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22 pages, 3357 KB  
Review
Cancer Screening and Prevention in MENA and Mediterranean Populations: A Multi-Level Analysis of Barriers, Knowledge Gaps, and Interventions Across Indigenous and Diaspora Communities
by Sebahat Gozum, Omar F. Nimri, Mohammed Abdulridha Merzah and Rui Vitorino
Diseases 2026, 14(1), 10; https://doi.org/10.3390/diseases14010010 - 28 Dec 2025
Viewed by 300
Abstract
Cancer is one of the biggest health burdens for women in the Middle East and North Africa (MENA), with the incidence of breast, cervical and colorectal cancer on the rise. Although preventive measures such as the HPV vaccination and population-based screening are available, [...] Read more.
Cancer is one of the biggest health burdens for women in the Middle East and North Africa (MENA), with the incidence of breast, cervical and colorectal cancer on the rise. Although preventive measures such as the HPV vaccination and population-based screening are available, access to them remains very unequal. Women in rural, low-income and refugee communities face additional barriers, cultural stigmatisation, low health literacy, gender norms and fragile health systems, leading to delayed diagnoses and poorer outcomes. This review summarises the results of 724 peer-reviewed publications to assess the current situation of cancer screening in MENA and Mediterranean countries. The studies were classified into four dimensions: cancer type (breast, cervical, colorectal), behavioural constructs (awareness, uptake, education), vulnerability factors (e.g., migrants, refugees, low-literacy groups), and geography (indigenous MENA populations versus diaspora and Mediterranean immigrant communities). The results show large inequalities in access and participation due to fragmented policies, socio-cultural resistance and infrastructure gaps. Nevertheless, promising approaches are emerging: community-led outreach, mobile screening programmes, AI-assisted triage and culturally appropriate digital health interventions. Comparisons between the local and diaspora populations make it clear that systemic and cultural barriers persist even in well-equipped facilities. Closing the screening gap requires a culturally sensitive, digitally enabled and policy aligned approach. Key priorities include engaging religious and community leaders, promoting men’s engagement in women’s health and securing sustainable funding. With coordinated action across all sectors, MENA countries can build inclusive screening programmes that reach vulnerable women and reduce preventable cancer mortality. Full article
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21 pages, 632 KB  
Review
Controversies in Learning English as an Additional Language in Early Schooling
by Noora A. Al-Sayed and A. Mehdi Riazi
Educ. Sci. 2026, 16(1), 33; https://doi.org/10.3390/educsci16010033 - 26 Dec 2025
Viewed by 524
Abstract
As the English language spreads worldwide, debate has intensified over introducing it early in multilingual school systems. In the Arab world, this question is especially sensitive because Arabic is closely linked to cultural and religious identity, and early English policies may shift the [...] Read more.
As the English language spreads worldwide, debate has intensified over introducing it early in multilingual school systems. In the Arab world, this question is especially sensitive because Arabic is closely linked to cultural and religious identity, and early English policies may shift the language balance in primary education. This review synthesizes 31 peer-reviewed studies on childhood English learning and early English teaching practices, addressing key aspects of age of acquisition, bilingual outcomes, and language maintenance or identity. Using transparent search and selection reporting, we examined studies published between 2000 and 2025. Findings cluster around four themes: age of acquisition, mother-tongue maintenance and identity, teacher preparation and pedagogy, and social outcomes. The evidence from the review shows that earlier exposure can support pronunciation, fluency, and metalinguistic awareness, but the strength and direction of these gains depend primarily on program quality and bilingual model design. Additive approaches that maintain and value Arabic literacy while providing rich, high-quality English input are often associated with better learning outcomes than subtractive arrangements that reduce Arabic use. However, effects vary by context and implementation quality. Where Arabic is reduced without adequate support, learners may face risks such as weaker first-language development and heightened identity-related strain. However, these outcomes are not inevitable and are moderated by factors such as teacher preparation, instructional design, and school–home language support. We propose a balanced early-English design that builds progressive English proficiency while maintaining continuous Arabic-medium literacy, supported by targeted teacher professional development, family and community engagement, and continuous Arabic-medium literacy. The review concludes with policy and practice implications for curriculum designers, school leaders, and decision-makers, and calls for longitudinal, classroom-based research on identity trajectories and English-medium instruction in Arab primary education. Full article
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15 pages, 453 KB  
Article
Bridging the Gap: Health Education Needs Among Rural Populations with Chronic Illness and Low Health Literacy in Unincorporated Communities in Southern California
by Shiloh A. Williams, Ryan C. Shriver and Candace C. Juhala
Int. J. Environ. Res. Public Health 2026, 23(1), 21; https://doi.org/10.3390/ijerph23010021 - 23 Dec 2025
Viewed by 515
Abstract
Rural and unincorporated communities (UCs) experience persistent health disparities driven by limited healthcare infrastructure, geographic isolation, and socioeconomic inequities. Health literacy (HL), the ability to obtain, understand, and use health information, is a critical yet underexplored determinant of health outcomes in these settings. [...] Read more.
