Search Results (105)

E-waste, a form of solid waste, contains many recyclable metals, but improper disposal can make it very harmful. Therefore, the recycling of e-waste is very important, and the willingness of residents to participate is crucial in e-waste recycling. Taking Jiangsu Province, China as an example, we used the theory of reasoned action (TRA) to construct a research model to investigate the factors influencing residents’ willingness to participate in e-waste recycling. The paper introduces impression management motivation and further reveals the application of the Hawthorne effect in e-waste recycling. The paper also introduces the awareness of benefits, which encompasses personal economic benefits, physical health benefits, and environmental benefits, with physical health benefits being ignored by most of the previous literature. In addition, knowledge and convenience are also introduced in this paper. A total of 400 valid responses were used to test the hypotheses of the structural equation model. It was found that all factors positively influenced residents’ willingness to engage in e-waste recycling. Attitude has a mediating role in the effects of convenience, knowledge, and awareness of benefits on willingness, and subjective norms have a mediating role in the effects of impression management motivation on willingness. The model explains 82.9% of the variance in residents’ willingness to recycle e-waste, surpassing the original TRA model’s explanatory power and confirming the strength of the extended framework. The study provides valuable policy implications for the government to promote e-waste recycling. Full article

Background: Breastfeeding is the ideal source of nutrition for babies. Despite its benefits, breastfeeding practices and attitudes vary across cultures, influenced by societal norms, education, and personal experiences. This article shows the attitude differences among female students in Syria and Hungary and how sociocultural aspects impact their attitude towards breastfeeding. Methods: The questionnaire was a part of a multi-section questionnaire presented to 317 Syrian students and 303 Hungarian students. It assessed students’ attitudes towards breastfeeding through the Iowa Infant Feeding Attitude Scale (IIFAS). In addition to cross-tabulations, an exploratory data categorisation method, i.e., cluster analysis, was used in analysing the data. Results: Participants in both countries demonstrated strong agreement with statements highlighting the emotional and nutritional advantages of breastfeeding. In total, 67.2% of the participants disagreed with the idea that formula feeding is more convenient; similarly, 66.3% of them disagreed that breastfeeding causes fathers to feel emotionally excluded. Attitudes toward breastfeeding in public were more divided, reflecting the sensitivity of the topic and varying degrees of acceptance, with 48.7% of respondents disagreeing. Multivariate analysis demonstrated that nationality or age were significant predictors of belonging to various attitude clusters (SBM, SFF, FT): Syrian respondents and younger participants aged 21–30 years were more likely to belong to the Supporters of Breast Milk (SBM) cluster. In addition, paternal education level and urban residence also influenced feeding attitudes. Conclusions: This study shows the differences in attitude among Syrian and Hungarian female students, which is rooted in cultural diversity and its effect on individuals’ decisions. Full article

Grounded in the existing literature on administrative burden and using a qualitative and community-engaged research approach, the research examined the administrative burden experienced in accessing disability, retirement, and survivor benefits from the Social Security Administration (SSA). The research team held in person and virtual focus groups and interviews with 40 adults with disabilities, older adults, and family members of people with disabilities who resided in rural areas of the U.S. State of New Hampshire in 2024. The qualitative analysis revealed that rural residents, regardless of type of SSA benefit receipt, were experiencing high levels of administrative burden in their interactions with the SSA and preferred to turn to in-person assistance at local SSA field offices (rather than phone, mail, or web-based service options) to address these concerns. Overall, people living in rural counties that do not have local SSA field offices voiced a distinct disadvantage in terms of knowing where to turn with questions about their benefits. A lack of ready and reliable access to information and advice led to endangering their own economic stability and to increased calls and visits to the SSA. Persons with stronger social networks were better able to overcome these barriers to services. Full article

The potential benefits of green travel in achieving dual-carbon goals and promoting sustainable urban development have been widely recognized. However, the various factors influencing green travel behavior in small- and medium-sized central urban areas have not been adequately explored. This study developed a theoretical model to analyze residents’ green travel decision-making, integrating the theory of planned behavior and the stimulus–organism–response model. The model was validated through qualitative and quantitative analyses, revealing key findings. (1) Residents’ green travel awareness and intentions are influenced by personal characteristics, internal psychological factors, and external environmental factors, each with varying degrees of impact. (2) Psychological demand for travel and extreme weather conditions significantly impact green travel awareness. (3) Green travel awareness positively affects actual green travel behavior, with other factors indirectly influencing behavioral intention through awareness. (4) Subjective norms and policy support directly influence green travel choices. Based on these findings, the study suggests policy recommendations to enhance residents’ green travel awareness, promoting sustainable urban development. Full article

