Search Results (1,895)

In the context of China’s dual-carbon agenda and the Digital China initiative, elucidating the role of digital literacy in shaping consumption-based household carbon emissions (HCE) is essential for advancing low-carbon urban living and supporting a broader green transition. Existing research has rarely examined, at the individual level, how digital capability shapes household consumption decisions and the structure of carbon emissions. Accordingly, this study draws on matched household-individual microdata from the China Family Panel Studies (CFPS). We employ a two-way fixed effects model, kernel density analysis, and qualitative comparative analysis. We test the nonlinear effect of digital literacy on household consumption-related carbon emissions and examine its heterogeneity. We also examined the mediating role of perceived environmental pressure, social trust and income level. The research results show that: (1) The net impact of digital literacy on carbon emissions related to household consumption shows an inverted U-shaped curve, rising first and then falling. When digital literacy is low, it mainly increases emissions by expanding consumption channels, reducing transaction costs and improving convenience. Once digital literacy exceeds a certain threshold, the mechanism will gradually turn to optimize the consumption structure, so as to support the low-carbon transformation of individuals. (2) The impact of digital literacy on HCE is structurally different in different types of consumption. In terms of transportation and communication expenditure, the emission reduction effect is the most significant, and with the improvement in digital literacy, this effect will become more and more obvious. For housing-related consumption, the turning point appeared the earliest. With the improvement in digital literacy, its effect will enter the emission reduction stage faster. (3) Digital literacy can reduce carbon emissions related to household consumption by enhancing residents’ perception of environmental pressure and strengthening social trust. However, it may also increase emissions by increasing residents’ incomes, because it will expand the scale of consumption, which will lead to an increase in carbon emissions related to household consumption. (4) The heterogeneity analysis shows that as digital literacy improves, carbon emissions increase more strongly among rural residents, people with low human capital, low-income households, and women. However, the turning-point threshold for emission reduction is relatively lower for women and rural residents. (5) Low-carbon transitions in household consumption are shaped by dynamic interactions among multiple factors, and multiple pathways can coexist. Digital literacy can work with environmental responsibility to endogenously promote low-carbon consumption behavior. It can also, under well-developed infrastructure, empower households and amplify the emission-reduction effects of technology. Full article

Background: Women living in riverine communities are affected by factors such as geographical and cultural distance that hinder access to and use of health services. In this context, access to the Pap smear is crucial for the early detection of cellular changes that may progress to cervical cancer, which underlines the importance of understanding riverine women’s subjective perceptions of this exam. Objectives: To analyze the perceptions of riverine women regarding cervical cancer screening through the lens of health literacy. Methods: Descriptive qualitative study conducted with 42 riverine women residents of the Brazilian Amazon who were registered at the Basic Health Unit on Cotijuba Island, Pará, Brazil. Data were collected through semi-structured individual interviews from January to May 2024 and analyzed using IRaMuTeQ software version 0.7 alpha 2. Results: Data were grouped into similar classes, yielding the following thematic axes: knowledge, feelings and perceptions about the Pap smear test; how health literacy and access to information affect self-care; access to health services. The study showed that limited participant knowledge about the Pap smear was reflected in low health literacy, which directly affected adherence to the exam. Conclusions: The study demonstrated that the riverine woman’s limited knowledge regarding the Pap smear was reflected in their poorly developed health literacy, which directly contributed to non-adherence to the exam. Full article

