Search Results (1,009)

Sexual health constitutes a fundamental aspect of overall well-being, with direct implications for individual development and the broader social and economic progress of communities. Promoting environments that ensure sexual experiences free from coercion, discrimination, and violence is a key public health priority. Sexuality, in this regard, should be understood as an inherent dimension of human experience, shaped by biological, cultural, cognitive, and ideological factors. Accordingly, sexual health education requires a holistic and multidimensional approach that integrates sociocultural, biographical, and professional perspectives. This study aims to examine the level of knowledge and training in sexual health among nursing students and healthcare professionals, as well as to assess the extent to which sexual health content is incorporated into nursing curricula at Spanish universities. A scoping review was conducted using the Dialectical Structural Model of Care (DSMC) as the theoretical framework. The findings indicate a significant lack of knowledge regarding sexual health among both nursing students and healthcare professionals, largely due to educational and structural limitations. Furthermore, sexual health education remains underrepresented in nursing curricula and is frequently addressed from a narrow, fragmented biomedical perspective. These results highlight the urgent need for the comprehensive integration of sexual health content into nursing education. Strengthening curricular inclusion is essential to ensure the preparation of competent professionals capable of delivering holistic, inclusive, and empowering care in this critical area of health. Full article

Despite extensive prevention strategies in Spain since the 1980s, gender-based violence, including among adolescents, remains prevalent, as observed in the Romance SUCC-ED Project (R&D&I Operating Programme ERDF Andalusia 2014–2020). This research study investigates the dimensions, meanings, relationships, and practices shaping the culture of romance in digital Andalusian adolescence (12–16 years) and its potential impact on school trajectories in Compulsory Secondary Education. Based on the premise that equality-focused relationship education is key to preventing gender violence, the study employs an ethnographic methodology with 12 Andalusian school case studies (4 out of them are located in rural areas) and 220 in-depth interviews (126 girls, 57.3%; 94 boys, 42.7%). This article aims to empirically explain gender violence in early adolescence by analysing the culture of romance as an explanatory factor. Findings reveal an interconnected model where dimensions (love, couple, sexuality, pornography, social networks, and cultural references), meanings (constructed by adolescents within each of them), relationships (partner), and practices (control and jealousy) reinforce romanticised femininity and dominant masculinity, thus explaining the high incidence of gender-based violence among students in the study. Full article

This study examines how U.S. immigration policies enact legal violence and multigenerational punishment through the spousal reunification process, particularly in mixed-status, transnational families. Building on the concept of “deportability,” we introduce “importability” to describe a beneficiary’s potential to secure permanent residency, which varies according to social markers such as race, gender, and region of origin. Drawing from a content analysis of threads on the Immigration Pathways (IP) web forum, we analyze discussions among U.S. citizen petitioners navigating marriage-based green card applications, with a focus on experiences involving administrative processing (AP) (i.e., marriage fraud investigations). Our findings show that couples who do not align with the state’s conception of “proper” family—particularly U.S. citizen women petitioning for Black African partners—face intensified scrutiny, long delays, and burdensome requirements, including DNA tests and surveillance. These bureaucratic obstacles produce prolonged family separation, financial strain, and diminished sense of belonging, especially for children in single-parent households. Through the lens of “importability,” we reveal how legal violence and multigenerational punishment of immigration policies on mixed-status families beyond deportation threats, functioning as a gatekeeping mechanism that disproportionately affects marginalized families. This research highlights the understudied consequences of immigration policies on citizen petitioners and contributes to a broader understanding of inequality in U.S. immigration enforcement. Full article

This essay examines two hybrid poetic texts that emerged from a period of feminist activism in U.S. and global poetry communities from 2014 to 2017: the collaboratively, anonymously authored “No Manifesto” (2015) and the radically revised second edition of the book of poetry and visual art YOU DA ONE by Jennif(f)er Tamayo. “No Manifesto” and YOU DA ONE embrace the hybrid tactics of collectivity, incongruity, and nonresolution as ways of protesting sexism and sexual violence in poetry communities. Synthesizing theories of hybridity from poetry criticism as well as immigrant and borderlands studies, the essay defines hybridity as a literary representation of cultural positions forcefully imposed upon subjects. Born out of the domination of sexual and state violence, hybridity marks the wound that remakes the subject, who develops strategies for resistance. By refusing to play by the rules of poetic or social discourse—the logics of domination that would have them be singular, cohesive, and compliant—Tamayo and the authors of “No Manifesto” insist on alternative ways of performing activism, composing literature, and entering the public sphere. These socially engaged, hybrid poetic texts demonstrate the power of the collective to disrupt the social and literary status quo. Full article

