Search Results (226)

Background/Objectives: Improving health outcomes for Indigenous people by strengthening the cultural safety of care is a vital challenge for the health sector. University Departments of Rural Health (UDRH), academic centres based in regional, rural, and remote (RRR) locations across Australia, are uniquely positioned to foster a culturally safe rural health workforce through training, education, and engagement with Indigenous communities. This narrative review examines the contributions of UDRHs to health workforce issues through analysis of their publications focused on Indigenous health. Methods: Research articles relating to workforce were identified from an established database of UDRH Indigenous health-related publications published 2010–2021. Results: Of 46 articles identified across the 12 years, 19 focused on developing the understanding and cultural safety skills of university students studying in a health field, including campus-based Indigenous health education and support for students undertaking rural clinical placements. Twelve articles investigated cultural safety skills and recruitment and retention of the rural health workforce. Fifteen articles focused on Indigenous people in the health workforce, examining clinical training and resources, and the enablers and barriers to retaining Indigenous students and workers. Conclusions: This analysis highlights the sustained efforts of UDRHs to improve Indigenous health through multiple areas within their influence, including curriculum design, health student training on campus, and rural placement opportunities to transform understanding of Indigenous strengths and disadvantages and rural health workforce development. A continuing effort is needed on ways UDRHs can support Indigenous health students during their studies and while on placement, how to improve cultural safety in the health workforce, and ways to better support Indigenous health professionals. Full article

Background: Adolescents in Ethiopia, particularly in rural areas, face significant barriers to accessing comprehensive sexual and reproductive health (SRH) services, resulting in poor health outcomes. The youth-friendly health services (YFHS) initiative addresses these challenges by training Health Extension Workers (HEWs) to deliver tailored, age-appropriate care at the primary care level. This study evaluates the cost-effectiveness of YFHS implementation in rural health posts in the Jimma Zone, Ethiopia. Methods: Using an ingredient-based costing approach, costs were analyzed across six health posts, three implementing YFHS and three offering routine services. Health outcomes were modeled using disability-adjusted life years (DALYs) averted, and incremental cost-effectiveness ratios (ICERs) were calculated. Results: Results showed that YFHS reached 9854 adolescents annually at a cost of USD 29,680, compared to 2012.5 adolescents and USD 7519 in control sites. The study showed the ICER of USD 25.50 per DALY averted. The intervention improved health outcomes, including a 27% increase in antenatal care uptake, a 34% rise in contraceptive use, and a 0.065% reduction in abortion-related mortality, averting 52.11 DALYs versus 26.42 in controls. Conclusions: The ICER was USD 25.50 per DALY averted, well below Ethiopia’s GDP per capita, making it highly cost-effective by WHO standards. Scaling YFHS through HEWs offers a transformative, cost-effective strategy to advance adolescent SRH equity and achieve universal health coverage in Ethiopia. Full article

In alignment with global educational trends, Australia has adopted a pluralistic approach to initial teacher education (ITE), encompassing traditional university-based programs, employment-integrated models and vocational training routes. This diversification of pathways has emerged as a strategic response to persistent workforce challenges, including chronic shortages, uneven distribution of qualified educators, and limited demographic diversity within the profession. Rather than supplanting conventional ITE models, these alternative pathways serve as complementary options, broadening access and enhancing system responsiveness to evolving societal and educational needs. The rise in non-traditional routes represents a deliberate response to the well-documented global teacher shortage, frequently examined in comparative educational research. Central to their design is a restructuring of traditional program elements, particularly duration and delivery methods, to facilitate more flexible and context-sensitive forms of teacher preparation. Such approaches often create opportunities for individuals who may be excluded from conventional pathways due to socioeconomic constraints, geographic isolation, or non-linear career trajectories. Significantly, the diversity introduced by alternative entry candidates has the potential to enrich school learning environments. These educators often bring a wide range of prior experiences, disciplinary knowledge, and cultural perspectives, contributing to more inclusive and representative teaching practices. The implications for student learning are substantial, particularly in disadvantaged communities where culturally and professionally diverse teachers may enhance engagement and academic outcomes. From a policy perspective, the development of flexible, multifaceted teacher education pathways constitutes a critical component of a sustainable workforce strategy. As demand for qualified teachers intensifies, especially in STEM disciplines and in rural, regional and remote areas, the role of alternative pathways is likely to become increasingly pivotal in achieving broader goals of equity, quality and innovation in teacher preparation. Full article

