Search Results (903)

Society’s adaptation to shared mobility services is a growing topic that requires detailed understanding of the local circumstances of potential and current users. This paper focuses on analyzing barriers to the adoption of urban bike-sharing systems in post-industrial cities, using a case study of the Silesian agglomeration in Poland. Methodologically, the article integrates quantitative survey methods with multivariate statistical analysis to analyze the demographic, socioeconomic, and motivational factors that underline the adoption of shared micromobility. The study highlights a detailed segmentation of users by income, age, professional status, and gender, as well as the observation of profound disparities in access and perceived usefulness. Of note is the study’s identification of a highly concentrated segment of young, low-income users (mostly students), which largely accounts for the general perception of economic and infrastructural barriers. These include the use of factor analysis and regression to plot the interaction patterns between individual user characteristics and certain system-level constraints, such as cost, infrastructure coverage, weather, and health. The study’s findings prioritize problem-specific interventions in urban mobility planning: bridging equity gaps between user groups. This research contributes to the current literature by providing detailed insights into the heterogeneity of user mobility behavior, offering evidence-based recommendations for inclusive and adaptive options for shared transportation infrastructure in a changing urban context. Full article

This study explores digital inequality as a socio-spatial phenomenon within the context of smart inclusion, focusing on the Regional Unit of Xanthi, Greece—a region marked by ethno-cultural diversity and pronounced urban–rural contrasts. Using a mixed-methods design, this research integrates secondary quantitative data with qualitative insights from semi-structured interviews, aiming to uncover how spatial, demographic, and cultural variables shape digital engagement. Geographic Information System (GIS) tools are employed to map disparities in internet access and ICT infrastructure, revealing significant gaps linked to geography, education, and economic status. The findings demonstrate that digital inequality is particularly acute in rural, minority, and economically marginalized communities, where limited infrastructure intersects with low digital literacy and socio-economic disadvantage. Interview data further illuminate how residents navigate exclusion, emphasizing generational divides, perceptions of technology, and place-based constraints. By bridging spatial analysis with lived experience, this study advances the conceptualization of digitally inclusive smart regions. It offers policy-relevant insights into how territorial inequality undermines the goals of smart development and proposes context-sensitive interventions to promote equitable digital participation. The case of Xanthi underscores the importance of integrating spatial justice into smart city and regional planning agendas. Full article

This study explores the role of community-centered farm-based hospitality in promoting sustainable rural development, with a focus on South Tyrol, Italy. A survey of 461 local residents assessed perceptions of agritourism’s impact on agricultural heritage, environmental sustainability, and community well-being. Factor analysis identified two main constructs—Agroheritage Sustainability and Empowered Eco-Tourism—which together capture the multifaceted benefits of agritourism. Agroheritage Sustainability reflects the preservation of traditional farming practices, cultural landscapes, and intergenerational knowledge, emphasizing the role of tourism in maintaining cultural identity and preventing land abandonment. Empowered Eco-Tourism highlights the socio-economic benefits of sustainable tourism, including community empowerment, environmental stewardship, and the creation of new economic opportunities. The study’s findings indicate that local residents view agritourism as a holistic approach that supports rural livelihoods while preserving cultural heritage and promoting ecological resilience. The analysis further supports the potential of farm-based hospitality as a model for sustainable rural development, aligning closely with EU policies and global best practices. The Roter Hahn initiative in South Tyrol serves as a practical example of this approach, demonstrating the value of certification programs in enhancing transparency, quality, and sustainability. These insights provide valuable guidance for policymakers and tourism developers seeking to promote sustainable rural tourism globally. The contribution of this research lies in its empirical validation of a dual-construct model that links community engagement with agroecological and cultural sustainability, offering a transferable framework for evaluating agritourism as a lever for sustainable rural development in diverse regional contexts. Full article

