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10 pages, 482 KB  
Communication
Sleep Health Inequities: Sociodemographic, Psychosocial, and Structural Determinants of Short Sleep in U.S. Adults
by Lourdes M. DelRosso and Mamatha Vodapally
Clocks & Sleep 2025, 7(4), 59; https://doi.org/10.3390/clockssleep7040059 (registering DOI) - 16 Oct 2025
Abstract
Short sleep duration (≤6 h) is a public health concern linked to cardiometabolic disease and premature mortality. However, persistent disparities across sociodemographic, psychosocial, and structural domains remain underexplored in recent nationally representative samples. We analyzed 2022 Behavioral Risk Factor Surveillance System (BRFSS) data, [...] Read more.
Short sleep duration (≤6 h) is a public health concern linked to cardiometabolic disease and premature mortality. However, persistent disparities across sociodemographic, psychosocial, and structural domains remain underexplored in recent nationally representative samples. We analyzed 2022 Behavioral Risk Factor Surveillance System (BRFSS) data, including 228,463 adults (weighted N ≈ 122 million). Sleep duration was dichotomized as short (≤6 h) versus adequate (≥7 h). Complex samples logistic regression estimated associations between sociodemographic, psychosocial, behavioral, and structural determinants and short sleep, accounting for survey design. The weighted prevalence of short sleep was 33.2%. Non-Hispanic Black (AOR = 1.56, 95% CI: 1.46–1.65) and American Indian/Alaska Native adults (AOR = 1.46, 95% CI: 1.29–1.65) were disproportionately affected compared with non-Hispanic White adults. Psychosocial factors contributed strongly: life dissatisfaction, limited emotional support, and low social connectedness increased odds, whereas high connectedness was protective. Food insecurity and smoking were significant structural and behavioral risks, while binge drinking and urbanicity were not. One-third of U.S. adults report short sleep, with marked disparities across demographic, socioeconomic status, psychosocial stressors, and structural barriers. Findings highlight the multifactorial nature of sleep health inequities and the need for multilevel interventions addressing both individual behaviors and upstream determinants. Full article
(This article belongs to the Section Society)
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19 pages, 235 KB  
Article
Exploring Nutrition and Agri-Food Educators’ Knowledge of Food Sustainability: Insights Addressing Sustainability Education
by Maria McDonagh, Rachel Moloney, Aisling Moran and Lisa Ryan
Sustainability 2025, 17(20), 9119; https://doi.org/10.3390/su17209119 (registering DOI) - 15 Oct 2025
Abstract
Education is pivotal in shaping a future geared toward climate neutrality and cultivating agents of change capable of addressing sustainability challenges. Educators’ understanding of food sustainability influences how effectively it is integrated into educational programs. This study examined the knowledge and understanding of [...] Read more.
Education is pivotal in shaping a future geared toward climate neutrality and cultivating agents of change capable of addressing sustainability challenges. Educators’ understanding of food sustainability influences how effectively it is integrated into educational programs. This study examined the knowledge and understanding of food sustainability among nutrition and agri-food educators in Europe as part of a joint European-funded project (2023-1-IE01-KA220-VET-00156916: Train to Sustain). After ethical approval, a survey was distributed to educators in Ireland, Slovenia, Poland, and Italy. Data were analysed using qualitative and quantitative methods. Of the 123 educators who participated, 81% agreed they fully understood “food sustainability,” and 97% believed it is important to include it in education, yet only 62% reported that it was currently taught in their programs. This reveals a gap between perceived importance and implementation. The data also offered insights into how educators understand food sustainability across environmental, economic, social, cultural, and food security dimensions and how these are incorporated into teaching and awareness raising. Three themes were identified: (1) understanding sustainable food systems, (2) sustainable resource management, and (3) educating for food security and resilience. Participants emphasised environmentally friendly food practices, often linked to zero waste goals. The qualitative findings underscored the importance of societal access to healthy food, focusing on food security. However, references to economic and cultural aspects of sustainability were limited, suggesting a potential gap in educators’ understanding. This study highlights the need for educators to possess comprehensive knowledge of food sustainability to advance education and address climate and sustainability challenges. Full article
14 pages, 251 KB  
Article
Violence Against Women on Social Networks: A Descriptive Analysis
by Pedro José López-Barranco, Samara López-Yepes, María Belén Conesa-Ferrer, Pedro Simón Cayuela-Fuentes, María del Mar Beladiez-Pérez and Ismael Jiménez-Ruiz
Healthcare 2025, 13(20), 2574; https://doi.org/10.3390/healthcare13202574 - 14 Oct 2025
Viewed by 101
Abstract
Objectives: This study aimed to identify the prevalence of gender-based violence experienced through social networks among adult women in Spain. Specific objectives included describing in-person sexual violence within the context of GBV and analyzing the relationship between GBV experienced on social networks [...] Read more.