This study investigates the cybersecurity landscape of Aotearoa-New Zealand through a culturally grounded lens, focusing on the integration of Indigenous Māori values into cybersecurity frameworks. In response to escalating cyber threats, the research adopts a mixed-methods and interdisciplinary approach—combining surveys, focus groups, and case studies—to explore how cultural principles such as whanaungatanga (collective responsibility) and manaakitanga (care and respect) influence digital safety practices. The findings demonstrate that culturally informed strategies enhance trust, resilience, and community engagement, particularly in rural and underserved Māori communities. Quantitative analysis revealed that 63% of urban participants correctly identified phishing attempts compared to 38% of rural participants, highlighting a significant urban–rural awareness gap. Additionally, over 72% of Māori respondents indicated that cybersecurity messaging was more effective when delivered through familiar cultural channels, such as marae networks or iwi-led training programmes. Focus groups reinforced this, with participants noting stronger retention and behavioural change when cyber risks were communicated using Māori metaphors, language, or values-based analogies. The study also confirms that culturally grounded interventions—such as incorporating Māori motifs (e.g., koru, poutama) into secure interface design and using iwi structures to disseminate best practices—can align with international standards like NIST CSF and ISO 27001. This compatibility enhances stakeholder buy-in and demonstrates universal applicability in multicultural contexts. Key challenges identified include a cybersecurity talent shortage in remote areas, difficulties integrating Indigenous perspectives into mainstream policy, and persistent barriers from the digital divide. The research advocates for cross-sector collaboration among government, private industry, and Indigenous communities to co-develop inclusive, resilient cybersecurity ecosystems. Based on the UTAUT and New Zealand’s cybersecurity vision “Secure Together—Tō Tātou Korowai Manaaki 2023–2028,” this study provides a model for small nations and multicultural societies to create robust, inclusive cybersecurity frameworks. Full article

Background/Objectives: Against the backdrop of increasing global aging and the trans-formation of family structures, grandparental caregiving has become commonplace, and its impact on the mental health of older persons is of great concern. Methods: Based on data from the 2023 Xi’an Jiaotong University Urban and Rural Elderly Family Support and Psychological Condition Survey, this study analyzed the impact of grandparental care-giving behaviors on the mental health of the elderly through the Psychological Condition Measurement Scale (PCMS), and comprehensively assessed the presence, intensity, and heterogeneous impact of grandparental caregiving behaviors by gender by applying linear regression modeling, the Propensity Score Matching (PSM) method, and the Instrumental Variables Method (IVM). Results: Grandparental care has a significant positive effect on the mental health of older people, but this positive effect diminishes as the intensity of care increases. The results of the sub-sample estimation show that grandparental caregiving has a positive effect on men’s and low-intensity caregiving on women’s mental health, but high-intensity caregiving has a negative effect on women’s mental health. In addition, in-tergenerational financial support and intergenerational emotional comfort play an im-portant mediating role between grandparental caregiving and the mental health of older persons, in line with the explanatory framework of intergenerational exchange theory. Conclusions: It is recommended that the Government support grandparental care for the elderly at the financial, social security, and policy levels; that society build a diversified system of elderly care services and strengthen public childcare services; and that families establish a value identity of two-way support. Full article

