Search Results (75)

Background/Objectives: Despite the numerous health benefits of exclusive breastfeeding (EBF) for the infant and the mother, EBF rates in Lao People’s Democratic Republic, Lao PDR, remain at 40%. We investigate how barriers to EBF were overcome by a social transfer intervention. Methods: Data from the Social Transfers for Exclusive Breastfeeding ongoing randomised controlled trial (RCT) (n = 298) in Vientiane, Lao PDR, was used. Mothers in the RCT were randomised equally into a control group, an unconditional transfer group and a conditional transfer group and followed up to six months (n = 280). We used logistic and Cox proportional hazards regression models to investigate the association of predictor variables with EBF at six months and the risk of EBF cessation in each of the three groups. Results: Greater breastfeeding self-efficacy increased the odds of EBF at six months in both intervention groups (unconditional transfer OR 1.39 [95% CI 1.09, 1.87, p = 0.02] and conditional transfer OR 1.26 [1.01, 1.61, p = 0.05]) and reduced the risk of EBF cessation (unconditional transfer HR 0.87 [0.77, 0.98, p = 0.02]). Maternal secondary and tertiary education in the intervention groups showed higher odds of EBF at six months and lower EBF cessation risk. Participants in the intervention group that intended to exclusively breastfeed in pregnancy showed a reduced EBF cessation risk in both intervention groups. Conclusions: Social transfers helped overcome the exclusive breastfeeding barrier of a higher education level and working status and improved EBF outcomes for mothers who intended to exclusively breastfeed and wanted the pregnancy. Breastfeeding self-efficacy positively influences EBF outcome, regardless of whether the mother received a social transfer or not. Full article

Homelessness is characterised by a wide range of risk factors of a multidimensional and unstable nature. The COVID-19 pandemic intensified these risk factors associated with homelessness but also prompted the development of prevention and care actions. This study identified and mapped the intervention programmes carried out for people experiencing homelessness in the wake of the COVID-19 pandemic. To achieve the study purpose, a thematic analysis of the scientific literature was conducted following the search strategy and analysis methodology characteristic of informetrics and scientometrics. The sources of information used were WoS, Scopus, PubMed, PsycINFO and ERIC. The paucity of planned actions, most of which have a local impact, reinforces the need to strengthen research that presents robust evidence on this issue. China and Europe are under-represented compared to other types of studies linked to COVID-19 and the prevalence of homelessness. Several clusters are distinguished among the plans: they are carried out in buildings or in geographical areas and according to the impact on the group (preventive, substance-related disorder support, health care and diagnostic). Among the emerging themes, health and social variables are represented, including communication and trust between health, community and homeless groups. The reduction in the thematic dimensionality shows equal planning between health care actions (81.8%) and psychosocial and prevention support (72.8%), an aspect that confirms the importance of joint actions. In this line, among the various clusters of the network analysis, the relationship between hotel, mental health support, substance-related disorder, social intervention and access to permanent housing was found. The studies analysed also highlight social exclusion, stigma, victimisation, living conditions and the risk of contagion among this group. This situation has not gone unnoticed among the studies analysed, which present proposals for the continuation of the projects. Full article

Background/Objectives: Swedish schools are mandated to counteract gender norms that restrict students’ life opportunities. School personnel also bear the responsibility of fostering students’ democratic responsibilities and healthy behaviors, which is crucial not only for their mental wellbeing but also for their academic performance, as stressed by the European Commission. Aim: The purpose of the present study is to explore adolescents’ performativity of gender when discussing social barriers to mental and emotional wellbeing. Methods: Fifty adolescents were interviewed in small gender-divided groups, and the transcribed text was analyzed using thematic analysis. Theoretically, interactionist perspective and gender analytic discourses are applied. Results: Emotional barriers to mental wellbeing were identified based on too cogent gender norms. Boys describe challenging each other and the environment by using a social facade that includes “stoneface” and harsh language, seldom showing sadness, even among close friends. The girls’ facade includes maintaining a “happy face” and trying to be attractive. Both genders underline the need for belonging, and most of them fear social exclusion from peers. According to the interviewees, it is socially acceptable for girls to display most feelings, even mental difficulties such as anxiety or phobia, but among boys, gender norms still hinder them from showing emotional vulnerabilities such as sadness and risking exclusion. Conclusions: Young people’s emotional wellbeing needs to be further developed and included in the curriculum. It is time for adults to focus on boys’ sadness and depressive emotions, as well as girls’ aggressiveness and frankness rather than their appearance, to push the river of equality forward. Full article