Background: Maternal health behaviors during pregnancy are crucial for maternal and fetal outcomes. While global research has explored that demographic, clinical, and psychosocial determinants significantly influence these behaviors, evidence from low- and middle-income countries (LMICs), including Albania, remains limited. This study aims to evaluate psychosocial perceptions and health behaviors related to lifestyle among pregnant women in a local Albanian community in order to identify which are higher risk subgroups that need targeted and tailored antenatal care interventions. Methods: This multicenter cross-sectional study included 200 pregnant women attending antenatal clinics from May to August 2024 in Vlora city, Albania. Participants were selected using consecutive sampling based on inclusion criteria. Data were collected through a validated questionnaire composed of five sections: demographic/obstetric data; maternal health behaviors; dietary diversity; physical activity, perceived stress; and social support. Clinical and anthropometric measurements were assessed by trained health professionals during antenatal visits. SPSS version 23.0 and binary logistic regression with p-value ≤ 0.05 statistically significant were used for data analysis. Results: Mean age was 28.3 ± 6.4 years, 71% employed and 83.5% urban residents. Key unhealthy behaviors included tobacco use (25.5%), alcohol consumption (10.5%), exposure to toxins (15%), and low dietary diversity (32%). We found significant correlations between low dietary diversity and rural residence (Adj OR = 2.48), hypertension (Adj OR = 6.88), and overweight/obesity (Adj OR = 2.33). Tobacco use was associated with unemployment and alcohol use with unemployment and hypertension variables. Low/moderate social support and high perceived stress were significantly related with multiple unhealthy behaviors, such as low dietary diversity, inadequate physical activity and antenatal care. Conclusions: Unhealthy nutritional behaviors, tobacco and alcohol use and low physical activity are more prevalent risk factors among pregnant women in Vlora city. Priority should be given to vulnerable groups, including rural residents, pregnant women with low social support, high perceived stress and those with hypertension and obesity. Interventions that integrate psychosocial support and health education into antenatal care services are urgently needed to enhance pregnancy outcomes in Albanian communities. Full article

Japan’s ongoing socio-spatial transformation has led to the decline of rural cultures and traditional rural landscapes (TRLs), necessitating alternative approaches to revitalize rural communities. Reinforcing inter-regional urban–rural connections could offer a path to rural revitalization and sustainable regional resilience. This study investigated such perspectives through a large-scale survey (n = 1704) and statistically analyzed the perceptual differences of residents across residential contexts regarding their cultural knowledge, daily practices, consumption preferences, and landscape recognition, represented by traditional tea culture in Shizuoka Prefecture, Japan. Results demonstrated significant residential-context-based differences. Although rural residents showed the deepest understanding and recognition of tea culture and landscapes, they failed to express such perceptual knowledge with confidence. By contrast, suburban residents presented moderate familiarity without deep understanding. Urban residents relied greatly on symbolic representations of rural culture and landscapes, but without distinct recognition. Although all groups showed high levels of interest in tea culture, they generally presented a lack of deep understanding regarding Zairai tea fields, a representative TRL in the region, indicating both its physical decline due to agricultural modernization and its diminishing cultural visibility. Overall, the findings of this study highlight the differentiated perceptions shaped by different residential contexts. By clarifying both perceptual commonalities and divergences that exist among these residential groups, this study provides a new perspective on reconstructing culturally rooted urban–rural connections to contribute to the revitalization of rural communities, culture, and the conservation of TRLs in the region. Full article

Urban park landscape design has significant potential to alleviate heat stress and promote public health, particularly during extreme summer heat. This study explores how the spatial configuration of landscapes within the Yanghu Wetland Park in Changsha, China, influences pedestrian thermal comfort and destination loyalty under hot summer conditions, and how these factors affect public perceived health. It enriches current research by examining the impact of landscape spatial configuration, thermal comfort, and destination loyalty on public perceived health from a psychological perspective. We identified connections between park users’ spatial perceptions and their psychological and health perceptions. We used structural equation modeling (SEM) to examine the relationships among visitors’ spatial perception, psychological perceptions, and health perceptions within this large urban wetland park. At the same time, we explored how landscape characteristics, thermal comfort, destination loyalty, and public perceived health interact. This research constructs a Spatial–Thermal–Perception–Behavior (SPB) theoretical framework for such complex blue-green spaces, providing a multidimensional perspective on the relationship between the environment and health. Based on a survey of 321 visitors, This study pioneers the SPB theoretical framework, clarifying how this wetland park’s landscape configurations impact public perceived health through the mediating pathways of thermal comfort and destination loyalty. It provides a scientific basis for heat-adaptive landscape design in similar wetland park settings, aiming to enhance resident well-being and improve public perceived health. Full article