Background/Objectives: The use of artificial sweeteners (AS) is increasing globally despite growing evidence suggesting potential health risks. This study investigates the sociodemographic and health-related factors associated with AS use in the Hungarian population. Methods: We conducted a cross-sectional analysis using data from the 2019 European Health Interview Survey (EHIS), comprising 5603 participants. AS users were identified based on self-reported use of AS. Logistic regression models were used to examine associations between regular AS use and demographic, socioeconomic, and health variables. Interaction terms were included to explore potential effect modification. Results: AS use was reported by 20.1% of participants. Older adults, individuals with overweight or obesity, and those reporting poorer self-perceived health were more likely to use AS. AS use was also higher among individuals in lower and middle-income quintiles. Interaction analyses revealed that overweight and obese individuals with the lowest income, as well as older adults in poor health, were particularly likely to use AS. Conclusions: The findings highlight disparities in AS use across age, income, BMI, and health status, raising concerns about the public’s perception of AS as a healthier alternative. Public health strategies should focus on increasing awareness of the potential risks and encourage evidence-based dietary choices. Full article

Turkey, a country with a unique blend of traditional and modern lifestyles, has made significant progress in promoting gender equality and is recognized as a pioneer in advancing women’s rights in the region. However, despite these advances, gender inequalities persist in various respects. This study aims to examine gender perception in a Turkish sample. Employing a cross-sectional and descriptive research design, the study was conducted with 1053 literate participants aged 18 and above who volunteered. Data were collected using a Demographic Information Form and the gender perception scale. The findings suggest that gender perception in Turkey is shifting toward a more egalitarian perspective, reflecting a departure from traditional norms. Several key factors were identified as contributors to this transformation, including education level, employment status, urbanization, socio-economic background, and geographical region of residence. These variables play a critical role in shaping gender perceptions and fostering societal change. By analyzing and contextualizing the results, this study offers valuable insights into the ongoing evolution of gender norms in Turkey. It underscores the importance of continued efforts to promote gender equality and serves as a foundation for future research on the sociocultural dynamics influencing gender perceptions. Full article

Coastal forests in Bangladesh provide various essential ecosystem services. However, these face severe threats from deforestation, land-use changes, and climate change. Understanding community perceptions of these services and their willingness to support restoration is crucial for effective conservation strategies. To analyze these, this study employs machine learning on survey data collected from Chakaria and Moheshkhali Upazilas of Cox’s Bazar District. Gradient Boosting Machine (GBM) model was used to identify key predictors of restoration willingness and compared with Random Forest (RF) and Generalized Linear Model (GLM). Proximity to forests shapes community priorities with stronger support for restoration among those living near the forest. Higher perception levels were linked to various ecosystem services provided by the forest, while forest dependence, age, and education also influenced perception with education and age showing strong negative correlations. The GBM model outperformed RF and the GLM in predicting restoration willingness due to its ability to capture complex relationships. The perceived importance of provisioning and supporting services and restoration awareness influenced willingness, accounting for 55.56% of the variation. Willingness was also shaped by income, forest dependency and awareness. Overall, this study leverages machine learning to align conservation efforts with socio-economic priorities, ensuring the resilience of Bangladesh’s coastal ecosystems. Full article

Background: In rapidly aging societies like Japan, socioeconomic status (SES) plays a critical role in shaping older adults’ health behaviors. Disparities in SES influence access to healthcare, engagement in health-promoting activities, and the adoption of digital health technologies. This narrative review synthesizes current evidence on how SES affects health behaviors among older adults and highlights challenges in promoting equitable and sustainable healthcare in aging populations. Methods: A PubMed search was conducted for English-language articles published up to May 2025 using the keywords “socioeconomic status”, “older adults”, and terms related to health behaviors. Studies were included if they focused on individuals aged 65 or older and examined associations between SES and healthcare use, digital health, complementary and alternative medicine (CAM), supplements, or lifestyle behaviors. Results: A total of 24 articles were identified. Higher SES—typically measured by income, education, and occupation—was consistently associated with an increased use of preventive services, digital health tools, CAM, and healthier lifestyle behaviors such as diet, physical activity, and sleep. In contrast, lower SES was linked to healthcare underuse or overuse, digital exclusion, and less healthy behaviors. Structural and regional disparities often reinforce individual-level SES effects. Comorbidity burden and shifting health perceptions with age may also modify these associations. Conclusions: SES is a key determinant of health behavior in older adults. Policies should focus on redistributive support, digital inclusion, and SES-sensitive health system strategies to reduce disparities and promote healthy aging in super-aged societies. Full article