Upgrading the industrial structure is an essential step for economic growth and the transformation of old and new development drivers. Counties situated at the rural–urban interface hold a comparative advantage in industrial upgrading compared to cities, converting agricultural resource dividends into economic value. However, whether agricultural innovation talent can facilitate this process requires further investigation. Based on a sample of 1771 Chinese counties, this study employs a quasi-natural experiment using China’s “World-Class Disciplines” construction program in agriculture and establishes a difference-in-differences (DID) model to examine the impact of agricultural innovation talent on county-level industrial structure upgrading. The results show that agricultural innovation talent significantly promotes industrial upgrading, with this effect being more pronounced in counties with smaller urban–rural income gaps, greater household savings, and higher levels of industrial sophistication. Spatial spillover effects are also evident, indicating regional knowledge diffusion. Knowledge empowerment emerges as the core mechanism: agricultural innovation talent drives industrial convergence, responds to supply–demand dynamics, and integrates digital and intelligent elements through knowledge creation, dissemination, and application, thereby supporting county-level industrial upgrading. The findings highlight the necessity of establishing world-class agricultural research and talent incubation platforms, particularly emphasizing the supportive role of universities and the knowledge-driven contributions of agricultural innovation talents to county development. Full article

This study investigates the complex dynamics of new-type urbanization in resource-based county-level cities, using Wuan City in Hebei Province, China, as a representative case. As China pursues a high-quality development agenda, cities historically dependent on resource extraction face profound challenges in achieving sustainable and inclusive urban growth. This research employs a multi-method approach—including Theil index analysis, industrial shift-share analysis, a Cobb–Douglas production function model, and a composite urbanization index—to quantitatively diagnose the constraints on Wuan’s development and assess its transformation efforts. Our empirical results reveal a multifaceted situation: while the urban–rural income gap has narrowed, rural income streams remain fragile. The shift-share analysis indicates that although Wuan’s traditional industries have regained competitiveness, the city’s economic structure is still burdened by a persistent negative structural component, hindering diversification. Furthermore, the economy exhibits characteristics of a labor-intensive growth model with inefficient capital deployment. These underlying issues are reflected in a comprehensive urbanization index that, after a period of rapid growth, has recently stagnated, signaling the exhaustion of the city’s traditional development mode. In response, Wuan attempts an “industrial transformation-driven new-type urbanization” path. This study details the three core strategies being implemented: (1) incremental population urbanization through development at the urban fringe and in industrial zones; (2) in situ urbanization of the existing rural population; and (3) the cultivation of specialized “characteristic small towns” to create new, diversified economic nodes. The findings from Wuan offer critical, actionable lessons for other resource-dependent regions. The case demonstrates that successful urban transformation requires not only industrial upgrading but also integrated, spatially aware planning and robust institutional support. We conclude that while Wuan’s model provides a valuable reference, its strategies must be adapted to local contexts, emphasizing the universal importance of institutional innovation, human capital investment, and a people-centered approach to achieving resilient and high-quality urbanization. Full article

Electronic nicotine delivery systems (vapes) are the most used nicotine products among U.S. adolescents, with usage increasing significantly from 2017 to 2019. School-based prevention programs are a critical strategy for curbing youth vaping. This study utilized a retrospective pre/post survey to evaluate the effectiveness of a two-year school-based vaping prevention program utilizing a condensed version of the Stanford University Tobacco Prevention Toolkit. The program was implemented in-person and online across two years in a southeastern U.S. state. In year one, evalua-tion data were collected from 4252 youths from 20 rural counties who completed the in-person survey during the 2018–2019 program year. In year two, 1347 youths from 13 rural and urban counties completed the survey during the program year of 2019–2020. The key findings indicate significant increases in knowledge about vaping risks post-program. The findings from year one indicate that increases in knowledge about e-cigarettes were negatively related to the frequency of vaping, but this was not replicated in year two. Moreover, knowledge did not influence vaping frequency if youths had already started vaping, while pre-program knowledge did not predict the frequency of vaping in either year. These results suggest that vaping prevention education outcomes among youths are mixed. Full article

