Global Transitions最新文献

Environmental science, policy, and industry nexus: Integrating Frameworks for better transport sustainability

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2024.12.001

Nahed Bahman , Naser Naser , Ezzat Khan , Tariq Mahmood

The transport sector is one of the primary contributors to climate change since greenhouse gas (GHG) emissions have grown by about 80 % from 1990 to 2019. Energy use by this sector has increased over the years, now accounting for up to one-fifth of global energy use. This research, based on the necessity to improve sustainability in the transport sector in terms of increasing environmental impacts, and limitations in frameworks developed, seeks to integrate better and more effective assessments with mitigation measures. Despite the advances made in environmental sustainability, both scientists and policymakers recognize significant gaps in existing methods for measuring and reducing transport emissions. This study presents an integrated framework combining elements of Integrated Environmental Assessment (IEA) with Life Cycle Assessment (LCA) data, thus enhancing policy effectiveness in the sector. The study relies on sound data from LCAs in guiding the formulation of Policy Instruments and Policy Mixes. The methodology involves statistical analysis of surveys and LCA data within a policy context, focusing on sustainability assessment of transport systems. Important findings in key results show that embedding LCA into policy frameworks effectively helps minimize impacts on the environment and enhances sustainability within transport systems. Such important implications have been seen as valuable to policymakers and industries by proposing integration of LCA into environmental policies as a way of minimizing further burdens on the environment in addition to propelling climate change mitigation efforts.

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引用次数: 0

Selecting E-bikes using a multi-criteria integrated analytic hierarchy approach for sustainable transportation option

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.006

Rohit Bansal , Yasmeen Ansari , Neha Gupta , Manika Sharma

Electric bikes play a crucial role in reducing greenhouse gas emissions, mitigating the problem of global warming, and contributing to sustainable development. Also, it helps to reduce crude imports, save foreign currency, and strengthen the balance of payments. This study aims to create a multi-criteria approach based on an integrated analytic hierarchy process (AHP) and multi-attributes border approximation area comparison (MABAC) that considers the various aspects of an Electric-bike’s (E-bike) performance and characteristics. The study results reveal that the AHP method performs best when making informed decisions regarding E-bikes. The eight criteria that were selected were the most desirable. Findings demonstrate buyers prioritized E-bikes' driving range (24 %) and battery capacity (21 %). The findings of this study support the idea of developing comprehensive selection criteria that consider the various features of an E-bike’s performance and characteristics. This study can be useful for low-performing electric scooter manufacturers to assess their benchmarks. The government should also facilitate adding more charging stations and battery-swapping facilities and tie up with petrol pumps, CNG stations, and other options. Based on the eight parameters in our study, Simple One ranked one, followed by Ola Pro and TVS iQube. The findings will be useful for manufacturers and policymakers to formulate and implement strategies to boost EV market penetration.

{"title":"Selecting E-bikes using a multi-criteria integrated analytic hierarchy approach for sustainable transportation option","authors":"Rohit Bansal , Yasmeen Ansari , Neha Gupta , Manika Sharma","doi":"10.1016/j.glt.2025.02.006","DOIUrl":"10.1016/j.glt.2025.02.006","url":null,"abstract":"<div><div>Electric bikes play a crucial role in reducing greenhouse gas emissions, mitigating the problem of global warming, and contributing to sustainable development. Also, it helps to reduce crude imports, save foreign currency, and strengthen the balance of payments. This study aims to create a multi-criteria approach based on an integrated analytic hierarchy process (AHP) and multi-attributes border approximation area comparison (MABAC) that considers the various aspects of an Electric-bike’s (E-bike) performance and characteristics. The study results reveal that the AHP method performs best when making informed decisions regarding E-bikes. The eight criteria that were selected were the most desirable. Findings demonstrate buyers prioritized E-bikes' driving range (24 %) and battery capacity (21 %). The findings of this study support the idea of developing comprehensive selection criteria that consider the various features of an E-bike’s performance and characteristics. This study can be useful for low-performing electric scooter manufacturers to assess their benchmarks. The government should also facilitate adding more charging stations and battery-swapping facilities and tie up with petrol pumps, CNG stations, and other options. Based on the eight parameters in our study, Simple One ranked one, followed by Ola Pro and TVS iQube. The findings will be useful for manufacturers and policymakers to formulate and implement strategies to boost EV market penetration.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 94-108"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the association between tobacco and its substitutes use with psychosocial symptoms among 187,329 adolescents: A comparative analysis across 47 countries with varied universal health coverage index