Background: Subjective socioeconomic status (SES) is a powerful determinant of health and well-being, capturing individuals’ perceptions of their material conditions and security. While higher perceived financial and basic needs security are generally linked to better health outcomes, little is known about how these associations differ across global contexts. Drawing on data from 23 countries, this study tests whether these relationships are systematically weaker in Global South countries. Methods: Cross-sectional data from Wave 1 of the Global Flourishing Study (n = 207,000) were used to examine associations between subjective SES indicators—financial security and security in basic needs (food, housing, safety)—and two outcomes: self-rated physical health and mental health. All variables were measured on 0–10 scales. Linear regression models were estimated separately by Global South and Global North country status, adjusting for age and sex. Global South classification was based on standard development and geopolitical frameworks. Results: In both global regions, individuals with higher perceived financial and basic needs security reported significantly better mental and physical health. However, the strength of these associations was consistently weaker in Global South countries. Interaction terms confirmed that Global South status moderated the association between subjective SES and health outcomes. Conclusions: These findings suggest global-scale “diminished returns” of subjective SES on health, echoing patterns previously observed within countries. Structural inequalities, weaker public systems, and contextual adversity may dilute the health benefits of perceived security in Global South settings. Global health equity efforts must therefore move beyond individual-level interventions to address the broader systems that constrain the translation of socioeconomic resources into health. Full article

Women disproportionately encounter negative affordances in urban environments—defined as features that severely restrict movement and impose harm. City venues are, thus, selectively permeable to women, though men face their own challenges, especially in intersectional contexts. The data in this study suggest that gender combines with ethnicity, socioeconomic status, and visible religious markers, making obstruction a shifting but nonetheless real phenomenon, much like a staircase genuinely impedes wheelchair access. Cultural context also matters: a Black woman may face one set of barriers in Paris, another in Seoul, with a Latin American woman encountering different ones in both. Building on these observations, the article argues that urban landscapes manifest gender-based political affordances—material configurations that reflect and reinforce social inequalities. As an affordance-based framework, the selective permeability model (1) draws on a well-supported theory of perception, where settings objectively present both favorable and hostile values relative to agents. The outlook (2) thereby challenges the stereotype that women’s spatial concerns are merely subjective. The position also (3) affirms that despite differences, people share bodily constraints and, hence, have largely overlapping values and experiences. The perspective accordingly avoids exaggerating divisions to the point of denying the mutual understanding that underlies empathetic norms. Full article

This study investigates the knowledge, perception and trust in Advanced Driver Assistance Systems (ADAS) among drivers in Eastern Sicily, a Mediterranean region characterized by infrastructural and socio-economic differences. A structured survey (N = 961) was conducted to assess user attitudes towards eight key ADAS technologies using two validated indices: the Knowledge Index (KI) and the Importance Index (II). To capture user consistency, a normalized product (z(KI) × z(II)) was calculated for each technology. This composite metric enabled the identification of three latent dimensions through exploratory factor analysis: Emergency-Triggered Systems, Adaptive and Reactive Systems and Driver Vigilance and Stability Systems. The results show a clear discrepancy between perceived importance (56.6%) and actual knowledge (35.1%). Multivariate analyses show that direct experience with ADAS-equipped vehicles significantly increases both awareness and confidence. Age is inversely correlated with knowledge, while gender has only a marginal influence. The results are consistent with established acceptance models such as TAM and UTAUT, which emphasize the role of perceived usefulness and trust. The study presents an innovative integration of psychometric metrics and behavioral theory that provides a robust and scalable framework for assessing user readiness in evolving mobility contexts, particularly in regions facing infrastructural heterogeneity and cultural changes in travel behavior. Full article

