Search Results (37)

Chronic pain is a prevalent public health concern in the United States, frequently managed with over-the-counter (OTC) painkillers without professional medical supervision. This study investigates household-level patterns of over-the-counter painkiller use utilizing a nationally representative dataset from NielsenIQ, focusing on how reported health conditions, whether self-identified or professionally diagnosed, affect purchasing behaviors. By linking consumer purchase data with self-reported ailment information, this study analyzed painkiller expenditures across different ailment types and demographic groups. Results show that over-the-counter painkiller purchases were highly symptom-driven, particularly for headache-related products, which were the most frequently purchased category across all household types. Nearly one-third of single-member households purchased over-the-counter painkillers for headaches, regardless of diagnosis type, indicating a strong role of perceived need in driving behavior. Females and older individuals more frequently reported ailments, with consistently higher proportions across both pain-related and other conditions. Nonetheless, a notable share of households reported over-the-counter painkiller use without any reported ailments. The findings suggest that diagnostic status plays a limited role in determining over-the-counter painkiller usage, emphasizing the need for improved public health messaging around safe self-medication. These insights can inform targeted education, labeling regulations, and policy interventions to support safer and more equitable pain management practices at the population level. Full article

This article examines Greek households’ energy and transport poverty and vulnerability, two concepts often intertwined in policy, making use of both single and composite indicators. The methodology employed aligns with the European Social Climate Fund regulation, using household income from economically active members and the share of expenditures on fossil-based energy use in buildings and transport, as well as the required investment costs in energy efficiency improvements for dwellings or transport decarbonization measures. Through these indicators, the proportion of energy-vulnerable households in Greece ranges from 19% to 40%, while transport vulnerability varies between 22% and 43%. Notably, the analysis reveals that households in higher income categories can still be highly vulnerable, depending on household size, composition and dependency, which impact energy and transport needs. As such, the research findings reveal that the current legislative frameworks may not fully capture the vulnerability of certain demographic groups in the event of additional costs of fossil fuels due to new climate policies. Therefore, it is strongly recommended that policymakers adjust criteria to better target vulnerable households based on their unique characteristics and needs, and use improved data collection systems to monitor energy and transport poverty and vulnerability. Full article

Although other studies have utilized demographic variables to characterize pet owners, this study incorporates a demographic framework that considers different family structures—couples and singles, with or without children—to better understand the place of pets within families. This article explores the extent to which pets fit into families in either substitute or complementary family roles, whether the inclusion of pets in families is subject to resource constraints or cultural proclivities. Data are from the 2023 Pew Research Social Trends study, a nationally representative telephone survey of 5073 respondents, analyzed using bivariate and multinomial models. Results indicate that couples without children are just as likely to be a dog-only household as are the traditional pet-owning families of couples with young children. They are also more likely to have cats, with or without dogs, compared to couples with young children. Homeownership makes pets, especially dogs, more feasible for families. The results suggest that pets are considered as substitutes and/or complements for other family members. Pets may be more affordable and attainable substitutes and/or complements for human family members, provided there are both human and spatial resources, filling a niche created by changes in family formation patterns, while providing affection, companionship and a sense of home. Full article

The Cholera-Hospital-based-Intervention-for-7-Days (CHoBI7) mobile health (mHealth) program is a targeted water treatment and hygiene (WASH) program for the household members of diarrhea patients, initiated in the healthcare facility with a single in-person visit and reinforced through weekly voice and text messages for 3 months. A recent randomized controlled trial of the CHoBI7 mHealth program in urban Dhaka, Bangladesh, found that this intervention significantly increased WASH behaviors and reduced diarrhea prevalence. The objective of this present study was to conduct formative research using an implementation science framework to adapt the CHoBI7 mHealth program for scalable implementation in rural Bangladesh, and to promote construction of self-made handwashing stations (CHoBI7 Scale-up program). We conducted a 3-month multi-phase pilot with 275 recipients and 25 semi-structured interviews, 10 intervention planning workshops, and 2 focus group discussions with intervention recipients and program implementers. High appropriateness, acceptability, and adoption of the CHoBI7 Scale-up program was observed, with most recipients constructing self-made handwashing stations (90%) and chlorinating drinking water (63%) and 50% of participants observed handwashing with soap in the final pilot phase. At the recipient level, facilitators included weekly voice and text messages with videos on handwashing station construction, which served as reminders for the promoted water treatment and hand hygiene behaviors. Barriers included perceptions that self-made iron filters commonly used in households also removed microbial contamination from water and therefore chlorine treatment was not needed, and mobile messages not always being shared among household members. At the implementer level, facilitators for program implementation included follow-up phone calls to household members not present at the healthcare facility at the time of intervention delivery, and the promotion of multiple self-made handwashing station designs. Barriers included high patient volume in healthcare facilities, as well as the high iron in groundwater in the area that reduced chlorination effectiveness. These findings provide valuable evidence for adapting the CHoBI7 mHealth program for a rural setting, with a lower-cost, scalable design, and demonstrated the important role of formative research for tailoring WASH programs to new contexts. Full article

