Search Results (525)

The influence of social media personalities has grown significantly, especially among youth audiences who spend substantial time on platforms like TikTok. The emergence and popularity of different types of social media influencers accelerated during the COVID-19 pandemic in many countries, including South Africa. In turn, this period also saw a surge in youth audiences following these influencers. This rapid growth of influencer followings among young people is largely driven by specific types of content that resonate with them, thus encouraging continued engagement. However, the benefits that these young followers gain from engaging with various influencers and the factors driving their preferences for specific influencers remain underexplored, particularly within the context of South African students within higher education. Therefore, this study explores the types of social media influencers most followed by university students at a South African University and investigates the key factors that drive their preferences. A structured online questionnaire was distributed, gathering both multiple-choice and open-ended responses from students. The data were analyzed using categorical frequency counts and thematic analysis. The data highlight how students actively turn to influencers as emotional anchors, role models, and sources of practical guidance. Their engagement reflects a deep need for connection, inspiration, and identity formation in a challenging academic and social environment. These patterns show that influencer content is not just entertainment but plays a critical developmental role. Understanding these motivations helps educators, policymakers, and brands to align better with youth values. The significance of these results lies in how influencer content is now coming in to fill the emotional, cultural, and educational gaps left by traditional systems among the young South African university students in this modern era. Full article

Globally, forest leisure and recreation (FLR) activities are widely recognized not only for their environmental and social benefits but also for their economic contributions. To better understand these economic contributions, it is vital to examine how the regional economic levels of customers vary when consuming FLR. This study aimed to empirically examine whether the regional economic level of residents (i.e., gross regional domestic product; GRDP) is classifiable using FLR expenditure data, and to interpret which variables contribute to its classification. We acquired anonymized credit card transaction data on residents of two regions with different GRDP levels. The data were preprocessed by identifying FLR-related industries and extracting key spending features for classification analysis. Five classification models (e.g., deep neural network (DNN), random forest, extreme gradient boosting, support vector machine, and logistic regression) were applied. Among the models, the DNN model presented the best performance (overall accuracy = 0.73; area under the curve (AUC) = 0.82). SHAP analysis showed that the “FLR industry” variable was most influential in differentiating GRDP levels across all the models. These findings demonstrate that FLR consumption patterns may vary and are interpretable by economic levels, providing an empirical framework for designing regional economic policies. Full article

A growing number of research studies show that children spend less time in natural environments, which may have detrimental effects on children’s mental and physical health. This study explores changes in children’s (6–12 years) use of nearby nature and constraints on playing in nature between 2013 and 2023. We apply an ecological approach, including individual, social, and structural constraints on outdoor play. The study is based on national surveys of parents reporting child play behavior for eight activity categories and nineteen categories of constraints/motivation. Findings reveal a decreasing tendency for time spent on all activity categories and increasing constraints for 17 of 19 categories during the study period. Our ecological approach reveals that there is less time for children’s nature use in contemporary society, and activities are more common in built areas than in nature. The survey identifies some important socio-cultural differences regarding gender, age, and residential setting. In future research, the focus should be on how reduced connection to nature affects children’s mental and physical health, and beyond this, how it affects the understanding of and care for nature among future generations. Full article

Background/Objectives: Community benefit (CB) obligations by not-for-profit (NFP) hospitals have attracted renewed scrutiny at federal and state levels due to wide variation in CB spending. In 2020, Oregon implemented a CB policy for all NFP hospitals that included requirements to expand patient financial assistance and a hospital-specific minimum CB spending floor. We examined trends in CB spending after the implementation of Oregon’s CB policy. Methods: Interrupted time-series analyses to compare hospital CB spending before and after policy implementation. Results: Overall, Oregon’s CB policy was not associated with changes in CB spending, except for a 0.2% decrease in the Social Determinants of Health spending (−0.0018; p < 0.05). Among hospitals in the first tercile of pre-policy CB spending, Oregon’s policy was associated with a 0.4% decrease in charity care (−0.0041; p < 0.05) and a 0.6% increase in subsidized health services spending (0.0063; p < 0.05). Hospitals in the second tercile of pre-policy CB spending experienced a 0.7% decrease in subsidized health services (−0.0074; p < 0.05). Among frontier hospitals, total CB spending and Medicaid shortfalls increased by 2.9% (0.0292; p < 0.10) and 2.2% (0.0220; p < 0.10) respectively, while non-frontier hospitals experienced a 0.7% decrease in Medicaid shortfall (−0.0068; p < 0.05). Critical access hospitals experienced a 1.3% increase in subsidized health services spending (0.0131; p < 0.05). Conclusions: Although total CB spending did not change in the two years following Oregon’s CB policy implementation, findings suggest that hospitals may be shifting the composition of their CB spending. Oregon’s CB policy encourages proactive CB spending tailored to community needs, but opportunities exist to fine-tune the policy to boost hospital CB spending. Specifically, planned spending in categories such as charity care may alleviate the increasing burden of medical debt and its financial implications for patients. Full article

