Search Results (438)

Background: Access to safe and reliable water and sanitation remains a critical public health and development challenge, with rural and low-income communities being disproportionately affected by inadequate services and heightened exposure to waterborne diseases. Despite global efforts and infrastructure-based progress indicators, significant disparities persist, and these often overlook users’ perceptions of water quality, reliability, and safety. This study explores the determinants of household satisfaction with drinking water in rural areas, comparing subjective user feedback with official access data to reveal gaps in current monitoring approaches and support more equitable, user-centered water governance. Methods: This study was conducted in Kazakhstan’s Atyrau Region, where 1361 residents from 86 rural villages participated in a structured survey assessing household access to drinking water and perceptions of its quality. Data were analyzed using descriptive statistics and multinomial logistic regression to identify key predictors of user satisfaction, with results compared against official records to evaluate discrepancies between reported experiences and administrative data. Results: The field survey results revealed substantial discrepancies between official statistics and residents’ reports, with only 58.1% of respondents having in-house tap water access despite claims of universal coverage. Multinomial logistic regression analysis identified key predictors of user satisfaction, showing that uninterrupted supply and the absence of complaints about turbidity, odor, or taste significantly increased the likelihood of higher satisfaction levels with drinking water quality. Conclusions: This study underscores the critical need to align official water access statistics with household-level experiences, revealing that user satisfaction—strongly influenced by supply reliability and sensory water quality—is essential for achieving equitable and effective rural water governance. Full article

Background: Chlamydia trachomatis is the most prevalent bacterial sexually transmitted infection (STI) globally, linked to severe complications such as pelvic inflammatory disease and infertility. In the Brazilian Amazon, socioeconomic vulnerability and the absence of screening policies exacerbate risks, particularly among female sex workers (FSWs). Objective: This study aimed to determine the seroprevalence of anti-C. trachomatis IgG antibodies among FSWs in five municipalities of Pará State, Brazilian Amazon, and identify epidemiological factors associated with infection. Methods: A retrospective cross-sectional study (2005–2007) included 348 FSWs recruited via convenience sampling. Sociodemographic and behavioral data were collected through questionnaires, and blood samples were analyzed by ELISA for anti-C. trachomatis IgG. Statistical analyses included Fisher’s exact tests, odds ratios (ORs), and 95% confidence intervals (CIs), using SPSS 21.0. Results: Overall seroprevalence was 93.9% (327/348; 95% CI: 83.1–90%). Significant associations included a household income of 1–3 minimum wages (98.4%; p = 0.0002), sexual partners from the same region (98.8%; p = 0.0421), and age >42 years (96.3%). Most reported inconsistent condom use (43.7%), multiple monthly partners (54.6%), and illicit drug use (53.4%). Discussion: The extremely high seroprevalence reflects chronic C. trachomatis exposure, driven by socioeconomic deprivation and limited healthcare access. Comparisons with global data underscore the urgent need for screening policies, absent in Brazil for FSWs, and highlight the vulnerability of this population. Conclusions: The findings reveal an alarming burden of C. trachomatis exposure among Amazonian FSWs. Integrated strategies, including routine screening, sexual health education, and inclusion of FSWs in priority health programs, are critical to reduce transmission and associated complications. Full article

Environmental protection has become one of the key challenges of our time. This has led to an increase in pro-environmental activities in the field of cosmetics and household chemicals, where manufacturers are increasingly trying to meet the expectations of consumers who are aware of the potential risks associated with the production of cosmetics and household chemistry products. This is one of the most important challenges of today’s industry, given that some of the raw materials still commonly used, such as surfactants, may be toxic to aquatic organisms. Many companies are choosing to use natural raw materials that have satisfactory performance properties but are also environmentally friendly. In addition, modern products are also characterized by reduced consumption of water, resources, and energy in production processes. These measures reduce the carbon footprint and reduce the amount of plastic packaging required. In the present study, seven formulations of environmentally friendly car shampoo concentrates were developed, based entirely on mixtures of bio-based surfactants. The developed formulations were tested for application on the car body surface, allowing the selection of the two best products. For these selected formulations, an in-depth physicochemical analysis was carried out, including pH, density, and viscosity measurements. Comparison of the results with commercial products available on the market was also performed. Additionally, using the multiple light scattering method, the foamability and foam stability were determined for the car shampoos developed. The results obtained indicate the very high application potential of the products under study, which combine high performance and environmental concerns. Full article