Objectives: This study aimed to identify the prevalence of gender-based violence experienced through social networks among adult women in Spain. Specific objectives included describing in-person sexual violence within the context of GBV and analyzing the relationship between GBV experienced on social networks and in-person sexual violence. Methods: This observational, cross-sectional, and correlational study surveyed 1177 adult women aged 18–59 years. Data were collected through validated instruments, including the Cyber Dating Abuse Questionnaire, Online Sexual Victimization Scale, and Dating Violence Questionnaire. Statistical analyses, including the Mann–Whitney U test, Kruskal–Wallis test, and Spearman’s Rho, were used to examine violence as a function of sociodemographic variables, social network usage, and pornography consumption. Results: Of participants, 68.2% reported experiencing GBV on social networks, 62.7% reported online sexual violence, and 66.0% reported in-person sexual violence. Gender-based violence was significantly correlated with online sexual violence (r = 0.390, p < 0.001) and in-person sexual violence (r = 0.463, p < 0.001). Women from lower socioeconomic backgrounds reported higher victimization rates for all forms of violence analyzed (p < 0.05). Increased daily social network usage and pornography consumption were associated with higher victimization rates (p < 0.05). Conclusions: Gender-based violence on social networks is pervasive among adult women in Spain and is closely linked to in-person sexual violence. Socioeconomic factors, time spent on social networks, and pornography consumption were key predictors of victimization. These findings highlight the need for targeted interventions addressing online violence to mitigate gender-based violence in broader contexts. Full article
24 pages, 300 KB  
Article
Human Sustainability Capital in Agrotourism: An ESG-Integrated and Emotional Labor Approach with Case Studies from Maramureș and Bucovina, Romania
by Ramona Vasilica Bacter, Alina Emilia Maria Gherdan, Tiberiu Iancu, Ramona Ciolac, Monica Angelica Dodu, Anca Chereji, Anca Monica Brata, Aurelia Anamaria Morna, Alexandra Ungureanu and Florin Gheorghe Lup
Agriculture 2025, 15(20), 2130; https://doi.org/10.3390/agriculture15202130 - 13 Oct 2025
Viewed by 96
Abstract
Agritourism is increasingly recognized as a driver of sustainable rural development, yet research has often focused on ecological and economic outcomes while neglecting the human capital that sustains service quality. This study introduces the concept of human sustainability capital and links it with [...] Read more.
Agritourism is increasingly recognized as a driver of sustainable rural development, yet research has often focused on ecological and economic outcomes while neglecting the human capital that sustains service quality. This study introduces the concept of human sustainability capital and links it with the ESG (Environmental, Social, Governance) framework and emotional labor theory, using case studies from Maramureș and Bucovina, Romania. Data were collected in summer 2025 through two surveys: one of 120 tourists assessing satisfaction, challenges, and improvement needs, and one of 45 agritourism hosts and employees examining emotional labor, job satisfaction, and ESG-related practices. Tourists reported high satisfaction with hospitality, food, landscapes, and cultural authenticity but noted shortcomings in infrastructure, activity variety, and crowding during peak seasons. Hosts and employees showed strong motivation and cultural pride, with genuine engagement more frequent than surface acting, yet many reported fatigue, low pay, and limited access to training. Social and cultural benefits were evident, environmental practices were modest, and governance emerged as the weakest pillar. Strengthening governance through professional development, fair labor conditions, and infrastructural support is crucial to maintain authenticity, protect cultural heritage, and ensure the long-term resilience of agritourism. Full article
(This article belongs to the Special Issue Sustainability and Resilience of Smallholder and Family Farms)
23 pages, 2027 KB  
Article
Bayesian Network Modeling of Environmental, Social, and Behavioral Determinants of Cardiovascular Disease Risk
by Hope Nyavor and Emmanuel Obeng-Gyasi
Int. J. Environ. Res. Public Health 2025, 22(10), 1551; https://doi.org/10.3390/ijerph22101551 - 12 Oct 2025
Viewed by 273
Abstract
Background: Cardiovascular disease (CVD) is the leading global cause of death and is shaped by interacting biological, environmental, lifestyle, and social factors. Traditional models often treat risk factors in isolation and may miss dependencies among exposures and biomarkers. Objective: To map interdependencies among [...] Read more.