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.007

Zichen Ye , Manman Chen , Xijie Wang , Zhilan Xie , Daqian Zhang , Dandan Wu , Yuankai Zhao , Yimin Qu , Yu Jiang

Objective

This study aimed to analyze the association between tobacco and its substitutes use and psychosocial symptoms among adolescents, and to investigate whether these associations varied based on the Universal Health Coverage (UHC) index.

Methods

A pooled cross-sectional analysis was conducted using data from the Global School-based Student Health Survey from 2013 to the most recent available year, covering 47 countries and involving 187,329 adolescents aged 12–17 years. Log-binomial regression models were applied to analyze the association between current tobacco and substitutes use and psychosocial symptoms including suicide ideation, being lonely, and worrying. Further stratified analysis was performed with log-binomial regression models to analyze whether the associations differed under different national UHC index.

Results

The prevalence of psychosocial symptoms, including suicide ideation, being lonely, and worrying, were 14.1 %, 12.8 %, and 10.3 %, respectively. The prevalence of tobacco and its substitutes use was significantly higher among boys (20.9 % vs. 10.7 %; P < 0.001). Tobacco and its substitutes use was associated with greater risk of suicide ideation (boys: OR = 1.89, 95%CI 1.82–1.97; girls: OR = 2.33, 95%CI 2.26–2.40), being lonely (boys: OR = 1.58, 95%CI 1.51–1.64; girls: OR = 1.68, 95%CI 1.63,1.73), and worrying (boys: OR = 1.78, 95%CI 1.70,1.87; girls: OR = 1.82, 95%CI 1.76,1.89). The differences were also significant in all sex-stratified subgroup analyses (P < 0.001). These associations were greater in countries with lower UHC index, particularly tobacco-related risk of suicide ideation among girls.

Conclusion

Tobacco and its substitutes use is associated with increased risks of various psychosocial symptoms, including feelings of suicide ideation, being lonely, and worrying, in adolescents, particularly among girls and in countries with lower UHC index.

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引用次数: 0

The role of carbon peaking targets in urban green economic transition: Insights from U.S. city-level climate action plans

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.01.002

Nihal Ahmed , Nisar Ahmed Khan , Józef Ober

Carbon peak targets play a crucial role in the global effort to mitigate climate change, with profound implications for green and sustainable economic growth. This research explores the dynamics between carbon peak target policies and urban low-carbon development using a novel delegation-agency framework between central and local governments. Analyzing data from U.S. climate action plans spanning 2010–2020, we employ an advanced difference-in-differences approach to elucidate the causal impact of carbon peak targets on low-carbon transitions. Our findings demonstrate a significant positive correlation between the adoption of these targets and accelerated low-carbon development, with effects modulated by local economic structures, resource availability, and governance transitions. The robustness of these results is rigorously validated through a comprehensive series of tests, including placebo experiments, policy interference controls, and heterogeneity bias assessments. Further investigation reveals that carbon peak targets primarily function through two key mechanisms: stimulating eco-innovation and catalyzing green infrastructure investments. Notably, our analysis uncovers an inverse relationship between target timeline stringency and low-carbon transition effectiveness. This study advances the field by offering a unified theoretical framework for analyzing local government constraints and carbon peak targets, conducting granular city-level analyses, and exploring the nuanced impacts of policy design features. Our findings suggest several policy prescriptions, including recalibrating municipal performance metrics, advocating for flexible target frameworks, and fostering synergies between environmental policies and innovation ecosystems. These insights provide valuable guidance for policymakers aiming to optimize climate strategies and accelerate the transition to a sustainable, low-carbon economy.