Engaging with music has been shown to have a positive impact on the quality of life of residents in care homes, who are known to be affected by anxiety, depression and loneliness. Based on the known benefits of in-person singing activities, a new Virtual Reality (VR) choir application was developed to facilitate group singing, aiming to improve residents’ wellbeing and sense of community. Co-designed with Alzheimer Scotland, the intervention was tested in two care homes for functionality and to develop an approach towards assessing feasibility. Residents participated in scheduled sessions over a five-week period, in addition to staff engaging in independent ad hoc use of the experience with residents. Data on reactions to the intervention, the quality of life of participants and preferences about the outcome instruments were collected. The VR intervention proved technically successful, user-friendly, and allowed multiple users to sing together. Participants and staff showed strong enthusiasm for the intervention, with residents actively engaging in singing and movement, although some residents found the headsets uncomfortable. This suggests that VR choirs could be a valuable, scalable activity in care homes, especially when in-person facilitators are unavailable. Preliminary observations indicated that the intervention was not detrimental to participants’ health; however, the sample size was very small and a larger feasibility study is required to examine the intervention’s effectiveness, scalability, and cost-effectiveness. This research highlights the challenges associated with measuring the feasibility of VR interventions in residential care settings, and the value of capturing qualitative data in an ecological setting that represents the intended use of the intervention. Full article

With the development of transportation networks, countless trajectory data are accumulated, and understanding human mobility from traffic data could be helpful for smart cities, urban computing, and urban planning. Extracting valuable insights from traffic data, such as taxi trajectories, can significantly improve residents’ daily lives. There are many studies on spatiotemporal data mining. As we know, arrival prediction or regional function detection encompasses important tasks for traffic management and urban planning. However, trajectory data are often mutilated because of personal privacy and hardware limitations, i.e., we usually can only obtain partial trajectory information. In this paper, we develop an embedding method to predict the next arrival using the origin–destination (O-D) pair trajectory information and point of interest (POI) data. Moreover, the embedding information contains region latent features; thus, we also detect the regional function in this paper. Finally, we conduct a comprehensive experimental study on a real-world trajectory dataset. The experimental results demonstrate the benefit of predicting arrivals, and the embedding vectors can detect the regional function in a city. Full article

Background/Objectives: Orthodontic treatment offers significant functional and aesthetic benefits, but it often causes discomfort, impacting patients’ daily activities, including diet and medication use. The primary aim of this observational study was to assess the influence of orthodontic patients’ age, gender, and living environment on pain duration, diet impairment, and analgesic use one week after their first adjustment visit to the orthodontist. Methods: This observational study included a sample of 194 orthodontic patients who completed a questionnaire consisting of six single-choice questions. The questions addressed the following variables: age, gender, living environment, pain duration, diet impairment, and analgesic use. The main inclusion criteria encompassed undergoing fixed orthodontic treatment on the upper arch for one week using a 0.0016-inch superelastic NiTi archwire (American Orthodontics, Sheboygan, WI, USA) and presenting moderate to severe crowding of the upper and lower anterior teeth. Results: Female patients were significantly more likely to experience diet impairment than males (51.9% vs. 33.3%, p = 0.013). Among female patients reporting pain lasting approximately one week, a higher proportion resided in rural areas (25% vs. 6.8%, p = 0.045), whereas male patients reporting the same pain duration predominantly lived in urban areas (12.5% vs. 0%, p = 0.028). Overall, 55.7% of participants used analgesics, with females in rural areas being the most frequent users. Additionally, patients who used analgesics were significantly more likely to experience diet impairment than those who did not (64.3% vs. 49.1%, p = 0.041). Conclusions: Female patients residing in rural areas reported a longer duration of pain, which led to a greater likelihood of experiencing diet impairment and increased consumption of analgesics compared to their counterparts. These findings highlight the need for personalized pain management strategies in orthodontic treatment, especially for patients with increased vulnerability to discomfort. Full article

Chinese cities have made significant progress in fostering low-carbon societies and piloting a variety of low-carbon measures. Nonetheless, the effective implementation of these initiatives and the long-term upkeep of related amenities rely heavily on resident support. The existing studies provide limited insight into how local residents perceive and endorse different types of low-carbon measures, which often involve varying trade-offs. Addressing this gap, the present study surveyed the willingness to pay (WTP) of residents in Hangzhou—an early adopter of low-carbon practices in China—across five representative low-carbon measures. Survey data were collected from 13 distinct residential neighborhoods. The results indicate that Hangzhou residents are more inclined to financially support measures offering direct personal benefits compared to those benefiting the collective good, with this tendency being notably pronounced among highly educated individuals. Further findings include the following: (1) respondents aware of ongoing low-carbon measures were more willing to pay for them; (2) male respondents, recent migrants (within the past five years), high-income groups, and residents in aging communities tended to contribute higher amounts; (3) providing detailed information on carbon mitigation effects markedly increased both the likelihood and the magnitude of WTP; (4) the promotion of new energy vehicles (NEVs) remains contentious, particularly between NEV owners and gasoline vehicle owners. These findings highlight the need for targeted policies and educational programs to strengthen public awareness and support for low-carbon interventions, thereby advancing sustainability in fast-growing urban centers like Hangzhou. Overall, these findings provide key insights for the formulation of low-carbon city policies and sustainable urban planning, emphasizing the global importance of local socioeconomic dynamics and offering a valuable reference for cities worldwide seeking to advance sustainability transitions and meet international climate targets. Full article