Traditional energy conservation policies have primarily relied on economic incentives and informational campaigns. However, recent insights from behavioral and social sciences indicate that subtle behavioral interventions, particularly social nudges, can significantly influence household electricity use. This paper presents a structured review of 23 recent field studies examining how social nudging strategies, such as peer comparison, group identity, and normative messaging, have contributed to measurable reductions in electricity consumption. By analyzing intervention outcomes across different regions and formats, we identify key success factors, limitations, and policy implications. Special attention is given to ethical considerations, fairness in implementation, and potential challenges in sustaining behavior change. This study offers a framework for integrating social nudges into future energy policies, emphasizing their role as low-cost, scalable tools for promoting sustainable energy behavior. Full article

Objective: The aim of this study was to compare micronutrient intake and inadequacy estimates using household consumption and expenditure survey (HCES) and quantitative 24-h recall (24HR) data among women of reproductive age (WRA) in Kasungu district, Malawi. Methods: We conducted a secondary data analysis utilizing HCES dietary data from a subsample of households in rural areas of Kasungu district, which were sourced from the 2019/20 Malawi Fifth Integrated Household Survey (n = 183); and 24HR data were obtained from WRA in a community-based Addressing Hidden Hunger with Agronomy (AHHA) trial in the same district (n = 177). Micronutrient intakes and inadequacy were estimated under two alternative scenarios of large-scale food fortification (LSFF). We standardized apparent nutrient intakes from the HCES data using the adult female equivalent metric. Results: Estimated prevalence of micronutrient inadequacy fell within 20 percentage points between HCES and 24HR for iron (Fe), zinc (Zn), vitamins B2 and B9 under both no fortification and fortification scenarios. There were some discrepancies for the remaining B vitamins, being consistently large for vitamin B3. Conclusions: In the absence of 24HR data, HCES data can be used to make inferences about some micronutrient intakes and inadequacies among rural WRA in Malawi and to inform decisions regarding LSFF, including vehicle selection and coverage. However, additional efforts are needed to improve HCES for dietary nutrient surveillance given existing limitations. Full article

Global building energy consumption is significantly increasing. Utilizing renewable energy sources may be an effective approach to achieving low-carbon and energy-efficient buildings. A combined system incorporating solar photovoltaic–thermal (PV/T) components with an air-source heat pump (ASHP) was studied for simultaneous heating and power generation in a real residential building. The back panel of the PV/T component featured a novel polygonal Freon circulation channel design. A prototype of the combined heating and power supply system was constructed and tested in Fuzhou City, China. The results indicate that the average coefficient of performance (COP) of the system is 4.66 when the ASHP operates independently. When the PV/T component is integrated with the ASHP, the average COP increases to 5.37. On sunny days, the daily average thermal output of 32 PV/T components reaches 24 kW, while the daily average electricity generation is 64 kW·h. On cloudy days, the average daily power generation is 15.6 kW·h; however, the residual power stored in the battery from the previous day could be utilized to ensure the energy demand in the system. Compared to conventional photovoltaic (PV) systems, the overall energy utilization efficiency improves from 5.68% to 17.76%. The hot water temperature stored in the tank can reach 46.8 °C, satisfying typical household hot water requirements. In comparison to standard PV modules, the system achieves an average cooling efficiency of 45.02%. The variation rate of the system’s thermal loss coefficient is relatively low at 5.07%. The optimal water tank capacity for the system is determined to be 450 L. This system demonstrates significant potential for providing efficient combined heat and power supply for buildings, offering considerable economic and environmental benefits, thereby serving as a reference for the future development of low-carbon and energy-saving building technologies. Full article