This study analyses algorithmic biases in AI-generated images, focusing on aesthetic violence, gender stereotypes, and weight discrimination. By examining images produced by the DALL-E Nature and Flux 1 systems, it becomes evident how these tools reproduce and amplify hegemonic beauty standards, excluding bodily diversity. Likewise, gender representations reinforce traditional roles, sexualising women and limiting the presence of non-normative bodies in positive contexts. The results show that training data and the algorithms used significantly influence these trends, perpetuating exclusionary visual narratives. The research highlights the need to develop more inclusive and ethical AI models, with diverse data that reflect the plurality of bodies and social realities. The study concludes that artificial intelligence (AI), far from being neutral, actively contributes to the reproduction of power structures and inequality, posing an urgent challenge for the development and regulation of these technologies. Full article

This study investigates how demographic characteristics, severity of intimate partner violence (IPV), social support, gender equality awareness, and demographic factors (e.g., living with children at home) influence help-seeking behaviors among 2527 IPV-experienced women in Beijing, Shanghai, Guangzhou, and Shenzhen. Drawing on the help-seeking model and conservation of resource theory, the study distinguishes between formal (e.g., police, legal aid) and informal (e.g., family, friends) help-seeking. Logistic regression results reveal that greater violence severity, stronger perceived social support, and higher gender equality awareness significantly increase both formal and informal help-seeking. Notably, living with children is associated with a higher likelihood of seeking formal help, possibly due to increased concerns for children’s safety and the desire to change the abusive environment. While help-seeking behavior is on the rise overall, particularly among women with strong support networks and progressive gender attitudes, structural and cultural barriers remain. The findings underscore the need to improve public education, reduce stigma, and enhance accessibility of support systems. This study contributes to the growing literature on IPV in China and provides evidence for refining policy interventions and service delivery. Full article

Background/Objectives: Mobile healthcare units (MHUs) comprise flexible, ambulatory healthcare teams that deliver community care services, particularly in underserved or remote areas. In Greece, MHUs were pivotal in epidemiological surveillance during the COVID-19 pandemic and are now evolving into a sustainable and integrated service for much-needed community-based healthcare. To support this expanded role, targeted, competency-based training is essential; however, this can pose challenges, especially in coordinating synchronous learning across geographically dispersed teams and in ensuring engagement using an online format. Methods: A nationwide, online training program was developed to improve the knowledge of the personnel members of the Hellenic National Public Health Organization’s MHUs. This program was structured focusing on four core themes: (i) prevention–health promotion; (ii) provision of care; (iii) social welfare and solidarity initiatives; and (iv) digital health skill enhancement. The program was implemented by the University of Crete’s Center for Training and Lifelong Learning from 16 January to 24 February 2025. A multidisciplinary team of 64 experts delivered 250 h of live and on-demand educational content, including health screenings, vaccination protocols, biomarker monitoring, chronic disease management, treatment adherence, organ donation awareness, counseling on social violence, and eHealth applications. Knowledge acquisition was assessed through a pre- and post-training multiple-choice test related to the core themes. Trainees’ and trainers’ qualitative feedback was evaluated using a 0–10 numerical rating scale (Likert-type). Results: A total of 873 MHU members participated in the study, including both healthcare professionals and administrative staff. The attendance rate was consistently above 90% on a daily basis. The average assessment score increased from 52.8% (pre-training) to 69.8% (post-training), indicating 17% knowledge acquisition. The paired t-test analysis demonstrated that this improvement was statistically significant (t = −8.52, p < 0.001), confirming the program’s effectiveness in enhancing knowledge. As part of the evaluation of qualitative feedback, the program was positively evaluated, with 75–80% of trainees rating key components such as content, structure, and trainer effectiveness as “Very Good” or “Excellent.” In addition, using a 0–10 scale, trainers rated the program relative to organization (9.4/10), content (8.8), and trainee engagement (8.9), confirming the program’s strength and scalability in primary care education. Conclusions: This initiative highlights the effectiveness of a structured, online training program in enhancing MHU knowledge, ensuring standardized, high-quality education that supports current primary healthcare needs. Future studies evaluating whether the increase in knowledge acquisition may also result in an improvement in the personnel’s competencies, and clinical practice will further contribute to assessing whether additional training programs may be helpful. Full article