Background: Immunization coverage in Nigeria is low, with many children missing out on important lifesaving vaccines. To enable a better understanding of contextual factors towards increasing uptake, we piloted a Decentralized Immunization Monitoring (DIM) approach in the Kumbotso local government area (LGA) of Kano state, Nigeria, to identify wards with low vaccination rates and understand why this is happening. The findings were used to improve routine immunization (RI) programs and reduce the number of unvaccinated children and children yet to receive their first dose of diphtheria–pertussis–tetanus (DPT) vaccine, referred to as Zero-Dose children (ZD). Methods: This study adopted a cross-sectional design approach using the Behavioural and Social Drivers of Vaccination (BeSD) framework and the Lot Quality Assurance Sampling (LQAS). The study population comprised caregivers of children aged 0–11 months and 12–23 months across the 11 wards in Kumbotso District, Kano State, Nigeria, using a segmentation sampling approach. The study covered 209 settlements selected using probability proportionate to size (PPS) sampling from the wards. Univariate and bivariate analyses were performed to show patterns and relations across variables. Results: Out of 418 caregivers surveyed, 98.1% were female. Delayed vaccination was experienced by 21.9% of children aged 4.5–11 months, while the prevalence of ZD was estimated at 26.8% amongst the older cohort (12–23 months). A total of 71.4% of the delayed group and 89.1% of the ZD group remained unvaccinated. Caregiver education, rural residence, and home births correlated with delayed/ZD status (p < 0.05). Logistic regression associated higher caregiver education with reduced delayed vaccination odds (OR:0.34, p < 0.001) and urban residence with lower ZD odds (OR:1.89, p = 0.036). The antigen coverages of BCG (81.5%), DPT3 (63.6%), and measles 1 (59.7%) all surpassed the national dropout thresholds. Kumbotso, Unguwar Rimi, and Kureken Sani wards were all identified as underperforming and therefore targeted for intervention. Negative vaccine perceptions (50% delayed, 53.6% ZD) and distrust in health workers (46.4% delayed, 48.2% ZD) were significant barriers, though the caregiver intent to vaccinate was protective (OR: 0.27, p < 0.001). The cost of accessing immunization services appeared to have a minor effect on coverage, as the majority of caregivers of delayed and ZD children reported spending less than 200 Naira (equivalent to USD 0.15) on transport. Conclusions: This pilot study highlighted the utility of LQAS and BeSD in identifying low-performing wards, barriers, and routine immunization gaps. Barriers included low caregiver education, rural residence, and negative vaccine perceptions/safety. Caregiver education and urban residence were protective factors against delayed and ZD vaccination, suggesting social and systemic barriers, particularly in rural and less educated populations. Antigen-specific coverage showed disparities, with dropouts for multi-dose vaccines exceeding the national thresholds of 10%. Targeted measures addressing education, trust, and systemic issues are needed. Findings emphasize decentralized monitoring, community engagement, and context-specific strategies to reduce ZD children and ensure equitable vaccination in Nigeria. Full article