Rural and unincorporated communities (UCs) experience persistent health disparities driven by limited healthcare infrastructure, geographic isolation, and socioeconomic inequities. Health literacy (HL), the ability to obtain, understand, and use health information, is a critical yet underexplored determinant of health outcomes in these settings. This study examined HL and barriers to healthcare and health information access among low-income adults living with chronic conditions in nine rural UCs in Southern California. A descriptive cross-sectional survey was administered in English or Spanish to 222 respondents during community food distribution events. The questionnaire included demographics, self-reported health status, chronic disease history, perceived access to care and health information, trust in information sources and HL assessment using the Newest Vital Sign (NVS). Over four-fifths (82.7%) of respondents demonstrated limited or possibly limited HL. Although Spanish-speaking respondents scored significantly lower than English speakers on the NVS, language was not a significant predictor of HL after adjusting for age, gender, education and Hispanic origin. Lower education and older age were associated with reduced HL. One in four respondents reported barriers to healthcare access, primarily due to distance and appointment availability. Over half of the respondents reported difficulty accessing or understanding health information, regardless of HL or demographic characteristics. Doctors were the most trusted source of health information, while trust in government and religious organizations was lowest. Findings reveal pervasive low HL and broad challenges accessing care and health information across rural UCs, highlighting the structural and educational inequities underlying these disparities. Addressing these gaps requires community-driven, bilingual, and culturally resonant strategies that build trust, enhance communication, and strengthen health system accessibility for residents of unincorporated rural regions. Full article
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23 pages, 1842 KB  
Article
Determinants of Tolerance Among Higher Education Students in Montenegro: Quantitative Insights for Advancing Educational and Societal Sustainability
by Ivan Piper, Ivana Katnić, Amil Orahovac, Aleksandra Gogić and Miloš Mašković
Sustainability 2025, 17(24), 11109; https://doi.org/10.3390/su172411109 - 11 Dec 2025
Viewed by 413
Abstract
This study examines the determinants of tolerance among higher education students in Montenegro and their implications for educational and societal sustainability. Guided by the framework of Education for Sustainable Development (ESD), it investigates how socio-demographic factors, economic insecurity, political orientations, and digital media [...] Read more.
This study examines the determinants of tolerance among higher education students in Montenegro and their implications for educational and societal sustainability. Guided by the framework of Education for Sustainable Development (ESD), it investigates how socio-demographic factors, economic insecurity, political orientations, and digital media use shape attitudes toward ethnic, religious, and cultural diversity. Cross-sectional survey data were collected from 469 students in 2021 and analysed using binary logistic regression. Results show that education is the strongest predictor of tolerant attitudes (p < 0.01), highlighting the transformative role of higher education in fostering inclusive and sustainability-relevant competencies. Economic insecurity, particularly unemployment, was associated with more exclusionary views, linking social equity to sustainability outcomes. Gender (p < 0.001), age (p = 0.07), and engagement with human-rights content online (p < 0.01) also emerged as significant predictors. Religiosity showed a modest negative association with tolerance (p = 0.01). The final model explained 37% of the variance in tolerant attitudes (Nagelkerke R2 = 0.37). Digital media played an ambivalent role: while it increased exposure to diverse perspectives, it also contributed to polarization, underscoring the need for critical digital literacy within ESD-aligned curricula. Overall, the findings demonstrate that inclusive education, digital competence, and participatory learning environments are central to building tolerant, cohesive, and sustainability-oriented societies. The study contributes to ESD scholarship by linking social inclusion, sustainability competencies, and the role of higher education in post-transition contexts. Full article
(This article belongs to the Collection Education for Sustainable Development in Higher Education)
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24 pages, 607 KB  
Article
Enhancing School Safety Frameworks Through Religious Education: Developing a Curriculum Framework for Teaching About World Religions in General Education
by Jahyun Gu and Juhwan Kim
Religions 2025, 16(11), 1465; https://doi.org/10.3390/rel16111465 - 18 Nov 2025
Viewed by 805
Abstract
Current school safety frameworks in South Korea concentrate on physical and infrastructure-related risks (e.g., natural disasters, traffic accidents, and facility management), overlooking safety challenges that emerge from the gradual multicultural transition of Korean society. This work attempts to address this critical gap in [...] Read more.
