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Search Results (1,024)

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Keywords = resident’s attitudes

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19 pages, 787 KiB  
Article
The Impact of Climate Change Awareness on Fertility Intentions in Palestinian Society: Mediating Role of Threat Perception
by Maryam W. Fasfous, Mohamed N. Abdel-Fattah and Sarah A. Ibrahim
Int. J. Environ. Res. Public Health 2025, 22(8), 1228; https://doi.org/10.3390/ijerph22081228 - 6 Aug 2025
Abstract
Fertility is considered a significant demographic concern, especially in relation to climate change. This study examines how awareness of climate change, measured by five subscales—climate-friendly behavior, knowledge, personal concern, attitude, and multiplicative action—affects fertility intentions, emphasizing the mediating role of threat perception. Data [...] Read more.
Fertility is considered a significant demographic concern, especially in relation to climate change. This study examines how awareness of climate change, measured by five subscales—climate-friendly behavior, knowledge, personal concern, attitude, and multiplicative action—affects fertility intentions, emphasizing the mediating role of threat perception. Data were collected through an online survey administered to a sample of 817 Palestinian citizens aged 18–49 residing in the West Bank. Structural equation modeling (SEM) was utilized for the data analysis. The results revealed that climate change awareness does not directly affect fertility intentions. However, an indirect effect of climate change awareness on fertility intentions was observed, mediated by threat perception as an intervening variable. Individuals exhibiting increased awareness of climate change and perceptions of future risks demonstrated a greater likelihood of reducing their fertility intentions compared to others. Policymakers in the Palestinian territories should prioritize enhancing public awareness regarding climate change and its associated short- and long-term threats. Therefore, incorporating climate education and associated risks into fertility health programs is essential. Full article
(This article belongs to the Special Issue Environmental Factors Impacting Reproductive and Perinatal Health)
16 pages, 715 KiB  
Review
Public Perceptions and Social Acceptance of Renewable Energy Projects in Epirus, Greece: The Role of Education, Demographics and Visual Exposure
by Evangelos Tsiaras, Stergios Tampekis and Costas Gavrilakis
World 2025, 6(3), 111; https://doi.org/10.3390/world6030111 - 6 Aug 2025
Abstract
The social acceptance of Renewable Energy Sources (RESs) is a decisive factor in the successful implementation of clean energy projects. This study explores the attitudes, demographic profiles, and common misconceptions of citizens in the Region of Epirus, Greece, toward photovoltaic and wind energy [...] Read more.
The social acceptance of Renewable Energy Sources (RESs) is a decisive factor in the successful implementation of clean energy projects. This study explores the attitudes, demographic profiles, and common misconceptions of citizens in the Region of Epirus, Greece, toward photovoltaic and wind energy installations. Special attention is given to the role of education, age, and access to information—as well as spatial factors such as visual exposure—in shaping public perceptions and influencing acceptance of RES deployment. A structured questionnaire was administered to 320 participants across urban and rural areas, with subdivision between regions with and without visual exposure to RES infrastructure. Findings indicate that urban residents exhibit greater acceptance of RES, while rural inhabitants—especially those in proximity to installations—express skepticism, often grounded in esthetic concerns or perceived procedural injustice. Misinformation and lack of knowledge dominate in areas without visual contact. Statistical analysis confirms that younger and more educated participants are more supportive and environmentally aware. The study highlights the importance of targeted educational interventions, transparent consultation, and spatially sensitive communication strategies in fostering constructive engagement with renewable energy projects. The case of Epirus underscores the need for inclusive, place-based policies to bridge the social acceptance gap and support the national energy transition. Full article
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19 pages, 991 KiB  
Article
Residents’ Willingness to Participate in E-Waste Recycling: Evidence by Theory of Reasoned Action
by Ziyi Zhao, Pengyu Dai, Chaoqun Zheng and Huaming Song
Sustainability 2025, 17(15), 6953; https://doi.org/10.3390/su17156953 - 31 Jul 2025
Viewed by 269
Abstract
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 [...] Read more.
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
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24 pages, 1000 KiB  
Article
Exploring Residents’ Perceptions of Offshore Wind Farms in Western Australia: A Qualitative Investigation
by Elena Turner and Michael Odei Erdiaw-Kwasie
Sustainability 2025, 17(15), 6880; https://doi.org/10.3390/su17156880 - 29 Jul 2025
Viewed by 297
Abstract
Residents’ attitudes towards offshore wind farms have been researched extensively over the past few decades. In this research, the precept that offshore wind farms influence residents’ well-being is implicit. Only a few studies have directly examined residents’ knowledge, perceived benefits, and acceptance. This [...] Read more.