{"title":"The role of carbon peaking targets in urban green economic transition: Insights from U.S. city-level climate action plans","authors":"Nihal Ahmed , Nisar Ahmed Khan , Józef Ober","doi":"10.1016/j.glt.2025.01.002","DOIUrl":"10.1016/j.glt.2025.01.002","url":null,"abstract":"<div><div>Carbon peak targets play a crucial role in the global effort to mitigate climate change, with profound implications for green and sustainable economic growth. This research explores the dynamics between carbon peak target policies and urban low-carbon development using a novel delegation-agency framework between central and local governments. Analyzing data from U.S. climate action plans spanning 2010–2020, we employ an advanced difference-in-differences approach to elucidate the causal impact of carbon peak targets on low-carbon transitions. Our findings demonstrate a significant positive correlation between the adoption of these targets and accelerated low-carbon development, with effects modulated by local economic structures, resource availability, and governance transitions. The robustness of these results is rigorously validated through a comprehensive series of tests, including placebo experiments, policy interference controls, and heterogeneity bias assessments. Further investigation reveals that carbon peak targets primarily function through two key mechanisms: stimulating eco-innovation and catalyzing green infrastructure investments. Notably, our analysis uncovers an inverse relationship between target timeline stringency and low-carbon transition effectiveness. This study advances the field by offering a unified theoretical framework for analyzing local government constraints and carbon peak targets, conducting granular city-level analyses, and exploring the nuanced impacts of policy design features. Our findings suggest several policy prescriptions, including recalibrating municipal performance metrics, advocating for flexible target frameworks, and fostering synergies between environmental policies and innovation ecosystems. These insights provide valuable guidance for policymakers aiming to optimize climate strategies and accelerate the transition to a sustainable, low-carbon economy.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 69-80"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effective COVID-19 preventive measures for Thai residents in environmental risk areas and significant determinants of self-preventive behaviors

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.002

Weerawat Ounsaneha , Orapin Laosee , Piyapong Janmaimool , Thunwadee Tachapattaworakul Suksaroj , Cheerawit Rattanapan

This study aimed to identify effective COVID-19 preventive measures and significant determinants of self-preventive behaviors (SPBs) among Thais residing in environmental risk area. The populations comprised 1130 residents from five province located in the highest level of environmental risk exposure area in Thailand. A structured questionnaire was employed to indicate the COVID-19 preventive behaviors. The difference of preventive behaviors between COVID-19 positive and negative residents was analyzed using the t-test and then significant determinants of SPBs were examined using path analysis. The results showed that of 9 SPBs, 5 types including wearing facial masks, keeping social distancing, practicing hand washing, avoiding contacting people with COVID symptoms and using alcohol or hand sanitizer spray among noninfected participants were higher than among COVID-19 positive participants. For the result of path analysis, trust and attitude toward adherence to preventive behaviors was indicated as the greatest direct effect on SPBs. In addition, trust in the government's recommendations for self-prevention and knowledge about self-prevention had the most and second most total effects on SPBs, respectively. This finding suggested that effective COVID-19 measures of SPBs among residents were recommended by the Thai government with daily broadcasts on public television and social media. The combined concepts of infectious control and environmental management could be implemented to effectively control cases in highly polluted cities to improve resilience related to COVID-19 prevention.