Background: Cardiovascular disease (CVD) is the leading global cause of death and is shaped by interacting biological, environmental, lifestyle, and social factors. Traditional models often treat risk factors in isolation and may miss dependencies among exposures and biomarkers. Objective: To map interdependencies among environmental, social, behavioral, and biological predictors of CVD risk using Bayesian network models. Methods: A cross-sectional analysis was conducted using NHANES 2017–2018 data. After complete-case procedures, the analytic sample included 601 adults and 22 variables: outcomes (systolic/diastolic blood pressure, total/LDL/HDL cholesterol, triglycerides) and predictors (BMI, C-reactive protein (CRP), allostatic load, Dietary Inflammatory Index, income, education, age, gender, race, smoking, alcohol, and serum lead, cadmium, mercury, and PFOA). Spearman’s correlations summarized pairwise associations. Bayesian networks were learned with two approaches: Grow–Shrink (constraint-based) and Hill-Climbing (score-based, Bayesian Gaussian equivalent score). Network size metrics included number of nodes, directed edges, average neighborhood size, and Markov blanket size. Results: Correlation screening reproduced expected patterns, including very high systolic–diastolic concordance (p ≈ 1.00), strong LDL–total cholesterol correlation (p = 0.90), inverse HDL–triglycerides association, and positive BMI–CRP association. The final Hill-Climbing network contained 22 nodes and 44 directed edges, with an average neighborhood size of ~4 and an average Markov blanket size of ~6.1, indicating multiple indirect dependencies. Across both learning algorithms, BMI, CRP, and allostatic load emerged as central nodes. Environmental toxicants (lead, cadmium, mercury, PFOS, PFOA) showed connections to sociodemographic variables (income, education, race) and to inflammatory and lipid markers, suggesting patterned exposure linked to socioeconomic position. Diet and stress measures were positioned upstream of blood pressure and triglycerides in the score-based model, consistent with stress-inflammation–metabolic pathways. Agreement across algorithms on key hubs (BMI, CRP, allostatic load) supported network robustness for central structures. Conclusions: Bayesian network modeling identified interconnected pathways linking obesity, systemic inflammation, chronic stress, and environmental toxicant burden with cardiovascular risk indicators. Findings are consistent with the view that biological dysregulation is linked with CVD and environmental or social stresses. Full article
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15 pages, 619 KB  
Article
Well-Being in Family Caregivers of Dementia Patients in Romania
by Liviu Florian Tatomirescu, Cristiana Susana Glavce, Gabriel-Ioan Prada, Suzana Turcu and Adriana Borosanu
Disabilities 2025, 5(4), 90; https://doi.org/10.3390/disabilities5040090 (registering DOI) - 11 Oct 2025
Viewed by 159
Abstract
Background: The rising prevalence of neurodegenerative conditions such as dementia underscores the impact of population aging. Consequently, long-term care needs have increased and are often met by family members through informal caregiving, thereby supporting formal care systems by reducing associated costs. These [...] Read more.