Residents’ attitudes towards offshore wind farms have been researched extensively over the past few decades. In this research, the precept that offshore wind farms influence residents’ well-being is implicit. Only a few studies have directly examined residents’ knowledge, perceived benefits, and acceptance. This study attempts to go beyond attitude-based research and explicitly examines factors influencing acceptance decision-making. The data for this qualitative study was collected through face-to-face interviews at a proposed offshore wind farm site in Perth, Western Australia. Results from the study suggest that offshore wind farms are not perceived or responded to uniformly by residents. This study provides a more comprehensive understanding of the dynamics and complexities behind identifying and explaining how residents of designated communities perceive offshore wind farms in a nuanced manner. Therefore, this study proffers significant theoretical discussions and practical implications regarding developing sustainable renewable energy alternatives in cities across Australia. Full article
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17 pages, 1254 KiB  
Article
Attitudes Toward COVID-19 and Seasonal Influenza Vaccines in the Post-COVID Era: A Cross-Sectional Study Among Adults in Malta
by Maria Cordina, Mary Anne Lauri and Josef Lauri
Pharmacy 2025, 13(4), 102; https://doi.org/10.3390/pharmacy13040102 - 29 Jul 2025
Viewed by 208
Abstract
The uptake of the COVID-19 and seasonal influenza (SI) vaccines have decreased in Europe and especially in Malta. The present study aimed to investigate the attitudes toward COVID-19 and SI vaccines and determine if individuals perceive that these vaccines are relevant to protect [...] Read more.
The uptake of the COVID-19 and seasonal influenza (SI) vaccines have decreased in Europe and especially in Malta. The present study aimed to investigate the attitudes toward COVID-19 and SI vaccines and determine if individuals perceive that these vaccines are relevant to protect their health and identify reasons for their responses. A cross-sectional study using an anonymous questionnaire, informed by the Theory of Planned Behavior, addressing behavior beliefs and attitudes, and targeted at adult residents in Malta, was designed on Google Forms and disseminated using social media between January and March 2024. A total of 555 responses were received. The majority of respondents did not take/intend to take the COVID-19 (75%, n = 417) or SI (64.3%, n = 362) vaccines, with females being less likely to do so (p = 0.033). Perceived lack of safety (31.3%, n = 174) was the primary reason for rejecting the COVID-19 vaccine, and perceived lack of a threat from SI (26%, n = 144) was the reason for rejecting the SI vaccine. Those having chronic conditions were positively associated with uptake of both vaccines. In the post-pandemic era, these vaccines are not envisaged as having a major role in protecting one’s health. A high degree of skepticism especially toward the combined COVID-19 and SI vaccine in terms of safety, mostly in women, is still present. Full article
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38 pages, 5375 KiB  
Article
Thinking Green: A Place Lab Approach to Citizen Engagement and Indicators for Nature-Based Solutions in a Case Study from Katowice
by Katarzyna Samborska-Goik, Anna Starzewska-Sikorska and Patrycja Obłój
Sustainability 2025, 17(15), 6857; https://doi.org/10.3390/su17156857 - 28 Jul 2025
Viewed by 294
Abstract
Urban areas are at the forefront in addressing global challenges such as climate change and biodiversity loss. Among the key responses are nature-based solutions, which are increasingly being integrated into policy frameworks but which require strong community engagement for their effective implementation. This [...] Read more.