Attention deficit hyperactivity disorder (ADHD) is a neurological disorder generally experienced as challenging, as it impacts multiple aspects of an individual’s life. There is a significant gap in the literature surrounding ADHD in adults, including experiences of stigma and social inclusion from the perspective of people with ADHD. This study aimed to explore perceptions and experiences of social inclusion and stigma amongst a sample of university students with ADHD living in Ireland. Nine semi-structured interviews were conducted with seven participants (four men and three women), including two follow-up interviews. The participants were all university students with an official diagnosis of ADHD. Data from the interviews were analysed using the descriptive and interpretive method of Constant Comparison Analysis. In total, sixteen categories (themes) were extracted and classified into five overarching domains: informational access, access to healthcare, attitudinal access, social inclusion, and academic accommodations. The findings indicated that ADHD adversely affects university students’ experience of social inclusion. Barriers to effective healthcare, negative attitudes towards ADHD, and misinformation/lack of information were all highlighted as risk factors for feelings of social exclusion. Universities should include students with disabilities when designing policies and provide accommodations to support them. Additionally, greater awareness and informational access is imperative to improving social inclusion for people with ADHD. Full article

The Digital Grey Divide (DGD) is a phenomenon that refers to the digital inequality existing among the elderly in using digital tools. DGD could generate social exclusion and hinder elderly well-being because today many aspects of life are online. The objective of the research is to compare the urban and rural group to see if a digital divide is present and whether psychological and cognitive well-being can be predictors of usage. The research involved 100 elderly people (belonging to two different areas: one rural and one urban) aged 65 to 90 (M = 72.3; SD = 6.4) with intact cognitive functioning investigated by the MMSE test. A socio-anagraphic module to investigate digital use (DU), a questionnaire on cognitive reserve (CRIq), and a questionnaire investigating well-being (Ben-SSC) were administered. Results showed that the two groups differ in terms of access and use of digital tools (F = 28.34, p < 0.001), with the urban group reporting higher levels of access and use. Moreover, in the urban group, psychological well-being has an inverse relationship with digital, while in the rural group, the relationship between cognitive well-being and use is direct. Therefore, the study aims to highlight how even in developed countries there can be a digital divide (DD) given the risks of exclusion, particularly for the elderly population. For all these reasons, it is necessary to pursue interventions to achieve a higher level of digitalization and sustainable development among the population. Given the importance of this phenomenon, it is necessary to address the issue of DD in various spheres of life: political, social, economic and care. Full article

Introduction: Hospitalisation and prolonged length of stay is associated with deconditioning that risks adverse outcomes after discharge. Less is known about the psychological impact on older people after hospital discharge. The purpose of this systematic review was to elucidate factors contributing to psychological stress in older patients post-discharge to inform better discharge planning. Methods: A systematic search for studies reporting poor discharge outcomes in older people between 2010 and 2022 was performed in Medline, CINAHL, and PsycINFO. Search terms were ‘older patients > 65 year’, ‘post-discharge’, ‘psychological distress’, ‘loneliness’, ‘anxiety’, ‘depression’, and ‘length of hospital stay’. Exclusion criteria included COVID-19 disease, dementia (±severe cognitive impairment), individuals aged <65, and those under palliative care services. Results: A total of 1666 records were identified, of which 878 were excluded as they were outside of our date limits or were not written in the English language, 681 were excluded after application of exclusion criteria, and 699 were excluded because of insufficient details. A total of 31 duplicates were removed, leaving 38 articles that were assessed for eligibility; 7 of these reports were found suitable, comprising 1131 patients. Three highly relevant themes identified relating to post-discharge outcomes were social isolation, lack of support, depression and anxiety. Older patients with a tendency toward depressive symptoms had an increased likelihood of death. Conclusions: It appears that the discharge process from hospital fails to address psychological factors that permit a successful transition from hospital. Pre-discharge screening of psychological symptoms and coping ability may assist in identifying older patients who are at risk of mental as well as subsequent physical deterioration. Better knowledge of positive and negative predictors of a successful transition from hospital to home would enable more holistic, effective, and inclusive discharge planning processes for older adults. Full article

The ability of older adults to engage with information and communication technologies (ICT) is crucial in today’s more digital and connected world. Anxiety about and failure to adopt and engage with ICT is increasingly likely to be a barrier in daily living for older adults, potentially reducing their freedom as consumers, quality of life, independence, and wellbeing. It may also be a significant factor in social and economic exclusion. Drawing on consumer behaviour, ICT theories and frameworks, and a quantitative survey of 706 older Australian adults, this paper examines factors influencing anxiety in engaging with ICT. Our findings show that perceived anxiety was associated with increased subjective norms or when others placed pressure on older people to engage more with ICT and when older adults perceived increased risks associated with ICT engagement. Conversely, reduced levels of perceived anxiety were correlated with a positive attitude towards ICT and when older people had the technical and cognitive resources to adopt and engage with ICT. The results highlight the importance of building, renewing, and reinforcing digital competencies in older consumers. Understanding factors associated with ICT-related anxiety means that organisations will be better placed to develop campaigns, products, programmes, and policies for older consumers that actively reduce anxiety, increase their use of ICT, and reduce the digital divide. Full article