Current school safety frameworks in South Korea concentrate on physical and infrastructure-related risks (e.g., natural disasters, traffic accidents, and facility management), overlooking safety challenges that emerge from the gradual multicultural transition of Korean society. This work attempts to address this critical gap in school safety frameworks. To do so, we first examine how issues related to increasing religious diversity in South Korea create safety challenges. Through our examination of specific cases in university settings, we demonstrate not only that these issues manifest as sociocultural challenges extending beyond the physical risks that current frameworks prioritize, but also that higher education institutions lack adequate institutional responses. Based on this analysis, we develop a curriculum framework for teaching about world religions in general education as an institutional approach to these challenges. By engaging with the concept of religion alongside various religious traditions and discourses, this curriculum aims to develop students’ religious literacy—a competency for better understanding and navigating complex religious and cultural dynamics in daily life. With this curriculum, we suggest an effective way to enhance current school safety frameworks through religious education that is essential for addressing the challenges entwined deeply with the sociocultural transition in South Korea. In doing so, we also highlight that religion continues to maintain significant influence in contemporary Korean society, contrary to widespread assumptions that undermine its ongoing roles and impact. Full article
(This article belongs to the Special Issue Social Justice in Theological Education: Challenges and Opportunities)
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22 pages, 368 KB  
Article
Discourse and Counter-Discourses: Missionaries, Literacy, and Black Liberation in the British Caribbean
by Kevin Burrell
Religions 2025, 16(11), 1363; https://doi.org/10.3390/rel16111363 - 28 Oct 2025
Viewed by 717
Abstract
From the late seventeenth century onward, the central aim of missionary Christianity in the British Atlantic was to Christianize slavery; that is, to render the institution morally and theologically acceptable within a Christian framework. This work of “amelioration” was envisioned as a gradual [...] Read more.
From the late seventeenth century onward, the central aim of missionary Christianity in the British Atlantic was to Christianize slavery; that is, to render the institution morally and theologically acceptable within a Christian framework. This work of “amelioration” was envisioned as a gradual process, with missionaries from both the established Church of England and a host of dissenting denominations playing a central role in its advancement. Collectively, they promoted a discourse of Christian slavery that aimed both to reassure slaveowners of the compatibility between slavery and Christianity and to frame the conversion of enslaved people as a means of producing a more obedient, industrious, and morally disciplined labor force. To be sure, in promoting a Christianized vision of slavery, missionary societies were deeply complicit in the exploitation of enslaved Africans. Yet, ironically, the very tools they employed to pacify and discipline (biblical instruction and literacy) were repurposed to articulate a platform of resistance, ultimately contributing to slavery’s undoing. This essay employs critical discourse analysis to examine how these dynamics unfolded in two pivotal uprisings in the British Atlantic world: the Demerara Rebellion of 1823 and the Christmas Rebellion of 1831 in Jamaica. In both cases, missionary endeavors contributed to the counter-discursive appropriation of biblical theology that played a critical role in transforming enslaved people into agents of political change. Still, reimagining scripture was only part of the story. Crucially, it was the alignment of a new religious consciousness with unfolding political events, that transformed simmering discontent into open revolt. Full article
13 pages, 248 KB  
Article
The Determination of Halal Food Perceptions Among University Students Receiving Islamic Theology Education: The Case of Istanbul, Berlin, and Kuala Lumpur
by Tolga Çetinkaya
Religions 2025, 16(10), 1265; https://doi.org/10.3390/rel16101265 - 2 Oct 2025
Viewed by 1668
Abstract
This study investigates the perceptions of halal food among theology students from three culturally diverse cities: Istanbul, Berlin, and Kuala Lumpur. As individuals receiving formal religious education, theology students are expected to exhibit strong awareness of Islamic dietary principles. Utilizing a quantitative research [...] Read more.