Background: The rising prevalence of neurodegenerative conditions such as dementia underscores the impact of population aging. Consequently, long-term care needs have increased and are often met by family members through informal caregiving, thereby supporting formal care systems by reducing associated costs. These caregivers face physical and mental health challenges, raising concerns about their psychological well-being and prompting interest in both clinical and psychosocial research. Ryff’s eudaimonic model offers a robust framework for the assessment of psychological well-being; yet, in Romania, data on this population segment remain limited. Objective: This study aimed to compare the psychological well-being of Romanian dementia family caregivers with a reference population from the Romanian adaptation of the 54-item Ryff Psychological Well-Being Scale, and to explore how sociodemographic characteristics relate to relevant differences across well-being dimensions. Methods: A cross-sectional study was conducted among 70 Romanian family caregivers recruited from a single clinical hospital in Bucharest, Romania. Caregivers completed the 54-item Ryff Scale (Romanian adaptation), and scores were compared to reference values using one-sample t-tests with bootstrap confidence intervals. The most relevant dimension (purpose in life) was dichotomized and further examined in relation to sociodemographic and caregiving variables using Chi-squared and Fisher’s exact tests. Results: Caregivers reported significantly lower scores compared to the reference population in purpose in life (p < 0.001, d = −1.01), personal growth (p < 0.001, d = −0.91), and positive relations (p = 0.01, d = −0.30). The most pronounced deficit was observed in purpose in life, with 85.7% of caregivers scoring below the reference mean. This dimension was further examined in relation to caregiver characteristics. Retirement status showed a statistically significant association with Purpose in Life, with retired caregivers more likely to report lower scores (χ2 (1) = 4.04, p = 0.04), supported by the likelihood ratio test (p = 0.01) and a linear trend (p = 0.05). Additional marginal associations were found for household income (p = 0.14) and whether the patient slept in a separate room (p = 0.15), suggesting possible links between caregiver well-being and economic or environmental conditions. Conclusions: The study findings highlight notable psychological vulnerabilities among Romanian dementia caregivers, particularly in purpose in life and personal growth. Associations with structural and contextual factors such as retirement status, income, and caregiving environment suggest that caregiver well-being is shaped by broader socioeconomic conditions. While the magnitude of these deficits may be underestimated due to elevated stress levels in the reference group, the findings underscore the need for targeted clinical, social, and policy-level interventions aimed at strengthening existential meaning and personal development in culturally specific settings. Full article
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24 pages, 486 KB  
Article
Workplace Violence, Self-Perceived Resilience and Associations with Turnover Intention Among Emergency Department Nurses: A Cross-Sectional Study
by Anna T. El Riz, Maria Dimitriadou and Maria Karanikola
Healthcare 2025, 13(20), 2562; https://doi.org/10.3390/healthcare13202562 - 11 Oct 2025
Viewed by 111
Abstract
Background/Objectives: Workplace violence remains an important vocational psycho-social risk for nurses employed in the emergency department (ED). We investigated the characteristics of workplace violence against ED nurses, and associations with self-assessed resilience, socio-demographic and vocational parameters, including turnover intention. Methods: ED [...] Read more.
Background/Objectives: Workplace violence remains an important vocational psycho-social risk for nurses employed in the emergency department (ED). We investigated the characteristics of workplace violence against ED nurses, and associations with self-assessed resilience, socio-demographic and vocational parameters, including turnover intention. Methods: ED nurses employed in all public hospitals in the Republic of Cyprus (RC) participated. After obtaining informed consent, data were collected using census sampling (January–June 2024) via the translated 2016 Italian National Survey on Violence towards Emergency Nurses Questionnaire (QuINVIP16) for investigating workplace violence characteristics, and the Connor-Davidson Resilience Scale (CD-RISC-25) for assessing self-perceived resilience. Results: A total of 132 nurses (53.0% response rate) participated. Verbal violence was reported by 70.5% to 92.4% of participants. Long waiting times, overcrowded EDs, and perception of inadequate attention from healthcare professionals were reported as the primary triggers for violence towards participants by patients/visitors. One-third of participants reported that violence-reporting systems were unclear, while 1 out of 4 reported inadequate safety measures against violence. Participants with higher scores of self-perceived resilience were less likely to report turnover intention due to workplace violence (p < 0.001), while those with lower self-perceived resilience reported a significant decrease in work motivation (p = 0.005). Those who experienced decreased work motivation after exposure to a violent episode were more likely to consider a) leaving the profession [OR (95%CI): 79.1(17.7–353.2); p < 0.01], and b) moving to a different work setting [OR (95%CI): 17.0(3.8–76.2); p < 0.01], and actually applying to be transferred to a different work setting [OR (95%CI): 19.6(4.2–91.5); p < 0.01]. Moreover, those who had not attended communication skills training were 4 times more likely to consider leaving the profession following exposure to violence [OR (95%CI): 4.2(1.1–16.2); p = 0.04]. Conclusions: This study is among the few to link workplace violence with both resilience and actual turnover behaviors among emergency nurses, in general and particularly in the post-pandemic era. By showing how personal resilience in the face of violence is shaped by organizational support, such as reporting systems and training, the present findings move beyond individuals-level explanations, and highlight workplace violence as a systematic administrative challenge. This insight represents an important advance in current knowledge, and calls for multifaceted interventions that strengthen both personal and institutional capacity to address violence. Full article
(This article belongs to the Special Issue Enhancing Patient Safety in Critical Care Settings)
16 pages, 238 KB  
Article
Anti-Bullying in the Digital Age: How Cyberhate Travels from Social Media to Classroom Climate in Pre-Service Teacher Programmes
by Jesús Marolla-Gajardo and María Yazmina Lozano Mas
Societies 2025, 15(10), 284; https://doi.org/10.3390/soc15100284 - 10 Oct 2025
Viewed by 190
Abstract
This article examines online hate as a driver of cyberbullying and a barrier to inclusive schooling, integrating theoretical, philosophical and methodological perspectives. We approach hate speech as communicative practices that legitimise discrimination and exclusion and, once amplified by social media affordances, erode equity, [...] Read more.