Geography is a significant element of social innovation. This paper focuses on exploring differences and similarities in the characteristics and contributions towards impact of Work Integration Social Enterprises (WISEs), a form of social innovation which provides otherwise unmet services and opportunities to people at risk of social and economic exclusion and distant from the labour market, in rural and urban areas of Ireland. To do so, we use data from 336 surveys from urban (213) and rural (123) WISEs and conduct an exploratory and spatially sensitive analysis to compare the characteristics, in terms of organisational age, legal and governance form, multiplicity of activities, revenue diversification; and contributions towards impact, in terms of geographical focus/reach, employment, volunteers, and income generation. Our analysis shows that WISEs in urban and rural areas present rather similar organisational characteristics and ways of functioning (legal structure, multiactivity, multiple sources of funding), but their contributions to socioeconomic impact differ according to their spatial location, with urban WISEs generating significantly more employment and income than their rural counterparts. Our study illustrates that socially innovative organisations are spatially sensitive, and that context influences their capacity to create sustainable employment opportunities and contribute to the local economy. Full article

Background: Gambling Disorder (GD) is a bio-psycho-social disorder resulting from the interaction of clinical, cognitive, and affective factors. Impulsivity is a crucial factor in addiction studies, as it is closely linked to cognitive distortions in GD by encompassing impulsive choices, motor responses, decision-making, and cognitive biases. Also, emotions, mood, temperament, and affective state are crucial in developing and maintaining GD. Gambling can be used as a maladaptive coping strategy to avoid or escape problems and distress. Methods: The aim of the present study is to explore differences in personality traits and emotion regulation of people suffering from GD, substance-dependent gamblers (SDGs), and healthy controls (HCs). Additionally, the study proposes a new experimental task: the “Gambling Affective Task” (GAT) to investigate the influence of affective priming on risk-taking behaviors. Results: Our findings indicate that participants placed lower bets following positive priming. Additionally, SDGs wagered significantly higher amounts than HCs, regardless of priming type. In general, participants exhibited longer response times after positive priming trials, compared to negative and neutral priming trials. These findings suggest that experiencing positive emotions can act as a protective factor by delaying and lengthening gambling behaviors. By comparing gamblers with and without substance comorbidity, we can gain insight into the exclusive factors of GD and improve our understanding of this disorder. Conclusions: By elucidating the impact of emotional states on risk-taking, the research also provides new insights into the prevention and treatment of GD. Full article

The modern information society is marked by the predominant role of the knowledge-based economy, which is based on the synergy of intellectual and creative assets, new ideas and concepts, knowledge, and innovative discoveries. Simultaneously, emerging trends in sustainable growth are primarily manifested in the creative economy. Concurrently, the development of the information society in the context of the digital revolution, being the driver of the growth of the modern economic system, creates specific risks of social inequality due to the presence of digital parity. This article fills the gap by highlighting the significance of the potential for participation of youth and older people in the creative sector in the context of overcoming the risks of social exclusion in the context of the development of the information society. The hypotheses posed in the study were confirmed based on the use of economic and mathematical modeling. The information transformation of society with the strengthening of factors for the development of the creative economy creates new opportunities and new solidarities for sustainable development, making it possible to mitigate the risks of social exclusion of young people and older people. Full article

In this article, we aim to describe how the Operational Programme for the Support of Disadvantaged People (POAD), part of the European Fund for the Most Disadvantaged People (FEAD), has contributed to reducing the number of people at risk of poverty and social exclusion in Romania. We highlight the role of the auxiliary measures that accompanied the food support programme, as well as the added-value element of the implementation of the programme in Romania, emphasising the introduction of electronic social vouchers for hot meals for the eligible target group and electronic social vouchers to provide educational support for disadvantaged children. The research methodology used considered combinations of quantitative and qualitative methods, combining multiple data sources to reflect the perspectives of all stakeholders and relating quantitative data to representative samples using a participatory approach. Macro-level data on risk-of-poverty and social exclusion indicators, as well as information from sectoral analyses (social transfers), show an improvement in the situation of people in the POAD target group and a decrease in the number of people at risk of poverty and social exclusion. However, progress is limited, and it is difficult to determine the degree to which this is due to the POAD. Romania still ranks lowest in the European Union in terms of indicators measuring the risk of poverty and social exclusion. The provision and monitoring of accompanying programmes are an area where the potential of POAD could be further exploited. The need to strengthen the accompanying measures is extraordinarily strong and emerges from the analysis of information provided by final beneficiaries and public authorities responsible for the implementation of the programme. The distribution of social vouchers enables final beneficiaries to choose the goods they need. Purchases with social vouchers are less affected by the risks of financial corrections, final beneficiaries can monitor the consumption of the support received in real time, the number of supporting documents is reduced, and reimbursement is issued only for the amounts used by final beneficiaries. Full article