This study investigates the perceptions of halal food among theology students from three culturally diverse cities: Istanbul, Berlin, and Kuala Lumpur. As individuals receiving formal religious education, theology students are expected to exhibit strong awareness of Islamic dietary principles. Utilizing a quantitative research design, data were collected from 210 participants via online surveys using validated Likert-type scales measuring halal awareness, halal literacy, religious commitment, social influence, perceived behavioral control, price value, hedonic motivation, and consumption habits. One-way ANOVA and post hoc Tukey tests revealed significant differences between cities in nearly all variables. Students in Kuala Lumpur consistently demonstrated higher scores, indicating a stronger alignment with institutionalized halal systems and collectivist cultural norms. Berlin participants reported lower awareness and influence levels, likely reflecting a more secular and individualistic environment. Istanbul students fell between the two, showing strong religious motivation but less structural support. The findings highlight how halal food perceptions are shaped not only by individual religiosity but also by cultural, political, and economic contexts. This study contributes to the literature by offering a cross-cultural perspective on halal consumption and underscores the importance of integrating structural and cultural factors into religious food behavior research. Full article
(This article belongs to the Special Issue Islamic Practical Theology)
17 pages, 259 KB  
Article
Reading in Two Voices of an Educational Experience of Interreligious Jewish-Christian Dialogue
by Silvia Guetta and Andrea Porcarelli
Religions 2025, 16(9), 1167; https://doi.org/10.3390/rel16091167 - 10 Sep 2025
Viewed by 1211
Abstract
This article explores an interreligious educational initiative jointly developed by the Union of Italian Jewish Communities (UCEI) and the Italian Episcopal Conference (CEI), the “Sixteen Sheets on Judaism,” created to support Catholic religious education in Italian schools. Using a dialogical-hermeneutic methodology within a [...] Read more.
This article explores an interreligious educational initiative jointly developed by the Union of Italian Jewish Communities (UCEI) and the Italian Episcopal Conference (CEI), the “Sixteen Sheets on Judaism,” created to support Catholic religious education in Italian schools. Using a dialogical-hermeneutic methodology within a constructivist qualitative framework, the study applies Hermeneutic Content Analysis to thematically code and interpret the corpus. The analysis shows how the sheets seek to dismantle long-standing stereotypes and theological distortions about Judaism—often still present in educational settings—and to prevent forms of antisemitism by fostering accurate knowledge and mutual respect. Key themes include the Hebrew Scriptures, the Written and Oral Torah, and the Jewish identity of Jesus and Paul. The materials promote mutual recognition and religious literacy through dialogical engagement and the affirmation of Judaism as a living and autonomous tradition. By enabling Jewish self-representation and encouraging theological reciprocity, the sheets exemplify a model of transformative non-formal education. The article positions this case within broader debates on interreligious pedagogy and presents it as a valuable tool for inclusive curriculum design and intercultural citizenship. Full article
18 pages, 335 KB  
Article
The Rise of Religious Nones and Its Impact on Interreligious Dialogue: Examining “Religious Literacy” and “Meditation” as Mediating Mechanisms
by Haeyoung Seong
Religions 2025, 16(8), 1057; https://doi.org/10.3390/rel16081057 - 16 Aug 2025
Viewed by 1963
Abstract
As interactions between Eastern and Western religions increase, “interreligious dialogue (IRD)” has become more prevalent. This study investigates the evolving religious landscape of South Korea, shaped by the growing presence of “religious nones” (or simply “nones”), through the framework of IRD. Since the [...] Read more.