With the development of higher education, college students have become a new and important group for environmentally sustainable development. How to evaluate and strengthen the practical effect of ecological education is of great significance. Based on the survey data of 1579 university students, this study constructed a systematic index system of ecological education by using a hierarchical evaluation method. Moreover, OLS (Ordinary Least Squares), Oprobit, and intermediary effect models were used to analyze the influence relationship and mechanism of the two empirically and IV-Oprobit was used to solve the endogeneity problem. The results show the following: (1) Ecological education can effectively promote the sustainable behavior of university students, and the probability of university students implementing sustainable behavior increases by 10.7% with each unit increase in the level of ecological education. (2) Environmental value perception such as in individual economic value perception, social value perception, and health value perception are all important mediating channels of ecological education, among which health value perception has the strongest mediating effect. (3) Particulate Matter 2.5 (PM2.5) exposure positively moderates the impact of university students’ environmental value perception on their sustainable behavior. (4) There is a significant correlation between university students’ household registration, participation in environmental associations and hometown social networks, and sustainable behaviors. (5) The influence of ecological education on students’ behaviors shows heterogeneity in family household registration. Students from rural families have a higher level of environmental behavior and value perception than those from urban families. Moreover, they are more likely to exhibit behaviors under the influence of ecological education. The above results provide reference suggestions for the ecological education policy system and offer theoretical support and policy inspiration for promoting sustainable behaviors among global college students and enhancing the efficiency of ecological education in universities. Full article

In April 2018, South Africa became the first African country to implement a Health Promotion Levy (HPL) on sugar-sweetened beverages (SSBs). This study assessed sugar tax awareness among rural-based university students and involved 342 participants, with an additional 10% to account for attrition. However, only 257 students, randomly selected from six university residences at the University of Venda, reported consuming SSBs. Systematic sampling determined the room selection, and the data was collected through an interviewer-administered questionnaire (8–28 October 2022). A knowledge questionnaire assessed the students’ understanding of the sugar tax. The results showed that 65.8% purchased SSBs five to six times a week, while 41.2% spent over R200 monthly on these beverages. The results showed that students had limited awareness and little perception of the sugar tax, reflecting a broader knowledge gap. Their negative behaviors toward sugar-sweetened beverages indicated that changing their consumption patterns would be challenging. Raising public awareness through taxation is widely recognized as an effective obesity prevention strategy, but misinformation, negative perceptions, and pessimistic attitudes may contribute to continued high consumption. Full article

This study explores the attitudes of university administrative staff toward disability and their perceptions of the potential for inclusive environments in higher education institutions across Georgia. Using the Attitudes to Disability Scale (ADS), a cross-sectional survey was conducted with 63 staff members from a Tbilisi-based and a regional university. The findings reveal generally positive attitudes, especially among younger and female staff, but expose persistent hierarchies in disability perception—particularly skepticism toward intellectual and psychosocial impairments. While the participants expressed support for inclusion, their recommendations for occupational roles reflected narrow and often custodial views of employability. Urban–rural and tenure-based divides further underscored structural and cultural barriers to full inclusion. This study concludes with actionable recommendations for inclusive training, policy reform, and participatory approaches to shift Georgian universities toward genuine inclusion. Full article

Background/Objectives: Mediterranean diet (MD) adherence is associated with a lower risk of developing several chronic diseases, including cardiovascular and metabolic disorders, cancer, and mental health diseases. University students are vulnerable to mental disorders that considerably affect their well-being and quality of life, which may be ascribed to the stressful environment during their academic studies. This cross-sectional survey designed to explore the relationship between MD compliance and perceived stress levels as well as sleep quality in a representative sample of university students from Greece. Methods: This survey assigned 5433 university students from 10 Greek regions. We used qualified questionnaires to examine the socio-demographics of the assigned students. Anthropometrics were determined by qualified methods. Validated questionnaires were used to determine diverse lifestyle factors like physical activity, perceived stress, sleep quality and MD adherence. Results: Concerning the primary objectives of this study, greater MD compliance was independently and significantly related to lower incidence of perceived stress and poor sleep quality in university students. As far as the secondary objectives of this study concern, greater MD compliance was independently and significantly related to female gender, rural type of residence, living with family, smoking, biomedicine studies, being normal weight, and having enhanced physical activity. Conclusions: This study reinforces the idea that healthy dietary patterns like MD could be a significant modifiable factor against perceived stress and poor sleep quality of university students. Based on this evidence, longitudinal studies should be performed to confirm whether MD can exert a causal effect on perceived stress and sleep quality. Full article

