyses revealed that greater satisfaction with care, better economic well-being, and more positive dialysis experiences were significant predictors of higher KDCS and MCS scores. Lower PCS scores were associated with female gender, comorbidities, and financial burden. Importantly, financial hardship and access challenges emerged as strong negative influences on HRQoL, underscoring the role of socioeconomic and care-related factors in patient well-being. Conclusions: The KDQOL-SF™ 1.3 is a valid and reliable tool for assessing quality of life among Kazakh- and Russian-speaking hemodialysis patients in Kazakhstan. Integrating this instrument into routine clinical practice may facilitate more personalized, patient-centered care and help monitor outcomes beyond traditional clinical indicators. Addressing economic and access-related barriers has the potential to significantly improve both physical and mental health outcomes in this vulnerable population. Full article

Tourist satisfaction models typically assume that service performance dimensions carry the same weight for all travelers. Drawing on Bourdieu, we reconceptualize age, gender, and region of origin as demographic capital, durable resources that mediate how visitors decode service cues. Using a SERVPERF-based survey of 407 international travelers departing Quito (Ecuador), we test measurement invariance across six sociodemographic strata with multi-group confirmatory factor analysis. The four-factor SERVPERF core (Access, Lodging, Extra-hotel Services, Attractions) holds, yet partial metric invariance emerges: specific loadings flex with demographic capital. Gen-Z travelers penalize transport reliability and safety; female visitors reward cleanliness and empathy; and Latin American guests are the most critical of basic organization. These patterns expose a boundary condition for universalistic satisfaction models and elevate demographic capital from a descriptive tag to a structuring construct. Managerially, we translate the findings into segment-sensitive levers, visible security for youth and regional markets, gender-responsive facility upgrades, and dual eco-luxury versus digital-detox bundles for long-haul segments. By demonstrating when and how SERVPERF fractures across sociodemographic lines, this study intervenes in three theoretical conversations: (1) capital-based readings of consumption, (2) the search for boundary conditions in service-quality measurement, and (3) the shift from segmentation to capital-sensitive interpretation in emerging markets. The results position Ecuador as a critical case and provide a template for destinations facing similar performance–perception mismatches in the Global South. Full article

This study introduces and validates a novel instrument to measure aggressive gender backlash (AGB), a distinct and underexplored dimension of gender backlash (GB) within intimate partner relationships. Based on the General Aggression Model, a multidimensional scale was developed and tested using data from 513 Peruvian female microentrepreneurs. Results demonstrate solid evidence of reliability, discriminant validity, and predictive validity across five dimensions: hostility, the withdrawal of support, sabotage/coercion, gender stereotyping, and masculine victimization. The findings reveal that AGB is more prevalent than intimate partner violence against women (IPVAW) and often precedes it. AGB encompasses covert, non-violent behaviors that aim to resist female empowerment, such as emotional sabotage, manipulation, and disqualification, often normalized within relationships. This construct is significantly associated with lower levels of empowerment, increased subordination, emotional morbidity, and decreased work productivity. This study redefines GB as an interpersonal process measurable at the individual level and provides the first validated tool for its assessment. By conceptualizing AGB as a persistent, harmful, and functionally equivalent mechanism to IPVAW, though not necessarily physically violent, this research fills a key gap in gender violence literature. It offers practical implications for early detection and prevention strategies. Full article

This study develops two machine learning models to predict the medal performance of countries at the 2028 Olympic Games while systematically analyzing and quantifying the impacts of the host effect and exceptional coaching on medal gains. The dataset encompasses records of total medals by country, event categories, and athletes’ participation from the Olympic Games held between 1896 and 2024. We use K-means clustering to analyze medal trends, categorizing 234 nations into four groups (${\alpha }_1$, ${\alpha }_2$, ${\alpha }_3$, ${\alpha }_4$). Among these, ${\alpha }_1$, ${\alpha }_2$, ${\alpha }_3$ represent medal-winning countries, while ${\alpha }_4$ consists of non-medal-winning nations. For the $\alpha$1, $\alpha$2, and $\alpha$3 groups, 2–3 representative countries from each are selected for trend analysis, with the United States serving as a case study. This study extracts ten factors that may influence medal wins from the dataset, including participant data, the number of events, and medal growth rates. Factor analysis is used to reduce them into three principal components: Factor analysis condenses ten influencing factors into three principal components: the event scale factor (F1), the medal trend factor (F2), and the gender and athletic ability factor (F3). An ARIMA model predicts the factor coefficients for 2028 as 0.9539, 0.7999, and 0.2937, respectively. Four models (random forest, BP Neural Network, XGBoost, and SVM) are employed to predict medal outcomes, using historical data split into training and testing sets to compare their predictive performance. The research results show that XGBoost is the optimal medal predicted model, with the United States projected to win 57 gold medals and a total of 135 medals in 2028. For non-medal-winning countries (${\alpha }_4$), a three-layer fully connected neural network (FCNN) is constructed, achieving an accuracy of 85.5% during testing. Additionally, a formula to calculate the host effect and a Bayesian linear regression model to assess the impact of exceptional coaching on athletes’ medal performance are proposed. The overall trend of countries in the $\alpha$1 group is stable, but they are significantly affected by the host effect; the trend in the $\alpha$2 group shows an upward trend; the trend in the $\alpha$3 group depend on the athletes’ conditions and whether the events they excel in are included in that year’s Olympics. In the $\alpha$4 group, the probabilities of the United Arab Republic (UAR) and Mali (MLI) winning medals in the 2028 Olympic Games are 77.47% and 58.47%, respectively, and there are another four countries with probabilities exceeding 30%. For the eight most recent Olympic Games, the gain rate of the host effect is 74%. Great coaches can bring an average increase of 0.2 to 0.5 medals for each athlete. The proposed models, through an innovative integration of clustering, dimensionality reduction, and predictive algorithms, provide reliable forecasts and data-driven insights for optimizing national sports strategies. These contributions not only address the gap in predicting first-time medal wins for non-medal-winning nations but also offer guidance for policymakers and sports organizations, though they are constrained by assumptions of stable historical trends, minimal external disruptions, and the exclusion of unknown athletes. Full article