This article examines online hate as a driver of cyberbullying and a barrier to inclusive schooling, integrating theoretical, philosophical and methodological perspectives. We approach hate speech as communicative practices that legitimise discrimination and exclusion and, once amplified by social media affordances, erode equity, belonging and well-being in educational settings. The study adopts a qualitative, exploratory–descriptive design using focus groups with pre-service teachers from initial teacher education programmes across several Chilean regions. Participants reflected on the presence, trajectories and classroom effects of cyberhate/cyberbullying. Data were analysed thematically with ATLAS.ti24. Findings describe a recurrent pathway in which anonymous posts lead to public exposure, followed by heightened anxiety and eventual withdrawal. This shows how online aggression spills into classrooms, normalises everyday disparagement and fuels self-censorship, especially among minoritised students. The analysis also highlights the amplifying role of educator authority (tone, feedback, modelling) and institutional inaction. In response, participants identified protective practices: explicit dialogic norms, rapid and caring classroom interventions, restorative and care-centred feedback, partnership with families and peers, and critical digital citizenship that links platform literacy with ethical reasoning. The article contributes evidence to inform anti-bullying policy, inclusive curriculums and teacher education by proposing actionable, context-sensitive strategies that strengthen equity, dignity and belonging. Full article
(This article belongs to the Special Issue Anti-Bullying in the Digital Age: Evidences and Emerging Trends)
19 pages, 448 KB  
Article
From Policy to Practice: Challenges and Opportunities in Bilingual Preschool Education in Georgia (Sakartvelo)
by Gulnara Bibileishvili
Educ. Sci. 2025, 15(10), 1340; https://doi.org/10.3390/educsci15101340 - 9 Oct 2025
Viewed by 269
Abstract
In Georgia (Sakartvelo), a program promoting bilingual education in preschool institutions was formally adopted in 2020. It aligns with the objectives of the 2021–2030 State Strategy for Civic Equality and Integration Plan, which envisions a comprehensive reform of bilingual education across Georgia’s regions. [...] Read more.
In Georgia (Sakartvelo), a program promoting bilingual education in preschool institutions was formally adopted in 2020. It aligns with the objectives of the 2021–2030 State Strategy for Civic Equality and Integration Plan, which envisions a comprehensive reform of bilingual education across Georgia’s regions. Any reform requires research and evaluation to measure how effectively it is being implemented and whether the intended outcomes have been achieved. The bilingual education initiative pursues a dual objective: to preserve the native languages of minority communities while ensuring effective acquisition of the state language. This dual mandate is intrinsically linked to state language policy and constitutes a sensitive issue for local communities, parents, and preschool administrators, thereby necessitating a careful and nuanced approach. The present study analyzed the readiness of the social environment to support the implementation of bilingual education programs at the preschool level in the regions of Georgia in which ethnic minorities live side by side. Research was carried out in two ethnically diverse regions—Kvemo Kartli and Samtskhe–Javakheti. The author conducted individual and group interviews, and the elicited data were analyzed with the help of content and thematic analyses. This study examines key attributes of the ongoing preschool reform to identify factors that facilitate the effective implementation of early bilingual education initiatives. The findings highlight both commonalities and regional variations in parental attitudes toward the bilingual education reform. Full article
(This article belongs to the Special Issue Innovation and Design in Multilingual Education)
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21 pages, 1178 KB  
Systematic Review
Using AI in Performance Management: A Global Analysis of Local Government Practices
by Godfrey Maake and Cecile M. Schultz
Adm. Sci. 2025, 15(10), 392; https://doi.org/10.3390/admsci15100392 - 9 Oct 2025
Viewed by 479
Abstract
The integration of artificial intelligence plays a critical role in human resource management in local governments by ensuring smooth, essential HR operations, including recruitment, performance management, and workforce planning. The current study is a systematic review focused on determining the performance management factors [...] Read more.