This study explores the intricate relationship between the growth of medical tourism in Malaysia and its impacts on the local community, particularly focusing on residents’ quality of life. Malaysia’s status as a competitive destination for affordable, high-quality healthcare services has led to significant economic growth, including increased healthcare revenue, job creation, and infrastructure improvements. However, the influx of foreign patients has raised concerns regarding healthcare accessibility for locals and the strain on local resources. Data from 361 respondents were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that medical tourism positively affects economic performance, with a significant path coefficient (β = 0.434, p < 0.01), showing a strong correlation between economic benefits and perceived improvement from medical tourism development. Similarly, personal benefits from the industry have a positive influence on quality of life (β = 0.202, p < 0.05). However, this study also reveals that attitudes towards medical tourism do not significantly impact residents’ perceptions of quality of life (β = 0.057, p > 0.05), highlighting social disparities in how different groups experience the effects of this industry. The findings suggest that while medical tourism offers economic advantages, challenges such as reduced healthcare access for locals and the growing commercialization of healthcare must be addressed. This study concludes with recommendations for sustainable policy interventions to balance the economic growth of medical tourism with the well-being of local communities. Full article

Purpose: Cancer survivors in rural and underserved areas face barriers such as limited access to oncology exercise programs and limited facilities, contributing to health inequities in cancer survivorship. This study explored cancer survivors’ thoughts on exercise and mobile technology for exercising with a mobile application (app) during and after treatment in rural and remote areas. Methods: Three online focus groups were conducted in February 2024 using semi-structured interviews with 12 open-ended questions. Eligible participants were adult cancer survivors or caregivers living in medically underserved areas, English-speaking, consented to being audiotaped, and attended one 60-min group interview. The discussions were transcribed verbatim and analyzed via a content analysis approach with consensus. Results: Fifteen participants attended from four States. None of the participants were advised to exercise; availability of exercise resources depended on geographic location and a cancer-specific exercise app was desired. They understood the benefits of exercise after diagnosis but expressed a need for more guidance during treatment. Geographic location shaped their activities, with most engaging in daily physical tasks rather than structured exercise. Most participants were receptive to using an exercise app to manage fatigue. Suggested key features to exercise with an app included live trainers, exercise checklists, visual benchmarks, and programs tailored to different fitness levels. Conclusions: These results emphasize the need for personalized resources, guidance, and on-demand accessibility to an exercise oncology app. A cancer-specific exercise mobile app will mitigate health inequities for cancer survivors residing in rural and remote areas. Full article

Background/Objectives: Many social and environmental factors contribute to the disproportionate burden of COVID-19 mortality. Access to healthcare services has not been thoroughly examined as a factor contributing to COVID-19 mortality. This study examines distance to ERs and ICUs, uninsurance rates, and county-level COVID-19 mortality rates. Methods: Using data from the American Hospital Association survey, we identified hospitals providing emergency and intensive care services. Hospital locations were geocoded, and straight-line distance was calculated from the population-weighted county centroid. The county proportion of uninsured residents came from the American Community Survey. Generalized linear regression models with a log-link were used to examine study factors and county COVID-19 mortality rates. Results: A total of 2640 (84.0%) U.S. counties or county-equivalents were included in this analysis. The median COVID-19 mortality rate was 240 deaths per 100,000. In adjusted models, increasing distance to ERs (IRR: 0.95; 95% CI: 0.92, 0.98) or ICUs (IRR: 0.61; 95% CI: 0.57, 0.65) was not significantly associated with increased COVID-19 mortality. The proportion of residents (IRR: 3.81; CI: 2.58, 5.62) uninsured was significantly associated with increased COVID-19 mortality rates. Conclusions: Being in close proximity to hospital-based healthcare services may not provide any significant benefit for COVID-19 mortality outcomes, considering that hospitals are largely located in more densely populated areas conducive to COVID-19 spread. Financial barriers may largely contribute to persons avoiding necessary COVID-19 care. To continue to combat COVID-19 and future pandemics, greater attention should be focused on eliminating financial barriers to receiving medically necessary care. Full article