This article examines the struggles for water justice led by women in the Aconcagua River Basin (Valparaíso, Chile) through a hydrofeminist perspective. Chile’s water crisis, rooted in a colonial extractivist model and exacerbated by neoliberal policies of water privatization, reflects a deeper crisis of socio-environmental injustice. Rather than understanding water merely as a resource, this research adopts a relational epistemology that conceives water as a living entity shaped by and shaping social, cultural, and ecological relations. Drawing on life-history interviews and the construction of a hydrofeminist cartography with women river defenders, this article explores how gendered and racialized bodies experience the crisis, resist extractive practices, and articulate alternative modes of co-existence with water. The hydrofeminist framework offers critical insights into the intersections of capitalism, colonialism, patriarchy, and environmental degradation, emphasizing how women’s embodied experiences are central to envisioning new water governance paradigms. This study reveals how women’s affective, spiritual, and territorial ties to water foster strategies of resilience, recovery, and re-existence that challenge the dominant extractivist logics. By centering these hydrofeminist life histories, this article contributes to broader debates on environmental justice, decolonial feminisms, and the urgent need to rethink human–water relationships within the current climate crisis. Full article

In response to the increasing politicization and polarization of discourses around gender, sexuality, and the body, feminist theorists like Judith Butler call for feminism to strive toward flexibility and responsivity. This essay lays out some of the theoretical considerations that inform studies of graphic embodiment—or studies of embodiment in graphic narratives—both generally and within feminist studies, then examines several graphic texts by Tillie Walden and Élodie Durand that exemplify feminist theories of embodiment, with particular attention to the creative co-construction of embodied narratives. Full article

The current study examines the determinants influencing preparatory year (PY) students’ intentions to adopt AI-powered natural language processing (NLP) models, such as Copilot, ChatGPT, and Gemini, and how these intentions shape their conceptions of digital sustainability. Additionally, the extended unified theory of acceptance and use of technology (UTAUT) was integrated with a diversity of educational constructs, including content availability (CA), learning engagement (LE), learning motivation (LM), learner involvement (LI), and AI satisfaction (AS). Furthermore, responses of 274 PY students from Saudi Universities were analysed using partial least squares structural equation modelling (PLS-SEM) to evaluate both the measurement and structural models. Likewise, the findings indicated CA (β = 0.25), LE (β = 0.22), LM (β = 0.20), and LI (β = 0.18) significantly predicted user intention (UI), explaining 52.2% of its variance (R² = 0.522). In turn, UI significantly predicted students’ digital sustainability conceptions (DSC) (β = 0.35, R² = 0.451). However, AI satisfaction (AS) did not exhibit a moderating effect, suggesting uniformly high satisfaction levels among students. Hence, the study concluded that AI-powered NLP models are being adopted as learning assistant technologies and are also essential catalysts in promoting sustainable digital conceptions. Similarly, this study contributes both theoretically and practically by conceptualising digital sustainability as a learner-driven construct and linking educational technology adoption to its advancement. This aligns with global frameworks such as Sustainable Development Goals (SDGs) 4 and 9. The study highlights AI’s transformative potential in higher education by examining how user intention (UI) influences digital sustainability conceptions (DSC) among preparatory year students in Saudi Arabia. Given the demographic focus of the study, further research is recommended, particularly longitudinal studies, to track changes over time across diverse genders, academic specialisations, and cultural contexts. Full article