The integration of artificial intelligence plays a critical role in human resource management in local governments by ensuring smooth, essential HR operations, including recruitment, performance management, and workforce planning. The current study is a systematic review focused on determining the performance management factors that should be considered when using artificial intelligence in the local government sector. Although artificial intelligence (AI) is becoming increasingly integrated into the governance and administrative systems of local governments around the world, this study raises critical questions about how performance should be managed, measured, and improved. Articles were screened based on their title, abstract, and keywords, following which the inclusion and exclusion criteria were applied. A comprehensive search was conducted in the EBSCOhost, Emerald Insight, Taylor & Francis, Scopus, and SpringerLink databases. These databases were chosen because they are prominent sources that publish various materials related to the social sciences. This scoping review followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines and included 22 peer-reviewed empirical studies published between 2015 and 2025. Analysis of the identified 22 peer-reviewed articles revealed that the successful application of AI in local government performance management depends on six critical performance management factors: data quality and accessibility; strategic alignment with performance goals; evaluation criteria and metrics; ethical and legal oversight; institutional capacity and leadership; and change management and stakeholder engagement. These factors are interdependent and represent both technical and organisational dimensions of public administration. This study highlights that AI entails more than innovation; it reshapes the foundations of performance governance, requiring new capabilities, values, and institutional practices. Full article
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18 pages, 1839 KB  
Article
Adolescence and Cyberbullying: A Bibliometric Study in the Context of School, Family and Social Network
by Jose Javier Hueso Romero, Javier Gil Quintana and Cristina Sánchez Romero
Soc. Sci. 2025, 14(10), 596; https://doi.org/10.3390/socsci14100596 - 8 Oct 2025
Viewed by 251
Abstract
Cyberbullying or cyberharrassment is a form of harassment or bullying that is carried out through electronic technologies and devices. The article aims to explore the structure of scholarly networks identified through a bibliometric analysis of research on adolescence within the context of postdigital [...] Read more.
Cyberbullying or cyberharrassment is a form of harassment or bullying that is carried out through electronic technologies and devices. The article aims to explore the structure of scholarly networks identified through a bibliometric analysis of research on adolescence within the context of postdigital society. The study focuses on academic output linked to school, family and social environments, using data retrieved from the Web of Science database. Seven hundred documents were obtained, and the networks generated, connections between the different nodes, were analyzed to determine in the results the existence of prominent authors and institutions in the field of cyberbullying. The analysis, conducted using VOSviewer software 1.6.20, reveals that cyberbullying constitutes a growing and significant field of study. It highlights numerous opportunities for advancing research focused on intervention strategies and policy development aimed at addressing this issue. Research reveals that Psychology and Education are key areas, with the United States and Spain as leaders, and prominent authors such as Rosario Ortega and Heidi Vandebosch. Three historical phases are identified: emergence, expansion, and urgency. The findings make it possible to detect trends, research gaps, and to guide educators, policymakers, and technology platforms in the field of digital and media literacy. Full article
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31 pages, 367 KB  
Article
The Role of Artificial Intelligence in Enhancing ESG Outcomes: Insights from Saudi Arabia
by Amina Hamdouni
J. Risk Financial Manag. 2025, 18(10), 572; https://doi.org/10.3390/jrfm18100572 - 8 Oct 2025
Viewed by 630
Abstract
This study investigates the relationship between artificial intelligence (AI) adoption and environmental, social, and governance (ESG) performance among 100 listed Saudi Arabian firms over the period 2015–2024. Drawing on panel data regression techniques, including fixed effects models with Driscoll–Kraay standard errors, pooled OLS [...] Read more.