This study investigates the impact of remittances on income inequality in Lebanon using annual time-series data for the years 2000–2023. Applying Johansen’s cointegration test, with financial development (FD), GDP, and household consumption expenditure (HCE) as the control variables, the study examines the long-run and short-run relationship between remittances and inequality. The study also considers the moderating impacts of FD and HCE to account for their indirect role in the remittance–inequality relationship. Dynamic relations are also examined by using impulse response functions (IRFs) and Forecast Error Variance Decomposition (FEVD) analyses. The long-run model estimates validate that remittances and income inequality are significantly and negatively related, i.e., increased remittance receipts serve to reduce income inequality in Lebanon. Remittance effects, however, are statistically insignificant in the short run. Interestingly, the results reveal that financial development weakens the remittances’ inequality-reducing effect, dampening their impact. Contrarily, a higher household consumption expenditure slightly strengthens the inequality-reducing effect of remittances. A comparison between the pre- and post-2019 periods reveals that the explanatory strength of remittances weakened during times of economic crisis, since the function of remittances was different during times of economic distress. Based on these findings, this study recommends that Lebanon not only promote financial development but also focus on financial inclusion, improve social safety nets, and provide inclusive economic growth to maximize remittance inflow benefits and efficiently reduce inequality. Full article

The study examines changes in household food security and identifies their key determinants in Zambia by comparing the pre-pandemic period to the COVID-19 pandemic period. Using nationally representative surveys from 2015 and 2021 and the coarsened exact matching (CEM) approach, 8650 households were matched for comparison. Two complementary food security measures are analysed using multinomial logit regression models: household expenditure share, representing economic vulnerability, and household dietary diversity score (HDDS), representing diet quality. The results show that household food expenditure share significantly increased from 53.8% to 61.4%, indicating increased economic vulnerability. Notably, household dietary diversity improved from 7.1 to 8.2 out of 12, indicating better dietary quality. Consistent determinants of food security—such as household size, education level, marital status, region, and employment—remained significant, but their protective effects weakened during the pandemic. Specifically, the protective effect of education declined, urban households became relatively more vulnerable, and wealthier households experienced minimal changes. The study recommends targeted interventions, including expanding social protection programmes for economically vulnerable households, supporting informal food markets, enhancing rural–urban food supply linkages, and promoting nutrition education to ensure diverse, affordable food access during crises. Full article

This article aims to evaluate the seasonal efficiency of natural gas boilers used in European households, highlighting the cost effectiveness, environmental benefits, and user comfort associated with higher-efficiency models, particularly those based on condensing technology. The study applies a standardized algorithm used in European energy labeling schemes to calculate the seasonal efficiency of household gas boilers. It further includes a comparative analysis of selected boiler models available on the Serbian market and outlines a step-by-step method for estimating gas savings when replacing older, less efficient boilers with modern units. Condensing boilers demonstrate significantly higher seasonal efficiency than standard models by recovering additional heat from exhaust gases. These improved boilers produce lower greenhouse gas emissions and offer annual fuel savings of approximately 10% to 30%, depending on the boiler’s age, system design, and usage patterns. The results also confirm the direct correlation between seasonal efficiency and annual fuel consumption, validating the use of efficiency-based cost comparisons. The analysis focuses on residential gas boilers available in the Serbian market, although the models examined are commonly distributed across Europe. The findings highlight the important role of energy efficiency labels—based on a standardized algorithm—in guiding boiler selection, helping consumers and policymakers make informed decisions that promote energy savings and reduce environmental impact. This article contributes to the theoretical and practical understanding of gas boiler efficiency by integrating algorithm-based evaluation with market data and user-centered considerations. It offers actionable insights for consumers, energy advisors, and policymakers in the context of Europe’s energy transition. Verifying the efficiency calculations of gas boilers requires a careful combination of theoretical methods, measured data, and adherence to standards. Full article

