Search Results (1,023)

Improving occupational health and safety (OHS) in the construction industry can contribute to the advancement of the Sustainable Development Goals (SDGs), particularly Goals 3 (Good Health and Well-being) and 8 (Decent Work and Economic Growth). Yet, workers’ risk-taking behaviors (RTBs) remain a persistent challenge. Drawing on Social Cognitive Theory and Social Information Processing Theory, this study develops and tests a social influence model to examine how foremen’s safety attitudes (SAs) shape workers’ RTBs. Drawing on survey data from 301 construction workers in China, structural equation modeling reveals that foremen’s SAs significantly and negatively predict workers’ RTBs. However, the three dimensions of SAs—cognitive, affective, and behavioral—exert their influence through different pathways. Risk perception (RP) plays a key mediating role, particularly for the cognitive and behavioral dimensions. Furthermore, interpersonal trust (IPT) functions as a significant moderator in some of these relationships. By identifying the micro-social pathways that link foremen’s attitudes to workers’ safety behaviors, this study offers a testable theoretical framework for implementing the Sustainable Development Goals (particularly Goals 3 and 8) at the frontline workplace level. The findings provide empirical support for organizations to move beyond rule-based management and instead build more resilient OHS governance systems by systematically cultivating the multidimensional attitudes of frontline leaders. Full article

Extreme heat poses growing health risks in tropical regions, yet public perception of this threat remains understudied in the Caribbean. This study examines how residents in Puerto Rico perceived heat-related health risks and how these perceptions relate to vulnerability and protective behaviors during the extreme heat events of the summer of 2020. We conducted a cross-sectional telephone survey of 500 adults across metropolitan and non-metropolitan areas of Puerto Rico, using stratified probability sampling. The questionnaire assessed heat risk perception, sociodemographic characteristics, health status, prior heat exposure, and heat-related behaviors. While most participants expressed concern about climate change and high temperatures, fewer than half perceived heat as a high level of personal health risk. Higher levels of risk perception were significantly associated with being male, aged 50–64, unemployed, and in fair health, having multiple chronic conditions, and prior experience with heat-related symptoms. Those with symptoms were nearly five times more likely to report high levels of risk perception (OR = 4.94, 95% CI: 2.93–8.34). In contrast, older adults (65+), despite their higher level of vulnerability, reported lower levels of risk perception and fewer symptoms. Nighttime heat exposure was widespread and strongly associated with heat-related symptoms. Common coping strategies included the use of fans and air conditioning, though economic constraints and infrastructure instability limited access. The findings highlight the disparity between actual and perceived vulnerability, particularly among older adults. Public health strategies should focus on risk communication tailored to vulnerable groups and address barriers to heat adaptation. Strengthening heat resilience in Puerto Rico requires improved infrastructure, equitable access to cooling, and targeted outreach. Full article

Introduction: Low medication adherence and low hypertension control are a public health challenge, particularly in low- and middle-income countries (LMICs). Healthcare system- and patient-related barriers hinder the successful management of hypertension. This study aimed to identify the perceptions of barriers and facilitators to hypertension management among health system stakeholders in Santander, Colombia. Materials and Methods: We conducted a qualitative, phenomenological, and interpretative study, comprising five focus groups, to explore the barriers and facilitators to managing people with hypertension. Each focus group was formed by stakeholders from territorial entities, healthcare insurers, or healthcare providers. Meetings were held between December 2022 and February 2023. The sessions were recorded and transcribed using NVivo Transcription and analyzed using NVivo version 1.6.1. Results: Seven categories of barriers and facilitators were identified: strategies, resources, access, risk assessment, cross-sector collaboration, articulation, and stewardship. Of these categories, articulation and stewardship emerged as the main barriers, as revealed through axial coding and cluster analysis, which highlighted deficiencies in stewardship practices, a lack of clear objectives, and misalignment with public policy frameworks. Conclusions: Multisectoral actions extending beyond healthcare providers and aimed at improving coordination and intersectoral collaboration are essential for enhancing hypertension control in LMICs, such as Colombia. Addressing social determinants and strengthening primary healthcare through community-based strategies are critical, making stewardship and improved access key priorities. Full article