This study investigates the relationship between artificial intelligence (AI) adoption and environmental, social, and governance (ESG) performance among 100 listed Saudi Arabian firms over the period 2015–2024. Drawing on panel data regression techniques, including fixed effects models with Driscoll–Kraay standard errors, pooled OLS with industry and year controls, and dynamic panel estimations using system GMM, the analysis reveals a significant and positive association between AI implementation and overall ESG scores. Disaggregated analysis shows that AI adoption is particularly associated with improvements in the environmental and social dimensions, with a more moderate relationship to governance practices. To address potential issues of cross-sectional dependence and heterogeneity, the study applies the Common Correlated Effects Mean Group (CCEMG) and Mean Group (MG) estimators as robustness checks, which confirm the consistency of the main findings. In addition, the Dumitrescu–Hurlin panel Granger causality test indicates that AI adoption Granger-causes ESG performance—especially in the environmental and social dimensions—while no reverse causality is observed. The results suggest that AI technologies are positively linked to firms’ sustainability strategies and performance, supporting the integration of digital transformation into national and corporate ESG agendas, particularly in emerging markets like Saudi Arabia. Full article
22 pages, 3926 KB  
Review
Targeting Modifiable Risks: Molecular Mechanisms and Population Burden of Lifestyle Factors on Male Genitourinary Health
by Xingcheng Yang, Meiping Lan, Jiawen Yang, Yuyi Xia, Linxiang Han, Ling Zhang and Yu Fang
Int. J. Mol. Sci. 2025, 26(19), 9698; https://doi.org/10.3390/ijms26199698 - 5 Oct 2025
Viewed by 489
Abstract
Health represents a state of complete physical, mental, and social well-being, with lifestyle factors accounting for approximately 60% of health determinants. Suboptimal health describes an intermediate condition between wellness and disease. According to 2023 WHO data, infertility affects approximately 17.5% of global adults, [...] Read more.
Health represents a state of complete physical, mental, and social well-being, with lifestyle factors accounting for approximately 60% of health determinants. Suboptimal health describes an intermediate condition between wellness and disease. According to 2023 WHO data, infertility affects approximately 17.5% of global adults, with male factors implicated in 30–50% of cases, establishing infertility as a critical public health challenge. Substantial preclinical and clinical evidence links suboptimal lifestyles to male reproductive dysfunction, positioning these behaviors as modifiable infertility risk factors encompassing environmental contaminants and lifestyle patterns. This systematic review synthesizes evidence on five key lifestyle determinants—tobacco, alcohol, microplastics, sedentariness, and sleep disruption—affecting male genitourinary health. Adopting an evidence-based medicine framework, we integrate epidemiological and experimental research to establish foundational knowledge for developing novel preventive strategies targeting male suboptimal health. Full article
(This article belongs to the Special Issue Molecular Research on Reproductive Physiology and Endocrinology)
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15 pages, 643 KB  
Article
Determinants of Atherogenic Dyslipidemia and Lipid Ratios: Associations with Sociodemographic Profile, Lifestyle, and Social Isolation in Spanish Workers
by Pere Riutord-Sbert, Pedro Juan Tárraga López, Ángel Arturo López-González, Irene Coll Campayo, Carla Busquets-Cortés and José Ignacio Ramírez Manent
J. Clin. Med. 2025, 14(19), 7039; https://doi.org/10.3390/jcm14197039 - 5 Oct 2025
Viewed by 424
Abstract
Background: Atherogenic dyslipidemia is defined by the coexistence of high triglyceride concentrations, low levels of high-density lipoprotein cholesterol (HDL-C), and an excess of small, dense particles of low-density lipoprotein cholesterol (LDL-C). This lipid profile is strongly associated with an increased burden of cardiovascular [...] Read more.
Background: Atherogenic dyslipidemia is defined by the coexistence of high triglyceride concentrations, low levels of high-density lipoprotein cholesterol (HDL-C), and an excess of small, dense particles of low-density lipoprotein cholesterol (LDL-C). This lipid profile is strongly associated with an increased burden of cardiovascular disease and represents a leading cause of global morbidity and mortality. To better capture this risk, composite lipid ratios—including total cholesterol to HDL-C (TC/HDL-C), LDL-C to HDL-C (LDL-C/HDL-C), triglycerides to HDL-C (TG/HDL-C), and the atherogenic dyslipidemia index (AD)—have emerged as robust markers of cardiometabolic health, frequently demonstrating superior predictive capacity compared with isolated lipid measures. Despite extensive evidence linking these ratios to cardiovascular disease, few large-scale studies have examined their association with sociodemographic characteristics, lifestyle behaviors, and social isolation in working populations. Methods: We conducted a cross-sectional analysis of a large occupational cohort of Spanish workers evaluated between January 2021 and December 2024. Anthropometric, biochemical, and sociodemographic data were collected through standardized clinical protocols. Indices of atherogenic risk—namely the ratios TC/HDL-C, LDL-C/HDL-C, TG/HDL-C, and the atherogenic dyslipidemia index (AD)—were derived