{"title":"Effective COVID-19 preventive measures for Thai residents in environmental risk areas and significant determinants of self-preventive behaviors","authors":"Weerawat Ounsaneha , Orapin Laosee , Piyapong Janmaimool , Thunwadee Tachapattaworakul Suksaroj , Cheerawit Rattanapan","doi":"10.1016/j.glt.2025.02.002","DOIUrl":"10.1016/j.glt.2025.02.002","url":null,"abstract":"<div><div>This study aimed to identify effective COVID-19 preventive measures and significant determinants of self-preventive behaviors (SPBs) among Thais residing in environmental risk area. The populations comprised 1130 residents from five province located in the highest level of environmental risk exposure area in Thailand. A structured questionnaire was employed to indicate the COVID-19 preventive behaviors. The difference of preventive behaviors between COVID-19 positive and negative residents was analyzed using the <em>t</em>-test and then significant determinants of SPBs were examined using path analysis. The results showed that of 9 SPBs, 5 types including wearing facial masks, keeping social distancing, practicing hand washing, avoiding contacting people with COVID symptoms and using alcohol or hand sanitizer spray among noninfected participants were higher than among COVID-19 positive participants. For the result of path analysis, trust and attitude toward adherence to preventive behaviors was indicated as the greatest direct effect on SPBs. In addition, trust in the government's recommendations for self-prevention and knowledge about self-prevention had the most and second most total effects on SPBs, respectively. This finding suggested that effective COVID-19 measures of SPBs among residents were recommended by the Thai government with daily broadcasts on public television and social media. The combined concepts of infectious control and environmental management could be implemented to effectively control cases in highly polluted cities to improve resilience related to COVID-19 prevention.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 118-127"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exposure to surface ozone and its associated health effects and economic burden in India

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.03.002

G.S. Gopikrishnan , T.S. Ardra , J. Kuttippurath

Surface ozone is a secondary air pollutant and when its exposure exceeds the threshold of 70 μg/m³ for 8 h, it can make adverse health effects. This study assesses surface ozone pollution in India using satellite and ground-based measurements. The exposure to surface ozone varies between seasons, from a pre-monsoon (March, April, and May) maximum (30–50 μg/m³) to a monsoon (June, July, August, and September) minimum (<25 μg/m³). However, there are many regions with ozone exceeding an exposure threshold of 70 μg/m³. This results in about 29000 mortalities in 45 out of 220 Indian cities based on the ground-based measurements considered. Estimates of mortality related to Chronic Obstructive Pulmonary Disease (COPD) and Ischemic Heart Disease (IHD) show a total of about 51154 deaths for the year 2022 as deduced from the satellite measurements. Also, the economic burden of premature mortality from ozone exposure is 16.83 billion USD, which is about 1.5 times the health budget of India in 2022. Therefore, it is imperative to address surface ozone pollution to ensure economic stability, protect public health and mitigate climate change.

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引用次数: 0

Mindscapes and landscapes: Framing planetary health education and pedagogy for sustainable development in Africa

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.004

Bob O. Manteaw , Kirk B. Enu

This paper explores the urgent need for reconceptualization of education and learning in Africa within the framework of planetary health as a critical response to the escalating environmental and health crises. It argues that the current planetary crisis, marked by harmful climate change impacts, ecological degradation and the disruption of natural systems, is not only an environmental or health issue but also a crisis of the mind—knowledge, education and cognition. The paper critiques the dominant educational paradigms in Africa, which are heavily influenced by human-centered colonial educational legacies that often ignore the interconnectedness of human and non-human systems. In mindscapes and landscapes, therefore, the paper foregrounds the disconnect between human actions on nature and the integrity of natural systems. The paper advocates for a transformational educational paradigm that integrates Indigenous knowledge Systems while highlighting the value of non-human systems beyond their economic utility. It proposes the adoption of a planetary health education approach that promotes systems thinking, ecological mindfulness and the mutuality between humans and the natural environment as determinants of health and wellbeing. This approach, the paper argues, is essential for fostering sustainable development practices that emphasize the integrity of natural systems, as well as equipping learners with the knowledge, skills and competencies needed to address the complex challenges of the Anthropocene. The paper calls on higher education institutions in Africa to show leadership through intentional educational and pedagogical transformations that embed Planetary Health concepts and concerns in cross-curricular and transdisciplinary learning processes to challenge dominant narratives of human-centered development obsessions.