The energy sector is counted among the environmentally unfriendly branches in many global economies, including in Poland. However, it has been pivoting towards alternatives to traditional, high-emission energy generation from non-renewable sources for years. Renewable energy sources, or renewables, are a responsible response to today’s expectations concerning country-level sustainable development, driving the global green energy transition. However, the success of increasing the share of renewables in energy mixes hinges to a large extent on the public perceptions of the changes. In the broadest perspective, research today focuses on global energy transition policy and its funding, problems with the availability of energy carriers, and the adequacy of specific energy production and transfer systems from a technical and technological point of view. Academics tend to concentrate slightly less on investigating the public opinion regarding the challenges of energy transition. This aligns with a relevant research gap for Poland, particularly in rural areas. Therefore, the present article aims to analyse public opinion on environmental protection challenges and the ensuing need to improve energy sourcing to promote the growth of renewable energy in rural Poland, with a case study of five districts in Małopolskie Voivodeship, to contribute to the body of knowledge on these issues. The goal was pursued through a survey of 300 randomly selected inhabitants of the five districts in Malopolska, conducted using Computer-Assisted Personal Interviewing (CAPI) in 2024. The results were analysed with quantitative techniques and qualitative instruments. The detailed investigation involved descriptive statistics and tests proposed by Fisher, Shapiro–Wilk, and Kruskal–Wallis, using IBM SPSS v.25. The use of the indicated methodological approach to achieve the adopted goal distinguishes the study from the approach of other authors. The primary findings reveal acceptance of the ongoing transition processes among the rural population. It is relatively well aware of the role of renewables, but there is still room for improvement, therefore it is necessary to disseminate knowledge in this area and monitor changes in sustainable awareness. We have also established that, overall, educational background is not a significant discriminative feature in rural perceptions of the energy transition. The conclusions can inform policy models to promote green transformation processes, enabling their adaptation to the current challenges and needs of rural residents. Full article

The necessity of citizen involvement in biodiversity conservation activities is widely recognized in practical conservation operations. Clarifying the roles of annual-fee membership schemes is important, as they enable diverse styles of citizen participation. Kyororo is a museum whose main theme is the Satoyama in snowy regions, and the Kyororo Friends Association is an affiliated annual-fee membership program. This study examines the results of a questionnaire survey distributed among the association’s members to examine their perceptions of Kyororo’s activities, in addition to their characteristics—such as age group, place of residence, and type of involvement—and their motivations for joining the association. This study contributes by revising four potential roles of annual-fee membership in terms of promoting citizen participation. The first is as a platform for citizen involvement that is independent of geographic distance or direct participation. The second is as a platform for sustaining the involvement of individuals who have contributed to the accumulated history of the activities. The third is as platforms for citizens who understand and trust community-level nature, conservation activities, and their values to affiliate with and provide their support. The fourth is as a platform for sustained citizen support through regular fixed-amount payments to trusted entities. Full article

In the face of rapid aging, depression in later life has become a prominent issue in urban public health and environmental research. As potential places for social activities and emotional healing, the social stayability of shaded community spaces is an essential environmental factor influencing the mental well-being of the elderly. In order to overcome the challenge of depression relief in later life, it is important to investigate what attributes of social stayability in shaded spaces influence the mental well-being of the elderly, as well as their gap structures. This study innovatively develops a fuzzy multi-criteria decision-making method and builds an analytical framework combining Fuzzy-BWM and VIKOR to comprehensively evaluate three dimensions of physical accessibility, facilities, and spatial conditions, and environmental comfort and safety of shaded spaces. Using the Pioneer community in Panyu, Guangzhou, and the Yuehan community in Macau as empirical cases, this study integrates expert judgment and residents’ perception data to identify the key attributes and gap structure of shaded space stayability in mitigating depression-related psychological risk and promoting emotional restoration and psychological well-being among older adults. The results show that facilities and spatial conditions have the greatest impact on social stayability. The two attributes of sitting comfort and public service facilities are the dominant factors that affect stay intention and emotional recovery. Environmental comfort and safety have a secondary but stable supporting effect on psychological security. This study reveals the coupling relationship between functional configuration and perceptual experience and advocates for the transformation of urban renewal thinking from spatial optimization to psychological health promotion. This study’s results offer theoretical support and policy implications for building restorative, inclusive, and age-friendly cities. The findings provide a quantitative basis for decision making regarding sustainable community space governance and intervention prioritization. Full article