The increasing need for efficient energy consumption monitoring, driven by economic and environmental concerns, has made Non-Intrusive Load Monitoring (NILM) a cost-effective alternative to traditional measurement methods. Despite its progress since the 1980s, NILM still lacks standardized benchmarks, limiting objective performance comparisons. This study introduces several key contributions: (1) the development of five new converters with 13-digit timestamp support and harmonic inclusion, improving the data collection accuracy by up to 25%; (2) the implementation of an advanced disaggregation software, achieving a 10–15% increase in the F1-score for certain appliances; (3) a detailed analysis of harmonics’ impact on NILM, reducing the Mean Normalized Error in Assigned Power by up to 40%; and (4) the design of open-source measurement hardware to enhance reproducibility. This study also evaluates open hardware platforms and compares five common household appliances using NILM Toolkit metrics. Results demonstrate that open hardware and software foster reproducibility and accelerate innovation in NILM. The proposed approach contributes to a standardized and scalable NILM framework, facilitating real-world applications in energy management and smart grid optimization. Full article

Purpose: Socio-demographic inequities in mental health were magnified by COVID-19, with women experiencing greater household burden with less support in Canada and globally. While some health patterns during COVID-19 have been observed globally, there is a research gap in rural mental health during COVID-19 in Canada. We hypothesize there is a disparity in mental health decline during COVID-19 between men and women. Methods: In rural Ontario, mental health was measured through a survey of approximately 18,000 individuals living in seven counties. In 2021, survey respondents were asked to rate their mental health prior to and during COVID-19. Women reported poorer mental health during COVID-19 in comparison to men when tested via chi-squared tests, odds ratios, and percentage change. Responses to survey questions regarding social, financial, and mental health support were then evaluated. Findings: We found significant disparities in mental health ratings before and during COVID-19 between men and women. Women reported poorer mental health, increased substance use, and increased worry about social, financial, and community stressors. Respondents who self-identified as a woman were associated with poorer mental health outcomes. Conclusions: Interventions should be specific to geographic communities as well as individual needs (e.g., additional financial and childcare support). Rural communities need to be considered as independent geographies rather than as one geography (i.e., urban vs. rural). Full article

In the housing sector emission reduction builds on a shift from fossil fuels to renewable energy sources and increasing the efficiency of energy usage, with heating playing a dominant role in comparison to that of electricity. For electricity production in the residential sector, research shows that different settings of (co-)ownership in renewables are linked to a greater tendency to invest in energy-efficient devices or to adopt more energy-conscious behaviours. The empirical analysis demonstrates that fully-fledged prosumers, i.e., consumers who have the option to choose between self-consumption and selling to third parties or the grid, exhibit a higher tendency to invest in energy efficiency and that only this group manifests a greater likelihood of engaging in conscious-energy consumption behaviour. This paper extends the analysis to include heating in the residential sector. The study conducted an ANCOVA based on a sample of 2585 German households. The findings show that, depending on the (co-)ownership setting, the willingness to invest and to adopt energy-efficient practices grows considerably. Consumer-sellers demonstrate the highest willingness to invest and adapt energy conscious behaviour. Furthermore, regarding heating in particular, self-consumers are also inclined to invest and engage in energy-savings behaviour. Full article

The voluntary basis on which recycling and energy saving are performed at households brings forward the need to better understand the profile of recyclers and non-recyclers and to make meaningful comparisons between them. Hence, the aim of this study is to compare recyclers’ and non-recyclers’ profiles and practices in order to detect areas that require policy and educational interventions. To achieve this aim, this study collected a representative sample of 384 citizens in a fast-growing urban center and compared recyclers and non-recyclers in terms of their environmental practices. The results showed that both groups identified environmental protection as their leading motive to recycle, while plastic and paper were the most recycled materials. An interesting difference between the two groups was that recyclers were more engaged in energy-saving, suggesting that recycling engagement may be associated with the adoption of energy-saving practices. The Internet was the leading information source across both groups, emphasizing the role it can play in spreading accurate and motivating messages about recycling and energy-saving. This study provides a useful and nuanced picture of recyclers’ and non-recyclers’ profiles and their differences, and as such, it can introduce new angles for the design of strategies for encouraging pro-environmental behavior. Full article