In modern society, individuals spend an increasing amount of time indoors, emphasizing the importance of understanding the health impacts of indoor environments. This study focused on measuring indoor air quality to identify vulnerable populations and observe the effects of residential environment improvements on air quality. Targeting low-income families and elderly households, known for their heightened vulnerability to environmental health risks, the study involved direct visits to 2328 low-income households across 16 cities and provinces in South Korea from 2021 to 2022. Indoor air quality parameters, including PM_2.5, PM₁₀, total volatile organic compounds (TVOC), formaldehyde (HCHO), and airborne mold, were measured. Among these households, 300 with critically compromised living conditions received support for wallpaper and paneling replacement. Comparative measurements before and after the renovations revealed that single-person households had higher levels of PM_2.5 and TVOC compared with households with four or more members. Additionally, households with elevated concentrations of airborne mold also exhibited higher levels of PM_2.5 and PM₁₀. Importantly, households that received environmental improvements showed a significant reduction in airborne mold concentration by approximately 50% or more. This study underscores the importance of indoor environmental health and provides valuable evidence supporting policies focused on health promotion and residential welfare improvements for vulnerable populations. The research is distinguished by its comprehensive nature, involving direct measurements from nearly 2000 households nationwide, rather than relying solely on secondary data. Full article

The concept of the Thai family has shifted from the traditional family to families of various forms, such as single-parent families, same-sex families, skipped-generation families, and one-person households, which affects not only mental health, but future relationships of the children. This research aimed to analyze the factors that contribute to family strengths in the context of Generation Alpha and develop a measurement model tailored to a Thai context. The sample consisted of parents and caregivers of Generation Alpha, divided into two sections, with 521 participants for exploratory factor analysis and 508 participants for confirmatory factor analysis. Using stratified random sampling, data were collected via questionnaires distributed across four regions of Thailand. The discrimination index ranged from 0.280–0.896, with a Cronbach’s alpha of 0.952. The results revealed a measurement model consisting of five key factors contributing to family strengths. The factor with the highest score was positive relationships, with a factor loading of 0.92. Additional factors included technology and media literacy, parental roles, good attributes, and mental immunity, with a factor loading of 0.80, 0.74, 0.55, and 0.44, respectively. The measurement model of family strengths for Generation Alpha in the Thai context was found to be consistent with the empirical data. These findings suggest that understanding these family strengths can significantly enhance the well-being of both Generation Alpha and their family members. Full article

The feminisation of poverty is a complex, multidimensional phenomenon related to gender inequality in various aspects of life. Women are disproportionately affected by the gender pay gap, unequal intra-household resource distribution, unpaid domestic work, caregiving responsibilities, single motherhood, employment or educational barriers, violence, gender discrimination, and period poverty. Combating poverty and inequality are among the main goals of the 2030 Agenda for Sustainable Development adopted by the United Nations General Assembly on 25 September 2015, and their great importance is further highlighted in the preamble of the resolution outlining the plan to transform our world by 2030. This study uses SDG indicators from the Eurostat database to assess the feminisation of poverty in the EU-27 member states in 2020 based on selected diagnostic characteristics mainly related to SDG 1 and SDG 5; they are also related to other goals due to the cross-cutting nature of the topic. The characteristics were transformed to reflect gender gaps and afterwards unitised with a veto threshold indicating gender balance. These were then used to calculate a synthetic taxonomic measure, allowing for linear ordering and classification of countries based on the feminisation of poverty levels. The study confirmed significant feminisation of poverty in the EU-27, with a few aspects showing masculinisation. High feminisation of poverty was observed in both emerging and advanced economies. Full article