Background/Objectives: International students pursuing higher education in the United States face unique challenges that increase their risk of food insecurity, including limited financial resources, employment restrictions, and cultural barriers. While food insecurity among domestic students has been widely studied, limited research focuses on the lived experiences of international graduate students. This study explores the challenges, perceptions, and coping strategies related to food insecurity among international graduate students at a large public university in North Texas. Methods: This qualitative, ethnographic study involved 20 semi-structured interviews with international graduate students who were clients of the university’s food pantry. Participants were recruited using purposive convenience sampling. Interviews focused on students’ experiences with food access, financial constraints, campus resources, and cultural food preferences. Data were analyzed using thematic coding in MAXQDA. Two standardized food insecurity measures—the USDA and FAO scales—were also administered and analyzed using SPSS. Results: Findings revealed that 85% of participants experienced limited access to nutritious and culturally appropriate foods, with 70% reporting hunger due to financial constraints. Themes included lack of cooking skills, limited campus food options, difficulty accessing familiar groceries, and limited job opportunities. Students expressed that food insecurity significantly impacted their physical health, mental well-being, and social lives, though many continued to prioritize academics over personal nourishment. Conclusions: Food insecurity among international graduate students is multifaceted, shaped by financial, cultural, and institutional barriers. Addressing this issue requires culturally sensitive interventions, improved access to diverse food options, tailored student support services, and institutional efforts to better understand and meet the needs of international students. Full article

In the past decade, agricultural biogas plants have become one of the key tools driving the energy transition in rural areas. Nevertheless, their development in Poland still lags behind that in Western European countries, suggesting the existence of barriers that go beyond technological or regulatory issues. This study aims to examine how Polish farmers perceive the risks and expected benefits associated with investing in biogas plants and which of these perceptions influence their willingness to invest. The research was conducted in the second quarter of 2025 among farmers planning to build micro biogas plants as well as owners of existing biogas facilities. Geographic Information System (GIS) tools were also used in selecting respondents and identifying potential investment sites, helping to pinpoint areas with favorable spatial and environmental conditions. The findings show that both current and prospective biogas plant operators view complex legal requirements, social risk, and financial uncertainty as the main obstacles. However, both groups are primarily motivated by the desire for on-farm energy self-sufficiency and the environmental benefits of improved agricultural waste management. Owners of operational installations—particularly small and medium-sized ones—tend to rate all categories of risk significantly lower than prospective investors, suggesting that practical experience and knowledge-sharing can effectively alleviate perceived risks related to renewable energy investments. Full article

This paper introduces the concept of degenerative affordances to explain how social media can unintentionally destabilise family-run influencer businesses. While affordance theory typically highlights the enabling features of technology, the researchers shift the focus to its unintended, risk-laden consequences, particularly within family enterprises where professional and personal identities are deeply entangled. Drawing on platform capitalism, family business research, and intersectional feminist critiques, the researchers develop a theoretical model to examine how social media affordances contribute to role confusion, privacy breaches, and trust erosion. Using a mixed-methods design, the researchers combine narrative interviews (n = 20) with partial least squares structural equation modelling (PLS-SEM) on survey data (n = 320) from family-based influencers. This study’s findings reveal a high explanatory power (R² = 0.934) for how digital platforms mediate entrepreneurial legitimacy through interpersonal trust and role dynamics. Notably, trust emerges as a key mediating mechanism linking social media engagement to perceptions of business legitimacy. This paper advances three core contributions: (1) introducing degenerative affordance as a novel extension of affordance theory; (2) unpacking how digitally mediated role confusion and privacy breaches function as internal threats to legitimacy in family businesses; and (3) problematising the epistemic assumptions embedded in entrepreneurial legitimacy itself. This study’s results call for a rethinking of how digital platforms, family roles, and entrepreneurial identities co-constitute each other under the pressures of visibility, intimacy, and algorithmic governance. The paper concludes with implications for influencer labour regulation, platform accountability, and the ethics of digital family entrepreneurship. Full article