{"title":"Mindscapes and landscapes: Framing planetary health education and pedagogy for sustainable development in Africa","authors":"Bob O. Manteaw , Kirk B. Enu","doi":"10.1016/j.glt.2025.02.004","DOIUrl":"10.1016/j.glt.2025.02.004","url":null,"abstract":"<div><div>This paper explores the urgent need for reconceptualization of education and learning in Africa within the framework of planetary health as a critical response to the escalating environmental and health crises. It argues that the current planetary crisis, marked by harmful climate change impacts, ecological degradation and the disruption of natural systems, is not only an environmental or health issue but also a crisis of the mind—knowledge, education and cognition. The paper critiques the dominant educational paradigms in Africa, which are heavily influenced by human-centered colonial educational legacies that often ignore the interconnectedness of human and non-human systems. In mindscapes and landscapes, therefore, the paper foregrounds the disconnect between human actions on nature and the integrity of natural systems. The paper advocates for a transformational educational paradigm that integrates Indigenous knowledge Systems while highlighting the value of non-human systems beyond their economic utility. It proposes the adoption of a planetary health education approach that promotes systems thinking, ecological mindfulness and the mutuality between humans and the natural environment as determinants of health and wellbeing. This approach, the paper argues, is essential for fostering sustainable development practices that emphasize the integrity of natural systems, as well as equipping learners with the knowledge, skills and competencies needed to address the complex challenges of the Anthropocene. The paper calls on higher education institutions in Africa to show leadership through intentional educational and pedagogical transformations that embed Planetary Health concepts and concerns in cross-curricular and transdisciplinary learning processes to challenge dominant narratives of human-centered development obsessions.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 136-143"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the impact of globalization and economic-energy dynamics on environmental sustainability in the EU

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2024.12.002

Aura Girlovan, Cristiana Tudor, Gabriel Robert Saiu, Daniel Dumitru Guse

This paper investigates the determinants of environmental sustainability by analyzing the impact of various economic, fiscal, and energy-related variables on greenhouse gas (GHG) emissions and energy intensity (EI) across 27 European Union member states from 2005 to 2022. Using dynamic panel data analysis through the system Generalized Method of Moments (GMM) estimator, we explore how key factors such as GDP per capita growth, foreign direct investment (FDI), portfolio investments (PI), trade openness (TO), and stock market performance (SMP) influence environmental outcomes. Additionally, the analysis examines the role of fiscal policies, represented by government deficit/surplus (GDT), and energy-related factors, such as renewable energy consumption (REC) and research and development expenditure (ERD), in shaping sustainability. The findings reveal that while GDP growth correlates positively with increased GHG emissions, it negatively impacts energy intensity, suggesting that economic expansion may drive emissions upward while concurrently promoting greater energy efficiency. Trade openness significantly mitigates GHG emissions, indicating that enhanced international trade facilitates access to cleaner technologies. The effects of FDI and PI present a more ambivalent picture, often associated with elevated GHG emissions in the absence of stringent regulatory frameworks. Notably, renewable energy adoption emerges as a critical driver of sustainability, effectively mitigating the environmental impacts of globalization. This study provides valuable insights into the complex interplay between economic globalization and environmental sustainability, offering actionable policy recommendations to align economic growth with the EU's long-term environmental objectives.