Background: Individualizing care is the essence of nursing, and its benefits have been extensively proven in older people. The changes arisen during the COVID-19 pandemic may have affected it. The aim of this study is to analyze the changes produced in the perceptions about the individualization of care, quality of life, and care environment of elderly people living in long-term care centers before and after the pandemic. Methods: A prospective cross-sectional observational study was carried out. For data collection, the Individualized Care Scale-patient, the EuroQol-5D scale, and a reduced version of the Sheffield Care Environment Assessment Matrix test were used, and a statistical analysis was performed. Results: A total of 177 people participated in the study, with 87 pre-COVID-19 and 90 post-COVID-19, 62.7% of whom were women. The average age was 83.3 years. General activities of the individualized care obtained medians of 4, 2.5, and 3 (out of 5) in clinical situation, personal life situation, and decisional control dimensions, respectively, and no substantial change was observed pre- and post-pandemic. Nevertheless, 10 out of 17 items related with the maintenance of individuality in the last shift were higher rated after COVID-19. They are mainly related to the feelings and needs of care, daily life activities, and the expression of opinions. The median of all items was 3 despite the improvement observed after the pandemic. Residents scored an average of 6.47 points (out of 10) in the life quality self-evaluation and were satisfied with the care environment (94%). Patients with higher life quality and adherence to their environment perceived better care. Conclusions: Although slight improvements were observed in the individualized care after the pandemic, the obtained results revealed that there is still room for improvement. Particularly, it is necessary to develop strategies aimed at motivating the family participation or providing individual spaces in the residences. Full article

Background: China is in a period of rapid transformation of economic and social development. The imbalance in the distribution of social benefits, focusing on adjustment and reorganization, has led to an increase in relative deprivation. Studies have shown that relative deprivation leads to a decline in personal mental health. Methods: We used the national data in the Chinese General Social Survey (CGSS) collected in 2015 (N = 10,702; male 46.89%) to estimate the relationship between deprivation and aspiration strains and mental health. Covariates included age, gender, education level, and marital status. Results: The results show the mechanism of how relative social and economic status affects the mental health of residents through deprivation strains and aspiration strains. It was found that deprivation strains and aspiration strains are both negatively correlated with mental health, even when controlling for the confounding variables. Conclusion: Mental health can be improved, and suicide rates may be decreased by vigorously developing the economy, promoting social equity and justice, and strengthening psychological counseling for the general population. Full article

This study investigates the impact of tourism development on the well-being of impoverished residents in the urban area of La Candelaria, Bogotá, and the rural area of La Macarena, Meta. The participants were recruited using Colombia’s SISBÉN classification system by approaching individuals in public spaces such as bakeries, markets, and restaurants. After confirming their residency, only those classified in categories A (extreme poverty), B (moderate poverty), or C (vulnerable population) were included in the study. Data collection took place in May 2017, resulting in 307 surveys from the participants across both locations. Using Partial Least Squares Structural Equation Modeling (PLS-SEM), the findings reveal that economic benefits are the most influential factor, significantly enhancing happiness and life satisfaction. While cultural and environmental benefits are acknowledged, they are less directly linked to personal well-being. The study highlights tourism’s complex role in promoting economic growth and shaping the social, cultural, and environmental aspects of community life. However, it also identifies potential risks, such as environmental degradation and social disruption, particularly in different spatial contexts. The research underscores the need for tourism development to provide tangible, personal benefits that align with residents’ economic and emotional priorities, ensuring sustainable and equitable outcomes, especially considering the spatial disparities between urban and rural areas that influence tourism’s effectiveness in improving well-being and alleviating poverty. Full article

The rapid urbanization and technological advancements of the recent decades have increased the need for efficient and sustainable transportation solutions. This study examines the acceptance of smart transportation systems (STSs) among residents in Polish cities and explores the impact of these systems on energy-saving behaviors. Using the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) model, which includes the propensity to save energy, this research seeks to understand the determinants of STS adoption. The primary research was conducted using Computer-Assisted Web Interviewing (CAWI). The sample was controlled for gender and place of residence. A sample of 471 individuals meeting the criteria of living in a city with over 200,000 residents and using smart transportation solutions in Poland were selected from the research panel. SmartPLS 4 software was used to analyze the collected data. The findings reveal that the propensity to save energy significantly influences perceived usefulness, ease of use, social influence, and hedonic motivation toward STSs. Perceived usefulness and ease of use were found to be strong predictors of the intention to use STSs, while perceived costs had a negative impact on it. This study also identified the moderating role of personal innovativeness in mitigating cost concerns. These insights underscore the importance of emphasizing energy conservation benefits and user-friendly features in promoting the use of STSs. This study concludes that aligning technological innovations with user motivations for energy conservation can enhance the adoption of sustainable transportation solutions, contributing to smarter and more sustainable urban environments. Full article