Urban areas are at the forefront in addressing global challenges such as climate change and biodiversity loss. Among the key responses are nature-based solutions, which are increasingly being integrated into policy frameworks but which require strong community engagement for their effective implementation. This paper presents the findings of surveys conducted within the Place Lab in Katowice, Poland, an initiative developed as part of an international project and used as a participatory tool for co-creating and implementing green infrastructure. The project applies both place-based and people-centred approaches to support European cities in their transition towards regenerative urbanism. Place Lab activities encourage collaboration between local authorities and residents, enhancing awareness and fostering participation in environmental initiatives. The survey data collected during the project allowed for the evaluation of changes in public attitudes and levels of engagement and for the identification of broader societal phenomena that may influence the implementation of nature-based solutions. The findings revealed, for instance, that more women were interested in supporting the project, that residents tended to be sceptical of governmental actions on climate change, and that views were divided on the trade-off between urban infrastructure such as parking and roads and the presence of green areas. Furthermore, questions of responsibility, awareness, and long-term commitment were frequently raised. Building on the survey results and the existing literature, the study proposes a set of indicators to assess the contribution of citizen participation to the adoption of nature-based solutions. While the effectiveness of nature-based solutions in mitigating climate change impacts can be assessed relatively directly, evaluating civic engagement is more complex. Nevertheless, when conducted transparently and interpreted by experts, indicator-based assessment can offer valuable insights. This study introduces a novel perspective by considering not only drivers of engagement but also the obstacles. The proposed indicators provide a foundation for evaluating community readiness and commitment to nature-based approaches and may be adapted for application in other urban settings and in future research on climate resilience strategies. Full article
(This article belongs to the Section Air, Climate Change and Sustainability)
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12 pages, 1067 KiB  
Article
Consumer Perception and Willingness to Purchase Chicken Meat from Algae-Fed Broilers: A Survey in Flanders (Belgium)
by Sofie Van Nerom, Filip Van Immerseel, Johan Robbens and Evelyne Delezie
Phycology 2025, 5(3), 33; https://doi.org/10.3390/phycology5030033 - 27 Jul 2025
Viewed by 194
Abstract
The demand for sustainable animal production is increasing. Microalgae such as Chlorella and Spirulina show promise as sustainable and functional ingredients in animal (poultry) feed. However, little is known about consumer perceptions regarding the use of algae in broiler diets and potential effects [...] Read more.
The demand for sustainable animal production is increasing. Microalgae such as Chlorella and Spirulina show promise as sustainable and functional ingredients in animal (poultry) feed. However, little is known about consumer perceptions regarding the use of algae in broiler diets and potential effects of algae on chicken meat. Residents of Flanders (Belgium) were surveyed to evaluate consumer knowledge, attitudes and willingness to buy chicken meat produced with algae-supplemented feed. Demographic data were collected, and both descriptive and inferential statistics were applied to assess influencing factors (n = 275 respondents who purchase chicken meat). While most respondents (69.6%) had tasted macroalgae (seaweed), only 11.4% and 24.6% indicated having tasted Chlorella and Spirulina before, respectively. Health, taste and safety were the most important drivers for consuming algae. Meat quality was the most important factor when purchasing chicken meat, while organic production was least valued. Regarding algae-fed chicken, 72.5% expressed willingness to purchase meat labeled as such, and 83.7% would buy algae-fed chicken regardless of its color. Sustainability beliefs significantly influenced willingness to accept a yellower meat color (β = 0.42 to 0.66, p < 0.001). Educational level and age also played a role, with higher-educated consumers showing greater acceptance. The influence of age was also related to the price of the meat, with consumers over 30 expressing a greater willingness to pay more than young people (under 30). Despite limited general knowledge about microalgae, the consumers surveyed are open to the idea of algae-fed chicken meat, particularly when it is framed as more sustainable. Clear ingredient labeling and consumer education may further support market acceptance. Full article
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24 pages, 908 KiB  
Article
Reframing Sustainability in the Context of Overtourism: A Comparative Five-Dimensional Resident-Centered Model in Athens and Istanbul
by Burak Yaprak, Şehnaz Okkiran and Eleni Vezali
Sustainability 2025, 17(15), 6789; https://doi.org/10.3390/su17156789 - 25 Jul 2025
Viewed by 276
Abstract
The rapid rebound of global tourism post-pandemic has intensified pressure on destinations like Istanbul and Athens, bringing overtourism debates into sharp focus. This study examined how five sustainability dimensions (economic, environmental, sociocultural, political, technological) shape residents’ overtourism perceptions and tourism support. Using PLS-SEM [...] Read more.