Colombia is a megadiverse, multiethnic, and multicultural country with a tremendous socio-ecological systems (SESs) diversity, which faces essential challenges arising from human activities, low levels of sustainable economic development, poverty, and social inequality rates, and the persistence of multiple forms of military, political, and social violence. Understanding the resilience of this complex system is both fundamental and challenging due to the contradictory effects of economic development and regional ecosystem degradation. This research proposes the Socio-Ecological Resilience Integrated Index (SERII) to assess historical changes in socio-ecological resilience in Colombia’s departments (political-administrative units) between 1985–2022. The SERII considers the trade-offs between ecosystems, social systems, and production systems, providing a complete perspective of integrated management with a geographic resolution at the level of general political-administrative units. The results reveal a spatial variation in the SERII, with worse conditions in the Caribbean, the Pacific, and the Colombian Amazon (on the country periphery) and better conditions in departments of the country center. From 1985 to 2022, the SERII experienced a decrease (51.5%), driven by ecosystem degradation, increased extractive activities (illegal and illegal), and the persistence of military, political, and social violence. While the limitations of the proposed indicator are described, the SERII effectively replicates the overall resilience of Colombia’s departments to external shocks and allows for suggesting regional management priorities for the targeted promotion of sustainable development. Full article

Background: Teen dating violence (TDV) is a serious public health concern, with sexual and gender minority youth (SGMY) at elevated risk due to minority stress and systemic inequalities. This systematic review examines individual, relational, and contextual risk factors for TDV among SGMY. Methods: A systematic search was conducted in Scopus, Web of Science, and APA PsycInfo on 10 December 2024. Studies published between 2014 and 2024 focusing on teen dating violence (TDV) as an outcome among sexual and gender minority youth (SGMY) aged 13–19 were included. Study selection was independently performed by multiple reviewers using Rayyan. Risk of bias was assessed using the JBI Critical Appraisal Tools. Due to heterogeneity in the study design and measurement tools, a narrative synthesis was conducted. Results: Six risk domains emerged: (1) Demographic/Identity (e.g., gender, orientation, or race); (2) Psychological/Behavioral (e.g., distress or substance use); (3) Violence/Bullying (e.g., cyberbullying or exclusion); (4) Family/Sexual Abuse (e.g., family rejection); (5) Relational/Social (e.g., partner outing); and (6) School/Community (e.g., non-inclusive environments). Bisexual, pansexual, transgender, and racialized youth showed heightened vulnerability. Most studies were conducted in the USA and relied on non-validated TDV measures and cross-sectional designs, limiting comparability and causal inference. Conclusions: SGMY face unique, often overlooked TDV risks. There is a need for intersectional, longitudinal research and inclusive, developmentally appropriate prevention efforts that address both relational and structural factors. This review received no external funding and was not registered. Full article

Social desirability is a widely studied phenomenon due to its impact on the validity of self-reported data. It refers to the tendency of individuals to respond to questions in a manner that they believe is socially acceptable or favorable rather than providing truthful or accurate answers. This study evaluated the psychometric properties of the Brief Social Desirability Scale (BSSD-4) in Ecuadorian youth, analyzing its reliability, factorial and convergent validity, and measurement invariance by sex, age group, and experiences of dating violence. An instrumental study was conducted with a non-probabilistic convenience sample of 836 participants (aged 14–26). Reliability was adequate (Ω = 0.75, α = 0.81, CR = 0.759). Confirmatory factor analysis showed good fit indices (CFI = 0.98, TLI = 0.97, RMSEA = 0.056, SRMR = 0.037). Convergent validity was acceptable (AVE = 0.50, VIF < 2.01). A network analysis confirmed the unidimensionality of the scale and structural differences between groups. Measurement invariance by sex and age was verified, but differences in the network structure were found based on victimization and perpetration of violence. The BSSD-4 is a valid and reliable instrument for assessing social desirability in Ecuadorian youth, useful for population studies and intergroup comparisons. Further research is recommended to explore its invariance in populations with a history of violence, as differences in scalar invariance were observed. Full article

Children’s safety, well-being and inclusion in the school environment can be severely impacted by social isolation and bullying. This study examined these threats in a sample of 14 group-classes (291 students) from four different primary education schools. A total of 44 special educational needs (SEN) students and 44 students without SEN were selected. The social network structure of each group-class was analysed, as well as the number of friendship ties, the degree of emotional well-being and social participation (both inside and outside of the school), and the possible cases of bullying. The results show a significantly greater rate of social rejection, emotional distress and risk of exclusion in SEN students with respect to their peers, as well as a considerably higher perception of bullying (38.6% vs. 4.8%). The SEN students who reported bullying were mostly schooled in social networks with a more segregated and fragmented structure. Moreover, the mean value obtained in these groups was lower for all the analysed indicators, although the differences were not statistically significant. These data support the idea that the social capital of the group class could influence the prevention of violence and bullying towards SEN students. However, further studies with larger samples are needed to confirm this. Lastly, strategies to promote the social inclusion of SEN students in primary education schools are discussed. Full article