As interactions between Eastern and Western religions increase, “interreligious dialogue (IRD)” has become more prevalent. This study investigates the evolving religious landscape of South Korea, shaped by the growing presence of “religious nones” (or simply “nones”), through the framework of IRD. Since the 1960s, IRD in South Korea has been predominantly led by Christian institutions and facilitated by experts, such as theologians and religious studies scholars. However, the rise of the nones is driving a profound shift in the dialogic paradigm. The traditional intellectual approach, which focused on identifying doctrinal similarities, is shifting toward an emphasis on practical dimensions, including personal religious experiences and the concept of salvation. In this shifting context, “religious literacy” and “meditation” are emerging as crucial points of convergence, not only for IRD but also for interactions between the religious and the nones. While the growing presence of the nones may initially lead to confusion and conflict, it has the potential, in the long run, to foster religious coexistence. South Korea serves as a notable case illustrating how IRD can open new pathways in the realm of praxis. Religious literacy enhances understanding and promotes a tolerant attitude toward the broader social relationships that religion cultivates, while meditation provides a shared platform for dialogue and engagement at the societal level. In this regard, Korea presents a particularly compelling case study, offering a critical examination of the feasibility of these possibilities. Full article
(This article belongs to the Special Issue Religious Conflict and Coexistence in Korea)
28 pages, 3192 KB  
Article
Religious Literacy in Contemporary South Korea: Challenges and Educational Approaches
by Jahyun Gu and Juhwan Kim
Religions 2025, 16(6), 786; https://doi.org/10.3390/rel16060786 - 17 Jun 2025
Cited by 2 | Viewed by 4637
Abstract
This study examines critical challenges associated with religious literacy in contemporary South Korea and educational approaches to address them. By analyzing data from the Religious Literacy Survey 2023 (n = 2022), we reveal that these paradoxical attitudes stem from a declining religious literacy, [...] Read more.
This study examines critical challenges associated with religious literacy in contemporary South Korea and educational approaches to address them. By analyzing data from the Religious Literacy Survey 2023 (n = 2022), we reveal that these paradoxical attitudes stem from a declining religious literacy, manifested as limited knowledge of religious traditions and their teachings. Amid the rise in the number of the religiously unaffiliated, our analysis indicates that this trend reflects not a rejection of religion but rather an urgent need for education to enhance religious literacy. Based on this analysis, we examine religious education curricula at Dongguk and Yonsei Universities as exemplars that not only deepen students’ understanding of specific religious traditions but also help them recognize religion’s enduring relevance in addressing contemporary societal challenges. Building on these cases, while recognizing their limitations as religiously affiliated institutions, we emphasize the need for an integrated educational approach to religious literacy—one that extends beyond specific traditions and incorporates religious studies examining various dimensions of religion itself. We further suggest the broader implementation of religious literacy education across higher education institutions. Such educational approaches provide insights into fostering social cohesion and meaningful interreligious engagement in South Korea and beyond. Full article
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16 pages, 523 KB  
Article
Adolescents’ Knowledge on Climate Change: A Nationwide Study in Indonesia
by Evi Martha, Besral, Ulfi Hida Zainita, Naurah Assyifa Rilfi and Syifa Aulia Aminudin
Int. J. Environ. Res. Public Health 2025, 22(4), 571; https://doi.org/10.3390/ijerph22040571 - 5 Apr 2025
Viewed by 3289
Abstract
Adolescents’ knowledge about climate change is key to protecting the well-being of all generations and to promoting individuals’ rights and resilience. This study assesses the climate change literacy of Indonesian adolescents and its determinants. This nationwide study was conducted in 2023 in Sumatra, [...] Read more.