The rapid rebound of global tourism post-pandemic has intensified pressure on destinations like Istanbul and Athens, bringing overtourism debates into sharp focus. This study examined how five sustainability dimensions (economic, environmental, sociocultural, political, technological) shape residents’ overtourism perceptions and tourism support. Using PLS-SEM analysis of 285 long-term residents’ responses, this study reveals contrasting patterns between cities. In Athens, heightened awareness of environmental, economic, and sociocultural sustainability directly increases overtourism perceptions, subsequently reducing tourism support. Istanbul presents a counterpoint: environmental sustainability concerns alleviate overtourism perceptions, though without significant impact on tourism backing. Notably, political and technological dimensions show no statistically significant effects in either context. These findings demonstrate how sustainability perceptions are locally mediated, with identical factors producing divergent outcomes across cultural contexts. The study advances sustainable tourism literature by: (1) empirically validating context-dependent variations in resident attitudes, and (2) proposing a community-centered evaluation framework for policymakers. Recent study emphasizes the necessity of destination-specific strategies that prioritize residents’ nuanced sustainability concerns over generic tourism management approaches. Full article
(This article belongs to the Special Issue Sustainable Development in Different Fields of Tourism)
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20 pages, 1026 KiB  
Article
Spatial Variations in Perceptions of Decarbonization Impacts and Public Acceptance of the Bioeconomy in Western Macedonia
by Christina-Ioanna Papadopoulou, Stavros Kalogiannidis, Dimitrios Kalfas, Efstratios Loizou and Fotios Chatzitheodoridis
Land 2025, 14(8), 1533; https://doi.org/10.3390/land14081533 - 25 Jul 2025
Viewed by 198
Abstract
This study examines the regional disparities in public perceptions of decarbonization and the acceptance of the bioeconomy within Western Macedonia, a Greek region undergoing structural economic change. While the environmental benefits of decarbonization, such as reduced carbon emissions and improved air quality, are [...] Read more.
This study examines the regional disparities in public perceptions of decarbonization and the acceptance of the bioeconomy within Western Macedonia, a Greek region undergoing structural economic change. While the environmental benefits of decarbonization, such as reduced carbon emissions and improved air quality, are widely acknowledged, perceptions of economic and social outcomes, including investments, new business development, and policy support, vary significantly across sub-regions. To this end, a structured survey was conducted among 765 residents, utilizing Likert-scale items to assess attitudes, with demographic data providing a contextual framework. Statistical analyses, incorporating techniques such as one-way analysis of variance (ANOVA), Kruskal–Wallis, and multiple regression, were employed to explore spatial variations and identify the primary drivers of bioeconomy acceptance. The results indicate that perceived government action, visible investment, new enterprises, and a positive view of public sentiment are all significant predictors of acceptance, with institutional support showing the strongest influence. The findings reveal that certain areas feel less engaged in the transition, expressing skepticism about its benefits, while others report more optimism. This disparity in perception underscores the necessity for targeted policy interventions to ensure inclusive and equitable participation. The study emphasizes the necessity for regionally responsive governance, enhanced communication strategies, and tangible local development initiatives to cultivate public trust and support. The study makes a significant contribution to the broader discourse on just transitions by emphasizing the role of place-based perceptions in shaping sustainable change. Full article
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14 pages, 475 KiB  
Article
Towards Intergenerational Sustainability: Extended Self-Interest and Older Adults’ Support for Childcare Policy
by Suk Eun
Sustainability 2025, 17(15), 6771; https://doi.org/10.3390/su17156771 - 25 Jul 2025
Viewed by 302
Abstract
(1) Background: This study investigates whether older adult individuals support childcare policies not only out of altruism, but also due to extended self-interest arising from intergenerational co-residence. It challenges the conventional view that welfare attitudes are shaped solely by one’s own life-cycle needs. [...] Read more.
(1) Background: This study investigates whether older adult individuals support childcare policies not only out of altruism, but also due to extended self-interest arising from intergenerational co-residence. It challenges the conventional view that welfare attitudes are shaped solely by one’s own life-cycle needs. (2) Methods: Using the 2013 and 2016 waves of the Korean Welfare Panel Study waves of the Korean Welfare Panel Study, a difference-in-differences (DiD) approach compares attitudes toward government childcare spending between older adults living with children (Co-residing Older Adults) and those who do not (Non-co-residing Older Adults), before and after universal childcare policies were introduced in 2013. (3) Results: The Co-residing Older Adults consistently expressed stronger support for family policies than their counterparts. However, this support did not significantly increase after the 2013 reform, indicating that extended self-interest may not be sensitive to short-term policy changes. (4) Conclusions: Extended self-interest appears to be a stable orientation shaped by family context rather than a flexible, policy-reactive stance. These findings highlight the role of intergenerational household ties in shaping welfare attitudes and offer implications for fostering generational solidarity in aging societies. Full article
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12 pages, 424 KiB  
Review
Barriers Related to the Identification and Satisfaction of the Sexual Needs of Nursing Homes’ Residents: A Narrative Review
by Anna Castaldo, Jesus Francisco Javier Leon Garcia, Alessandra D’Amico, Giulio Perrotta and Stefano Eleuteri
Int. J. Environ. Res. Public Health 2025, 22(8), 1163; https://doi.org/10.3390/ijerph22081163 - 22 Jul 2025
Viewed by 683
Abstract
Background: Sexuality is a central aspect of being human, even if people experience it in different ways in various stages of life. Sexuality in older people may be expressed, as well as affection, companionship, touch, and physical contact. However, older peoples’ sexual needs [...] Read more.