This study investigated the determinants of the Healthcare Quality Index (HQI) in Saudi Arabia over the period from 1990 to 2024. It specifically analyzed the impact of six key variables: Medical Insurance Penetration Rate (MIPR), Gross Domestic Product per Capita (GDP), Unemployment Rate (UR), Inflation Rate (IR), Government Healthcare Expenditure as a Percentage of GDP (GHE), and Foreign Direct Investment in the Healthcare Sector (FDI). Utilizing the Autoregressive Distributed Lag (ARDL) and Vector Error Correction Model (VECM) techniques, this research explored both the short-term dynamics and the long-term equilibrium relationships among these time-series variables, while also accounting for cointegration and potential endogeneity. This study contributes to the existing literature by applying the ARDL and VECM methodologies to comprehensively analyze the combined impact of these factors on HQI within the unique economic and social framework of Saudi Arabia, addressing a notable void in this specific context and exploring both transient fluctuations and sustained equilibrium relationships. The key findings revealed distinct influences across time horizons. In the short term, GDP and GHE significantly and positively affect HQI, whereas UR and IR demonstrate a significant negative impact. Short-term impacts of MIPR and FDI are found to be positive but not statistically significant. The long-term analysis indicates that MIPR, GHE, and FDI have a significant positive influence on HQI, while IR maintains a significant negative impact. GDP and UR effects are not statistically significant in the long term. Further analysis using Granger causality tests and VECM confirmed that MIPR, GDP, GHE, and FDI collectively Granger-cause HQI, with government healthcare expenditure playing a crucial role in correcting short-term deviations toward long-term equilibrium. This study concludes that long-term strategies focusing on expanding insurance coverage, increasing government healthcare investment, and attracting foreign direct investment are vital for significantly enhancing healthcare quality in Saudi Arabia. The sustained positive influence of these factors and the critical role of government spending in maintaining long-term stability underscore their importance for effective healthcare policy. While emphasizing these long-term drivers, policymakers should also remain cognizant of the significant negative short-term fluctuations caused by unemployment and inflation. Full article

YouTube is the most popular social media platform for children and adolescents, yet relatively little research has been conducted on adolescents’ use and their motivations for use. Prior research has predominantly focused on measuring the quantity of time spent on the platform, and less is known about the motivations and self-awareness of using YouTube as children turn into tweens and teens. Stemming from a larger survey study of adolescent social technology use, we interviewed a subset of 35 youths (50% female, 49% male, 1% non-binary) to qualitatively explore the benefits and challenges of YouTube use. Thematic analyses revealed the wide range of emotional responses and regulation that were attributed to YouTube use, including humor, fear, anger, insecurity, and anxiety. Some participants experienced wishful identification with YouTube influencers, and others viewed YouTube as entertainment or an escape from boredom. Sleep regulation was mixed, in that for some, YouTube was a distraction from getting enough sleep, and for others, it helped them fall asleep. Parental monitoring was a developmental challenge as the youths described their parents as lacking knowledge about the length of time they spend on the platform and/or the risky YouTube content that they watch, particularly as they got older. These exploratory findings may be pertinent for parents, educators, and clinicians. Full article

Introduction: Gentrification, commonly defined as low-socioeconomic-status (SES) neighborhoods experiencing rapid increases in rental value, can lead to changes in the built and social neighborhood environment. Schools are an important location for pollutant exposure and child opportunities because children spend significant time in school. Given their central role in both environmental and social contexts, we examined the relationship between gentrification, pollutants, and child opportunity near schools in New York City. Methods: School locations (N_total = 1482) were classified into gentrifying (n = 624), non-gentrifying (n = 198), and higher-SES (ineligible for gentrification; n = 660) neighborhoods. Annual average pollutant levels (black carbon (BC), fine particulates (PM_2.5), nitrogen dioxide (NO₂)) were assessed near schools. Child opportunity index (COI 2.0) was used to evaluate overall opportunity and three domains: education; health/environment; social/economic. Results: On average, pollution was highest in gentrifying neighborhoods compared to non-gentrifying (5–8.6% difference) and higher-SES (4.8–14.8% difference) neighborhoods. Average air pollution levels remained consistently higher in gentrifying neighborhoods both before and after gentrification compared to non-gentrifying and higher-SES neighborhoods. Regarding childhood opportunity, education, and social/economic opportunities were better and health/environment opportunities were worse in gentrifying compared to non-gentrifying neighborhoods. Conclusions: Gentrifying neighborhoods are at risk for higher exposure to pollutants and lower health/environment childhood opportunities compared to other neighborhoods. Full article