It is unclear how the immune system controls the transition from latent tuberculosis (TB) infection (LTBI) to active pulmonary infection (PTB). Here, we applied mass spectrometry cytometry time-of-flight (CyTOF) analysis of peripheral blood mononuclear cells to compare the immunological landscapes in patients with high tuberculous bacillary load PTB infections and LTBI. A total of 32 subjects (PTB [n = 12], LTBI [n = 17], healthy volunteers [n = 3]) were included. Participants with active PTBs were phlebotomized before administering antituberculosis treatment, whereas participants with LTBI progressed to PTB at the time of household screening. In the present study, CyTOF analysis identified significantly higher percentages of mucosal-associated invariant natural killer T (MAIT NKT) cells in subjects with LTBI than in those with active PTB and healthy controls. Moreover, 6 of 17 (35%) subjects with LTBI progressed to active PTB (LTBI progression) and had higher proportions of MAIT NKT cells and early NKT cells than those without progression (LTBI non-progression). Subjects with LTBI progression also showed a tendency toward low B cell levels relative to other subject groups. In conclusion, MAIT NKT cells were substantially more prevalent in subjects with LTBI, particularly those with progression to active PTB. Full article

Economic growth is an important metric for the sustainable development of any region or country. Central and Eastern Europe members of the European Union are important players of the single market, which implements regional policies to mitigate socio-economic differences between its newer and established members. The present study examines the factors that shape the phenomenon of economic growth across 62 NUTS 2 regions from 11 countries in Central and Eastern Europe during the period 2011–2020. The study investigates determinants related to education level, involvement of young people in the labor market, household net income, high-speed internet facilities and overall hours spent at work during a year. Three panel data models estimated with first-differenced generalized method of moments showed that regional economic growth was significantly influenced mainly by income, the rate of young employees and educational attainment level. Relevant insights and policy implications for regions in CEE countries are addressed. Full article

In a time of environmental degradation and increasing demand for safe food production, traditional fish farming is gaining global attention. Utilizing indigenous agricultural methods founded on traditional knowledge contributes to sustainability by safeguarding the ecosystem and preserving biodiversity. However, it is still less studied whether traditional farming systems based on indigenous knowledge currently in place are improving the socioeconomic conditions of farmers. Hence, this study was conducted with the following objectives: (i) to reveal the present status of traditional fish farming systems, (ii) to define the socioeconomic profile of the farmers, (iii) to identify the problems associated with traditional fish farming, and (iv) to show the inter-relationship between fish farming and socioeconomic development. For achieving these objectives, data were collected from 100 small-scale fish farmers from a rural coastal area of Bangladesh through a well-structured questionnaire, focus group discussion, and cross-check interviews. Our findings showed that most of the homestead ponds were small-sized (44%) and shallow (61%) where a polyculture system was prevalent (91%). The majority of the ponds (77%) were found to be perennial, 60% of which had single ownership. Socioeconomic data revealed that the highest number of farmers (42%) earned 1000.00 to 1500.00 USD annually, and 62% of the respondents took fish farming as their secondary occupation. Among the farmers, 62% had primary education, whereas 7% had no education, and only 26% of the farmers had official training in fish farming, indicating that culture management was mainly based on indigenous knowledge. A total of 55% of the farmers had 5 to 10 family members, and 80% of them lived in joint families. Furthermore, 40% of the farmers owned tin shed houses, whereas the maximum (60%) utilized katcha toilets. However, almost half of the farmers (57%) utilized their own funds for fish farming, and the majority (90%) had access to their own tube well. The study found that the biggest obstacles to fish farming were pressure from large families, a lack of education and training, a lack of quality seed and feed, outbreaks of fish diseases, an inadequate supply of water during the dry season, and a lack of adequate funding. However, Pearson correlation showed that there was a significant positive association between age and experience (r = 0.908, p < 0.01) and age and income (r = 0.326, p < 0.01). Multiple regression analyses also demonstrated that age and experience in fish farming played a significant role in increased annual income. In conclusion, 94% of the respondents claimed that fish farming had improved their socioeconomic situation. Homestead pond fish farming through indigenous knowledge increased household fish consumption with a source of protein and micronutrients, improved dietary diversity, and generated extra household income, which inferred their better sustenance. Full article

Background: Over the past two decades, various research teams have designed and applied instruments to measure the quality of life of families with a member who has a disability. A recent systematic review on the state of the Family Quality of Life in early care identified that many of these studies collected data only from the mothers. The present study aimed to investigate whether there is a bias in participant selection in these types of studies. Method: A systematic review of the scientific literature was conducted in three databases—Scopus, Web of Science, Eric—from 2000 to 2022. A total of 72 empirical studies were identified. Results: The findings indicate that most studies examining the Family Quality of Life were based on the information of a single informant per family unit. The profiles of participants according to the research objective are quite similar. In one-third of studies, the authors reported that family members who participate cannot be represented by only mothers or one participant per household. Conclusions: Given the dynamic and collective nature of the construct, the application of a systemic approach is necessary. Full article