from fasting lipid measurements. The assessment of lifestyle factors included tobacco use, physical activity evaluated through the International Physical Activity Questionnaire (IPAQ), adherence to the Mediterranean dietary pattern using the MEDAS questionnaire, and perceived social isolation measured by the Lubben Social Network Scale. Socioeconomic classification was established following the criteria proposed by the Spanish Society of Epidemiology. Logistic regression models were fitted to identify factors independently associated with moderate-to-high risk for each lipid indicator, adjusting for potential confounders. Results: A total of 117,298 workers (71,384 men and 45,914 women) were included. Men showed significantly higher odds of elevated TG/HDL-C (OR 4.22, 95% CI 3.70–4.75) and AD (OR 2.95, 95% CI 2.70–3.21) compared with women, whereas LDL-C/HDL-C ratios were lower (OR 0.86, 95% CI 0.83–0.89). Advancing age was positively associated with all lipid ratios, with the highest risk observed in participants aged 60–69 years. Lower social class, smoking, physical inactivity, poor adherence to the Mediterranean diet, and low social isolation scores were consistently linked to higher atherogenic risk. Physical inactivity showed the strongest associations across all indicators, with ORs ranging from 3.54 for TC/HDL-C to 7.12 for AD. Conclusions: Atherogenic dyslipidemia and elevated lipid ratios are strongly associated with male sex, older age, lower socioeconomic status, unhealthy lifestyle behaviors, and reduced social integration among Spanish workers. These findings highlight the importance of workplace-based cardiovascular risk screening and targeted prevention strategies, particularly in high-risk subgroups. Interventions to promote physical activity, healthy dietary patterns, and social connectedness may contribute to lowering atherogenic risk in occupational settings. Full article
(This article belongs to the Section Cardiovascular Medicine)
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Article
Psychological, Symptom-Related, and Lifestyle Predictors of Health-Related Quality of Life in Hungarian Women with Endometriosis
by Zsófia Kovács-Szabó, Pongrác Ács, Viktória Prémusz, Alexandra Makai and Márta Hock
J. Clin. Med. 2025, 14(19), 7004; https://doi.org/10.3390/jcm14197004 - 3 Oct 2025
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Abstract
Background: This study was a cross-sectional online survey aimed at examining health-related quality of life and the effect of different symptoms and lifestyle factors on health-related quality of life in a sample of women with endometriosis in Hungary. Methodology: A cross-sectional [...] Read more.
Background: This study was a cross-sectional online survey aimed at examining health-related quality of life and the effect of different symptoms and lifestyle factors on health-related quality of life in a sample of women with endometriosis in Hungary. Methodology: A cross-sectional online survey was carried out in a sample of women with endometriosis. Self-edited and Hungarian versions of validated questionnaires were used to assess health-related quality of life (Sf-36-Health Survey—SF-36), pain (Numeric Rating Scale-NRS), effect of pelvic pain on everyday life (Pelvic Pain Impact Questionnaire—PPIQ), perceived stress levels (Perceived Stress Scale—PSS), and physical activity (Global Physical Activity Questionnaire—GPAQ). Data analysis was conducted using IBM SPSS Statistics 28.0, and the level of significance was set at p < 0.05. Multivariate linear regression analysis was performed to examine the effect of different lifestyle factors, pain-related, and physical symptoms on the participants’ health-related quality of life (HrQoL). Results: The health-related quality of life of Hungarian women with endometriosis in our sample was significantly lower than the latest Hungarian normative values. Multiple linear regression analyses revealed that psychological, pain-related, and lifestyle factors significantly predicted HrQoL across SF-36 subscales in women with endometriosis (all models, p < 0.001; Adjusted R2 = 0.274–0.654). Pain self-efficacy (PSEQ) was a consistent positive predictor that was significantly associated with better scores in five SF-36 domains, including physical and social functioning. Perceived stress (PSS) is a strong negative predictor that particularly affects emotional well-being, energy/fatigue, and social functioning. Pain interference (PPIQ) was linked to poorer HrQoL in seven out of eight SF-36 domains, while average pain intensity (NRS) negatively predicted Physical Functioning and General Health. Vigorous physical activity was positively associated with Social Functioning, whereas moderate activity had no significant effect. Among the demographic factors, only age was negatively associated with Physical Functioning; BMI and education were not significant predictors. Conclusions: Psychological, lifestyle, and symptom-related factors play key roles in health-related quality of life among women with endometriosis. Self-efficacy was a strong positive predictor, whereas perceived stress and pain interference were linked to poorer outcomes. High-intensity physical activity supported better social functioning. These findings highlight the need for multidisciplinary interventions targeting psychological support, pain management, and physical activity to improve quality of life in this population. Full article
(This article belongs to the Section Obstetrics & Gynecology)
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