There is evidence that promoting prosociality through music helps activate participation and integration with the environment, supporting the emergence of empathic responses and fostering bonds between people, especially those with societal inclusion difficulties. The objective of this study was to conduct a systematic review of psychosocial intervention programs that have used musical techniques to promote prosociality in populations at risk of social exclusion. The search was performed following PRISMA methodology guidelines in the Web of Science, Scopus, ERIC, PubMed, and ProQuest databases between 2000 and 2021. A total of 11 studies met the selection criteria. The type of musical activity applied, research design, sample sociodemographic characteristics, measurement instruments and effectiveness were compared. Despite the heterogeneity of the interventions, populations, and contexts among the studies, music was found to be a potential resource for increasing prosocial behaviors, promoting physical and psychological health, and constructing alternatives to antisocial behaviors through the creation of safe spaces for creatively expressing subjectivity, providing prosocial referents, and facilitating cohesive and positive relationships. The limitations highlight the importance of investigating other variables within the studied populations, such as the age of the beneficiaries, the psychosocial problems they present, the level of risk they present, or even their motivations for participating in these programs. It can be concluded that this type of intervention has an impact on the increase in prosocial behaviors in people at risk of social exclusion. However, future studies should address methodological aspects related to the intervention itself, such as the duration of the intervention and the types of activities developed in these programs. Full article

The situation of social exclusion in which older adults live in extreme poverty is a problem that leads to psychological alterations such as depression or cognitive deterioration. Our objective was to analyze the living conditions and the psychosocial sphere of older adult people living in extreme poverty in Requena del Tapiche in Peru. This was an observational, descriptive, cross-sectional study. Sixty participants between 60 and 100 years of age of both sexes were included who gave their informed consent. Sociodemographic variables were analyzed, and the Gijón, family Apgar, Yesavage, and Pfeiffer scales were used. The sample was composed of 55% women and 45% men, with a mean age of 79.2 years (SD 6.67). More than half live alone or with their spouse. Fifty-seven percent sleep on the floor or on wood, and about 82% do not have safe water. Family dysfunction is found in 40%, and 98% are at social risk or with an established social problem and a precarious economic situation. More than 60% suffer from depressive symptoms, which are more frequent in women. We conclude that older adults perceive deficient family support, observing a deteriorated social situation. Most of them are at risk of social exclusion and loneliness, making them more vulnerable. They show sadness, with a high rate of depression. People with more cognitive impairment live alone, and those in social exclusion suffer a higher degree of depression. More cooperative projects and health promotion interventions developed in the peripheral neighborhoods of Requena del Tapiche are needed to improve the impact on the health of older adult people in extreme poverty. Full article

Acceptance by the local public is the key determinant for the successful implementation of NIMBY (Not-In-My-Backyard) infrastructures and may be shaped in different ways among different infrastructure types. Based on social cognitive theory (SCT), this study clarifies the specific mechanism shaping local public acceptance of NIMBY facilities with two types of hazardous effects (i.e., pollution and psychological exclusion) using a large-scale questionnaire survey and structural equation model. The results reveal that, firstly, SCT provides a solid theoretical basis for exploring the mechanism under the joint action of environmental and personal factors. Secondly, it is verified that self-efficacy indirectly predicts local public acceptance by influencing perceived risk. The effect of the positive affect tag is mediated by perceived risk in shaping acceptance of polluting facilities but not of psychologically excluded facilities. In general, people tend to have a lower perceived risk, higher perceived benefit, stronger sense of self-efficacy, and more positive attitude when faced with the siting of psychologically excluded NIMBY facilities over polluting ones. These findings are helpful for planning and decision-making of NIMBY facilities with different types of hazardous impacts, reducing NIMBY conflicts and promoting the construction of NIMBY infrastructures. Furthermore, it contributes to the achievement of Sustainable Development Goal (SDG) 16 (promoting peaceful and inclusive societies for sustainable development) and (SDG) 11 (building inclusive, safe, resilient and sustainable cities and human settlements). Full article

People with disability are disproportionally affected by disasters due to layers of marginalisation from an interaction of personal, social, economic, political, and environmental factors. These intersect with gender, gender identity, and sexual orientation, and result in additional discrimination and social exclusion that reinforce inequality and stigma. There has been little focus on the intersection of disability and gender in disability-inclusive disaster risk reduction (DIDRR) in high-income countries. This paper reports on a scoping review exploring the intersection of gender and sexual identity and disability in disaster in both peer-reviewed and grey literature. Building greater awareness of the specific needs of marginalised groups such as women, gender, and sexually diverse people into DIDRR will reduce the disproportionate impacts of disaster on these groups. Full article