Background: The prevalence of mental health problems among young adults has increased exponentially worldwide, with significant implications for public health. This study explores the structural and intermediate social determinants of health associated with emotional well-being and distress in Colombian young adults. Methods: A cross-sectional study was conducted with 1232 university students aged 18–28 years residing in Cali, Colombia. The Social Determinants of Mental Health Questionnaire for Young Adults (SDMH) was administered to assess structural and intermediate determinants. Participants were categorized into two groups: those with mental health diagnoses (n = 252) and those without (n = 980). Descriptive, comparative association and predictive analyses were conducted. Results: Significant differences were found between groups, with diagnosed participants showing higher exposure to violence and suicidal ideation. Women with diagnoses predominantly presented anxiety and depression, while men showed more externalizing symptoms. Violence experiences emerged as the strongest predictors of emotional distress in both groups. Psychosocial life skills and perceived social support were the most robust protective factors for emotional well-being, regardless of diagnostic status. Conclusions: This study reveals that multiple risk factors accumulate rather than single extreme factors characterizing mental health vulnerability. Violence prevention, life skills development, and social support enhancement should be prioritized in public health interventions for young adults. The findings emphasize the need for multisectoral approaches addressing social determinants to promote youth mental health. Full article

Workplace violence (WPV) is a prevailing global concern among healthcare providers (HCPs). Pharmacists may be more vulnerable to WPV than other HCPs due to being the most trusted, approachable, and accessible healthcare workers. However, in Saudi Arabia, there is little research on violence in the workplace among pharmacists working in different sectors. This is a cross-sectional survey study. An online survey was adopted from previous studies and distributed to a convenience sample of pharmacists by email and social media using a link to a web-based survey platform in QuestionPro. SPSS 28 was used for analysis. Logistic regression was employed to assess the association between WPV exposure and the participants’ characteristics. Three hundred and nineteen pharmacists participated in the study. A total of 156 (48.9%) reported exposure to workplace violence. Most participants had experienced verbal abuse (39.7%). Most offenders were male (84.6%), and aged 21–45 years (66.7%). Common causes included lack of a penalty (13.3%), and absence of reporting systems (11.4%). Seventy-eight percent of participants reported that the violence affected them negatively, leading to hopelessness (19.7%), and decreased work performance and productivity (15.1%). Logistic regression indicated that working as a staff (OR: 3.165; 95% CI 1.118–8.96, p = 0.030), working evening or night shift (OR: 2.4456; 95% CI 1.340–4.503, p = 0.004), and lacking procedure for reporting the violence (OR: 0.412; 95% CI 0.236–0.717, p = 0.002) were more likely to be victim of workplace violence than their counterparts. In Saudi Arabia, the risk of WPV events occurrence among pharmacists is high. The findings can guide the creation of appropriate policies, actions, and safety procedures to prevent and address WPV against pharmacists. Full article

This article examines Asterius of Amaseia’s Homily 4 on the Kalends of January and compares it with the works of Libanius and John Chrysostom on the same subject. Preached in January 400, Asterius’ sermon takes a distinctive approach, focusing less on condemning pagan aspects and more on criticising immoral behaviour during the festival. The bishop emphasises the economic and non-inclusive nature of the celebration, directly refuting Libanius’ eulogy. Asterius portrays the Kalends as a source of social division and violence, in contrast to Libanius’ portrayal of shared joy. This article suggests that Asterius’ polemic reflects a social conflict rather than a pagan–Christian opposition, presenting the Kalends as a moral problem threatening society, particularly through the corruption of its leaders. Full article

Intimate partner violence (IPV) is a widespread issue with severe consequences for women’s well-being. This scoping review synthesizes research on coping strategies among female IPV survivors, evaluates measurement approaches, and assesses the applicability of the 11 families of coping framework. Analyzing 27 studies (2017–2022) from the Scopus database, we identified key coping patterns. In response to the first research question, the review revealed methodological diversity, with qualitative interviews predominating (55.56% of studies) alongside quantitative measures such as the Brief-COPE and IPV Strategies Index. All documented coping strategies were successfully categorized using Skinner’s framework, demonstrating its comprehensive utility for IPV research. This complete categorization directly answers our second research question, confirming the framework’s effectiveness for classifying IPV coping strategies. By using this framework, we identified key coping patterns, with seeking social support emerging as the most prevalent strategy (88.89% of studies), followed by escape–avoidance (55.56%) and problem-solving (44.44%). The findings underscore the value of adopting a standardized classification system to enhance consistency across studies and improve comparative analyses. The study contributes to theoretical development by validating Skinner’s model in IPV contexts and offers practical guidance for future research design. By demonstrating the universal applicability of the 11 families of coping, this scoping review provides a foundation for systematic investigations of coping mechanisms and informs targeted support interventions for survivors. Full article