Background/aim: Despite the fact that qualitative research on postpartum depression (PPD) has been extensively researched globally, women’s perceptions of PPD misconceptions are mostly ignored in developing countries like Jordan. Thus, this study aims to explore Jordanian women’s sociocultural perceptions and misconceptions about PPD using the descriptive phenomenological design. Methods: Fourteen women who had either a normal or caesarean (C-section) delivery and resided in Irbid, Northern Jordan, participated in semi-structured in-depth interviews, which lasted 15 to 25 min in May 2025. Data were gathered via field note transcriptions of interviews, and analysis followed Colaizzi’s data analysis methodology. Results: Among participants, five women (all C-section deliveries) reported a PPD diagnosis, while the remaining normal delivery women reported experiencing depression before giving birth. The women’s sociocultural perceptions and misconceptions about PPD were found to be reflected in a number of themes. The theme “perceiving PPD as normal baby blues” captures the general lack of awareness regarding this disorder. Three important themes—“myths”, “psychological”, and “spiritual and religious failure”—show how little is known about the causes. The two primary themes that are impacted by sociocultural perspectives are “stigma” and “mistrust of professional care services”. The accuracy and misconceptions around this disorder are summed up in four basic themes: “emotional misconceptions”, “cultural misconceptions”, “false beliefs about health”, and “think of PPD as indolence”. Conclusions: Jordanian women have limited understanding and misconceptions of PPD. Adopting culturally relevant awareness campaigns is essential to disseminating the knowledge required to facilitate improved treatment pathways. Full article

Across East Asia, rapid population aging and regional decline threaten the sustainability of rural and island communities. Yeonpyeong Island provides a critical context for examining how spatial infrastructure shapes older residents’ daily challenges. The aim of this study is to identify how older adults evaluate their housing and community environments and to determine whether these perceptions signal a transition toward more integrated and community-based care settings. Using a primary quantitative survey of 102 older residents, supplemented by contextual input from a local representative, the study analyzes how health decline, mobility constraints, and housing obsolescence interact with aspirations for service-integrated and socially connected living. Composite scores for perceived home modification needs remained consistently in the mid-to-upper range (approximately 3.5–4.0 on a 5-point scale). Acceptance of alternative, cohousing-type community housing also remained above the midpoint (approximately 3.5–4.1), reflecting an unusually high level of openness in a setting traditionally characterized by low receptivity to residential change and limited local housing alternatives. Safety risks, poor accessibility, and inadequate facilities function as push factors, while preferences for shared programs, proximity-based reassurance, and integrated hubs operate as pull factors, together signaling readiness for more supportive communal living. By integrating Push–Pull Theory with Environmental Press and Life-Space perspectives, the study contributes theoretically by extending these frameworks to the community scale and empirically by providing resident-level evidence from an under-researched island context. The findings highlight how older adults act as evaluators of their environments, articulating practical signals for spatial restructuring and integrated care planning. Full article

Urban stormwater management presents significant challenges for municipalities seeking to balance environmental resilience with financial considerations and social equity. This study investigates the factors shaping residents’ willingness to pay (WTP) for a proposed stormwater management fee in Norwalk, Connecticut, within the context of local sustainability plans. A survey of 457 residents assessed demographics, personal beliefs, perceptions of benefits, risks, and WTP. Since participation was voluntary and open, an exact response rate could not be calculated, and the resulting respondent profile differed from city benchmarks. The results were analyzed using descriptive and inferential statistics alongside a Random Forest machine learning model assessing two payment scenarios, achieving classification accuracies above the majority-class baseline (approximately 60–68%). Across both scenarios, expectations of tangible and locally visible outcomes, including infrastructure upgrades and climate resilience improvements, were the strongest determinants of WTP. When respondents evaluated a specific fee amount rather than a general modest fee, concerns about affordability and program effectiveness became more influential and revealed the conditional nature of financial support. The findings illustrate the value of machine learning for analyzing public attitudes toward environmental finance and highlight how policy framing, transparency, and communication shape acceptance of sustainability measures. These insights provide a data-driven foundation for future research on public engagement and equity in local environmental policy and stormwater plan development. Full article

The built environment plays a critical role in promoting residents’ physical activity, yet the interactive mechanisms between objective environmental factors and subjective perceptions remain insufficiently understood. This study examines three functionally distinct neighborhoods in Beijing’s Xicheng District—Xinjiekou (historic), Financial Street (administrative), and Baizhifang (residential)—representing typical urban regeneration contexts. Using an ordered logit model based on 1072 valid questionnaires, we analyze how objective and subjective built environment factors jointly influence residents’ leisure physical activities. Results reveal that socioeconomic attributes (income, age, education) are primary determinants of activity engagement. Among objective factors, facility accessibility and land-use mix exert the strongest direct effects, while subjective perceptions—particularly satisfaction with environmental attractiveness—significantly moderate these relationships. Based on these findings, we propose differentiated spatial renewal strategies tailored to each street type. This research provides empirical evidence for implementing health-oriented urban regeneration policies in high-density metropolitan areas. Full article