Plastic waste is an environmental crisis that is becoming increasingly well-documented. The rapid expansion of plastic manufacturing and consumption has led to a harmful cycle of pollution and greenhouse gas emissions due to petroleum-based production and plastic waste disposal. Plastic production and disposal depend on the consumption behavior of people. This study aimed to examine the plastic consumption behavior in Thailand and its impact on climate change at the end-of-life stage. The general information, plastic consumption, and plastic waste management were collected via questionnaires for each product lifetime, including single-use, medium-use, and long-use plastics. Based on 567 questionnaires, the results showed that people consumed single-use plastic, e.g., plastic bag, food container, cutlery, straws, and bottles, at a rate of about nine pieces/household/day or three pieces/cap/day. The medium-use and long-use plastic were 10 pieces/household/month and 50 pieces/household/year, respectively. It should be remarked that population density, education, and number of household members affected plastic consumption behavior, especially for single-use plastic. Regarding the disposal of end-of-life plastics, Thai people, on average, contribute 0.15 kg CO₂eq/household/day to climate change. Many households have mismanaged waste by open dumping and open burning. Therefore, practicing proper waste management will help Thailand on the path to carbon neutrality in the future. Full article

When worn, clothing acquires a microbiome of bacteria and fungi derived from the wearer’s skin and from the environment. The types of bacteria and fungi that may be recovered from clothing in healthcare settings have been well characterized, but less is known regarding the microbiome of clothing worn in non-healthcare settings and the possible roles that such clothing may play in microbial exchange. Culture-based methods and culture-independent genomic sequencing were used to enumerate and identify bacteria and fungi recovered from T-shirts, baby onesies, socks, and underwear worn for a single day after having been purchased new, washed, and dried. The highest bacterial loads were recovered from socks, underwear, and onesies (>10⁶ colony-forming units [cfu]/sample) and the highest fungal loads were obtained from socks and underwear (>5 × 10² cfu/sample). The sequencing method identified opportunistic pathogens present in the samples, including members of genus Staphylococcus and Corynebacterium, as well as anaerobic members of the family Clostridiales. The opportunistic fungal pathogen Candida parapsilosis was identified in a high proportion of worn clothing samples. These results suggest that clothing may represent a pathogen reservoir and a vector for microbial exchange between household occupants or the community outside of the home. Full article

Japan is advancing into a super-aged society at an unprecedented speed, and the proportion of the elderly population will continue to rise. The number of older adults needing nursing care will also increase with the aging population. We used a cross-sectional dataset of older Japanese adults to examine their future preferences for care facilities and their relationship with individual characteristics, household structure, and economic status. We further focused on a subgroup of those who lived alone and were experiencing poverty and examined their care needs through their choice of care facilities. We found the following results from multinomial logit and probit regressions. First, compared with living alone, older adults who live with their spouses or other members prefer to live in their own houses. Second, older adults experiencing poverty preferred to choose facilities geared towards low-income groups, while wealthy older adults preferred to choose fee-based nursing homes/nursing homes with diverse services and high costs. Third, single older adults in poverty were less likely to choose to live in facilities. Covariates such as sex, age, and health status also mattered in their choices. Therefore, tailoring the formal care services to the preferences and actual needs of older adults is imperative. Full article

At the time when mass COVID-19 vaccination began, providing appropriate vaccination advice to uro-oncology patients became a challenge. This was a single-center cross-sectional observational study aimed to investigate the rate of COVID-19 vaccination among uro-oncology patients receiving systemic therapy for metastatic renal cell carcinoma and metastatic castration-resistant prostate cancer. Furthermore, we aimed to assess patients’ attitudes and identify factors influencing their decision to vaccinate against COVID-19. Data on patients’ sociodemographic characteristics, vaccination status, and awareness and attitudes about COVID-19 vaccination were collected from questionnaires completed by the patients. A total of 173 patients were enrolled in this study, and 124 (71.7%) of them completed the COVID-19 vaccination. Significantly higher vaccination rates were found in male patients, and also in older patients, highly educated patients, and those who lived with one household member. Furthermore, we found significantly higher vaccination rates in patients who had consulted with doctors involved in their treatment, particularly with urologists. A significant association was observed between COVID-19 vaccination and doctor’s advice, family member influence, and personal beliefs toward the vaccination. Our study showed multiple associations of patients’ sociodemographic characteristics with vaccination rates. Furthermore, consultation with doctors who are particularly involved in oncology treatment and advice received from them were associated with significantly higher vaccination rates among uro-oncology patients. Full article