Background: Sexuality is a central aspect of being human, even if people experience it in different ways in various stages of life. Sexuality in older people may be expressed, as well as affection, companionship, touch, and physical contact. However, older peoples’ sexual needs are not properly considered by themselves, caregivers, or healthcare professionals. Reviews on barriers related to identification and satisfaction of sexual needs of people living in nursing home are scarce. In this scenario we intended to summarize the state of evidence regarding sexual need identification and satisfaction among older people living in nursing homes and possible barriers that could limit sexual need identification and satisfaction. Methods: We carried out a narrative review. The included studies responded to the research question, using the following key words: nursing homes, sexuality or sexual need, or sexual behavior, older people. Searched databases included PubMed, Embase, CINAHL, PsycInfo, and Scopus. Results: After searching and screening we included 22 studies, finding three main topics: 1. identification of sexual needs by residents and healthcare personnel attitude and practice; 2. barriers and reasons hindering the identification of sexual needs; and 3. manifestation and satisfaction of sexual needs. Conclusions: The findings showed that nursing homes’ residents have different sexual needs, but there are many organizational, educational, and cultural barriers and negative attitudes of healthcare personnel. Supporting nursing home residents to express their sexual needs is a challenge for the healthcare professionals and managers of nursing homes. Full article
(This article belongs to the Section Health Care Sciences)
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15 pages, 1272 KiB  
Article
Gender Differences in Knowledge and Attitudes on Hematopoietic Stem Cell Donation Among Apulian Citizens: An Explorative Study
by Elsa Vitale, Roberto Lupo, Stefano Botti, Chiara Ianne, Alessia Lezzi, Giorgio De Nunzio, Donato Cascio, Ivan Rubbi, Simone Zacchino, Gianandrea Pasquinelli, Doria Valentini, Valeria Soffientini, Valentina De Cecco, Chiara Cannici, Marco Cioce and Luana Conte
Hemato 2025, 6(3), 24; https://doi.org/10.3390/hemato6030024 - 22 Jul 2025
Viewed by 236
Abstract
Background: It is estimated that in Italy, there were 364,000 new diagnoses of neoplasms each year and that the overall incidence of blood cancers was 10% of these. Leukemia and lymphomas represented the ninth and eighth places, respectively, among the causes of death [...] Read more.