In October 2024, a DANA (Isolated Depression at High Levels) triggered torrential rains across the Valencian Community, causing 227 deaths, severe infrastructure damage, and economic losses estimated at €17.8 billion. In this context of crisis, startups, despite having fewer resources and less experience than large corporations, played a significant role in crisis communication, shaping public perception and operational continuity. This study explores the communication strategies adopted by startups during and after the disaster, focusing on their activity on Instagram, TikTok, and Facebook between October 2024 and January 2025. Using a mixed-methods approach, we conducted a quantitative analysis of digital discourse through the Fanpage Karma tool, assessing metrics such as engagement, reach, and posting frequency. Sentiment analysis was performed using GPT-4, an advanced natural language processing model, and in-depth interviews with startup representatives provided qualitative insights into reputational impacts. The findings reveal that startups which aligned their discourse with the social context, prioritizing transparency and emotional proximity, enhanced their visibility and credibility. These results underscore how effective crisis communication not only mitigates reputational risk but also strengthens the local entrepreneurial ecosystem through trust-building and social responsibility. Full article

Information and Communication Technologies (ICTs) are increasingly necessary in the educational context. Digital resources could support socio-educational practices to intervene with vulnerable groups, such as people with disabilities, and improve their accessibility and inclusion. This study aims to analyse educators’ perceptions of ICT resources for socio-educational intervention with people with disabilities, as well as to determine their training needs and the possibilities and risks derived from their use. A qualitative methodology has been used to analyse the content of 12 semi-structured interviews with social educators. All of them work with students with disabilities in the extracurricular field. Based on the results, the educators habitually use popular digital devices, such as computers. They regularly search for content on the internet to obtain and disseminate ideas, perceiving an adequate domain. However, there is a need for training on specific digital resources to intervene with students with disabilities. The study highlights the need to investigate the causes that may limit some ICT uses by educators and foster the design of specific training programmes to harness the potential of ICT in socio-educational intervention. Full article

Certain industries will bear a disproportionate share of the burden of climate change. Climate change risk perceptions can impact workers’ mental health and well-being; increased climate change risk perceptions are also associated with more favourable adaptive attitudes. It is, therefore, important to understand whether climate risk perceptions differ across workers between industries. We conducted an online survey of British Columbians (16+) in 2021 using social media advertisements. Participants rated how likely they believed their industry (Natural Resources, Science, Art and Recreation, Education/Law/Government, Health, Management/Business, Manufacturing, Sales, Trades) would be affected by climate change (on a scale from “Very Unlikely” to “Very Likely”). Ordinal logistic regression examined the association between occupational category and perceived industry vulnerability, adjusting for socio-demographic factors. Among 877 participants, 66.1% of Natural Resources workers perceived it was very/somewhat likely that climate change would impact their industry; only those in Science (78.3%) and Art and Recreation (71.4%) occupations had higher percentages. In the adjusted model, compared to Natural Resources workers, respondents in other occupations, including those in Art and Recreation, Education/Law/Government, Management/Business, Manufacturing, Sales, and Trades, perceived significantly lower risk of climate change-related industry impacts. Industry-specific interventions are needed to increase awareness of and readiness for climate adaptation. Policymakers and industry leaders should prioritize sectoral differences when designing interventions to support climate resilience in the workforce. Full article

Traditional collision risk warning methods primarily focus on vehicle-to-vehicle collisions, neglecting conflicts between vehicles and vulnerable road users (VRUs) such as pedestrians, while the difficulty in predicting pedestrian trajectories further limits the accuracy of collision warnings. To address this problem, this study proposes a vehicle-to-everything-based (V2X) multi-fusion vehicle–pedestrian collision warning method, aiming to enhance the traffic safety protection for VRUs. First, Unmanned Aerial Vehicle aerial imagery combined with the YOLOv7 and DeepSort algorithms is utilized to achieve target detection and tracking at unsignalized intersections, thereby constructing a vehicle–pedestrian interaction trajectory dataset. Subsequently, key foundational modules for collision warning are developed, including the vehicle trajectory module, the pedestrian trajectory module, and the risk detection module. The vehicle trajectory module is based on a kinematic model, while the pedestrian trajectory module adopts an Attention-based Social GAN (AS-GAN) model that integrates a generative adversarial network with a soft attention mechanism, enhancing prediction accuracy through a dual-discriminator strategy involving adversarial loss and displacement loss. The risk detection module applies an elliptical buffer zone algorithm to perform dynamic spatial collision determination. Finally, a collision warning framework based on the Monte Carlo (MC) method is developed. Multiple sampled pedestrian trajectories are generated by applying Gaussian perturbations to the predicted mean trajectory and combined with vehicle trajectories and collision determination results to identify potential collision targets. Furthermore, the driver perception–braking time (TTM) is incorporated to estimate the joint collision probability and assist in warning decision-making. Simulation results show that the proposed warning method achieves an accuracy of 94.5% at unsignalized intersections, outperforming traditional Time-to-Collision (TTC) and braking distance models, and effectively reducing missed and false warnings, thereby improving pedestrian traffic safety at unsignalized intersections. Full article