Background: Children, including the estimated 7% with food allergy, spend most of their waking hours in school. Variations in school-based food allergy (FA) practices exist. We aimed to examine differences in FA management practices across schools in Canada and the United States (US). Methods: Parents of children with Immunoglobulin E (IgE)-mediated FA were recruited through social media to complete a survey evaluating the schools’ stock epinephrine, epinephrine storage locations, school type, and location. Data were described, analyzed using logistic and linear regressions, and then reported as odds ratios (ORs) and standardized coefficients (b), respectively, with corresponding 95% confidence intervals (95%CIs) and p < 0.05. This study was approved by the University of Manitoba Health Research Ethics Board. Results: Overall, 177 participants (14% [26/177] Canada, 86% [151/177] US) were included. Children were, on average, 4.92 ± 3.12 years and were commonly but not mutually exclusively allergic to tree nuts (50% Canada; 40% US) and peanuts (33% Canada; 29% US). Compared to US parents, Canadian parents were more likely to report epinephrine self-carriage by their children (OR = 4.58; 95%CI = 1.67–12.59). Parents with children age > 5 years were more likely to report epinephrine self-carriage by their children (OR = 3.70; 95%CI = 1.38–9.93) but less likely to report that their children’s school had an allergen-friendly zone (OR = 0.25; 95%CI = 0.06–0.99). Compared to US parents, Canadian parents were more likely to report their child’s school had anaphylaxis management policies (OR = 8.98; 95%CI = 1.11–72.42). Conclusions: Significant in-school FA management differences exist between countries. These findings stress the need for consistent policies and practices to ensure effective care. Full article

In the digital age, adolescents spend considerable time online, heightening their exposure to both cyberbullying and traditional bullying. However, few studies have investigated both forms of victimization simultaneously, particularly regarding their impact on adolescents in Middle Eastern countries such as Oman. This study used latent profile analysis to identify victimization profiles based on indicators of verbal, social, physical, and cyberbullying victimization. The participants included 1204 Omani students (604 girls, 50.2%; M = 14.04, SD = 0.20, aged 14–15). Three victimization profiles emerged: (1) non-victims (n = 989, 82.1%), (2) traditional victims (n = 156, 13.0%), and (3) dual victims (n = 59, 4.9%). The BCH approach revealed that adolescents in the non-victims profile, with the lowest levels of both traditional and cyberbullying victimization, reported the lowest levels of internalizing (M = 10.14, SD = 0.11) and externalizing symptoms (M = 10.36, SD = 0.10) and the highest academic performance (M = 4.59, SD = 0.02), whereas their prosocial behaviors were relatively low (M = 4.71, SD = 0.08). Adolescents in the traditional victims’ profile had moderate levels on nearly all outcomes. Adolescents in the dual victims’ profile, who experienced both traditional and cyberbullying, reported the highest levels of behavioral symptoms (M_{internalizing} = 11.94, SD_{internalizing} = 0.34; M_{externalizing} = 12.81, SD_{externalizing} = 0.38) and prosocial behaviors (M = 5.63, SD = 0.36), along with the lowest academic performance (M = 4.37, SD = 0.11). These findings underscore the need for culturally sensitive, multi-level interventions to protect Omani adolescents from both traditional and cyberbullying and to support their academic and psychosocial well-being. Full article

Foot and Mouth Disease (FMD) poses significant challenges to livestock management and agricultural economies worldwide. This study examines the effect of farmers’ sociodemographic factors on livestock infected with Foot and Mouth Disease (FMD) and analyzes its socioeconomic impact on smallholder farmers in Indonesia. This study collected data from 992 households (202 infected and 790 non-infected) in the special region of Yogyakarta province. The research used propensity score matching (PSM) treatment effect analysis to assess the socioeconomic impact of FMD outbreaks on smallholder farmers. Our results demonstrated that FMD significantly increased (p < 0.01) smallholder farmers’ social behavior, including knowledge, attitude, and practice (KAP). Furthermore, farmers whose animals are already infected with FMD must spend an additional IDR 258,000 to IDR 270,000 on treatment compared to non-infected ones. This study provides empirical evidence that farmer characteristics, including women’s decision-making, income, farming group, and cattle ownership, determine the likelihood of FMD infection, which implies that farmers with specific characteristics may heighten the risk of FMD infection. We concluded that FMD has changed social behavior and accelerated economic loss for smallholder farmers. Hence, farmers with animals at risk of FMD infection are prioritized in FMD control programs. Full article