Background: It is estimated that in Italy, there were 364,000 new diagnoses of neoplasms each year and that the overall incidence of blood cancers was 10% of these. Leukemia and lymphomas represented the ninth and eighth places, respectively, among the causes of death from neoplasia. Hematopoietic stem cell transplantation represented an effective treatment option for many of these malignancies, and not only that: benign and congenital diseases could also be treated. Objective: To assess knowledge among the Apulian population regarding stem cell donation and factors that could influence this choice, focusing especially on the knowledge of the residents of Puglia, Italy on how stem cells were harvested and their functions, their reasons for joining the National Registry, and the reasons that hold them back from making such a choice. Study Design: An observational and cross-sectional study was conducted, through snowball sampling methodology, until data saturation. An online survey was conducted, which included several Italian associations. The questionnaire administered contained five main sections, such as sociodemographic data, knowledge of the existence of National Registries and their adherence, the nationwide presence of various associations that promote donation, knowledge with respect to the structure, use and functions of stem cells, sources of procurement, such as bone marrow, peripheral blood and umbilical cord, and related procedures, beliefs, attitudes, values, and opinions of the Italian population regarding the topic, and degree of information and education regarding bone marrow donation. Results: A total of 567 Apulian citizens were enrolled. Of these, 75.3% were female and 96.8% were aged between 18 and 65 years. Most of participants were single (46.9%) and married (47.3%) and had a diploma (44.4%), and less had a degree (35.8%). Significant differences were recorded between gender, singles, and married participants, and participants with a diploma or a degree and the items proposed. Conclusions: A true culture of donation in our region was not clearly spread. Although something has been accomplished in recent years in terms of deceased donor donation, still a great deal needs to be achieved for living donation, which encountered a great deal of resistance. It has been deemed necessary to seek winning solutions to this issue in terms of communication and information campaigns, raising awareness and empowering citizens to express consciously their concerns about organs and tissues and to stand in solidarity with those who suffered. Full article
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34 pages, 1525 KiB  
Article
Using Machine Learning to Model the Acceptance of Domestic Low-Carbon Technologies
by Paul van Schaik, Heather Clements, Yordanka Karayaneva, Elena Imani, Michael Knowles, Natasha Vall and Matthew Cotton
Sustainability 2025, 17(15), 6668; https://doi.org/10.3390/su17156668 - 22 Jul 2025
Viewed by 401
Abstract
This research addresses two specific knowledge gaps. The first regards the influence of domestic low-carbon technology (LCT) installation approaches and occupier status on user acceptance. The second is to demonstrate the role of machine learning techniques in producing an enhanced model-based understanding of [...] Read more.
This research addresses two specific knowledge gaps. The first regards the influence of domestic low-carbon technology (LCT) installation approaches and occupier status on user acceptance. The second is to demonstrate the role of machine learning techniques in producing an enhanced model-based understanding of domestic LCT acceptance. Together, these two approaches provide new insights into LCT acceptance through the theory of planned behaviour and demonstrate the value of machine learning for modelling such acceptance. Our aim is therefore to contribute to model-based knowledge about the acceptance of domestic LCTs. Specifically, we contribute new knowledge of the acceptance of LCTs according to the theory of planned behaviour and of the value of machine-learning techniques for modelling this acceptance. Through empirical research using an online quasi-experiment with 3813 English residents, we developed a model of low-carbon technology adoption and evaluated machine learning for model analysis. The design factors were the installation approach and occupier status, with main outcomes including adoption intention, willingness to accept, willingness to pay, attitude, subjective norm, and perceived behavioural control. To examine residents’ technology acceptance, we created two virtual reality models of technology implementation, differing in installation approach. For machine learning analysis, we employed nine techniques for model validation and predictor selection: linear regression, LASSO regression, ridge regression, support vector regression, regression tree (decision tree regression), random forest, XGBoost, k-NN, and neural network. LASSO regression emerged as the best technique in terms of predictor selection, with (near-)optimal model fit (R2 and MSE). We found that attitude, subjective norm, and perceived behavioural control significantly predicted the intention to adopt low-carbon technologies. The installation approach influenced willingness to accept, with higher intention for new-build installations than retrofits. Homeownership positively predicted perceived behavioural control, while age negatively predicted several outcomes. This study concludes with implications for policy and future research, a specific emphasis upon contemporary UK policy towards Future Homes Standards, and public information campaigns targeted to specific demographic user groups. This research demonstrates the value of an extended theory of planned behaviour model to study the acceptance of LCTs and the value of machine learning analysis in acceptance modelling. Full article
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13 pages, 299 KiB  
Article
Psychometric Validation of the Spanish OSAKA Questionnaire: A Cross-Sectional Study Among Colombian Dental Professionals
by Olga Patricia López-Soto, Juan Alberto Aristizabal-Hoyos, Jackeline Mulett-Vásquez, Héctor Fuentes-Barría, Raúl Aguilera-Eguía, Lissé Angarita-Davila, Diana Rojas-Gómez and Ángel Roco-Videla
Dent. J. 2025, 13(7), 329; https://doi.org/10.3390/dj13070329 - 20 Jul 2025
Viewed by 314
Abstract
Objectives: To evaluate the psychometric properties of the Spanish version of the obstructive sleep apnea knowledge and attitudes (OSAKA) questionnaire among dental professionals in Colombia. Methods: A cross-sectional study was conducted in Manizales, Colombia, between January and June 2024. A total of [...] Read more.