Aims: To systematically review and synthesize qualitative research exploring the Breast Cancer Survivors (BCSs)’ perception of health promotion interventions and informing strategies to mitigate recurrence risk within five years post-treatment and improve clinical outcomes. Specifically, this study addresses the question: “How do women diagnosed with breast cancer perceive health promotion interventions for recurrence prevention?” Design: A systematic review and qualitative meta-synthesis were performed. Data Sources: A systematic search of scientific databases (CINAHL, MEDLINE, and Scopus) was undertaken in November 2024. The reference list was cross-referenced and hand-searched to identify additional articles. Review Methods: Studies were included if they met the following criteria: they were primary qualitative studies focusing on BCSs within five years post-treatment, involving participants who had completed surgery, radiotherapy, or chemotherapy in the same time frame, as this period is critical for monitoring recurrence and implementing health promotion interventions. Only studies published in peer-reviewed journals and written in Italian, English, French, or Spanish were considered, provided that an abstract and the full text were available. Moreover, eligible studies had to be conducted in high-income or middle-income countries. Studies were excluded if they focused exclusively on advanced or metastatic breast cancer, if they involved mixed cancer populations without reporting separate data for BCSs, or if they were non-qualitative studies or gray literature. The review study protocol was registered in the PROSPERO database (CRD42024626033). Results: The literature search identified 490 records, 13 articles from databases, and 3 articles identified via other methods (web and citation searching) that met inclusion criteria. A narrative synthesis approach allowed the emerging five themes: (I) Challenges, (II) Self-motivation and empowerment, (III) The relationships as a facilitator, (IV) Barriers to change, and (V) Proactive support strategies. Conclusions: Addressing internal and external factors that influence health behaviors is essential to improve adherence, reduce recurrence risk, and enhance quality of life. Tailored interventions, social support, and healthcare engagement are crucial in this effort. Impact: Our meta-synthesis highlighted significant challenges as well as valuable resources for health promotion among BCSs, suggesting practical and tailored approaches to improving the adoption of healthy behaviors, supported by relationships and targeted support strategies. Full article

Once marketed as smoking cessation tools, e-cigarettes are used by adolescents mainly for entertainment, driven by aggressive marketing, appealing flavors, and safer alternatives to smoking. This study analyzes data from the National Youth Tobacco Survey (NYTS) to explore trends in adolescent perceptions and usage patterns of e-cigarettes from 2011 to 2023, focusing on their dual roles as cessation aids and recreational products. Cross-sectional data from the NYTS over four years (2011: N = 18,866; 2015: N = 17,711; 2019: N = 19,018; 2023: N = 22,069) formed the foundation of this study. This study investigated demographic trends, usage frequency, initial and future use patterns, and quitting behavior. Descriptive statistics and latent class analysis (LCA) were employed to examine adolescent e-cigarette use patterns, with statistical significance determined at p < 0.05. The reasons for using e-cigarettes have changed significantly over the years because of family or friends. In all years (2015–2023), use for smoking cessation dropped significantly (2.33% in 2023 vs. 6.95% in 2015). In 2023, 38% wanted to quit using e-cigarettes within 30 days, and 25% attempted to quit at least 10 times. Flavored e-cigarette users were more than twice as likely to consider quitting compared to those not interested in flavors (OR = 2.64). Our findings highlight a significant decrease in the use of e-cigarettes for cessation, with a corresponding increase in recreational use over time. These trends emphasize the urgency of implementing interventions to mitigate nicotine addiction and its associated health risks among adolescents. Adolescent e-cigarette use has transitioned from being primarily driven by cessation efforts to recreational purposes, largely influenced by appealing flavors and social factors such as peer influence, showing the need for stricter marketing regulations and targeted educational campaigns. Full article