Adolescents’ knowledge about climate change is key to protecting the well-being of all generations and to promoting individuals’ rights and resilience. This study assesses the climate change literacy of Indonesian adolescents and its determinants. This nationwide study was conducted in 2023 in Sumatra, Java, Kalimantan, Sulawesi, and Eastern Indonesia. A total of 1126 adolescents aged 13–19 years were selected through multi-stage sampling. The data were analyzed using the chi-square test and multinomial logistic regression. This study found that 49.7% of adolescents had poor climate change literacy. In the multivariate analysis, the significantly related factors had an odds ratio of 1.66–4.75. Climate change literacy was higher in adolescents from the West and Central Regions, from public or religious schools, and those with educated parents, than in adolescents from the Eastern Region, from private or vocational schools, and those whose parents had low education, respectively. This study suggests the need to promote equality in climate change literacy among Indonesian adolescents through formal and informal education. High-quality formal education would necessitate well-trained teachers with expertise in climate change, as well as a structured, age-appropriate curriculum. Meanwhile, informal education through another information dissemination and social media-based movements can help broaden outreach among adolescents. Full article
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17 pages, 631 KB  
Article
Religious-Based Family Management and Its Impact on Consumption Patterns and Poverty: A Human Resource and Management Perspective
by Hasmin Hasmin, Jumiaty Nurung and Gunawan Bata Ilyas
Economies 2025, 13(3), 70; https://doi.org/10.3390/economies13030070 - 7 Mar 2025
Cited by 1 | Viewed by 2321
Abstract
Research Objective: This study aims to examine the impact of religious-based family management (RBFM) on absolute poverty through two main factors: short-term vision and uncontrolled consumption among low-income families. Research Methods and Approach: This study analyzed 172 respondents (low-income families) using a quantitative [...] Read more.
Research Objective: This study aims to examine the impact of religious-based family management (RBFM) on absolute poverty through two main factors: short-term vision and uncontrolled consumption among low-income families. Research Methods and Approach: This study analyzed 172 respondents (low-income families) using a quantitative approach with the Amos Structural Equation Modeling (SEM) method. A questionnaire was the main instrument in this study of six regions in South Sulawesi. Findings and Research Novelty: The findings reveal that, as an “agent of change”, RBFM has a significant negative effect on short-term vision, uncontrolled consumption, and absolute poverty. These results underscore the role of integrating religious values in family management to curb excessive consumption behavior and strengthen long-term financial planning, thereby potentially breaking the cycle of poverty. The novelty of this research lies in employing Human Capital Theory (HCT) and the Theory of Planned Behavior (TPB) to elucidate the role of religion in the economic dynamics of family life. Research Implications: This study provides important implications for poverty alleviation policies, particularly in developing value-based programs that integrate religious principles with financial literacy. Such interventions are expected to enhance financial management practices among low-income families and foster their economic sustainability. Full article
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12 pages, 462 KB  
Review
COVID-19 Vaccine Hesitancy Among Various Segments of the Population in Turkey: A Literature Review
by Sezer Okay
Vaccines 2025, 13(1), 44; https://doi.org/10.3390/vaccines13010044 - 7 Jan 2025
Cited by 1 | Viewed by 3468
Abstract
Vaccine hesitancy, which refers to the reluctance to be vaccinated, poses a major risk to public health in preventing infectious diseases. This hesitancy has been evident for many years, especially regarding childhood vaccines. The main factors contributing to this hesitancy include religious or [...] Read more.
Vaccine hesitancy, which refers to the reluctance to be vaccinated, poses a major risk to public health in preventing infectious diseases. This hesitancy has been evident for many years, especially regarding childhood vaccines. The main factors contributing to this hesitancy include religious or personal beliefs, concerns about safety and efficacy, and desire to receive more information from healthcare providers. This literature review examines hesitancy regarding COVID-19 vaccines in different population segments in Turkey. Hesitancy rates and reasons in the general population and specific groups such as pregnant women, parents, healthcare workers and students were presented based on published research articles. Approximately half of the Turkish population declared their hesitancy towards COVID-19 vaccines. A negative correlation was found between vaccine hesitancy and health literacy. The relationship between COVID-19 vaccine hesitancy and religiosity was also investigated. Age is another factor affecting this vaccine hesitancy. Older age was shown to be correlated with positive attitude towards COVID-19 vaccination. Moreover, participants with positive attitudes towards other vaccines, those with chronic diseases and those with a personal history of COVID-19 were more likely to have positive perceptions of COVID-19 vaccines. Higher life satisfaction and non-smoking status were associated with a higher likelihood of COVID-19 vaccine acceptance. Increased scientific data on the efficacy and side effects of COVID-19 vaccines and more information from healthcare professionals would likely reduce the hesitancy towards COVID-19 vaccines. Full article
(This article belongs to the Collection COVID-19 Vaccine Hesitancy: Correlates and Interventions)
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20 pages, 4334 KB  
Article
Comparative Study on the Perception of Cultural Ecosystem Services in Taibai Mountain National Forest Park from Different Stakeholder Perspectives
by Jiaxin Li, Kankan Li, Yanbo Wang and Rui Jiao
Land 2024, 13(12), 2207; https://doi.org/10.3390/land13122207 - 17 Dec 2024
Cited by 2 | Viewed by 2265
Abstract
The core of the cultural services of ecosystems (CESs) is the spiritual connection between humans and nature, and participatory mapping from the stakeholder perspective is an effective method for perceiving and protecting hotspot CES areas. This study used participatory mapping combined with 184 [...] Read more.