Background and Objectives: Chronic pain (CP), defined as pain persisting for over 3 months, is a significant cause of global disability and affects more than 20% of individuals in Western countries, including Italy. Substantial evidence indicates a higher prevalence of CP among women, who also experience greater sensitivity, increased frequency, and a longer duration of pain. The impact of CP on quality of life, daily functioning, and employment is profound, particularly for women. However, chronic pain research has insufficiently addressed sex and gender differences, contributing to suboptimal and inequitable care. This neglect limits the development of personalized treatment strategies and, when combined with an aging population and women’s longer life expectancy, highlights an increasing societal and economic burden. Materials and Methods: The authors conducted a narrative review of studies examining biological, psychological, or social determinants of sex-related differences in CP perception or treatment. Each thematic area was reviewed by at least two authors, who critically appraised the literature. Their analyses were refined through iterative group discussions to develop concise, evidence-informed recommendations for personalized and equitable pain management. Results: Sex differences in CP arise from a range of factors, including biological mechanisms such as hormonal and genetic influences, psycho-social factors such as depression and anxiety, and socio-economic determinants, such as income and education levels. These factors also affect sex-specific outcomes of analgesic treatments currently available. Identifying these risk factors and tailoring treatment strategies to sex differences can significantly improve CP management. Such a personalized approach is essential for advancing precision medicine in CP management. Even in the absence of molecular or genomic biomarkers, adopting a biopsychosocial model that considers sex and gender differences, symptoms, physiological indicators, medical history, lifestyle, and psychological aspects may substantially enhance patient outcomes. Conclusions: This review provides a comprehensive analysis of sex differences in CP perception, stressing the importance of individualized, interdisciplinary approaches in pain management. Addressing both the biological and psycho-social contributors to pain in men and women is critical for guiding healthcare professionals in implementing precision pain medicine strategies, ultimately fostering more equitable and effective care. Full article

Background: This study evaluates one of the five regions of the state of Rio de Janeiro, Brazil, as part of a broader research project examining users’ perceptions of the Unified Health System (SUS), which has already generated publications in previous phases. The aim was to assess users’ perceptions of the SUS regarding access to and the quality of public health services, including pharmaceutical services, in the Metropolitan Region of Rio de Janeiro State. Method: A cross-sectional study was conducted between January and August 2024 with 200 participants, using a 66-item survey addressing access to and the quality of SUS services, appointment scheduling, medication acquisition, and the pharmacist’s role. Associations between variables were investigated using the Pearson Chi-Square Test in R software. Results: Frequent SUS users rated access as very good/good (p = 0.002) and overall quality as very good/good (p = 0.045). Reported challenges included the need for improved infrastructure (48.5%), better professional qualifications (30.6%), and easier access to medicines (16.8%). Higher ratings were given by those who used the SUS more frequently, and, in general, there was a tendency for participants with lower socioeconomic conditions to provide more favorable assessments of access to public health services (p = 0.024). Conclusions: A universal health system should cover diverse regions with unique needs. However, 49.4% of participants stated they never received information on how to store their medicines, and 42.3% reported never encountering a pharmacist in public pharmacies. Further ongoing studies assessing user perceptions are essential to ensure users play a central role in health decision-making, contributing to the system’s strengthening and improvement. Full article