{"title":"Exploring the impact of globalization and economic-energy dynamics on environmental sustainability in the EU","authors":"Aura Girlovan, Cristiana Tudor, Gabriel Robert Saiu, Daniel Dumitru Guse","doi":"10.1016/j.glt.2024.12.002","DOIUrl":"10.1016/j.glt.2024.12.002","url":null,"abstract":"<div><div>This paper investigates the determinants of environmental sustainability by analyzing the impact of various economic, fiscal, and energy-related variables on greenhouse gas (GHG) emissions and energy intensity (EI) across 27 European Union member states from 2005 to 2022. Using dynamic panel data analysis through the system Generalized Method of Moments (GMM) estimator, we explore how key factors such as GDP per capita growth, foreign direct investment (FDI), portfolio investments (PI), trade openness (TO), and stock market performance (SMP) influence environmental outcomes. Additionally, the analysis examines the role of fiscal policies, represented by government deficit/surplus (GDT), and energy-related factors, such as renewable energy consumption (REC) and research and development expenditure (ERD), in shaping sustainability. The findings reveal that while GDP growth correlates positively with increased GHG emissions, it negatively impacts energy intensity, suggesting that economic expansion may drive emissions upward while concurrently promoting greater energy efficiency. Trade openness significantly mitigates GHG emissions, indicating that enhanced international trade facilitates access to cleaner technologies. The effects of FDI and PI present a more ambivalent picture, often associated with elevated GHG emissions in the absence of stringent regulatory frameworks. Notably, renewable energy adoption emerges as a critical driver of sustainability, effectively mitigating the environmental impacts of globalization. This study provides valuable insights into the complex interplay between economic globalization and environmental sustainability, offering actionable policy recommendations to align economic growth with the EU's long-term environmental objectives.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 41-55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early sexual initiation among school youths in Metekel Zone, Benishangul Gumuz Region, Northwestern Ethiopia: Cross sectional study

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.001

Mulatu Agajie , Tesfu Zewdu , Muluwas Amentie Zelka

Background

Early sexual activity can have a substantial negative impact on adolescents and youths. Biological, psychological, socio-cultural, and economic factors put youths at high risk of initiating sexual intercourse at an early age. This study aimed to assess the level of early sexual initiation and associated factors among school youth in the Benishangul Gumuz region.

Methods

School-based cross-sectional study was conducted from February 4–15, 2022. A pretested and self-administered questionnaire was used to collect the data. Bivariable and multivariable binary logistic regression model was used to determine the presence of a significant association between sexual initiation and independent variables.

Results

Out of 424 study subjects, 178 (43 %) had ever initiated sexual intercourse, of which 143 (80.3 %) had initiated before 18 years of age. Students who were in the age category of 15–19 years (AOR = 6.29; 95 % CI: 2.53, 15.63) and those who had multiple sexual partners (AOR = 5.08, 95 % CI = 2.00, 12.87) had higher odds of having early sexual initiation as compared with their counterpart. Similarly, students who consumed alcohol (AOR = 2.91, 95 % CI = 1.03, 8.17) and who had never used a condom during sexual intercourse (AOR = 3.09, 95 % CI = 1.22, 7.81) had a higher odd of initiating sexual intercourse at an early age as compared with their counterpart.

Conclusions

This study revealed that there was high magnitude of early sexual intercourse in the region. Predictors were having multiple sexual partners, never used a condom, and drunk alcohol. Delaying age at sexual initiation is a strategy that needs to be incorporated into the curriculums of primary and secondary schools. Parents have also a moral duty and responsibility to educate their children on the impact and consequence of early sexual initiation.

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引用次数: 0

Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals

Q1 Social Sciences

Global Transitions

Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.01.001

Masyitoh Basabih , Eko Prasojo , Amy Yayuk Sri Rahayu

Context

Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the relationships between variables. This study aims to determine the influence of system context, drivers, and collaborative processes on the outcomes of PPP hemodialysis services in regional hospital in Indonesia.

Methods

This study employs a quantitative approach with primary data obtained through a survey. The research sample consists of 75 regional hospitals represented by 111 respondents. Analysis was conducted using the Partial Least Square-Structural Equation Modeling (PLS-SEM) technique.

Findings

The system context indirectly influences the process through mediation by the driver variable at 0.451, where the driver significantly affects the collaborative process at 0.534, and the collaborative process significantly influences the outcome at 0.773. The policy dimension makes the largest contribution to the systemic context, as does the consequential incentive dimension to the drivers. In the process variable, the capacity for joint action is the dimension with the greatest contribution.

Conclusions

The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance.

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引用次数: 0