This paper examines how entrenched dichotomies between natural/cultural and tangible/intangible heritage shape conservation policy in contexts where material, ecological, and socio-cultural dimensions are deeply interdependent. Despite calls for more integrated frameworks, limited empirical research examines how such categorical divisions operate within living rural heritage environments or how they align with community perspectives and inform conservation policies. This paper addresses this gap by analysing the persistence of rigid heritage taxonomies in officially designated traditional villages in central rural Greece exploring how heritage officials and residents perceive and value their heritage. Drawing on qualitative fieldwork across six villages—including interviews, focus groups, and consultations with heritage professionals—it demonstrates that these categorical divisions fail to reflect local understandings of heritage as a living socio-ecological system. For residents, ecological conditions, built forms, agricultural practices, and social relations are interdependent and tied to livelihoods, land stewardship, and communal identity. Findings show that the Authorized Heritage Discourse (AHD) reinforces artificial separations that are misaligned with grassroots perceptions and hinder integrated planning. This mismatch has direct implications for sustainability: governance models that fragment nature, culture, and community obscure socio-ecological processes and limit the development of meaningful sustainability strategies. By foregrounding experiential and affective dimensions of heritage, the paper advances debates on community-centred and context-responsive heritage management. It reframes rural heritage as a co-produced, evolving system of material, social, and ecological relations, positioning rural landscapes as critical arenas for addressing sustainability challenges and offering new empirical insights into an underexplored dimension of heritage research. The study further advocates for governance approaches that embed local ontologies and lived knowledge into policy and practice, fostering more inclusive, resilient, and socio-ecologically grounded heritage frameworks capable of supporting long-term sustainable development. Full article

Introduction: Microplastics (MPs) are widespread environmental pollutants with possible neurotoxic effects. Exploring links between plastic use, MP awareness, and cognition is key for assessing public health risks. Objective: To examine correlations between plastic consumption, MP awareness and attitudes, and neurocognitive function among Greater Jakarta residents. Methods: A cross-sectional survey of 562 adults used a validated e-questionnaire covering plastic usage, MP knowledge, attitudes, risk perception, and cognition via the Ascertain Dementia 8 (AD-8). Analyses included chi-square, t-tests, and logistic regression. Results: Suspected cognitive impairment (AD-8 ≥ 2) was observed in 44.5% of respondents. High single-use plastic consumption correlated with worse cognition (p = 0.032), while reusable plastic use showed no association (p = 0.605). Awareness of MPs was relatively low, with 19.4% of respondents having never heard of them. Awareness and knowledge also varied significantly by age (p = 0.007), gender (p = 0.004), and education level (p = 0.027). Positive attitudes and higher risk perception aligned with greater awareness (p < 0.001) but not cognitive scores. Risk perception influenced bottled water use (p = 0.009), with low-risk groups consuming more. Conclusions: Frequent single-use plastic consumption is linked to poorer cognition, while MP awareness and risk perception do not directly affect cognitive outcomes. Educational strategies may enhance awareness and reduce exposure. Full article

Background: Despite growing concerns about the impact of excessive digital media use on adolescents’ health, few studies have examined how digital detox practices and physical activity interact to influence it, particularly from a gender perspective. Purpose: This study investigated the effects of digital detox and physical activity on adolescents’ health habits, focusing on gender differences and sociocultural implications. Methods: In February 2025, a self-reported survey was conducted among 652 adolescents (mean age = 15.6, SD = 1.4) residing in Seoul, South Korea, using a quota sampling method. The survey measured four domains: demographic characteristics, digital detox practices, physical activity, and perceptions of health habit improvement. Results: Gender-based analyses revealed that female students reported higher engagement in digital detox practices, whereas male students showed greater participation in physical activity and higher levels of health efficacy. Digital detox had a significant positive effect on adolescents’ health habit improvement; however, its effect on physical activity and the effect of physical activity on health habit improvement were not statistically significant. Conclusions: These findings suggest that the complex interplay among digital engagement, physical activity, and gender-based social norms shapes adolescents’ health behaviors. To effectively improve adolescent health, strategies should be tailored to address sociocultural dynamics and gender-specific needs and experiences. Full article