Background: Childhood obesity rates remain high in the United States, with long-term implications for physical and mental health. Emerging research suggests that caregiving arrangements, particularly those involving non-parental caregivers such as grandparents, may influence adolescent health behaviors, including diet and physical activity. This study examined whether caregiver type (parents-only, grandparents-only, or multi-generational households) during adolescence predicted dietary patterns and physical activity trajectories into young adulthood. Methods: Data were drawn from 6260 participants in the National Longitudinal Study of Adolescent to Adult Health (Add Health). Caregiver type was identified at baseline (Wave 1), and dietary intake and physical activity were assessed across four waves from adolescence (~age 15) to early adulthood (~age 29). We employed generalized linear models and linear mixed-effects models with multiply imputed data to examine changes in sedentary behavior, individual exercise, and team sport participation over time, controlling for age, sex, and race. Results: Overall dietary intake at baseline did not significantly differ by caregiver type (Wilks’ Λ = 0.998, p = 0.389); however, an exploratory comparison indicated lower dairy consumption in homes with a grandparent present (t(6258) = 1.995, p = 0.046). Trajectories of individual exercise differed significantly by caregiver type over time (Time × Caregiver interaction: F(6, 10,395.601) = 2.795, p = 0.010), with adolescents in grandparent-only households reporting higher individual exercise at Wave 1. Sedentary behavior trajectories also significantly differed by caregiver group over time (Wave × Caregiver interaction: F(6, 18,951.310) = 23.026, p < 0.001). Baseline nutrition was positively associated with individual exercise trajectories into young adulthood (Time × Nutrition interaction: F(2.961, 13,096.103) = 3.974, p = 0.012). Conclusions: Caregiver structure during adolescence appears to shape long-term physical activity patterns, albeit modestly. These findings highlight the need to consider diverse family configurations—particularly grandparent-led households—when designing public health interventions to promote adolescent nutrition and physical activity. Full article

Background: Hand, foot, and mouth disease (HFMD) is a frequently self-limited viral infectious disease that affects children and has no specific antiviral treatment option. There has been increasing interest in bee products in recent years, and propolis has come to the fore due to its impressive therapeutic and protective effects. Although previous studies have shown the inhibitory effect of propolis against enteroviruses (EVs), there are no clinical data regarding its use in combatting HFMD. This prospective multicenter randomized clinical study aimed to evaluate the effect of administering propolis to children with HFMD. Methods: This study analyzed 183 children with HFMD. All children were assessed for eligibility and diagnosed with HFMD by a child health and disease specialist after presenting with symptoms of either fever, enanthem, or exanthems that had begun within the last 48 h. The patients were randomly assigned to the group receiving Anatolian propolis (n = 87) or that receiving no supplement—the control group (n = 96)—in addition to receiving symptomatic therapy as decided by the physician. The duration of the patient’s complaints, the distribution of the lesions on their body, and their fever status were recorded on admission. Parents were asked to rate the severity of their child’s restlessness, inappetence, and sleeplessness on a scale of 0–10 at their initial, second (at 48th hour), and third (after 5–7 days) visits to the hospital. The primary data analysis methods included the Kolmogorov–Smirnov test for normality and non-parametric tests such as the Kruskal–Wallis and Mann–Whitney U tests, which were used for group comparisons. Results: The median age of the patients was 28 months (range: 12–112), and the male-to-female ratio was 1:1. Most patients (62.8%) had no history of a household contact with HFMD. Intraoral lesions were present in 92.3% of patients, and 47.5% received the propolis treatment while 53.5% were in the control group. There was a significant difference between the groups in terms of their complaint scores during their second (p = 0.028) and third (p < 0.001) visits to the hospital. In addition, the mean duration of the illness in the propolis group (7.45 days) was significantly lower than that in the control group (8.58 days) (p < 0.001). No adverse effects were observed. Conclusions: Propolis has been shown to facilitate symptomatic relief and reduce the duration of the disease in children with HFMD. To better assess the efficacy of this product, which can be used safely in children, future studies supported by virological analyses are required. Full article