The core of the cultural services of ecosystems (CESs) is the spiritual connection between humans and nature, and participatory mapping from the stakeholder perspective is an effective method for perceiving and protecting hotspot CES areas. This study used participatory mapping combined with 184 interviews and questionnaires, completed on 10 December 2023, to investigate the perceptions of CESs in Taibai Mountain National Forest Park by different stakeholder groups; spatial and correlation analyses were used to comparatively analyze the characteristics of the differences in the perceptions of CESs among different stakeholders, the influencing factors, and their spatial distribution patterns. The results show that (1) there is a positive correlation between the literacy level of external stakeholders and the perception of CESs, and there is no significant difference between the differences in the other demographic characteristics of stakeholders (gender, age, occupation, and literacy level) in the perception of CESs. (2) Different stakeholders have convergent perceptions of spiritual and religious values, cultural heritage values, educational values, and inspirational values, whereas there are greater differences in the perceptions of aesthetic values, ecological and recreational values, and local identity values. (3) Different stakeholders of the same CES are strongly correlated, and there is no correlation between spiritual and religious values and other values and no correlation between recreational and ecotourism values and educational and cultural heritage values; however, there is a correlation between all other subcultural services. It is important to fully identify and consider the characteristics of the differences in the perceptions of different stakeholders in CESs to enhance the regional planning and scenic area service function in the study area. Full article
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14 pages, 230 KB  
Article
HPV Vaccines Among University Students: Understanding Barriers and Facilitators of Vaccine Uptake
by Sana Malik, K. Olivia Mock, Rose Martillotti, Giuseppina Caravella, Xicheng Zhou, Matthew Mbamelu and Kathleen H. Scarbrough
Vaccines 2024, 12(12), 1385; https://doi.org/10.3390/vaccines12121385 - 10 Dec 2024
Cited by 3 | Viewed by 3635
Abstract
Human papillomavirus (HPV) is the most common sexually transmitted infection and plays a significant role in cervical, penile, anal, vaginal, vulvar, and oropharyngeal cancers as well as non-cancerous genital warts and genital dysplasia. In the United States, there are approximately 46,000 new HPV-related [...] Read more.
Human papillomavirus (HPV) is the most common sexually transmitted infection and plays a significant role in cervical, penile, anal, vaginal, vulvar, and oropharyngeal cancers as well as non-cancerous genital warts and genital dysplasia. In the United States, there are approximately 46,000 new HPV-related cancers a year. There is an effective vaccine to prevent over 90% of these cancers and other HPV-related diseases; however, those that are aged 18–26 have the lowest vaccine rates among eligible age groups. The objective of this study was to examine student knowledge and perceptions about HPV vaccine hesitancy in university students and their notions of barriers and facilitators for HPV vaccine uptake. We aimed to identify components for an evidence-based community-oriented educational intervention to increase HPV vaccination uptake. The researchers recorded 10 focus groups featuring students from a Northeastern United States university, aged 18–26, which were analyzed using grounded theory and inductive thematic analysis to identify recurring themes. The participants mentioned many barriers and facilitators for attaining the HPV vaccine, with health literacy being prominent for both. They demonstrated some knowledge of what HPV is and ways to avoid it. They also expressed a desire for further information and felt that the way in which this information is presented to the public is vital for increasing vaccine uptake and designing future interventions. In order to increase HPV vaccination rates in the general population and overcome barriers such as family, religious, and cultural values, it is important to emphasize the link between HPV and cancer and its preventative benefits. Full article
(This article belongs to the Special Issue HPV Vaccination Coverage: Problems and Challenges)
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