Objectives: To evaluate the psychometric properties of the Spanish version of the obstructive sleep apnea knowledge and attitudes (OSAKA) questionnaire among dental professionals in Colombia. Methods: A cross-sectional study was conducted in Manizales, Colombia, between January and June 2024. A total of 120 dental professionals, including general dentists, specialists, residents, and academic clinicians, were selected through stratified random sampling. Participants completed the Spanish-adapted OSAKA questionnaire and a structured sociodemographic survey. Internal consistency was assessed using Cronbach’s alpha (α) and McDonald’s Omega (Ω). Construct validity was examined through exploratory factor analysis (EFA), with Kaiser Meyer Olkin (KMO) values and Bartlett’s test. Results: The knowledge subscale (18 items) showed good reliability (α = 0.83; Ω = 0.83), while the attitude subscale (5 items) showed near-acceptable reliability (α = 0.68; Ω = 0.59). KMO values were 0.79 for knowledge and 0.57 for attitudes; Bartlett’s test was significant in both cases (p ≤ 0.001). EFA supported structural validity: six components with eigenvalues >1 explained 61.66% of the variance for knowledge, and two components explained 79.49% for attitudes. Significant differences in attitude scores were found among professional groups (p ≤ 0.001, η2 = 0.13), with specialists scoring highest (X¯ = 17.66) and general dentists lowest (X¯ = 14.62). Knowledge scores did not significantly differ between groups (p = 0.47). Conclusions: The Spanish OSAKA questionnaire is a valid and reliable tool to assess knowledge and attitudes toward obstructive sleep apnea in Colombian dental professionals. Its use may support improved education, screening, and interdisciplinary collaboration in dental settings. Full article
21 pages, 272 KiB  
Article
Pneumococcal Infection and Vaccination-Related Knowledge, Attitudes and Practices Among Saudi Residents
by Wed S. Althobaiti, Abeer D. Alnefaie, Kaifah M. Althaali, Ola M. Alsufyani, Yassmin M. Shebany, Ayman A. Atalla, Ibtihal M. Alotaibi, Eman Y. Santali and Sayed F. Abdelwahab
Pathogens 2025, 14(7), 711; https://doi.org/10.3390/pathogens14070711 - 18 Jul 2025
Viewed by 428
Abstract
Background and aims: Pneumococcal infections, primarily caused by Streptococcus pneumoniae, pose significant global public health challenges, particularly in vulnerable populations. In Saudi Arabia, the introduction of pneumococcal vaccination has been a crucial step towards its prevention. However, gaps in public knowledge [...] Read more.
Background and aims: Pneumococcal infections, primarily caused by Streptococcus pneumoniae, pose significant global public health challenges, particularly in vulnerable populations. In Saudi Arabia, the introduction of pneumococcal vaccination has been a crucial step towards its prevention. However, gaps in public knowledge and attitudes toward the vaccine may hinder its effectiveness. Recent studies indicate a lack of awareness about the benefits of pneumococcal vaccination, suggesting a need for further investigation. This study determined the knowledge, attitudes, and practices (KAP) of Saudi residents regarding pneumococcal infection and vaccination. Study design and Methods: This observational cross-sectional study was conducted across Saudi Arabia from November 2024 to March 2025. Data were collected through a self-administered online questionnaire designed to evaluate KAP towards pneumococcal infection and vaccination. The sample size was calculated to be 385 participants. The questionnaire underwent expert validation and a pilot study to ensure clarity and reliability. The questionnaire was distributed via social media platforms to collect the data. Data management was conducted using Microsoft Excel, and statistical analysis was performed using Statistical Package for Social Sciences (SPSS) software version 26. Results: This study included 1230 participants of whom 630 (51.2%) were females and 1075 (87.4%) were Saudi citizens. Almost half of the participants (50.2%) were aged 18–30 years, and 498 (40.5%) were married. The average knowledge score was 58.6%, indicating a moderate level of understanding among the participants regarding pneumococcal infection. Also, the average attitudes score was 70.6%, reflecting a generally positive outlook towards the importance of pneumococcal vaccination and its potential to limit infection spread. In addition, the average practices score was 68%, indicating a fairly good level of behaviors regarding vaccination practices. Statistical analyses showed that demographic factors and clinical characteristics significantly shape individuals’ KAP towards pneumococcal infection and vaccination. Conclusions: This study highlights the critical need to improve KAP regarding pneumococcal infections and vaccinations among Saudi residents and could help in developing more targeted and effective public health interventions to protect Saudi residents from pneumococcal infections. Full article
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