Amid the increasing complexity of urban risks, urban parks not only serve ecological and recreational functions but are increasingly becoming a critical spatial foundation supporting public psychological resilience and social recovery. This study aims to systematically evaluate the daily adaptability of urban parks in the context of micro-risks. The research integrates the theories of “restorative environments,” environmental safety perception, urban resilience, and social ecology to construct a five-dimensional framework for perceived resilience, encompassing resilience, safety, sociability, controllability, and adaptability. Additionally, a dynamic feedback mechanism of perception–behavior–reperception is introduced. Methodologically, the study utilizes the Fuzzy Delphi Method (FDM) to identify 17 core indicators, constructs a causal structure and weighting system using DEMATEL-based ANP (DANP), and further employs the VIKOR model to simulate public preferences in a multi-criteria decision-making process. Taking three representative urban parks in Guangzhou as empirical case studies, the research identifies resilience and adaptability as key driving dimensions of the system. Factors such as environmental psychological resilience, functional diversity, and visual permeability show a significant path influence and priority intervention value. The empirical results further reveal significant spatial heterogeneity and group differences in the perceived resilience across ecological, neighborhood, and central park types, highlighting the importance of context-specific and user-adaptive strategies. The study finally proposes four optimization pathways, emphasizing the role of feedback mechanisms in enhancing urban park resilience and shaping “cognitive-friendly” spaces, providing a systematic modeling foundation and strategic reference for perception-driven urban public space optimization. Full article

In high-density and land-scarce urban environments such as Taipei—a typical example of compact development in East Asia—informal green spaces (IGSs)—defined as unmanaged or unplanned vegetated urban areas such as vacant lots, street verges, and railway margins—play a growing role in urban environmental and social dynamics. This study explores residents’ perceptions of IGSs and examines how these spaces contribute to urban sustainability and land governance. Using a mixed-methods approach that combines the literature review, field observations, and a structured public opinion survey in Taipei’s Wenshan District, the study identifies key perceived benefits and drawbacks of IGSs. Findings show that residents highly value IGSs for enhancing urban greenery, offering recreational opportunities, and promoting physical and mental health. However, concerns persist regarding safety, sanitation, and maintenance—particularly fears of waste accumulation, mosquito breeding, and risks to children. The results highlight the dual nature of IGSs as both vital ecological assets and potential sources of urban disorder. These insights underscore the need for inclusive, community-based governance models that can transform IGSs into legitimate components of green infrastructure. The study contributes to emerging discussions on adaptive urban land governance by proposing that informal spaces be strategically integrated into urban planning frameworks to enhance environmental equity, resilience, and citizen well-being. Full article

The integration of shared autonomous vehicles into historic urban areas presents both opportunities and challenges. In heritage-rich environments like very old Asian (such as Suzhou old town, which serves as a use case example) or European (especially Mediterranean coastal cities) areas—characterized by narrow alleys, dense development, and sensitive cultural landscapes—shared autonomous vehicle adoption raises critical spatial and social questions. This study employs a qualitative, user-centered approach based on the ripple model to examine residents’ perceptions across four dimensions: residential patterns, parking land use, regional accessibility, and street-level infrastructure. Semi-structured interviews with 27 participants reveal five key findings: (1) public trust depends on transparent decision-making and safety guarantees; (2) shared autonomous vehicles may reshape generational residential clustering; (3) the short-term parking demand remains stable, but the long-term reuse of space is feasible; (4) shared autonomous vehicles could enhance accessibility in historic cores; (5) transport systems may evolve toward intelligent, human-centered designs. Based on these insights, the study proposes three strategies: (1) transparent risk assessment using explainable artificial intelligence and digital twins; (2) polycentric development to diversify land use; (3) hierarchical street retrofitting to balance mobility and preservation. While this study is limited by its qualitative scope and absence of simulation, it offers a framework for culturally sensitive, small-scale interventions supporting sustainable mobility transitions in historic urban contexts. Full article