In regions with sustained air pollution, the adoption of protective health behaviors is critical, particularly among pregnant women—a population marked by physiological vulnerability and heightened receptivity to preventive guidance. Understanding and supporting patient-driven behavioral change requires attention to individual perception and awareness, which are shaped by socio-economic and spatial factors, as well as access to credible information. Objectives: This study investigates how pregnant women in Serbia perceive air quality, identifies determinants that influence these perceptions, and evaluates the extent and nature of behavioral adaptations undertaken to mitigate exposure-related risks. Methods: A cross-sectional survey was conducted among 279 pregnant women using a structured, researcher-administered questionnaire. Collected data included demographic and psychosocial variables, air quality perceptions, self-reported health effects, and behavioral responses. Residential proximity to land-use attributes was assessed using GIS-based spatial analysis. Results: Most participants perceived air quality as poor (68.8%), primarily informed by unofficial sources such as mobile applications and social media. Living close to continuous urban fabric (OR = 0.180, 95% CI: 0.059–0.558, p = 0.003) and water (OR = 0.306, 95% CI: 0.127–0.738, p = 0.008) was associated with poorer perceptions, while proximity to forests (OR = 2.938, 95% CI: 1.323–6.525, p = 0.008) correlated with more favorable assessments. Despite prevalent concern, around half of respondents (50.2%) reported no behavioral modifications. Importantly, none had received guidance from healthcare professionals on the topic. Conclusions: These findings highlight critical gaps in environmental health literacy and provider engagement. Integrating tailored communication and behavioral support in existing prenatal counseling could advance health-related quality of life in this vulnerable population. Full article

Urban climate resilience is shaped by both direct exposure to environmental risks and cognitive, socioeconomic and institutional factors. This study investigates climate change risk perception (CCRP), psychological distance (PD) and adaptive capacity (AC) across five districts of Istanbul: Beşiktaş, Kadıköy, Kağıthane, Şişli and Üsküdar, using a structured survey (sample size = 500) and advanced multivariate statistical modeling to explore the factors influencing adaptive behavior. To evaluate perceptual and behavioral responses to climate threats, the study constructs both equal-weighted indices and indices derived through principal component analysis (PCA). ANOVA and chi-square tests reveal significant district-level differences in risk perception and adaptation engagement. PCA results validate the internal structure of the indices by identifying latent dimensions such as institutional confidence, emotional proximity and self-efficacy. Correlation and regression analyses confirm that CCRP and PD significantly predict AC in theoretically meaningful patterns. Structural equation modeling (SEM) demonstrates both direct and indirect pathways linking climate risk perception to adaptive capacity, highlighting the complex interplay of these variables. Mediation analysis shows that PD partially mediates the CCRP–AC relationship, accounting for 39.7% of the total effect. Cluster analysis identifies distinct cognitive profiles where proactive adaptation behaviors are more common in affluent districts while disengagement is more prevalent in low-income areas. These findings underscore the importance of localized communication efforts, institutional credibility and financial equity in shaping effective climate adaptation. By integrating perceptual and structural dimensions, the study advances a multidimensional understanding of urban climate readiness and offers empirical guidance for socially equitable resilience policy design. Full article

This study explores homework practices and perceptions among Slovenian fourth-grade students and their parents, using data from PIRLS 2021 and national additions. Homework remains a contentious topic, often debated in terms of necessity and impact. The study examines the degree of parental involvement in their children’s homework, focusing on its association with family socioeconomic status (SES) and students’ reading achievement, as well as the students’ attitudes towards homework. A mixed-methods approach was employed, combining quantitative analyses from reading tests and contextual questionnaires with qualitative insights from open-ended parental responses. The results show that most Slovenian parents actively assist their children with homework, yet frequent involvement correlates with lower reading scores, potentially reflecting increased support for struggling students. Parental motivations emphasize educational purposes, such as reinforcement of knowledge and monitoring progress, and developmental goals like fostering work habits and confidence. Among students, attitudes towards homework are generally positive, with many acknowledging its instructional benefits. However, a significant portion find homework boring or excessive, which negatively correlates with achievement. The study highlights disparities linked to SES, with students from higher SES families demonstrating greater independence and more favorable attitudes. These findings underscore the need for balanced homework practices that consider quality over quantity, individualization in design, and collaborative communication with parents. Implications for policy include fostering autonomy and reducing SES-based inequalities. Full article