Background/Objectives: This study aimed to identify the relationships between individuals’ perceptions of leisure boredom, internet usage habits, and gambling motivations, focusing on analyzing the predictive effects by age category in adults. Methods: The study employs quantitative research methods, adopting a relational survey model. The sample group comprises 310 adult (94 female and 214 male) individuals aged 18 and over. Data were collected using the Leisure Boredom Scale (LBS), targeting two subscales: negative (Boredom) and positive (Satisfaction) attitudes toward leisure time, the Leisure Internet Use Scale (LIUS) targeting four forms of leisure, and the Gambling Motivation Scale (GMS) with the following subscales: socialization, entertainment/excitement, escapism, and money-making. In the analysis conducted with SPSS 25.0, independent samples t-test, ANOVA, correlation, and regression analyses were applied. Results: The findings indicate that leisure boredom significantly predicts internet usage and gambling motivations. Notably, individuals who spend their leisure time on passive activities were found to have higher rates of internet usage, habits, digital addiction, and gambling behavior. The positive relationship between internet usage habits, digital addictions, and risky behaviors such as gambling becomes particularly pronounced among young adults. Conclusions: Leisure time management is critical for individuals’ psychological well-being. Cognitive awareness programs, digital literacy education, and promoting participation in healthy leisure activities are recommended as key strategies to prevent risky behaviors. Full article

Schools are vital infrastructures where students acquire essential skills and foster social values. Indoor air quality (IAQ) is of paramount importance in schools, given that students spend a considerable amount of time indoors. This study examines the influence of a natural green structure (NGS) on IAQ in an Eco-Campus classroom. The IAQ of a classroom with an NGS was compared to that of an adjacent classroom without an NGS. The thermal conditions were monitored, including air temperature (T) and relative humidity (RH), as well as indoor pollutants, including carbon dioxide (CO₂), volatile organic compounds (VOCs), and particulate matter (PM_2.5 and PM₁₀). The findings indicated a substantial improvement in indoor air quality in the classroom where the green structure was installed. This study lends support to the incorporation of biophilic solutions as sustainable approaches to fostering healthier learning environments, which in turn can lead to improvements in student performance and well-being. Full article

Promoting sustainability in higher education is a social and environmental imperative. This paper explores how and why volunteering at a campus community garden (CCG) can serve as a unique context for promoting sustainability. Twenty-five undergraduate students between the ages of 18 and 27, who had volunteered at a campus garden, participated in individual semi-structured interviews. A majority of participants identified as female (80%) and Asian American (52%). Using reflexive thematic analysis, we first found students were motivated to volunteer for personal and academic reasons as well as to learn more about gardening. Childhood gardening experiences influenced participants’ re-engagement as adults. Second, building social connections and spending time in nature, especially when living in an urban area, sustained students’ engagement in the garden, whereas time constraints and physical tasks made it challenging to volunteer. Finally, the findings suggest that volunteering promoted pro-environmental behaviors. Students felt that their volunteer work allowed them to make a positive environmental impact. Participants also gained new environmental knowledge and skills, which encouraged them to adopt environmentally friendly lifestyle changes, advocate for environmental and social justice issues, and reflect on how they might integrate pro-environmental behaviors into their future careers. Full article

This study employs walking interviews to examine the low-carbon practices, cultural adaptation, and policy awareness of older Chinese migrants in the UK within their everyday environments. A total of 20 participants were interviewed in public spaces such as parks, supermarkets, and their homes. Using contextual thematic analysis, the study identifies key factors influencing their environmental behaviors. The findings reveal the following: (1) Language barriers, economic pressures, and social isolation limit migrants’ understanding of environmental policies. Many participants rely on self-sufficient ethnic community networks rather than engaging with mainstream sources; (2) Generational differences are evident—younger migrants demonstrate greater theoretical awareness of environmental policies, whereas older migrants exhibit stronger low-carbon behaviors through energy conservation and waste reduction; (3) A balance between cultural identity and consumption habits—while some migrants adjust their dietary, spending, and linguistic habits, core cultural values such as frugality and family responsibility remain unchanged. This study highlights the value of walking interviews in capturing situational insights into low-carbon behaviors and cultural adaptation. It provides empirical evidence for government agencies and community organizations, advocating for cross-cultural environmental education and improved policy communication. Recommendations include targeted environmental training, community-based volunteer initiatives, intergenerational environmental education, and policy dissemination through WeChat, Chinese communities, and ethnic networks. These measures can help bridge the generational gap in policy awareness and promote social integration among older Chinese migrants. Full article