The empowerment of rural women through sustainable entrepreneurship is pivotal for fostering economic development and social transformation in developing communities. This study examines the impact of university social responsibility (USR) programs on strengthening sustainable entrepreneurship among rural women, emphasizing the mediating role of economic empowerment. Utilizing a structural equation model (SEM), we explore causal pathways between USR interventions, entrepreneurial capacities, and the sustainability of rural businesses. Key dimensions analyzed include economic resources, social networks, and psychological self-efficacy, as well as their interrelation with community development. The findings demonstrate that multidimensional USR programs integrating technical training, social support, and economic resources significantly enhance entrepreneurial resilience and value chain integration. Notably, the analysis reveals that economic empowerment mediates the relationship between USR programs and business sustainability, with improvements in community participation and ICT quality identified as critical drivers. Furthermore, the post-intervention results highlight a shift from technology access challenges to a focus on ICT content quality and psychosocial development, reflecting maturity in community adaptation and resource utilization. This research provides empirical evidence supporting the effectiveness of USR programs in catalyzing sustainable transformations in rural contexts. The results offer actionable insights for designing targeted interventions that integrate technical, social, and economic dimensions, contributing to the advancement of sustainable entrepreneurship and rural development theory. Full article

Building Information Modeling (BIM) concepts are permeating the approach to the design of buildings and landscapes for the architectural, engineering, and construction sectors. Recent regulations require that even medium–small-size public works are managed through BIM-driven design. These circumstances have led to an increase in research on the topic. The expansion of the demand of BIM-skilled professionals urges higher education institutions to re-engineer their design programs. The aim of this paper is to evaluate this academic education transition in the Department of Agricultural Sciences at the University of Sassari, Italy. The method consists of a BIM academic education assessment framework based on ten criteria clustered into three macro-issues. The application of this framework to the assessment of three diploma final theses signals that some actions have been undertaken (i.e., introducing BIM basic concepts in rural building and landscape design, stimulating interest in students, clarifying the dimensions of BIM, and promoting the concept of 3D object design and management), but still, much work must be carried out. The work confirms typical barriers to the implementation of BIM concepts in the core curriculum and the need to mobilize the whole educational ecosystem to achieve satisfactory progress toward effective innovation in contemporary BIM-led design teaching. This work represents the first attempt to evaluate the progress of the Department of Agricultural Sciences, University of Sassari, toward the integration of BIM concepts in its courses and to position this transition in an international panorama. Full article

This article reflects on a capacity-building project co-designed with two universities in northern Mozambique to strengthen partnerships in the educational sector in addressing local issues of youth unemployment and food insecurity. The project focused on building communities of practice (CoPs) around the three secondary-level schools delivering agricultural education and training with the participation of universities’ lecturers from agricultural universities as well as students and rural communities. These three CoPs became collaborative networks foregrounded in participatory action research that allowed for a joint production of knowledge. Because of this, we propose to frame these CoPs as microcosms of an expanded skills ecosystem that exists on a territorial level and encompasses diverse forms of knowledge. Despite the impacts of the COVID-19 pandemic, CoPs created opportunities for students to do practical work that is often lacking in training and, especially, to encounter entrepreneurship possibilities that can facilitate education–work transitions. With this experience in mind, we ask ourselves, how can CoPs harness skills development towards the education–work transition for youth in agriculture? Our insights into this question are based on three years of project implementation (2021–2023) and, hopefully, will contribute to better understand the role of vocationally trained youth for Mozambique’s agricultural development. Full article